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  1. Article ; Online: Primary palliative care in low- and middle-income countries: A systematic review and thematic synthesis of the evidence for models and outcomes.

    Peeler, Anna / Afolabi, Oladayo / Adcock, Michael / Evans, Catherine / Nkhoma, Kennedy / van Breevoort, Dorothee / Farrant, Lindsay / Harding, Richard

    Palliative medicine

    2024  , Page(s) 2692163241248324

    Abstract: Background: Serious health-related suffering is predicted to double in low- and middle-income countries by 2060. Primary care offers the best opportunity to meet Universal Health Coverage in an equitable way. Primary palliative care growth should be ... ...

    Abstract Background: Serious health-related suffering is predicted to double in low- and middle-income countries by 2060. Primary care offers the best opportunity to meet Universal Health Coverage in an equitable way. Primary palliative care growth should be evidence-based to ensure provision is feasible, acceptable and culturally congruent.
    Aim: To identify the current evidence related to primary palliative care and to describe how primary palliative is defined in this setting, dominant typologies of care and meaningful outcome measures in LMICs.
    Design: A systematic review and thematic synthesis was conducted. We described the nature, extent and distribution of published literature on primary palliative care in low- and middle-income countries, use thematic synthesis to characterize typologies of primary palliative care and design a process model for care delivery in low- and middle-income countries.
    Data sources: Medline, Psychinfo, Global Health, Embase and CINAHL.
    Results: Thirty-five publications were included. Nearly half took place in Asia (
    Conclusion: Evidence supporting primary palliative care in low- and middle-income countries is limited, and much of the published literature comes from Asia and southern Africa. Health systems in low- and middle-income countries have unique strengths and needs that affect primary palliative care services that should guide how services evolve to meet future need.
    Language English
    Publishing date 2024-05-01
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 639247-7
    ISSN 1477-030X ; 0269-2163
    ISSN (online) 1477-030X
    ISSN 0269-2163
    DOI 10.1177/02692163241248324
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2285: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: What constitutes a palliative care need in people with serious illnesses across Africa? A mixed-methods systematic review of the concept and evidence.

    Afolabi, Oladayo A / Nkhoma, Kennedy / Maddocks, Matthew / Harding, Richard

    Palliative medicine

    2021  Volume 35, Issue 6, Page(s) 1052–1070

    Abstract: Background: Clarity on what constitutes a palliative care need is essential to ensure that health systems and clinical services deliver an appropriate response within Universal Health Coverage.: Aim: To synthesise primary evidence from Africa for ... ...

    Abstract Background: Clarity on what constitutes a palliative care need is essential to ensure that health systems and clinical services deliver an appropriate response within Universal Health Coverage.
    Aim: To synthesise primary evidence from Africa for palliative care needs among patients and families with serious illness.
    Design: We conducted a mixed methods systematic review with sequential synthesis design. The protocol was registered with PROSPERO (CRD42019136606) and included studies were quality assessed using Mixed Method Appraisal Tool.
    Data sources: Six global literature databases and Three Africa-specific databases were searched up to October 2020 for terms related to palliative care, serious illnesses and Africa. Palliative care need was defined as multidimensional problems, symptoms, distress and concerns which can benefit from palliative care.
    Results: Of 7810 papers screened, 159 papers met eligibility criteria. Palliative care needs were mostly described amongst patients with HIV/AIDS (
    Conclusions: Palliative care assessment and care must reflect the context-driven specific needs of patients and families in Africa, in line with the novel framework. Health literacy is a crucial need in this context that must be met to ensure that the benefits of palliative care can be achieved at the patient-level.
    MeSH term(s) Africa ; Child ; Hospice and Palliative Care Nursing ; Humans ; Neoplasms ; Palliative Care
    Language English
    Publishing date 2021-04-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review
    ZDB-ID 639247-7
    ISSN 1477-030X ; 0269-2163
    ISSN (online) 1477-030X
    ISSN 0269-2163
    DOI 10.1177/02692163211008784
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2285: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: COVID-19 and palliative care capacity, African Region.

    Afolabi, Oladayo A / Abboah-Offei, Mary / Namisango, Eve / Chukwusa, Emeka / Oluyase, Adejoke O / Luyirika, Emmanuel Bk / Harding, Richard / Nkhoma, Kennedy

    Bulletin of the World Health Organization

    2021  Volume 99, Issue 8, Page(s) 542–542A

    MeSH term(s) COVID-19 ; Humans ; Palliative Care ; SARS-CoV-2 ; Surveys and Questionnaires
    Language English
    Publishing date 2021-08-05
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 80213-x
    ISSN 1564-0604 ; 0042-9686 ; 0366-4996 ; 0510-8659
    ISSN (online) 1564-0604
    ISSN 0042-9686 ; 0366-4996 ; 0510-8659
    DOI 10.2471/BLT.20.285286
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 215: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Integrated Primary Palliative Care in Nigeria- Perspectives of Patients, Families and Providers.

    Afolabi, Oladayo A / Nkhoma, Kennedy / Soyannwo, Olaitan / Aje, Akinyemi / Ogunniyi, Adesola / Harding, Richard / Maddocks, Matthew

    Journal of pain and symptom management

    2022  Volume 64, Issue 4, Page(s) 319–329

    Abstract: Background: Palliative care should be integrated into primary healthcare systems within low- and middle-income countries to achieve Universal Health Coverage goals. We aimed to identify preferences and expectations for primary palliative care among ... ...

    Abstract Background: Palliative care should be integrated into primary healthcare systems within low- and middle-income countries to achieve Universal Health Coverage goals. We aimed to identify preferences and expectations for primary palliative care among people living with serious illness and their families and the readiness of primary healthcare providers to deliver primary palliative care in Nigeria.
    Methods: Qualitative descriptive interview study with 48 participants: people living with serious illness (n=21) and their family caregivers (n=15), healthcare providers (n=12). Data were analysed using thematic analysis.
    Results: Three major themes were identified. 1.) Engaging patients and families. 2.) Managing patients and families' expectations and preferences. 3.) Addressing staffing-related issues. Patients and families have existing trust and bonds from using primary healthcare but lack individual agency necessary for person-centered care decisions. They expect an easily accessible service, opportunities for social interaction and adequate communication. Development of healthcare providers is needed to ensure an appropriate clinical response, manage interprofessional trust and ensure clear role delineation.
    Conclusions: Our findings have identified specific approaches to implement the WHO policy on integrated primary palliative care. Palliative care integration within primary healthcare in Nigeria can be achieved through building information and communication skills of healthcare providers, engaging and empowering patients to exercise their agency in care decisions, and adequately delineating healthcare providers' roles to ensure staff work within their competencies and training.
    MeSH term(s) Caregivers ; Hospice and Palliative Care Nursing ; Humans ; Nigeria ; Palliative Care ; Qualitative Research
    Language English
    Publishing date 2022-07-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639142-4
    ISSN 1873-6513 ; 0885-3924
    ISSN (online) 1873-6513
    ISSN 0885-3924
    DOI 10.1016/j.jpainsymman.2022.06.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2252: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Journal ; Article ; Online: COVID-19 and palliative care capacity, African Region

    Afolabi, Oladayo A / Abboah-Offei, Mary / Namisango, Eve / Chukwusa, Emeka / Oluyase, Adejoke O / Luyirika, Emmanuel BK / Harding, Richard / Nkhoma, Kennedy

    2021  

    Abstract: ... 542 ... ...

    Abstract 542

    542A
    Keywords Editorials
    Language English
    Publisher World Health Organization
    Document type Journal ; Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  6. Article ; Online: Do the Clinical Management Guidelines for Covid-19 in African Countries Reflect the African Quality Palliative Care Standards? A Review of Current Guidelines.

    Afolabi, Oladayo A / Abboah-Offei, Mary / Namisango, Eve / Chukwusa, Emeka / Oluyase, Adejoke O / Luyirika, Emmanuel B K / Harding, Richard / Nkhoma, Kennedy

    Journal of pain and symptom management

    2021  Volume 61, Issue 5, Page(s) e17–e23

    Abstract: Context: Palliative care should be a component of COVID-19 management to relieve suffering, improve patient outcomes and save cost.: Objectives: We aimed to identify and critically appraise the palliative care recommendations within COVID-19 case ... ...

    Abstract Context: Palliative care should be a component of COVID-19 management to relieve suffering, improve patient outcomes and save cost.
    Objectives: We aimed to identify and critically appraise the palliative care recommendations within COVID-19 case management guidelines in African countries.
    Methods: The study employed systematic guideline review design. All guidelines from any country in Africa, of any language, published between December 2019 and June 2020 were retrieved through online search and email to in-country key contacts. We conducted a content analysis of the palliative care recommendations within the guidelines and appraised the recommendations using African Palliative Care Association standards for providing quality palliative care.
    Results: We retrieved documents from 29 of 54 African countries. Fifteen documents from 15 countries were included in the final analysis, of which eight countries have identifiable PC recommendations in their COVID-19 management guidelines. Of these eight, only one country (South Sudan) provided comprehensive palliative care recommendations covering the domains of physical, psychological, social and spiritual wellbeing, two (Namibia and Uganda) addressed only physical and psychological wellbeing while the remaining five countries addressed only physical symptom management.
    Conclusions: Comprehensive palliative care which addresses physical, psychological, social and spiritual concerns must be prioritized within case management guidelines in African countries.
    MeSH term(s) COVID-19 ; Humans ; Namibia ; Palliative Care ; SARS-CoV-2 ; Uganda
    Language English
    Publishing date 2021-02-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639142-4
    ISSN 1873-6513 ; 0885-3924
    ISSN (online) 1873-6513
    ISSN 0885-3924
    DOI 10.1016/j.jpainsymman.2021.01.126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2252: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Article: Hot air convective drying of hog plum fruit (

    Ojediran, John O / Okonkwo, Clinton E / Olaniran, Abiola F / Iranloye, Yetunde M / Adewumi, Adejoke D / Erinle, Oluwakemi / Afolabi, Yemisi Tokunbo / Adeyi, Oladayo / Adeyi, Abiola

    Heliyon

    2021  Volume 7, Issue 11, Page(s) e08312

    Abstract: This aim of this study was to evaluate the effects of pretreatments and temperature on the hot air drying characteristics of hog plum fruits. Hog plum fruits were pretreated with olive oil/ ... ...

    Abstract This aim of this study was to evaluate the effects of pretreatments and temperature on the hot air drying characteristics of hog plum fruits. Hog plum fruits were pretreated with olive oil/K
    Language English
    Publishing date 2021-11-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2021.e08312
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Do the clinical management guidelines for Covid-19 in African Countries reflect the African quality palliative care standards? A rapid review

    Afolabi, Oladayo A / Abboah-Offei, Mary Afi Dela / Namisango, Eve / Chukwusa, Emeka / Oluyase, Adejoke O / Luyirika, Emmanuel BK / Harding, Richard / Nkhoma, Kennedy

    2020  

    Keywords covid19
    Publishing date 2020-05-26
    Publishing country uk
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article: Do the clinical management guidelines for Covid-19 in African Countries reflect the African quality palliative care standards? A rapid review

    Afolabi, Oladayo A. / Abboah-Offei, Mary / Namisango, Eve / Chukwusa, Emeka / Oluyase, Adejoke O. / Luyirika, Emmanuel B. K. / Harding, Richard / Nkhoma, Kennedy

    Bulletin of the World Health Organization

    Abstract: Palliative care should be a component of COVID-19 management to relieve suffering, improve patient outcomes and save cost We identified and appraised palliative care recommendations within COVID-19 management guidelines in Africa using rapid document ... ...

    Abstract Palliative care should be a component of COVID-19 management to relieve suffering, improve patient outcomes and save cost We identified and appraised palliative care recommendations within COVID-19 management guidelines in Africa using rapid document analysis All guidelines of any language published between December 2019 and May 2020 were retrieved through online search and email to in-country key contacts We appraised the documents using African Palliative Care Association standards for providing quality palliative care Fifty-five documents were retrieved from 29 out of 54 African countries Fifteen documents from 15 countries were included in the final analysis, of which eight countries have identifiable PC recommendations in their COVID-19 management guidelines The other seven countries have statements of recommendations which are relevant to palliative care Governments and policymakers in Africa must prioritise palliative care within case management guidelines to ensure patients with COVID-19 have access
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #860762
    Database COVID19

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  10. Article ; Online: Experiences and perceptions of men following breast cancer diagnosis: a mixed method systematic review.

    Abboah-Offei, Mary / Bayuo, Jonathan / Salifu, Yakubu / Afolabi, Oladayo / Akudjedu, Theophilus N

    BMC cancer

    2024  Volume 24, Issue 1, Page(s) 179

    Abstract: Background: Men with breast cancer experience unique physical and emotional challenges. However, a thorough understanding of these experiences including the psychosocial effects and supportive care needs have received less attention. In some settings, ... ...

    Abstract Background: Men with breast cancer experience unique physical and emotional challenges. However, a thorough understanding of these experiences including the psychosocial effects and supportive care needs have received less attention. In some settings, men with breast cancer experience stigma within the healthcare system and their care needs are not prioritised. This influences the level of professional support offered, consequently worsening their health and well-being outcomes. This review explored the variabilities in the experiences and treatment modalities of male breast cancer (MBC) across different contexts.
    Methods: All primary study designs including qualitative, quantitative, and mixed methods studies that reported on the experiences, treatment approaches and outcomes of MBC were included in this systematic review. Six databases (Embase, Medline, PsycINFO, Global Health, CINAHL and Web of Science) were searched for articles from January 2000 to September 2023. A results-based convergence synthesis was used for data analysis and reported using PRISMA guidelines.
    Results: Of the studies screened (n = 29,687), forty-four fulfilled the predetermined criteria and were included. Our findings relating to the experiences and treatment approaches of MBC are broadly themed into three parts. Theme 1-Navigating through a threat to masculinity: describes how males experienced the illness reflecting on detection, diagnosis, coming to terms with breast cancer, and disclosure. Theme 2- Navigating through treatment: captures the experiences of undergoing breast cancer treatment/ management following their diagnosis. Theme 3-Coping and support systems: describes how MBC patients coped with the disease, treatment process, aftercare/rehabilitative care, and the available support structures.
    Conclusions: Men experience a myriad of issues following a breast cancer diagnosis, especially with their masculinity. Awareness creation efforts of MBC among the public and healthcare practitioners are urgently required, which could change the perception of men in promoting early diagnosis, adherence to treatments, post-treatment monitoring, oncological results and a better quality of life. Considerations for training, education and development of specialised guidelines for healthcare practitioners on MBC would provide the necessary knowledge and skills to enhance their practice through the adoption of person-centred and male-specific care strategies. Professional care intervention and support for MBC should not end after the diagnosis phase but should extend to the entire treatment continuum and aftercare including future research focusing on MBC specific clinical trials.
    Trial registration: PROSPERO Registration No. CRD42021228778.
    MeSH term(s) Humans ; Male ; Breast Neoplasms, Male/diagnosis ; Breast Neoplasms, Male/therapy ; Quality of Life/psychology ; Delivery of Health Care ; Educational Status ; Qualitative Research
    Language English
    Publishing date 2024-02-06
    Publishing country England
    Document type Systematic Review ; Journal Article
    ZDB-ID 2041352-X
    ISSN 1471-2407 ; 1471-2407
    ISSN (online) 1471-2407
    ISSN 1471-2407
    DOI 10.1186/s12885-024-11911-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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