DOCSLIB.ORG

A Review of Donor Organisations That Support Palliative Care Development in Five World Regions

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Review of Donor Organisations That Support Palliative Care Development in Five World Regions A review of donor organisations that support palliative care development in five world regions A report prepared for the Open Society Institute Michael Wright, Thomas Lynch, David Clark International Observatory on End of Life Care Lancaster, 2008 Address for communication: The Revd Dr Michael Wright International Observatory on End of Life Care Institute for Health Research Lancaster University Lancaster LA1 4YT United Kingdom Email: [email protected] Contents Tables Executive summary i Introduction: aim, objectives and methods of the review 1 Results 5 Donor activity Indicative examples by type of organisation 8 Multilateral 8 Bilateral 9 Humanitarian 12 Faith-based 16 Business 17 Hospice support groups 18 International/ national associations 20 Discussion 22 Conclusions and recommendations 24 Directory of Funding Organisations 25 All regions 25 Africa 34 Central and Eastern Europe and the Commonwealth of Independent States 38 Latin America 42 Middle East 43 Central, South and East Asia 44 India 46 China 47 References 48 Tables Table 1 Information requested from donors identified in the scoping exercise 3 Table 2 Inclusion/ exclusion criteria 4 Table 3 Limitations to the project 5 Table 4 Typology of donor organisations 6 Table 5 Total palliative care donors by type 7 Table 6 Palliative care donors by region of activity 7 Table 7 Global Fund grants awarded to proposals that include palliative care: indicative examples 9 Table 8 Palliative care initiatives among PEPFAR prime partners 11 Table 9 Funding activity: the International Palliative Care Initiative 13 Table 10 Funding activity: the Diana, Princess of Wales Memorial Fund 14 Table 11 Funding activity (2006-7): Hospice Care Kenya 18 Table 12 Hospice of Hope Romania: Income 2005 and 2006 19 Table 13 Funding activity: Help the Hospices 20 Executive Summary Although some palliative care funders are well known and have a relatively high profile, many are not. Consequently, those seeking to promote and sustain palliative care initiatives lack a rigorous guide to funding bodies, together with information about their criteria for support and terms of reference. A growing demand for information from the philanthropic community, governmental policy makers, multilateral agencies and non- governmental organisations has created the need for an informed overview of the current state of global palliative care funding. This report provides the first review of such funding from all sectors of philanthropy including private and community foundations, public charities and corporate grant making. Aim, Objectives and Method The overarching aim of this project is to identify national and international donors that support hospice and palliative care activities in Africa; Eastern Europe and the Commonwealth of Independent States; Central, South and East Asia; Latin America and the Caribbean; and the Middle East. Our objectives are: 1) To conduct a scoping exercise and develop an initial analysis of palliative care donors worldwide. 2) To undertake an electronic survey of identified donors to determine items such as funding range, programme area, disease category and bidding process. 3) To enhance the list of identified donors by a search of electronic and paper sources. 4) To construct a directory of identified funders in Africa; Central, Southern and Eastern Asia; Central and Eastern Europe and the Commonwealth of Independent States; Latin America and Caribbean; and the Middle East. A mixed-method design was adopted which included: a scoping exercise and global survey of ‘key informants’; a synthesis of evidence from electronic databases, published and grey literature, hospice newsletters and an EAPC Task Force; an electronic survey of identified donors. Results We found 354 donor organisations are active in our five target regions. i As we analysed the organisations’ similarities and differences, an 8-category typology emerged which provides a short-hand guide to their nature and composition. Among a group such as this, overlapping features are inevitable, especially when each body is involved in a similar activity: the donation of funds to support palliative care development. Nevertheless, we consider there are significant differences between these groups and the draft typology helps illuminate the activity on the ground. The donors are grouped under the following categories and definitions: 1) ‘Multilateral’: a body which incorporates the governments of multiple countries working together. 2) ‘Bilateral’: a national government that partners with another country. 3) ‘Humanitarian’: an organisation that promotes human welfare and alleviates suffering. 4) ‘Faith-based’: a body prompted to action by an obligation to its religious or spiritual tenets. 5) ‘Business’: an organisation engaged in commerce, manufacturing or a service designed to generate profit. 6) ‘Hospice support’: an existing hospice organisation that provides funding to a developing hospice or an organisation specifically founded to fulfil such a purpose. Typology of donor organisations, with examples Organisation Examples 1 Multilateral World Bank, United Nations 2 Bilateral United States Agency for International Development Irish AID 3 Humanitarian Li Ka Shing Foundation Red Cross 4 Faith-based American Jewish Joint Distribution Committee Scottish Catholic International Aid Fund 5 Business AngloGold Ashanti Rolls Royce India 6 Hospice Support Friends of Swaziland Hospice St Petersburg Healthcare Trust 7 Association (Nat/ Intl) International Association of Hospice and Palliative Care European Society of Medical Oncology 8 Other European School of Oncology North South Development Trust ii 7) ‘Association’: an organised group or society that is engaged in the promotion and development of palliative care at the national and/or international level. 8) ‘Other’: donors that either fall outside of categories 1 to 7 or about which we have insufficient information to categorise them at present. Among the eight categories of donors, the Humanitarian group is the largest with 124 (35%) organisations whereas the Multilateral group is the smallest with 9 (3%). Total palliative care donors by type Organisation N % 1 Multilateral 9 3 2 Bilateral 32 9 3 Humanitarian 124 35 4 Faith-based 71 20 5 Business 53 15 6 Hospice Support 33 9 7 Association (Int/ Nat) 22 6 8 Other 10 3 Total 354 100 An analysis of each group’s area of activity shows that most donor organisations are active in CEE/ CIS (157; 44%) followed next by Africa (141; 40%). Only 22 (6%) are active in Latin America and the Caribbean and 19 (5%) in the Middle East. Palliative care donors by region of activity Organisation Region Country CEE/CIS Africa CSE Asia Lat America Middle East India China +Caribbean 1 Multilateral 6 6 3 1 1 0 0 2 Bilateral 14 19 4 4 2 1 0 3 Humanitarian 52 54 30 4 4 14 3 4 Faith-based 29 27 16 4 3 9 0 5 Business 18 21 12 3 2 12 0 6 Hospice Support 17 9 5 0 2 2 1 7 Association (Int/ Nat) 14 5 5 4 5 4 1 8 Other 7 0 1 2 0 1 0 Total 157 141 76 22 19 43 5 % donors (n=354) 44% 40% 21% 6% 5% 12% 1% iii Conclusions and recommendations The number of donors and their areas of activity indicate that, around the world, many palliative care developments are dependent on third party funding. Yet while funding initiatives are occurring globally, in disparate regions, these are disproportionate and mostly concentrated in Central and Eastern Europe and the Commonwealth of Independent States, and Africa. Against a background of perceived reticence on the part of some donors and grant- recipients to divulge funding information, and in the absence of a global register, there is a lack of knowledge about the number and type of palliative care donors, the regions where they operate and the priorities they address. Greater understanding of the variety of donors and their areas of interest may lead to a more strategic approach to palliative care development on the part of both donors and grant-seekers, especially in resource poor regions of the world. We recommend: 1) The development and maintenance of a global register of international hospice and palliative care donors. 2) An awareness-raising campaign to focus attention on worldwide need and the disproportionate activity of donors. 3) The distribution of a position paper to help advocate for funding. 4) An accessible explanation of palliative care and ‘glossary of terms’ for funders. 5) A more detailed review of funding activity and palliative care development in China. 6) Further in-depth study of the hospice and palliative care donors globally, including in-depth interviews with key figures to test out and explore some of the issues identified in this report. iv Introduction Against the backdrop of a growing and ageing global population, around 10 million new patients with cancer die within a year of their diagnosis and three million people each year die from AIDS. And of the 58 million who die annually around the world, an estimated 60 per cent would benefit from palliative care.1 Consequently, governments are beginning to acknowledge the drive for universal access to hospice palliative care services. With just a few exceptions, palliative care provision in developing countries is not incorporated into the national health care system and continues to remain inadequately resourced and relatively limited in its impact. In some cases, this may partly be due to a lack of political will. But in resource poor settings, the levels of funding needed to cover essential palliative care services are usually beyond a country’s means. As a result, there is sparse allocation of public funds or institutional resources and often no reimbursement through health insurance programmes2 - which means that non-governmental organisations (NGOs) and hard-pressed individuals and groups within public services may be the key drivers of development and change. Importantly, these providers are often dependent on funds from a variety of external sources to catalyse support for palliative care programmes, new initiatives and campaigns.
Load more

Recommended publications
  • 1829 (04 Chapter 3).Indd
    3 A challenge in Russia ‘We were being given the run-around because some people didn’t like the idea of a hospice, while others were trying to get their hands on a project which they saw as a way to wheedle money and goods out of the West.’ Victor Zorza Changing times After Nikita Khrushchev2 fell from power in 1964, Brezhnev had invested heavily in defence, allowing the country to orza was astonished. To be allowed into Russia beggared stagnate economically. Freedom of expression was limited, belief. For years the Party hierarchy had been irritated religion was suppressed and dissenting voices were silenced. by his analysis of East-West relations, published world- Z And outside of Russia, the ‘Brezhnev doctrine’ legitimised the wide in his newspaper column, Communist World. For all use of force to prevent its allies turning away from Commu- that, his visa application had been granted. nism. As his plane touched down in Moscow en route from When Mikhail Gorbachev3 became general secretary in India to England, he wondered what he would find. His last 1985, he inherited a daunting range of problems. Priorities at memory of Russia was of crossing into Persia (Iran) in the home centred on the waste of resources, widespread poverty spring of 1942, more than 46 years earlier. Then, he was and endemic corruption. Abroad, the war in Afghanistan had with his compatriots, Polish civilians and military personnel, become exhausting. He writes: released from Soviet labour camps after Stalin’s amnesty the previous year. They were difficult times for an impressionable By the mid-1980s our society resembled a steam boiler.
    [Show full text]
  • Freedom in the World 1982 Complete Book — Download
    Freedom in the World Political Rights and Civil Liberties 1982 A FREEDOM HOUSE BOOK Greenwood Press issues the Freedom House series "Studies in Freedom" in addition to the Freedom House yearbook Freedom in the World. Strategies for the 1980s: Lessons of Cuba, Vietnam, and Afghanistan by Philip van Slyck. Studies in Freedom, Number 1 Freedom in the World Political Rights and Civil Liberties 1982 Raymond D. Gastil With Essays by Charles R. Beitz Jeffrey M. Riedinger Grace Goodell Leonard R. Sussman Stephen J. Morris George Weigel John P. Powelson Lindsay M. Wright Roy L. Prosterman GREENWOOD PRESS Westport, Connecticut • London, England Copyright © 1982 by Freedom House, Inc. Freedom House, 20 West 40th Street, New York, New York 10018 All rights reserved. No portion of this book may be reproduced, by any process or technique, without the express written consent of the publisher. ISBN: 0-313-23178-8 First published in 1982 Greenwood Press A division of Congressional Information Service, Inc. 88 Post Road West Westport, Connecticut 06881 Printed in the United States of America 10 987654321 Contents MAP AND TABLES vii PREFACE ix PART I. THE SURVEY IN 1982 Freedom in the Comparative Survey 3 Survey Ratings and Tables for 1982 9 PART II. ANALYZING SPECIFIC CIVIL LIBERTIES A Comparative Survey of Economic Freedoms Lindsay M. Wright 51 Worker Freedoms in Latin America 91 The Continuing Struggle for Freedom of Information Leonard R. Sussman 101 A Preliminary Examination of Religious Freedom George Weigel 121 PART III. DEMOCRACY AND DEVELOPMENT Democracy in Developing Societies Charles R. Beitz 145 The Democratic Prerequisites of Development Grace Goodell and John P.
    [Show full text]
  • Models of Hospice and Palliative Care in Resource Poor Countries
    Models of hospice and palliative care in resource poor countries: issues and opportunities by Michael Wright, International Observatory on End of Life Care, Institute for Health Research, Lancaster University, UK Preface Hospice and palliative care is delivered in various shapes and forms. For example, it can be delivered at home, in hospital, in a hospice, and in a day-care facility or nursing home. The management committee of the UK forum for hospice and palliative care worldwide asked Help the Hospices to commission Michael Wright to review how this delivery is occurring in Africa and Eastern Europe. Help the Hospices was fortunate to have someone of Michael's calibre and experience tackling this issue. We recognise that we have benefited from knowledge gained by the International Observatory on End of Life Care (now at the University of Lancaster). The Observatory has recently received grants from the Diana, Princess of Wales Memorial Fund and the US based Open Society Institute to review services in Africa and Eastern Europe respectively. Their website in particular makes fascinating reading - see http://www.eolc-observatory.net/. Michael's reflections in this paper helps us to understand how hospice and palliative care is an approach "without walls", often structured in ways markedly different from services in the UK and the developed world. The ways in which hospice and palliative care has adapted to the developing and transitional world context is facinating reading. This paper in particular demonstrates the importance of cultural, social and economic contexts. Help the Hospices would like to take this opportunity to thank Michael for this paper, which offers unique insights into how hospice and palliative care has and is developing.
    [Show full text]
  • Der Bay Reaches Its 20Th Anniversary – January 1991-2011
    --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- January 2011 Vol. XXI No. I --------------------------------------------------------------------------------------------------------------------------------------- th Der Bay Reaches Its 20 Anniversary – January 1991-2011 As Der Bay grew beyond North America, it soon That first little sheet of Der Bay in 1991 could not became apparent that with the high cost of postage, possibly foretell that 20 years later it would be an we would need to have an online version. The free, international Anglo-Yiddish newsletter that would abbreviated online version of this newsletter is spawn a network of contacts in every state and 35 growing rapidly, albeit mainly overseas. countries. Our policy has been to maintain the same cost and This has been a love and intense passion that has not accept any paid advertising. Thus we are doing served as a tribute to my Mama and the many a service as well as not having to compromise our yidishe mames who made the unbelievable standards in reviewing books, CDs, DVDs and transition to far-off lands where the language and other events. customs were foreign and tested their mettle. In this issue we travel down “memory lane” and As part of this journey, offshoots sprouted, and sample some of the articles that received much have made all the effort personally rewarding in attention by readers, especially in the most popular the many wonderful friendships and experiences column, Oystsugn fun briv in der redaktsye. during these two decades. Included in this issue are articles that were part of a Thanks to the effort of Dr. Harold Black, o”h and series including; Ed Goldman’s comic bible scenes the Yiddish of Greater Washington, the forerunner that have been very popular in club programming.
    [Show full text]
  • BEARR Trust Annual Conference 2012 BEAR
    Information about UK NGO links with Russia and the region No 60. January 2013 ‘Volunteering in the BEARR Region: promoting personal and community development?’ BEARR Trust Annual Conference 2012 BEARR Small Grants Scheme 2013, targeting the Volga Federal District and Georgia, Armenia and Azerbaijan – call for bids The Paralympics: has London 2012 changed attitudes to people with disabilities? - in Russia - in Azerbaijan ‘Politics and Society in Russia Today’ Lecture by Lilia Shevtsova Forthcoming event: ‘The Arts and Attitudes to Disability in Eastern Europe’, 22 March 2013 Book review: ‘The Curious Mr Howard’, biography of noted penal reformer NGO profile: The Victor Zorza Hospice Trust Country profile: Ukraine About BEARR Above: Entry in a children’s painting competition on the theme of disability organised by Konotop, an NGO in Ukraine (see Newsletter No 55) The BEARR Trust, 32–36 Loman Street Southwark, London SE1 0EE. www.bearr.org The BEARR Trust Newsletter No. 60, January 2013 Small Grants Scheme 2013 The BEARR Trust Small Grants Scheme 2013 The BEARR Trust is pleased to announce its Small Grants Scheme for 2013 and invites applications from NGOs and other organisations. Full details are given below. The deadline is 4 February 2013. Section A: For projects to combat drug Federation, Section B: Georgia, the project will last, daily rates of dependency among young people in Armenia, Azerbaijan). pay. The budget must relate to the the Volga Federal District of the Russian project activities described above Federation. How to apply and include salaries set at local levels. Section B: For projects in the field There is no standard application form.
    [Show full text]