oa Journal of Development Perspectives - Cost and quality performance indicators for home community-based care: a South African study

Volume 3, Issue 1
  • ISSN : 2006-2184



The encouragement of Home Community-Based Care by non-profit organisations is a major policy response to the HIV and AIDS pandemic in South Africa. The purpose of this article is to present a model with six performance indicators for quality and two for costs and to test these against actual performance using data collected from 12 rural and urban organisations in 2004 and 2005. Each rural caregiver had many more beneficiaries than their urban counterparts but made fewer total visits. As a result, urban beneficiaries received, on average, 3.5 times more visits than their rural counterparts. Travelling time was the major determinant of these differences. The results suggest the need for different performance indicators and expectations for rural and urban NPOs.

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