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INPUTSAND PROCESSthe monthly HCT reports, participants at themeetings discuss ongoing and emerging issues,mostly raised by the HCTs, related to homecare provision. The HCTs are represented atthe meetings by the Home Care NetworkCo-ordinator who also chairs the meetings.The evaluation team strongly concurs withboth the HCNG and the HCTs themselves,that the HCNG Meetings are an essentialcomponent of the home care programme. Themeetings serve a number of functions:• they provide a feedback and support mechanismfor sharing and addressing ongoingand emerging problems faced by the HomeCare Teams. In the 3 meetings attendedduring the evaluation, the emerging problemsof safe abortion for HIV+ mothers, andmanagement of orphaned children wereraised.• they provide a communication mechanismbetween NCHADS, MHD, NGOs and theHCTs, for programme developments andinnovations. Proposed developments includethe use of Bactrim for prophylaxis and theestablishment of closer linkages with theNational TB Programme's DOTS team.• they provide an overview and facilitate theco-ordination of home care activities withinPhnom Penh, and elsewhere in CambodiaLesson learned: Home Care Network GroupMeetings provide feedback, co-ordinationand support to the HCTs and are animportant component of the home careprogramme.As the Home Care programme expands tomeet the increasing demands for care and support,it is clear that a mechanism will be neededto plan for the expansion, co-ordinate activitiesand monitor outcomes. The Home CareNetwork Group is ideally placed to fulfil this role.In addition to continuing to provide feedbackand support to the HCTs the Home CareNetwork Group will need to expand its role toprovide a mechanism for:• democratic planning and co-ordinatinggovernment and NGO partnerships• assessing skills development needsand co-ordinating technical supportand training• strengthening links with other componentsof the referral network, including VoluntaryCounselling & Testing, contraceptive services,STI services and TB services• monitoring inputs, process, outcomes andimpact.Because of the important links betweenHIV/AIDS and TB, it is recommended that TheNational TB Hospital should be included in the listof collaborating institutions of the Home CareNetwork. It is further recommended that a representativefrom the Home Care Network Group isinvited to be on the HIV/TB working group that ischaired by NCHADS.It is recommended that CENAT is includedin the list of collaborating institutions ofthe Home Care Networkpg 41

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