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Home Care - 4.3 Cost implications for households
4.3 Cost implications for households
At the household level, families were asked questions about changes in household income and time available as a result of illness and care giving to PLHA. One hundred questionnaires were administered, with a 98% response rate for questions related to income and financial savings due to the Home Care programme. Of those who responded, all households stated that there was a decrease in earnings due to illness in the household, generally because the patient was less able/unable to work to earn income. The change in household income due to illness was reported to be from $7.90 - 10.53 per week. Of the non-home-care participants who were interviewed in hospital, the reported range of decreased earnings was $10 - $20 per week.
When asked specifically if households visited by home care teams saved money on health care, 98% of respondents stated that they saved money, with a range of savings from $0.80 - $1.30 per week.
Of those respondents receiving home care who still use traditional healers, the range of financial savings due to decreased and/or more appropriate use ranged from $5.30 to $10.50 per week.
In addition to financial savings, respondents were asked about time savings due to the Home Care programme. 99% of respondents stated that they have more time available to them since they began participating in the programme. The average range of time saved was reported to be from 3 -4 days per month.
Providing care to PLHA can be a major burden on the household. 81% of respondents stated that they had care givers assisting them with their needs. Of the care-givers surveyed, 73% of those who care for PLHA stated that their incomes have decreased because of this duty. The range of financial decreases due to having to provide care was $0.79 - $1.05 per week. Of those who were not participating in the Home Care programme, 40% of caregivers reported a weekly decrease in earnings, ranging from $5 - $15. In terms of time savings, 100% of caregivers interviewed stated that the Home Care programme assisted by decreasing the time needed by the household to access medications, and health facilities.
The Home Care programme also provides resources to household in need of welfare interventions such as food, transportation to health centre, etc. Figures 3 and 4 below indicate the welfare support provided by the urban and the rural programmes, based on household need. It is clear that the need for nutritionally appropriate food, and for transport costs were the highest demands for resources among households receiving home-based care services.
Welfare Support to Patients (Phnom Penh)
Food - 54%; Transport to hospital 24%; Hospital charges 8%; Funeral 7%; Transport home 4%; House repairs 3%; Labs 0.3%.
Welfare Support to Patients (Battambang)
Food 42%; Funeral 25%; House repairs 24%; Transport home 4%; Transport to hospital 4%; Hospital charged 0.3%; Labs 0%.
At the household level, families were asked questions about changes in household income and time available as a result of illness and care giving to PLHA. One hundred questionnaires were administered, with a 98% response rate for questions related to income and financial savings due to the Home Care programme. Of those who responded, all households stated that there was a decrease in earnings due to illness in the household, generally because the patient was less able/unable to work to earn income. The change in household income due to illness was reported to be from $7.90 - 10.53 per week. Of the non-home-care participants who were interviewed in hospital, the reported range of decreased earnings was $10 - $20 per week.
When asked specifically if households visited by home care teams saved money on health care, 98% of respondents stated that they saved money, with a range of savings from $0.80 - $1.30 per week.
Of those respondents receiving home care who still use traditional healers, the range of financial savings due to decreased and/or more appropriate use ranged from $5.30 to $10.50 per week.
In addition to financial savings, respondents were asked about time savings due to the Home Care programme. 99% of respondents stated that they have more time available to them since they began participating in the programme. The average range of time saved was reported to be from 3 -4 days per month.
Providing care to PLHA can be a major burden on the household. 81% of respondents stated that they had care givers assisting them with their needs. Of the care-givers surveyed, 73% of those who care for PLHA stated that their incomes have decreased because of this duty. The range of financial decreases due to having to provide care was $0.79 - $1.05 per week. Of those who were not participating in the Home Care programme, 40% of caregivers reported a weekly decrease in earnings, ranging from $5 - $15. In terms of time savings, 100% of caregivers interviewed stated that the Home Care programme assisted by decreasing the time needed by the household to access medications, and health facilities.
The Home Care programme also provides resources to household in need of welfare interventions such as food, transportation to health centre, etc. Figures 3 and 4 below indicate the welfare support provided by the urban and the rural programmes, based on household need. It is clear that the need for nutritionally appropriate food, and for transport costs were the highest demands for resources among households receiving home-based care services.
Welfare Support to Patients (Phnom Penh)
Food - 54%; Transport to hospital 24%; Hospital charges 8%; Funeral 7%; Transport home 4%; House repairs 3%; Labs 0.3%.
Welfare Support to Patients (Battambang)
Food 42%; Funeral 25%; House repairs 24%; Transport home 4%; Transport to hospital 4%; Hospital charged 0.3%; Labs 0%.