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Hospice and Palliative Care in Africa
A review of developments and challenges
Michael Wright David Clark
528 pages
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76 tables, 38 line drawings and 91 black and white photographs
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246x171mm
978-0-19-920680-3
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Paperback
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24 August 2006
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- The only book to draw together information that focuses exclusively on palliative care in Africa
- The health of Africa is a hugely topical issue and is increasingly becoming the focus of the world
- Contains research-based insights into hospice and palliative care development in 26 African countries where initiatives have been identified
- Highlights palliative care barriers and opportunities
- Examines the impact of international organisations on palliative care development and sustainability
- Looks at the whole of Africa, allowing an all-continent context for the individual country reports
- Incorporates oral histories, giving an insight into the lived experience of palliative care provision
- Supported by the Diana, Princess of Wales Memorial Fund and the Elton John AIDS foundation, with a foreword by Sir Elton John
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 has impacted 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 for resource 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 26 countries 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.Readership: This book is aimed at those with a specific interest in Africa such as palliative care activists, grant makers, service providers, and medical historians. It will also appeal to all those involved in palliative care, and all health care professionals interested in ethics, health care systems, and development within an international context. Policy makers and social scientists will also find the topic of interest.
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Michael Wright, International Observatory on End of Life Care, Institute for Health Research, Lancaster University, UK David Clark, Professor of Medical Sociology and Director, International Observatory on End of Life Care, Institute for Health Research, Lancaster University, UKContributors: Jennifer Hunt, International Observatory on End of Life Care, Institute for Health Research, Lancaster, UK Thomas Lynch, International Observatory on End of Life Care, Institute for Health Research, Lancaster, UK
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"This is the first comprehensive reference work focusing exclusively on palliative care a hospice development in Africa. it will be of importance to 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, healthcare systems, and development within an international context, as well as to policy makers and planners." - CABI "...this is a very interesting review of the developments in hospice care in Africa and is a great addition to this area. It provides a thorough background in current challenges and opportunities for service providers, researchers and donors, among many others. It could inspire
and generate more research in this area in the near future." - Journal of Advanced Nursing, "As the available literature in palliative care provision from Africa is very limited, the data offered within this book provide valuable information for individuals already involved in palliative care and those studying palliative care in developing countries." - Journal of Advanced Nursing, "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. Let us hope that the next review of palliative care across
Africa will show an increased accessibility for care." - Lancet
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Summary
1: Overview of the study
A narrative history of palliative care in Africa
2: Oral history in Africa
3: Personal motivations
4: Confronting the issues
5: New models, new care
Countries where hospice and palliative care services are approaching integration with the wider public health system
6: Kenya
7: South Africa
8: Uganda
9: Zimbabwe
Countries with localised provision of hospice and palliative care services
10: Botswana
11: Republic of the Congo (Congo-Brazzaville)
12: Egypt
13: Malawi
14: Morocco
15: Nigeria
16: Sierra Leone
17: Swaziland
18: Tanzania
19: The Gambia
20: Zambia
Countries with hospice and palliative care capacity building activity
21: Algeria
22: Cameroon
23: Cote d'Ivoire
24: Democratic Republic of the Congo (Congo-Kinshasa)
25: Ethiopia
26: Ghana
27: Lesotho
28: Mozambique
29: Namibia
30: Rwanda
31: Tunisia
Appendices
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John Rutter
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The specification in this catalogue, including without limitation price, format, extent, number of illustrations, and month of publication, was as accurate as possible at the time the catalogue was compiled. Occasionally, due to the nature of some contractual restrictions, we are unable to ship a specific product to a particular territory. Jacket images are provisional and liable to change before publication.
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