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Home Care - 1.2.3 Limitations of home care programmes
1.2.3 Limitations of home care programmes
Home care programmes in other countries have generally been based on one or other of two models. Where there was a strong tradition of Community Based Organisations (CBOs), home care programmes have evolved using a grassroots approach. In other situations, where there are established government outreach programmes, home care for PLHA has been added as an additional activity. Both these approaches have limitations. Grassroots approaches are often limited in their capacity to scale up, and sometimes fail to make successful links with existing health structures. Evaluations of hospital outreach schemes report that they are relatively costly, often fail to mobilise community resources, and do not place sufficient emphasis on counselling and social support . (8)
A home care programme which, at the onset, links grassroots organisations with existing public health services, and encourages shared ownership is more likely to achieve sustainability, impact and cost effectiveness.
Footnotes
(8) Cost and Impact of Home-Based Care for People Living with HIV/AIDS in Zambia, 1994
Home care programmes in other countries have generally been based on one or other of two models. Where there was a strong tradition of Community Based Organisations (CBOs), home care programmes have evolved using a grassroots approach. In other situations, where there are established government outreach programmes, home care for PLHA has been added as an additional activity. Both these approaches have limitations. Grassroots approaches are often limited in their capacity to scale up, and sometimes fail to make successful links with existing health structures. Evaluations of hospital outreach schemes report that they are relatively costly, often fail to mobilise community resources, and do not place sufficient emphasis on counselling and social support . (8)
A home care programme which, at the onset, links grassroots organisations with existing public health services, and encourages shared ownership is more likely to achieve sustainability, impact and cost effectiveness.
Footnotes
(8) Cost and Impact of Home-Based Care for People Living with HIV/AIDS in Zambia, 1994