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.

New version: SPICT-LIS 2021 will be available soon.

SPICT-LIS™ is a tool to help health workers identify people with advanced life-limiting conditions who could benefit from a palliative care approach to their management so that they receive care appropriate to their needs and coordinated care planning.

SPICT-LIS™ began with preliminary testing in Nepal and consensus building with expert clinicians from across Africa, Asia and South America.

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

community health workers in Nepal with SPICT-LIS

This SPICT™  tool is free to download.  SPICT™ 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 SPICT™ tool and for any use they make of SPICT™ and SPICT resources.

We now offer a service that gives SPICT Platinum Partners access to a customised version of SPICT™ 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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