- Title Pages
- Disclaimer
- Foreword to Hospice and Palliative Care in Africa
- Acknowledgements
- Chapter 1 Overview of the study
- Chapter 2 Oral history in africa
- Chapter 3 Personal motivations
- Chapter 4 Confronting the issues
- Chapter 5 New models, new care
- Part 3 Hospice—palliative care service development in Africa: countries approaching integration
- Chapter 6 Kenya
- Chapter 7 South Africa
- Chapter 8 Uganda
- Chapter 9 Zimbabwe
- Part 4 Hospice—palliative Care Service Development In Africa: Countries With Localized Provision
- Chapter 10 Botswana
- Chapter 11 Republic of the Congo (Congo-brazzaville)
- Chapter 12 Egypt
- Chapter 13 Malawi
- Chapter 14 Morocco
- Chapter 15 Nigeria
- Chapter 16 Sierra Leone
- Chapter 17 Swaziland
- Chapter 18 Tanzania
- Chapter 19 The Gambia
- Chapter 20 Zambia
- Part 5 Hospice-palliative care service development in Africa: countries with capacity building activity
- Chapter 21 Algeria
- Chapter 22 Cameroon
- Chapter 23 Cote D'ivoire
- Chapter 24 Democratic Republic of the Congo (Congo-Kinshasa)
- Chapter 25 Ethiopia
- Chapter 26 Ghana
- Chapter 27 Lesotho
- Chapter 28 Mozambique
- Chapter 29 Namibia
- Chapter 30 Rwanda
- Chapter 31 Tunisia
- Appendix 1 Average daily consumption of defined daily doses (for statistical purposes) of morphine per million inhabitants, 2000–2002: countries of Africa
- Appendix 2 Countries of Africa involved in PEPFAR, the Diana, Princess of Wales Memorial Fund (Diana Fund) and WHO projects
- Appendix 3 Total health expenditure (Intl $) per capita and as a percentage of GDP: countries of Africa, 2001
- Appendix 4 GDP per capita (Intl $): countries of Africa, 2001
- Appendix 5 Further Reading
- Index
Confronting the issues
Confronting the issues
- Chapter:
- (p.67) Chapter 4 Confronting the issues
- Source:
- Hospice and Palliative Care in Africa
- Author(s):
Michael Wright (Contributor Webpage)
David Clark
Jennifer Hunt
- Publisher:
- Oxford University Press
This chapter concentrates on challenges faced by hospice and palliative care activists in Africa. These include a questioning of the culture inherent in health care institutions, community groups, and the wider society; they also highlight issues that relate to governments, education, policy, patients and palliative care services. Extracts show the magnitude of the task, demonstrate how palliateurs have questioned the legitimacy of patient abandonment and stigmatization, the myths around HIV and AIDS, the withholding of information by physicians, and the reticence of medical practitioners to prescribe morphine. The chapter then includes the extracts that relate to the development of palliative care in the context of apartheid South Africa. Turning to other African countries, the next extracts highlight relationships with government in Swaziland, Uganda, Tanzania, and Kenya. Other extracts illustrate how, in Africa, initiatives in palliative care education range from basic courses for community groups to university-based post-graduate degrees.
Keywords: hospice, palliative care, Africa, activists, health care, HIV, AIDS, government, education
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- Title Pages
- Disclaimer
- Foreword to Hospice and Palliative Care in Africa
- Acknowledgements
- Chapter 1 Overview of the study
- Chapter 2 Oral history in africa
- Chapter 3 Personal motivations
- Chapter 4 Confronting the issues
- Chapter 5 New models, new care
- Part 3 Hospice—palliative care service development in Africa: countries approaching integration
- Chapter 6 Kenya
- Chapter 7 South Africa
- Chapter 8 Uganda
- Chapter 9 Zimbabwe
- Part 4 Hospice—palliative Care Service Development In Africa: Countries With Localized Provision
- Chapter 10 Botswana
- Chapter 11 Republic of the Congo (Congo-brazzaville)
- Chapter 12 Egypt
- Chapter 13 Malawi
- Chapter 14 Morocco
- Chapter 15 Nigeria
- Chapter 16 Sierra Leone
- Chapter 17 Swaziland
- Chapter 18 Tanzania
- Chapter 19 The Gambia
- Chapter 20 Zambia
- Part 5 Hospice-palliative care service development in Africa: countries with capacity building activity
- Chapter 21 Algeria
- Chapter 22 Cameroon
- Chapter 23 Cote D'ivoire
- Chapter 24 Democratic Republic of the Congo (Congo-Kinshasa)
- Chapter 25 Ethiopia
- Chapter 26 Ghana
- Chapter 27 Lesotho
- Chapter 28 Mozambique
- Chapter 29 Namibia
- Chapter 30 Rwanda
- Chapter 31 Tunisia
- Appendix 1 Average daily consumption of defined daily doses (for statistical purposes) of morphine per million inhabitants, 2000–2002: countries of Africa
- Appendix 2 Countries of Africa involved in PEPFAR, the Diana, Princess of Wales Memorial Fund (Diana Fund) and WHO projects
- Appendix 3 Total health expenditure (Intl $) per capita and as a percentage of GDP: countries of Africa, 2001
- Appendix 4 GDP per capita (Intl $): countries of Africa, 2001
- Appendix 5 Further Reading
- Index