{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T17:04:14Z","timestamp":1784653454521,"version":"3.55.0"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Palliative care education developed in high-income settings often requires significant contextual adaptation to address the needs of diverse clinical and cultural environments. Globally, strengthening palliative care is increasingly recognized as critical to achieving the health-related sustainable development goals (SDGs), Universal Health Coverage (UHC), and strong primary health care (PHC)-oriented systems. Despite this, access to palliative care remains limited globally, particularly in low-and middle-income countries. Co-creation provides a collaborative approach to developing relevant and equitable curricula that can support the integration of palliative care into primary care and advance progress toward UHC and the SDGs; however, little is known about how this process unfolds in transnational partnerships, particularly in West Africa. This study aims to describe how Ghanaian and Canadian faculty experienced the co-creation and delivery of a palliative care training programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>We conducted a qualitative study using semi structured interviews with faculty from Kwame Nkrumah University of Science and Technology (KNUST; Ghana) and the University of Toronto (UofT; Canada) who co-developed and facilitated a palliative care course between 2023 and 2025 under the Africa Health Collaborative (AHC). Purposive sampling included all eligible faculty participants. Interviews were conducted in person, audio-recorded, transcribed, de-identified, and analyzed using inductive thematic analysis. Sampling continued until conceptual depth was reached.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten faculty described five interconnected themes to characterize their co-creation experience. Navigating culture and context required ongoing adaptation of teaching approaches and clinical content to ensure relevance. The co-creation process evolved from initial uncertainty and vulnerability toward trust, cohesion, and shared ownership. Communication was central, serving both as a pedagogical focus and as a foundation for collaboration. Participants described professional and personal growth, including expanded perspectives and enhanced teaching practices. Co-creation was also viewed as a promising model for future curriculum development, although barriers such as limited preparation time, technological challenges, and initial apprehension were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Within this Ghana\u2013Canada partnership, co-creation functioned as a relational and adaptive process that supported contextually grounded curriculum development and collaborative learning. These findings provide insight into the experiential and relational dimensions of co-creation in global health education and may inform similar partnerships, while highlighting the importance of contextual adaptation in resource-diverse settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1860858","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T16:27:27Z","timestamp":1784651247000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Co-creating palliative care education across contexts: faculty experiences from a Ghana\u2013Canada partnership for primary health care strengthening"],"prefix":"10.3389","volume":"13","author":[{"given":"Mawuli Kotope","family":"Gyakobo","sequence":"first","affiliation":[{"name":"Department of Internal Medicine and Therapeutics, School of Medical Sciences, College of Health and Allied Sciences, University of Cape 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