From the President’s Desk
Dear Members and Friends.
The year 2017 has gone and we welcome 2018 with hope. The Centre for Palliative Care, Nigeria (CPCN) development in the last twelve years has been relatively progressive despite the challenges.
In the past few years we continued with our collaborative ventures with the University College Hospital (UCH), Hospice and Palliative Care Unit, the first of its kind in Nigeria. This Unit became a full hospital department in — 2017. CPCN made itself more visible at both the local, national and international levels in the area of clinical service, especially in the provisionof Home Based Care and Care of children with life limiting illnesses. WithCPCN assistance, the UCH unit has become a viable Centre for clinical attachment and internship for both undergraduate and post graduate students from Nigeria and other countries. Members of CPCN continued to be key resource persons and committee members of the national ‘Pain free Hospital Initiative’ (PFHI), a project of the American Cancer Society in which UCH is one of the first four participating Federal Government Hospitals.
Our organization, keeps receiving referrals of patients requiring palliative care including those returning home from developed countries of the world. Our client’s emotional, practical and spiritual needs were addressed while the less privileged families were supported through the challenges of grief, illnesses and end of life free of charge. We believe in Universal Health Coverage (UHC), a target of the Global Goal for Health. Hospice and PC services, with an important aim to relieve suffering and to improve quality of life for adults and children affected by life threatening and life limiting illnesses.
Our partnership with some organizations were strengthened through visitation such as my visit to Hospice Orlando, Florida in September 2015, We look forward to more years of fruitful collaborations and networking. The organization is forging ahead with its local partnerships in moving palliative care to the community level and country at large.
We rely heavily on support from all our members, wonderful friends and look forward to the continuity of such in 2018.
“CPCN – Mission in Progress”
Below are highlights of some of the the progress made from 2013:
- Purchase of a landed property in the second half of 2013 at a serene environment in Apete Alapata village, an extension of Ido Local Government Area, Ibadan, Oyo State.
- The implemention of a project in 2015 with Ibadan SE local government,was part of our mission to extend Pallitive Care Services into the Primary Health Care Level. This singular project assisted in moving towards our goal of incoporating Palliative Care into the Naional Health Sytem and Provision of Quality Care to those with life limiting illinessesin both urban and rural areas.
- The development of a building plan for the purchased land and submission of same to Oyo State Bureau Of Physical Plannning And Development :Control (OSBOPPADC) for approval. The site building plan had been approved by Oyo-State Government.
The progress so far made were indicators towards the actualisation of our mission to institutionalise CPCN by erecting a model Hospice in a serene environment.
We look forward to the foundation laying in 2018 and hereby appreciate those on board, members and friends for their concern and interest which contributed greatly to the systematic progress being experienced now at the CPCN
Prof. Olaitan Soyannwo (MBBS, DA, FWACS, FICS, FWACS, FAS)
Dr Adeniyi Adenipekun
Adegboye Oluwatoyin Mopelola
CPCN ACTIVITIES IN REVIEW(2013-2017)
The organisation’s advocacy programmes were collaboratively performed with the Hospice and Palliative Care Unit, UCH. They are:
- The Ibadan South–East local Government, Oyo-State advocacy program: This was implemented a year project funded by the True Colours on the 4th August 2015.The Sensitization workshop was designed for the gatekeepers of the Local Government Area.Participants: key Community Leaders; Faith Based Organizations Workers plus National Youth Service Corps members posted to the LGA. Bearing in mind that “knowledge is powerful”The Community at large was enlightened and educated on Hospice and Palliative Care related issues and how to access appropriate services. This was the first of it kind at the Primary Health Care Level in Oyo-State..
- CPCN Specialist Clinic in 2016: Upon the opening of the clinic,, an awarness and sentizitation programm was held on 12th April, 2016 to make CPCN presence known to the Community and its environs. Parcitipants were from the Ibadan North LGA, Primary Health Care Unit (PHC); Ibadan North-.West PHC; the Bashorun Market leaders, Community leaders from the Environment plus the Afuleyin residents’ Association. It was a very educative and enlightening program as the participants made useful contributions towards the growth of the clinic within the environs.
- Participation in the World Hospice and Palliative Care Days: Within the period under review our activities were quite interesting and unique.
- 2013 World Hospice day theme: “Challenges in Achieving Universal Coverage in Palliative Care and Dispelling the Myths in Nigeria.’’In view of the theme, CPCN and UCH Hospice and Palliative Care Unit designed a unique activity which was grand rounds within some medical departments of the University College Hospital. The departments are: Family medicine, Radiotherapy, Obstetrics & Gynecology ; Medicine; Pediatrics, Surgery and Haematology. Other activities were on prints and electronic media for wider coverage. The KEY identified Clinical Challenges and Myth militating against universal coverage and achievement in Nigeria were
- Lack of political will by the Government
- Poor awareness of Palliative Care
- Late referral of patient to palliative care
- Inadequate Palliative Care practitioners
- Palliative care is for patient about to die
- Palliative care is only about pain and physical symtoms
- Fear of morphine addiction
- Myth on Hopsice and Palliative Care.
- 2014 World Hospice and Palliative Care Day theme:” WHO CARES ?’The day’s program took off with a Radio discussion on Diamond FM Radio,University of Ibadan.Thereafter, staff of the Diamond FM UI followed the team to one of the bigger markets called Oja-Oba in the core of Ibadan city. Here, the market members were educated, enlightened and offered free medical check-up. The day’s activities were aired for the general masses on the local radio stations in Ibadan Oyo State.
- 2015,World Hopsice Day theme-‘Hidden Lives, Hidden Patients “This took the team to the State Prison yard (i.e. Agodi Prison Yard Ibadan). Both the prison staff and inmate were sensitized on what they need to know about Palliative Care Services and Palliative Care for the inmates. It was an eye opener to the set of people as it was the first of its kind in the State. Forty-four (44)Prison staff including the Deputy Commander of the prision attended the workshop while, 200 prision inmateswere reached with care and services. Beneficiaries were those with various ailments needing palliatve care and with other common life limiting diseases ( e.g. cancer – breast/ prostrate; hpyertension; diabetes mellitus; bronchal asthma; sickle cell disease) etc. It was a memorable day with a huge success.
- 2016 World Hospice and Palliative Care Day Theme:“ Living and Dying in Pain – It Does Not Have To Happen”focus was on Hospital Wardswithin the University Colllege Hospital. The team concentrated on adovocay and awarness programs in some selected wards. The activities enlightened, strengthened and increased both health and non health professionals knowledge on: What Is Palliaitve Care;Who Needs Palliative Care and When To Transfer Patients for Pallitive Care Treatment.A media confrences was held to enlighten the community at large.
- 2017 World Hospice and Palliative Care Day theme: ’’Universal Health Coverage and Palliative Care– Don’t Leave Those Suffering Behind” was a two-day programme between the 12th and 13th of october 2017. CPCN, in collaboration with UCH Hospice Unit, celebrated the World Hospice and palliaitve care day by highlighting issues relating to the theme:
DAY 1: Outreach activities were held at Aleshinloye market LGA, Oyo State fire service office. Free medical examinations,
Bloodsugar test, pap smear and dental care were provided to the market people .
DAY 2 : Members held jumble sales at Non Academic Staff Union car parked UCH Ibadan. The aim was to raise fund for
patients who are unable to purchase their drugs and some other needs.
DEVELOPMENT AND CAPACITY BUILDING PROGRAM
“ knowledge is powerful” CPCN never relented in its efforts for impacting knowledge to interested individual(s) or group(s) on Palliative Care related issues and how to access appropriate services. Between June 2013 and 2017 CPCN embarked on under listed programmes for increased in knowledge and skills.
- In 2015 twenty(20) keys health professions from 12 wards within the Ibadan South –East Local Government Area, Oyo State had one week introduction training on Palliative Care and Services. Funding was from the true colors small grant through APACA on a project titled “ Integrating Palliative Care Services in Oyo-State health Care System at the Community Level”. The one week training program was structured to sensitize, enlighten and educate the group of professionals on Hospice and Palliative Care Services related issues plus how to identify as well as access care services including symptoms of those with chronic illness.
- A three days introductory training was conducted for 3 interested individuals as carers at the CPCN newly opened Specialist Clinic, Bashorun.
- A Palliative care “ Start –up” program was organized and conducted for interested members and staff of the Olabisi Onabanjo University Teaching Hospital (OOUTH) Ogun State in may 2016. A total of 58 health professionals (Medical doctors, Nurses, Pharmacists, Physiotherapists, Dietitian, medical social scientists etc.)had an introduction training on how to apply principles of palliative care practice as well as function as a team. The programme activities ended with the inauguration of the palliative care team at the Teaching Hospital.
- Some CPCN members attended conferences which provided them opportunities for paper presentations and enlightenment. It also added to their knowledge through experience sharing with colleagues from other institutions.
In the same view some members had oppurtunities to add to their knowledge through update trainings e.g first & masters degrees courses in Palliative Care.(please list)
CPCN LANDED PROPERTY
Towards the end of year 2013, CPCN purchased a land located around Apete Alapata village extension, Ido Local Government Area, Ibadan, Oyo State. The architectural and engineering drawings were desIgned for the development of the land. The site plan had been approved. We look forwards to seeing the erection of the approved plan building in 2018.
However, the molding of 10,000 blocks is in progress. It is our dream to move into the permanent building within the next 24 months. This will surely come to reality with the cooperation of you our friends and partners in progress.
- The center for palliative care Nigeria at Bashorun Ibadan, Oyo-State was opened with the new of being closer to the community where in the majority needing our care reside. Upon the opening, CPCN embacked on home-visit services. Though this care and services to seven(7) patients ; four(4)were referred according to their demands and needs even at For now, the patronage is low because the term “Palliative Care services ” is relatively new t o Nigerian medical services at all levels of health care. This is a big challenge, but it is only matter of time.
- The specialist clinic had been equiped with the aprroprate equipment and clinic instruments. These were well documented for record purpose. During the period about four patinets were seen.
We look forward to more patronage in 2018, now that Palliative Care services is being promoted in Nigeria.