05/22/2026
Chaplain Richard Bauer gives International Association for Hospice and Palliative Care constituency statement at on the Emergency, Critical, and Operative Strategy endorsed by the Worldwide Hospice Palliative Care Alliance, HelpAge International, Union for International Cancer Control, World Council of Churches, International Federation on Ageing, and Women in Global Health. " Equitable ECO initiatives, particularly in humanitarian crises, witness to health systems characterized by continuity of care rather than fragmentation and abandonment. ECO functions best when it incorporates community-based health workers and volunteers who know their own settings, customs, and cultural preferences. ECO perioperative care begins with and is accountable to communities and spans the continuum from prevention to palliative care. ECO tackles high-burden disease in low-resource settings—trauma, sepsis, obstetric complications, NCD emergencies, and respiratory illnesses. Including local and national professional organizations, CSOs, faith-based organizations and indigenous communities, can ensure that marginalized populations are not sidelined. These populations include
• Older persons with chronic diseases, including cancer, heart disease, organ failure, and dementia
• Persons with mental and physical disabilities, surgical disease, and traumatic injuries
• Newborns and children with severe health complications
• Persons deprived of liberty
• Refugees and migrants
Without appropriate treatment and palliative care, these individuals may endure severe pain, untreated symptoms, psychological distress, and undignified deaths.
We recommend
• Aligning ECO with existing national policies and strategies
• contextualizing rather than just standardizing systems of caring
• focusing on quality holistic health and care services across the life course that includes patients and their families
• training for improved communication, teamwork, and technical skills as well as care that is person-centred and culturally and spiritually relevant
• Embedding anesthesiologists, pain specialists, and palliative care practitioners in national ECO planning and governance.