The Two Worlds of Palliative Care: Bridging the Gap with Nepal

Authors

  • Simon B. Sutcliffe Two Worlds Cancer Collaboration Foundation, British Columbia, Canada
  • Puneet Bains Two Worlds Cancer Collaboration Foundation, British Columbia, Canada Lions Gate Hospital, Department of Medicine, University of British Columbia (UBC), British Columbia (BC), Canada
  • Fraser Black Two Worlds Cancer Collaboration Foundation, British Columbia, Canada. Clinical Professor/Assistant Dean, Faculty of Medicine, UBC, BC, Canada
  • Sandra S. Broughton Two Worlds Cancer Collaboration Foundation, British Columbia, Canada. Faculty of Health and Social development, UBC, Kelowna, Canada
  • Stuart Brown Two Worlds Cancer Collaboration Foundation, British Columbia, Canada.Department of Oncology, Waikato Hospital, Hamilton, New Zealand
  • Simon Colgan Two Worlds Cancer Collaboration Foundation, British Columbia, Canada. Departmentof Oncology, U. Calgary, Alberta, Canada
  • Megan E. Doherty Two Worlds Cancer Collaboration Foundation, British Columbia, Canada. Palliative Care Program, Children’s Hospital of Eastern Ontario, Ontario, Canada
  • Gillian Fyles Two Worlds Cancer Collaboration Foundation, British Columbia, Canada
  • Robin Love Two Worlds Cancer Collaboration Foundation, British Columbia, Canada. Nanaimo Regional General Hospital, UBC, BC, Canada
  • Gayatri Palat Two Worlds Cancer Collaboration Foundation, British Columbia, Canada. PAX Asia Program; Director, Hyderabad Centre for Palliative Care, Hyderabad, India
  • Bishnu Paudel National Academy of Medical Sciences (Nepal); Bhaktapur Cancer Hospital; NAPCare
  • Charles Russell Two Worlds Cancer Collaboration Foundation, British Columbia, Canada
  • Leslie Sundby Two Worlds Cancer Collaboration Foundation, British Columbia, Canada. BSN Program, Vancouver Island University, Nanaimo, BC, Canada
  • Max Watson Hospice UK, London, England

DOI:

https://doi.org/10.3126/njst.v20i2.45802

Keywords:

Capacity building, medical education, Two Worlds Cancer Collaboration, South Asia, telemedicine, Nepal

Abstract

Despite past geo-political turbulence, Nepal has made significant progress in societal and economic initiatives, particularly in relation to social determinants of health. These improvements, however, belie the suffering of those with life-limiting disease due to pain, stigma, social and financial distress, consequent upon low patient, caregiver and health professional awareness of the need for, and availability of, appropriate care and support. Two Worlds Cancer Collaboration (INCTR-Canada) has been working with partners in Nepal to build capacity for palliative care by: (a) organizational and administrative support – establishing the Nepal Association of Palliative Care (NAPCare), and the creation of the Nepal Strategy for Palliative Care, approved by government in 2017; (b) “twinning” between 2 hospital palliative care units in Nepal and the Nanaimo Hospice and Victoria Hospice, BC, Canada; (c) sustainable growth of palliative care according to WHO foundational measures, implementing facility-based clinical programs, and home-based care aligned with the cultural, social, and economic environment of Nepal; (d) training of health professionals in adult and paediatricpalliative carethrough interactive on-line “distance learning” (Extension of Community Healthcare Outcomes, ECHO);(e) leveraging palliative care training and expertise across the government health system, and (f) local and international support to build a newfacility for Hospice Nepal to provide more support for more patients in a rural ambience on the outskirts of Kathmandu. Palliative care needs to become standard-of-care, providing peace, comfort and dignity for adults and children. Working collaboratively with partners in Nepal, the collective vision is a capable professional Nepali community leading palliative care services for all in need, wherever in need.

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Published

2021-12-31

How to Cite

Sutcliffe, S. B., Bains, P., Black, F., Broughton, S. S., Brown, S., Colgan, S., Doherty, M. E., Fyles, G., Love, R., Palat, G., Paudel, B., Russell, C., Sundby, L., & Watson, M. (2021). The Two Worlds of Palliative Care: Bridging the Gap with Nepal. Nepal Journal of Science and Technology, 20(2), 125–130. https://doi.org/10.3126/njst.v20i2.45802

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Articles