Center: Jonathan Leighton (OPIS) and professors Leonie Claudine Lougué (Minister of Health) and Anne Merriman (Hospice Africa Uganda) at Burkina Faso’s first palliative care conference, co-organized with the General Health Care Access of the Ministry of Health of Burkina Faso. The opening ceremony was chaired by the Minister of Health, sponsored by His Excellency Cardinal Philippe Ouédroago, and His Majesty the Laarlé Naaba Tigré (customary chief). More than 100 people attended. Photo used with permission.
By Martin Lankoandé, Marie N. Ouédroago, Augustin T. Bambara, Carine Bague/Atiou, and Christian W.W. Sapo
Ougadougou, Burkina Faso
Hospice Burkina is proud to share our mid-term experience in palliative care advocacy. Hospice Burkina is the national palliative care association of Burkina Faso, founded in 2017 by aneshesiologist Dr. Martin Lankoandé. Our mission is to implement palliative care. The association brings together palliative care health professionals, both trained and untrained, with volunteers. The Hospice Burkina strategy is anchored to WHO framework building blocks like service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership/governance. We also used the Recommendations from the White Paper for Global Palliative Care Advocacy from PAL-LIFE as a strategic framework.
In 2018, the International Association of Hospice and Palliative Care, with the World Health Organization (WHO), organized an online course on “How to Write a Policy Brief.” Our chosen topic was: public and political awareness of palliative and elderly care in Burkina Faso. The course guided us to complete the table below.
Table: Evidence-based, data-related palliative care barriers in Burkina Faso
|Pillars of palliative care||Aspect||Yes||No|
|Is there a policy on palliative care?||x|
|Is there a pain management policy?||x|
|Is there a geriatric care policy?||x|
|Is there a policy to facilitate access to opioids?||x|
|Laws||Does the Constitution guarantee the right to health care?||x|
|Does the Constitution explicitly provide for the right to palliative care?||x|
|Has the Public Health Code included palliative care in the basket of care?||x|
|Does the Code of Medical Ethics explicitly mention the right to palliative care?||x|
|Is there a law or regulation on palliative care?||x|
|Is there a law against pain?||x|
|Training||Are there any continuing education courses on pain and palliative care?||x|
|Is there initial training on pain and palliative care?||x|
|Are there staff trained in pain and palliative care?||x|
|Palliative care services||Is there suspension oral morphine?||x|
|Is there enough morphine for patients?||x|
|Are there studies assessing palliative care needs?||x|
|Nationwide, are there facilities where palliative care is provided?||x|
One of the recommendations of our policy brief was to organize a national conference, assembling all stakeholders in palliative care delivery. Our request for financial support from the Ministry of Health was unsuccessful. However, by collaborating with the Organization for the Prevention of Intense Suffering (OPIS) (whose vision is to eliminate the preventable suffering of all sentient beings in the world), an online fundraising drive raised €10,000 to help finance a conference, including travel, accommodation, food for participants, security, rental of a venue, and equipment for the meeting. Dr. Marie-Charlotte Bouësseau, of WHO Geneva, and staff of the WHO-Burkina Country Office lent managerial support.
Experts in the field of palliative care and pain came from Uganda, Belgium, France, Cameroon, Benin, Germany, and Switzerland to attend the conference, held in December 2019. National guests included directors of university hospitals, directors of medical faculties and schools of public health, professional organizations, caregivers, and patients. Hospice Burkina organized a home visit during the conference.
Recommendations from the conference included:
The COVID-19 pandemic has delayed implementation of the recommendations; however, there have been many accomplishments to date:
Remaining challenges are the lack of:
Another key challenge is the frequent change of Ministry of Health leadership that entails repetitive efforts at advocacy.
Hospice Burkina’s goal is to encourage the government to assume its share of responsibility by making a lasting commitment to the fight against health-related suffering. Advocacy support from international organizations such as the WHO, and global civil society organizations, such as IAHPC and OPIS, are strengthening our advocacy to promote palliative care integration in Burkina Faso.
More information on OPIS’s collaboration in Burkina Faso.