INCTR Canada Meeting On Palliative Care
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In December 2016, INCTR's Canadian Branch - also known as Two Worlds Cancer Collaboration (TWCC) the INCTR Canada Branch - visited India and Nepal. The purpose of the visit to India was to discuss progress made in the last year with respect to programs in both palliative care and adult oncology as well as to discuss future plans in these initiatives for the coming year. The purpose of the visit to Nepal was to work with the Nepalese Association for Palliative Care (NAPCare) in the continued development of a national strategic plan for palliative care for the country. Further information is provided in the program reports.

In order to strengthen operations in MNJ Institute of Oncology, Hyderabad, India the following actions were taken and agreements made:

1. Dr. Jean Jacobs was appointed as a palliative care consultant helping particularly with the pediatric palliative program. He is expected shortly to be joined by Dr Spandana as a pediatric palliative care fellow.

2. The pediatric cancer program is being expanded to include adolescents and teens with cancer (0-18 year program)

3. Discussions with the new administrative leadership of MNJ Institute took place and it was agreed that the ongoing programs at inpatient, ambulatory, rural outreach, domiciliary and hospice levels would all be continued

4. A year-end review of the Lara Nara distance e-learning training program in radiation oncology by course organizers Dr Francois Bachand (Two Worlds/BCCA), Dr Eva Brun (Lund University, Sweden) and Dr Nadia Octave (U. Sherbrooke, Quebec) was undertaken

5. Collaborative relationships with the Pain Relief & Palliative Care Society are to be continued

6. The relationship with the palliative care programme of the Catholic Health Association of India (CHAI) (see below) will be continued

7. The supportive and mentoring relationship with St Mary’s hospital in Malur, Karnataka and their palliative care programme would continue.PALLIATIVE CARE PROGRAM IN NEPAL

Following the Hyderabad meetings, Dr. Stuart Brown visited Kathmandhu, Nepal, between December 9-15, 2016. In Nepal, TWCC is focusing on:

1. Support of the finalization of the National Strategic Plan for Palliative Care (an initiative of NAPCare and TWCC) with the expectation of broad professional support and submission to the national government of Nepal in February 2017 with further efforts regarding ongoing implementation. (Dr Brown had a short meeting with the Minister of Health)

2. The development of paediatric palliative care. Further plans regarding expansion of palliative care in Bhaktapur Cancer Centre and Nepal Cancer Hospital are being made

3. A fellowship programme is under consideration

4. Research efforts with the University of Edinburgh are under discussion

5. The development of a research project on rural palliative care at Makwanpur to be supported through TWCC.

Information regarding progress and future plans is available in INCTR Canada's Annual Report in the wiki site for INCTR Faculty Members

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