Palliative Care in Bangladesh

Palliative care in Bangladesh is gradually gaining recognition and development, although challenges remain in ensuring widespread access and quality service delivery.

Palliative care is increasingly recognised as an essential component of healthcare in Bangladesh, especially for patients with life-limiting illnesses such as cancer, HIV/AIDS, and chronic organ failures. There has been growing advocacy from healthcare professionals, NGOs, and international organisations to integrate palliative care into the national healthcare system.

Bangladesh faces challenges related to healthcare infrastructure and resources, which impact the availability and accessibility of palliative care services. Most palliative care services are concentrated in urban areas, with limited access in rural and remote regions.

The Bangladesh government has taken steps to promote palliative care, including incorporating palliative care into the National Non-Communicable Disease Control Program. Efforts are ongoing to develop national guidelines, protocols, and training programmes for healthcare professionals in palliative care.

Non-governmental organisations (NGOs) and civil society organisations play a significant role in expanding palliative care services in Bangladesh. Organisations such as the Bangabandhu Sheikh Mujib Medical University (BSMMU) and the Pain and Palliative Care Society provide training, advocacy, and direct patient care services.

There is a growing emphasis on education and training for healthcare professionals in palliative care. Organisations like the BSMMU offer courses and workshops to enhance the skills of doctors, nurses, and other healthcare providers in pain management, symptom control, and psychosocial care.

Given the limited resources in formal healthcare settings, community-based palliative care initiatives are crucial in Bangladesh. These programmes focus on training community health workers and volunteers to provide basic palliative care services and support to patients and families in their homes.

Palliative care in Bangladesh incorporates cultural sensitivities and religious beliefs, recognisng the importance of family involvement and spiritual support in care provision.

Challenges include funding constraints, shortages of trained personnel, lack of public awareness about palliative care, and stigma associated with discussing end-of-life issues. Addressing these challenges requires sustained advocacy, investment in healthcare infrastructure, and collaboration among stakeholders.

While palliative care in Bangladesh is still evolving, there is growing momentum towards integrating palliative care into the national healthcare system. Efforts are focused on expanding access, enhancing healthcare provider training, and addressing cultural and infrastructure barriers to improve the quality of life for patients with serious illnesses and their families.