Palliative care in Africa
Presented by
Asmaa E.M.kanaan
Outlines
Why did I chose to talk about this study ?
Introduction
Statistics of Africa
History of palliative care in Africa...
Why … This study ?
In response to increased global public
health funding initiatives to hospice and
palliative care in Afr...
Introduction
The fundamental question of whether
palliative care is appropriate or possible
in developing countries ???

T...
Statistics of Africa
Africa population around 826 millions .
Africa the 2th largest of continents , it contains
22% of the...
Top 5 causes of death in Africa
*Ill-defined natural 13.8% .
*respiratory TB 11.1% .
*LRI 9.7% .
*intestinal infections di...
Place of death
Overall 43.9% of death occurred in hospitals
(include 1.8% outpatient ).
15% missing information about plac...
History of palliative in Africa
In 1970s when first appeared in Zembabwe &
South Africa .
In June 2004 APCAs held its firs...
An overview on HAPCAs
A resarch has identified 136 hospice and
palliative care organizations in 15 countries (
an area wit...
Government problem
- governments not knowing what palliative care is .
- lack of strategy detail .
- non-implementation at...
2007 resarchs finding
47 countries of Africa... Grouped into 4
categores :
1… No identified hospice or palliative care
act...
3… localized provision of hospice and
palliative care is in place , often heavily
supported by external donors
( 11 countr...
Current priorities
Current priorities grouped into 5
categories: epidemiological need and
service expansion, access and qu...
Challenges
Governmental and cultural contexts , poverty
,lack of trained professionals, retention of
trained professionals...
Pain relief … challenges
drug availability
lack of providers
transportation
government restrictions
funder restriction
Recommendation
We call on government to ensure that
palliative care is accessible, available and
affordable to Africans fa...
Conclusion

It’s a hard job but its
not impossible
References
south African Medical Journal 2001, 91:364-368.

Hospice and palliative care in africa , David clark
.PHD,Jenni...
Thank you
Palliative n s.a
Upcoming SlideShare
Loading in …5
×

Palliative n s.a

261 views

Published on

palliative in south africa .
An overview ....

Published in: Education, Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
261
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
5
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Palliative n s.a

  1. 1. Palliative care in Africa Presented by Asmaa E.M.kanaan
  2. 2. Outlines Why did I chose to talk about this study ? Introduction Statistics of Africa History of palliative care in Africa An overview of HAPCAs Current priorities & Challenges Recommendations Conclusion References
  3. 3. Why … This study ? In response to increased global public health funding initiatives to hospice and palliative care in Africa, this study aimed to describe practice models, strategies and challenges to delivering end-of-life care in Africa.
  4. 4. Introduction The fundamental question of whether palliative care is appropriate or possible in developing countries ??? This Q has been posed .
  5. 5. Statistics of Africa Africa population around 826 millions . Africa the 2th largest of continents , it contains 22% of the earths land surface . In Africa 20% of deaths are ill-defined ,and less than 70% are registered .
  6. 6. Top 5 causes of death in Africa *Ill-defined natural 13.8% . *respiratory TB 11.1% . *LRI 9.7% . *intestinal infections disease 6.8% . *HIV/AIDS 6.4% . Cancer = 0.8% (19)
  7. 7. Place of death Overall 43.9% of death occurred in hospitals (include 1.8% outpatient ). 15% missing information about place of death . 4.4% dead in home ( include 2.1% in nursing home ).
  8. 8. History of palliative in Africa In 1970s when first appeared in Zembabwe & South Africa . In June 2004 APCAs held its first annual general meeting in Tanzania , Ghana ,Zimbabwe ,Nigeria ,South Africa ,Kenya , Uganda . Egypt 2007 .
  9. 9. An overview on HAPCAs A resarch has identified 136 hospice and palliative care organizations in 15 countries ( an area with a population of 407 million people ). The majority are non-govermental . Over half 76 were found in SA .
  10. 10. Government problem - governments not knowing what palliative care is . - lack of strategy detail . - non-implementation at the local level . strategies being informal . - and lack of funding for implementation of strategies .
  11. 11. 2007 resarchs finding 47 countries of Africa... Grouped into 4 categores : 1… No identified hospice or palliative care activity ( 21 countries ) . 2… Capacty building activity is underway to promote hospice and palliative care delivery ( 11 countries ) .
  12. 12. 3… localized provision of hospice and palliative care is in place , often heavily supported by external donors ( 11 countries ) . 4… Hospice and palliative care services are recognition gaining wider policy ( 4 countries ) . … SA, Zimbabwe ,Kenya, Uganda …
  13. 13. Current priorities Current priorities grouped into 5 categories: epidemiological need and service expansion, access and quality assurance, advocacy, resources and consolidation, and limitations .
  14. 14. Challenges Governmental and cultural contexts , poverty ,lack of trained professionals, retention of trained professionals, funding restrictions, excessive stress on lay provision, prohibitive drug costs, increasing patient load, weakness in current health system infrastructure, and lack of communication of effective strategies.
  15. 15. Pain relief … challenges drug availability lack of providers transportation government restrictions funder restriction
  16. 16. Recommendation We call on government to ensure that palliative care is accessible, available and affordable to Africans facing advanced illness, and to ensure that at the end of their lives patients are treated with dignity and experience relief of suffering.
  17. 17. Conclusion It’s a hard job but its not impossible
  18. 18. References south African Medical Journal 2001, 91:364-368. Hospice and palliative care in africa , David clark .PHD,Jennifer Hunt ,PHD .2007. the African Palliative Care Association website (http://www.africanpalliativecare.org),
  19. 19. Thank you

×