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BATTAMBANGPILOT PROJECTremaining 88 villages in the area. Although somevillages are quite accessible, many are distant(up to 20 km) and the road conditions are oftenpoor. Travelling to these (even in the dry season)can take 40-50 minutes. During the rains,access is often impossible.It is estimated that up to 25% of allocatedpatient contact time is spent travelling to visitpatients. Transport costs are correspondinglyhigh and the team spends over $120 per monthon travel (compared with $80 per team inPhnom Penh).Because of the time spent on travel, themaximum patient caseload of 60 is lower thanin Phnom Penh at 80. It is estimated that thenumber of visits over the operating periodaverages at 154 per month.An extremely rough estimate of coverage ofthe district by the HCT can be made if weassume an even spread of PLHA throughout thevillages of the district. The HCT visits 21 (i.e.19%) of the 109 villages. If, as in Phnom Penh,the HCT reaches between 50-80% of the clientsin the areas they visit, this indicates that theteam will only provide 10 -15% coverage inthe district.pg 65