Comprehensive management of non-communicable diseases (NCD) which includes palliative care, is an important part of Universal Health Coverage (UN Sustainable Development Goal). In low- and middle-income countries (LMICs) and other resource poor settings this relies on well-developed primary care. (WHO) As the incidence of NCDs increases, primary care clinicians and other health and care workers in those settings need to be able to identify people needing supportive and palliative care effectively, assess their holistic needs, and plan care with them and their families/community.

SPICT-LIS™ is a tool to help health workers identify people with advanced life-limiting conditions who could benefit from a holistic palliative care approach to their management. This includes making sure people receive the best available, appropriate treatment and coordinated care planning.

SPICT-LIS™ began with preliminary testing in Nepal. Development has continued with translation, adaptation and consensus building with expert clinicians from across Africa, Asia and South America. SPICT-LIS™ 2021 is an updated version written in consultation with colleagues from Nepal, South Africa and Thailand. There’s a pdf and you can view e-SPICT-LIS on your phone.

SPICT-LIS™ is often used alongside the WHPCA International Palliative Care Toolkit.

SPICT-LIS™ is being translated and adapted for other countries and languages:

Sripaew, S., Fumaneeshoat, O. & Ingviya, T. Systematic adaptation of the Thai version of the Supportive and Palliative Care Indicators Tool for low-income settings (SPICT-LIS). BMC Palliat Care 20, 35 (2021). https://doi.org/10.1186/s12904-021-00729-y

There is a SPICT-LIS Guide (Nov 2021) but information on the Using SPICT page may be helpful too.
The RED-MAP Framework helps improve communication about care planning.

community health workers in Nepal with SPICT-LIS

This SPICTTM  tool is free to download.  SPICTTM must not be reproduced in any other format nor modified in any way without permission.

All users are responsible for ensuring that they use the current version of  this SPICTTM tool and for any use they make of SPICTTM and SPICT resources.

We now offer a service that gives SPICT Platinum Partners access to a customised version of SPICTTM with their own organisational logo.

Find out more here.

Adapting the SPICT™ for use in rural Nepal


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Using SPICT-LIS in Palliative Care

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