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Palliative care in Mozambique: Physicians' knowledge, attitudes and practices
Emilia Pinto1,2,3, Gustavo Marcos3,4, Camila Walters5
1School of Medicine, Porto University, Porto, Portugal.
Plos One
|August 25, 2020
Summary
Mozambican physicians have limited knowledge of palliative care, with a need for improved training. Current practices show a family-centered approach, highlighting gaps in essential palliative care understanding and application.
Area of Science:
- Medical Practice
- Oncology
- Public Health
Background:
- Palliative care is crucial but often limited in low and middle-income countries.
- Mozambique faces challenges in palliative care accessibility and implementation.
Purpose of the Study:
- To assess Mozambican physicians' knowledge, attitudes, and practices regarding palliative care.
- To identify barriers and opportunities for improving palliative care services in Mozambique.
Main Methods:
- A cross-sectional observational study surveyed physicians in major Mozambican hospitals.
- Data collected via self-administered questionnaires from physicians in oncology services.
Main Results:
- 207 physicians participated; 80% agreed palliative care is vital when curative treatments fail.
- 87% recognized palliative care's role in improving quality of life.
- Knowledge gaps identified regarding "do-not-resuscitate" orders (50%) and palliative sedation (51%).
Conclusions:
- Mozambican physicians demonstrate basic palliative care knowledge, with prevalent paternalistic and family-centered models.
- Significant need for enhanced professional training to improve palliative care knowledge and practice.
- Interventions are required to integrate comprehensive palliative care effectively in Mozambique.
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