June 2, 2011

Global State of Pain Treatment

Access to Palliative Care as a Human Right

Key Terms in Palliative Care and Pain Treatment
Summary
I. Background: Palliative Care and Pain Treatment
The Need for Palliative Care and Pain Treatment
The Consequences of Untreated Pain and Lack of Palliative Care
Impact of Palliative Care and Pain Management
The Palliative Care and Pain Treatment Gap
Barriers to Palliative Care and Pain Treatment
II. Survey Findings: Global Overview of Barriers to Pain Treatment
Availability of Policies that Promote Palliative Care and Pain Treatment
Training for Healthcare Workers
Drug Availability
Supply and Distribution System for Opioid Analgesics
Drug Regulations
Cost of Opioid Medications
Best Practices: Addressing Barriers to Pain Treatment and Palliative Care through Comprehensive Reform
Map of Sub-Saharan Africa
III. Sub-Saharan Africa
Regional Overview
Drug Availability
Drug Regulations
Best Practice and Reform Efforts: Uganda
Map of the Americas
IV. The Americas
Regional Overview
Drug Availability
Best Practice and Reform Efforts: Colombia
Map of the Middle East and North Africa Map
V. The Middle East and North Africa
Regional Overview
Drug Availability
Developing Palliative Care: Jordan
Map of Europe
VI. Europe
Regional Overview
Drug Availability
Best Practice and Reform Efforts: Romania
Asia Map
VII. Asia
Regional Overview
Drug Availability
Developing Palliative Care: Vietnam
VIII. International Human Rights Obligations and Pain Treatment
Health as a Human Right
Pain Treatment and the Right to the Highest Attainable Standard of Health
Pain Treatment and the Right to Be Free from Cruel, Inhuman, and  Degrading Treatment
IX. Recommendations
To Governments around the World
General
Ensuring an Effective Supply System
Developing and Enacting Pain Management and Palliative Care Policies
Ensuring Instruction for Healthcare Workers
Reforming Drug Regulations
Ensuring Affordability of Medications
To Global Drug Policy Makers
To the WHA, WHO, UNAIDS, and the Donor Community
To the Global Human Rights Community
X. Methodology
Acknowledgements
Appendix 1 – List of Survey Participants
Appendix 2 – Survey Questions
Appendix 3 – Table of Calculations Used to Produce Maps