Exploring patients, family and providers’ attitude, experiences and practices on palliative care among colorectal cancer patients in Dar es salaam, Tanzania.

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Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
The University of Dodoma
Abstract
The need for palliative care services is critical everywhere due to the sharp rise in cancer-related illnesses including colorectal cancer that cause terminal sickness. Despite the urgent need for palliative care, Tanzania's palliative care services are still not up to par, which continues to endanger the lives of terminal patients everywhere. Palliative care is inadequately practiced, experienced and perceived by healthcare providers, patients, and families in Tanzania and no improvements have been made. To explore patients, families and providers’ attitudes, experiences and practice in palliative care among colorectal cancer patients in Dar es Salaam, Tanzania. This study used grounded theory with qualitative design to generate theory from the analysed data. The sample of this study were determined by saturation and interrogated by using 18 participants in depth interviews and 12 participants in focus group discussions. The practice of palliative care services in Tanzania among healthcare workers was noted to be unsatisfactory attributed by inadequate palliative care training, missing of palliative tools and unavailability of enough health care providers. There was variation of palliative care experience to patients ranging to positive experience attributed to care given by health care givers while other had negative that attributed by being neglected, isolated and low economic status of the family. Patient’s attitude towards palliative care varies with poor attitude contributed by past experience in seeking care. On the other hand, some patients had positive attitude due to perceived satisfaction for care received during their past visit to health care facilities. The results of this study show that a variety of factors, including lack of trained staff, lack of Standard Operating Procedures and guidelines, family's low socioeconomic status, lack of medical equipments, and the patient's prior treatment history, affect the experience, attitude, and practices of palliative care. Therefore in order to strengthen palliative care in Tertiary hospital in Tanzania we recommend; 1) To facilitate the provision of palliative care, the palliative care unit should be fully operational and furnished with skilled medical professionals such as doctors, palliative nurses, and other paramedics, 2) Provision of medical equipment and palliative care tools, 3) Use of developed theory and provision of psychosocial support and spiritual care.
Description
Master`s dissertation (Public Health)
Keywords
Tanzania, Palliative care, Colorectal cancer patients, Colorectal cancer, Cancer patients, Palliative care experience, Palliative care practice, Patients
Citation
Kajungu, A. (2022). Exploring patients, family and providers’ attitude, experiences and practices on palliative care among colorectal cancer patients in Dar es salaam, Tanzania (Master dissertation). The University of Dodoma, Dodoma.