Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps
Worldwide 56·8 million people need palliative care (PC), and Africa shows the highest demand. This study updates the 2017 review of African PC development, using a scoping review methodology based on Arksey and O'Malley's framework and the PRISMA-ScR checklist. The review was conducted acr...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Health Services |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frhs.2024.1425353/full |
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| author | Fernanda Bastos Fernanda Bastos Eduardo Garralda Eduardo Garralda Alvaro Montero Alvaro Montero John Y. Rhee John Y. Rhee Natalia Arias-Casais Emmanuel Luyirika Eve Namisango José Pereira José Pereira Carlos Centeno Carlos Centeno Carlos Centeno Vilma A. Tripodoro Vilma A. Tripodoro |
| author_facet | Fernanda Bastos Fernanda Bastos Eduardo Garralda Eduardo Garralda Alvaro Montero Alvaro Montero John Y. Rhee John Y. Rhee Natalia Arias-Casais Emmanuel Luyirika Eve Namisango José Pereira José Pereira Carlos Centeno Carlos Centeno Carlos Centeno Vilma A. Tripodoro Vilma A. Tripodoro |
| author_sort | Fernanda Bastos |
| collection | DOAJ |
| description | Worldwide 56·8 million people need palliative care (PC), and Africa shows the highest demand. This study updates the 2017 review of African PC development, using a scoping review methodology based on Arksey and O'Malley's framework and the PRISMA-ScR checklist. The review was conducted across PUBMED, CINAHL, Embase, government websites, and the African PC Association Atlas, from 2017 to 2023, charting its progress using the new WHO framework for PC Development, which, in addition to Services, Education, Medicines, and Policies, two new dimensions were incorporated: Research and Empowerment of people and Communities. Of the 4.420 records, 118 met the inclusion criteria. Findings showed increased adult specialised services (n = 675), and 15 of 54 countries have paediatric services. Nonetheless, the ratio of services per population mostly remains under 0,10 per 100.000 inhabitants. PC education was included in undergraduate curricula in 29 countries; despite the rise in morphine availability (28 countries), median consumption remains under 3 mg/per capita/year, and 14 countries presented stand-alone policies. Publications on PC development increased, and 26 countries have National PC Associations. Notwithstanding progress since 2017, significant hurdles remain, highlighting the need for ongoing research and policy development to ensure equitable access to palliative care in Africa. |
| format | Article |
| id | doaj-art-0472d9817b3e464fb198fc8a036a94b3 |
| institution | Kabale University |
| issn | 2813-0146 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Health Services |
| spelling | doaj-art-0472d9817b3e464fb198fc8a036a94b32024-12-09T06:28:35ZengFrontiers Media S.A.Frontiers in Health Services2813-01462024-12-01410.3389/frhs.2024.14253531425353Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gapsFernanda Bastos0Fernanda Bastos1Eduardo Garralda2Eduardo Garralda3Alvaro Montero4Alvaro Montero5John Y. Rhee6John Y. Rhee7Natalia Arias-Casais8Emmanuel Luyirika9Eve Namisango10José Pereira11José Pereira12Carlos Centeno13Carlos Centeno14Carlos Centeno15Vilma A. Tripodoro16Vilma A. Tripodoro17Institute for Culture and Society, ATLANTES Global Observatory of Palliative Care, University of Navarra, Pamplona, SpainIdiSNA, Navarrese Centre for Sanitary Research, Pamplona, SpainInstitute for Culture and Society, ATLANTES Global Observatory of Palliative Care, University of Navarra, Pamplona, SpainIdiSNA, Navarrese Centre for Sanitary Research, Pamplona, SpainInstitute for Culture and Society, ATLANTES Global Observatory of Palliative Care, University of Navarra, Pamplona, SpainIdiSNA, Navarrese Centre for Sanitary Research, Pamplona, SpainDivision of Adult Palliative Care, Department of Supportive Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, United StatesCenter for Neuro-Oncology, Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, United StatesDepartment of Paediatrics, Elbekliniken Stade, Stade, GermanyAfrican Palliative Care Association, Kampala, UgandaAfrican Palliative Care Association, Kampala, UgandaFaculty of Medicine, University of Navarra, Pamplona, SpainDivision of Palliative Medicine, Department of Family Medicine, McMaster University, Hamilton, ON, CanadaInstitute for Culture and Society, ATLANTES Global Observatory of Palliative Care, University of Navarra, Pamplona, SpainIdiSNA, Navarrese Centre for Sanitary Research, Pamplona, SpainFaculty of Medicine, University of Navarra, Pamplona, SpainInstitute for Culture and Society, ATLANTES Global Observatory of Palliative Care, University of Navarra, Pamplona, SpainIdiSNA, Navarrese Centre for Sanitary Research, Pamplona, SpainWorldwide 56·8 million people need palliative care (PC), and Africa shows the highest demand. This study updates the 2017 review of African PC development, using a scoping review methodology based on Arksey and O'Malley's framework and the PRISMA-ScR checklist. The review was conducted across PUBMED, CINAHL, Embase, government websites, and the African PC Association Atlas, from 2017 to 2023, charting its progress using the new WHO framework for PC Development, which, in addition to Services, Education, Medicines, and Policies, two new dimensions were incorporated: Research and Empowerment of people and Communities. Of the 4.420 records, 118 met the inclusion criteria. Findings showed increased adult specialised services (n = 675), and 15 of 54 countries have paediatric services. Nonetheless, the ratio of services per population mostly remains under 0,10 per 100.000 inhabitants. PC education was included in undergraduate curricula in 29 countries; despite the rise in morphine availability (28 countries), median consumption remains under 3 mg/per capita/year, and 14 countries presented stand-alone policies. Publications on PC development increased, and 26 countries have National PC Associations. Notwithstanding progress since 2017, significant hurdles remain, highlighting the need for ongoing research and policy development to ensure equitable access to palliative care in Africa.https://www.frontiersin.org/articles/10.3389/frhs.2024.1425353/fullAfricapalliative carehealth serviceseducationhealth policiesmedicines |
| spellingShingle | Fernanda Bastos Fernanda Bastos Eduardo Garralda Eduardo Garralda Alvaro Montero Alvaro Montero John Y. Rhee John Y. Rhee Natalia Arias-Casais Emmanuel Luyirika Eve Namisango José Pereira José Pereira Carlos Centeno Carlos Centeno Carlos Centeno Vilma A. Tripodoro Vilma A. Tripodoro Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps Frontiers in Health Services Africa palliative care health services education health policies medicines |
| title | Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps |
| title_full | Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps |
| title_fullStr | Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps |
| title_full_unstemmed | Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps |
| title_short | Comprehensive scoping review of palliative care development in Africa: recent advances and persistent gaps |
| title_sort | comprehensive scoping review of palliative care development in africa recent advances and persistent gaps |
| topic | Africa palliative care health services education health policies medicines |
| url | https://www.frontiersin.org/articles/10.3389/frhs.2024.1425353/full |
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