Daniels, Chux;
Steenmans, Ine;
Makene, Fortunata Songora;
Ngilangwa, Richard;
Ngoma, Twalib;
Santos, Cristina;
Mackintosh, Maureen;
(2024)
Innovation and Policy in Cancer Pain Management: Systemic Interactions in Tanzania.
In: Banda, Geoffrey and Mackintosh, Maureen and Njeru, Mercy Karimi and Makene, Fortunata Songora and Srivinas, Smita, (eds.)
Cancer Care in Pandemic Times: Building Inclusive Local Health Security in Africa and India.
(pp. 265-287).
Palgrave Macmillan: Cham, Switzerland.
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Abstract
In contrast to India, Tanzania imports all its opiate medication, yet there too, need is unmet. This chapter reports findings from a sustained collaborative effort in Tanzania to understand the roots of undertreatment of severe cancer pain. It analyses the complex sources of this cancer care failure, contrasting the Tanzanian situation to the Ugandan experience of providing more widespread access to opiate medication for severe pain. The chapter describes findings from multi-sectoral and multi-disciplinary workshops in Tanzania, documenting critical causal feedback loops that generate sustained undertreatment of severe pain, and identifies innovations that could turn this outcome around.
| Type: | Book chapter |
|---|---|
| Title: | Innovation and Policy in Cancer Pain Management: Systemic Interactions in Tanzania |
| ISBN-13: | 978-3-031-44122-6 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/978-3-031-44123-3 |
| Publisher version: | https://doi.org/10.1007/978-3-031-44123-3_12 |
| Language: | English |
| Additional information: | This chapter is licensed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this chapter are included in the chapter's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the chapter's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > STEaPP |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10185887 |
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