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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 home- andcommunity-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