The need for accessible palliative care is more pressing than ever in Nepal, where significant strides are being made to improve the availability and affordability of essential medications. A recent paper titled “Availability and Affordability of Essential Palliative Care Medicine in Nepal” has been published in the renowned Journal of Pain and Symptom Management, marking a critical step toward shedding light on the current challenges and gaps in accessing palliative care in the region. This study offers valuable insights into the accessibility of these medicines and examines the economic and logistical barriers that patients often face.
Building on this momentum, a Palliative Care formulary has been drafted to establish a standardised guide for the essential medications required in palliative care practices across Nepal. This formulary is currently under expert review by seasoned palliative care specialists, who are fine-tuning the recommendations to ensure the highest standards of care and accessibility. Once approved, this formulary will provide healthcare practitioners with a unified reference for prescribing and managing palliative care medications, contributing to more consistent care for patients across different regions.
In a parallel effort, a manuscript has been submitted to the Indian Journal of Palliative Care, documenting both the achievements and persistent challenges related to opioid accessibility in Nepal. Opioids, often critical in managing severe pain for palliative patients, remain difficult to access due to regulatory, educational, and logistical issues. This manuscript highlights ongoing efforts to address these barriers, providing a balanced view of both the progress made and the hurdles that still need to be overcome. It’s a candid reflection on the complexities of opioid accessibility in Nepal and offers recommendations for future improvements, aiming to inform policy changes and healthcare practices.
These combined efforts represent a significant push toward a future where all Nepalis in need of palliative care have affordable access to essential medications. Each publication and policy review strengthens the foundation for a more comprehensive palliative care system, giving hope for a future where relief from pain and suffering is within reach for all.