Palliative Care: Benefit to Health Systems. Zodwa Sithole Advocacy Manager HPCA South Africa XVII International AIDS Conference Mexico City August 2008. Introduction .
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HPCA South Africa
XVII International AIDS Conference
“Palliative Care is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.”
In the HIV setting, palliative care should be provided in conjunction with HAART.
The World Health Organization states that a health system consists of all organizations, people and actions whose primary intent is to promote, restore or maintain health. This includes efforts to influence determinants of health as well as more direct health-improving activities.
A health system is more than the pyramid of publicly owned facilities that deliver personal health services.
It includes many people from family caregivers and peer supporters to sub-specialist at tertiary care centers
Education in palliative care
Implementation of palliative care programs
1. Goodhealth services deliver effective, safe, quality personal and non-personal health interventions as appropriate, with minimum waste of resources.
2. A well-performinghealth workforce that is responsive, fair and efficient to achieve the best possible health outcomes, given available resources and circumstances
3. A well-functioning health information system is one that ensures the production, analysis, dissemination and use of reliable and timely information on health determinants, health system performance and health status.
4. A well-functioning health system ensures equitable access to essential medical products, vaccines and technologies of assured quality, safety, efficacy and cost-effectiveness, and their scientifically sound and cost-effective use
5. A good health financing system raises adequate funds for health, to ensure people can use needed services, and are protected from financial catastrophe or impoverishment associated with having to pay for them. It provides incentives for providers and users to be efficient.
Palliative care should be included in national health care financing.
6. Leadership and governance involves ensuring strategic policy frameworks exist combined with effective oversight, coalition building, regulation, attention to system-design and accountability.
The WHO Public Health Strategy for palliative care includes: