ArticleIndian journal of palliative care
Providing Palliative Care in Rural Nepal: Perceptions of Mid-Level Health Workers.
Article in Indian journal of palliative care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Primary palliative care in low- and middle-income countries: A systematic review and thematic synthesis of the evidence for models and outcomes.Palliative medicine · 2024Pooled it
- Palliative care needs and health seeking behavior of people in two rural districts of nepal: a house-to-house survey.BMC palliative care · 2025Article
- Navigating end-of-life conversations: A reflection on goals of care in Nepal.Palliative care and social practice · 2025Article
- Current practices, gaps, and opportunities on the role of clinical pharmacists in cancer pain management: Perspectives from Nepal.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2023Article
- Pediatric Oncology, Palliative Care and Low- or Middle- Income Countries: A Call for Action.Global pediatric health · 2023Review
- A Global Collaboration to Develop and Pilot Test a Mobile Application to Improve Cancer Pain Management in Nepal.Frontiers in pain research (Lausanne, Switzerland) · 2022Article
- A survey of cancer care institutions in Nepal to inform design of a pain management mobile application.BMC palliative care · 2021Article
- Palliative care services for cancer patients in Nepal, a lower-middle-income country.Palliative care and social practice · 2021Review
- The Need for Palliative Care in Adults in Nepal: Projections Based on Modeling Mortality Data.Indian journal of palliative careArticle
- Opioid Accessibility for Palliative Care in Nepal: A Review of Achievement and Remaining Challenges.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNepal is beginning to develop palliative care services across the country. Most people live in rural areas, where the Mid-Level Health Workers (MHWs) are the major service providers. Their views on providing palliative care are most important in determining how the service is organized and developed.
aimThis study aims to ascertain the perceptions of MHWs about palliative care in their local community, to inform service development.
methodsA qualitative descriptive design, using focus group discussions, was used to collect data from a rural district of Makwanpur, 1 of the 75 districts of Nepal. Twenty-eight MHWs participated in four focus group discussions. The data were analyzed using content analysis.
resultFour themes emerged from the discussion: (i) suffering of patients and families inflicted by life-threatening illness, (ii) helplessness and frustration felt when caring for such patients, (iii) sociocultural issues at the end of life, and (iv) improving care for patients with palliative care needs.
conclusionMHWs practicing in rural areas reported the suffering of patients inflicted with life-limiting illness and their family due to poverty, poor access, lack of resources, social discrimination, and lack of knowledge and skills of the health workers. While there are clear frustrations with the limited resources, there is a willingness to learn among the health workers and provide care in the community.
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