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EXPANSIONOF THE HOME CARE PROGRAMME7.1.5 Appropriate initial and ongoingtrainingOn recruitment, very few of the HCT staffwere familiar with the key aspects (clinical,psychological, social and educational) of homecare provision. Initial training, including communityplacement, in the essential aspects of homecare was therefore essential preparation forwork in the HCTs. In addition, during the twoyears of the programme, KHANA has supportedand/or provided up to five further orientationsand updates for the home care staff. Thesetraining sessions have been in response to identifiedneeds to update or provide new skills.The evaluation team believes that adequateand appropriate initial training, supplementedby responsive, preferably on-the-job, refreshertraining are key components to maintain professionalismof home care provision.appropriate mechanism to ensure continuousfinancial support to the home care programme.There are some indications that a number ofdonors are expressing interest in supporting thehome care programme. This would provide anexcellent opportunity to trial a sub-sector-wideapproach of donor support to a healthprogramme and the evaluation recommendsthat this approach should be explored.It is recommended that donors explorethe possibility of trialing a sub-sector-wideapproach to funding the Home CareProgramme in Cambodia.7.1.7 Ongoing reviews, monitoring andevaluation7.1.6 Provision of adequate technical andfinancial resources and supportSince the WHO pilot period, technical andfinancial support has been provided to the participatinglocal NGOs and government teammembers by KHANA with support from MoHand the AIDS Alliance, while World Vision andMaryknoll have supported their own HCTs, bothwith donor support. This support has resulted inincreased capacity of the NGOs to manage theirHome Care Teams, and of both MoH and NGOstaff of the HCTs to manage their work programmes.This evaluation recognises the importanceof this support and emphasises that it willbe an essential component in the expandedprogramme. It will be important to identify theParticipatory and external reviews, monitoringand evaluation are essential components ofany programme, and especially an evolving programme.This evaluation notes that the manyreviews and evaluations have helped shape andimprove the Home Care programme. It is to thecredit of those involved in managing its implementationthat they have demonstrated flexibilityand responsiveness in modifying the programmeto accommodate evaluation findings.Lesson learned: participatory reviews andresponsive management have played animportant role in helping to shape and guidethe home care programme.Developing and establishing a participatoryreview system, which monitors both processpg 69