FHI Nepal Community and Home Based Care Program Assessment

Community and home based care (CHBC) responds to the physical, social, emotional and spiritual needs of people living with HIV (PLHIV) and their families in the home and community environment from diagnosis to death and bereavement. This study was designed to assess the following aspects o...

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Main Author:	ASHA Project
Format:	Technical Report
Language:	en_US
Published:	2012
Subjects:	Home Based Care Program
Online Access:	http://103.69.126.140:8080/handle/123456789/779
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spelling	oai:103.69.126.140:123456789-7792022-11-09T06:45:04Z FHI Nepal Community and Home Based Care Program Assessment ASHA Project Home Based Care Program Community and home based care (CHBC) responds to the physical, social, emotional and spiritual needs of people living with HIV (PLHIV) and their families in the home and community environment from diagnosis to death and bereavement. This study was designed to assess the following aspects of the ASHA Project CHBC program in Nepal: To measure the extent of CHBC program service coverage and client retention; To assess the extent of CHBC service quality and; To measure the physical and psychosocial wellbeing of and differences between CHBC clients and non- CHBC clients. The study was carried out in 13 ASHA Project CHBC programs districts and for the control sites, three districts representing Hill, Urban and Terai where currently no CHBC programs are being conducted. Three approaches were taken: a) program data‐based assessment of CHBC service coverage and retention, b) assessment of the quality of the CHBC program through qualitative interviews and assessment checklist c) quantitative questionnaire based assessment of the difference between CHBC and non‐CHBC sites on physical and psychosocial wellbeing. The program data analysis for coverage, retention and mortality from October 2006 to December 2010 among the 13 Implementing Agencies (IAs) showed varying results. The overall cumulative coverage of PLHIV on ART in the 13 districts was 44 percent and in most districts, the coverage was slightly higher for female PLHIV on ART. One of the IA had 100 percent coverage of all PLHIV on ART in their program district. The total cumulative mortality and retention were 8 percent and 86 percent respectively. CHBC is recognized as a key component for HIV awareness, treatment, care and support. The qualitative findings revealed that the CHBC programs being run in the 13 sites continue to benefit the community and to empower and support the PLHIV clients. The services provided by the CHBC program have also enhanced the emotional and social wellbeing of the clients in all districts. The CHBC program has also been able to provide linkages to income generating activities as well as other services such as ART, medical care and counseling, which is contributing to improved quality of life for PLHIV. CHBC has also helped to reduce stigma and discrimination although these attitudes still persist. 2012-12-29T04:47:17Z 2022-11-08T10:20:27Z 2012-12-29T04:47:17Z 2022-11-08T10:20:27Z 2011-09 Technical Report http://103.69.126.140:8080/handle/123456789/779 en_US application/pdf
institution	My University
collection	DSpace
language	en_US
topic	Home Based Care Program
spellingShingle	Home Based Care Program ASHA Project FHI Nepal Community and Home Based Care Program Assessment
description	Community and home based care (CHBC) responds to the physical, social, emotional and spiritual needs of people living with HIV (PLHIV) and their families in the home and community environment from diagnosis to death and bereavement. This study was designed to assess the following aspects of the ASHA Project CHBC program in Nepal: To measure the extent of CHBC program service coverage and client retention; To assess the extent of CHBC service quality and; To measure the physical and psychosocial wellbeing of and differences between CHBC clients and non- CHBC clients. The study was carried out in 13 ASHA Project CHBC programs districts and for the control sites, three districts representing Hill, Urban and Terai where currently no CHBC programs are being conducted. Three approaches were taken: a) program data‐based assessment of CHBC service coverage and retention, b) assessment of the quality of the CHBC program through qualitative interviews and assessment checklist c) quantitative questionnaire based assessment of the difference between CHBC and non‐CHBC sites on physical and psychosocial wellbeing. The program data analysis for coverage, retention and mortality from October 2006 to December 2010 among the 13 Implementing Agencies (IAs) showed varying results. The overall cumulative coverage of PLHIV on ART in the 13 districts was 44 percent and in most districts, the coverage was slightly higher for female PLHIV on ART. One of the IA had 100 percent coverage of all PLHIV on ART in their program district. The total cumulative mortality and retention were 8 percent and 86 percent respectively. CHBC is recognized as a key component for HIV awareness, treatment, care and support. The qualitative findings revealed that the CHBC programs being run in the 13 sites continue to benefit the community and to empower and support the PLHIV clients. The services provided by the CHBC program have also enhanced the emotional and social wellbeing of the clients in all districts. The CHBC program has also been able to provide linkages to income generating activities as well as other services such as ART, medical care and counseling, which is contributing to improved quality of life for PLHIV. CHBC has also helped to reduce stigma and discrimination although these attitudes still persist.
format	Technical Report
author	ASHA Project
author_facet	ASHA Project
author_sort	ASHA Project
title	FHI Nepal Community and Home Based Care Program Assessment
title_short	FHI Nepal Community and Home Based Care Program Assessment
title_full	FHI Nepal Community and Home Based Care Program Assessment
title_fullStr	FHI Nepal Community and Home Based Care Program Assessment
title_full_unstemmed	FHI Nepal Community and Home Based Care Program Assessment
title_sort	fhi nepal community and home based care program assessment
publishDate	2012
url	http://103.69.126.140:8080/handle/123456789/779
work_keys_str_mv	AT ashaproject fhinepalcommunityandhomebasedcareprogramassessment
_version_	1761501178909163520

FHI Nepal Community and Home Based Care Program Assessment

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