Abstract
Relevance: Gynecologic cancers are a significant cause of morbidity and mortality among women world-wide. Palliative care aims to enhance patients’ quality of life by managing symptoms and offering psycholog-ical, social, and spiritual support. Despite the acknowledged importance of palliative care, certain countries, including Kazakhstan, face substantial barriers due to limited access to these services, a shortage of special-ists, and low public awareness. This study aimed to systematically analyze recent research on palliative care for gynecological cancers, fo-cusing on its role in improving patient quality of life, identifying current barriers, and exploring opportunities to apply international healthcare strategies in Kazakhstan. Methods: A systematic literature review was conducted using the PubMed, Scopus, and Web of Science da-tabases, as well as international WHO reports, for the period 2015–2025. Thirty-two relevant scientific arti-cles were selected and analyzed, including studies on integrating palliative care, service delivery models, and barriers and opportunities to improve palliative care. Results: A systematic literature review revealed that early integration of palliative care into the treatment of female patients with gynecological oncological diseases promotes improved symptom control (pain, fatigue, depression, anxiety), increases treatment satisfaction, and enhances psychosocial adaptation. Barriers to providing palliative care were identified in resource-constrained countries, including Kazakhstan. Conclusion: Palliative care plays a crucial role in improving the quality of life of patients with gynecological cancer. A comprehensive strategy is necessary to enhance the accessibility and effectiveness of palliative care, particularly in resource-limited countries. This strategy should encompass the development of infra-structure, training of healthcare professionals, increased public awareness, and the adaptation of care delivery models.