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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaDr Oum SopheapMs Pan SopheapMr Uy Chhan SothyDr Samreth SovannarithMs Francesca StuerDr Veng ThaiDr Oum VannaDr Lay VicheaDr Mean Chhi VunDr Ong YanDr Mel YuongDr YousangMs Henrietta WellsProject Manager, World VisionHome Care Team Co-ordinator, Phnom PenhHIV/AIDS Coordinator, Indradevi AssociationHome Care Coordinator, AIDSCare Unit, NCHADSCountry Director, FHI/ImpactDirector, Municipal Health DepartmentDirector, Moung Russey District HospitalCoordinator, Provincial AIDS Office, BattambangDeputy Director MoH; Director NCHADSDirector, Psar Deum Tkov Health CentreDep Chief of PAC; Chief PAS, BattambangDeputy Director Battambang Provincial HospitalTechnical Advisor to Khana, International HIV/AIDSAlliance and former WHO Project Coordinatorpg 98
An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaAPPENDIX VIIReferencesAIDS Action, May 1996. "Home and Hospital"Bunna S and Myers CN "Estimated Economic Costs of AIDS in Cambodia", UNDP, 1999Cost and Impact of Home-Based Care for People Living with HIV/AIDS in Zambia, 1994Foster, G et. al. (1999) Increased scope and decreased costs of home care.SAfAIDS News, Vol 7 No.3Gilks et al. "Care and Support for People with HIV/AIDS in Resource-Poor Settings", 1998Joint Ministry of Health/NGO Pilot Project on Home and Community Care for People withHIV/AIDS, Cambodia, February 1998-February 1999.Hansen, K et.al (1998) The cost of home-based care for HIV/AIDS patients in Zimbabwe.AIDS Care, Vol 10, No.6.Lee, T (1999) Cost and cost-effectiveness of home care: Zimbabwe experience, SAFAIDSMinistry of Health, 1998, The demand for health care in Cambodia: Concepts for futureresearch, National Public Health and Research InstituteMinistry of Health/NCHADS/MoH, 1999, Report on Sentinel Surveillance in CambodiaMinistry of Health/NCHADS/MoH National Strategic Plan STD/HIV/AIDS, Prevention and Carein Cambodia, 1998-2000Ministry of Health/NCHADS Draft Strategic Plan for HIV/AIDS and STI Prevention and Care inCambodia, 2001-2003Ministry of Health, Consensus Workshop on HIV/AIDS in Cambodia, Phnom Penh, 1999Osborne et al. "Models of care for patients with HIV/AIDS". AIDS 11, 1997Quality of Life Research; 1997, Vol6:572-584 "Psychosometric validation of the revisedFunctional Assessment of Human Immunodeficiency Virus Infection (FAHI) quality of lifeinstrument"UNAIDS (2000) Country Profile, "The HIV/AIDS/STD situation and the national response in theKingdom of Cambodia", 3rd Edition - February 2000Woelk G et.al. (1997) Do we care? The cost and quality of home based care for HIV/AIDSpatients and their communities in Zimbabwe, University of Zimbabwe, SAfAIDS, Ministry ofHealth & Child Welfare, Hararepg 99
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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
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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
Page 95 and 96: APPENDIX1c• What are your estimat
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