Access to Palliative Care in Low- and Middle-Income Countries during Coronavirus Disease-2019 Pandemic and Post-Pandemic Era: A Kenyan Experience

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Authors

  • John Weru Department of Hematology Oncology, Aga Khan University Hospital, Nairobi, Kenya
  • Esther Nafula Pain and Palliative Care Unit, Kenyatta National Hospital, Nairobi, Kenya
  • Asaph Kinyanjui Nairobi Hospice, Nairobi, Kenya
  • Sriram Yennurajalingam Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

DOI:

https://doi.org/10.17140/PMHCOJ-9-151

Keywords:

COVID-19, Palliative care, Low- and middle-income countries, Pandemic, Post-pandemic, Health care workers (HCW)

Abstract

The coronavirus disease-2019 (COVID-19) pandemic emphasized the role of palliative care as an essential service to patients and families affected by life-threatening illnesses. Challenges encountered included: patients were not able to access services due to lockdown or restricted movement, limited or no home-based care and visits, opioid analgesic supplies were depleted, high frequency of uncontrolled symptoms and psychosocial distress, limited patient-caregiver-clinician communication, reduced family interactions due to fear of infecting the already sick family members, few training opportunities for health care workers (HCW) and HCW distress and burn-out. To address these challenges, the following strategies were employed; utilization of digital technologies to match resources, innovation in provision of PC including adapting etiquette for patient care using digital technology, advocating policy changes, education, use of technology such as video calls among family members support for HCW.  

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Published

2023-02-01

How to Cite

John Weru, Esther Nafula, Asaph Kinyanjui, & Sriram Yennurajalingam. (2023). Access to Palliative Care in Low- and Middle-Income Countries during Coronavirus Disease-2019 Pandemic and Post-Pandemic Era: A Kenyan Experience. Palliative Medicine and Hospice Care, 9(1), 1–6. https://doi.org/10.17140/PMHCOJ-9-151