Home-Based Care
Source:
- Young T, Busgeeth K. 2010. The Cochrane Library, 2010, Issue 1. South African Cochrane Centre, Medical Research Council, Tygerberg, South Africa. Council for Scientific and Industrial Research, Pretoria, South Africa
Summary:
- Intensive home-based nursing significantly improved self-reported knowledge of HIV and medications, self-reported adherence and differences in the refill of pharmacy drugs. Home-based safe water systems reduced diarrhea frequency and severity among persons with HIV in Africa.
Keywords:
Diarrheal Diseases Evidence Base Home-Based Care Household Water Treatment & Storage People Living with HIV/AIDS (PLHIV)
Source:
- IRC. 2007. Delft, IRC International.Water and Sanitation Centre.
Summary:
- Strategies to care for people infected with HIV/AIDS and the correlation with water, sanitation and hygiene should be explored by asking questions such as: How does the family get water? Will there be any changes in the family’s water needs? If so, what might these be? What can be done to prolong the progression from HIV to AIDS? Exploring these questions, water, sanitation and hygiene needs of households affected by HIV/AIDS; links with home-based care and clinics for treatment, care and support; and the implications for policy makers, planners and health promoters, can be discussed together constructively.
Keywords:
Accessing Water Handwashing (Hand Washing) Healthcare Facilities Home-Based Care People Living with HIV/AIDS (PLHIV) Policy Programming Guidance Sanitation/Feces Disposal
Source:
- IRC. 2007. Newsletter, May 2007. Delft, IRC International Water and Sanitation Centre
Summary:
- Home-based caregivers provide critical support for people who are HIV infected and ill in South Africa as in many other countries. However, their role is made more difficult by limited water supplies and in some cases by inadequate toilets. Limits on water supply also compromise the impact of health and hygiene education and promotion carried out by community health workers. Members of four local Home-Based Care (HBC) groups visit households with HIV infected people three times a week in this community. The caregivers undertake a wide range of activities, including fetching water, bathing patients, washing, laundry, digging pits for solid waste disposal, cleaning households and yards, assistance with access to social, health and other services, and providing counselling, information and support.
Keywords:
Accessing Water Evidence Base Home-Based Care People Living with HIV/AIDS (PLHIV) Sanitation/Feces Disposal
Source:
- Lockwood K et al. 2006. Baltimore, MD. Catholic Relief Services
Summary:
- The assessment was commissioned by the WHO with the goal of producing evidence-based guidance on water and sanitation needs in home-based care strategies, particularly in resource-poor situations, and to lead to both practical and strategic recommendations at the programme and policy levels, while identifying the most critical measures to be taken by the health sector and the water and sanitation sector to provide short and medium-term solutions in the area of water, sanitation and hygiene support to home-based care. The findings indicate that the water and sanitation needs of HBC clients are severely unfulfilled. The already vulnerable HBC population is regularly falling ill due to diarrhea. Other illnesses and effects of poor water quality are also evident among the HBC clients. In addition, the HBC households are often required to travel long distances to their water sources, which is exceptionally difficult for ill clients.
Keywords:
Accessing Water Diarrheal Diseases Evidence Base Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage Programming Guidance Sanitation/Feces Disposal
Source:
- Colton T et al. 2006. Community Home-Based Care for People and Communities Affected by HIV/AIDS. A Handbook for Community Health Workers. Watertown, MA, Pathfinder International
Summary:
- This curriculum draws on the experience of
Pathfinder staff who put into practice a model of community home-based care (CHBC) in Kenya, Tanzania, Ethiopia, Nigeria, and Uganda. Pathfinder’s CHBC model, piloted by COPHIA in Kenya, emphasizes community mobilization for prevention as well as participation in care and support for those affected by HIV/AIDS. In recent
years, Pathfinder has integrated prevention of mother-to-child transmission (PMTCT), family planning, and other reproductive health initiatives into its CHBC programs in Kenya and Tanzania.
Keywords:
Community-Based Care Home-Based Care People Living with HIV/AIDS (PLHIV) PMTCT (Preventing Mother to Child Trans.) Programming Guidance Training Resources
Source:
- Kangamba M et al. 2006. Baltimore, MD. Catholic Relief Services
Summary:
- In Zambia, HIV/AIDS is still approached primarily as a health issue, and therefore, interventions focus mainly on prevention and treatment. The provision of affordable, accessible and reliable public services is essential in supporting health maintenance and reducing stress for people infected and affected with HIV/AIDS. Reliable delivery of good-quality water and sound basic sanitation are critical in reducing exposure to pathogens to which HIV-positive people are particularly vulnerable. Where water services are inadequate or inaccessible, time and monetary costs of access to good quality water in sufficient quantities are high, particularly for HIV-infected people and their caregivers. An assessment was commissioned by the WHO with the goal of producing evidence-based guidance on water and sanitation needs in home-based care strategies, particularly in resource-poor situations and to develop practical and strategic recommendations to be made at the programme and policy levels, while identifying the most critical measures to be taken by the health sector and the water and sanitation sector to provide short- and medium-term solutions in the area of water, sanitation and hygiene support to home-based care.
Keywords:
Accessing Water Evidence Base Home-Based Care Policy Programming Guidance Sanitation/Feces Disposal
Source:
- Hsi N, Musau S, Chanfreau C. 2005. Bethesda, MD. PHRplus
Summary:
- As the global HIV/AIDS community considers options to scale up treatment and other aspects of care for people living with HIV/AIDS (PLWHA), providing care in the home of affected people is increasingly looked to as an option. Understanding the cost of home-based care (HBC) is essential to guide the efficiency and reach of organizations. These guidelines, therefore, present standard principles and steps of costing that can be applied to HBC interventions, particularly at the community level, to produce accurate and comparable cost estimates for the diverse HBC approaches and to better inform efficiency options. The document includes an overview of HBC costing guidelines that outlines objectives and intended audiences, defines HBC, and describes the information that results from the cost analysis methodology, and its benefit on an organization providing HBC; we also detail steps of the methodology.
Keywords:
Home-Based Care People Living with HIV/AIDS (PLHIV) Programming Guidance
Source:
- WELL Project. 2004. London, UK
Summary:
- The socio-economic impacts of HIV and AIDS are not often highlighted, even though their effects are not limited to those diagnosed: water and sanitation sectors often pay little attention to the impact of HIV/AIDS on the social and economic feasibility and sustainability of water supply in rural areas; increasing HIV/AIDS cases in rural areas make already inadequate water and sanitation situations for domestic and agricultural use dire; and home-based care for the terminally ill requires not only clean water and safe solid waste disposal for patients, but access to a convenient, reliable, safe, and sufficient water supply, as well as basic sanitation, to ease the burden on caregivers. Strategies to integrate water and sanitation with HIV/AIDS are necessary and must meet the challenge to ensure all development sectors incorporate, in a strategic way, issues such as prevention, care, and mitigation of HIV/AIDS, and policymakers and sector programs give high priority to water supply, sanitation, and hygiene promotion in areas with a high incidence of the disease.
Keywords:
Accessing Water Handwashing (Hand Washing) Home-Based Care Household Water Treatment & Storage Policy Programming Guidance Sanitation/Feces Disposal