Palliative Care Initiative in CEE

1
Palliative Care Initiative in CEE FSU

• OSI Network Public Health Program
• Mary V. Callaway

www.soros.org/death
2
Palliative Care Initiative

• Joint initiative between OSI Network Public
  Health Program, OSI National Foundations and US
  Programs Project on Death in America
• Began 2000 with a 500,000/yr commitment from OSI

3
Goal

• to serve as a catalyst to integrate palliative
  care as an essential aspect of health care policy
  in national health care systems
• to build capacity for palliative care services,
  education, and advocacy within the region
• to work with other funders

4
Four Areas of Interest

• Professional Education
• Public Education
• Drug Availability
• Policy

5
25 Participating Countries

• Albania
• Armenia
• Azerbaijan
• Bosnia
• Bulgaria
• Croatia
• Czech Republic
• Estonia
• Georgia
• Hungary
• Kazakhstan
• Latvia
• Lithuania

• Macedonia
• Moldova
• Mongolia
• Poland
• Romania
• Russia
• Serbia
• Slovakia
• Slovenia
• Tajikistan
• Ukraine
• Uzbekistan

6
2000-2003

• 100 grants made
• WHO-Geneva (cancer, AIDS, aging), WHO-Euro
  Essential Medicines
• Individuals
• OSI National Foundations

7
2000-2003

• 100 grants made
• NGOs
• Policy Centers--WHO Collaborating Center,
  Wisconsin
• National and international professional
  associationsEAPC, ECEPT, IAHPC, NHPCO

8
Transitions in End of Life Care
Mapping hospice and palliative care programs
and services in CEE FSU Published by Open
University Press in their Facing Death
Series Distributed to health care policy
makers www.eolc-observatory.net
9
(No Transcript)
10

• www.eolc-observatory.net

11
WHO

• Two new WHO monographs
• Palliative Care for Policy Makers
• Palliative Care in the Elderly
• Collaborative effort between Kings College,
  Floriani Foundation, and OSI

12
Professional Education

• to integrate palliative care education into
  medical and nursing school curriculums
• to provide palliative care education for
  practicing health care professionals
• to develop the workforce capacity necessary to
  care for an aging population

13
Palliative Care Resource Training Centers
Public Professional Education Drug
Availability Policy

• Croatia
• Hungary
• Poland

• Romania
• Russia
• Slovenia

www.soros.org/death
14
Translation of Palliative Care Educational
Materials
WHO Cancer Pain and Palliative Care For Children
WHO Cancer Pain Relief with a Guide to Opioid
Availability
WHO Symptom Relief in Terminal Illness
15
Public Education

• relief of pain and other distressing symptoms
• emotional and psychological support
• spiritual support
• grief and bereavement support

16
Drug Availability

• to assure that necessary opioid medications are
  available for pain management for patients at
  home as well as in in-patient facilities

17
Drug Availability

• to examine and recommend changes in national drug
  control laws and regulations
• to support the inclusion of essential palliative
  care drugs in government prescription programs

18
Drug Availability
OSI Collaboration with WHO-EURO and WHO
Collaborating Center For Pain and Policy
Studies at the University of Wisconsin David
Joranson, MSSW
19
Policy

• To integrate palliative care into
• national health care
• policies
• legislation
• financing
• regulations
• national health care systems

20
Policy

• To develop national standards for palliative care
  
• To integrate palliative care into national
  cancer and AIDS control programs

21
Collaborations

• To expand and enhance the capacity of existing
  professional medical associations and
  organizations to support and sustain palliative
  care development in the region
• WHO-Cancer Unit, WHO-AIDS Unit, ECEPT, EAPC,
  EAPC-E, IAHPC, NHPCO, AAHPM, IASP

22
(No Transcript)