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Public Health Approach to Developing Palliative Care
Kedar Prasad Baral1, Kiweta Bista2, Chiniya Lama2
1School of Public Health and Department of Community Health Sciences, Patan Academy of Health Sciences, Lagankhel, Lalitpur, Nepal.
JNMA; Journal of the Nepal Medical Association
|January 27, 2023
Summary
Nepal faces a rise in non-communicable diseases, increasing the need for palliative care services. The nation is initiating community-based palliative care programs to address this growing public health challenge.
Area of Science:
- Public Health
- Epidemiology
Background:
- Nepal is experiencing a demographic and epidemiological transition.
- Non-communicable diseases (NCDs) are now the primary cause of mortality and morbidity, surpassing infectious diseases.
- A significant portion of NCD cases require palliative care services.
Purpose of the Study:
- To highlight the current state of palliative care in Nepal.
- To emphasize the need for a public health approach to address undignified dying.
- To introduce the recent policy initiative for community-based palliative care.
Main Methods:
- Analysis of demographic and epidemiological trends in Nepal.
- Assessment of the current palliative care service landscape.
- Review of the Ministry of Health's recent policy on community-based palliative care.
Main Results:
- Palliative care services in Nepal are in their nascent stages.
- Undignified dying presents a significant public health issue.
- The Ministry of Health has launched a policy for community-based palliative care to meet unmet needs.
Conclusions:
- Nepal's epidemiological shift necessitates enhanced palliative care.
- A public health strategy involving all stakeholders is crucial for improving end-of-life care.
- The new community-based palliative care program represents a vital step towards addressing the needs of NCD patients.
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