SynthesisHealth policy and planning2020
Approaches to integrating palliative care into African health systems: a qualitative systematic review.
Synthesis in Health policy and planning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integration of ear and hearing care services in low- and middle-income health systems: a systematic review and qualitative synthesis.Global health action · 2026Pooled it
- Multi-level determinants of comprehensive palliative care delivery for breast and cervical cancer patients in Ethiopia: using the socio-ecological model as an analytical framework.BMC palliative care · 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
- 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 · 2026Article
- Narrative review comparing palliative care models in primary and community care settings: For a better integration of nurses' activities and skills.Palliative care and social practice · 2026Review
- A scoping review of palliative care delivery approaches, challenges, and context-specific strategies for cancer patients in Africa.Palliative care and social practice · 2026Article
- A qualitative study of differences in palliative care in hospitals and traditional home-based care in Cameroon.BMC palliative care · 2025Article
- Barriers to and enablers of availability and integration of palliative care into routine services at Charlotte Maxeke Johannesburg Academic Hospital, South Africa.BMC palliative care · 2025Article
- Article
- Integrating palliative care into primary care for older people with multimorbid serious illness: a multinational qualitative cross-sectional study in Sub-Saharan Africa.BMJ public health · 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
- Palliative care in a rural subdistrict in South Africa: A 4-year critical review.African journal of primary health care & family medicine · 2024Review
- Remote Symptom Monitoring to Enhance the Delivery of Palliative Cancer Care in Low-Resource Settings: Emerging Approaches from Africa.International journal of environmental research and public health · 2023Article
- Providers' Competencies and Management Practices for Traditional Palliative Cancer Care Service Delivery in Kenya.Health services insights · 2023Article
- Benefits of integrating palliative care: a qualitative exploration of the perspectives of palliative care providers in a tertiary health facility in Ghana.Palliative care and social practice · 2023Article
- Psychosocial oncology in Sub-Saharan Africa: Lessons from Ghana.Psycho-oncology · 2023Article
- 'I am Dying a Slow Death of White Guilt': Spiritual Carers in a South African Hospice Navigate Issues of Race and Cultural Diversity.Culture, medicine and psychiatry · 2022Article
- Perceptions of Learners and Specialists Toward ECHO Palliative Care Project in Thailand.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Africa is characterized by a high burden of disease and health system deficits, with an overwhelming and increasing demand for palliative care (PC). Yet only one African country is currently considered to have advanced integration of palliative care into medical services and generalized PC is said to be available in only a handful of others. The integration of PC into all levels of a health system has been called for to increase access to PC and to strengthen health systems. Contextually appropriate evidence to guide integration is vital yet limited. This qualitative systematic review analyses interventions to integrate PC into African health systems to provide insight into the 'how' of PC integration. Forty articles were identified, describing 51 different interventions. This study found that a variety of integration models are being applied, with limited best practices being evaluated and repeated in other contexts. Interventions typically focused on integrating specialized PC services into individual or multiple health facilities, with only a few examples of PC integrated at a population level. Four identified issues could either promote integration (by being present) or block integration (by their absence). These include the provision of PC at all levels of the health system alongside curative care; the development and presence of sustainable partnerships; health systems and workers that can support integration; and lastly, placing the client, their family and community at the centre of integration. These echo the broader literature on integration of health services generally. There is currently a strong suggestion that the integration of PC contributes to health system strengthening; however, this is not well evidenced in the literature and future interventions would benefit from placing health systems strengthening at the forefront, as well as situating their work within the context of integration of health services more generally.
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