Developing children's palliative care in Africa through beacon centres: lessons learnt

Much progress has been made in the provision of palliative care across sub-Saharan Africa, however much still remains to be done, particularly in the area of children's palliative care (CPC). The Beacon Centres programme was set up in 2009, aimed at improving access to CPC in South Africa, Uganda and Tanzania through more and better-trained health professionals and CPC clinical services of a high standard. Having identified sites in each country to develop into CPC Beacon Centres, Navigators were identified who would be the 'champions' for CPC in those sites and lead a programme of training, mentorship and support. Five navigators (2 in Uganda and Tanzania and 1 in South Africa) were trained between September and December 2009. Following this they undertook CPC needs assessments at the 3 centres and set up and delivered a six-month CPC training programme, providing mentorship and support to students to enable them to integrate CPC into their workplaces. To date, 188 participants have commenced the six-month course, with 80 having completed it. CPC has been integrated into the activities of the centres and a CPC virtual resource centre set up in South Africa. The achievements from the Beacon project have been great and the work of the navigators immense, but as in all projects it has not been without its challenges. Lessons learnt include issues around: the focus of the project; the length and nature of the training; assessment; accreditation; the choice of navigators; mentoring; administrative support; co-ordination; the choice of project sites; and the integration of CPC into services. The need for CPC is not going to go away and it is therefore important that models of scaling-up are found that are not only practical, feasible, affordable and sustainable, but that focus on the outcome of improved CPC for all those who need it. It is hoped that the lessons shared from the Beacon Project will help in developing and implementing such models.

Hearing and vocalizations in hybrid Waterslager-Roller canaries (Serinus canarius)

A male canary from the Belgian Waterslager strain, which is known for its elevated high-frequency thresholds and a female of German Roller canary with normal high-frequency thresholds were bred. Operant techniques and a psychophysical tracking procedure were used to measure auditory sensitivity of six F1 hybrid canaries from this cross. Three patterns of auditory sensitivity were observed in the six hybrid birds. Four birds showed elevated high-frequency hearing characteristic of the Belgian Waterslager strain; one bird showed normal hearing, and one bird showed an intermediate pattern of auditory sensitivity. A spectral analysis of contact calls recorded from these F1 hybrid canaries showed a spectral distribution of energy which was intermediate between that of Belgian Waterslager strain and the German Roller strain. These results suggest there may be a relation between hearing sensitivity and the spectral distribution of energy in the calls of domestic canaries. Such hybrids may prove useful for examining the genetic basis of more complex behaviors such as vocal learning.