n Southern African Journal of HIV Medicine - Improving home-based care in Southern Africa : an analysis of project evaluations

Volume 2005, Issue 19
  • ISSN : 1608-9693
  • E-ISSN: 2078-6751



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: <ul><li>assess the management capacity of the HBC organisations reviewed, concentrating on monitoring and supervision mechanisms</li> <li>identify innovations in responding to the challenges of delivering care in resource-poor settings, and</li> <li>explore the nature of linkages between HBC projects and governments.</li></ul> 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.

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