The Republic of South Africa (population 44.76 million) is located at the southern tip of the African continent and covers an area of around 1, 220, 000 km2. In South Africa, around sixty organizations linked to the national association — the Hospice and Palliative Care Association of South Africa (HPCA) — provide a range of services for patients and their families. Service types include inpatient care, home care, day care, clinics/drop-in centres, hospital support teams, education and training, patient support groups, bereavement care, foster parent support groups, orphan support groups, and hospice care for the homeless. Palliative care services may also be found in hospital settings countrywide. The opportunities for palliative care development in South Africa are considered. Hospices in South Africa are usually registered as not-for-profit organizations. Opioid availability and consumption are shown. Palliative care education and training is provided at different levels by numerous organizations that include the University of Cape Town (UCT), HPCA, and individual hospices. Moreover, some key events of the early hospice movement in South Africa through the lived experience of people involved in them are presented.
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