Evidence map›Paper›PMID 30241205›Full record

ReviewJournal of global oncology2018

Palliative Care Development in Africa: Lessons From Uganda and Kenya.

Brooke A Fraser, Richard A Powell, Faith N Mwangi-Powell, Eve Namisango, Breffni Hannon, Camilla Zimmermann, Gary Rodin

Open access · goldAbstract readReview
In one paragraph

Review in Journal of global oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Palliative Treatment and Traditional Medicine Among Patients with Cancer in Kumasi, Ghana: Needs for Patient Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  6. Article
  7. Article
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  9. Prevalence of depression and association with quality-of-life among oncology patients at Princess Marina Hospital, Botswana: A cross-sectional study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
  10. Article
  11. Barriers to accessing formal cancer care from the perspective of informal caregivers: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  12. Identification and validation of end-of-life nursing care competencies for Kenyan nurses: A modified Delphi technique.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  13. Article
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  15. Article
  16. Review
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  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Brooke A FraserBrooke A. Fraser, Richard A. Powell, Faith N. Mwangi-Powell, Breffni Hannon, Camilla Zimmermann, and Gary Rodin, University of Toronto, University Health Network, Toronto, ON, Canada; Richard A. Powell and Faith N. Mwangi-Powell, MWAPO Health Development Group, Nairobi, Kenya; and Eve Namisango, African Palliative Care Association, Kampala, Uganda.
Richard A PowellBrooke A. Fraser, Richard A. Powell, Faith N. Mwangi-Powell, Breffni Hannon, Camilla Zimmermann, and Gary Rodin, University of Toronto, University Health Network, Toronto, ON, Canada; Richard A. Powell and Faith N. Mwangi-Powell, MWAPO Health Development Group, Nairobi, Kenya; and Eve Namisango, African Palliative Care Association, Kampala, Uganda.
Faith N Mwangi-PowellBrooke A. Fraser, Richard A. Powell, Faith N. Mwangi-Powell, Breffni Hannon, Camilla Zimmermann, and Gary Rodin, University of Toronto, University Health Network, Toronto, ON, Canada; Richard A. Powell and Faith N. Mwangi-Powell, MWAPO Health Development Group, Nairobi, Kenya; and Eve Namisango, African Palliative Care Association, Kampala, Uganda.
Eve NamisangoBrooke A. Fraser, Richard A. Powell, Faith N. Mwangi-Powell, Breffni Hannon, Camilla Zimmermann, and Gary Rodin, University of Toronto, University Health Network, Toronto, ON, Canada; Richard A. Powell and Faith N. Mwangi-Powell, MWAPO Health Development Group, Nairobi, Kenya; and Eve Namisango, African Palliative Care Association, Kampala, Uganda.
Breffni HannonBrooke A. Fraser, Richard A. Powell, Faith N. Mwangi-Powell, Breffni Hannon, Camilla Zimmermann, and Gary Rodin, University of Toronto, University Health Network, Toronto, ON, Canada; Richard A. Powell and Faith N. Mwangi-Powell, MWAPO Health Development Group, Nairobi, Kenya; and Eve Namisango, African Palliative Care Association, Kampala, Uganda.
Camilla ZimmermannBrooke A. Fraser, Richard A. Powell, Faith N. Mwangi-Powell, Breffni Hannon, Camilla Zimmermann, and Gary Rodin, University of Toronto, University Health Network, Toronto, ON, Canada; Richard A. Powell and Faith N. Mwangi-Powell, MWAPO Health Development Group, Nairobi, Kenya; and Eve Namisango, African Palliative Care Association, Kampala, Uganda.
Gary RodinBrooke A. Fraser, Richard A. Powell, Faith N. Mwangi-Powell, Breffni Hannon, Camilla Zimmermann, and Gary Rodin, University of Toronto, University Health Network, Toronto, ON, Canada; Richard A. Powell and Faith N. Mwangi-Powell, MWAPO Health Development Group, Nairobi, Kenya; and Eve Namisango, African Palliative Care Association, Kampala, Uganda.
University Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite increased access to palliative care in Africa, there remains substantial unmet need. We examined the impact of approaches to promoting the development of palliative care in two African countries, Uganda and Kenya, and considered how these and other strategies could be applied more broadly.

methodsThis study reviews published data on development approaches to palliative care in Uganda and Kenya across five domains: education and training, access to opioids, public and professional attitudes, integration into national health systems, and research. These countries were chosen because they are African leaders in palliative care, in which successful approaches to palliative care development have been used.

resultsBoth countries have implemented strategies across all five domains to develop palliative care. In both countries, successes in these endeavors seem to be related to efforts to integrate palliative care into the national health system and educational curricula, the training of health care providers in opioid treatment, and the inclusion of community providers in palliative care planning and implementation. Research in palliative care is the least well-developed domain in both countries.

conclusionA multidimensional approach to development of palliative care across all domains, with concerted action at the policy, provider, and community level, can improve access to palliative care in African countries.

Indexed as

Palliative CareAnalgesics, OpioidDisease ManagementEducation, MedicalHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansKenyaNeoplasmsResearchTerminal CareUgandaAnalgesics, Opioid

Identifiers

PMID30241205
PMCPMC6180772
OpenAlexW2728248626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.