Progress Update: Palliative Care Development Between 2017 and 2020 in Five African Countries

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dc.contributor.authorLuyirika, Emmanuel
dc.contributor.authorAli, Zipporah
dc.contributor.authorAtieno, Mackuline
dc.contributor.authorMahenge, Anna
dc.contributor.authorMuinga, Esther
dc.contributor.authorMusyoki, David
dc.contributor.authorMwesiga, Mark Donald
dc.contributor.authorNamisango, Eve
dc.contributor.authorOpio, Geoffrey
dc.contributor.authorRuzima, Aimable
dc.contributor.authorZalwango, Joyce
dc.contributor.authorAluso, Aggrey
dc.date.accessioned2022-07-01T14:14:57Z
dc.date.available2022-07-01T14:14:57Z
dc.date.issued2022
dc.description.abstractThis article provides a progress update on the development of palliative care in five countries in Africa—Kenya, Rwanda, South Africa, Tanzania, and Uganda—between 2017 and 2021, and explores the role of palliative care advocates and the Open Society Foundations in this process.To provide a progress update on the development of palliative care in Kenya, Rwanda, South Africa, Tanzania, and Uganda between 2017 and 2021 and to examine the impact of twenty years of Open Society Foundations support for palliative care in the region on the integration of palliative care into publicly funded health systems.In the mid-2000s, palliative care pioneers in these five countries, supported by Open Society Foundations, began to train health care providers and engage policy makers to ensure that people with life-limiting illnesses and their families had access to appropriate services and essential medicines. In the late 2010s, it embraced an approach that mixed strategic communications and advocacy for inclusion of palliative care into universal health coverage with technical assistance.By the mid-2010s, a vibrant palliative care community existed that worked closely with governments to develop palliative care policies, train providers, and ensure access to morphine. By 2021, Kenya and Rwanda had made significant progress scaling up palliative care services as part of the public health care system, and Uganda's government had instructed public hospitals to start providing these services. In South Africa and Tanzania, governments had yet to commit to publicly funded palliative care services.The experiences in these countries suggest that mixing advocacy, communications, and technical assistance can lead to substantial progress for patient access although full inclusion in universal health coverage remained uncertain in all but Rwanda.en_US
dc.identifier.citationLuyirika, E., Lohman, D., Ali, Z., Atieno, M., Mahenge, A., Mmbando, P., ... & Aluso, A. (2022). Progress update: Palliative care development between 2017 and 2020 in five African countries. Journal of Pain and Symptom Management, 63(5), 729-736.https://doi.org/10.1016/j.jpainsymman.2021.12.026en_US
dc.identifier.issn0885-3924
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4150
dc.language.isoenen_US
dc.publisherJournal of Pain and Symptom Managementen_US
dc.subjectPalliative care, hospice, Africa, Kenya, Rwanda, South Africa, Tanzania, Uganda, health systems, universal health coverage, controlled medi cines, morphineen_US
dc.titleProgress Update: Palliative Care Development Between 2017 and 2020 in Five African Countriesen_US
dc.typeArticleen_US
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