An evaluation of a morphine public health programme for cancer and AIDS pain relief in Sub-Saharan Africa

Logie, Dorothy; Harding, Richard

doi:10.1186/1471-2458-5-82

Cited by 65 publications

(52 citation statements)

References 10 publications

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“…Indeed, identification and management of physical and psychological symptoms may become even more important, as there is evidence that such attention promotes ART adherence 13 and influences readiness to initiate ART. 28 Despite the overwhelming need and the proven effectiveness 5 of palliative care, [29][30][31][32] clinical models of delivery are largely absent. [33][34][35][36] Further clinical research is necessary to develop and evaluate palliation and control of pain and symptoms, utilizing models of delivery that can integrate palliation into HIV care, ART initiation and monitoring.…”

Section: Discussionmentioning

confidence: 99%

Symptom Burden in HIV-Infected Adults at Time of HIV Diagnosis in Rural Uganda

Wakeham

Harding

Bamukama-Namakoola

et al. 2010

Journal of Palliative Medicine

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Section: Discussionmentioning

confidence: 99%

Symptom Burden in HIV-Infected Adults at Time of HIV Diagnosis in Rural Uganda

Wakeham

Harding

Bamukama-Namakoola

et al. 2010

Journal of Palliative Medicine

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“…At the state level it may help to develop fail-safe supply chains to ensure government hospitals always have essential medicines at affordable prices and to clarify laws surrounding the proper use of opioids. 2,41 At the training level, clinicians must be educated in the appropriate use of analgesics and gain greater comfort in employing these drugs. 7,8 At the health care delivery level, patients should be allowed the opportunity to communicate their pain through routine pain assessment, and medication dispensing systems should be improved.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Correlates of Pain and Pain Treatment in a Western Kenya Referral Hospital

Huang

Owino

Gramelspacher

et al. 2013

Journal of Palliative Medicine

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Background: Pain is often inadequately evaluated and treated in sub-Saharan Africa (SSA). Objective: We sought to assess pain levels and pain treatment in 400 hospitalized patients at a national referral hospital in western Kenya, and to identify factors associated with pain and pain treatment. Design: Using face-validated Kiswahili versions of two single-item pain assessment tools, the Numerical Rating Scale (NRS) and the Faces Pain Scale-Revised (FPS-R), we determined patients' pain levels. Additional data collected included patient demographics, prescribed analgesics, and administered analgesics. We calculated mean pain ratings and pain management index (PMI) scores. Results: Averaged between the NRS and FPS-R, 80.5% of patients endorsed a nonzero level of pain and 30% of patients reported moderate to severe pain. Older patients, patients with HIV, and cancer patients had higher pain ratings. Sixty-six percent of patients had been prescribed analgesics at some point during their hospitalization, the majority of which were nonopioids. A majority of patients (66%) had undertreated pain (negative scores on the PMI). Conclusion: This study shows that hospitalized patients in Kenya are experiencing pain and that this pain is often undertreated.

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“…Palliation for women with advanced disease is also extremely limited in most SSA countries, where for instance, oral morphine is only available in 11 countries (21). It is estimated that 80% of cancer deaths require pain treatment lasting an average of 3 months.…”

Section: Cervical Cancer Diagnosis and Treatment In Africamentioning

confidence: 99%

Cervical Cancer in Africa

Denny

Anorlu

2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

120

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Cervical cancer is a relatively rare disease in countries that have instituted and maintained national screening programs, with call and recall of women at various intervals and built-in quality control with appropriate monitoring and evaluation. Unfortunately, this process has failed in most areas of the world where more than 80% of new cases of cervical cancer are diagnosed. Cervical cancer affects women in the prime of their lives causing premature and needless suffering and death in a critically important segment of the world's population, despite being one of the few cancers that can be prevented with simple testing. In the past 15 years innovative approaches to both primary and secondary prevention of cervical cancer have been subjected to a number of large scale, scientifically valid and applicable studies that have opened the way for new approaches. Treatment of cervical cancer in Africa is hampered by the lack of diagnostic and treatment facilities, lack of healthcare infrastructure and poor pathology services. Further, there is a significant brain drain of trained healthcare workers in Africa that exacerbates the problem. Cancer is becoming an increasingly important public health problem as more people live longer. It is time to develop programs for the prevention, early detection, treatment, and palliation of cancer sufferers in Africa. Cancer Epidemiol Biomarkers Prev; 21(9); 1434-8. Ó2012 AACR.

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An evaluation of a morphine public health programme for cancer and AIDS pain relief in Sub-Saharan Africa

Cited by 65 publications

References 10 publications

Symptom Burden in HIV-Infected Adults at Time of HIV Diagnosis in Rural Uganda

Symptom Burden in HIV-Infected Adults at Time of HIV Diagnosis in Rural Uganda

Prevalence and Correlates of Pain and Pain Treatment in a Western Kenya Referral Hospital

Cervical Cancer in Africa

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