Pain and Palliative Care in the Developing World and Marginalized Populations:
A Global Challenge
M. R. Rajagopal, David Mazza and Arthur G. Lipman (Eds)
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Richard B. Patt and Susan S. Lang
Haworth Medical Press, 2003
249 pp
ISBN 0-7890-1556-0
RRP $US27.00
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Two-thirds of those in need of palliative care live in developing countries that have less than ten percent of the world’s resources in terms of health care personnel,
drugs and equipment. I have to admit I would have thought that the needs were even greater and the resources less. As Jan Stjernsward says in his introduction, this book offers a banquet of papers
that describe pioneering work on the front lines of pain and palliative care service planning and implementation in developing countries. There are papers describing the development of programs
in India, Chile, Argentina, Saudi Arabia, Hong Kong, Malaysia, Uganda, Papua New Guinea, and Kenya. There are also chapters on ethics, spiritual care, education and research in the context of
developing countries. The book is enhanced by having a thoughtful two-page editorial commentary after each of the papers.
The importance of the IAHPC program of Travelling Fellowships is acknowledged in an editorial commentary following David Allbrook’s report from Kenya and Nell Muirden’s
report from Papua New Guinea, although two of the other authors in this book were IAHPC Travelling Fellows and a third was a Travelling Scholar.
The enormity of the problems described in this book are daunting, but it is interesting to read because it is written by highly motivated people who are
out there trying to do something about it.
Roger Woodruff,
Director of Palliative Care, Austin Health, Melbourne, Australia
June 2004
Author Information
Professor M.R. Rajagopal is Professor of Anesthesiology and Palliative Care, in Kerala, India.
Dr. David Mazza is a General Practitioner and Macmillan Facilitator in Palliative Care in York, UK
Professor Arthur G. Lipman is Professor of Pharmacotherapy at the University of Utah, Health Sciences Center in Salt Lake City, Utah, USA
Table of Contents
Foreword
Instituting Palliative Care in Developing Countries—An Urgently Needed and Achievable Goal
Preface
Hospice and Palliative Care: A Universal Human Imperative—Lessons for the World from the Innovators
Freedom from Pain—A Mirage or a Possibility? Experience in Attempts to Change Laws and Practices in India
Symptom Control and Palliative Care in Chile
Palliative Care in Argentina: Perspectives from a Country in Crisis
Palliative Care in Saudi Arabia: A Brief History
Pain Relief in Thailand
Pain Relief and Palliative Care in Hong Kong
Palliative Care in Malaysia: A Decade of Progress and Going Strong
Pain and Palliative Care for People Living with HIV/AIDS in Asia
Pain Relief in the Developing World: The Experience of Hospice Africa-Uganda
Palliative Care in India: Successes and Limitations
Palliative Care Behind Bars: The New Zealand Prison Hospice Experience
Ethical Issues in Palliative Care: Considerations
Spiritual Care in a Multi-Religious Context
Palliative Care in Developing Countries: Why Research Is Needed
Palliative Care in Kenya: Report of the International Association of Hospice and
Palliative Care Traveling Fellowship
Palliative Care in Papua New Guinea: Report of the International Association of Hospice
and Palliative Care Traveling Fellowship
Commentary on the International Association for Hospice and Palliative Care Traveling Fellowships
Palliative Care: An Emerging Issue for American Indians and Alaskan Natives
Palliative Care Education in the Developing Countries
Cross-Cultural Perspectives in Palliative Care
The International Observatory on End of Life Care: A New Initiative to Support Palliative Care Development Around the World
Where Do We Go from Here?
Index
