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COSTANALYSISCost Implications for Households4.3At the household level, families were asked questionsabout changes in household income andtime available as a result of illness and care givingto PLHA. One hundred questionnaires wereadministered, with a 98% response rate for questionsrelated to income and financial savings dueto the home care programme. Of those whoresponded, all households stated that there was adecrease in earnings due to illness in the household,generally because the patient was lessable/unable to work to earn income. The change inhousehold income due to illness was reported tobe from $7.90 - 10.53 per week. Of the non-homecareparticipants who were interviewed in hospital,the reported range of decreased earnings was $10- $20 per week.When asked specifically if households visitedby home care teams saved money on health care,98% of respondents stated that they savedmoney, with a range of savings from $0.80 - $1.30per week.Of those respondents receiving home carewho still use traditional healers, the range of financialsavings due to decreased and/or more appropriateuse ranged from $5.30 to $10.50 per week.In addition to financial savings, respondentswere asked about time savings due to the homecare programme. 99% of respondents stated thatthey have more time available to them since theybegan receiving visits. The average range of timesaved was reported to be from 3 -4 days permonth.Providing care to PLHA can be a major burdenon the household. 81% of respondents statedthat they had care givers assisting them with theirneeds. Of the care-givers surveyed, 73% ofthose who care for PLHA stated that theirincomes have decreased because of this duty.The range of financial decreases due to having toprovide care was $0.79 - $1.05 per week. Ofthose who were not participating in the home careprogramme, 40% of caregivers reported a weeklydecrease in earnings, ranging from $5 - $15. Interms of time savings, 100% of caregivers interviewedstated that the home careprogramme assisted by decreasing the timeneeded by the household to access medicationsand health facilities.The home care programme also providesresources to households in need of welfare interventionssuch as food, transportation to healthcentre, etc. Figures 3 and 4 below indicate thewelfare support provided by the urban and therural programmes, based on household need. Itis clear that the need for nutritionally appropriatefood and for transport costs were the highestdemands for resources among householdsreceiving home-based care services.Figure 3Welfare Support to Patients(Phnom Penh)House repairs3%Labs 0.3%Transport home 4%Funeral 7%Hosp chgs 8%Food 54%Transport to hosp 24%pg 35

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