Strengthening palliative care delivery in developing countries: a training workshop model in Botswana

LaVigne, Anna W.; Gaolebale, Babe; Maifale-Mburu, Goitseone; Nwogu-Onyemkpa, Eberechi; Sebego, Miriam; Chiyapo, Sebathu; McMenamin, Erin; Grover, Surbhi

doi:10.21037/apm.2018.05.14

Cited by 6 publications

(5 citation statements)

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“…To date, only a handful of doctors and nurses have attended short courses in palliative care [42]. Contextually appropriate palliative care education through nursing and medical education, and as 'in-service' training programs for healthcare professionals are essential [8,[43][44][45]. Evidence indicates that education and training has improved knowledge and skills [46], changed attitude towards the care of very ill and dying patients [47] and enhanced access to opioid analgesics [32].…”

Section: Discussionmentioning

confidence: 99%

Healthcare professionals’ views on how palliative care should be delivered in Bhutan: A qualitative study

Laabar

Saunders

Auret

et al. 2022

PLOS Glob Public Health

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Palliative care aims to relieve serious health-related suffering among patients and families affected by life-limiting illnesses. However, palliative care remains limited or non-existent in most low- and middle- income countries. Bhutan is a tiny kingdom in the Himalayas where palliative care is an emerging concept. This study aimed to explore the views of Bhutanese healthcare professionals on how palliative care should be delivered in Bhutan. It is a component of a bigger research program aimed at developing a contextual based palliative care model for Bhutan. This is a descriptive qualitative study. Eleven focus group discussions and two in-depth interviews were conducted among healthcare professionals, recruited through purposeful sampling, from community health centres, district hospitals, regional and national referral hospitals, and the traditional hospital in Bhutan. The participants in this study emphasized the need for suitable palliative care policies; education, training and awareness on palliative care; adequate access to essential palliative care medicines; adequate manpower and infrastructure; and a multi-disciplinary palliative care team. Participants confirmed a socially, culturally and spiritually appropriate approach is crucial for palliative care services in Bhutan. Despite palliative care being a young concept, the Bhutanese healthcare professionals have embraced its importance, emphasized its urgent need and highlighted their views on how it should be delivered in the country. This study will help inform the development of a public health-focused palliative care model, socially, culturally and spiritually applicable to the Bhutanese people, as recommended by the World Health Organization.

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Section: Discussionmentioning

confidence: 99%

Healthcare professionals’ views on how palliative care should be delivered in Bhutan: A qualitative study

Laabar

Saunders

Auret

et al. 2022

PLOS Glob Public Health

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“…[ 12 ] PC education should be available through undergraduate medical and nursing education and as part of in-service training for health professionals, social workers and spiritual caregivers involved with patients with life-limiting illnesses. [ 65 ] Specialist PC training should also be available for professionals at the community level so that quality services enable patients to stay at home. [ 53 ] Media and public advocacy and family caregiver training are important avenues to create awareness, increase knowledge and change attitudes among policy makers, drug regulators, traditional healers, patients and families.…”

Section: Discussionmentioning

confidence: 99%

“…[12] For public health strategies to be effective, PC should be implemented at all levels of healthcare and community. [12,65] This review found that PC services in most LICs were available variably in hospitals, hospices, cancer and HIV/AIDS centres, faith-based institutions and communities including mobile services such as road side clinics and as homebased care. However, in some LICs, PC is available only in urban areas [24,25] or not available at all.…”

Section: Sociocultural and Spiritual Componentsmentioning

confidence: 99%

Socially, Culturally and Spiritually Sensitive Public Health Palliative Care Models in the Lower-income Countries: An Integrative Literature Review

Laabar

Saunders

Auret

et al. 2022

IJPC

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The demand for palliative care (PC) is ever-increasing globally. The emergence of COVID-19 pandemic has further accelerated the need for PC. In the lower-income countries (LICs), where PC need is highest, PC, the most humane, appropriate and realistic approach to care for patients and families affected by life-limiting illness, is minimal or non-existent. Recognising the disparity between high, middle and LICs, the World Health Organization (WHO) has recommended public health strategies for PC within the socioeconomic, cultural and spiritual contexts of individual countries. This review aimed to: (i) identify PC models in the LICs utilising public health strategies and (ii) characterise how social, cultural and spiritual components were integrated into these models. This is an integrative literature review. Thirty-seven articles were included from a search of four electronic databases – Medline, Embase, Global Health and CINAHL. Literature, both empirical and theoretical literature, published in English from January 2000 to May 2021 that mentioned PC models/services/programmes integrating public health strategies in the LICs were included in the study. A number of LICs utilised public health strategies to deliver PC. One-third of the selected articles highlighted the importance of integrating sociocultural and spiritual components into PC. Two main themes – WHO-recommended public health framework and sociocultural and spiritual support in PC and five subthemes – (i) suitable policies; (ii) availability and accessibility of essential drugs; (iii) PC education for health professionals, policymakers and the public; (iv) implementation of PC at all levels of healthcare and (v) sociocultural and spiritual components, were derived. Despite embracing the public health approach, many LICs encountered several challenges in integrating all four strategies successfully.

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“…Importantly, a key component for advancing global palliative care is the training of nurses. Although several pilot projects in LMICs have successfully integrated nurses into community-based palliative care teams, an important gap is the lack of inclusion of geriatric principles, which is also a significant priority in geriatric oncology [114,119,120].…”

Section: Resource-constrained Settingsmentioning

confidence: 99%

Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics

Castelo-Loureiro,

Perez-de-Acha,

Torres-Perez

et al. 2023

Cancers

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The world’s population is aging rapidly, with projections indicating that by 2050 one in six people will be aged ≥65 years. As a result, the number of cancer cases in older people is expected to increase significantly. Palliative care is an essential component of cancer care with a direct impact on quality of life. However, older adults with cancer often suffer from multiple comorbidities, cognitive impairment, and frailty, posing unique challenges in the delivery of palliative care. The complex healthcare needs of older patients with cancer therefore require a comprehensive assessment, including a geriatric evaluation. Collaboration between geriatrics and palliative care can offer a solution to the challenges faced by older people with cancer, since this is a population with overlapping concerns for both disciplines. This review highlights the importance of palliative care for older adults with cancer and the benefits of a multidisciplinary approach. It also addresses the coordination of palliative care and geriatrics for specific symptom management and decision making.

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Strengthening palliative care delivery in developing countries: a training workshop model in Botswana

Cited by 6 publications

References 0 publications

Healthcare professionals’ views on how palliative care should be delivered in Bhutan: A qualitative study

Healthcare professionals’ views on how palliative care should be delivered in Bhutan: A qualitative study

Socially, Culturally and Spiritually Sensitive Public Health Palliative Care Models in the Lower-income Countries: An Integrative Literature Review

Delivering Palliative and Supportive Care for Older Adults with Cancer: Interactions between Palliative Medicine and Geriatrics

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