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Illiteracy, poverty, and multiple deaths from AIDS within the same family are common in sub Saharan Africa and likely to affect patients’ and caregivers’ needs.24 25Although few studies have looked at specific palliative care needs in Africa, some exceptions exist. For example, Murray et al did a qualitative study of 24 patients with incurable cancer and their caregivers in Kenya and identified needs including pain control and help with finances.26 27 Similarly, in a Ugandan survey of 173 terminally ill patients, Kikule et al identified needs for pain and symptom control, counselling, and financial support.28 However, little has been done to understand patients’ and caregivers’ needs for information. Consequently, evidence is lacking on how best to meet such needs at a health service level. replica handbags
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French fries are the most popular item sold during home football games at Palmetto Ridge High School in Golden Gate Estates. Photo by Tim AtenFrench fries are the most popular item sold during home football games at Palmetto Ridge High School in Golden Gate Estates. Photo by Tim AtenFrench fries are the most popular item sold during home football games at Palmetto Ridge High School in Golden Gate Estates.
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We set a target of seven to 10 caregivers per site because of time constraints and the anticipated difficulty of accessing caregivers at some home based care services. This gave a target sample of 75 100 patients and 35 50 caregivers overall.We included participants if they were adult (at least 18 years old) patients or family caregivers, able to give informed consent, judged to be replica bags physically and mentally well enough to participate by their clinical staff, and able to speak either English or one of six local languages fluently (isiXhosa, isiZulu (Gauteng and KwaZulu Natal dialects), SeSotho, SeTswana, Luganda, and Runyoro). The purposive sampling frame took account of place of care (community/inpatient/outpatient), age, sex, location, and ethnic group, in order to reflect the diversity of possible experiences.Information sheets were translated from English (see data collection) into appropriate local languages.