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REGIONAL PERSPECTIVES

56 CANCER CONTROL 2021

On the top floor there will be a "National Palliative Care

Training Centre" where medical and nursing staff from across

Nepal can receive training given by experts from Nepal and

from other countries.

A lecture room and a small seminar room are planned

along with IT facilities to enable tele-conferencing to support

distance education and the ECHO networks.

Conclusion

Despite delays to the start of the project because of the

devastating impact of the coronavirus in Nepal and around

the world, pre-build work covering planning, detailed

specifications, and tendering is underway.

The geographical diversity of the country will always pose

a challenge, particularly with the coordination and delivery

of palliative care into the more rural areas of the country.

However, the new Hospice Nepal will provide increased

access to care for adults and children both as in-patients and

at home, becoming a state-of-the-art centre of excellence for

the provision of palliative care, advocacy, and education. The

unique collaboration between a proven committed team of

palliative care pioneers, support from the Nepali Government

and health service through the Palliative Care strategy, and the

opportunity for collaboration with international supporters

provides a strong platform for far reaching impact to improve

the care of patients approaching the end of life across the

country.

A new Hospice Nepal will be a central part of that development

and it could serve as a blueprint for future collaborative

initiatives both in Nepal and beyond. It is therefore vtal that

this opportunity to build capacity in palltiative care for both

adults and children progresses rapidly. n

Further information on the project, together with details on all

those involved, can be found on website www.projecthospicenepal.

org.uk

Professor Max Watson is a Palliative Medicine Consultant in the

United Kingdom and Director of Project ECHO at Hospice UK. He

was formerly Medical Director of the Northern Ireland Hospice

and Visiting Professor at the University of Ulster and Honorary

Senior Lecturer at Queens University in Belfast. He is also Visiting Professor, Virtual Academy at St Margaret's Hospice in Taunton and

Honorary Consultant at Princess Alice Hospice, Esher. Professor

Watson worked in Nepal throughout the 1990s and has returned

regularly to teach there. He has authored and edited numerous

books including the "Oxford Handbook of Palliative Care" and the

"Palliative Adult Network Guidelines (PANG) and has taught and

lectured extensively across the world.

Dr Stuart Brown is a palliative care specialist at Waikato

Hospital, New Zealand, where he is a Consultant in Palliative

Medicine. He is a Rotarian and member of the Fairfield Rotary

Club in Hamilton. Stuart has worked previously in Saudi Arabia in

palliative medicine and later was Medical Director of the Tertiary

Hospice and Palliative Care Unit at Abbotsford Regional Hospital

in British Columbia, Canada. Since 2008, he has volunteered in

Brazil, India, Nepal and Tanzania with the Palliative Access (PAX)

Programme of the International Network for Cancer Treatment and

Research (INCTR) and Two Worlds Cancer Collaboration, Canada.

Pat Newland is the Executive Director of the Challenge Fund,

a UK registered charity, which fundraises for the treatment of

cancer patients, particularly children, in low- and middle-income

countries. Having gained a degree level qualification in modern

languages, Pat has a background both in commerce and in politics

having been a senior manager in the travel industry, served for 12

years as a Borough Councillor and is the owner and founder of a

property business in London. She has always been active in the

voluntary sector having been a school governor and a trustee of

a number of charities including Druglink. She is a qualified radio

presenter, producing and presenting current affairs programmes on

local radio.

Professor Rajesh N Gongal is Vice Chancellor of the Patan

Academy of Health Sciences (PAHS) in Kathmandu. He was the

Founding Dean of the School of Medicine of PAHS. He is also the

Founding President of Nepal Ambulance Service. He is the founding

President of Hospice Nepal, the first palliative care centre in Nepal.

He completed a fellowship in palliative care from Northern Ireland

Hospice and Masters in palliative care from Ulster University. With

colleagues, he has pioneered care teaching for doctors, nurses and

rural healthcare workers across Nepal.

1. Swarbrick EM, Pietroni MA, Munday DM. "The Need for Palliative Care in Adults

in Nepal: Projections Based on Modeling Mortality Data" Indian J Palliat Care. 2019

Jan-Mar;25(1):41-45. doi: 10.4103/IJPC.IJPC_177_18. PMID: 30820099; PMCID:

PMC6388614.

2. Krakauer EL, Kane K, Kwete X, et al. "Essential Package of Palliative Care for Women

With Cervical Cancer: Responding to the Suffering of a Highly Vulnerable Population"

JCO Glob Oncol. 2021 Jun;7:873-885.

3. International Agency for Research in Cancer IARC - Nepal. https://gco.iarc.fr/today/data/

factsheets/populations/524-nepal-fact-sheets.pdf Source: Globocan 2020

4. Arora S, Thornton K, Murata G, et al. - Outcomes of treatment for hepatitis C virus infection by

primary care providers. N Engl J Med. 2011;364(23):2199-2207. doi:10.1056/

NEJMoa1009370

5. .Komaromy, M., Ceballos, V., Zurawski, A. et al Extension for Community Healthcare

Outcomes (ECHO): a new model for community health worker training and support. J

Public Health Pol 39, 203-216 (2018). https://doi.org/10.1057/s41271-017-0114-8

References

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