Livingstone Helen
Hospice Africa-Uganda, Kampala, Uganda.
J Pain Palliat Care Pharmacother. 2003;17(3-4):107-18; discussion 119-20.
The need for high quality end-of-life care in the developing world is increasingly becoming recognized. One of the core parts of such a service is adequate pain control. Poor health care infrastructures and lack of access to opioid analgesics are common problems. This makes establishing appropriate, sustainable end-of-life care particularly challenging in resource poor settings. Hospice Africa-Uganda has ten years of experience in developing such a service. This paper discusses some of the challenges encountered and how these have been addressed. These include access to opioids, educating of health care workers and influencing policy makers. Factors that have been important in making the service a success, such as choosing an appropriate model of care, and future directions for the organization are discussed.
发展中世界对高质量临终关怀的需求日益得到认可。此类服务的核心内容之一是充分的疼痛控制。医疗保健基础设施薄弱以及难以获得阿片类镇痛药是常见问题。这使得在资源匮乏地区建立适当、可持续的临终关怀服务极具挑战性。非洲乌干达临终关怀组织在发展此类服务方面有十年经验。本文讨论了所遇到的一些挑战以及应对这些挑战的方法。这些挑战包括获得阿片类药物、对医护人员进行培训以及影响政策制定者。还讨论了使该服务取得成功的重要因素，如选择合适的护理模式，以及该组织未来的发展方向。
