ArticleJournal of global oncology2019
Extension for Community Healthcare Outcomes-Palliative Care in Africa Program: Improving Access to Quality Palliative Care.
Article in Journal of global oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How is Telehealth Used to Increase Access to Specialty Palliative Care? A Systematic Review.Journal of pain and symptom management · 2025Pooled it
- 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
- A scoping review of palliative care delivery approaches, challenges, and context-specific strategies for cancer patients in Africa.Palliative care and social practice · 2026Article
- Children's Palliative Care Knowledge, Attitudes, and Learning Preferences Among Healthcare Professionals Working in Humanitarian Crisis and Emergency Settings.Health services insights · 2026Article
- From co-creation to practice: a collaborative program strengthening palliative care capacity in primary health care in Ghana.Frontiers in medicine · 2026Article
- Spread, participant experience, and implementation of Pallium Canada's Palliative Care ECHO project: a mixed methods study.BMC palliative care · 2025Article
- Piloting the Extension for Community Healthcare Outcomes (ECHO) Pediatric Oncology Telehealth Education Program in Western Kenya: Implementation Study.JMIR formative research · 2025Article
- Project Extension for Community Healthcare Outcomes Intervention Evaluations: A Scoping Review of Research Methods.The Journal of continuing education in the health professions · 2025Article
- Development and evaluation of an online training program for palliative care in India.BMC medical education · 2025Article
- Childhood Cancer Survivorship Care in Limited Resource Settings: A Narrative Review and Strategies to Promote Global Health Equity.JCO global oncology · 2025Review
- Children's palliative care perceptions and educational needs among healthcare professionals in humanitarian settings.Palliative & supportive care · 2025Article
- Evolution of Telehealth-Its Impact on Palliative Care and Medication Management.Pharmacy (Basel, Switzerland) · 2024Review
- Applying the Project ECHO Model to Support Implementation and Sustainment of Cognitive Behavioral Therapy for Psychosis.The Journal of continuing education in the health professions · 2023Article
- Status of Government-Funded Radiotherapy Services in Nigeria.JCO global oncology · 2023Article
- Towards achievement of Sustainable Development Goal 3: multilevel analyses of demographic and health survey data on health insurance coverage and maternal healthcare utilisation in sub-Saharan Africa.International health · 2023Article
- Formative Evaluation and Adaptation of a Hypertension Extension for Community Health Outcomes Program for Healthcare Workers within the Federal Capital Territory, Nigeria.Global heart · 2023Article
- Training on adequate use of opioid analgesics in West and Central Africa: a neglected step on the way to access to essential medicines?Journal of pharmaceutical policy and practice · 2021Article
- Is the National Health Insurance Scheme helping pregnant women in accessing health services? Analysis of the 2014 Ghana demographic and Health survey.BMC pregnancy and childbirth · 2021Article
- Building a Sustainable Comprehensive Multiple Myeloma Program in Western Kenya.JCO global oncology · 2021Article
- Use of Project ECHO Telementoring Model in Continuing Medical Education for Pediatricians in Vietnam: Preliminary Results.Health services insights · 2021Article
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is limited access to quality palliative care (PC) for patients with advanced cancer in sub-Saharan Africa. Our aim was to describe the development of the Project Extension for Community Healthcare Outcomes-Palliative Care in Africa (ECHO-PACA) program and describe a preliminary evaluation of attitudes and knowledge of participants regarding the ability of the program to deliver quality PC.
methodsAn interdisciplinary team at the MD Anderson Cancer Center, guided by experts in PC in sub-Saharan Africa, adapted a standardized curriculum based on PC needs in the region. Participants were then recruited, and monthly telementoring sessions were held for 16 months. The monthly telementoring sessions consisted of case presentations, discussions, and didactic lectures. Program participants came from 14 clinics and teaching hospitals in Ghana, Kenya, Nigeria, South Africa, and Zambia. Participants were surveyed at the beginning, midpoint, and end of the 16-month program to evaluate changes in attitudes and knowledge of PC.
resultsThe median number of participants per session was 30. Thirty-three (83%) of 40 initial participants completed the feedback survey. Health care providers' self-reported confidence in providing PC increased with participation in the Project ECHO-PACA clinic. There was significant improvement in the participants' attitudes and knowledge, especially in titrating opioids for pain control (
conclusionProject ECHO-PACA was a successful approach for disseminating knowledge about PC. The participants were adherent to ECHO PACA clinics and the completion of feedback surveys. Future studies should evaluate the impact of Project ECHO-PACA on changes in provider practice as well as patient outcomes.
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