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4.5.4 Handling Logistics andSuppliesThis system will need to bestrengthened to ensure a reliablesupply of home care kits developedlocally under the guidance of thenational standard content list (seeAnnex C). The standard list (revisedin 2006) provides the minimum type/number of supplies that should be inthe kit and which a community healthworker can use comfortably in thecommunity, without clearance of theMOH especially drugs. Additionalitems may be added depending onlocal needs, but with the supervisionof the professional health worker.4.5.5 Ensuring Food Security,Supplements and Food forPrescriptionMeasures have to be taken to providesupplements, prescription foods andemergency food supplies in the shortterm. Long-term measures must beput in place to ensure food securitythat is sustainable and appropriate.4.6 Quality Assurance andQuality ControlThe HCBC Programme andService Guidelines and theNational HCBC Policy Guideset standards and regulations thatgovern HCBC implementation. ThisHCBC implementation frameworkfurther emphasizes the need forquality in the provision of care. Inorder to discourage “briefcase” HCBCorganizations and to uphold highstandards, DHMTs will accredit HCBCimplementers in their districts. This willbe based on the requirements forquality training, the use of skilledworkers – whether volunteer or paid– and implementation of the approvedminimum care package. The DHMT,through the HCBC supervisors orcoordinators, will be responsible forensuring that these policies,standards and regulations are upheld.4.7 Supervision andCoordinationQuality of care requires that theindividual involved besupervised effectively. It alsodemands the proper supervision andcoordination of the various agenciesand organizations involved in HCBC.4.7.1 Supportive SupervisionAll levels from national (central) toprovince and district will ensure thatpolicy guidelines, administrativearrangements and overallmanagement frameworks publishedby the Government are adhered to.Such supervision is facilitated throughface-to-face forums and establishmentof effective communicationamong all levels of administration andwithin different government agencies.There is need to share reports ofsupportive supervision with othercollaborating HCBC implementers.4.7.2 CoordinationThe Government through NASCOPand the National AIDS ControlCouncil (NACC) has set upcoordinating committees at all18 HOME- AND COMMUNITY-BASED CARE IMPLEMENTATION FRAMEWORK