Chronic Pain in Maputo, Mozambique: New Insights

Ferreira, Karen Spadari; Schwalbach, Maria Teresa; Schwalbach, João; Speciali, José Geraldo

doi:10.1111/j.1526-4637.2012.01429.x

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…The main challenge, mainly for cancer patients was the limited acess and availability of essencial medicines particularly opioids. 12 From 2012-2019, cancer pain represented 14% of consultations and in 2019 13 it increased to 40%, of patients in consultations, and access and availability of opioids tends to worsen by irregular supply. The trainings in Pain and PC modules were progressively introduced in the medical course curriculum fortechnicians, nurses, residents in anesthesiology, physiatrists and doctors from different hospitals of the country.…”

Section: Clinical Assistance Areamentioning

confidence: 99%

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2021

HPMIJ

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In 1996, the World Health Organization established four necessary measures for the development of PC (you have already put short name) focusing on public health: 1) a government policy that ensures the integration of PC into the structure and financing of the National Health System; 2) an educational policy that responds to the training of volunteer, family caregiver, media, healthcare providers, trainees, palliative care experts, health professionals and the publiccurricula and courses; 3) a drug policy that ensures the availability of essential drugs for the management of pain and other psychological symptoms and disorders, in particular opioid analgesics and 4) a policy for research into assessing the needs for palliative care and identifying standards and models of service that work, particularly in limited resource settings. 1 Access to health care is a major challenge in low-and middleincome countries. According to the World Hospice and Palliative Care Alliance (WHPCA), the majority of people living with HIV/AIDS who need palliative care are in Africa with 78% of adult patients. 2 PC is limited in Africa, however countries such as Uganda, South Africa and Kenya top the list with the largest number of hospice specialistsand hospices. 3

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Section: Clinical Assistance Areamentioning

confidence: 99%

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2021

HPMIJ

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“…22 Almost half of the patients in the pain unit (49.2%) also received treatment from traditional healers. 23,24 Paracetamol was the most commonly used drug (33.9%) with morphine used in 10.2%. About 40.7% of patients had nerve blocks to treat pain.…”

Section: Introductionmentioning

confidence: 99%

Chronic pain and associated factors in Maputo, Mozambique: a pilot study

Walters

Schwalbach

Sevene

et al. 2018

British Journal of Pain

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Introduction: Studies estimate that 20% of adults suffer from chronic pain. A meta-analysis in low-and middle-income countries (LMICs) found 34% had chronic pain. There are few studies on pain prevalence gathered in Africa. This study surveyed the capital city of Mozambique. Methods: This was a cross-sectional study employed in a community setting. The Vanderbilt Global Pain Survey comprised questions on the behaviour and attitudes of respondents regarding pain, including previously validated metrics: the Pain Catastrophizing Scale, the World Health Organization Disability Assessment Schedule, the Brief Pain Inventory, Widespread Pain Index and Symptom Severity Score, and the Michigan Body Map. Results: Ninety-seven surveys were completed out of 100. Pain every day lasting for more than 6 months in their lifetime was reported as 39.2% (CI: 29.4-49.6), and 52% of respondents had pain the day of the interview. However, the pain resulted in little difficulty with activities of daily living and maintaining relationships (61%-89%). Although none reported mental health disorders, 53.6% had experienced a traumatic event in their life, with 45.2% having related nightmares, anxiety, or fear. Most respondents (99%) would take oral medication if it helped their pain, with a large proportion willing to spend significant money for these (49% would pay >US$40) and willing to travel long distances to get help (55.2% would travel >40 kilometer). Conclusion: The prevalence of chronic pain in Maputo, Mozambique is similar to the average for LMICs. Trends in high-income countries suggest that multimodal pain management and multidisciplinary treatments may improve optimal pain control in LMICs.

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