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Hospice and Palliative Care in AfricaA Review of Developments and Challenges$
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Michael Wright and David Clark

Print publication date: 2006

Print ISBN-13: 9780199206803

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199206803.001.0001

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Confronting the issues

Confronting the issues

Chapter:
(p.67) Chapter 4 Confronting the issues
Source:
Hospice and Palliative Care in Africa
Author(s):

Michael Wright (Contributor Webpage)

David Clark

Jennifer Hunt

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199206803.003.0004

This chapter concentrates on challenges faced by hospice and palliative care activists in Africa. These include a questioning of the culture inherent in health care institutions, community groups, and the wider society; they also highlight issues that relate to governments, education, policy, patients and palliative care services. Extracts show the magnitude of the task, demonstrate how palliateurs have questioned the legitimacy of patient abandonment and stigmatization, the myths around HIV and AIDS, the withholding of information by physicians, and the reticence of medical practitioners to prescribe morphine. The chapter then includes the extracts that relate to the development of palliative care in the context of apartheid South Africa. Turning to other African countries, the next extracts highlight relationships with government in Swaziland, Uganda, Tanzania, and Kenya. Other extracts illustrate how, in Africa, initiatives in palliative care education range from basic courses for community groups to university-based post-graduate degrees.

Keywords:   hospice, palliative care, Africa, activists, health care, HIV, AIDS, government, education

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