Innovation can improve and expand aspects of end-of-life care in low- and middle-income countries

Mark R. Steedman, Thomas Hughes-Hallett, Felicia Marie Knaul, Alexander Knuth, Omar Shamieh, Ara Darzi

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Provision for end-of-life care around the world is widely variable and often poor, which leads to millions of deaths each year among people without access to essential aspects of care. However, some low- and middle-income countries have improved specific aspects of endof-life care using innovative strategies and approaches such as international partnerships, community-based programs, and philanthropic initiatives. This article reviews the state of current global end-of-life care and examines how innovation has improved end-of-life care in Nigeria, Uganda, India, Bangladesh, Myanmar, and Jordan. Specifically, we examine how opioids have been made more available for the treatment of pain, and how training and education programs have expanded the provision of care to the dying population. Finally, we recommend actions that policy makers and individuals can take to improve end-of-life care, regardless of the income level in a country.

Original languageEnglish (US)
Pages (from-to)1612-1619
Number of pages8
JournalHealth Affairs
Issue number9
StatePublished - 2014
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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