Policies on Palliative Care in Different Parts of the World

  • Richard HardingEmail author
  • Katherine Bristowe
  • Julia Downing
  • Liz Gwyther
  • Emmanuel Luyirika
  • Michelle Meiring
  • Mpho Ratshikana-Moloko
Reference work entry


The WHO public health strategy for palliative care requires enabling policy as one of its three key pillars (alongside drug availability and education) (Department of Health 2003). A major recent driver of palliative care as a core component of health systems around the world has been the World Health Assembly Resolution on Palliative Care (Department of Health 2008a). Expansion of access to appropriate, high-quality of palliative care for adults and children irrespective of country will require the emerging field of global health palliative care research (Department of Health 2008b) to inform the WHO public health strategy. In recent years, we have also greatly increased the evidence base which underpins and supports appropriate policy (Economist Intelligence Unit 2015). In this chapter, we draw on recent policy developments from different parts of the world: from the birthplace of the modern palliative care movement, the UK; from South Africa, which has promoted a strong model of advocacy, provider networks, and academia; from Southern and Eastern Africa, which have advanced policy and provision rapidly in recent years; and lastly from the field of pediatric palliative care, which has specific policy considerations.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Richard Harding
    • 6
    Email author
  • Katherine Bristowe
    • 1
  • Julia Downing
    • 2
  • Liz Gwyther
    • 3
  • Emmanuel Luyirika
    • 4
  • Michelle Meiring
    • 3
  • Mpho Ratshikana-Moloko
    • 5
  1. 1.King’s College LondonCicely Saunders institute of Palliative Care, Policy and RehabilitationLondonUK
  2. 2.International Children’s Palliative Care NetworkDurbanSouth Africa
  3. 3.School of Public Health and Family MedicineUniversity of Cape Town and Hospice Palliative Care Association of South AfricaCape TownSouth Africa
  4. 4.African Palliative Care AssociationKampalaUganda
  5. 5.University of the WitswatersrandJohannesburgSouth Africa
  6. 6.Cicely Saunders Institute, Department of Palliative Care Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative care, King’s College LondonLondonUK

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