Improving home-based care in Southern Africa: An analysis of project evaluations
Southern African Journal of HIV Medicine
Yale University School of Medicine, New Haven, CT, United States; University of the Witwatersrand, Johannesburg, South Africa
We describe lessons learned from independent evaluations of nine home-based care (HBC) projects in Lesotho, South Africa and Swaziland. Projects were funded through Bristol-Myers Squibb's Secure the Future (STF) initiative and evaluated through the STF Monitoring and Evaluation Unit (MEU) at Yale University. The objectives of this study were to: ■ Assess the management capacity of the HBC organisations reviewed, concentrating on monitoring and supervision mechanisms. ■ identify innovations in responding to the challenges of delivering care in resource-poor settings, and ■ explore the nature of linkages between HBC projects and governments. Specific strategies to assure quality are discussed, as are policy changes necessary to provide system-wide improvements in quality and the integration of HBC. These are particularly important as governments seek ways to use existing resources to make antiretroviral (ARV) roll-outs successful.
antiretrovirus agent; acquired immune deficiency syndrome; article; caregiver; drug industry; government; health care access; health care delivery; health care management; health care organization; health care planning; health care policy; health care quality; health care system; health program; home care; human; Human immunodeficiency virus infection; Lesotho; medical assessment; resource allocation; South Africa; Swaziland