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Palliative care situation in Palestinian Authority.

Mousa Shawawra¹, Amal Dweib Khleif

¹Al-Sadeel Society for Palliative Care for Cancer Patients, 733 Geminer St., Karkafa, Bethlehem, Palestinian National Authority, East Jesusalem. sadeelsoc@yahoo.com

Journal of Pediatric Hematology/Oncology

|March 31, 2011

Summary

Palliative care is largely absent in Palestine, with a significant need for services, training, and public awareness. A needs assessment highlighted the lack of resources and the necessity for developing national standards and integrated care approaches.

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Area of Science:

Palliative Care
Oncology
Public Health

Background:

Palliative care is a nascent concept in Palestine, with no established services within the healthcare system.
A 2008 workshop introduced palliative care, highlighting the need for its integration.
Palestine faces challenges including a population of 2.4 million, with significant cancer incidence and mortality.

Purpose of the Study:

To assess the current state of palliative care needs among oncology patients in Palestine.
To identify gaps in services, education, and policy related to palliative care.
To provide recommendations for the development and implementation of palliative care.

Main Methods:

A needs assessment survey was conducted with healthcare providers in four West Bank oncology facilities.
Data collection focused on identifying the absence of palliative care services, strategic planning, educational resources, and support systems.
Workshop recommendations from key personnel from the Palestinian Ministry of Health (MOH) were incorporated.

Main Results:

Significant absence of palliative care services, strategic planning, and educational resources for cancer patients and families.
Lack of home care services, bereavement support, and community awareness regarding palliative care.
Existing oncology care is limited to hospital-based units with high occupancy rates and no hospice or follow-up care.

Conclusions:

Urgent need for improved quality of care for cancer patients through palliative care.
Essential to train health professionals, establish national policies and standards, and increase public awareness.
Recommendations include interdisciplinary teamwork, integrating palliative care into health education curricula, and fostering collaboration between NGOs and the MOH.