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INPUTSAND PROCESSstipend of $20 per month, and the provision ofhealth cover both signify a movement from'volunteer status' into 'employment status'. Thisreduces community participation, increases thelevel of external intervention and raises issuesof sustainability.The evaluation team believes that increasedvolunteer input would be highly beneficial to theprogramme, but also believes that the costs andliabilities of increasing the number of daysworked per month by the volunteers outweighthe benefits. The evaluation therefore suggeststhat there should be no upper limit on thenumbers of volunteers who are attached to aHCT, but recommends that an increase from 5to 10 would be sensible as a first step. One ofthe HCTs has already recruited an addition5 Volunteers (who are all PLHA). The evaluationfurther recommends that Volunteers arereminded that they are not expected to workmore than 10 days per month.Because of the essential package of activitiesprovided by the Volunteers, at minimal cost,we strongly recommend expanding andstrengthening Volunteer involvement in thehome care programme, both in Phnom Penh,but particularly in the provinces. In addition toclarifsying more specific roles for theVolunteers, measures such as regular meetingsand ID cards should be considered.would need careful planning and adequateresourcing, and would need to evolve over time.It is recommended that the Volunteerinvolvement in the Home Care programme inPhnom Penh and the Provinces is strengthenedand expandedIt is recommended resources are providedfor HCTs to increase the maximum number ofVolunteers per team from 5 to 10, and thatVolunteers are encouraged not to work morethan 10 days per monthIt is recommended that Volunteers beginto assume most of the social support responsibilitiesof home care provision, in additionto most of the non-patient-related activitiesIt is recommended that HCTs shouldreview and upgrade the skills of theVolunteers, to enable some to provide basiccounselling to PLHA and to support peercounselling by PLHAIn addition, outside of urban settings, it issuggested that Volunteers are attached to thevillage, rather than to the Home Care Team. Thisissue is dealt with at greater length in Section 7.2of this report.These measures would then enable the professionalHome Care Team staff to move up tothe next level of service provision, focusing onassessment, providing medical care andpsychosocial support to PLHA, and managementand supervision of the Volunteers. A"buddy system" could provide a support mechanismfor day-to day activities of the Volunteers.It is clear that an expanded system of Volunteerspg 59

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