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Global Health Economics and
            Sustainability
                                                                                 Innovative fundraising for palliative care


            1. Introduction                                    describes diverse fundraising modalities, ranging from
                                                               community-based initiatives to corporate partnerships,
            Palliative care is a holistic approach aimed at improving   highlighting the strengths and difficulties of each
            the quality of life for patients facing life-threatening   fundraising approach.
            illnesses and their families (Sepúlveda et al., 2002). Despite
            its profound impact on alleviating suffering and providing   2. Methods
            support during times of immense vulnerability, palliative
            care  services  often  encounter  financial  constraints that   Group discussions were held online over four 1-h sessions
            limit their ability to reach all those in need (Groeneveld   in May 2022 to share fundraising experiences and
            et al., 2017). Therefore, exploring innovative fundraising   opportunities for palliative care. The clinicians were from
            strategies  is  imperative  to  sustain  and  expand  palliative   different specialties including orthopedics, anesthetics,
            care initiatives and ensure equitable access to quality end-  community  medicine,  geriatric  medicine,  and  palliative
            of-life care.                                      care, as well as from different regions, including India,
                                                               Bangladesh, Iran, Thailand, Myanmar, and Brunei. Based
              Traditional funding mechanisms face multifaceted   on the online discussions and meeting notes, the main
            challenges. Constrained health-care budgets, competing   fundraising approaches that were innovative yet feasible
            priorities,  and  fluctuating  economic  landscapes  pose   for the group members to apply in practice were shortlisted
            significant obstacles to securing sustained financial   and documented. It is hoped that these ideas could be
            support for palliative care (Groeneveld et al., 2017). The   implemented by individual members or piloted in each
            evolving health-care landscape characterized by shifting   region, with any progress or lessons learnt to be shared
            demographics, changing disease profiles, and emerging   in the subsequent experience sharing sessions among the
            health-care needs also result in an ever-increasing need for   group members.
            palliative care services (Axelsson, 2022).
              A study looking at online medical crowdfunding   3. Fundraising approaches
            in Canada, the UK, and the United States found 3396   3.1. Art and photography exhibitions
            crowdfunding  campaigns  between  February  2018  and   Funds for palliative care and specific in-need groups can be
            March 2019. There were racial and gender disparities found   raised through organizing art and photography exhibitions,
            for crowdfunding success, with less funds raised for female   with proceeds from ticket sales or auctioned artwork
            gender, Black race or routine care, which include palliative   directed towards a suitable cause. Art exhibitions have the
            services (Saleh et al., 2020). A study from Uganda found   potential to attract a wide range of participants, including
            that the majority (93%) of palliative-care organizations   volunteers, artists, and members of the public. This fosters a
            are  funded  through  donations  (Amandua  et  al.,  2019).   sense of community engagement and supports, and provides
            A  similar study from Taiwan found that palliative care   a platform to showcase diverse cultural, ethnic, and minority
            services were mainly funded through individual small   groups, promoting inclusivity and cultural appreciation
            donations from a large number of people (Hsu et al., 2019).   (Ashwell and Cridford, 2019). The same artwork can be used
            Thus, many hospices and palliative care providers rely on   to host regular exhibitions in various cities and rural areas
            community contributions to run their services; therefore,   to maximize outreach and potential revenue streams. They
            fundraising efforts should be prioritized.         can also be adapted to virtual platforms to conduct virtual
              However, several opportunities remain untapped for   exhibitions and tours, complemented with online donation
            fundraising  in palliative  care. Collective  goodwill  and   options, to enable participation from a wider audience, and
            community social capital can mobilize grassroots support   transcending geographical barriers. These exhibitions may
            and develop a culture of philanthropy. Digital technologies   also serve as a medium to raise awareness and educate the
            and social media enable access to funding contributions   public about palliative care (Macleman, 2007). For example,
            beyond geographic boundaries, leveraging connectivity,   in Scotland, an alliance called Good Life, Good Death, Good
            and social networks (Sleeman  et al., 2021). Corporate   Grief organizes events such as “To Absent Friends,” a festival
            partnerships and forging strategic alliances with businesses   of storytelling, remembrance, and celebration of people who
            and organizations allow access to additional resources,   have died but remain important to them (Hazelwood and
            expertise, and networks to scale the potential impact of   Patterson, 2018).
            palliative care provision (Curtis and Morrison, 2009).
                                                                 However, there is a need to procure creative talent and
              This review paper draws on insights  from group   attractive artwork or photographs to ensure the appeal of the
            discussions and collaborative brainstorming sessions by   exhibitions. Meticulous logistic planning, including venue
            clinicians  undergoing  a  Fellowship  in  Palliative  Care.  It   selection, scheduling, and operational details, is essential


            Volume 3 Issue 2 (2025)                        215                       https://doi.org/10.36922/ghes.3809
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