Palliative care research should be a priority in LMIC, where many patients could benefit tremendously from it, and publication of findings in these countries should be encouraged.
These results illustrate some of the important differences in physicians' beliefs about the care of terminally ill patients between the two countries and can be used to guide medical education and practice.
The Zimbabwe Rural Palliative Care Initiative is a program to increase access and expand palliative care in rural Zimbabwe. The goal was to add palliative care to existing home-based care teams comprising indigenous rural volunteers. Palliative care expertise is being developed through training and ongoing mentorship provided by Island Hospice Service, headquartered in the capital city of Harare. Specific outcomes relative to palliative care are reported, using the African Palliative Care Association African Palliative Outcome Scale, the Karnofsky Performance Scale, and a Supervision and Mentorship Checklist. Positive impact is documented, and there is significant opportunity for similar outcomes on a national scale.
Each December 1st, World AIDS Day provides individuals and organizations with an opportunity to recognize the impact of HIV/AIDS, and increase awareness across the globe. The theme for World AIDS Day 2009 was ‘Universal Access and Human Rights.’ Though advances have been made in the past with regard to prevention and treatment, there remain significant variations in access. As described in the 2009 World AIDS Day statement (Global Health Council, 2009), issues such as discrimination, stigma, and human rights violations against those living with HIV/AIDS continue to be significant barriers in effectively addressing the epidemic.
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