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

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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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Editorial Reviews

From the Publisher
"Wright and Clark's inspiring book is a much-needed addition to the largely neglected area of palliative care research in Africa. It provides a thorough background in current challenges and opportunities for key stakeholders, including service providers, researchers, and donors among many others."—The Lancet

"Wright and Clark's inspiring book is a much-needed addition to the largely neglected area of palliative care research in Africa. It provides a thorough background in current challenges and opportunities for key stakeholders, including service providers, researchers, and donors among many others."—The Lancet

"This is the first comprehensive reference work focusing exclusively on palliative care and hospice development 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."—Commonwealth Agricultural Bureaux International

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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)

Meet the Author

David Clark is the author of OUP's two published volumes on the life of Cicely Saunders (her Selected Writings, and Selected Letters) Michael Wright was born in the north-of-England industrial town of Castleford in 1944. His studies have included theology (BA) education (MSc) and the spiritual dimension of health care (PhD). He trained for the Anglican ministry at Wells Theological College and was ordained in 1967. During a varied working life, he has held the positions of parish priest, secondary school head teacher, hospital chaplain and senior research fellow. Since 2001, he has focused on the global analysis of hospice care and spiritual needs at the end of life. In 2003 he co-founded the International Observatory on End of Life Care (Lancaster University) with Professor David Clark, the Observatory's director.

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Table of Contents

Pt. 1 Summary
1 Overview of the study 3
Pt. 2 A narrative history of hospice-palliative care in Africa
2 Oral history in Africa 49
3 Personal motivations 55
4 Confronting the issues 67
5 New models, new care 83
Pt. 3 Hospice-palliative care service development in Africa : countries approaching integration
6 Kenya 101
7 South Africa 129
8 Uganda 201
9 Zimbabwe 235
Pt. 4 Hospice - palliative care service development in Africa : countries with localized provision
10 Botswana 259
11 Republic of the Congo (Congo-Brazzaville) 271
12 Egypt 277
13 Malawi 285
14 Morocco 301
15 Nigeria 309
16 Sierra Leone 321
17 Swaziland 333
18 Tanzania 349
19 The Gambia 377
20 Zambia 383
Pt. 5 Hospice-palliative care service development in Africa : countries with capacity building activity
21 Algeria 403
22 Cameroon 409
23 Cote d'Ivoire 417
24 Democratic Republic of the Congo (Congo-Kinshasa) 423
25 Ethiopia 429
26 Ghana 437
27 Lesotho 447
28 Mozambique 459
29 Namibia 465
30 Rwanda 471
31 Tunisia 479
App. 1 Average daily consumption of defined daily doses (for statistical purposes) of morphine per million inhabitants, 2000-2002 : countries of Africa 485
App. 2 Countries of Africa involved in PEPFAR, the Diana, Princess of Wales Memorial Fund (Diana Fund) and WHO projects 487
App. 3 Total health expenditure (Intl $) per capita and as a percentage of GDP : countries of Africa, 2001 489
App. 4 GDP per capita (Intl $) : countries of Africa, 2001 491
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