639: Analysis of quality of Community home based Palliative Care Zomba Malawi “Is it a care or neglect”

Topic: Education, Societal Impact, and Others
Subtopic: Education of pain care

Background and Aims: To analyze the quality of community home based palliative care(CHBPC) services / model toward HIV/AIDS patient care and support in Zomba District of Malawi. With focus to impact of strengthening Community based organizations(CBO) or faith based organizations ( FBO), extent of sustainability, unmet need/whish list and standard measure for organization capacity required by service Providers ,actors. Are the service rendered effective and efficient to the beneficiaries

Methods: Methods:
Mixed study using Cross-sectional -quantitative design to CHBPC Service Providers (volunteers and HCW’s) and Qualitative study design using focus group discussion (FGD’S) and in-depth interview (IDI’S)to community based organization/faith based organizations (CBO/FBO’S) actors, Managers and supervisors.

Results: Over 80% (n= 40) questionnaire returned completed out of planed 100% ( n=50) of which demography data of the respondents was 100 %( n=21) were health workers questionnaire and 100 %( n=19) volunteers.
Quantitative data - 91% respondents disagreed with current quality of CBO and FBO services while 80% support the CBO/FBO care but they said Government should support them financially and materially to strengthens services delivery.
Qualitative Interviews -revealed from key informants (coded opinions and views) said that, the CBO services are of poor quality because of poor financial support. As such it is neglect because Poor-coordination-MER,

Conclusions: Conclusion:
Current state of affairs for CHBC Services in Malawi is a neglect of Care due to low quality system of service. There is inefficiency of care and support and extreme lacks effectiveness to beneficiaries. This was noticed in a large scale of standards measures

References: APCA (2007) , Strategic Plan 2007-2010 for the African Palliative Care Association (APCA). Kampala, Uganda. .

Downing J ( 2007) Challenges for nurses working in cancer and palliative care in Africa; Cancer Nursing. 2007. Vol 6, No 4, p14-16.

Merriman A. Frame K. Kaleeba K. (2202) Palliative hand book pain and symptom control in the Cancer and AIDS patients in Uganda and other African Countries. (3rd edition) HAU, Kampala

Stjernsward J, Foley KM, Ferris FD (2007) The Public Health Strategy for Palliative Care. Journal of Pain and Symptom Management. 33 (5): 486-493.

Presenting Author: OWINO
Submitting Author: OWINO MAC’OSANO

Senior Author: OWINO

IASP 2026 Global Year theme of Neuropathic Pain: Yes

• ROSEMARY-FERDINAND: DCN-BSCPC-MPC - TPCA-TNSPCC