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Home Care - 7 Expansion of the Home Care Programme
7. Expansion of the Home Care Programme
The forthcoming MoH/NCHADS Strategic Plan for HIV/AIDS Prevention & Care has, as one of its strategic goals, the extension and expansion of the Home-based Care programme nation-wide. The findings of this evaluation strongly support such an expansion.
As the report has indicated earlier, it is clear that the programme in Phnom Penh, and the pilot initiative in Battambang are having a significant impact on quality of life of PLHA and their families, on reducing discrimination and improving prevention, and on addressing some of the needs of the poorest and most vulnerable members of society.
Extending and expanding the programme raises a number of key questions:
1. what are the key components of Home Care provision which need to be in place for an expanded programme to be successful?
2. can the model used in Phnom Penh (and the Battambang pilot) simply be replicated in rural areas, or are there alternative models which may be more suitable?
3. how should the expansion be phased, and where should it begin?
4. which institutions and/or organisations are best placed to implement the expanded programme?
5. what mechanisms should be in place to co-ordinate and manage the expanded programme?
6. which institutions and/or organisations are best placed to provide technical support?
7. what will be the costs involved in expansion?
and of course:
8. are there sustainable sources of financial support available to resource the programme?
This section of the report will address the first two questions, and will attempt to provide some insights into the remainder.
The forthcoming MoH/NCHADS Strategic Plan for HIV/AIDS Prevention & Care has, as one of its strategic goals, the extension and expansion of the Home-based Care programme nation-wide. The findings of this evaluation strongly support such an expansion.
As the report has indicated earlier, it is clear that the programme in Phnom Penh, and the pilot initiative in Battambang are having a significant impact on quality of life of PLHA and their families, on reducing discrimination and improving prevention, and on addressing some of the needs of the poorest and most vulnerable members of society.
Extending and expanding the programme raises a number of key questions:
1. what are the key components of Home Care provision which need to be in place for an expanded programme to be successful?
2. can the model used in Phnom Penh (and the Battambang pilot) simply be replicated in rural areas, or are there alternative models which may be more suitable?
3. how should the expansion be phased, and where should it begin?
4. which institutions and/or organisations are best placed to implement the expanded programme?
5. what mechanisms should be in place to co-ordinate and manage the expanded programme?
6. which institutions and/or organisations are best placed to provide technical support?
7. what will be the costs involved in expansion?
and of course:
8. are there sustainable sources of financial support available to resource the programme?
This section of the report will address the first two questions, and will attempt to provide some insights into the remainder.