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Home Care - 1.3.4 Project Reviews
   Last updated: 08.08.01
1.3.4 Project Reviews

In July 1998, a participatory review of the project was conducted, with all stakeholders given the opportunity to participate and to make recommendations. The recommendations included restructuring the teams to rationalise client case loads, restructuring the supervisory and feedback systems and providing further on-the-job training and updates. These outcomes were incorporated into the project implementation framework.

In December 1998, a 2-week evaluation of the project was carried out by a WHO consultant. The review concluded that home and community care for PLHA in Cambodia was essential and that the home care project should be strengthened in Phnom Penh and expanded to selected provinces. It was also recommended that a more rigorous evaluation should be conducted to analyse the mechanisms of the model and to assess the cost-effectiveness of the project.

A review (12) of the project was conducted by the Project Committee at the end of the pilot phase in Feb 1999. The review noted that the majority of the objectives had been met within the timeframe and concluded that patients, NGO and government partners, health staff and community leaders all reported a high level of satisfaction with the teams’ activities, including their effect on community awareness of HIV transmission and prevention.

The review also concurred with recommendations of previous reviews, on the need to conduct a comprehensive evaluation of the home care programme in Cambodia. In particular, there was an identified need to evaluate the impact, cost and key components to help make decisions on expanding the programme nationally. The objectives and design of this evaluation are detailed in the following section.


Footnotes
(12) Joint Ministry of Health/NGO Pilot Project on Home and Community Care for People with HIV/AIDS, Cambodia, 1999, op.cit.