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Home Care - 1.3.3 Post-pilot home care programme
1.3.3 Post-pilot Home Care Programme
WHO support to the project ended in February 1999, at the end of the pilot phase. Co-ordination of the project was taken over by the Ministry of Health, and the AIDS Care Unit of NCHADS were given responsibility for implementation. KHANA, the linking organisation of the Alliance, assumed responsibility for providing technical and financial support to local NGOs, and continued to work in partnership with NCHADS.
The Home Care programme now consists of 10 urban Home Care Teams (HCTs), in Phnom Penh and a rural pilot of 1 HCT in Moung Russey District in Battambang Province. All the teams are composed of 2 government nurses working 50% time on the programme, and 3 NGO HIV/AIDS staff. The urban teams are located at 9 Municipal Health Centres spread throughout the city. For patient visits, each HCT splits into two groups of 2 staff, and patients are visited by one or other of the groups an average of 3 times per month. The teams carry simple medicines and supplies in specially designed Home Care Kits and provide palliative care to chronically ill patients, of whom PLHA now comprise approximately 80%. Counselling, education and welfare support are also part of the constellation of home care services provided by the teams.
Monitoring is conducted by a committee, representing NCHADS, MHD, KHANA, Health Centre Managers and the participating NGOs. Financially, each team is the responsibility of an NGO, and all team expenses, as well as salaries and transport costs of NGO staff, are administered through grants from KHANA (7 teams) and World Vision (3 teams). Salaries and transport costs of government staff are administered through the Municipal Health Department.
WHO support to the project ended in February 1999, at the end of the pilot phase. Co-ordination of the project was taken over by the Ministry of Health, and the AIDS Care Unit of NCHADS were given responsibility for implementation. KHANA, the linking organisation of the Alliance, assumed responsibility for providing technical and financial support to local NGOs, and continued to work in partnership with NCHADS.
The Home Care programme now consists of 10 urban Home Care Teams (HCTs), in Phnom Penh and a rural pilot of 1 HCT in Moung Russey District in Battambang Province. All the teams are composed of 2 government nurses working 50% time on the programme, and 3 NGO HIV/AIDS staff. The urban teams are located at 9 Municipal Health Centres spread throughout the city. For patient visits, each HCT splits into two groups of 2 staff, and patients are visited by one or other of the groups an average of 3 times per month. The teams carry simple medicines and supplies in specially designed Home Care Kits and provide palliative care to chronically ill patients, of whom PLHA now comprise approximately 80%. Counselling, education and welfare support are also part of the constellation of home care services provided by the teams.
Monitoring is conducted by a committee, representing NCHADS, MHD, KHANA, Health Centre Managers and the participating NGOs. Financially, each team is the responsibility of an NGO, and all team expenses, as well as salaries and transport costs of NGO staff, are administered through grants from KHANA (7 teams) and World Vision (3 teams). Salaries and transport costs of government staff are administered through the Municipal Health Department.