Title : Delivery palliative care in cancer care: lessons learnt from Rwanda post genocide society in global perspective of humanity
Multi-disciplinary palliative care for patients with any Cancer is rarely integrated into the public healthcare system at all levels in Africa. An example of Rwanda, we have developed palliative care services in a district general hospital and linked these services to home care. In a public District hospital that includes 60% of the population of Kigali, we initiated adult and pediatric pain relief and palliative care programs for cancer patients with short-term technical assistance and training by foreign experts. Available services include inpatient and home care provided by physicians, nurses, social workers, and pharmacists with basic training in palliative care and home hospice care provided by a private home hospice organization. As of March 2015, more than 200 patients had received inpatient palliative care. Anecdotal data indicates a high level of satisfaction by patients and family members with palliative care services provided and a reduced tendency of patients with end-stage diseases to pursue costly treatment abroad. In Africa, Palliative care is not optional. It is not an extra, an ‘add-on’, a luxury or an after-thought. It is an essential component of humane cancer care. To develop cancer treatments without parallel development of palliative care is a cruel injustice to the millions of cancer patients around the world who suffer needlessly. In every country, it is absolutely essential that when people talk about access to radiotherapy and cervical cancer screening and chemotherapy –all vitally important—they must also be talking in equal measure and with equal conviction about access to palliative care.