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Palliative care: Issues and challenges

Palliative care : Issues and challengesSue Lucas1. BackgroundMore than 50 million people die throughout the world each year. The majority four fifths of these deaths are in developing countries. HIV has increased thenumber of deaths, with 3 million people dying in 2000, million in sub-SaharanAfrica. Even where advanced therapies are available, length of life may bereduced for those with HIV. In addition, advanced HIV illness is associated withsevere pain. People living with HIV in developing countries can therefore expect ashorter life span, and their death is likely to be unnecessarily painful for the dying is not new, and different cultures have different approaches tohelping people at the end of their lives.

those with chromic illnesses. 2. Training for health workers and public education. Understanding of what palliative is, and training to carry it out, is necessary for policy makers, health professionals and families. For HIV, such training needs to be linked to training on areas specific to HIV such as transmission and control of

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