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PMTCTSTITBVCTPrevention of mother tochild transmission (of HIV)Sexually transmittedinfectionTuberculosisVoluntary counselling andtestingWEHMISWHOWOFAKWEM Integrated HealthServicesWorld Health OrganizationWomen Fighting AIDS inKenyaviHOME- AND COMMUNITY-BASED CARE IMPLEMENTATION FRAMEWORK
ForewordThe preparation of this HomeandCommunity-Based CareImplementation Frameworkhas come at a time when theMinistry of Health is shifting its focusthrough the Community Strategytowards strengthening health careprovision at level 1 (the community –villages, households, families,individuals). HCBC is an integral partof the Ministry’s Community Strategy.Care for people living with HIV/AIDSis continually evolving as healthservice providers respond to thechanging needs of clients, familiesand communities.More bedridden patients are alsorecovering and graduating fromdebility to mobility, thereby becomingactive members of their community onlife-long anti-retroviral treatment. Thiscalls for the extension of comprehensivecare beyond the health facility tothe home and community level. Theframework presented here reflectsthat critical change of focus fromhome-based care to homeandcommunity-based care.The HCBC framework is a guideto implementers, supervisors anddonor agencies. The goal is to ensurethe provision of quality care for theHIV infected and other chronically illpeople at the home and communitylevel. International and local donoragencies as well as HCBCimplementing partners will be requiredto use this framework for theimplementation of HCBC activities inline with the relevant priority areas oftheir respective districts. Governmentofficials at the various levels will alsouse the framework to monitor, guideand supervise the implementation ofHCBC programmes. With arecommended minimum package forHCBC, rolled out according to anationally recommended HCBCimplementation model, the Ministryexpects that standards and quality ofcare will be upheld.Through the use of this HCBCguiding framework, implementingpartners will reflect the Government’scommitment to ensure that those withdebilitating illnesses and thoseinfected and affected by HIV receivea sustainable continuum of care ofthe highest quality in their homes andin their communities.Dr. Francis KimaniDirector of Medical ServicesMinistry of HealthForewordvii
Page 1 and 2: Republic of KenyaMinistry of Health
Page 3 and 4: Republic of KenyaHOME- AND COMMUNIT
Page 5 and 6: ContentsList of Abbreviations and A
Page 7: Abbreviations and AcronymsACKAIDSAO
Page 11 and 12: Executive SummaryThis document desc
Page 13 and 14: 1 IntroductionServices for the care
Page 15 and 16: All partners implementing HCBCprogr
Page 17 and 18: 2.1.3 Palliative Care, Pain Relief
Page 19 and 20: should therefore take intoconsidera
Page 21 and 22: harmonize a database of servicesava
Page 23 and 24: 3 Minimum Package of CareEnsuring t
Page 25 and 26: 4 HCBC ImplementationStrategiesStro
Page 27 and 28: A healthy community iseverybody’s
Page 29 and 30: 4.5 Linkages, Referral Systemand Ne
Page 31 and 32: administrative levels, the lowest o
Page 33 and 34: • Determine the availability ofre
Page 35 and 36: compile data for onward flow toNASC
Page 37 and 38: Annex B:Additional Reading1. Nation
Page 39 and 40: Annex C: Standard MinimumHCBC Kit C
Page 41 and 42: Notes______________________________
Page 43 and 44: ”-”-”-”-”-”-”--”-

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