Palliative Care Need and Availability in Four Referral Hospitals in Senegal: Results from a Multicomponent Assessment

Hamdi, Hana; Ba, Oumar; Niang, Serigne; Ntizimira, Christian; Mbengue, Mouhadou; Coulbary, Aminata Sophie; Niang, Rokhaya; Parsons, Matthew; Amon, Joseph J; Lohman, Diederik

doi:10.1016/j.jpainsymman.2017.11.034

Cited by 8 publications

(10 citation statements)

References 14 publications

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“…Among the sample, participants' self-perceived knowledge and skills in providing palliative care/end-of-life care were low. Our findings support previous research showing that palliative care education among health and social care providers is often deficient in sub-Saharan Africa 27-29 . Although most participants reported that palliative care was provided to patients facing life-threatening illnesses, less than half had received training during their basic education, and even fewer had received training in the past 5 years.…”

Section: Discussionsupporting

confidence: 87%

“…Our findings support previous research showing that palliative care education among health and social care providers is often deficient in sub-Saharan Africa. [27][28][29] Although most participants reported that palliative care was provided to patients facing life-threatening illnesses, less than half had received training during their basic education, and even fewer had received training in the past 5 years. The higher levels of self-perceived knowledge and skills among participants who received training in the past 5 years suggest that educational programs can improve these skills.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies conducted in sub-Saharan Africa reveal that pain is often inadequately evaluated and treated 27,28,41,42 . Reluctance of health and social care providers to order opioids, specifically morphine, due to fear of addiction, is well documented 29 . Proper education will be required to ensure accurate knowledge about international controlled essential medicines, promote evidence-based advocacy for improved opioid access, prevent opioid misuse, and optimize prescribing regulations that support local needs and resources, particularly during the coronavirus disease 2019 pandemic 43 …”

Section: Discussionmentioning

confidence: 99%

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Palliative and End-of-Life Care Self-perceived Educational Needs of Physicians and Nurses in Rwanda

Moreland

Rosa

Uwimana

et al. 2021

J Hosp Palliat Nurs

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Palliative care access is an urgent and ethical imperative to effectively manage the increasing burden of serious health-related suffering worldwide. Understanding the palliative care educational needs of health care professionals is critical to support evidence-based clinical practice in Rwanda and other low-and middle-income countries. A cross-sectional study was conducted at 5 hospitals in Kigali, Rwanda, to assess the palliative/end-oflife educational needs of nurses and physicians. The Endof-Life Professional Caregiver Survey and a demographic form were used to collect data. Descriptive analyses and independent t tests were conducted. A total of 420 health care professionals participated in the study (response rate, 72%). Participants perceived their knowledge and skills in providing palliative/end-of-life care as low. Those who received palliative/end-of-life care training in the past 5 years, third-and fourth-year residents, and health care providers with 5 years of experience or more had significantly higher (P ≤ .05) mean scores on the End-of-Life Professional Caregiver Survey. Nurses scored higher than physicians in the patient-and family-centered communication (P = .049) and cultural and ethical values (P = .037) subscales. Pain management was identified as an educational need by 77% of participants. Our survey suggests the need for increased governmental investments in palliative/end-of-life care education among nurses and physicians in Rwanda.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Palliative and End-of-Life Care Self-perceived Educational Needs of Physicians and Nurses in Rwanda

Moreland

Rosa

Uwimana

et al. 2021

J Hosp Palliat Nurs

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“…Yet, estimates suggest that only 5% of people in Africa in need of palliative care are able to receive it ( Downing et al, 2015 ). Furthermore, past research on palliative care in Africa has often focused on countries with relatively well-developed programs such as Uganda, Kenya, and South Africa ( Downing et al, 2015 ; Drenth et al, 2017 ; Fraser et al, 2017 ; Grant et al, 2017 ), with less of a focus on West African, Francophone countries such as Senegal, where palliative care is less-developed ( Afolabi et al, 2021 ; Hamdi et al, 2017 ; Rhee, Garralda, Namisango, Luyirika, de Lima, Powell, Robinson, et al, 2018 ). Furthermore, scholars have noted gaps in research on palliative care in Sub-Saharan Africa ( Afolabi et al, 2021 ; Fraser et al, 2017 ; Hamdi et al, 2017 ; Harding & Higginson, 2005 ; Harding et al, 2013 ).…”

mentioning

confidence: 99%

“…Furthermore, past research on palliative care in Africa has often focused on countries with relatively well-developed programs such as Uganda, Kenya, and South Africa ( Downing et al, 2015 ; Drenth et al, 2017 ; Fraser et al, 2017 ; Grant et al, 2017 ), with less of a focus on West African, Francophone countries such as Senegal, where palliative care is less-developed ( Afolabi et al, 2021 ; Hamdi et al, 2017 ; Rhee, Garralda, Namisango, Luyirika, de Lima, Powell, Robinson, et al, 2018 ). Furthermore, scholars have noted gaps in research on palliative care in Sub-Saharan Africa ( Afolabi et al, 2021 ; Fraser et al, 2017 ; Hamdi et al, 2017 ; Harding & Higginson, 2005 ; Harding et al, 2013 ). In fact, Fraser and colleagues (2017) concluded in their review of palliative care in Uganda and Kenya that research is the most neglected area for informing clinical interventions, and a recent synthesis of current research evidence and gaps highlighted many information needs, most acute in northern and West Africa ( African Palliative Care Association [APCA], n.d.a ).…”

mentioning

confidence: 99%

“A Soft Death”: Perceptions and Attitudes Toward Palliative Care in Senegal

Silverstein,

Sahawneh,

Carpenter

2023

Innovation in Aging

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Background and Objectives Palliative care (PC) is a specialty medical service that aims to address the bio-psycho-social-spiritual needs of patients with serious illnesses and their care partners. Despite the value of PC, its expansion in sub-Saharan Africa has been uneven and particularly underdeveloped in Senegal due to variability in access to training resources and funding. This study sought to understand the current landscape of PC services in Senegal and the barriers and opportunities in its growth. Research Design and Methods Semi-structured interviews were conducted with six PC clinicians, four caregivers of people with serious illnesses, one driver for a PC service, and one public health professor, all native to Senegal. Questions addressed their experience delivering or receiving PC, perceptions of barriers to implementation and access, and recommendations for additional resources and initiatives. Interviews were translated and transcribed from French into English. Transcripts were qualitatively coded for concepts during open and focused coding to identify themes. Results Five themes were identified: 1) the current landscape of PC, 2) barriers to implementing PC, 3) strategies and philosophies in care, 4) unique features of Senegalese culture, and 5) the future of PC. Discussion and Implications Our findings demonstrate that PC in Senegal remains an under-resourced and underutilized specialty medical service, but work is being done by personally committed clinicians. Results can inform PC expansion by highlighting important cultural factors influencing care in Senegal, as well as the need to expand training opportunities for clinicians, increase education of other medical providers and the public about the nature of PC, integrate PC into the healthcare system, and expand research to evaluate the impact of these resources. PC has the potential to be an important force for improving the quality of life for Senegalese patients and their care partners.

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A scoping review on the availability and utilization of essential opioid analgesics in Sub-Saharan Africa

Yao¹,

Kibu²,

Asahngwa³

et al. 2023

The American Journal of Surgery

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Palliative Care Need and Availability in Four Referral Hospitals in Senegal: Results from a Multicomponent Assessment

Abstract: There is significant need for palliative care in Senegal. Training of health care workers and ensuring availability of relevant medications should be prioritized.

Cited by 8 publications

References 14 publications

Palliative and End-of-Life Care Self-perceived Educational Needs of Physicians and Nurses in Rwanda

Palliative and End-of-Life Care Self-perceived Educational Needs of Physicians and Nurses in Rwanda

“A Soft Death”: Perceptions and Attitudes Toward Palliative Care in Senegal

A scoping review on the availability and utilization of essential opioid analgesics in Sub-Saharan Africa

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