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Jordan palliative care initiative: a WHO Demonstration Project
Jan Stjernswärd1, Frank D Ferris, Samir N Khleif
1Cancer Control and Palliative Care, World Health Organization, World Health Organization Collaborating Center for Palliative Cancer Care, Oxford, UK. janstjernsward@hotmail.com
Journal of Pain and Symptom Management
|May 8, 2007
Summary
Jordan established a successful pain relief and palliative care model, significantly increasing patient access and improving opioid management. This initiative offers a replicable framework for the Middle East region.
Area of Science:
- Palliative Care
- Pain Management
- Middle Eastern Healthcare
Background:
- Over 75% of cancer patients in the region are diagnosed with incurable conditions.
- Limited access to comprehensive pain relief and palliative care services.
- Opiophobia and lack of specialized training hindered effective pain management.
Purpose of the Study:
- To establish and evaluate a model for pain relief and palliative care in Jordan.
- To improve access to palliative care for cancer patients.
- To serve as a replicable model for the Middle East.
Main Methods:
- Revised opioid prescribing regulations and increased national quotas.
- Facilitated local production of cost-effective morphine.
- Implemented intensive, interactive bedside training for healthcare professionals.
- Developed a network of palliative care "champions".
Main Results:
- Palliative care services expanded from under 250 to over 800 patients annually between 2003 and 2006.
- King Hussein Cancer Centre (KHCC) became a comprehensive cancer center with integrated palliative care.
- Significant improvements in pain management and healthcare professional motivation were observed.
Conclusions:
- Jordan has successfully institutionalized a model for pain relief and palliative care.
- The model demonstrates rapid and effective implementation applicable to other Middle Eastern countries.
- Policy changes, training, and local drug production were key to success.
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