Affiliation:
1. Programme National des Soins Palliatifs
2. Médecin Point focal Cancer FSS/UAC/PNLMNT/MS
3. Unité de Soins Palliatifs -Centre National Hospitalo-Universitaire (CNHU) Oncopédiatrie CNHU-HKM Cotonou
4. Faculté des Sciences de la Santé
5. Service de médecine interne -Centre National Hospitalo-Universitaire CNHU-HKM de Cotonou
6. Institut national Médico-Sanitaire (INMeS)
7. Ministère de la Santé
8. OMS
9. OMS AFRO
10. University of Navarra
Abstract
Abstract
Context
Palliative care (PC) situation in most African countries remains underdiagnosed. Benin has piloted the implementation of a set of indicators proposed by the WHO to measure PC development.
Objectives
To examine the current state of PC in Benin.
Methods
A workshop with stakeholders was organized to validate the WHO indicators in the Beninese context. Indicators were rated by relevance and feasibility, data sources were agreed, and a survey adapted. Data were collected between March and May 2023.
Results
There is emerging community involvement in PC through the presence of patients' rights promoters, as well as a political commitment expressed in the National PC strategy, the inclusion of PC services in the list of basic health services, and an assigned national authority –within the Ministry of Health- responsible for PC. While no PC-oriented research is documented, the celebration of the National PC Conference represents a first step to ground PC delivery in evidence. Reported annual consumption of opioids is 0.18 (ME) milligrams per capita, 34% of healthcare establishments have essential medicines for pain and PC and 16.5% of patients with palliative needs have access to oral morphine. To date, none of the medical or paramedical schools offers PC training and there is no official specialization in palliative medicine for doctors. PC is provided by 11 specialist teams (0.08/100,000 inhabitants) none of which provide pediatric care.
Conclusion
Despite growing political, professional, and community commitment, there are challenging shortcomings in education, research, essential medicines, and access to PC services.
Publisher
Research Square Platform LLC
Reference26 articles.
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