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Global Health

About us

Global Health at the Cicely Saunders Institute

Our global health programme is delivering on our goal of evidence-based palliative care for all (in partnership with Cicely Sanders International). It is a cross-cutting programme that brings together our expertise in outcome measurement (particularly POS), cancer and non-cancer care (particularly HIV and heart failure), culture and ethnicity, spiritual care, and intervention development and testing.

Our global programme spans Africa, Australasia, the Americas, and Europe. Our partnerships and evidence are strengthened by a multi-disciplinary approach including anthropology, medicine, epidemiology, philosophy, nursing science and health economics.

The Department is highly committed to the global development of research capacity, activity and evidence in the quest to expand quality palliative care. We have many international links and a very active research programme in resource-poor countries. A large programme of work is being conducted in Sub-Saharan Africa, involving providers in six countries as well as advocacy bodies such as APCA (African Palliative Care Association), HPCA (Hospice Palliative Care Association of South Africa) NHPCO (National Hospice and Palliative Care Organization), SOROS and the Diana Fund.

Our African work  has also included the ENCOMPASS project in South Africa and Uganda, funded by the UK BIG Lottery, to validate an African Palliative Outcome Scale (with the APCA) and move into audit cycles.
Other projects have included:

  • a study of dying of HIV in Soweto
  • a census of palliative care needs in Tanzania
  • a study to measure pediatric antiretroviral therapy outcomes under specialist palliative care in South Africa
  • an evaluation of the pioneering Ugandan Public Health opioid roll-out.

Previous research in the department involved the development of guidance from the World Health Organization on palliative care, various collaborations with research teams from other European countries (e.g. Italy, Ireland) and the USA looking at place of death, and work with patients from ethnic minorities such as the Caribbean community in London.
Current international research includes:

  • a research project into breathlessness conducted both in the UK and Germany
  • a project in Portugal looking at the role of the media on public education about palliative care
  • an evaluation of pain measurement in Cambodia and Thailand

A needs assessment methodology is being developed to be used globally and a Churchill fellowship was granted to work with an Indian palliative care service to research the use of yoga and meditation at the end of life. The development of an evidence base, education for clinicians and a tool validation in Cuba and Argentina are also underway.


The work of the department is regularly presented at international conferences.  We frequently receive researchers from overseas, through visiting fellowships, and as speakers at our seminar programme. Our MSc in Palliative Care is strong in international perspectives and nearly a third who have successfully completed the MSc are from outside the United Kingdom. These countries include the USA, Germany, Holland, Italy, Switzerland, Taiwan, Japan, Iceland, Norway, Ireland, Portugal and India to mention only a few.

Reports from our international projects, are in our Key Reports section.

Our global health programme is delivering on our goal of evidence-based palliative care for all (in partnership with Cicely Sanders International). It is a cross-cutting programme that brings together our expertise in outcome measurement (particularly POS), cancer and non-cancer care (particularly HIV and heart failure), culture and ethnicity, spiritual care, and intervention development and testing. Our global programme spans Africa, Australasia, the Americas, and Europe. Our partnerships and evidence are strengthened by a multi-disciplinary approach including anthropology, medicine, epidemiology, philosophy, nursing science and health economics.

Partnerships

The Cicely Saunders Institute holds many research collaborations with other academics and departments in both palliative care and rehabilitation, both within and outside the UK.

We work closely with other organisations such as Cicely Saunders International and the World Health Organisation (WHO).

Since 2008, we have been a WHO Collaborating Centre for Palliative Care and Older People. Find out more about our WHO studies and reports.

The Department also participated in the Compass Collaborative, an NCRI Supportive and Palliative Care Research Collaborative and continues to host a monthly seminar series here at the Institute. 
Please see our resources and publications for results of these collaborations.

International collaborations

Researchers in the Cicely Saunders Institute has many international collaborations with other academics, clinicians and patient led groups. Our researchers co-ordinate and participate in several research collaborations and networks in Europe, across Africa, in Australasia and the Americas.

We are committed to the global development of capacity, activity and evidence in the quest to expand quality palliative care and rehabilitation and to help policy makers. 

Our projects include the co-ordination of PRISMA, a Europe-wide research collaborative of partners in Europe and Africa which seeks to improve measures and outcomes for patients and families. For further information on our range of collborations, please see key studies.

For more information on Indiviudual collaborations and partnerships, please see our team member profiles.

 

 

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