Locally prepared oral morphine solution, licensed for nurse prescribing
Uganda makes liquid morphine from powder in a simple facility and lets trained nurses prescribe it, giving pain relief to patients that no doctor will ever reach. Other countries could copy this within a year.
Hospice Africa Uganda pioneered reconstitution of oral morphine solution from imported powder at very low cost, distributed through a public programme and prescribed by specially trained nurses and clinical officers under a 2004 regulation. The model has been documented and adapted in a handful of countries but not widely. A package combining pharmacy standards for reconstitution, a nurse-prescriber training curriculum, and model regulation would let ministries adopt it quickly.
- Pain relief and palliative care are unavailable to most · Most people who die of cancer worldwide do so without adequate pain relief.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
- Not enough oncologists, nurses, pathologists, physicists · The number of people with cancer is rising faster than the workforce trained to treat them.
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not linked directly; found by shared links- IdeaVolunteer-led neighbourhood palliative networks, the Kerala model, adapted elsewhere
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