The Palliative Care Strategy of the Open Society Foundation for East Africa, Nairobi, Kenya.
J Pain Symptom Manage. 2018 Feb;55(2S):S46-S54. doi: 10.1016/j.jpainsymman.2017.03.026. Epub 2017 Aug 9.
Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical, psychosocial, and spiritual problems. This update is aimed at examining palliative care development/achievements and challenges in Kenya and Uganda and the role of various actors in palliative care establishment in the region. It assesses the policy environment, progress in education, access to essential medicines, palliative care implementation efforts, and legal and human rights work. East African nations have huge disease burdens, both communicable and noncommunicable. HIV and cancer are the major causes of mortality in Kenya and Uganda and put huge demands on the health care system and on the country's economies. All these conditions will require palliative care services as the disease burden increases. Unfortunately, for many African countries, accessing palliative care services, including access to pain relief, remains very limited resulting in serious suffering for patients and their families. The interventions in Kenya and Uganda help palliative care organizations engage with their respective governments to ensure that the social and legal barriers impeding access to palliative care services are removed.
姑息治疗是一种通过早期识别和完美评估及治疗疼痛和其他身体、心理社会和精神问题，来预防和减轻危及生命的疾病相关问题给患者及其家属带来的痛苦，从而提高生活质量的方法。本更新旨在考察肯尼亚和乌干达的姑息治疗发展/成就和挑战，以及该地区姑息治疗建立的各种行为体的作用。它评估了政策环境、教育进展、基本药物的获取、姑息治疗实施工作以及法律和人权工作。东非国家面临着巨大的疾病负担，包括传染病和非传染病。艾滋病毒和癌症是肯尼亚和乌干达的主要死亡原因，这给医疗保健系统和国家经济带来了巨大的需求。随着疾病负担的增加，所有这些情况都将需要姑息治疗服务。不幸的是，对于许多非洲国家来说，获得姑息治疗服务，包括获得缓解疼痛的服务，仍然非常有限，导致患者及其家属遭受严重痛苦。肯尼亚和乌干达的干预措施帮助姑息治疗组织与各自政府接触，以确保消除阻碍获得姑息治疗服务的社会和法律障碍。
