The Kingdom of Swaziland (population 1, 069, 000) is a small landlocked country in Southern Africa covering an area of 17, 364 km2 between South Africa and Mozambique. Four NGOs provide six hospice-palliative care services in Swaziland: Hope House; Swaziland Hospice at Home; Parish Nursing; and the Salvation Army. In addition, several community-based church organizations provide supportive care to terminally ill patients. All the hospice services are charities and rely heavily on donations for their income. Yet, funds come from a variety of sources. At a meeting of palliative care providers held in June 2003, a commitment was made to form a national palliative care association. The palliative care coverage and the palliative care workforce capacity of these services are reviewed. The chapter then outlines the history and development of hospice-palliative care in Swaziland.
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