INCTR

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INCTR Palliative Care Program Report October 2004

• Dr. Stuart Brown
• Head , Section of Palliative Care Medicine
• King Faisal Specialist Hospital Research Centre
• Riyadh, Kingdom of Saudi Arabia

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Palliative Care

• 56 million people die every year
• About 30 million need palliative care
• Only small number receive it

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Palliative Care

• Delivery of palliative care in developing
  countries compounded by
• Dislocation from rural societies
• Unrealistic fears regarding opioids
• Poverty

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Nepal

• 8,000 -16,000 new cancer cases/year
• 0.015 mg/capita of morphine
• Population 24.5 million
• Birth rate 32.5/1000

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INCTR is ideally placed to promote the
development of palliative care in Nepal

• NNCTR/INCTR sponsored cervical screening program
  at Scheer Memorial Hospital, Banepa, Nepal

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INCTRs Role

• Education
• Policy
• Medication availability
• Initial funding

Visit April 2003, Linda Patmore
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Four sites in Kathmandu and the surrounding area
have been designated as facilities where
palliative care is being developed
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Hospice Nepal

• An 8-bed unit
• Already established
• Base for Home Hospice Program for Kathmandu
  Valley

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Bhaktapur Cancer Care Centre

• Integrates palliative care and oncology
• 5 beds designated for palliative care patients

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Scheer Memorial Hospital

• 10 to 15 beds
• INCTR involvement supported the opening of a new
  palliative care unit in February 2004

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Childrens Ward Scheer Memorial Hospital

• Depending on funding 5 beds
• Children make up higher proportion of palliative
  care patients than in developed countries
• Special emphasis on caring for dying children

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Kanti Childrens Hospital

• Proposal to develop five-bed unit

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INCTR sponsored funded physician education at
Pain and Palliative Centre, Calicut, Kerala, India

• 7 physicians 2 administrators and 20 nurses
  attended intensive courses in 2003 2004

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Visit February 2004Fraser Black, John Harries,
Stuart Brown