Fact Sheets
HOSPICE AFRICA UGANDA (HAU) is the model Hospice for HOSPICE AFRICA. Hospice Africa was founded in 1992 and registered in UK in 1993.
The founding mission is to promote the relief of suffering in Africa. This was to be done through an affordable and culturally acceptable model. Uganda was chosen as the model for Africa, and thus became the fourth country to commence palliative care in Sub-Saharan Africa However it was the first to commence with a vision for the whole of Africa.
At that time, palliative care was being practiced in Zimbabwe (1979), S Africa (1980) and Nairobi Hospice, (1990). Hospice Uganda was registered in Uganda as NGO no. 1064 and incorporates Mobile Hospice Mbarara and Little Hospice Hoima.
THE SERVICE
HAU started a service to patients and families on 23 September 1993. HAU looks after cancer and/or HIV/AIDS patients by bringing the modern methods of pain and symptom control, counselling and spiritual support to the patient and family, mainly in their own homes and hospitals. We estimate that up to 60% of our cancer patients also have AIDS.
Referrals:
Most patients have in the past been referred from hospitals. However as most patients prefer to be at home when very ill, we encourage discharge to their homes as soon as possible. More recently community volunteers have been referring patients who are in need from the villages. From 1993 we have managed the majority of our patients in their own homes, using the modern methods of pain and symptom control. 57% of people in Uganda do not access a health worker but now they too can access us through the community volunteer system.
Cost and contributions
Patients are asked to pay 5,000/- per week, towards the total cost of 22,000/-1 cost for care per week, independent of the no. of visits and medications. About one third of our patients can manage to pay. We assist those who cannot afford (60%). We visit our patients and families at home, supporting them with pain and symptom control and counselling. This cost includes transport and specially trained staff.
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