The Annual Report for 2024 is now available and can be found here.
Freddie Collins attends Palliative Care Congress
Hospice Ethiopia UK is delighted that our trustee, Freddie Collins, attended this year’s Palliative Care Congress in Belfast. This is the UK’s annual conference for palliative care practitioners and researchers. Here is her feedback:
“I was presenting an audit I completed while I lived in Ethiopia in 2024. For this audit, I went through the records of 100 patient notes to find out what symptoms they experienced and what medications the Hospice Ethiopia (HE) team used to manage their symptoms.
The main symptom that patients experienced was pain. 95% of cancer patients, and 91% of patients with HIV, experienced pain. On the first visit made by the HE team, only 5% of patients had their pain controlled. By their last visit, this proportion had increased to 60%. Most importantly, only 33% of patients had access to morphine, which is an essential medication to treat pain in patients at the end of their lives.
This audit shows two things. Firstly, how brilliant the HE nurses are! Even though they have a limited selection of tablet pain relief medications, they are still able to drastically improve pain in their patients. This is because, with your ongoing support, they are able to provide psychological, spiritual and economic support which helps to soothe pain in multi-dimensional ways.
Secondly, this audit highlights how an unmet need for pain control still does exist, as 40% of patients remain with uncontrolled pain at the end of their lives, but two thirds do not have access to oral morphine. If this study was repeated now on patients currently registered with Hospice Ethiopia, the access to oral morphine would probably be even more limited.
This inequitable access to morphine is a global problem. We can read in the 2018 Lancet Commission on Palliative Care and Pain Relief, how half of the global population receives less than 1% of global morphine supply. This audit therefore supports the urgent need for a reliable supply of oral morphine in Ethiopia and we hope that the Ethiopian government’s plan to develop a national morphine production unit will advance soon.”
An evening with General the Lord Dannatt GCB CBE MC DL
Hospice Ethiopia UK is enormously grateful to Richard Dannatt for giving a fascinating talk about Churchill and his role in the D-Day landings of Normandy. Through documents and letters from the Churchill Archives Centre in Cambridge, Richard gave the audience a vivid sense of the huge risks involved in the planning and execution of Operation Overlord, the largest land, sea and air operation ever staged. It proved to be a major turning point in the Second World War.
Thank you also to the enormously supportive audience, who enabled us to raise £1,730 through ticket sales and a raffle to support the work of Hospice Ethiopia.
Sue delighted to receive MBE
Chair of Hospice Ethiopia UK Sue Mumford has been made an MBE in the New Years Honours list in recognition of her services to palliative care in Ethiopia.
Sue has been involved in the charity since 2012, when a group of health care professionals at Priscilla Bacon Lodge started to support Hospice Ethiopia. She became chair of the group in 2016. Since 2012 Sue has visited Ethiopia thirteen times, most recently in November 2024 when she and her husband, retired doctor Jamie Mumford, helped run a training course in palliative care in the country.
Hospice Ethiopia was originally founded in 2003 by an Ethiopian nurse, Sister Tsigereda, who was saddened at the number of people who were left to die without adequate care in Addis Ababa, Ethiopia’s capital. Before that, there was no palliative care in the country, which now has a population in excess of 120 million. Over the years, with help from HEUK, the hospice has looked after thousands of patients, bringing relief to their suffering. Just as importantly, the hospice is a centre of excellence in Ethiopia and beyond, training hundreds of medics who in turn bring relief to thousands of desperate people and their families in Ethiopia and beyond. Support from the UK has been essential in this work, with HEUK raising around £60,000 a year. Trustees claim no expenses for their travel to Ethiopia so that all donations go where they’re really needed.
Sue works work closely with Hospice Ethiopia’s director, Ephrem Abathun, and has monthly calls with him so that HEUK can understand their needs and challenges and share in their successes.
Jill Morgan, one of HEUK’s trustees, says “The word ‘tirelessly’ is sometimes overused, but in Sue’s case it’s an understatement. I don’t think there is ever a time when she’s not either doing something for the charity or figuring out ways to progress its vital work. As well a leading the volunteers in the UK, she is always working at the heart of every fundraising event – everything from giving a talk to washing dishes, she’s there doing it. She thoroughly deserves this honour.”
Sue says “I am deeply honoured to receive this recognition, but this MBE is not just for me – it represents the incredible dedication of everyone at Hospice Ethiopia UK and our partners in Ethiopia. Together, we are ensuring that people with life-limiting illnesses can face their final days with dignity, comfort, and compassion. I hope this honour shines a light on the importance of palliative care and inspires further support for this vital work. I couldn’t have done any of this without fantastic support from my husband, family, trustees, and volunteers.”
The Big Give 2024
Thank you, thank you, thank you! We asked you to help us reach our target of £11,500 in the annual Big Give Christmas Challenge and we exceeded it! With 63 donations, £5,956 was given which means with our matching pot and Gift Aid an amazing £12,655 has been raised. This will enable Hospice Ethiopia to fund an additional nurse and a new Social Worker in 2025, thereby increasing their capacity to care for people approaching the end of their lives. Ephrem, the Director of Hospice Ethiopia said “Wow wow wow…congratulations! Thank you so much and thank you all the donors!”
Successful Jane Austen event raises £1560
We had a fantastic event on Sunday 28th July with the dramatized reading from Jane Austen’s Northanger Abbey at Cromer Hall. The actors/readers were brilliant, the musicians fabulous and the high tea scrumptious. As for the setting – it was simply glorious, and we were lucky to have such wonderful weather. Huge thanks to Benjie and Dido Cabbell Manners for letting us use their beautiful home (and for providing a superb lunch for the workers). Massive kudos to script writer Margy Seale and the fabulous cast. Soprano Emma Nuule and her accompanist John Farmer were a delight, as was Jamie Mumford playing incidental music on his recorder. And then, as ever, there were all the background folk who contributed so much hard work – including the bakers, Kate, Rosie, Elizabeth and Julie and Sue, and the very hardworking tea folk, Claire, Julie, Rebecca, Steph and Rachael. And, of course, many thanks to the wonderful people who came and supported the event – raising £1560 in the process, which will make a huge contribution to support Hospice Ethiopia. The money raised is enough to pay for a specialist nurse looking after 100 patients for three months in Ethiopia.
The 2024 Jane Austen event sold out, as did the 2023 one… if you’d like to know about the 2025 event in time to grab a ticket or two, sign up to the newsletter at the bottom of this page.
Successful Auction of Promises
Hospice Ethiopia’s wine and cheese and auction of promises was a fantastic evening and raised over £2,700. Every penny of this will go to support Hospice Ethiopia. A massive thank you to the hugely entertaining Mrs Temple, for both her wonderful cheeses and her insightful presentation. Also thanks to the equally entertaining master of ceremonies and auctioneer extraordinaire David Robinson. Yet more thanks to all who donated lots for the auction and prizes for the raffle. Lastly, our thanks goes to our wonderful volunteers who worked so hard to make it all happen and all those who dug deep and bought the lots!
June 2024 news from Ethiopia
Hospice Ethiopia UK’s Chair Sue Mumford has monthly online calls with Director of Hospice Ethiopia UK, Ephrem Abathun. Here is some of the latest news from Ethiopia:
- Ephrem has been in discussions with the Ethiopian Ministry of Health about revising and publishing a new strategic plan for Palliative Care in Ethiopia. Crucially the provision of morphine is included for the first time in the revised plan.
- The Minister of Health has now issued the necessary documents for the Black Lion Hospital to import morphine powder to produce oral morphine liquid. The American Cancer Society has purchased the morphine powder so we are optimistic that oral morphine solution will soon be available to relieve the pain for the dying in Ethiopia. Initially this medicine will be available for patients at Black Lion Hospital before being expanded to other hospitals in Addis Adaba and then to regional hospitals across the country.
- Training: Ephrem and his staff laid on a workshop for Chaplains and representatives from the Christian Orthodox, Protestant and Muslim communities. Following this a draft training manual is being produced for training religious leaders in supporting terminally ill patients. As part of this work some of Hospice Ethiopia’s patients were questioned about what spiritual care they felt is needed when approaching the end of life. All this will help deliver the individualised care that people approaching the end of life deserve.
- Following a joint application between Hospice Ethiopia and Hospice Ethiopia UK, True Colours Trust (a UK charity that supports palliative care providers across Africa) is providing funding for a 4 day palliative care training course at Hiwot Fana Hospital in Harar later this month. Harar is a holy Islamic city in eastern Ethiopia and is known for its maze-like alleys and traditional houses decorated inside with flat baskets.
- Hospice Ethiopia UK and Hospice Ethiopia has recently been approached by Dr Yates from Soddo Christian Hospital (situated in the Oromia part of Southern Ethiopia) to provide palliative care training for their staff. The hospital serves a population of over 20 million people. Planning is in the early stages for this training to be delivered in the autumn when some of HEUK’s trustees will be visiting Ethiopia.
Doctor receives palliative care training funded by HE UK
Money raised by Hospice Ethiopia UK has been used to fund training for a doctor based in Southern Ethiopia, Dr Juhliad. His interest in palliative care started in 2019 when he received a three day introduction to palliative care at The Black Lion Hospital in Addis Ababa, delivered by Hospice Ethiopia’s Director, Ephrem. Dr Juhliad now works at Yabelo Hospital which is a town in the Oromia region, 580km south of Addis Ababa. Here he sees patients who desperately need symptom management and end-of-life care. With our help this year he has completed the foundation course in palliative medicine at Trivandrum Institute of Palliative Sciences and is now attending a Master Class course that will go on until December 2024. He will go to India for ‘hands-on’ clinical training in November 2024 as part of the course. This is what he told us:
“The hospital where I am based now doesn’t have a specific place dedicated to patients needing palliative care. And it seems difficult to persuade the hospital administrators to integrate palliative care services for now. But I am trying to integrate palliative care practice into my daily routine for patients who might be candidates for such services at a chronic disease medical outpatient department. Moreover, I am intending to launch a free telehealth service for patients needing palliative care through my social media platforms…I am also interested in providing webinars on palliative care for frontline healthcare workers.”
Ephrem visits the United States
Executive Director of Hospice Ethiopia, Ephrem Abathun has recently returned from a 3 week visit to the United States. He reported that “it was a blessing to visit partners of Hospice Ethiopia across the country”. He began his trip in Connecticut, with a visit to Yale New Haven Hospital with Dr Eleanor Reid where he experienced first-hand palliative care being given in the Emergency Department. This has relevance for the challenges of the medical teams in Ethiopia caring for patients in their Emergency Departments where the families expect curative treatment to be provided even when their loved one is dying.
Ephrem’s next stop was Chicago to meet Professor Joshua M. Hauser from Northwestern University, who was involved in providing online palliative care training at Addis Ababa University earlier this year. Following this he met Mahlet Bejiga and her family in Boston, who have been long-term supporters of Hospice Ethiopia. They, along with other supporters, hope to start a new not-for-profit organisation in the US ‘Hospice Ethiopia USA’. In Las Vagas Ephrem continued his trip with a stay with Stephanie Council and a visit to Nathan Adelson Hospice before ending his trip in Sacramento with a visit to Snowline Hospice, who have previously provided support for Hospice Ethiopia.
