Palliative care making a difference in rural Uganda, Kenya and Malawi: three rapid evaluation field studies
2011

Palliative Care in Rural Africa

Sample size: 150 publication Evidence: moderate

Author Information

Author(s): Grant Liz, Brown Judith, Leng Mhoira, Bettega Nadia, Murray Scott A

Primary Institution: The University of Edinburgh

Hypothesis

What is the impact of community-based palliative care interventions in rural Uganda, Kenya, and Malawi?

Conclusion

Holistic palliative care can be effectively delivered in impoverished settings, integrating symptom control with practical and emotional support.

Supporting Evidence

  • Patients valued being treated with dignity and respect.
  • Mobile phones enabled rapid access to clinical and social support networks.
  • Practical support facilitated good deaths at home.

Takeaway

This study shows that people in rural Africa can receive good care at home when they are sick, which helps them feel better and die with dignity.

Methodology

The study used rapid evaluation field techniques, including interviews, observations, and routine data analysis.

Potential Biases

Potential bias from the presence of palliative care team members during interviews.

Limitations

The study was limited to three sites and did not assess wider issues beyond individual patient experiences.

Participant Demographics

Participants included patients with advanced illness, family carers, staff, volunteers, and community leaders from Uganda, Kenya, and Malawi.

Digital Object Identifier (DOI)

10.1186/1472-684X-10-8

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