This is one of the very first bottles of oral morphine we produced in Rwanda on November 13th, 2014. When all the calculations were done, we determined it costs about 15 cents in USD per day to achieve pain relief for a patient suffering with severe pain related to progressive incurable cancer and or HIV/AIDS.
15 cents! In many of the villages where we work in Rwanda, 15 cents is not trivial. It equals about 100 Rwandan Francs, and this is about the cost of taxi bus fare across town in Kigali. Yet 15 cents is affordable for most people; moreover, the Ministry of Health lists Morphine as an "essential medicine," indispensable to the relief of moderate to severe pain (see the WHO definition and list of Essential Medicines). That means all Rwandese citizens should be able to access to opioid analgesics when clinically indicated. For us at HWB, increasing the availability and accessibility of oral morphine in countries like Rwanda is important, because 15 cents is doable, and thus even a small organization like ours can make a difference on the ground, in the lives of individual human beings. And of course word gets around: Once people begin to experience first hand the benefit of pain control - the people themselves begin to demand access, and the pain gap begins to close! Visit our friends at Treat the Pain, to learn more!
~ Buhoro buhoro ni rwo rugendo ~ together we take the journey~
For the benefit of those we meet along the path, we must work in solidarity!
Many of our patients are widowed genocide survivors with HIV: HIV and often concomitant cancer. These are strong resilient women living under difficult circumstances; women who must work often low wage day jobs simply to survive day to day, and more often than not, this means working in pain.
Of course, most of our palliative care patients lost family members to the 1994 genocide, and many more since then to illness. These people often now find themselves alone, sick themselves,
suffering, and destitute.
Please support our effort to insure that all people have access to pain control, and please remember what I share here: On average, a pain free day with oral morphine costs only 15 cents, and that can mean the difference between being able to get out and work and being trapped in pain and poverty.