Hospice and Palliative Care in Africa: A Review of Developments and Challenges

Hospice and Palliative Care in Africa: A Review of Developments and Challenges

by Michael Wright, David Clark
     
 

The continent of Africa covers 22% of the earth's surface and contains over 800 million people and some 50 countries. Conflict, poverty, endemic diseases, and lack of clean water pose serious challenges across the continent, made worse by the pandemic of HIV/AIDS. Huge loss of life has impacted dramatically on both health systems and social and family support… See more details below

Overview

The continent of Africa covers 22% of the earth's surface and contains over 800 million people and some 50 countries. Conflict, poverty, endemic diseases, and lack of clean water pose serious challenges across the continent, made worse by the pandemic of HIV/AIDS. Huge loss of life has impacted dramatically on both health systems and social and family support structures.

This book presents a review of hospice and palliative care development across Africa, conducted by a team of researchers at the International Observatory on End of Life Care, Lancaster University, UK. Using an approach specially designed for resource-poor settings, the project collected information against an agreed template to allow comparisons to be made between countries and regions. The resulting analysis gives insights into the challenges, opportunities, and successes faced by hospice and palliative care workers, country by country, throughout the 26 countries in Africa where a palliative care initiative is underway. The analysis is further complemented by ethnographic, historical, demographic, and epidemiological perspectives.

This is the first comprehensive reference work focusing exclusively on palliative care and hospice development in Africa. It will make fascinating reading for palliative care activists, grant makers, service providers, researchers, and others interested in health care innovations in Africa. It will also appeal to health care professionals interested in ethics, health care systems, and development within an international context, as well as to policy makers and planners.

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Product Details

ISBN-13:
9780199206803
Publisher:
Oxford University Press, USA
Publication date:
11/28/2006
Edition description:
New Edition
Pages:
528
Product dimensions:
9.60(w) x 6.70(h) x 1.20(d)

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Table of Contents

Pt. 1Summary
1Overview of the study3
Pt. 2A narrative history of hospice-palliative care in Africa
2Oral history in Africa49
3Personal motivations55
4Confronting the issues67
5New models, new care83
Pt. 3Hospice-palliative care service development in Africa : countries approaching integration
6Kenya101
7South Africa129
8Uganda201
9Zimbabwe235
Pt. 4Hospice - palliative care service development in Africa : countries with localized provision
10Botswana259
11Republic of the Congo (Congo-Brazzaville)271
12Egypt277
13Malawi285
14Morocco301
15Nigeria309
16Sierra Leone321
17Swaziland333
18Tanzania349
19The Gambia377
20Zambia383
Pt. 5Hospice-palliative care service development in Africa : countries with capacity building activity
21Algeria403
22Cameroon409
23Cote d'Ivoire417
24Democratic Republic of the Congo (Congo-Kinshasa)423
25Ethiopia429
26Ghana437
27Lesotho447
28Mozambique459
29Namibia465
30Rwanda471
31Tunisia479
App. 1Average daily consumption of defined daily doses (for statistical purposes) of morphine per million inhabitants, 2000-2002 : countries of Africa485
App. 2Countries of Africa involved in PEPFAR, the Diana, Princess of Wales Memorial Fund (Diana Fund) and WHO projects487
App. 3Total health expenditure (Intl $) per capita and as a percentage of GDP : countries of Africa, 2001489
App. 4GDP per capita (Intl $) : countries of Africa, 2001491

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