{"id":54210,"date":"2025-10-29T07:00:00","date_gmt":"2025-10-29T05:00:00","guid":{"rendered":"https:\/\/www.omnesmag.com\/?p=54210"},"modified":"2025-10-28T22:29:25","modified_gmt":"2025-10-28T20:29:25","slug":"more-than-half-the-world-has-no-access-to-palliative-care","status":"publish","type":"post","link":"https:\/\/www.omnesmag.com\/en\/actualidad\/mas-de-la-mitad-del-planeta-no-tiene-acceso-a-cuidados-paliativos\/","title":{"rendered":"More than half of the planet has no access to palliative care"},"content":{"rendered":"

More than half of the world's countries do not have access to basic palliative care services. This is all the more relevant when you consider that health-related suffering will grow by almost 90 percent between now and 2060 if palliative care is not expanded. The problem will be much greater if no action is taken.<\/p>\n\n\n\n

This has been revealed by the World Map of Palliative Care promoted by the Global Palliative Care Observatory \u2018Atlantes\u2019 of the Institute for Culture and Society (ICS) of the University of Navarra. The study, led by Drs. Carlos Centeno and Vilma Tripodoro, includes the first global ranking in this field, with information from 201 countries and territories.\u00a0<\/p>\n\n\n\n

The result shows a worrying map marked by inequality. The countries with the highest levels of socioeconomic development account for the majority of the world's palliative care systems. <\/p>\n\n\n\n

Germany, the Netherlands and Taiwan in the lead<\/strong><\/h2>\n\n\n\n

The ranking, unpublished at the time of publication, is headed by Germany, followed by the Netherlands and Taiwan. At the bottom of the table, ten countries share the last position: Antigua and Barbuda, Mali, Mauritania, Nauru, Niger, St. Kitts and Nevis, St. Vincent and the Grenadines, Suriname, Tuvalu and Yemen. <\/p>\n\n\n\n

\u201cThis is an unprecedented ranking: for the first time there is a worldwide ranking of palliative care with comparative data. And it is not just a static map. It makes it possible to see which country is at the top, who is making progress and who is lagging behind,\u201d the researchers explain.<\/p>\n\n\n\n

Spain, located at the advanced level, ranks 28th, behind Uganda (26th).<\/p>\n\n\n\n

This year's theme, universal access to palliative care.<\/strong><\/h2>\n\n\n\n

The report was published by the scientific journal \u2018Journal of Pain and Symptom Management\u2019, elaborated with a rigorous methodology that follows the parameters of the World Health Organization (WHO), of which \u2018Atlantes\u2019 is a collaborating center. <\/p>\n\n\n\n

It was supported by the Worldwide Hospice Palliative Care Alliance (WHPCA). Its launch coincided with the celebration of World Hospice Palliative Care Day (October 11). This year's theme was \u201cKeeping the Promise: universal access<\/a> to palliative care.<\/p>\n\n\n\n

Six dimensions <\/strong><\/h2>\n\n\n\n

The world map has assessed 14 indicators that allow palliative care to be analyzed in the light of six dimensions: empowerment of society, health policies, research, education, use of essential medicines and provision of palliative care for adults and children. The result allows countries to be classified into four levels of development: emerging (40%), progressing (28%), established (17%) and advanced (14%).<\/p>\n\n\n\n

In general, most countries with a higher human development index (HDI) have the majority of palliative care systems at advanced level 6, and those classified as lower income countries are at the emerging level. However, the cases of Uganda and Thailand, with significant economic constraints, \u201cindicate that political will, local strategies and targeted investment can partially break the structural correlation,\u201d Centeno and Tripodoro note.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

More than 3 million people in the Eastern Mediterranean suffer from<\/strong><\/h2>\n\n\n\n

On the other hand, the Atlas of Advances in Palliative Care in Eastern Mediterranean Countries 2025, prepared by Atlantes, has analyzed the 22 countries that comprise the region. From Afghanistan or Bahrain, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon or Libya, to Morocco, Oman, Pakistan, Qatar, Saudi Arabia, Sudan, Syria, Tunisia, United Arab Emirates or Yemen.<\/p>\n\n\n\n

In this vast Eastern Mediterranean region, 3.2 million people experience health-related suffering requiring palliative care each year, including around 300,000 children.\u00a0<\/p>\n\n\n\n

Main causes of suffering<\/strong> serious<\/strong><\/h2>\n\n\n\n

In the so-called Eastern Mediterranean, the main causes of serious health-related suffering are cancer, cerebrovascular diseases, premature births, severe injuries and liver problems. To alleviate these ailments, a total of 258 specialized palliative care services are available in the region. Only in Kuwait and Saudi Arabia are these services offered systematically. <\/p>\n\n\n\n

On average, there are 0.04 services per 100,000 inhabitants, well below international standards. The World Health Organization recommends 2 services per 100,000 inhabitants.<\/p>\n\n\n\n

On the other hand, access to essential medicines remains unequal. Seven countries offer essential medicines in urban primary care centers. Of these, only Saudi Arabia, the United Arab Emirates and Tunisia have immediate-release oral morphine available on a regular basis.<\/p>","protected":false},"excerpt":{"rendered":"

M\u00e1s de la mitad de los pa\u00edses del mundo no tiene acceso a servicios b\u00e1sicos de cuidados paliativos. El dato es m\u00e1s relevante si se tiene en cuenta que el sufrimiento relacionado con la salud crecer\u00e1 casi un 90 por ciento desde hoy a 2060 si no se ampl\u00edan los cuidados paliativos. El problema ser\u00e1 […]<\/p>\n","protected":false},"author":2425,"featured_media":54213,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[36,46],"tags":[],"class_list":["post-54210","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualidad","category-mundo"],"yoast_head":"\nM\u00e1s de la mitad del planeta no tiene acceso a cuidados paliativos<\/title>\n<meta name=\"description\" content=\"Octubre ha sido un mes preocupante para los cuidados paliativos. 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