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Shared-decision-making and communication in paediatric palliative care within Uganda
J Downing1, E Namukwaya2, J Nakawesi3
1International Children's Palliative Care Network, Makerere/ Mulago Palliative Care Unit, Kampala, Uganda.
Insights
Paediatric palliative care in Uganda has advanced significantly over 30 years, with key roles played by the Ministry of Health and Palliative Care Association of Uganda. Further progress is needed to ensure all children with palliative needs access comprehensive care.
Area of Science:
- Global Health
- Palliative Care Medicine
- Pediatrics
Background:
- Palliative care services in Uganda originated 30 years ago, with continuous development since.
- The Ministry of Health and Palliative Care Association of Uganda have been pivotal in advancing paediatric palliative care (PPC).
Purpose of the Study:
- To review the development and current state of paediatric palliative care services in Uganda.
- To explore factors influencing shared decision-making in Ugandan paediatric palliative care and identify future challenges and recommendations.
Main Methods:
- Review of existing literature and service provision models for paediatric palliative care in Uganda.
- Analysis of factors impacting decision-making within the Ugandan paediatric palliative care context.
Main Results:
- A range of PPC service providers, educational programs, and research initiatives are established across Uganda.
- PPC is delivered across the health system, catering to neonates through adolescents and young adults.
- While shared decision-making is recognized, literature on its application in Uganda is limited, with various factors influencing it.
Conclusions:
- Uganda has achieved substantial progress in paediatric palliative care provision.
- Efforts are ongoing to expand access to PPC for all children with palliative needs and their families.
- Addressing challenges and implementing recommendations is crucial for future service enhancement.
Abstract:
The first palliative care services were started in Uganda 30 years ago with services continuing to develop since then. The Ministry of Health and the Palliative Care Association of Uganda have played key roles in the development of paediatric palliative care in the country. There are a range of paediatric palliative care service providers in Uganda, and these have developed alongside educational programmes and research in PPC. Care is provided across the Uganda health system and across the age range from neonates through to adolescents and young adults. Whilst recognising the importance of shared decision-making there is little literature with regards to this in the Ugandan context. However, a variety of factors have been shown to influence decision-making, along with the challenges and recommendations for the future. Uganda has made significant strides in the provision of paediatric palliative care although there is still a way to go before all children with palliative care needs, and their families, can access palliative care.
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