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2025 ; 10
(10
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Empowering African professionals to assess palliative care development: regional
application of the WHO framework
#MMPMID41101794
Bastos F
; Tripodoro VA
; Montero A
; Béjar AC
; Garralda E
; Gichuru VG
; Agbodande AK
; Namisango E
; Luyirika E
; Centeno C
BMJ Glob Health
2025[Oct]; 10
(10
): ä PMID41101794
show ga
INTRODUCTION: The WHO has proposed a structured framework to assess palliative
care development through 14 actionable indicators across 6 dimensions. While
prior applications have been limited to individual countries, this study explores
the feasibility of empowering professionals across an entire region to
independently evaluate palliative care development using the WHO framework.
METHODS: An expert-informed, participatory implementation study was conducted
across the African continent. A structured survey based on the WHO indicators was
developed and translated into multiple languages. A regional network of national
consultants was established, and participants were trained through an
asynchronous, tutored online course. Data collection involved self-assessment of
national palliative care development, accompanied by narrative justifications and
documentary evidence. Validation processes included peer review and, where
feasible, endorsement by national associations or authorities. Empowerment was
assessed through course completion, perceived impact via post-course surveys and
participation in data validation. RESULTS: National-level data from 50 African
countries were included, based on 121 contributors. Most countries had at least
two contributors, ensuring data triangulation. Validation processes were
completed in 48 countries, with 21 reports endorsed by national associations or
authorities. Post-course surveys indicated that 91% of respondents rated the
course highly for professional value, and 95% expressed interest in ongoing
collaboration. The data collected are already informing global comparative
analyses, including the African Palliative Care Atlas (2025 edition).
CONCLUSIONS: This study demonstrates that with appropriate training and support,
professionals across an entire region can independently assess palliative care
development using the WHO framework. The approach fosters professional
empowerment and provides high-quality, context-rich data, laying the groundwork
for similar initiatives in other regions and contributing to a coordinated global
assessment of palliative care development.