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International Pain Policy Fellowship (IPPF)
Funded by the Open Society Institute’s (OSI) International Palliative Care Initiative

Palliative care aims to improve the quality of life of patients and their families by relieving pain, but cannot be effective without access to opioid analgesics. Because opioid analgesics also have a potential for misuse, they are controlled by international treaties and national drug control policies. Many drug regulatory policies are very strict and have become outdated as the science of pain has evolved and as chronic diseases have increased. Consequently, more and more patients, especially in the developing world, lack access to the opioid analgesics that the World Health Organization (WHO) has designated as essential medicines. A fellowship with some of the world’s experts in opioid availability can empower already-motivated health professionals to evaluate and help improve the regulatory environment in their country.

The purpose of the International Pain Policy Fellowship is to assist low and middle income countries to improve patient access to pain medicines recommended by the WHO for pain of cancer, HIV/AIDS and other diseases. United Nations bodies, including the WHO and the International Narcotics Control Board, have expressed concern about the low consumption of controlled pain medicines in the world, especially in developing countries.

The Fellowship is intended for health professionals (for example, oncologists, AIDS clinicians, pharmacists, pain and palliative care physicians), health care administrators, policy experts, social workers, or lawyers from low- or middle-income countries who have an interest in drug policy advocacy to improve availability of opioid analgesics for pain relief and palliative care.

The IPPF began with an inaugural class in 2006. Due to the success of the IPPF 2006, the Open Society Institute’s (OSI) International Palliative Care Initiative decided to fund a second class of Fellows for another two-year project. Each class of Fellows trained with the PPSG and other international experts in Madison, Wisconsin, USA to develop action plans to improve opioid availability for implementation during their two-year Fellowship with follow-up technical support from the PPSG and grant support from the OSI.


2008 IPPF
16-20 June 2008


  • Fellows:
    • Zipporah Ali, MD, MPH, Dip. Palliative Care -Kenya
    • Eva Rossina Duarte Juárez, MD, MA - Guatemala
    • Pati Dzotsenidze, MD - Georgia
    • Hrant Karapetyan, MD, PhD - Republic of Armenia
    • Irina Kazaryan, PharmD, PhD, MSc - Republic of Armenia
    • Bishnu Dutta Paudel, MD, MBBS - Nepal
    • Margaret Dingle Spence, BSc, MBBS, Dip. Pall. Med., FRCR - Jamaica
    • Verna Walker-Edwards, BSc, Pharmacy - Jamaica


2006 IPPF
23-27 October 2006


  • Fellows:
    • Dr. Simbo Daisy Amanor-Boadu, MBBS, FMCA - Nigeria
    • Prof. Snežana Bošnjak, MD, PhD - Serbia
    • Prof. Rosa Buitrago, BS, MCPh - Panama
    • Mrs. Nguyen Thi Phoung Cham, Pharm - Vietnam
    • Dr. Henry Ddungu, MB ChB, M.Med - Uganda
    • Dr. Jorge Eisenchlas, MD, MSc - Argentina
    • Dr. Marta Ximena León, MD - Colombia
    • Mr. Gabriel Madiye, DPH - Sierra Leone


Lance Armstrong Foundation LIVESTRONG Global Cancer Summit
Dublin, Ireland

24-26 August 2009

From 24-26 August 2009, PPSG staff members (James Cleary, Martha Maurer, and Karen Ryan) and five of their International Pain Policy Fellows participated as Delegates in the Lance Armstrong Foundation LIVESTRONG Global Cancer Summit in Dublin, Ireland. 

The Summit was a landmark event bringing together world leaders, industry, non-governmental organizations and individuals to spotlight their collective commitment to the global fight against cancer.

The Fellows in attendance were:
  • Rosa Buitrago, BS, MCPh, University of Panama College of Pharmacy, Panama City, Panama
  • Snežana Bošnjak, MD, PhD, Institute for Oncology & Radiology of Serbia, Belgrade, Serbia
    • Accompanying Prof. Bosnjak was the Director of the Institute for Oncology and Radiology of Serbia, Prof. Nenad Borojevic
  • Marta Ximena León, MD, Universidad de la Sabana, Palliative Care Dept., Bogotá, Colombia
  • Pati Dzotsenidze, MD,  P. Sarajishvili Institute of Neurology and Neurosurgery, Tbilisi, Georgia
  • Eva Duarte, MD, MA, Chief Palliative Care Unit, Instituto de Cancerología (INCAN Guatemala), Guatemala
    • Accompanying Dr. Duarte was the Director of INCAN Guatemala, Dr. Walter O. Guerra
Unfortunately, due to visa problems, our colleagues in Sierra Leone, Mr. Gabriel Madiye (Executive Director, Shepherds Hospice) and Dr. Daoh (Chief Medical Officer of Ministry of Health and Sanitation), were unable to attend and present on their success in providing pain medications to needy patients in Sierrra Leone.

In addition, two members of the PPSG's International Expert Collaboration were also in attendance:
  • Dr. M.R. Rajagopal, Pallium India, India
  • Dr. Eric Krakauer, Harvard Medical School Center for Palliative Care, USA
The PPSG is grateful for the opportunity to participate in this groundbreaking new global initiative in the fight against cancer and pain.  We look forward to continued leadership from the Lance Armstrong Foundation.
 
 
Reception at Dublin castle
Jim Cleary, Rosa Buitrago, Marta Leon, Eva Duarte, Pati Dzotsenidze
Lance Armstrong, opening ceremony
Lance Armstrong, opening ceremony
Maurer, Bosnjak, Leon, Ryan, Dzotsenidze, Duarte
Martha Maurer, Snezana Bosnjak, Marta Leon, Karen Ryan, Pati Dzotsenidze, Eva Duarte
Jim clear, moderating
Dr. Jim Cleary, session moderator

Rosa Buitrago carrying Panama's flag
Rosa Buitrago carrying Panama's flag

Eva Duarte carrying Guatemala's flag
Eva Duarte carrying Guatemala's flag

Pati Dzotsenidze carrying Georgia's flag
Pati Dzotsenidze carrying Georgia's flag

Eva Duarte, dinner at Guinness
Eva Duarte, dinner at Guinness
Scholten & Buitrago, dinner at Guinness
Willem Scholten and Rosa Buitrago, dinner at Guinness

group photo
Group photo with Fellows