National conference on palliative care and pain relief scheduled for 2-3 December 2019 in Ouagadougou (3)

3 December, 2019

Dear All,

I think that this is a marvellous development, a conference looking at how to improve pain treatment in LMICs especially West Africa. WE have shared our experience and frustration faced when we treat patients in severe pain and we cant get morphine through the right verifiable sources. We welcome this conference very much and look forward to reading the proceedings. I notice that the announcement is coming today 2nd December and wonder if it had been released before but we missed it.

Finally I read the sentence that 'However, overly strict laws and regulations based on unwarranted fears of addiction and diversion,' could be some of the causes for the scarcity of morphine. I think that needs some clarification because if it refers to purely the use of morphine in terminal palliative cases, then I may agree with it, i.e. the addiction part because the end of life may be so short that addiction may not even occur, but if it refers to every use of morphine including non terminal pain then I have a concern with the statement because even one addict created from prescribed morphine is too much. For non terminal pain treatment one of the side effects that prescribers must try to avoid is surely addiction. Both addiction and diversion are 'side effects' that are avoidable and that we should guard against.

Joseph Ana


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Implementing Organisation: PACK Nigeria Programme for PHC

Publisher: Medical and Health Journals; Books and Periodicals.

Nigeria: 8 Amaku Street, State Housing & 20 Eta Agbor Road, Calabar.

Tel: +234 (0) 8063600642

Website: email: ;

HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.

Email: jneana AT