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Palliative Care Initiative in CEE & FSU

Palliative Care Initiative in CEE & FSU. OSI Network Public Health Program Mary V. Callaway. www.soros.org/death. Palliative Care Initiative. Joint initiative between OSI Network Public Health Program, OSI National Foundations and US Program’s Project on Death in America

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Palliative Care Initiative in CEE & FSU

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  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 Program’s 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. 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 25 Participating Countries

  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: • NGO’s • Policy Centers--WHO Collaborating Center, Wisconsin • National and international professional associations—EAPC, 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. www.eolc-observatory.net

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

  11. 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

  12. Croatia Hungary Poland Romania Russia Slovenia Palliative Care Resource Training Centers Public & Professional Education Drug Availability Policy www.soros.org/death

  13. 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

  14. Public Education • relief of pain and other distressing symptoms • emotional and psychological support • spiritual support • grief and bereavement support

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

  16. 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

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

  18. Policy • To integrate palliative care into: • national health care • policies • legislation • financing • regulations • national health care systems

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

  20. 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

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