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An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaAPPENDIX IVRoles and Responsibilities of Home Care PartnersHome Care Teams• Identify patients to be visited• Receive referrals from community leaders, testing and counsellingcentres, health centres, hospitals, neighbours, other patients, monks• Conduct home care visits to patients and families• conduct assessments of physical needs of patient• conduct assessments of emotional and social needs of patientand family• show families and patients how to manage symptoms• prescribe medicine from the home care kit• help patients & families to understand about the illness• give information about HIV/AIDS• provide financial and material support, e.g. transportationcosts to hospital; food and soap powder• provide spiritual and psychological help to patient & family• respond to observed special needs, e.g. pregnancy, unsafe housing,children as carers, evidence of discrimination from community• record main points of visit including medication given• Refer (and if necessary accompany) patients to hospital, testing centre,clinic, other NGOs• Conduct IEC sessions on HIV/AIDS with local community, schools,factories, pagodas• Meet regularly with community leaders, monks, health workers,traditional healers• Support, train and manage a team of 5 Community Volunteers• Provide placements to others wanting to experience Home Care inpractice (government nurses; NGOs; donors)• Act as an advocate for PLHA and their familiespg 92• Facilitate groups for PLHA• Help patients to plan for the future, including orphan care
An Evaluation of the MoH/NGO Home Care Programme for People with HIV/AIDS in CambodiaTeam Co-ordinators• Provide day-to-day supervision of team activities• Produce monthly reports on HCT activities• Represent team at monthly meetings• Select and support 5 community volunteers• Delegate responsibilities within the team• Ensure home care kits are maintained• Act as a focal point for communication between HCT andHome Care Co-ordinator, NGO, KHANA, etcHome Care Co-ordinator• Provide overall coordination of Home Care Network in Phnom Penh• Support Team Coordinators and chair monthly Team Coordinator Meeting• Summarise HCT monthly reports and present at monthlyHome Care Meeting.• Chair and produce minutes for monthly HC Meetings. Ensure importantissues are raised and discussed• Write monthly schedule for supervision and medical consultation;inform supervisors and record feedback• Perform monthly supervisory visits to Teams• Act as a link between Home Care activities in Phnom Penhand other provinces• Procure, record and distribute Home Care Kit materials• Act as key informant on Home Care for PWAKHANA NGO Partners with HCTs (4 NGOs with 7 teams)• Develop project proposal based on community needs assessment• Select team of 3 full-time NGO staff, 2 half-time government staff• Provide overall management of Home Care activities, includingprogramme budget, monitoring and evaluation• Ensure Team Coordinator produces accurate monthly reportspg 93
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An Evaluation of the MoH/NGOHome Ca
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CONTENTSipg 1pg 2Abbreviations and
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CONTENTSpg 626 Battambang pilot6.1
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ACKNOWLEDGEMENTSThis evaluation cou
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EXECUTIVESUMMAR YImpactThe findings
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EXECUTIVESUMMAR YKey ComponentsThe
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EXECUTIVESUMMARY• The draft train
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BACKGROUNDConcepts of Home-Based Ca
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BACKGROUNDavailable, there is a str
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BACKGROUNDgiven the opportunity to
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EVALUATION DESIGNAND METHODOLOGYDes
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EVALUATION DESIGNAND METHODOLOGYBat
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EVALUATION DESIGNAND METHODOLOGYtho
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EVALUATION DESIGNAND METHODOLOGYwit
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IMPACTPeople Living with HIV/AIDS (
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IMPACTWhen asked (in an open-ended
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IMPACTThe community leaders were un
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IMPACTFor the 34% who acknowledge t
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IMPACT3.5.1 Access/coverageWithout
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COSTANALYSISMethods and Results 4.2
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COSTANALYSISCost Implications for H
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COSTANALYSISof Health study 37 on t
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COSTANALYSISLimitations of the Cost
Page 47 and 48: INPUTSAND PROCESSthe monthly HCT re
Page 49 and 50: INPUTSAND PROCESSIn recommending th
Page 51 and 52: INPUTSAND PROCESSIt is recommended
Page 53 and 54: INPUTSAND PROCESSEach HCT splits in
Page 55 and 56: INPUTSAND PROCESSand the feeling pr
Page 57 and 58: INPUTSAND PROCESSconsiderably, and
Page 59 and 60: INPUTSAND PROCESSEach of the referr
Page 61 and 62: INPUTSAND PROCESSIt is recommended
Page 63 and 64: INPUTSAND PROCESSto their partner H
Page 65 and 66: INPUTSAND PROCESSstipend of $20 per
Page 67 and 68: INPUTSAND PROCESSCaring for the Car
Page 69 and 70: BATTAMBANGPILOT PROJECTlonger-stand
Page 71 and 72: BATTAMBANGPILOT PROJECTremaining 88
Page 73 and 74: EXPANSIONOF THE HOME CARE PROGRAMME
Page 81 and 82: 8 SUMMARY OF KEYCOMPONENTS, LESSONS
Page 83 and 84: SUMMAR Y OF KEY COMPONENTS,LESSONS
Page 85 and 86: APPENDICESpg 79
Page 87 and 88: APPENDIX1a4. a) How often do they v
Page 89 and 90: APPENDIX1a10. If you didn't have Ho
Page 91 and 92: APPENDIX1a22. What other material a
Page 93 and 94: APPENDIX1b9. What difference (if an
Page 95 and 96: APPENDIX1c• What are your estimat
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