Beyond high-income models: effective palliative care for LMICs

Area of Science:

• Global Health
• Palliative Care
• Health Systems Research

Background:

• 60 million people require palliative care globally, with 80% residing in low- and middle-income countries (LMICs).
• Access to palliative care in LMICs is critically low at 14%, despite projected demand doubling by 2060.
• Existing high-income palliative care models are often unsuitable for resource-limited settings.

Purpose of the Study:

• To outline feasible, evidence-based strategies for improving palliative care in resource-limited settings.
• To propose solutions adapted to the specific cultural and resource realities of developing nations.
• To leverage Kazakhstan's experience in palliative care development.

Main Methods:

• Commentary based on existing literature and expert experience.
• Identification of three key strategies: family caregiver empowerment, mobile outreach, and essential opioid access.
• Emphasis on political commitment, health policy integration, workforce development, and regulatory streamlining.

Main Results:

• Political commitment and integration into health policy are crucial for improving palliative care.
• Workforce capacity-building and streamlined regulation are essential components for sustainable systems.
• International collaboration can support palliative care development in LMICs.

Conclusions:

• Prioritizing family caregiver empowerment, mobile outreach, and essential opioid access offers a practical approach.
• These strategies can reduce suffering and uphold dignity for patients at the end of life.
• Developing nations require adapted, sustainable palliative care solutions to meet growing demand.