Hospice and Palliative Care in Africa: a review of developments and challenges

Paperback | August 24, 2006

byMichael Wright, David Clark

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800 million people live in Africa, a continent which covers 22% of the world's surface and encompasses some 50 countries. Conflict, poverty, endemic diseases, and lack of clean water pose serious challenges for the population, made worse by a rampaging AIDS pandemic. Huge loss of life hasimpacted dramatically on both health systems and social and family structures. As the attention of the world focused increasingly on Africa, the International Observatory on End of Life Care was commissioned to conduct a timely review of hospice and palliative care development across the continent. The Observatory undertook this review using an approach specially designed forresource poor settings. Information was collected against an agreed template to allow comparisons between countries and regions. As a result, an insight is given into the challenges, opportunities and successes faced by hospice and palliative care workers, country by country, throughout the 26countries in Africa where a palliative care initiative is underway. Strategies and models of care are explored, and the development of palliative care is viewed from various standpoints including ethnographic, historical, ethnic, demographic and epidemiological perspectives. This is the first comprehensive reference focusing exclusively on palliative care and hospice development in Africa, and makes fascinating reading.

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800 million people live in Africa, a continent which covers 22% of the world's surface and encompasses some 50 countries. Conflict, poverty, endemic diseases, and lack of clean water pose serious challenges for the population, made worse by a rampaging AIDS pandemic. Huge loss of life hasimpacted dramatically on both health systems and...

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 traine...

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Format:PaperbackDimensions:528 pages, 9.69 × 6.73 × 1.06 inPublished:August 24, 2006Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199206805

ISBN - 13:9780199206803

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Table of Contents

Summary1. Overview of the studyA narrative history of palliative care in Africa2. Oral history in Africa3. Personal motivations4. Confronting the issues5. New models, new careCountries where hospice and palliative care services are approaching integration with the wider public health system6. Kenya7. South Africa8. Uganda9. ZimbabweCountries with localised provision of hospice and palliative care services10. Botswana11. Republic of the Congo (Congo-Brazzaville)12. Egypt13. Malawi14. Morocco15. Nigeria16. Sierra Leone17. Swaziland18. Tanzania19. The Gambia20. ZambiaCountries with hospice and palliative care capacity building activity21. Algeria22. Cameroon23. Cote d'Ivoire24. Democratic Republic of the Congo (Congo-Kinshasa)25. Ethiopia26. Ghana27. Lesotho28. Mozambique29. Namibia30. Rwanda31. TunisiaAppendices