PALLIATIVE CARE: A MALAPPURAM EPITOME


Malappuram district in Kerala has emerged as a global model for effective palliative care through its community-driven approach. This study examines the evolution and impact of palliative care in the region, highlighting the role of local initiatives such as the Neighbourhood Network in Palliative Care (NNPC). The district's success stems from its emphasis on extensive community participation, integration with local self-government bodies, and innovative programmes like home care and community psychiatry. Despite limited resources and a low per capita income, Malappuram achieves 85% palliative care coverage, the highest in India. The "Malappuram Model" emphasizes holistic support, including medical, psychological, social, and spiritual care, driven by over 5000 trained volunteers and supported by 28 clinics. This approach addresses the needs of patients with cancer, chronic diseases, and psychiatric conditions while fostering local empowerment. Malappuram's achievements underscore the transformative potential of grassroots initiatives in enhancing healthcare access and equity in resource-limited settings.               

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