The current situation in education and training of health-care professionals across Africa to optimise the delivery of palliative care for cancer patients

Rawlinson, F; Gwyther, Liz; Kiyange, Fatia; Luyirika, Emmanuel; Meiring, Michelle; Downing, Julia

doi:10.3332/ecancer.2014.492

Cited by 45 publications

(36 citation statements)

References 31 publications

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“…The finding on lack of well trained counselors in this study supportsRawlinson, Gwyther [18], who identified lack of proper palliative care training among health care providers in Africa.…”

Section: Discussionsupporting

confidence: 82%

Holistic Care: An Urgent Need for Cervical Cancer Patients in Kenya

Owenga¹

2019

IJES

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Holistic health care is an integrated approach to healthcare that treats the whole person, not simply symptoms and disease. Mind and body are integrated and inseparable. In cancer care, this approach has been actualized through the implementation of palliative care. The study aimed to determine holistic care issues faced by cervical cancer patients in Kenya. A cross-sectional study involving 334 cervical cancer patients was conducted in Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) in Kisumu from September 2014 to February 2015. Structured questionnaire, in-depth interview guide and key informant interview guide were used to collect data. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) Version 20 at a statistical significance of P ≤ 0.05, descriptive statistics were performed. For qualitative data, the responses were transcribed verbatim and the content was then analyzed by searching for emerging themes on holistic care issues faced by cervical cancer patients. Qualitative data was presented in textual form with verbatim reports for illustrations. The key holistic care issues from the study were being bothered by discharge, bleeding and odor from vagina 260 (78%), being afraid to have sex 283 (85%), lack of access to counseling 314 (87%), minimal acceptance of their disease by family members 263 (79%), need for prayers from spiritual members 313 (94%) and having pain 324 (97%). The study concluded that cervical cancer patients are a facing a myriad of holistic care issues. Therefore there is a need for the ministry of health to develop interventions that can cushion them from such issues.

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“…The finding on lack of well trained counselors in this study supportsRawlinson, Gwyther [18], who identified lack of proper palliative care training among health care providers in Africa.…”

Section: Discussionsupporting

confidence: 82%

Holistic Care: An Urgent Need for Cervical Cancer Patients in Kenya

Owenga¹

2019

IJES

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“…Malawi was the first African country to have a specifically paediatric palliative care service (Knapp et al, 2012) (Rawlinson et al, 2014).…”

Section: Challenges Of Cancer Care In Lmicsmentioning

confidence: 99%

“…Uganda, South Africa and a few other countries have distance learning degree courses in palliative care. (Rawlinson et al, 2014).…”

Section: Challenges Of Cancer Care In Lmicsmentioning

confidence: 99%

Haematological cancers in African children: progress and challenges

et al. 2017

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SummaryCancer is increasingly important in low and middle-income settings where infectious diseases are declining. Childhood cancers treated in well-resourced centres have excellent outcomes with more than 80% survival. This success is not reflected in low-income settings where challenges involve every step on the care pathway. Access to diagnosis, delayed presentation, advanced disease, co-morbidities and underlying malnutrition make treatment difficult. Treatments are costly for impoverished families. Yet, the common haematological malignancies (Burkitt lymphoma, Hodgkin lymphoma, non Hodgkin lymphoma) are relatively easy to diagnose and, when managed with simple chemotherapy protocols, give limited but good results. As funding becomes available for cancer research we must ensure that the care and cure of these children is top of the agenda. There is already evidence of improved outcomes in middle-income countries. For others there is a long journey ahead.

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“…Stjernsward et al, (2007) suggested that Governments in developing countries needed to include palliative care in the National Health Plan and devise a mechanism for funding and/or service delivery models that support service delivery [2]. Unfortunately, most countries in Africa including Zambia have not yet included palliative care in their national policies or regulations [3,4,[19][20][21][22].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Lack of national standard operating procedures, guidelines and treatment protocols for PC were also observed as a challenge in implementing of the service. [3,4,[19][20][21][22]. Therefore, lack of national PC guidelines usually results in PC not being included in the national health system.…”

Section: Lack Of Pc Guidelinesmentioning

confidence: 99%

The Experience of Palliative Care Specialists in Implementing Palliative Care into their Work Settings in Lusaka, Zambia

2019

JNH

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There is a significant unmet need for palliative care globally: of the 58 million people dying annually, it was estimated that at least 60% will have a prolonged advanced illness and dying and would benefit from palliative care. Zambia has a total population of 15,066,266 people. About 1,150,400 people are living with HIV and 18,900 people were reported to have died of HIV in 2014 alone. The most recent palliative care situational analysis in Zambia highlighted that palliative care remained ‘an essential absent factor’ and revealed that there were gaps in the type of care given in various home based care (HBC) programs. Therefore, this study aimed at exploring the experiences of trained palliative care specialists in implementing palliative care in Lusaka, Zambia. This study was an exploratory qualitative research. The population comprised of the trained palliative care specialists in either degree or diploma in palliative care, working in Lusaka. Purposive sampling was used and the sample totaled 6 (n-6). The data collection was done using a semi-structured interview guide, through face-to-face in-depth interviews. The interviews lasted for an average of 20 minutes. Prompts and probes were used to increase detailed analysis explorations Eleven themes broadly classified as facilitators or challenges emerged from the study. Among the facilitators: training influence; higher level support; effective team work and delivery models; and personal development and motivation to serve. challenges included: lack of PC knowledge; lack of essential medication for PC; work burden; lack of financial resources; lack of acceptance of PC; lack of PC guidelines; and legal restrictions on the use of opioids. The study provided evidence of the challenges and facilitators that influence palliative care specialists experience while implementing PC. It is therefore, recommended that more research, education, effective teamwork is promoted as the study revealed that participants needed support for effective implementation of palliative care.

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The current situation in education and training of health-care professionals across Africa to optimise the delivery of palliative care for cancer patients

Cited by 45 publications

References 31 publications

Holistic Care: An Urgent Need for Cervical Cancer Patients in Kenya

Holistic Care: An Urgent Need for Cervical Cancer Patients in Kenya

Haematological cancers in African children: progress and challenges

The Experience of Palliative Care Specialists in Implementing Palliative Care into their Work Settings in Lusaka, Zambia

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