For additional information on advocacy please read the following publications:


80% of opioid consumption occurs in 6% of the world’s population!

A key issue which prevents pain management in cancer patients is the lack of availability of oral morphine and other strong analgesics. Oral morphine is cheap and effective. It is on the list of essential medicines, published by the WHO in 1986 and revised several times since. The IAHPC list of essential drugs in palliative care includes morphine and other strong opioid analgesics.

Pallium India have led an important initiative called the Morphine Manifesto which draws attention to this issue and calls for affordable access to immediate release oral morphine.

Sign the manifesto by clicking on the link on the top of the page or visiting the following website where the call for actions are spelt out:

http://palliumindia.org/about/tips/ [Accessed 16.4.2012 2012].


Moonshine Movies have produced a feature film called Life Before Death along with a series of YouTube videos to draw attention to the international crisis of poor pain relief and lack of palliative care.

This film was internationally launched on World Cancer Day, February 2012 with many viewings held across Australia around that time. A special viewing was held in Canberra hosted by Palliative Care Australia and attended by members of parliament in departments of health and foreign affairs.


Just US$20 can stop the pain of a patient facing severe debilitating pain for a whole month. A pain-free month can change the entire experience of patients and families facing life-limiting illnesses or diseases that threaten their quality of life.

The tragedy of untreated pain is particularly acute in India, however significant progress is being made thanks to hundreds of grassroots programs that urgently need your support.

Visit www.palliumindia.org and find out how just US$20 can provide a month’s pain relief to patients.

To support this cause, the Lien Foundation in Singapore will provide US$100,000 to Pallium India. Half of the funds would go to buying pain relief medicine for the poor and the other half to train doctors and nurses in pain treatment.

The Life Before Death DVD can be purchased here: http://lifebeforedeath.com/movie/buy-the-movie.shtml


PPSG INTERNATIONAL PUBLICATIONS 2008. The Single Convention on Narcotic Drugs-Implementation in Seven Countries. A MONOGRAPH PREPARED FOR:International Pain Policy Fellowship Training Madison, Wisconsin, USA, University of Wisconsin Pain & Policy Studies Group.

WHO & HAI 2011. WHO/HAI Project on Medicine Prices and Availability Review Series on Pharmaceutical Pricing Policies and Interventions. Working Paper 3:The Regulation of Mark-ups in the Pharmaceutical Supply Chain. Review Series on Pharmaceutical Pricing Policies and Interventions.

WORLD HEALTH ORGANISATION 2011. Ensuring balance in national policies on controlled substances: Guidance for availability and accessibility of controlled medicines, Geneva, WHO Press, World Health Organization.

Hippocratic film applauded across Australia

Hippocratic Film Header

With only one city remaining in the Australian launch of the biographical documentary, Hippocratic, it is clear that the film has had great impact here.

One important feature has been the opportunity for Q&A after the movie, where audience members have a chance to delve deeper into the issues raised in the film, such as trying to understand the distressing ongoing shortage of morphine, an essential medication in pain management, a shortage that affects over 80% of the world’s population.

This issue alone should galvanise us to action, to demand change and accountability. However, long time advocates in this field know only too well how difficult it is to bring about change and improvements here.

Films such as Hippocratic are too few and APLI thanks Moonshine Movies for their commitment to contributing to change in a creative and positive way.


Donate to APLI online : BSB 063 806; Acct 10160981

Your donations to APLI help in the following ways:

assist with training of doctors and nurses in palliative care practice in developing nations

support nurses to travel and teach as part of Project Hamrahi

help with purchase of critical site resources such as essential equipment and supplies,  medicines and educational materials