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Providing palliative care in economically disadvantaged countries 

Providing palliative care in economically disadvantaged countries
Chapter:
Providing palliative care in economically disadvantaged countries
Author(s):

M.R. Rajagopal

and Reena George

DOI:
10.1093/med/9780199656097.003.0002
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date: 07 May 2021

A public health approach is the most sustainable way to provide palliative care for the majority of the world’s people who live in economically disadvantaged nations. With only 7% of the world’s medical morphine currently being used in these countries, much remains to be done to implement the World Health Organization’s recommendations on policy, drug availability and education. International expertise is crucial for planting palliative care. Local efforts have to propagate it by creating feasible and acceptable models. Partnerships should advocate for palliative care to become an integral part of the national health-care system. For those who are considering starting small projects with very limited resources, this chapter provides practical guidance on strategy, needs assessment, training, and implementation at the grassroots. The Wisconsin Pain and Policy Studies Group and the Palliative Care Toolkit are also presented as resources for advocacy, drug availability, and education. The chapter concludes by discussing ways to prevent burnout and routinization in the face of overwhelming need.

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