SidaSubSaharaV1, PubMed, Checkpoint, bibRecord, 000B86

Assessing and responding to palliative care needs in rural sub-Saharan Africa: results from a model intervention and situation analysis in Malawi.

Identifieur interne : 000B86 ( PubMed/Checkpoint ); précédent : 000B85; suivant : 000B87

Assessing and responding to palliative care needs in rural sub-Saharan Africa: results from a model intervention and situation analysis in Malawi.

Auteurs : Michael E. Herce [États-Unis] ; Shekinah N. Elmore [États-Unis] ; Noel Kalanga [États-Unis] ; James W. Keck [États-Unis] ; Emily B. Wroe [États-Unis] ; Atupere Phiri [États-Unis] ; Alishya Mayfield [États-Unis] ; Felix Chingoli [Malawi] ; Jason A. Beste [États-Unis] ; Listern Tengatenga [Malawi] ; Junior Bazile [États-Unis] ; Eric L. Krakauer [États-Unis] ; Jonas Rigodon [États-Unis]

Source :

PloS one [ 1932-6203 ] ; 2014.

RBID : pubmed:25313997

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Afrique subsaharienne, Aidants, Besoins et demandes de services de santé, Connaissances, attitudes et pratiques en santé, Femelle, Gestion de la douleur, Géographie, Humains, Malawi (épidémiologie), Mesure de la douleur, Mâle, Population rurale, Prévalence, Recherche qualitative, Services de santé ruraux, Soins palliatifs, Sujet âgé, Tumeurs (), Tumeurs (diagnostic), Tumeurs (épidémiologie), Évaluation de programme.
MESH :
- diagnostic : Tumeurs.
- épidémiologie : Malawi, Tumeurs.
- Adulte, Adulte d'âge moyen, Afrique subsaharienne, Aidants, Besoins et demandes de services de santé, Connaissances, attitudes et pratiques en santé, Femelle, Gestion de la douleur, Géographie, Humains, Mesure de la douleur, Mâle, Population rurale, Prévalence, Recherche qualitative, Services de santé ruraux, Soins palliatifs, Sujet âgé, Tumeurs, Évaluation de programme.
Wicri :
- geographic : Malawi.

English descriptors

KwdEn :
- Adult, Africa South of the Sahara, Aged, Caregivers, Female, Geography, Health Knowledge, Attitudes, Practice, Health Services Needs and Demand, Humans, Malawi (epidemiology), Male, Middle Aged, Neoplasms (diagnosis), Neoplasms (epidemiology), Neoplasms (therapy), Pain Management, Pain Measurement, Palliative Care, Prevalence, Program Evaluation, Qualitative Research, Rural Health Services, Rural Population.
MESH :
- geographic , epidemiology : Malawi.
- geographic : Africa South of the Sahara.
- diagnosis : Neoplasms.
- epidemiology : Neoplasms.
- therapy : Neoplasms.
- Adult, Aged, Caregivers, Female, Geography, Health Knowledge, Attitudes, Practice, Health Services Needs and Demand, Humans, Male, Middle Aged, Pain Management, Pain Measurement, Palliative Care, Prevalence, Program Evaluation, Qualitative Research, Rural Health Services, Rural Population.

Abstract

Palliative care is rarely accessible in rural sub-Saharan Africa. Partners In Health and the Malawi government established the Neno Palliative Care Program (NPCP) to provide palliative care in rural Neno district. We conducted a situation analysis to evaluate early NPCP outcomes and better understand palliative care needs, knowledge, and preferences.

DOI: 10.1371/journal.pone.0110457
PubMed: 25313997

Affiliations:

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Le document en format XML

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<author><name sortKey="Chingoli, Felix" sort="Chingoli, Felix" uniqKey="Chingoli F" first="Felix" last="Chingoli">Felix Chingoli</name>
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<author><name sortKey="Beste, Jason A" sort="Beste, Jason A" uniqKey="Beste J" first="Jason A" last="Beste">Jason A. Beste</name>
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<author><name sortKey="Chingoli, Felix" sort="Chingoli, Felix" uniqKey="Chingoli F" first="Felix" last="Chingoli">Felix Chingoli</name>
<affiliation wicri:level="1"><nlm:affiliation>Neno District Health Office, Neno District Hospital, Ministry of Health, Government of the Republic of Malawi, Neno, Malawi.</nlm:affiliation>
<country xml:lang="fr">Malawi</country>
<wicri:regionArea>Neno District Health Office, Neno District Hospital, Ministry of Health, Government of the Republic of Malawi, Neno</wicri:regionArea>
<wicri:noRegion>Neno</wicri:noRegion>
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<author><name sortKey="Beste, Jason A" sort="Beste, Jason A" uniqKey="Beste J" first="Jason A" last="Beste">Jason A. Beste</name>
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<country xml:lang="fr">États-Unis</country>
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</placeName>
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<author><name sortKey="Tengatenga, Listern" sort="Tengatenga, Listern" uniqKey="Tengatenga L" first="Listern" last="Tengatenga">Listern Tengatenga</name>
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<country xml:lang="fr">Malawi</country>
<wicri:regionArea>Neno District Health Office, Neno District Hospital, Ministry of Health, Government of the Republic of Malawi, Neno</wicri:regionArea>
<wicri:noRegion>Neno</wicri:noRegion>
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<author><name sortKey="Bazile, Junior" sort="Bazile, Junior" uniqKey="Bazile J" first="Junior" last="Bazile">Junior Bazile</name>
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<author><name sortKey="Krakauer, Eric L" sort="Krakauer, Eric L" uniqKey="Krakauer E" first="Eric L" last="Krakauer">Eric L. Krakauer</name>
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<term>Africa South of the Sahara</term>
<term>Aged</term>
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<term>Neoplasms (epidemiology)</term>
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<term>Besoins et demandes de services de santé</term>
<term>Connaissances, attitudes et pratiques en santé</term>
<term>Femelle</term>
<term>Gestion de la douleur</term>
<term>Géographie</term>
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<term>Health Knowledge, Attitudes, Practice</term>
<term>Health Services Needs and Demand</term>
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<term>Middle Aged</term>
<term>Pain Management</term>
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<term>Palliative Care</term>
<term>Prevalence</term>
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<term>Qualitative Research</term>
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</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Afrique subsaharienne</term>
<term>Aidants</term>
<term>Besoins et demandes de services de santé</term>
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<term>Sujet âgé</term>
<term>Tumeurs</term>
<term>Évaluation de programme</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Malawi</term>
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<front><div type="abstract" xml:lang="en">Palliative care is rarely accessible in rural sub-Saharan Africa. Partners In Health and the Malawi government established the Neno Palliative Care Program (NPCP) to provide palliative care in rural Neno district. We conducted a situation analysis to evaluate early NPCP outcomes and better understand palliative care needs, knowledge, and preferences.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25313997</PMID>
<DateCreated><Year>2014</Year>
<Month>10</Month>
<Day>15</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>12</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>9</Volume>
<Issue>10</Issue>
<PubDate><Year>2014</Year>
</PubDate>
</JournalIssue>
<Title>PloS one</Title>
<ISOAbbreviation>PLoS ONE</ISOAbbreviation>
</Journal>
<ArticleTitle>Assessing and responding to palliative care needs in rural sub-Saharan Africa: results from a model intervention and situation analysis in Malawi.</ArticleTitle>
<Pagination><MedlinePgn>e110457</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0110457</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Palliative care is rarely accessible in rural sub-Saharan Africa. Partners In Health and the Malawi government established the Neno Palliative Care Program (NPCP) to provide palliative care in rural Neno district. We conducted a situation analysis to evaluate early NPCP outcomes and better understand palliative care needs, knowledge, and preferences.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Employing rapid evaluation methodology, we collected data from 3 sources: 1) chart review of all adult patients from the NPCP's first 9 months; 2) structured interviews with patients and caregivers; 3) semi-structured interviews with key stakeholders.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The NPCP enrolled 63 patients in its first 9 months. Frequent diagnoses were cancer (n = 50, 79%) and HIV/AIDS (n = 37 of 61, 61%). Nearly all (n = 31, 84%) patients with HIV/AIDS were on antiretroviral therapy. Providers registered 112 patient encounters, including 22 (20%) home visits. Most (n = 43, 68%) patients had documented pain at baseline, of whom 23 (53%) were treated with morphine. A majority (n = 35, 56%) had ≥1 follow-up encounter. Mean African Palliative Outcome Scale pain score decreased non-significantly between baseline and follow-up (3.0 vs. 2.7, p = 0.5) for patients with baseline pain and complete pain assessment documentation. Providers referred 48 (76%) patients for psychosocial services, including community health worker support, socioeconomic assistance, or both. We interviewed 36 patients referred to the NPCP after the chart review period. Most had cancer (n = 19, 53%) or HIV/AIDS (n = 10, 28%). Patients frequently reported needing income (n = 24, 67%) or food (n = 22, 61%). Stakeholders cited a need to make integrated palliative care widely available.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We identified a high prevalence of pain and psychosocial needs among patients with serious chronic illnesses in rural Malawi. Early NPCP results suggest that comprehensive palliative care can be provided in rural Africa by integrating disease-modifying treatment and palliative care, linking hospital, clinic, and home-based services, and providing psychosocial support that includes socioeconomic assistance.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Herce</LastName>
<ForeName>Michael E</ForeName>
<Initials>ME</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, United States of America; Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Elmore</LastName>
<ForeName>Shekinah N</ForeName>
<Initials>SN</Initials>
<AffiliationInfo><Affiliation>Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kalanga</LastName>
<ForeName>Noel</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Keck</LastName>
<ForeName>James W</ForeName>
<Initials>JW</Initials>
<AffiliationInfo><Affiliation>Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wroe</LastName>
<ForeName>Emily B</ForeName>
<Initials>EB</Initials>
<AffiliationInfo><Affiliation>Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America; Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Phiri</LastName>
<ForeName>Atupere</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mayfield</LastName>
<ForeName>Alishya</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chingoli</LastName>
<ForeName>Felix</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Neno District Health Office, Neno District Hospital, Ministry of Health, Government of the Republic of Malawi, Neno, Malawi.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Beste</LastName>
<ForeName>Jason A</ForeName>
<Initials>JA</Initials>
<AffiliationInfo><Affiliation>Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tengatenga</LastName>
<ForeName>Listern</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Neno District Health Office, Neno District Hospital, Ministry of Health, Government of the Republic of Malawi, Neno, Malawi.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bazile</LastName>
<ForeName>Junior</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Krakauer</LastName>
<ForeName>Eric L</ForeName>
<Initials>EL</Initials>
<AffiliationInfo><Affiliation>Partners in Health, Boston, Massachusetts, United States of America; Department of Global Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, United States of America; Department of Medicine, Division of Palliative Care, Massachusetts General Hospital, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rigodon</LastName>
<ForeName>Jonas</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Abwenzi Pa Za Umoyo, Neno, Malawi; Partners in Health, Boston, Massachusetts, United States of America.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>P30 AI050410</GrantID>
<Acronym>AI</Acronym>
<Agency>NIAID NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>T32 AI007001-36</GrantID>
<Acronym>AI</Acronym>
<Agency>NIAID NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>UL1TR000083</GrantID>
<Acronym>TR</Acronym>
<Agency>NCATS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
</GrantList>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>10</Month>
<Day>14</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>PLoS One</MedlineTA>
<NlmUniqueID>101285081</NlmUniqueID>
<ISSNLinking>1932-6203</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017954" MajorTopicYN="N" Type="Geographic">Africa South of the Sahara</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName>
</MeshHeading>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008295" MajorTopicYN="N" Type="Geographic">Malawi</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010166" MajorTopicYN="Y">Palliative Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015397" MajorTopicYN="Y">Program Evaluation</DescriptorName>
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<li>États-Unis</li>
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<region><li>Massachusetts</li>
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<tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Herce, Michael E" sort="Herce, Michael E" uniqKey="Herce M" first="Michael E" last="Herce">Michael E. Herce</name>
</region>
<name sortKey="Bazile, Junior" sort="Bazile, Junior" uniqKey="Bazile J" first="Junior" last="Bazile">Junior Bazile</name>
<name sortKey="Beste, Jason A" sort="Beste, Jason A" uniqKey="Beste J" first="Jason A" last="Beste">Jason A. Beste</name>
<name sortKey="Elmore, Shekinah N" sort="Elmore, Shekinah N" uniqKey="Elmore S" first="Shekinah N" last="Elmore">Shekinah N. Elmore</name>
<name sortKey="Kalanga, Noel" sort="Kalanga, Noel" uniqKey="Kalanga N" first="Noel" last="Kalanga">Noel Kalanga</name>
<name sortKey="Keck, James W" sort="Keck, James W" uniqKey="Keck J" first="James W" last="Keck">James W. Keck</name>
<name sortKey="Krakauer, Eric L" sort="Krakauer, Eric L" uniqKey="Krakauer E" first="Eric L" last="Krakauer">Eric L. Krakauer</name>
<name sortKey="Mayfield, Alishya" sort="Mayfield, Alishya" uniqKey="Mayfield A" first="Alishya" last="Mayfield">Alishya Mayfield</name>
<name sortKey="Phiri, Atupere" sort="Phiri, Atupere" uniqKey="Phiri A" first="Atupere" last="Phiri">Atupere Phiri</name>
<name sortKey="Rigodon, Jonas" sort="Rigodon, Jonas" uniqKey="Rigodon J" first="Jonas" last="Rigodon">Jonas Rigodon</name>
<name sortKey="Wroe, Emily B" sort="Wroe, Emily B" uniqKey="Wroe E" first="Emily B" last="Wroe">Emily B. Wroe</name>
</country>
<country name="Malawi"><noRegion><name sortKey="Chingoli, Felix" sort="Chingoli, Felix" uniqKey="Chingoli F" first="Felix" last="Chingoli">Felix Chingoli</name>
</noRegion>
<name sortKey="Tengatenga, Listern" sort="Tengatenga, Listern" uniqKey="Tengatenga L" first="Listern" last="Tengatenga">Listern Tengatenga</name>
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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Assessing and responding to palliative care needs in rural sub-Saharan Africa: results from a model intervention and situation analysis in Malawi.

Assessing and responding to palliative care needs in rural sub-Saharan Africa: results from a model intervention and situation analysis in Malawi.

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