Scotland	Kenya
•Main issue is the prospect of death	• Main issue is physical suffering, especially pain
• Pain is unusual	• Analgesia unaffordable
• Anger in the face of illness	• Acceptance rather than anger
• “Just keep it to myself”	• Acceptance of community support
• Spiritual needs evident	• Patients comforted and inspired by belief in God
• Diagnosis brought active treatment, then a period of watching and waiting	• Diagnosis signalled waiting for death
• Patients concerned about how carer will cope in the future	• Patients concerned about being a physical and financial burden to their family
• Support from hospital and primary care team	• Lack of medical support, treatment options, equipment, and basic necessities
• Specialist palliative care services available in hospital and hospice and at home	• Specialist palliative care services not available in the community
• Cancer a national priority in Scotland	• Cancer not a national priority in Kenya