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6.5 Access/coverage
It is clear that one HCT is limited in its ability to reach the majority of PLHA. Moung Russey District, covering an area of some 1000 sq km, has 13 communes, and the HCT presently works in 9 of these. The team visits patients in 21 villages, but they are unable to cover the remaining 88 villages in the area. Although some villages are quite accessible, many are distant (up to 20 km) and the road conditions are often poor. Travelling to these (even in the dry season) can take 40-50 minutes. During the rains, access is often impossible.
It is estimated that up to 25% of allocated patient contact time is spent travelling to visit patients. Transport costs are correspondingly high and the team spends over $120 per month on travel (compared with $80 per team in Phnom Penh).
Because of the time spent on travel, the maximum patient caseload of 60 is lower than in Phnom Penh at 80. It is estimated that the number of visits over the operating period averages at 154 per month.
An extremely rough estimate of coverage of the district by the HCT can be made if we assume an even spread of PLHA throughout the villages of the district. The HCT visits 21 (i.e. 19%) of the 109 villages. If, as in Phnom Penh, the HCT reaches between 50-80% of the clients in the areas they visit, this indicates that the team will only provide 10 -15% coverage in the district.
It is clear that one HCT is limited in its ability to reach the majority of PLHA. Moung Russey District, covering an area of some 1000 sq km, has 13 communes, and the HCT presently works in 9 of these. The team visits patients in 21 villages, but they are unable to cover the remaining 88 villages in the area. Although some villages are quite accessible, many are distant (up to 20 km) and the road conditions are often poor. Travelling to these (even in the dry season) can take 40-50 minutes. During the rains, access is often impossible.
It is estimated that up to 25% of allocated patient contact time is spent travelling to visit patients. Transport costs are correspondingly high and the team spends over $120 per month on travel (compared with $80 per team in Phnom Penh).
Because of the time spent on travel, the maximum patient caseload of 60 is lower than in Phnom Penh at 80. It is estimated that the number of visits over the operating period averages at 154 per month.
An extremely rough estimate of coverage of the district by the HCT can be made if we assume an even spread of PLHA throughout the villages of the district. The HCT visits 21 (i.e. 19%) of the 109 villages. If, as in Phnom Penh, the HCT reaches between 50-80% of the clients in the areas they visit, this indicates that the team will only provide 10 -15% coverage in the district.