ArticleBMJ global health2020
Community health workers in palliative care provision in low-income and middle-income countries: a systematic scoping review of the literature.
Article in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Palliative care among cancer patients in Georgia: System-level gaps identified through health-related quality of life discrepancies.Journal of public health research · 2026Article
- Implementation of artificial intelligence in palliative and supportive care for people with cancer: A scoping review.Palliative medicine · 2026Article
- Building bridges to care: A co-created community palliative care package for resource-limited settings.Palliative care and social practice · 2026Article
- Contexts, mechanisms and outcomes of home-based palliative care implementation in low- and middle-income countries: A realist review.Palliative care and social practice · 2026Review
- Article
- Barriers and facilitators to the implementation of palliative care services at five tertiary hospitals in nigeria: a qualitative formative study.BMC health services research · 2025Article
- Community-based palliative care needs and barriers to access among cancer patients in rural north India: a Participatory action research.BMC palliative care · 2024Article
- Mapping Palliative Care Availability and Accessibility: A First Step to Eradicating Access Deserts in the Low- and Middle-Income Settings.Journal of palliative care · 2024Article
- Context factors for implementation of clinical recommendations for chronic musculoskeletal pain.African journal of primary health care & family medicine · 2024Article
- Health promoting palliative care interventions in African low-income countries: a scoping review.BMJ public health · 2024Article
- Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya.BMC palliative care · 2024Article
- Kenyan palliative care providers' and leaders' perceptions of palliative care research needs and support to facilitate rigorous research.BMC palliative care · 2023Article
- Telehospice for Cancer Patients Discharged from a Tertiary Care Hospital in Western Kenya.Journal of pain and symptom management · 2023Article
- Assessment of barriers to optimal cancer control in adult cancer treatment centres in Cameroon.Ecancermedicalscience · 2023Article
- Developing Community-Based Palliative Care for Children: A Community Case Study from an Urban Informal Settlement in Bangladesh.Health services insights · 2023Article
- Improving palliative care outcomes in remote and rural areas of LMICs through family caregivers: lessons from Kazakhstan.Frontiers in public health · 2023Article
- Lay Health Workers' Perspectives on Delivery of Advance Care Planning and Symptom Screening Among Adults With Cancer: A Qualitative Study.The American journal of hospice & palliative care · 2021Article
- Organizational Strategies for Providing Cancer Palliative Care to Many.Current oncology reports · 2021Review
- Using Virtual Learning to Develop Palliative Care Skills Among Humanitarian Health Workers in the Rohingya Refugee Response in Bangladesh.Journal of medical education and curricular developmentArticle
- Feasibility of a Palliative Care Intervention Utilizing Community Health Workers to Facilitate Delivery of Home-based Palliative Care in India.Indian journal of palliative careArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity health workers (CHWs) are currently deployed in improving access to palliative care in a limited number of low-income or middle-income countries (LMICs). This review therefore aimed to document evidence from LMICs regarding (1) where and how CHWs are currently deployed in palliative care delivery, (2) the methods used to train and support CHWs in this domain, (3) the evidence surrounding the costs attached with deploying CHWs in palliative care provision and (4) challenges and barriers to this approach.
methodsWe conducted a systematic scoping review of the literature, adhering to established guidelines. 11 major databases were searched for literature published between 1978 and 2019, as well as the grey literature.
findings13 original studies were included, all of which were conducted in sub-Saharan African countries (n=10) or in India (n=3). Ten described a role for CHWs in adult palliative care services, while three described paediatric services. Roles for CHWs include raising awareness and identifying individuals requiring palliative care in the community, therapeutic management for pain, holistic home-based care and visitation, and provision of psychological support and spiritual guidance. Reports on training context, duration and outcomes were variable. No studies conducted a formal cost analysis. Challenges to this approach include training design and sustainability; CHW recruitment, retention and support; and stigma surrounding palliative care.
conclusionDespite relatively limited existing evidence, CHWs have important roles in the delivery of palliative care services in LMIC settings. There is a need for a greater number of studies from different geographical contexts to further explore the effectiveness of this approach.
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