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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaPercentage of patients known to be HIV+Figure 2The proportion of HIV+ patients hasincreased over time and is now approximately80%.In discussions with HCTs, Health Centremanagers, hospital physicians, communityleaders, project partners, and with representativesfrom Ministry of Health, Municipal HealthDepartment and multilaterals, all indicate thatthe Home Care Programme is having a positiveimpact on reducing the burden on the healthsystem in Phnom Penh. However, in theabsence of quantitative data, this is difficult toverify. In order to monitor impact on the healthsystem it is recommended that data on homecare provision is incorporated into the monitoringand surveillance systems in Hospitals andHealth Centres in Phnom Penh.Nevertheless, there is some qualitativeevidence that home-based care is making adifference. There are some indications fromhealth centre and hospital staff that home carepatients are presenting less frequently for minorproblems. Senior representatives from MHDbelieve that the Home Care programme ishelping to reduce the numbers of bedsneeded for AIDS patients in Phnom Penh,and indicate their full support to the programme.pg 30
IMPACT3.5.1 Access/coverageWithout comprehensive quantitative data onthe numbers of PLHA in each of the districts inPhnom Penh in which the HCTs operate, it is difficultto measure the degree of coverage of thehome care programme.However, some rough estimates can bemade from aggregated data. It is estimated thatthere are approximately 4000 people withsymptomatic HIV infection 29 , of whom between20%-30% (i.e. 800 - 1200) are living in PhnomPenh. The HCTs are currently visiting 800patients, of whom about 80% (i.e. 640) are HIV+and are generally symptomatic. These estimat-ed figures indicate that the HCTs are reachingbetween 50%-80% of their target audience inthe city.Discussions with community leaders, withthe HCTs and with the Volunteers during thisevaluation support this estimate. Of the 15 communityleaders interviewed in Phnom Penh, allfelt that the HCTs were reaching the majority ofPLHA in their communities"I would say that about 80% of the people withAIDS in my community are visited by the home careteams. The ones who miss out are those who live in thevillas (houses occupied by upper-income group)"[Village Governor, Cham Carmon]29 Consensus Workshop on HIV/AIDS in Cambodia, Phnom Penh, 1999pg 31
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 and 22: EVALUATION DESIGNAND METHODOLOGYDes
Page 23 and 24: EVALUATION DESIGNAND METHODOLOGYBat
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: IMPACTFor the 34% who acknowledge t
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
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
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APPENDIX1b9. What difference (if an
Page 95 and 96:
APPENDIX1c• What are your estimat
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An Evaluation of the MoH/NGO Home C
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