New models, new care
This chapter describes the relationship between palliative care and existing health systems; the development of strategies for reaching the poorest of the poor, particularly in remote rural areas; and the development of a team approach. In particular, it concentrates on the broad range of hospice and palliative care initiatives in Africa. The role of advocacy is acknowledged and attention is paid to developing services at the national level and in specific localities. A team approach is considered a central feature of palliative care, and this is explored in the African setting; so too is spiritual care — an important component that is grounded in the richness of African culture. Finally, it turns to paediatric care and the measures taken to deal with the rising number of HIV-infected children, orphans, and child-headed families.
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