PDF File - hivpolicy.org

An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaKey Recommendations from the evaluation for improving andexpanding the programme are summarised below:Home Care NetworkIt is recommended that:• MoH includes drugs used in Home CareKits in the Essential Drugs list• The Home Care Network Group becomesan autonomous unit with its ownresources in order to ensure co-ordinationof technical support, improve linkswith other initiatives and facilitate monitoring.• The Municipal Health Department AIDSOffice begins to assume responsibilityfor co-ordinating the Home CareNetwork in Phnom Penh• Central Medical Stores initiates steps toprovide drugs for Home Care Kitsthrough Health Centres• The Home Care Network Group initiatesa discussion on the criteria for homecare provision of prophylactic Bactrim toHIV patients in Cambodia, ensuring thatthere are clear guidelines for selectionand monitoring of patients.• Because of its capacity and presentinvolvement in the programme, KHANAis approached to provide technical andfinancial support to facilitate the expansionand relocation of the Home CareNetwork GroupHome Care ActivitiesIt is recommended that:• The Home Care Network Group initiatesa review process to clarify and agreestrategic priorities for home care activitiesand to rationalise the roles andresponsibilities of the home care teams• The Home Care Network Group reviewswith the HCTs the system of monitoringand reporting patient numbers and teamactivitiesReferrals, Supervision and TrainingIt is recommended that:• The Home Care Network Group strengthensthe hospital referral system by reinstatingthe system of attaching each ofthe HCTs to one of the main referral hospitalsin Phnom Penh.• Referral hospitals provide supportivesupervision to attached HCTs.Supervisors must be resourced andtrained in facilitative supervision• The HCNG implements a schedule ofongoing refresher training and orientationsto deal with emerging issues facingHCTs. KHANA, NGOs, MoH and otherministries could act as resources withfunding and support through the HomeCare Networkpg 6