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EXPANSIONOF THE HOME CARE PROGRAMME• A well-resourced and supportive HomeCare Network• The establishment of strong partnershipsbetween MoH and NGOs• Selective team formation and composition• Expansion and integration of volunteersinto the programme• Close linkages with the community,increasing community involvementand ownership• Appropriate initial and ongoing trainingprogramme and local NGOs who participatein the programme• between KHANA and their partner NGOswho support the Home Care teams• between the Home Care Teams and theHealth Centres at which they are based• between the Home Care Teams and leadersof the communities in which they work• between the government and NGO HomeCare Team members who implement theprogrammeThese partnerships have enabled scarceresources to be shared, and have ensured thatthe comparative advantages of each of theplayers have been effectively utilised.• The provision of adequate technical andfinancial resources and support• Ongoing reviews, monitoring andevaluationLesson learned: partnerships have enabledscarce resources to be shared, and haveensured that the comparative advantages ofeach of the players have been effectivelyutilised.• The establishment of a supportivesystem of medical and managementsupervisionEach of these will be briefly reviewed in thesections below:7.1.1 The establishment of strongpartnershipsThis evaluation has noted that good partnershipsexist at a number of levels in the HomeCare programme:• between MoH/NCHADS, KHANA and theinternational NGOs who support theBasing the HCTs in MoH Health Centres hasassisted in convergence with the public healthsystem, and has gone some way to promote asense of shared ownership of the programmebetween MoH and NGOs. More equitablesharing of financial responsibilities andcommitments between government and NGOswill further enhance shared ownership.However, the implications of transferring (atleast some of) the responsibility of financialsupport from KHANA and the NGOs to MoHhas not been evaluated.Partnerships between the home careprogramme and referral hospitals in PhnomPenh have been less successful. It will beimportant to establish and maintain good linkspg 67