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Palliative care in Botswana: current state and challenges to further development
Anna W LaVigne1, Babe Gaolebale2, Goitseone Maifale-Mburu2
1School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Annals of Palliative Medicine
|September 6, 2018
Summary
Botswana faces challenges in palliative care, including limited access to pain medication and workforce shortages. Despite these hurdles, national strategy advancements offer hope for improved palliative care services.
Area of Science:
- Public Health
- Palliative Care Research
- African Healthcare Systems
Background:
- Rising cancer, chronic disease, and HIV/AIDS rates in Africa increase demand for palliative care.
- Botswana's HIV/AIDS crisis highlighted unmet needs, driving palliative care education and policy efforts.
- Despite progress, Botswana encounters significant barriers to developing comprehensive palliative care programs.
Purpose of the Study:
- To examine the current state of palliative care in Botswana.
- To identify persistent challenges hindering palliative care development.
- To explore opportunities for strengthening palliative care services.
Main Methods:
- Data collected through interviews with physicians, nurses, and hospice staff.
- Interviews conducted between June and July 2015.
- Focus on healthcare professionals involved in palliative care delivery.
Main Results:
- Palliative care services are concentrated in southern Botswana, with one clinic and three hospices.
- 157 healthcare workers, students, and lecturers received training between 2013-2014.
- Key barriers include inadequate education (100% agreement), low awareness (64%), and poor access to pain medication (91%).
Conclusions:
- Persistent challenges include infrastructure (pain medication access), workforce limitations, and insufficient education.
- Recent national strategy and policy advancements present opportunities for progress.
- Botswana's ongoing action plan implementation could serve as a model for other nations.
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