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Obstacles to Pain Management in Low-Resource Settings 11

makers and regulators must ensure that national laws [3] Size M, Soyannwo OA, Justins DM. Pain management in developing
countries. Anaesthesia 2007;62:38–43.
and regulations, while controlling opioid usage, do not [4] Soyannwo OA. Postoperative pain control—prescription pattern and
restrict prescribing to the disadvantage of patients in patient experience. West Afr J Med 1999;18:207–10.
[5] Stjernsward J, Foley KM, Ferris FD. Th e public health strategy for pallia-
need. Th e public health strategy approach, as pioneered tive care. J Pain Symptom Manage 2007;33:486–93.
[6] Travis P, Bennett S, Haines A, Pang T, Bhutta Z, Hyder AA, Pielemei-
for palliative care, is best for translating new knowledge er NR, Mills A, Evans T. Overcoming health-systems constraints to
and skills into evidence-based, cost-eff ective interven- achieve the Millennium Development Goals. Lancet 2004;364:900–6.
[7] Trenk J. Th e public/private mix and human resources for health. Health
tions that can reach everyone in the population. Policy Plan 1993;8:315–26.
[8] World Health Organization. Cancer pain relief: with a guide to opioid
availability. 2nd ed. Geneva: World Health Organization; 1996. p. 13–
Conclusion 36.


Unrelieved pain causes a lot of suff ering to the indi- Websites
viduals aff ected, whether rich or poor. All eff orts must,
therefore, be made to promote eff ective pain manage- www.medsch.wisc.edu/painpolicy/publicat/oowhoabi.htm
(INCB Guidelines)
ment even for people living below the “breadline.”

References


[1] Charlton E. Th e management of postoperative pain. Update Anaesth
1997;7:1–7.
[2] Gureje O, Von Korff M, Simon GE, Gater R. Persistent pain and well-
being: a World Health Organization study in primary health care.
JAMA 1998;280:147–51.
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