Palliative Care in Africa: a Scoping Review from 2005–16

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dc.contributor.authorRhee, John Y.
dc.contributor.authorGarralda, Eduardo
dc.contributor.authorTorrado, Carlos
dc.contributor.authorBlanco, Santiago
dc.contributor.authorNamisango, Eve
dc.contributor.authorLuyirika, Emmanuel
dc.contributor.authorPowell, Richard A.
dc.contributor.authorCenteno, Carlos
dc.date.accessioned2022-06-30T18:37:59Z
dc.date.available2022-06-30T18:37:59Z
dc.date.issued2017
dc.description.abstractSince the last comprehensive review on the development of national palliative care in Africa was undertaken 12 years ago, in 2005, we did a scoping review of peer-reviewed, published articles on palliative care development between 2005–16 for each African country. The scoping review was conducted by assessing the medical literature and including local expert recommendations of suggested articles. We did a basic quality assessment of the articles using the journals' impact factor, journal quartile, and the number of citations as suitable metrics for quality consideration. Articles published in English, Spanish, Portuguese, and French that mentioned at least one dimension of WHO's palliative care public health strategy (implementation of services, education, policies, or medicine availability) and vitality (activity by professionals or advocates) were included. Of the 518 articles found, 49 met the inclusion criteria. Information on 26 (48%) of 54 African countries was found. Most services were concentrated in Kenya, South Africa, and Uganda, and 14 (26%) countries showed an increase in services during this timeframe. Stand-alone palliative care policies exist in Malawi, Mozambique, Rwanda, Swaziland, Tanzania, and Zimbabwe. Postgraduate diplomas in palliative care are available in Kenya, South Africa, Uganda, and Tanzania. Restricted access to opioids, prescriber restriction laws, and a low prevalence of morphine use remain common barriers to adequate palliative care provision. Although information on palliative care is unevenly distributed, the available information showed an increased development of palliative care services in a subset of African countries. Despite this growth, however, there is still minimal to no identified palliative care development in most African countries.en_US
dc.identifier.citationRhee, J. Y., Garralda, E., Torrado, C., Blanco, S., Ayala, I., Namisango, E., ... & Centeno, C. (2017). Palliative care in Africa: a scoping review from 2005–16. The Lancet Oncology, 18(9), e522-e531.https://doi.org/10.1016/S1470-2045(17)30420-5`en_US
dc.identifier.issn1470-2045
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4118
dc.language.isoenen_US
dc.publisherThe Lancet Oncologyen_US
dc.titlePalliative Care in Africa: a Scoping Review from 2005–16en_US
dc.typeArticleen_US
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