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Journal of Pain & Palliative Care Pharmacotherapy Volume 26, 2012 - Issue 4
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ARTICLES

“What is Killing Me Most”: Chronic Pain and the Need for Palliative Care in the Eastern Cape, South Africa

Annette M. DekkerAnnette M. Dekker is with the Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, New Jersey, USA. Joseph J. Amon, PhD, is a lecturer at the Woodrow Wilson School of Public and International Affairs and the Director of the Health and Human Rights Division, Human Rights Watch, New York, NY, USA. Karl W. le Roux, MBChB, MMedSci (UU), DA (SA), DipObst (SA), and C. Benjamin Gaunt, MBChB, MSc (PHC), DA (SA), DipObst (SA), DipHIVMan (SA), are with Zithulele Hospital, Zithulele Village, Mqanduli District, Eastern Cape, South Africa. Karl W. le Roux is the Principal Medical Officer and C. Benjamin Gaunt is the Clinical ManagerCorrespondence[email protected]
,
Joseph J. AmonAnnette M. Dekker is with the Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, New Jersey, USA. Joseph J. Amon, PhD, is a lecturer at the Woodrow Wilson School of Public and International Affairs and the Director of the Health and Human Rights Division, Human Rights Watch, New York, NY, USA. Karl W. le Roux, MBChB, MMedSci (UU), DA (SA), DipObst (SA), and C. Benjamin Gaunt, MBChB, MSc (PHC), DA (SA), DipObst (SA), DipHIVMan (SA), are with Zithulele Hospital, Zithulele Village, Mqanduli District, Eastern Cape, South Africa. Karl W. le Roux is the Principal Medical Officer and C. Benjamin Gaunt is the Clinical Manager
,
Karl W. le RouxAnnette M. Dekker is with the Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, New Jersey, USA. Joseph J. Amon, PhD, is a lecturer at the Woodrow Wilson School of Public and International Affairs and the Director of the Health and Human Rights Division, Human Rights Watch, New York, NY, USA. Karl W. le Roux, MBChB, MMedSci (UU), DA (SA), DipObst (SA), and C. Benjamin Gaunt, MBChB, MSc (PHC), DA (SA), DipObst (SA), DipHIVMan (SA), are with Zithulele Hospital, Zithulele Village, Mqanduli District, Eastern Cape, South Africa. Karl W. le Roux is the Principal Medical Officer and C. Benjamin Gaunt is the Clinical Manager
&
C. Benjamin GauntAnnette M. Dekker is with the Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, New Jersey, USA. Joseph J. Amon, PhD, is a lecturer at the Woodrow Wilson School of Public and International Affairs and the Director of the Health and Human Rights Division, Human Rights Watch, New York, NY, USA. Karl W. le Roux, MBChB, MMedSci (UU), DA (SA), DipObst (SA), and C. Benjamin Gaunt, MBChB, MSc (PHC), DA (SA), DipObst (SA), DipHIVMan (SA), are with Zithulele Hospital, Zithulele Village, Mqanduli District, Eastern Cape, South Africa. Karl W. le Roux is the Principal Medical Officer and C. Benjamin Gaunt is the Clinical Manager
Pages 334-340 | Accepted 07 Sep 2012, Published online: 07 Dec 2012

REFERENCES

  • Foley KM, Wagner JL, Joranson DE, Gelband H. Pain control for people with cancer and AIDS. In: Jamison DT, Breman JG, Measham AR, et al., eds. Disease Control Priorities in Developing Countries. New York: Oxford University Press; 2006:981–993.
  • UNAIDS. UNAIDS Report on the Global AIDS Epidemic 2010. 2010. Available at: http://www.unaids.org/globalreport/Global_report.htm. Accessed March 22, 2012.
  • Morris K. Cancer? In Africa? Lancet Oncol. 2003;4:5.
  • Human Rights Watch. Global State of Pain Treatment: Access to Medicines and Palliative Care. New York: Human Rights Watch; 2011.
  • Harding R, Powell RA, Downing J, Generating an African palliative care evidence base: the context, need, challenges, and strategies. J Pain Symptom Manage. 2008;36:304–309.
  • Clark D, Wright M, Hunt J, Lynch T. Hospice and palliative care development in Africa: a multi-method review of services and experiences. J Pain Symptom Manage. 2007;33:698–710.
  • Robinson CA, Pesut B, Bottorff JL, Rural palliative care: a comprehensive review. J Palliat Med. 2009;12:253–258.
  • Statistics South Africa. Census 2001: Census in Brief. Pretoria: Statistics South Africa; 2003. Available at: http://www. statssa.gov.za/census01/html/C2001CensusBrief.asp. Accessed January 30, 2012.
  • Bradshaw D, Nannan N, Laubscher R, Estimates of Provincial Mortality: Eastern Cape Province. Cape Town: Burden of Disease Research Unit; 2000. Available at: www.mrc.ac.za/bod/easterncape.pdf. Accessed January 30, 2012.
  • McKerrow N, Mulaudzi M, Fonn S, Padarath A. Child Mortality in South Africa: Using Existing Data. South African Health Review. Durban: Health Systems Trust; 2010.
  • Daut RL, Cleeland CS, Flanery RC. Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain. 1983;17:197–210.
  • Harding R, Selman L, Agupio G, Validation of a core outcome measure for palliative care in Africa: the APCA African Palliative Outcome Scale. Health Qual Life Outcomes. 2010; 8:10.
  • Herr K, Spratt KF, Garand L, Li L. Evaluation of the Iowa Pain Thermometer and other selected pain intensity scales in younger and older adult cohorts using controlled clinical pain: a preliminary study. Pain Med. 2007;8:585–600.
  • Auerbach CF, Silverstein LB. Qualitative Data: An Introduction to Coding and Analysis. New York: NYU Press; 2003.
  • Lohman D, Schleifer R, Amon JJ. Access to pain treatment as a human right. BMC Med. 2010;8:8.
  • Moseley GL. Evidence for a direct relationship between cognitive and physical change during an education intervention in people with chronic low back pain. Eur J Pain. 2004;8:39–45.
  • Meeus M, Nijs J, Van Oosterwijck J, Van Alsenoy V, Truijen S. Pain physiology education improves pain beliefs in patients with chronic fatigue syndrome compared with pacing and self-management education: a double-blind randomized controlled trial. Arch Phys Med Rehab. 2010;91:1153–1159.
  • Selman L, Higginson IJ, Agupio G, Meeting information needs of patients with incurable progressive disease and their families in South Africa and Uganda: multicentre qualitative study. BMJ. 2009;338:b1326.
  • Harding R, Powell RA, Kiyange F, Downing J, Mwangi-Powell F. Provision of pain- and symptom-relieving drugs for HIV/AIDS in sub-Saharan Africa. J Pain Symptom Manage. 2010;40:405–415.
  • Sepulveda C. Quality care at the end of life in Africa. BMJ. 2003;327:209–213.
  • International AIDS Conference. XVIII International AIDS Conference; Vienna, Austria; 2010: July 18–July 23.
  • Harding R, Stewart K, Marconi K, O'Neill JF, Higginson IJ. Current HIV/AIDS end-of-life care in sub-Saharan Africa: a survey of models, services, challenges and priorities. BMC Public Health. 2003;3:33.
  • Narasimooloo C, Naidoo SS, Gaede BM. Adequacy of pain management in HIV-positive patients. S Afr Fam Pract. 2011;53:71–76. Available at: http://www.ajol.info/index.php/ safp/article/view/64768. Accessed November 15, 2011.
  • Norval DA. Symptoms and sites of pain experienced by AIDS patients. S Afr Med J. 2004;94:450–454.
  • Farrant L, Gwyther L, Dinat N, The prevalence and burden of pain and other symptoms among South Africans attending HAART clinics. S Afr Med J. 2012;102:499–500.
  • Els R, Power HM. Morphine use in the last six days of life of patients with HIV/AIDS at the inpatient unit of a South African hospice implementing the ICHC model. S Afr Fam Pract. 2006;48:14–14c.

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