A modified systematic review of the impact of cultural beliefs on the acceptability and accessibility of adult palliative care in Tanzania.

Abstract

Background: Palliative care (PC) is recognised by the United Nations as a crucial element of universal health coverage. This article explores the cultural beliefs around the acceptability and accessibility of PC in Tanzania, East Africa.

Aim: To provide insight into barriers for the provision of culturally safe PC in this region.

Method: Qualitative studies researching adult perspectives on PC in Tanzania between 2010 and 2022 were critically appraised.

Findings: Of 153 studies identified in the initial search, seven met the inclusion criteria. Four key themes were identified: acceptability of PC for recipients; acceptability of PC for providers; accessibility of PC for recipients and accessibility of PC for providers.

Conclusion: Cultural beliefs around the acceptability of PC included shared values for individuals at the end of life and challenges around breaking bad news. Barriers to the accessibility of PC included training opportunities and opioid availability. Further research prioritising 'cultural safety' is necessary to improve PC provision in Tanzania.