The Practice of Palliative Care Medicine in the Developing World: A Review of the Challenges in Providing Palliative Care Services in South-South Nigeria

Authors

  • Geraldine Ugochinyere Ndukwu University of Port-Harcourt Teaching Hospital, Port-Harcourt, Rivers State, Nigeria. http://orcid.org/0000-0002-0915-6533
  • T E Olamuyiwa Department of Family Medicine, University of Port Harcourt Teaching Hospital
  • Gracia K Eke Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

DOI:

https://doi.org/10.60787/tnhj.v21i1.507

Keywords:

Palliative care, end-of-life care, life- limiting illnesses, developing countries, challenges

Abstract

Background: Palliative Care Medicine is an emerging specialist discipline with most of the services located in developed countries and very few or none in low and medium-income countries. Developing countries, however, have higher incidences of cancer and HIV/AIDS and most of these patients would benefit from palliative care. Regardless of the burden of life-limiting illnesses, only very few countries in Africa have well established, culturally accepted palliative care services.

Aim: This article aims to review the practice of Palliative Care Medicine in developing countries vis-a – viz the challenges in providing palliative care services in South-South Nigeria.

Materials and Methods: The literature search was done using the key words, ‘Palliative care’, ‘end-of-life care’, ‘life- limiting illnesses’, ‘developing countries’, and challenges as contained in this article, without limitation to year of publication.

Results: In this review, the challenges of palliative care practice in developing countries like Nigeria are due mostly to lack of Government policy, funding, manpower, availability, and acceptability of opioids especially morphine for proper pain management. These are the same challenges that affects the provision of palliative in the South-South region of the country.  

Conclusion: Palliative care medicine in the South-South region of Nigerian is almost non-existing, the government of Nigeria and the international community need to assist in the development of culturally acceptable palliative care services to this part of the country to help improve the quality of life of those suffering from life-limiting illnesses and their families.

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Author Biographies

Geraldine Ugochinyere Ndukwu, University of Port-Harcourt Teaching Hospital, Port-Harcourt, Rivers State, Nigeria.

Department of Family Medicine; Consultant

T E Olamuyiwa, Department of Family Medicine, University of Port Harcourt Teaching Hospital

Department of Family Medicine

Gracia K Eke, Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

 

References

Shetty P. The parlous state of palliative care in the developing world. The Lancet. 2010;376:1453-1454

Hannon B, Zimmermann C, Knaul FM, Powell RA, Mwangi-Powell FN, Rodin G. Provision of Palliative Care in Low- and Middle-Income Countries: Overcoming Obstacles for Effective Treatment Delivery J Clin Oncol 2016;34(1):62-8. DOI: 10.1200/JCO.2015.62.1615. Epub 2015 Nov 17.

Sepúlveda C, Marlin A, Yoshida T, Ullrich A. Palliative care: The world health organization's global perspective. Journal of Pain and symptom management. 2002;24:91-96

Planning and Implementing Palliative Care Services: A Guide for Programme Managers WHO 2016.

Oyebola FO. Palliative Care Trends and Challenges in Nigeria – The Journey So Far. J Emerg Intern Med. 2017;1(2):17

Consultation on Pain and Palliative Care in Resource-Limited Settings. Meeting Report, Bethesda, Maryland, November 16 and 17, 2009, AIDS Research Program (ARP), (online) at http://archives.drugabuse.gov/about/organization/arp/arp-palliative-report.htm 29 May 2014.

Adenipekun A, Onibokun A, Elumelu TN, Soyannwo OA. Knowledge and attitudes of terminally ill patients and their family to palliative care and hospice services in Nigeria. Niger J Clin Pract.2005;8: 19-22.

Soyannwo O. Cancer pain–progress and ongoing issues in Africa. Pain Research & Management: The Journal of the Canadian Pain Society. 2009; 14:349

Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127:2893–2917.[PubMed] [Google Scholar]

Onyeka TC. Palliative care in Enugu, Nigeria: Challenges to a new practice. Indian journal of palliative care. 2011;17:131

Omoniyi, BB. ‘An examination of the causes of poverty on economic growth in Nigeria’, Africa’s Public Service Delivery and Performance Review. 2018;6(1), a175.https://doi.org/10.4102/apsdpr.v6i1.175

Shambe IH. Review of article palliative care in Nigeria: Challenges and prospects. Jos Journal of Medicine. 2014;8:53-55

Nnadi DC. Palliative Care: The Nigerian Perspective DOI: http://dx.doi.org/10.5772/intechopen.85235 :3

Oyebola FO. Combined perception and needs assessment study of home-based palliative care among patients with life-threatening diseases attending the Federal Medical Centre Abeokuta, Nigeria. Doctoral dissertation, University of Cape Town, South Africa. 2006.

Oyebola FO, Igbinova J. Federal Medical Centre Abeokuta, Hospice and Palliative Care Project. In: Palliative Care in Sub–Saharan Africa. Hardings R (ed), King`s College University, London. 2003.

Oyebola FO. Hospital-based palliative care approach to HIV/AIDS: A Nigerian experience. Retrovirology. 2010; 7: 94.

Oliver D, Olupitan D, Oyebola F. Developing palliative care in Nigeria - A collaborative approach. J Palliat Care. 2011; 18: 298-301.

Alexander CS, Pappas G, Oyebola FO. AIDS Relief Staff members: Implementation of HIV Palliative Care: Inter-professional education to improve patient outcomes in resource-constrained settings from 2004-2014. J Pain Symptom Manage. 2015; 50: 350-361.

Alexander CS, Pappas G, Henley Y, Kangalawe AK, Oyebola FO. Pain management for persons living with HIV disease: An experience with interprofessional education in Nigeria. Am J Hosp Palliat Care. 2015; 32: 555-362.

Oyebola FO. Setting up palliative care in Nigeria-Appraisal of the challenges and new trends. Paper presented at the International Conference of Hospice and Palliative Care: Mind, Body, Spirit at the University of Cape Town, 2nd – 4th December 2005, South Africa.

World Health Organization. Cancer Pain Relief and Palliative Care: Report of a WHO Expert Committee. WHO Technical Report Series 804. Geneva: World Health Organization, 1990; 57-60.

Eke GK, Ndukwu GU, Chukwuma NS, Diepiri BB. Knowledge and perception of healthcare providers towards palliative care in Rivers State, Nigeria. Port Harcourt Med J 2017;11:156-60

Fadare JO, Obimakinde AM, Afolayan JM, Popoola SO, Aduloju T, Adegun PT, et al. Healthcare workers knowledge and attitude toward palliative care in an emerging tertiary center in South-West Nigeria. Indian J Palliat Care 2014;20:1-5.

[PUBMED] [Full text]

UNAIDS/World Health Organization (WHO). AIDS epidemic update. Geneva: UNAIDS/WHO; December 2007.

Elumelu TN, Abdus -Salam AA, Adenipekun AA, Soyanwo OA. Pattern of Morphine prescription in a Nigeria tertiary Hospital. Niger J Clin Pract 2012; 15: 27-29.

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Published

2021-03-31

How to Cite

Ndukwu, G. U., Olamuyiwa, T. E., & Eke, G. K. (2021). The Practice of Palliative Care Medicine in the Developing World: A Review of the Challenges in Providing Palliative Care Services in South-South Nigeria. The Nigerian Health Journal, 21(1), 1–10. https://doi.org/10.60787/tnhj.v21i1.507
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