Access to Chronic disease care in Ethiopia is so poor that patients who present usually may be quite advanced with one or several complications that result in major disabilities. As a consequence of this Palliative care is becoming increasingly important in Chronic care. Training in Palliative care skills at hospitals in Addis Ababa in collaboration with Hospice Ethiopia is one of Dr Yoseph's contributions at the Ministry of Health, which is not expected to expand to hospitals outside Addis Ababa as well. We delivery training to physicians and nurses to be able to manage pain in patients with chronic disease.
A.F. is a 30 years old woman who was diagnosed with Kaposi sarcoma related to immune-compromising disease. She has developed severe neuropathic pain and was shouting day and night with severe pain. She was referred from the eastern major town of Harar. She travelled with a devoted husband who went to any lengths, even if traveling 500 km to the capital Addis Ababa. The couple had to travel with their 3 years old son, as there was no one to take care of him. After few days of focused pain management with round the clock administration of adjuvants pain was well controlled she went back home to follow up.
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