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Palliative care should not be seen as a luxury, but as a necessary essential service; it should not be only for the few who can afford
it, or for those living in better socio-economic conditions. Kenya Hospices and Palliative Care Association (KEHPCA) works
together with its stakeholders such as the Ministry of Health (government hospitals), mission hospitals, hospices, community
based organizations and training institutions to ensure that there is greater access across the county, thus scaling up palliative care
services for all in Kenya to bridge the very significant gap between those who receive services and those in need. This encompasses
addressing issues of accessibility, affordability, quality and patients� rights. KEHPCA advocates for the integration of palliative care
for children, adults and the older people into all levels of health services in Kenya as a basic human right. KEHPCA has recognized
the pain and suffering of many patients and families in Kenya who have no access to cure (where cure is possible), cannot afford
treatment for cancer or other progressive chronic illnesses, are stigmatized or discriminated against because of their illness among
many other dehumanizing issues. Therefore, KEHPCA exists to advocate for palliative care for such people; to be the voice for the
voiceless. While the first hospice in Kenya was started over 24 years ago, palliative care remained an isolated service, available to
only a few in the major cities where there was a hospice. Up until 2007, when KEHPCA stated fully functioning, there were just
a few hospices in Kenya. KEHPCA is living up to its vision of ensuring that this services are accessible and affordable across the
county, at all levels of care. By integrating these services into public hospitals, costs for patients in terms of travel, time, and service
are greatly reduced. This presentation will focus on sharing service delivery models suitable for low middle income counties.