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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in Cambodia7 EXPANSION OFTHE HOME CAREPROGRAMMEThe forthcoming MoH/NCHADS StrategicPlan for HIV/AIDS Prevention & Care has, asone of its strategic goals, the extension andexpansion of the Home-based Care programmenation-wide. The findings of this evaluationstrongly support such an expansion.As the report has indicated earlier, it is clearthat the programme in Phnom Penh, and thepilot initiative in Battambang are having a significantimpact on quality of life of PLHA and theirfamilies, on reducing discrimination and improvingprevention, and on addressing some of theneeds of the poorest and most vulnerablemembers of society.Extending and expanding the programmeraises a number of key questions:1. what are the key components ofHome Care provision which need tobe in place for an expanded programmeto be successful?2. can the model used in Phnom Penh (andthe Battambang pilot) simply be replicatedin rural areas, or are there alternativemodels which may be more suitable?3. how should the expansion be phased, andwhere should it begin?4. which institutions and/or organisations arebest placed to implement the expandedprogramme?5. what mechanisms should be in place toco-ordinate and manage the expandedprogramme?6. which institutions and/or organisations arebest placed to provide technical support?7. what will be the costs involved in expansion?and of course:8. are there sustainable sources offinancial support available to resourcethe programme?This section of the report will address thefirst two questions, and will attempt to providesome insights into the remainder.7.1 Key ComponentsSection 5 of this report reviewed the inputs andprocesses involved in establishing and maintainingthe existing Home Care programme. It willbe useful to summarise here the key componentsof the programme which have contributedto its success, and which should ideally beincorporated in its expansion. These include:pg 66