Publications by authors named "K Nkhoma"
How to deliver person-centred care for people living with heart failure: a multi stakeholder interview study with patients, caregivers and healthcare professionals in Thailand.
BMC Health Serv Res
December 2024
Context: Heart failure has high, growing global prevalence, morbidity and mortality, and is a leading cause of death with serious health-related suffering in low- and middle-income countries. Person-centred care (PCC) is a critical component of high-quality healthcare and is particularly vital in the context of a serious illness such as heart failure. However, there are limited data exploring PCC in this population in low- and middle-income settings.
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- Multimorbidity means having two or more long-lasting health problems at the same time, and it's becoming a big issue for health care around the world.
- A group of 60 researchers from 10 African countries worked together to figure out if the idea of multimorbidity is useful in Africa and how it can be adapted to fit local needs.
- During their workshop, they talked about different perspectives on multimorbidity and came up with new ideas that focus on what people really need and the impact it has on their lives and health systems.
Opioid prescribing for cancer pain in Latin America: systematic review.
BMJ Support Palliat Care
June 2024
Objective: To explore opioid prescribing patterns for cancer pain in Latin America (LA).
Methods: A systematic review was conducted adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Relevant databases, including MEDLINE, EMBASE, PubMed, LILACS and Scielo, were searched from inception to June 2023.
Improving person-centred care for older persons with serious multimorbidity in LMICs.
Afr J Prim Health Care Fam Med
May 2024
Background: Few interventions are documented to meet person-centred needs of older people with serious multimorbidity in low- and middle-income countries where access to palliative care is limited. Most of the care in these settings is delivered by primary care health workers.
Aim: This study reports the development and acceptability testing of a communication skills training and mentorship intervention for primary health care workers in Malawi.
Article Synopsis
- Health-related suffering in low- and middle-income countries is expected to double by 2060, making primary palliative care essential for achieving equitable Universal Health Coverage.
- A systematic review highlighted five main types of primary palliative care delivery, including services offered in clinics, homes, and hospitals, along with the barriers and facilitators for effective implementation.
- Current evidence on primary palliative care in these regions is limited, with a significant portion of literature coming from Asia and southern Africa, indicating a need for tailored approaches that address the unique health system strengths and challenges in low- and middle-income countries.