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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in Cambodia2.4Evaluation ActivitiesThe evaluation team consisted of a full-time team leader supported by a key representative fromMoH/NCHADS, a Health Economist from USAID and two NGO representatives, all of whom wereseconded part-time to the evaluation. In addition, specific evaluation inputs were provided byrepresentatives from KHANA, FHI, Centre of Hope and NIPH.Over a 2 month period, the following evaluation activities were conducted in Phnom Penhand Battambang Province.Phnom Penh12 Participant observations of home-care visits100 In-depth interviews, using semi-structured questionnaires,with home-care patients and families1 Case-study of PLHA10 In-depth interviews, using semi-structured questionnaires withPLHA not receiving home care4 Focus group discussions with home-care teams1 Focus group discussion with home care volunteers15 In-depth interviews with local community leaders, including village headmen,group leaders, monks, head of women's association, pagoda committeemember, district governor31 Key-informant interviews with stakeholders & partners3 In-depth interviews with Health Centre Managers2 In-depth interviews with Hospital PhysiciansAttendance at 3 project/network co-ordination meetingsAttendance at 2 Home Care Team co-ordination meetingsDocument review of HC guidelines, annual and monthly reports, financial records, referralforms, patient records, strategic plans, notes to project/network co-ordination meetings,notes to Home Care Team co-ordination meetings, workshop reports, previous evaluations.pg 16
EVALUATION DESIGNAND METHODOLOGYBattambang5 Participant observations of home-care visits8 In-depth interviews, using semi-structured questionnaires, withhome-care patients and families1 case study of PLHA7 In-depth interviews with PLHA who ceased to receive home care2 Focus group discussions with KRDA home-care team and volunteers1 Focus group discussion with community leaders from Ko Koh Commune4 n-depth interviews with Hospital Directors, physicians, AIDS counsellor5 In-depth interviews with representatives from Provincial AIDS Office. PAC, PAS, DoHDocument review of project reports, financial reports, notes to meetings, back to office reports.Data Collection2.52.5.1 In-depth interviews with patientsand familiesIn Phnom Penh, each of the 10 Home CareTeam Co-ordinators provided a list of patientswho were currently being visited by their team.The Co-ordinators were asked to exclude nonHIV/AIDS patients and those who were hospitalisedor too ill to be able to answer questions.Ten patients were randomly selected from thelist for each of the 10 teams, providing a sampleof 100. It is estimated that there are approximately500 patients who would have been suitablefor interview, so the study sample representssome 20% of the population.Of the 100 PLHA who were interviewed, 43had family members present during the interviews,and a further 22 were accompanied bycaregivers from outside the family. Specificquestions in the interview guide were directedto these family members and caregivers.The 100 in-depth interviews were conductedby 10 interviewers (10 interviews each) drawnfrom the Home Care Team Co-ordinators. Theinterviewers were supervised throughout thedata collection period by 3 members of theEvaluation Team and the Alliance TA (C&S). Theinterviews were allocated by the EvaluationTeam to ensure that the Team Co-ordinators didnot interview patients from their own teams.pg 17
Page 1 and 2: An Evaluation of the MoH/NGOHome Ca
Page 3 and 4: CONTENTSipg 1pg 2Abbreviations and
Page 5 and 6: CONTENTSpg 626 Battambang pilot6.1
Page 7 and 8: ACKNOWLEDGEMENTSThis evaluation cou
Page 9 and 10: EXECUTIVESUMMAR YImpactThe findings
Page 11 and 12: EXECUTIVESUMMAR YKey ComponentsThe
Page 13 and 14: EXECUTIVESUMMARY• The draft train
Page 15 and 16: BACKGROUNDConcepts of Home-Based Ca
Page 17 and 18: BACKGROUNDavailable, there is a str
Page 19 and 20: BACKGROUNDgiven the opportunity to
Page 21: EVALUATION DESIGNAND METHODOLOGYDes
Page 25 and 26: EVALUATION DESIGNAND METHODOLOGYtho
Page 27 and 28: EVALUATION DESIGNAND METHODOLOGYwit
Page 29 and 30: IMPACTPeople Living with HIV/AIDS (
Page 31 and 32: IMPACTWhen asked (in an open-ended
Page 33 and 34: IMPACTThe community leaders were un
Page 35 and 36: IMPACTFor the 34% who acknowledge t
Page 37 and 38: IMPACT3.5.1 Access/coverageWithout
Page 39 and 40: COSTANALYSISMethods and Results 4.2
Page 41 and 42: COSTANALYSISCost Implications for H
Page 43 and 44: COSTANALYSISof Health study 37 on t
Page 45 and 46: COSTANALYSISLimitations of the Cost
Page 47 and 48: INPUTSAND PROCESSthe monthly HCT re
Page 49 and 50: 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
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EXPANSIONOF THE HOME CARE PROGRAMME
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8 SUMMARY OF KEYCOMPONENTS, LESSONS
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SUMMAR Y OF KEY COMPONENTS,LESSONS
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APPENDICESpg 79
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APPENDIX1a4. a) How often do they v
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APPENDIX1a10. If you didn't have Ho
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APPENDIX1a22. What other material a
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APPENDIX1b9. What difference (if an
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APPENDIX1c• What are your estimat
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An Evaluation of the MoH/NGO Home C
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