Jagwe Jack, Merriman Anne
Hospice Africa Uganda, Kampala, Uganda.
J Pain Symptom Manage. 2007 May;33(5):547-51. doi: 10.1016/j.jpainsymman.2007.02.014.
Hospice Africa Uganda introduced palliative medicine to Uganda in 1993 with enough funds to support a team of three clinicians for three months. Training in the medical and nursing schools was introduced in 1994. Since then, Uganda has achieved the three essential components of an effective public health strategy. It has also been the first country to have palliative care described as an essential clinical service and included in both the government's Strategic Health Plan and its HIV/AIDS National Strategic Framework (in 2000 and 2004), and to change the law to allow nurses and clinical officers who complete special training in palliative medicine at Hospice Uganda to prescribe morphine. Palliative care is spreading throughout the districts of Uganda, ensuring that morphine will be available to everyone who needs it. This is being done in collaboration with the Ministry of Health (MOH) and other organizations that collaborate in two umbrella organizations: the Palliative Care Association of Uganda and the Uganda Palliative Care Country Team. The former works "on the ground" in each district, establishing standards, collaborating, and carrying out continuing medical education in palliative care for all. The latter, chaired by the MOH, operates with the government to implement an integrated, coordinated, affordable, and culturally acceptable palliative care service throughout the country.
乌干达临终关怀组织于1993年将姑息医学引入乌干达，当时有足够资金支持一个由三名临床医生组成的团队开展为期三个月的工作。1994年开始在医学院校和护理学校开展培训。从那时起，乌干达实现了有效公共卫生战略的三个基本要素。它也是第一个将姑息治疗描述为基本临床服务并纳入政府战略卫生计划及其艾滋病毒/艾滋病国家战略框架（分别在2000年和2004年）的国家，并且修改法律允许在乌干达临终关怀组织完成姑息医学特殊培训的护士和临床干事开具吗啡处方。姑息治疗正在乌干达各地区推广，确保每个有需要的人都能获得吗啡。这是与卫生部及其他组织合作开展的，这些组织在两个总括组织中协作：乌干达姑息治疗协会和乌干达姑息治疗国家团队。前者在每个地区“实地”开展工作，制定标准、进行协作并为所有人开展姑息治疗方面的继续医学教育。后者由卫生部主持，与政府合作在全国实施综合、协调、负担得起且符合文化习惯的姑息治疗服务。
