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™ 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™ has been developed from preliminary testing in Nepal and consensus building by expert clinicians from Africa and Asia.

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

We have set up a Special Interest Group as part of the SPICT™ international community of practice to refine, implement and evaluate SPICT-LIS™. SPICT-LIS Special Interest Group

Contact Dr Dan Munday if you’d like to join the SPICT-LIS working group.

Dr Dan Munday – Consultant in Palliative Care and Health Services Research, Consultant Adviser to International Nepal Fellowship. Visiting Professor of Palliative Care, Nepali National Academy of Medical Sciences (NAMS), and adviser to Nepalese Association for Palliative Care (NAPCare).
Honorary Senior Lecturer, Primary Palliative Care Research Group, University of Edinburgh.

Contact Dan Munday, International Nepal Fellowship

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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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