Two World’s Cancer Collaboration’s programs in Telangana, and Andhra Pradesh are led by Dr. Gayatri Palat. Dr. Palat leads the palliative and end-of-life care programs at the Mehdi Nawaz Jung Institute (MNJ). The program has grown from an out-patient clinic to now include a 74 patient pediatric ward and a hospice facility located within the city.
2WCC’s programs in Karnataka are led by Dr. Sister Lucien. Dr. Lucien leads the palliative and end-of-life care programs at St. Mary’s Hospital – a rural hospital located in the village of Malur, 45 km east of Banagalore, Karnataka.
Life at Your Doorstep is a home-based palliative care program. Two teams – counsellor, nurse and van driver – support patients and families struggling with advanced and terminal illnesses in the cities of Hyderabad and Secunderabad. The program provides 24-hour support, and is the only home-based palliative service in a region with more than six million people. This interdisciplinary success story was highlighted at the 2013 Indian Association of Palliative Care Conference and has inspired an India-based NGO to fund a second home-visit team.
The MNJ village outreach team visits rural regions outside Hyderabad to support people with chronic and life-limiting illnesses. The outreach program currently makes regular visits to nine villages. It was recognized at the 2013 Indian Association for Palliative Care Conference and collaborations have begun with Nepalese palliative care providers to replicate the program with 2WCC support.
Two Worlds Cancer Collaboration also supports lobbying efforts in India to improve access to morphine in Telangana and Andhra Pradesh and throughout the country. Morphine is recognized globally as a basic requirement for adequate pain relief in palliative care. We also provide financial support to help those patients who require specialized additional pain medication.
Two Worlds Cancer Collaboration’s train-the-trainer volunteers share their expertise as visiting-faculty in the month-long, intensive palliative care certificate program offered at MNJ Institute. The program is currently offered six times a year. Since 2006, 85 doctors, 60 nurses, 27 volunteers and 11 social workers have been fully trained. Due, in a great part to Dr. Palat’s efforts, the Indian government has committed to providing training for specialists in palliative medicine in India – a commitment that places MNJ at the forefront of future medical education in India.
In 2011, MNJ Institute started its first Fellowship in Pediatric Palliative Medicine – the only program of its kind in India at that time. As a result, a Pediatric Palliative Care physician is now working full time at MNJ providing dedicated care to the 74 in-patient ward.
Two Worlds Cancer Collaboration donations support the Kumudini Devi Hospice - a 26-bed hospice for children and adults with terminal disease in[SS1] the Hyderabad area. The hospice provides medical, nursing and social work support, medication, food and 24-hour care. The hospice is a joint venture with Indian NGOs Pallium India, Roshni Trust, Pain Relief and Palliative Care Society and Two Worlds Cancer Collaboration.
Two Worlds Cancer Collaboration donations support in-patient care and 10,000 out-patients at St. Mary’s Hospital located in Malur, Karnataka 45 km from Bangalore. The hospital provides pain relief for in-patients and palliative and end-of-life care. A home care program reaches patients in the surrounding rural area.
Donor funds are vital to maintain these programs and for 2WCC to continue to provide expert resources beyond MNJ Institute. Plans are underway to expand these successful programs and develop further expertise in other regions of India and South Asia.
Two Worlds Cancer Collaboration supports the efforts of the Nepal Network for Cancer Treatment and Research (NNCTR – the Nepali branch of INCTR) and the Nepal Association of Palliative Care (NAPCare).
On April 25, 2015, a 7.8 magnitude earthquake devastated Nepal. Thousands have died and many more thousands are injured, infrastructure and buildings have been destroyed.
Two Worlds Cancer Collaboration has provided long-standing support for palliative care in Nepal including the Palliative Care Unit at Bhaktapur Cancer Hospital – located in one of the hardest hit communities.
The Nanaimo Community Hospice twinning project and 2WCC have committed to help re-build the unit and provide continued mentorship and support for the next 3 years.
Two Worlds Cancer Collaboration volunteers travel annually to the programs in Nepal providing mentorship and palliative care training support. Funding from 2WCC supported the development of a Nepali-language, palliative care nursing training manual.
In September 2013, the Nepali government recognized palliative care as a health right which means healthcare providers can now receive government-approved training.
This milestone was the culmination of efforts by NAPCare, supported and encouraged by Two Worlds Cancer Collaboration volunteers: Drs. Fraser Black, Stuart Brown, Robin Love, Simon Sutcliffe and Max Watson; and social worker Doug Ennals. This built upon earlier collaborative programs with 2WCC, INCTR, and the Nepali Ministry of Health to build the country's national palliative and cancer control strategies.
In 2014, Two Worlds Cancer Collaboration initiated support for a rural-based palliative care program in Makawanpur District. This project is an expansion of a successful pilot-project using community healthcare workers to provide palliative and end-of-life-care to remote villages which have not previously had access to care – Daman, Palung and Bajrabarahi.
This rural project is the first community-level palliative care program in Nepal.