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Home Care - Battambang - 6.1 Background
6.1 Background
In August 1999, two KHANA NGO partners, Battambang Women’s AIDS Project (BWAP) and the Khmer Rural Development Agency (KRDA), each established a Home Care Team in partnership with local MoH staff, and with financial and technical support from KHANA. The BWAP/MoH team operated in Chai Serey, while KRDA, in collaboration with the District Referral Hospital set up a HCT in Moung Russey, approximately 50 km south of Battambang town. Both teams followed the same model as the Phnom Penh HCTs.
Because of internal problems within the NGO, BWAP suspended operations in December 1999, and home care services in their district were discontinued. Following the recent resolution of the problems, it is anticipated that the BWAP team will shortly resume the provision of home care activities in their area. However, this evaluation focuses only on the activities of the KRDA/MoH team in Moung Russey.
The Moung Russey Home Care Team is based on the same model as the Phnom Penh teams. The team consists of 3 NGO members and 2 half-time government nurses from the local Referral Hospital. Because of renovations at the hospital, the team is based in the KRDA offices, although KHANA has recommended that they relocate to the hospital once space is available. Despite some initial problems, the Moung Russey team now appear to be working well as a joint MoH/NGO team.
The HCT seems to have established a good working relationship with the Referral Hospital, who provide medical supervision to the team. Referrals for the HCT generally come from the community, rather than from the hospital.
Although the caseload is smaller, the team spends more money on patient welfare than the Phnom Penh teams. The Home Care Team argue that the patients are poorer than in Phnom Penh, but the Evaluation Team saw little to justify this claim.
In August 1999, two KHANA NGO partners, Battambang Women’s AIDS Project (BWAP) and the Khmer Rural Development Agency (KRDA), each established a Home Care Team in partnership with local MoH staff, and with financial and technical support from KHANA. The BWAP/MoH team operated in Chai Serey, while KRDA, in collaboration with the District Referral Hospital set up a HCT in Moung Russey, approximately 50 km south of Battambang town. Both teams followed the same model as the Phnom Penh HCTs.
Because of internal problems within the NGO, BWAP suspended operations in December 1999, and home care services in their district were discontinued. Following the recent resolution of the problems, it is anticipated that the BWAP team will shortly resume the provision of home care activities in their area. However, this evaluation focuses only on the activities of the KRDA/MoH team in Moung Russey.
The Moung Russey Home Care Team is based on the same model as the Phnom Penh teams. The team consists of 3 NGO members and 2 half-time government nurses from the local Referral Hospital. Because of renovations at the hospital, the team is based in the KRDA offices, although KHANA has recommended that they relocate to the hospital once space is available. Despite some initial problems, the Moung Russey team now appear to be working well as a joint MoH/NGO team.
The HCT seems to have established a good working relationship with the Referral Hospital, who provide medical supervision to the team. Referrals for the HCT generally come from the community, rather than from the hospital.
Although the caseload is smaller, the team spends more money on patient welfare than the Phnom Penh teams. The Home Care Team argue that the patients are poorer than in Phnom Penh, but the Evaluation Team saw little to justify this claim.