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Palliative care in Pakistan.

Robyna Irshad Khan1

  • 1Associate Professor, Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan,. robyna.khan@aku.edu.

Indian Journal of Medical Ethics
|November 22, 2016
PubMed
Summary

Pakistan

Area of Science:

  • Global Health
  • Public Health Policy
  • Sociology of Health

Background:

  • Pakistan faces significant healthcare challenges, including underfunded public facilities and a poorly regulated private sector, leading to a lack of palliative care services.
  • High out-of-pocket healthcare expenditure and widespread poverty exacerbate the potential for an end-of-life care crisis.
  • A strong family-based culture and religious teachings traditionally support home-based care for the sick and elderly.

Purpose of the Study:

  • To examine the social and cultural perspectives influencing access to palliative care in Pakistan.
  • To assess the current state of palliative care within Pakistan's healthcare system.
  • To highlight the growing need for formal palliative care services amidst societal changes.

Main Methods:

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  • Qualitative analysis of social and cultural factors impacting palliative care.
  • Review of existing healthcare infrastructure and resource allocation for end-of-life care.
  • Exploration of the traditional role of families in patient care.

Main Results:

  • Despite challenges, a cultural emphasis on family care has mitigated an end-of-life care disaster.
  • Globalisation trends, such as an increasing number of elderly living alone, are creating a growing demand for formal palliative care.
  • Currently, there are no apparent public or private sector plans to establish formal palliative care services.

Conclusions:

  • Pakistan's traditional social fabric has historically provided a safety net for end-of-life care.
  • The evolving socio-economic landscape necessitates the development of formal palliative care strategies.
  • Urgent policy and service development are required to address the increasing need for palliative care in Pakistan.