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Not A Great Place To Die, India Ranks 67th On A List Of 80 Countries

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Not A Great Place To Die, India Ranks 67th On A List Of 80 Countries

October 7, 2015

India isn't the best place in the world to die. The 2015 Quality of Death Index has placed India shamefully low - 67th among 80 countries - when it comes to people receiving good end-of-life care. This means that people in countries as small as Ghana, Tanzania and Zimbabwe are reaching a more peaceful and dignified end to life compared to Indians.

Where do India's neighbours and the others stand

The index says India's neighbour China performs poorly as well, at position 71. "In the light of the size of their populations, this is worrying," it adds.

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Research across 80 countries has found that end-of-life care in the UK is the best in the world, thanks to the extensive integration of palliative care into its National Health Service and a strong hospice movement.

Australia was placed second best for good palliative care, followed by New Zealand, Ireland, Belgium, Taiwan and Germany .They were followed by the US, Netherlands and France. India's neighbour Bangladesh is right at the bottom of the list - placed 79th with only Iraq worse than it.

What does the index say

The index says "as governments across the world work to improve life for their citizens, they must also consider how to help them die well. In many countries, older people make up an ever-growing proportion of the population. Meanwhile, the prevalence of non-communicable diseases, such as heart disease, diabetes, dementia and cancer, is increasing rapidly. Taken together, this means that the need for palliative care is set to rise sharply around the world.""We've seen unprecedented changes in the way the world population is moving, with more people over the age of 65 than under the age of five," says Stephen Connor from the Worldwide Hospice Palliative Care Alliance (WHPCA).

Just 34 countries have above-average scores in the 2015 Quality of Death Index. Together, they account or just 15% of the total adult population of the countries n the index (which themselves account for 85% of the global adult population), meaning the vast majority of adults lack access to good palliative care.

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www.news.cnIn only 33 of the 80 countries in the index are opioid painkillers freely available and accessible. In many countries, access to opioids is still hampered by red tape and legal restrictions, says the index.

On India, Sushma Bhatnagar, head of anaesthesiology, pain and palliative care at the All India Institute of Medical Sciences, says, "While the budget allocation for India's 2012 National Program for Palliative Care was withdrawn, elements of the strategy remains in place and, as a result, some teaching programmes are emerging across the country. Moreover, recent legislative changes have made it easier for doctors to prescribe morphine in India.

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She adds "India, for example, has a shortage of specialised care professionals and accreditation for palliative care is not yet the norm. However, the country is working towards changing this." She says that in India, the passing in 2014 of the Narcotic Drugs and Psychotropic Substances (Amendment) Act brings legal clarity for physicians wanting to prescribe opioids to their patients. "Until recently, it was very complicated to procure and dispense morphine," says Dr Bhatnagar. "Now, it will be much easier."(Originally published in The Times of India)



http://www.indiatimes.com/news/indi...-who-give-a-good-end-of-life-care-245974.html

 
I know many Indians care much for the dying people.

The yard stick for the ranking may be different.

An Indian wish to lay his head on the lap his affectionate kith and kin. For an Indian, India is the best place to die.
The desire / wish could not be measured in any yard stick.
All other modern extended medical facilities available could only postpone the inevitability.
 
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