ArticleJournal of global health2017
Integrating palliative care into national health systems in Africa: a multi-country intervention study.
Article in Journal of global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Approaches to integrating palliative care into African health systems: a qualitative systematic review.Health policy and planning · 2020Pooled it
- Strategies for Implementing Palliative Care Services for Cancer Patients in Low- and Middle-Income Countries: A Systematic Review.Inquiry : a journal of medical care organization, provision and financingPooled it
- Trial
- Suffering, justice, and scarcity: philosophical reflections on the burden of cancer in LMICS using Nigeria as a case study.Philosophy, ethics, and humanities in medicine : PEHM · 2026Article
- A descriptive analysis of hospital-based palliative care services: a case study from Fort Portal Regional Referral Hospital, Uganda.BMC health services research · 2026Article
- Operationalising palliative care integration: Experiences of implementers in South Africa.African journal of primary health care & family medicine · 2026Article
- Choices and challenges in end-of-life care and decision-making: a nationwide cross-sectional study in Bangladesh.BMC palliative care · 2025Article
- Exploring palliative care access among older adults in Saudi Arabia: implications for nursing practice.BMC nursing · 2025Article
- Organizational models and patient-reported outcomes for palliative care across five tertiary hospitals in Nigeria: An environmental scan.PLOS global public health · 2025Article
- Knowledge, attitudes, and barriers: Palliative Care services for women with HIV in resource-limited settings.BMC palliative care · 2024Article
- Health promoting palliative care interventions in African low-income countries: a scoping review.BMJ public health · 2024Article
- Telephone advice lines for adults with advanced illness and their family carers: a qualitative analysis and novel practical framework.Palliative medicine · 2024Article
- Measuring palliative care integration in Malawi through service provision, access, and training indicators: the Waterloo Coalition Initiative.BMC palliative care · 2024Article
- Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps.Frontiers in health services · 2024Review
- "A Soft Death": Perceptions and Attitudes Toward Palliative Care in Senegal.Innovation in aging · 2024Article
- Barrier analysis for continuity of palliative care from health facility to household among adult cancer patients in Addis Ababa, Ethiopia.BMC palliative care · 2023Article
- Perceived policy-related barriers to palliative care implementation: a qualitative descriptive study.Palliative care and social practice · 2023Article
- Home-Based Care for Children with Serious Illness: Ecological Framework and Research Implications.Children (Basel, Switzerland) · 2022Article
- Pain workshop ESMO: Africa (response).ESMO open · 2020Article
- Extension for Community Healthcare Outcomes-Palliative Care in Africa Program: Improving Access to Quality Palliative Care.Journal of global oncology · 2019Article
Corrections and comments
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Authors and funding
12 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe WHO is calling for the integration of palliative care in all health care settings globally.
methodsA 3.5-year program was implemented in 12 government hospitals, three each in Kenya, Rwanda, Uganda and Zambia. A four-pillared approach of advocacy, staff training, service delivery strengthening and international and regional partnership working was utilized. A baseline assessment was undertaken to ascertain needs, and 27 indicators were agreed to guide and evaluate the intervention. Data were also collected through surveys, interviews and focus groups.
resultsPalliative care was integrated into all 12 hospital settings to various degrees through concurrent interventions of these four approaches. Overall, 218 advocacy activities were undertaken and 4153 community members attended awareness training. 781 staff were equipped with the skills and resources to cascade palliative care through their hospitals and into the community. Patients identified for palliative care increased by a factor of 2.7. All 12 hospitals had oral morphine available and consumption increased by a factor of 2.4 over two years. Twenty-two UK mentors contributed 750 volunteer days to support colleagues in each hospital transfer knowledge and skills.
conclusionsIntegration of palliative care within different government health services in Africa can be achieved through agreed interventions being delivered concurrently. These include advocacy at Ministry, Provincial and District level, intensive and wide-ranging training, clinical and support services supported by resources, including essential medicines, and an investment in partnerships between hospital, district and community.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.