{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T09:05:09Z","timestamp":1787907909480,"version":"build-2784847793"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"unspecified","delay-in-days":175,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525100321_sec1a\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care is a critical component of healthcare, yet its integration into Nigeria\u2019s health system remains limited. Despite the growing burden of life-limiting illnesses, palliative care is underdeveloped, primarily restricted to tertiary institutions. This review examines the evolution of palliative care in Nigeria, key milestones, persistent challenges, and future directions for strengthening its implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100321_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This narrative review synthesized historical records, policy documents, and literature on palliative care in Nigeria. It examined leadership roles, institutional efforts, and government policies influencing Palliative care growth, while highlighting implementation gaps and opportunities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100321_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Palliative care in Nigeria has evolved from early grassroots efforts to structured institutional services. Key milestones include the establishment of the Hospice and Palliative Care Association of Nigeria (HPCAN), and policy advancements such as the National Policy and Strategic Plan for Hospice and Palliative Care. Despite these developments, challenges persist, including inadequate funding, workforce shortages, limited opioid access, policy implementation gaps, and socio-cultural barriers. Leadership engagement, targeted policy advocacy, and comprehensive capacity-building are essential to overcoming these barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525100321_sec4d\">\n                    <jats:title>Significance of Results<\/jats:title>\n                    <jats:p>Sustained efforts are needed to fully integrate palliative care into Nigeria\u2019s healthcare system. Strategic interventions, including enhanced policy implementation, funding mechanisms, workforce development, and community engagement, are critical for ensuring equitable access to PC services. Strengthening collaborations between the government, healthcare institutions, and international partners will accelerate progress, ultimately improving the quality of life for patients with life-limiting illnesses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525100321","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T04:00:09Z","timestamp":1750824009000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Decoding the palliative care landscape in Nigeria: Progress, challenges, and the road ahead"],"prefix":"10.1017","volume":"23","author":[{"given":"Tajudeen","family":"Olasinde","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8138-3100","authenticated-orcid":false,"given":"Tonia","family":"Onyeka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeniyi","family":"Adenipekun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Otene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Kajang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olaitan","family":"Soyannwo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"S1478951525100321_ref19","article-title":"Palliative care is an overlooked global health priority","volume":"387","author":"Peeler","year":"2024","journal-title":"BMJ"},{"key":"S1478951525100321_ref12","unstructured":"National Postgraduate Medical College of Nigeria (2021, June 3) Diploma in family medicine logbook. https:\/\/npmcn.edu.ng\/downloads\/LOGBOOKFORDIPLOMAINFAMILYMEDICINEPROGRAMMAY2021.pdf (accessed 18 January 2025 )."},{"key":"S1478951525100321_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"S1478951525100321_ref18","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12064"},{"key":"S1478951525100321_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.03.033"},{"key":"S1478951525100321_ref1","article-title":"Knowledge and attitudes of terminally ill patients and their family to palliative care and hospice services in Nigeria","volume":"18","author":"Adenipekun","year":"2005","journal-title":"Nigerian Journal of Clinical Practice."},{"key":"S1478951525100321_ref5","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2024.1425353"},{"key":"S1478951525100321_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"S1478951525100321_ref10","unstructured":"Federal Ministry of Health N (2017) National policy for controlled medicines and its implementation strategies. https:\/\/www.unodc.org\/conig\/uploads\/documents\/Approved_National_Policy_For_Controlled_Medicines_And_Its_Implementation_Strategies.pdf (accessed 18 January 2025 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Care"},{"key":"S1478951525100321_ref2","doi-asserted-by":"publisher","DOI":"10.4103\/IJPC.IJPC_39_20"},{"key":"S1478951525100321_ref7","article-title":"Psychosocial outcomes and stigma among cancer patients undergoing navigation in Southern Nigeria","volume":"13","author":"Eguzo","year":"2022","journal-title":"Journal of Oncology Navigation and Survivorship"},{"key":"S1478951525100321_ref3","doi-asserted-by":"publisher","DOI":"10.4103\/IJPC.IJPC_355_20"},{"key":"S1478951525100321_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12884"},{"key":"S1478951525100321_ref8","article-title":"Updates on palliative care: what, for whom, and how?","volume":"29","author":"Elessi","year":"2021","journal-title":"IUG Journal of Natural 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e123"}}