Palliative care providers across Africa have emphasized the importance of validated and locally relevant patient-reported outcomes in end-of-life care to inform in policy, practice and resource allocation. GIPPEC initially set out to expand its Quality of Dying and Death research conducted in Canada to Kenya and Uganda.
The Quality of Dying and Death (QODD) Questionnaire evaluates the dying experience subjectively experienced by those involved. The lines of research in Canada have also assessed the quality of hospice and palliative care through the QODD measure. Currently the most widely studied and validated tool in North America, the QODD Questionnaire had not previously been employed in research in Africa. Findings from Kenya and Uganda identified limitations in the cultural relevance and validity of the QODD measure in Africa.