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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in Cambodia2 EVALUATION DESIGNAND METHODOLOGY2.1Purpose of the evaluationThe International HIV/AIDS Alliance commissionedthe evaluation of the Home Care Modelused by NGO/MoH Partners in Cambodia. Theprimary purpose of the evaluation, which wasagreed in consultation with NCHADS, is toassist Home Care Partners in formulating astrategy to expand and improve care and supportto families affected by HIV/AIDS inCambodia. The evaluation may also be used byother Ministries, NGOs and international donorsto shape national strategy on Home Care. It isintended that the evaluation provides a nationaloverview, which will be supplemented by morelocalised findings from the KHANA Partner NGOParticipatory Reviews in July 2000.The expanded focus on home-based care inthe recent MoH/NCHADS Strategic Plan hasresulted in increased donor interest in this area.The AIDS Care Unit of NCHADS is in theprocess of formulating a strategy for expandingthe Home Care programme to selectedprovinces. It was agreed, in consultation withNCHADS, that the findings of this evaluation willbe used to help guide and shape the expansionstrategy.The evaluation was designed in consultationwith NCHADS, KHANA, Alliance, USAID and theNational Institute of Public Health (NIPH), withinputs from other stakeholders in the programme.The approach of Comprehensive CareAcross the Continuum (outlined earlier in thisreport) provided the theoretical basis for thedesign. Other provisional issues to be evaluatedwere drawn from reviews of other home careprojects and earlier reviews of the Cambodiapilot project, as well as preliminary discussionswith the key stakeholders from government andnon-government agencies.2.2 ObjectivesThe objectives of the evaluation were agreedwith NCHADS and the Alliance, and were verifiedby other key stakeholders. The primaryobjectives are to evaluate:• The impact of the programme in PhnomPenh and Battambang• The cost of the programme and the costsavings to families of people affected byHIV/AIDS who receive Home Care• The key components of the Home CareModel used in Cambodia that need tobe considered in order to successfullyreplicate or scale-up this approach.pg 14