needs of the dying patients, people want to know about cancer and cancer care and the chronically-ill which includes preventive information implying a need to modify the curriculum of the hospice training program.
3. Community Participation
* Awareness building and consciousness raising on health and dying and related issues Planning, implementation, monitoring and evaluation done through small group meetings Selection of the community hospice health workers by the community Community building and organizing Formation of community hospice committees Establishment of community hospice health workers organization at parish/municipal level Mass campaign and mobilization to understand the needs of the dying and to generate carers
4. Self-reliance
Community generates support (cash, kind, labor) for the hospice program Use of local resources (human, financial, material) Training of community in leadership and management skills Incorporation of income generating projects, cooperatives, small scale industries
5. Recognition of the interrelationship between health, dying and development
* Convergence of health, basic essentials of life, basic health and population and hospice services Integration of the hospice primary health care into national, regional, provincial,municipal,barangay development plans
6. Social Mobilization
Establishment of an effective hospice referral systam Multi-sectoral and inter-disciplinary linkages Information, education and communication support using multi-media Collaboration between government and non government organizations
7. Decentralization
Reallocation of budgetary resources Reorientation of health professionals re: HOSPICE Advocacy for political will and support from the national leadership down to the barangay level
There are four levels/models of people's participation in primary health care: hospital/clinic based, community oriented, community based and community managed (see Appendix). This will have a bearing in hospice care since a decision has to be made as to what appropriate level can be applied for a specific situation A community managed Primary Health Care, considered as the most ideal has yet to be fully implemented after about 20 years of Primarv Health Care.
