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The process included three pre-workshop virtual sessions (n=51) and a 5-day in-person GMB workshop in Enugu, Nigeria (n=45), with diverse participants from all six geopolitical regions recruited via the ICON-3 Practice-Based Research Network. Outputs were refined through participant validation and technical expert review to enhance feasibility and implementation readiness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants prioritized effective pain and symptom relief, strengthened communication and shared decision-making, intentional engagement of religious leaders, and improved community\u2013primary care collaboration. The resulting package comprises three components (pain and symptom management, psychosocial support, spiritual care) delivered via a hub-and-spoke model in which CHEWs\/CHAs serve as community \u201cAnchors,\u201d while facility-based basic PC providers and tertiary specialists provide oversight and manage complex cases. Key barriers included limited training and stigma, medication access constraints, and weak referral systems; proposed solutions emphasized training with supportive supervision, improved medicines access\/financing and strengthened referral pathways and community support structures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A participant-designed, task-shared, hub-linked community PC package is feasible in principle for Nigerian settings without PC specialists and provides an implementation-ready blueprint for feasibility testing, adaptation, and scale-up planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524261474054","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T20:26:43Z","timestamp":1785356803000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Building bridges to care: A co-created community palliative care package for resource-limited settings"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9719-8153","authenticated-orcid":false,"given":"Ngozi","family":"Idemili-Aronu","sequence":"first","affiliation":[{"name":"IVAN Research Institute, Enugu, Enugu, Nigeria"},{"name":"Department of Sociology & Anthropology, University of Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4805-345X","authenticated-orcid":false,"given":"Ikechukwu Alex","family":"Okoli","sequence":"additional","affiliation":[{"name":"IVAN Research Institute, Enugu, Enugu, Nigeria"},{"name":"Department of Community Medicine, University of Nigeria Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Oluwaseyi","family":"Jemisenia","sequence":"additional","affiliation":[{"name":"IVAN Research Institute, Enugu, Enugu, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Olajide","family":"Olawepo","sequence":"additional","affiliation":[{"name":"IVAN Research Institute, Enugu, Enugu, Nigeria"},{"name":"Department of Public Health and Health Sciences, Bouv\u00e9 College of Health Sciences, Northeastern University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonia Chinyelu","family":"Onyeka","sequence":"additional","affiliation":[{"name":"IVAN Research Institute, Enugu, Enugu, Nigeria"},{"name":"Department of Anesthesia\/Pain & Palliative Care Unit, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Hunleth","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, Washington University in Saint Louis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla T.","family":"Washington","sequence":"additional","affiliation":[{"name":"John T. Milliken Department of Medicine, Division of Palliative Medicine, Washington University in Saint Louis, Saint Louis, MO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory A.","family":"Aarons","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Echezona Edozie","family":"Ezeanolue","sequence":"additional","affiliation":[{"name":"IVAN Research Institute, Enugu, Enugu, Nigeria"},{"name":"Healthy Sunrise Foundation, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,29]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Palliative care","unstructured":"Palliative care [Internet]. [cited 2025 Dec 21]. 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