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

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

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Oxford University Press, USA

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

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.

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)

Table of Contents

Foreword   Sir Elton John     vii
Acknowledgements     ix
Overview of the study     3
A narrative history of hospice-palliative care in Africa
Oral history in Africa     49
Personal motivations     55
Confronting the issues     67
New models, new care     83
Hospice-palliative care service development in Africa: countries approaching integration
Kenya     101
South Africa     129
Uganda     201
Zimbabwe     255
Hospice-palliative care service development in Africa: countries with localized provision
Botswana     259
Republic of the Congo (Congo-Brazzaville)     271
Egypt     277
Malawi     285
Morocco     301
Nigeria     309
Sierra Leone     321
Swaziland     333
Tanzania     349
The Gambia     377
Zambia     383
Hospice-palliative care service development in Africa: countries with capacity building activity
Algeria     403
Cameroon     409
Cote d'Ivoire     417
Democratic Republic of the Congo (Congo-Kinshasa)     423
Ethiopia     429
Ghana     437
Lesotho     447
Mozambique     459
Namibia     465
Rwanda     471
Tunisia     479
Average daily consumption of defined daily doses (for statistical purposes) of morphine per million inhabitants, 2000-2002: countries of Africa     485
Countries of Africa involved in PEPFAR, the Diana, Princess of Wales Memorial Fund (Diana Fund) and WHO projects     487
Total health expenditure (Intl {dollar}) per capita and as a percentage of GDP: countries of Africa, 2001     489
GDP per capita (Intl {dollar}): countries of Africa, 2001     491
Further reading     493
Index     501

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