Past international projects

Some of the recently ended international hospice and palliative care projects we have supported have had a huge impact on the lives of people living with life-limiting and terminal conditions.

Kenya study visit to Uganda

Access to Opioid Medication in Europe (ATOME)

We were part of a consortium of academic institutions and public health organisations in this project. We helped governments identify and remove barriers preventing people from accessing medicines that could improve end of life care and alleviate debilitating pain. The ultimate goal was to improve access for all patients requiring treatment with opioid medicines.

The project targeted 12 European countries: Slovenia, Turkey, Cyprus, Greece, Latvia, Hungary, Estonia, Serbia, Lithuania, Slovakia, Poland and Bulgaria. Policy and legislative reviews were conducted to identify key barriers to access to opioids in each country. One day conferences were also held in 11 of the 12 project countries to share findings of the reviews and provide opportunities for discussion and debate about accessibility and availability of opioids.

Twelve country reports were produced as part of the project with targeted recommendations to each government for legislative changes.   

Project partners included the University of Lancaster, University Hospital Bonn, International Harm Reduction Association and the European Association of Palliative Care. The project was funded through the European Community’s Seventh Framework Programme [FP7/2007-2013].

For more information about the project, its successes and the final report, visit the ATOME website.

Health systems development in Sierra Leone

We worked with The Shepherd’s Hospice in Sierra Leone to improve the lives of those affected by HIV and AIDS and TB in eight districts across the country.

Through this project, the Shepherds Hospice trained community based health professionals in the care and treatment of people living with HIV/AIDS and TB. Hospice staff also recruited and trained community volunteers to identify people living with HIV and TB at community level, refer them to available services and provide ongoing care and support. In addition, sensitisation activities were carried out to raise awareness of, and change negative attitudes towards, HIV and TB among wider communities.

This project was funded by the Department for International Development, Civil Society Challenge Fund and ended in June 2013.


The project resulted in significant increases in the numbers of people presenting for HIV and TB testing in project districts and in their adherence to treatment.

Over 8,700 people living with HIV, AIDS and TB received care and support through the project and over 7,400 family members were supported in care giving activities. Most of the patients reached reported marked improvements in their quality of life as a result of project activities.

Access to opioids in six African countries

Our partner, the African Palliative Care Association, ran this five year project to improve access to pain and symptom controlling drugs for people living with HIV/AIDS in six African countries.

Through the project training, grants and technical support were provided to national palliative care associations in Ethiopia, Kenya, Malawi, Rwanda, Tanzania and Zambia to help them carry out activities aimed at addressing and overcoming key barriers to drug availability.

These included:

  • Providing training to healthcare professionals on the use of drugs for pain and symptom management.
  • Developing information materials.
  • Engaging with policy makers and contributing to the development of new policies and legislation relating to pain relieving medication.

This project was funded by the Department for International Development, Civil Society Challenge Fund and ended in March 2014.


The final evaluation found that the project was particularly effective in:

  • Increasing the willingness of health professionals to prescribe pain relieving medication.
  • Increasing awareness of key stakeholders at national level about the need to address pain.
  • Contributing to concrete changes in the policy environment in the six project countries.

Visit the African Palliative Care Association website for more information about palliative care developments in Africa.

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