Rolling out Palliative Care in Tanzania using Mentorship and the

Palliative Care Toolkit

Dr Karilyn CollinsOctober 29th 2010

2nd International palliative care awareness and

training seminar

MUHEZA HOSPICE CARE founded 2001

Diana Centre opened in 2003

Mentors

• All Volunteers.• Had a background of

palliative care.• Found own funding.• Planned up to 2 years in

advance• Took unpaid leave.• Spent 3 – 6 months

with their team.

Trial of Toolkit training manualTanga November 2008

All Mentors teaching from the same book with same training manual

Training of Multidisciplinary Team using Toolkit and Training Manual

Ensure availability of Morphine

Send Mentor to work with team

Build community links

Help team train community volunteers in Kiswahili

Help team gain confidence in use of morphine

First Tanga Regional Palliative Care Meeting February 2010

Tearfund February 2009

Geita

Shirati

Shinyanga

Tearfund Toolkit Training November 2009

Bugando Hospital Training September 2010

Advantages of Mentorship with toolkit

• All using Toolkit, no variation in teaching

• Confidence of team with morphine.

• Ability to get into the community and make necessary links.

• Ownership of team.

• Continuity of personal contact after mentoring on site.

• Fund raising.

• Feeling of achievement.

Disadvantages and difficulties of Mentorship

• Lack of Supervision of Mentors.

• Culture shock.

• Appropriate qualification of Mentor

• Recruiting suitable Mentors.

• Funding.

Way Forward ??• Mentorship as part of an

academic qualification.

• Agency to recruit and monitor mentors

• 3months mentorship as a recognised part of SP reg. training.

• ?? suggestions

Thank You for Listening