Neighborhood Network in Palliative Care
Country of Operation
SummaryThe Neighborhood Network in Palliative Care (NNPC) is a community-led initiative to prove home-based palliative care in south India. Through this program the community is involved in designing, delivering and evaluating services. The network sees over 2500 patients per week, reaching over 60% cove
While palliative care (end of life care) has been in existence for over 20 years, national coverage remains under 2%. Access to clean water, food, shelter and education significantly magnify problems of illness. The NNPC is trying to provide comprehensive palliative care to the poorest members of the state of Kerala in this difficult context.
Key program components
The NNPC operates in all 14 districts of Kerala through 230 clinics. The network consists of over 60 full-time doctos, 150 staff nurses, 200 auxilary nurses, and over 10,000 trained volunteers. The units provide medicaland nursing care, spiritual and psychological care, delivery of frree medications, and training of family members in basic personal care. Over 60% of patients are below the poverty line and 55% of patients are women.
The majority of care is provided in the home through home visits by nurses, doctors or volunteers. In-patient facilities are available at the Institute of Palliative Medicine, and out patient services are run at local clinics for those able to attend.
The majority of funding for clinics comes from small donations of a few rupees a day from the people it serves. Due to their donation based funding system the clinic is accountable to the community, not external funding agencies.
Volunteers in the NNPC work closely with thecommunity and support those in need, regardless of the pathology. As the community fund and deliverservices, they determine who the service should be made available to.
In addition to carrying out in-depth needs assessments with the community, providing comprehensive social, psychological and spiritual care, volunteers improve symptom control by ensuring compliance and helping determine side effects early.
- Institute of Palliative Medicine, Calicut, KeralaNot-for-profit