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India: opioid availability. An update.

M R Rajagopal1, David E Joranson

  • 1Trivandrum Institute of Palliative Sciences, Trivandrum, Kerala, India. mrraj47@gmail.com

Journal of Pain and Symptom Management
|May 8, 2007
PubMed
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Access to essential opioid pain relief in India is severely limited due to complex regulations and knowledge gaps. Collaborative efforts have led to regulatory changes in several states, but improved availability requires further implementation and education.

Area of Science:

  • Palliative Care
  • Public Health Policy
  • Pain Management

Background:

  • Millions in India require opioids for pain relief from cancer and other incurable diseases.
  • Access to these essential medicines is critically low, with only 0.4% of the needy population having access.
  • Significant barriers include stringent regulations and inadequate knowledge among healthcare professionals and the public regarding pain management and opioids.

Purpose of the Study:

  • To investigate the impact of collaborative efforts between international and Indian organizations on improving opioid availability for pain relief.
  • To analyze the effectiveness of regulatory reforms in enhancing access to essential pain medications.
  • To identify key factors hindering and facilitating the improved availability of opioids in India.

Main Methods:

Related Experiment Videos

  • Collaboration between the Pain and Policy Studies Group (USA) and Indian palliative care workers and government officials.
  • Development and dissemination of a model for modifying narcotic regulations.
  • Conducting workshops in 13 Indian states to facilitate regulatory changes and advocate for improved pain management.

Main Results:

  • The Government of India recommended modifications to narcotic regulations to state governments.
  • Simplified regulations have been adopted in 13 states and one union territory.
  • Despite regulatory changes, improved opioid availability has been observed in only a minority of these states.

Conclusions:

  • Policy changes are achievable through collaboration between palliative care advocates and governmental bodies.
  • Further improvements in opioid availability necessitate the establishment of clear standard operating procedures for simplified regulations.
  • Enhanced advocacy and professional education are crucial for overcoming persistent barriers to pain relief access.