Browsing by Author "Lalit Kumar Raiger"

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Building Palliative Care Capacity - A Rapid Evaluation of Services in Eleven Hospitals in Northern India
(2025) Komal Kashyap; Anjum Khan Joad; Brajesh Kumar Ratre; Suraj Pal Singh; Varun Shekhar; Surabhi Shekhar; Anshika Arora; Sweety Gupta; Kunal Jain; Rohit Lahori; Vanita Ahuja; Sukanya Mitra; Arshi Taj; Manoj Kamal; Nimisha Verma; Lalit Kumar Raiger; Seema Partani; Naveen Patidar; Anuja Pandit; Saurabh Vig; H. K.R. Sagiraju; Raghav Gupta; Prashant Sirohiya; S. P.V. Kumar; Neetu S. Mahajan; Sushma Bhatnagar
AIMS AND OBJECTIVES: This study aimed to evaluate palliative care capacity across eleven northern Indian hospitals whose physicians and nurses had undergone training as part of the Cancer Treatment Centers (CTC) program. An online rapid evaluation using The "Standards audit tool for Indian palliative care programs" developed by the Indian Association of Palliative Care (IAPC) was done to audit specific aspects of palliative care delivery including staff training, recordkeeping, availability of morphine, and continuing professional development programs. A descriptive analysis of the data was conducted. Additional information was obtained through surveys, site visits, document reviews, and interviews with program leaders. For each site, the researchers determined to what extent the program met the set IAPC of the Standards Audit Tool. The eleven centers satisfied most of the essential criteria and some of the desirable criteria. One center did not have an in-house access to oral morphine. Some of the lacunae were inadequate provision of home care, unavailability of care after business hours, place of multidisciplinary collaboration, and involvement of community and volunteers. There was evidence of teaching, training, team health, audit, and administrative support. These hospitals were delivering good quality palliative care as per IAPC standards in parts of northern India that are underserved. There is scope for improvement in the outreach to the community, and a more multidisciplinary approach is required. © © 2025 WHO South-East Asia Journal of Public Health.
Building Palliative Care Capacity in North India: A Multicenter Approach
(Elsevier Inc., 2025) Komal Kashyap; Brajesh Kumar Ratre; Vishwajeet Singh; Suraj Pal Singh; Varun Shekhar; Surabhi Shekhar; Priya Ramakrishnan; Abhishek Kandwal; Sweety Gupta; Kunal Jain; Rohit Lahori; Vanita Ahuja; Sukanya Mitra; Arshi Taj; Manoj Kamal; Nimisha Verma; Lalit Kumar Raiger; Seema Partani; Naveen Patidar; Anuja Pandit; Saurabh Vig; H. K.R. Sagiraju; Raghav Gupta; Prashant Sirohiya; Sanjeev Kumar; Neetu S. Mahajan; Sushma Bhatnagar
Context: In low-resource settings like Northern India, palliative care providers often lack adequate training, institutional support, and interdisciplinary collaboration that are indispensable for effective implementation. Objectives: This article highlights strategies to build palliative care capacity through education, interdisciplinary collaboration, and system-level interventions in Northern India. The article describes a palliative care capacity-building project executed from 2023 through 2025. It presents scalable approaches to overcome barriers to palliative care, enhance palliative care competencies, and expand palliative care infrastructure. Material and Method: The project proceeded in three phases and began with the selection and development of nine centers of excellence (Phase I), followed by associating each center with ten district hospitals to embed palliative care within the region (Phase II). Phase III focused on palliative care training for providers in 90 district hospitals. The project assessed capacity and quality improvements at the centers and evaluated providers' palliative care knowledge post-training in the district hospitals. Results: The centers of excellence reported substantial capacity and continued improvements in palliative care delivery throughout the project. Physicians and nurses affiliated with the district hospital showed significant and lasting knowledge gains after palliative care training. Conclusion: These results demonstrate significant progress in palliative care capacity with the region, but they, also, underscore the need for ongoing efforts in training, research, and systematic record-keeping. The project’s success in its three phased approach illustrates the potential for education, collaboration, and system-level support to strengthen palliative care capacity. © 2025 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.