Public Priorities and Preferences for End-of-Life Care in Namibia

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dc.contributor.authorPowell, Richard A.
dc.contributor.authorNamisango, Eve
dc.contributor.authorGikaara, Nancy
dc.contributor.authorMoyo, Sherperd
dc.contributor.authorMwangi-Powell, Faith N.
dc.contributor.authorHarding, Richard
dc.date.accessioned2022-07-01T13:53:30Z
dc.date.available2022-07-01T13:53:30Z
dc.date.issued2014
dc.description.abstractAlthough quality end-of-life care provision is an international public health issue, the majority of evidence is not generated in low- and middle-income countries that bear a disproportionate burden of progressive illnesses.To identify the priorities and preferences of the Namibian public for end-of-life care.Using a cross-sectional study design, data were collected in the country's capital, Windhoek, from November to December 2010. In total, 200 respondents were recruited. The mean age was 27 years (SD 7.5; range 18–69), with nearly all (n = 199; 99.5%) expressing a religious affiliation. Being in pain was reported as the most concerning of nine common end-of-life symptoms and problems (n = 52; 26.1%), and the most important care-related aspect was having as much information as wanted (n = 144; 72%). The majority (64%) would want their end-of-life care to focus on improving their quality of life rather than extending it, with 40% not wanting to know if they had limited time left to live. Hospital (n = 96; 48%) and home (n = 64; 32%) were the most preferred places of death. The most important end-of-life priority was keeping a positive attitude (n = 128; 64%). Having had a close relative or friend diagnosed with a serious illness was associated with a 2.3 increase in the odds of preference for a hospital death (odds ratio = 2.34, P = 0.009, 95% CI 1.23–4.47).This study identified a number of areas that need to be pursued in future research to explore factors that may affect patient preferences and priorities in end-of-life care in Namibia.en_US
dc.identifier.citationPowell, R. A., Namisango, E., Gikaara, N., Moyo, S., Mwangi-Powell, F. N., Gomes, B., & Harding, R. (2014). Public priorities and preferences for end-of-life care in Namibia. Journal of pain and symptom management, 47(3), 620-630.https://doi.org/10.1016/j.jpainsymman.2013.04.004en_US
dc.identifier.issn0885-3924
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4147
dc.language.isoenen_US
dc.publisherJournal of pain and symptom managementen_US
dc.subjectNamibia, Africa, end of life, terminal, canceren_US
dc.titlePublic Priorities and Preferences for End-of-Life Care in Namibiaen_US
dc.typeArticleen_US
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