Costing of palliative care for children in kenya
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Costing of palliative care for children in kenya






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Costing of palliative care for children in kenya Costing of palliative care for children in kenya Presentation Transcript

  • Cost Estimate of DeliveringPalliative Care to Children inKenya: Policy ImplicationsProfessor Soonman KWON, SeoulAtia Hossain, GIZ Health Sector Programme1st NationalNon-Communicable Diseases ForumRepublic of KenyaNaivasha, Aug 24-26, 2011
  • Organisation of presentation Background Methodology Purpose Results Policy recommendations
  • Background: Human Rights Watch in 2010 showed that a significant number of children are suffering in Kenya due to the lack of palliative care.HRW report emphasizes the need to provide palliative care and make morphine available to terminally-ill children.Methodology: Literature review Interviews with practitioners and stakeholders
  • Purpose of Costing Collect information on relevant costing issues related to palliative care of children Conduct normative assessment of the cost of palliative care (including cost of chemical interventions, i.e. provision of morphine) Inform Government and Partners about the cost and fiscal implications to provide palliative care to children in need
  • Results: Assumptions (I) Total # of children (approx) 1.8 – 2.1 million P A L L I A T I V E care Children (up to 14 years) terminally ill 150,000-180,0002.5% ofTotal Children (up to 14 years) living with cancerchildren 150,000-180,000 50% Children (up to 14 years) living with HIV/AIDS Targeted poor 150,000-180,000 250,000
  • Results: Assumptions (II) Morphine + 2,400- other 2,600 KSh medicines per child per month 4,650 KSh per child per month Public health facility Medicines Consultation 9,300 KSh per child per month Private health facility
  • Results: Cost of Palliative Care 41.8 bn Ksh 27.9 bn Ksh 13.9 bn Ksh 7.9 bn Ksh Excludes cost of training: 2,224,339Ksh for 8-day (5 days in-class & 3 days on-site)
  • Cost estimates presented is likely to be anover-estimate of the true (societal) cost ofpalliative care in Kenya, because it does notinclude the potential savings in overallhealth care costs as a result of providingpalliative care.
  • Policy recommendations Palliative care should be seen more from a human rights perspective Political and financial commitments from the government should be the main issue related to palliative care, and with focus on: Increase public awareness Define roles of faith based health care organisations Continuous education and raining Define roles of morphine provision by nurses
  • Asante sana!