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PDF File - hivpolicy.org

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APPENDIX1a10. If you didn't have Home Care support, how might things be different(if at all)?Children11. Are there any children in the family? YES / NO (circle one)If YES:Since the patient became sick, how has this affected the livesof the children?a) Have they had to start working? YES / NO (circle one)b) Have they had to provide care or take up other major additional householdduties? YES / NO (circle one)c) Have they had to leave school? YES / NO (circle one)d) Have they had to go without things (e.g. food, clothes, books?)YES / NO (circle one)e) Have they had to leave the home or live in another household?YES / NO (circle one)12. Has participating in the home care programme resulted in any changesfor the children in the household? YES / NO (circle one)If YES:What changes?Income13. a) Has the patient had a decrease in earnings due to illness?YES / NO (circle one)If YES:b) Can you estimate how much per week?c) What difference (if any) has home care team support made here?14. a) Since the patient was diagnosed as HIV+, have family earningsdropped as a result? YES / NO (circle one)If YES:b) Can you estimate how much per week?c) What difference (if any) has home care team support made here?pg 83

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