Quality care at the end of life in Africa

Sepúlveda, Cecilia; Habiyambere, Vincent; Amandua, Jacinto; Borok, Margaret; Kikule, Ekie; Mudanga, Barbara; Ngoma, Twalib; Solomon, Bogale

doi:10.1136/bmj.327.7408.209

Cited by 109 publications

(120 citation statements)

References 2 publications

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“…In a survey of terminally ill patients in five countries in Africa -Uganda, Ethiopia, Tanzania, Zimbabwe and Botswana -the greatest need expressed by the patients was pain relief. 62 In another study 63 comparing the concerns of terminally ill patients in a developed country RI [41][42][43][44][45][46][47][48][49] (Scotland) and an African country (Kenya), it was found that the main concern of the Scottish patients was the emotional pain of facing death, while for their counterparts in Kenya it was physical pain and financial worries. Unfortunately, there is inadequate availability of pain-relieving medications, especially opioids.…”

Section: Treatment Of Invasive Cervical Cancer: Palliative Carementioning

confidence: 99%

“…Unfortunately, there is inadequate availability of pain-relieving medications, especially opioids. [62][63][64][65] Only 11 out of 47 African countries use morphine for chronic pain and of these 11, the amount consumed is small. 64 Oral morphine is not available to very many cancer patients in sub-Saharan Africa.…”

Section: Treatment Of Invasive Cervical Cancer: Palliative Carementioning

confidence: 99%

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Cervical cancer: the sub-Saharan African perspective

Anorlu¹

2008

Reproductive Health Matters

266

243

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Cervical cancer is the second most common cancer in women worldwide and the leading cause of cancer deaths in developing countries. While incidence and mortality rates of cervical cancer have fallen significantly in developed countries, 83% of all new cases that occur annually and 85% of all deaths from the disease occur in developing countries. Cervical cancer is the most common cancer among women in sub-Saharan Africa. The incidence is on the increase in some countries. Knowledge and awareness of this disease on the continent are very poor and mortality still very high. Facilities for the prevention and treatment of cervical cancer are still very inadequate in many countries in the region. Governments in sub-Saharan Africa must recognise cervical cancer as a major public health concern and allocate appropriate resources for its prevention and treatment, and for research. Indeed, cervical cancer in this region must be accorded the same priority as HIV, malaria, tuberculosis and childhood immunisations.

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Section: Treatment Of Invasive Cervical Cancer: Palliative Carementioning

confidence: 99%

Section: Treatment Of Invasive Cervical Cancer: Palliative Carementioning

confidence: 99%

Cervical cancer: the sub-Saharan African perspective

Anorlu¹

2008

Reproductive Health Matters

266

243

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“…Despite the high incidence of HIV/AIDS in Africa, palliative care is not yet a priority on the health agenda in most African countries (Sepulveda et al, 2003). Considering the cost efficacy, research on HIV/AIDS and palliative care in Africa is of paramount importance in order to meet the needs of people with HIV/AIDS and their families (Addington-Hall & Higginson, 2001).…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of palliative care including physiotherapy in hiv patients a review of the literature

Uwimana

Louw

2007

South African Journal of Physiotherapy

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“…Each year about 0.5% of the total population in countries like Botswana, Ethiopia, Tanzania, Uganda and Zimbabwe die from HIV/AIDS or cancer [20], all these ultimately need palliative care contributing to the already high need of this service in sub-Saharan Africa [21].…”

Section: Burden Of Cancer and Hiv/aids In Africamentioning

confidence: 99%

Symptom Prevalence and Burden in Cancer Patients with and without HIV/AIDS Reffered for Palliative Care

Zirimenya¹,

Musoke²,

Hutt³

2015

JHS

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Abstract:The prevalence of cancer and that of HIV/AIDS is increasing in Uganda and throughout sub Saharan Africa. Unfortunately, little is known about the prevalence and burden of symptoms in patients with AIDS-Cancer and Cancer alone at first referral to a palliative care service. This study sets out to compare the prevalence and symptom burden between patients with AIDS-Cancer and those with Cancer only referred to a palliative care setting. Retrospective point prevalence survey of 150 randomly selected charts of patients referred to Hospice Africa Uganda (HAU) as per 2013. Of the 471 eligible patients' charts, 168 were randomly selected and only 150 were included in the study. A chart review instrument was used to extract information from the charts. Data were entered into Epidata version 3

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Quality care at the end of life in Africa

Cited by 109 publications

References 2 publications

Cervical cancer: the sub-Saharan African perspective

Cervical cancer: the sub-Saharan African perspective

Effectiveness of palliative care including physiotherapy in hiv patients a review of the literature

Symptom Prevalence and Burden in Cancer Patients with and without HIV/AIDS Reffered for Palliative Care

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