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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaAPPENDIX VKHANA Technical SupportIn addition to monitoring the work of partner NGOs to check progress againstagreed workplans and budgets, Khana provides both technical support andorganisational capacity building. Khana employs different mechanisms forproviding technical support to partners. These include:- One-to-one programme-related field visits for direct observation of work, to assist staffto discuss any difficulties in implementation and help them to find appropriate solutions.Home Care Teams receive on average 2 field visits from Khana programme staffper quarter.- One-to-one finance-related field visits to build capacity in financial management arecarried out on average twice per year by Khana finance and admin staff.- Collective technical support through regular workshops. In 1999, Home Care staffparticipated in a total of 3 workshops including Basic or Advanced Counselling;Community Management of HIV; Appropriate Prescribing and Physiotherapy forPain Relief. Workshops to build organisational capacity included Project Reviewand Project Design.- NGO exchange visits whereby Khana supports staff from one project to visit andwork with staff from another. In relation to Home Care, this has been a particularlyuseful strategy for helping the staff from the pilot projects in Battambang buildtechnical capacity.- Participation in supervision of the Phnom Penh Home Care Network. The KhanaProgramme Officer for Care and Support visits different Home Care Teams oncea month to provide clinical and managerial guidance to Home Care staff.- Participation in Home Care Network monthly coordination meetings, providingongoing advice and guidance on addressing problems as they arise.- Sharing lessons learned through adaptation, translation and dissemination of relevantmaterials from the Alliance and other organisations, and through Khana documentingand sharing local experience. For example, the Khana booklet on appropriateprescribing of medications often used in home care, the quarterly information-sharingnewsletter Bo Krohom (Red Ribbon), and a pack of commonly asked questions andanswers on HIV prevention have been widely distributed.- Supporting partners to participate in and share their work with wider forums atconferences and on study tours. For example, Khana assisted three NGO partnersto have abstracts accepted for the global conference on AIDS this year.- Khana itself receives on-going technical support from the Alliance in the form ofinternational and local consultants and 2 resident advisors - one specifically buildingcapacity in care and support.Khana is currently expanding it's own capacity to provide technical supportby training other local providers and creating a resource pool of specialisedskills.pg 96
An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaAPPENDIX VIList of Key Informants Interviewed During the EvaluationDr Nhep AngkeabosDr Jeffrey AshleyDr Nhek BunchhupDr Chhe BunthouMs Lucy CarterMr Lang ChantholDr Chantha ChakDr Hak ChanrouernMs Khun ChanthaDr Janet CornwallMr Mony DaraMs Dominique DumoulinsDr Bernard Fabre-TesteMs Michelle FontanaMr Philippe GiraultMr Peter GodwinDr Mam Bun HengDr Nong KanaraMr Yee KimlengDr Lo Veasna KiriMs Men KosalDr Hor Bun LengMs Fabienne LopezMs Nhim MalaMr Geoff MantheyMr Chea MongkolDr Kong Bun NavyDr Song NgakFr Jim NoonanDr Sok PhanDr Bill PiggottDr Phouy Sona RothDr Sour SalanMs. Hou SamyDr Chhim SarathMr Chea SarithMs Kim SaroeunDr Meas SarunMs Son SedaDr Hy SeilarithMs Tilly SellersDr Chhin SenyaDirector, Chamcarmon Health CentreHealth & Population Director, USAIDVice Director DoH, BattambangSTD/AIDS Programme Manager, MHDClinical Management Advisor, SSCHome Care Team Co-ordinator, Phnom PenhProject Management Specialist, USAID(HIV) Physician, Medicin B, Calmette HospitalHome Care Team Co-ordinator, Phnom PenhTB/HIV Specialist, ServantsHome Care Team Co-ordinator, Phnom PenhHome Care Specialist, WHOPublic Health/Epidemiologist, French Co-operationRepresentative, MSF, BattambangBCI/Evaluation Officer, FHI/ImpactWorld Bank Advisor to NCHADSSecretary of State, MoHHead of AIDS Care Unit, NCHADSHome Care Team Co-ordinator, Phnom PenhDeputy Director, Dept of Planning, MoHHome Care Team Co-ordinator, Moung RusseyDeputy Director NCHADSFormerly WHO AIDS CareHome Care Team Co-ordinator, Phnom PenhCTA, UNAIDS, CambodiaHome Care Team Co-ordinatorPhysician, HIV/AIDS Dept, Centre of HopeTechnical Officer, FHI/ImpactManager Maryknoll HIV ProgrammePhysician, Centre of Hope Sihanouk HospitalRepresentative, WHO CambodiaAIDS Specialist, Battambang Provincial HospitalDeputy Director, Municipal Health DepartmentHome Care Team Co-ordinator, Phnom PenhKHANAPresident, WOMENHome Care Team Co-ordinator, Phnom PenhNGO Coordinator, MHDHome Care Team Co-ordinator, Phnom PenhDirector, Daun Penh Health CentreTechnical Advisor, International HIV/AIDS AllianceHead of Infectious Disease Ward,Norodom Sihanouk Hospitallist continues overleaf...pg 97
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An Evaluation of the MoH/NGOHome Ca
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CONTENTSipg 1pg 2Abbreviations and
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CONTENTSpg 626 Battambang pilot6.1
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ACKNOWLEDGEMENTSThis evaluation cou
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EXECUTIVESUMMAR YImpactThe findings
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EXECUTIVESUMMAR YKey ComponentsThe
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EXECUTIVESUMMARY• The draft train
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BACKGROUNDConcepts of Home-Based Ca
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BACKGROUNDavailable, there is a str
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BACKGROUNDgiven the opportunity to
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EVALUATION DESIGNAND METHODOLOGYDes
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EVALUATION DESIGNAND METHODOLOGYBat
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EVALUATION DESIGNAND METHODOLOGYtho
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EVALUATION DESIGNAND METHODOLOGYwit
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IMPACTPeople Living with HIV/AIDS (
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IMPACTWhen asked (in an open-ended
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IMPACTThe community leaders were un
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IMPACTFor the 34% who acknowledge t
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IMPACT3.5.1 Access/coverageWithout
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COSTANALYSISMethods and Results 4.2
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COSTANALYSISCost Implications for H
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COSTANALYSISof Health study 37 on t
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COSTANALYSISLimitations of the Cost
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INPUTSAND PROCESSthe monthly HCT re
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INPUTSAND PROCESSIn recommending th
Page 51 and 52: INPUTSAND PROCESSIt is recommended
Page 53 and 54: INPUTSAND PROCESSEach HCT splits in
Page 55 and 56: INPUTSAND PROCESSand the feeling pr
Page 57 and 58: INPUTSAND PROCESSconsiderably, and
Page 59 and 60: INPUTSAND PROCESSEach of the referr
Page 61 and 62: INPUTSAND PROCESSIt is recommended
Page 63 and 64: INPUTSAND PROCESSto their partner H
Page 65 and 66: INPUTSAND PROCESSstipend of $20 per
Page 67 and 68: INPUTSAND PROCESSCaring for the Car
Page 69 and 70: BATTAMBANGPILOT PROJECTlonger-stand
Page 71 and 72: BATTAMBANGPILOT PROJECTremaining 88
Page 73 and 74: EXPANSIONOF THE HOME CARE PROGRAMME
Page 81 and 82: 8 SUMMARY OF KEYCOMPONENTS, LESSONS
Page 83 and 84: SUMMAR Y OF KEY COMPONENTS,LESSONS
Page 85 and 86: APPENDICESpg 79
Page 87 and 88: APPENDIX1a4. a) How often do they v
Page 89 and 90: APPENDIX1a10. If you didn't have Ho
Page 91 and 92: APPENDIX1a22. What other material a
Page 93 and 94: APPENDIX1b9. What difference (if an
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