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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in Cambodia6 BATTAMBANG PILOTPROJECT6.1 The Home Care NetworkIn August 1999, two KHANA NGO partners,Battambang Women's AIDS Project (BWAP)and the Khmer Rural Development Agency(KRDA), each established a Home Care Team inpartnership with local MoH staff, and with financialand technical support from KHANA. TheBWAP/MoH team operated in Chai Serey, whileKRDA, in collaboration with the District ReferralHospital set up a HCT in Moung Russey,approximately 50 km south of Battambangtown. Both teams followed the same model asthe Phnom Penh HCTs.Because of internal problems within theNGO, BWAP suspended operations inDecember 1999, and home care services intheir district were discontinued. Following therecent resolution of the problems, it is anticipatedthat the BWAP team will shortly resumethe provision of home care activities in theirarea. However, this evaluation focuses onlyon the activities of the KRDA/MoH team inMoung Russey.The Moung Russey Home Care Team isbased on the same model as the Phnom Penhteams. The team consists of 3 NGO membersand 2 half-time government nurses from thelocal Referral Hospital. Because of renovationsat the hospital, the team is based in the KRDAoffices, although KHANA has recommendedthat they relocate to the hospital once space isavailable. Despite some initial problems, theMoung Russey team now appear to be workingwell as a joint MoH/NGO team.The HCT seems to have established a goodworking relationship with the Referral Hospital,who provide medical supervision to the team.Referrals for the HCT generally come from thecommunity, rather than from the hospital.Although the caseload is smaller, the teamspends more money on patient welfare than thePhnom Penh teams. The Home Care Teamargue that the patients are poorer than inPhnom Penh, but the Evaluation Team saw littleto justify this claim.6.2 Impactpg 62It is clear that the programme in Moung Russeyis having a major impact in improving the qualityof the lives of PLHA, their families and caregivers,increasing understanding of HIV/AIDSand reducing discrimination against PLHA.Discrimination against PLHA and theirfamilies seems less of a problem than inPhnom Penh, possibly because of closer and