Implementing the WHO indicators for assessing palliative care development in three countries : a do-it-yourself approach

Article indépendant

TRIPODORO, Vilma A. | RAY, Anna | GARRALDA, Eduardo | BASTOS, Fernanda | MONTERO, Álvaro | BEJAR, Ana Cristina | PONS, Juan José | BOUESSEAU, Marie-Charlotte | CENTENO, Carlos

CONTEXT: Palliative care is an essential health service, with over 56.8 million people needing it yearly, particularly in low- and middle-income countries. The World Health Assembly has recognised palliative care as an ethical responsibility and called for comprehensive primary health care. The World Health Organization has published a technical report titled "Assessing the Development of Palliative Care Worldwide," as a crucial first step in addressing palliative care. The report includes 14 indicators to help decision-makers identify service provision gaps and inform health priorities, piloted by WHO's ATLANTES in Benin, Morocco, and Uruguay as part of a global assessment. OBJECTIVES: To describe, for the three countries, the primary outcomes and lessons learned to enable replication in further countries. METHODS: A step-by-step description of the assessment project, a summary of the main results obtained through evaluations, and a description of how the selected countries effectively implemented the WHO indicators through a six-step process, including a phase of action plan design. We advocated a 'Do-it-yourself' approach. RESULTS: The summary data from three country reports reveals national development at a national level. A SWOT analysis involving consultants and program managers was conducted. A stakeholder guide was developed, providing trigger questions and practical recommendations for assessing development using specific indicators. Full information can be found in the specific published reports. CONCLUSION: The WHO approach has proven effective in identifying health system deficiencies and disseminating information about palliative care evaluation processes. The report provides a 'Do-it-yourself' approach, encouraging self-management without expert guidance.

http://dx.doi.org/10.1016/j.jpainsymman.2024.09.017

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