<p>Palliative care plays a pivotal role in addressing the complex needs of individuals facing life-threatening illnesses, yet access to these services remains limited, particularly in African healthcare systems. This review explores viable strategies for integrating palliative care into African healthcare systems to enhance accessibility and quality of care. We conducted a search across PubMed, Google Scholar, CINAHL, African Journals Online, and Scopus. After applying inclusion and exclusion criteria, which focused on integration strategies and peer-reviewed, English or French articles related to African healthcare systems, we included 36 studies. It begins by elucidating the pressing need for palliative care integration, highlighting the evolving disease burden, caregiver challenges, and cultural influences on care preferences. The paper then discusses various models for palliative care delivery, including hospice-based approaches and task-shifting models, evaluating their advantages and challenges. It emphasises the importance of a public health approach to palliative care, advocating for integration into existing healthcare systems. The paper explores strategies for training healthcare professionals in palliative care competencies and community-based education programs to promote awareness and acceptance of palliative care services. Furthermore, it outlines future directions and recommendations, including transitioning towards comprehensive health insurance plans, streamlining licensing procedures, embracing technological advancements, advocating for standardised policies, fostering interdisciplinary collaboration, and integrating precision medicine approaches.</p>

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Enhancing palliative care integration in African healthcare systems: a review of strategies and recommendations

  • Ikponmwosa Jude Ogieuhi,
  • Nicholas Aderinto,
  • Gbolahan Olatunji,
  • Emmanuel Kokori,
  • Loizy Fana-Granville,
  • Adetola Emmanuel Babalola,
  • Owolabi Samuel,
  • Ifeoluwa Temilade Adegbite

摘要

Palliative care plays a pivotal role in addressing the complex needs of individuals facing life-threatening illnesses, yet access to these services remains limited, particularly in African healthcare systems. This review explores viable strategies for integrating palliative care into African healthcare systems to enhance accessibility and quality of care. We conducted a search across PubMed, Google Scholar, CINAHL, African Journals Online, and Scopus. After applying inclusion and exclusion criteria, which focused on integration strategies and peer-reviewed, English or French articles related to African healthcare systems, we included 36 studies. It begins by elucidating the pressing need for palliative care integration, highlighting the evolving disease burden, caregiver challenges, and cultural influences on care preferences. The paper then discusses various models for palliative care delivery, including hospice-based approaches and task-shifting models, evaluating their advantages and challenges. It emphasises the importance of a public health approach to palliative care, advocating for integration into existing healthcare systems. The paper explores strategies for training healthcare professionals in palliative care competencies and community-based education programs to promote awareness and acceptance of palliative care services. Furthermore, it outlines future directions and recommendations, including transitioning towards comprehensive health insurance plans, streamlining licensing procedures, embracing technological advancements, advocating for standardised policies, fostering interdisciplinary collaboration, and integrating precision medicine approaches.