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Palliative care in Malawi: a scoping review
Natalie Palumbo1, Alyssa Tilly2, Eve Namisango3,4
1Schulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, ON, Canada.
BMC Palliative Care
|October 3, 2023
Summary
Malawi demonstrates significant palliative care progress in a low-resource setting, implementing diverse strategies across policy, education, and service delivery. Further improvements are needed in medicine access and rural reach for advanced disease patient care.
Area of Science:
- Global Health
- Palliative Care Research
- Health Systems Strengthening
Background:
- Universal palliative care access is limited in low-resource settings.
- Africa faces a substantial unmet need for palliative care services.
- Malawi serves as a model for palliative care development in resource-limited regions.
Purpose of the Study:
- To conduct a scoping review of palliative care development in Malawi.
- To assess palliative care status across key health system pillars.
- To identify progress and research gaps in Malawian palliative care.
Main Methods:
- Scoping review methodology employed.
- Searched multiple databases (MEDLINE, Embase, etc.) and grey literature.
- Included articles exploring any aspect of palliative care in Malawi.
Main Results:
- 114 articles met inclusion criteria for the review.
- Malawi has diverse strategies for palliative care across policy, education, and service delivery.
- National palliative care policy, integrated training, opioid availability, and a national association were established.
Conclusions:
- Malawi has achieved considerable palliative care development.
- Areas for improvement include medicine availability, rural access, and socioeconomic support.
- Culturally sensitive research on quality of care and intervention impact is necessary.
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