CHEC
HOME BASED CARE PROJECT
EVALUATION
BUSIKU NDUNA and the Evaluation
Team
1
The evaluation objectives are;
•
To assess the extent to which project activities and approaches are
addressing the needs of PLHIV/AIDS patients and OVC in target area of 3 provinces
•
To assess the extent to which home care and support activities and
approaches have led to improve performance of Home Based Care
services
•
To assess the extent to which the implementation of HBC activities is
making the best way to provide direct support to PLHIV/AIDS patients and OVCs
•
To evaluate the overall effect (positive and negative) of the project
on the provision of care and support to PLWHA/OVC
•
To assess the extent to which the results achieved will continue
without support
Evaluation outline
The final evaluation will consist of the following
components;
• Executive summary of process, outcome and impact ,
• Purpose, scope and methodology
• Evaluation of the process, outcome and impact of project
activities
• Analysis, finding and recommendation against each
objective
• Key recommendations on project activities and approaches
to help achieve or revise project targets
• Confirmation of necessity, appropriateness, time scale and
feasibility of continuation of the project &
• Appendices
Methodology
• Review project documents and other relevant
publications which include Baseline Survey, Post
Training Evaluation, Appraisal Reports
• Develop evaluation tool(s) and pre-test them
• develop and finalizing a detailed evaluation plan.
• Conduct in-depth qualitative interviews of a series of
key informants including Cambodian government
officials at all levels, donor representatives, partner
NGOs, and CHEC HBC team members
• Conduct focus group discussions with project
participants including beneficiaries PLWHAs and Care
givers and HBC team members
Methodology continued
• Conduct quantitative surveys and with PLWHA’s and Care
givers
• Make observations during field visits to Kampong Tralach, Sa
Ang, and Preah Sdach
• Conduct Site visits to verify the completion of project
achievements
• Conduct SWOT and include in analysis of evaluation and
preparation of first draft of evaluation report
• Participate in a half-day review meeting with HBC team
members to discuss the draft evaluation report
• Finalize report incorporating comments and corrections from
the review meeting
Data collection/Evaluation design
• Incorporate Observational studies, utilise project
records and Interviews with key informants,
Conduct;
– Surveys of PLHIV/AIDS patients and care givers
– In-depth Interviews of PLHIV/AIDS patients and their
care givers,
– in-depth interviews with key informants,
– Observational methods without control groups or
comparison groups to assess HBC project success in
delivering services,
Data collection/Evaluation design continued
– Not claiming “cause and effect,”
– verbal methods of data collection to include lowliteracy stakeholders
– supervisory observations with HBC Team
members
– In-depth interviews with community leaders and
various stakeholders and
– Utilise project reports by Home Based Care team
members
Quantitative Data collected highlights
• Concerns of PLHIV/AIDS patients interviewed
to include:
– Project phase out by HBC project
– Phase out by HBC project partners such as WFP
– Fears of Poor or deteriorating health
– Lack of employment opportunities during health
peaks and willingness to work
– Lack of substantial capital to realize innovative
ideas and to improve economic status
Quantitative Data collected highlights Continued
– reduced but not eradicated discrimination
in communities.
– Lack of employment opportunities during
health peaks and willingness to work
– Lack of substantial capital to realize
innovative ideas and to improve economic
status
– reduced but not eradicated discrimination
in communities.
Quantitative Data collected highlights Continued
• 100% of PLHIV/AIDS patients and care givers interviewed do not
feel prepared for the HBC project to phase out instead they
recommend that the project extends its capacity into the provision
of skills and financial capital in turn insuring the maintenance of
the current improved health quality of PLHIV/AIDS patients
• 100% of care givers (including grandmothers) and other PLHIV/AIDS
patients have to supplement their financial resources to add on to
transport cost to VCCT services, health centers, referral hospitals,
and self help group meeting
• 100% of PLHIV/AIDS patients and Care givers consent that Home
based care teams are important because they provide emotional
and mental support to PLHIV/AIDS patients especially when other
family member have to work to supplement the household
economic capabilities
Quantitative Data collected highlights Continued
• 100% of PLHIV/AIDS patients continue to experience
emotional burden related to feelings of guilt about the
constant care they require from their loved ones or
care givers,
• 100% of PLHIV/AIDS patients elaborated that at times
when their health greatly improves they are inclined to
acquire a means to contribute financially, this can also
mean relocating to urban areas in order to help with
improving family financial status,
• The greatest concern for grandmothers taking care of
(OVC) is the welfare of the grandchildren if something
were to happen to them as care givers.
Quantitative Data collected highlights Continued
• 100% of caregivers that are grandmothers noted that
they required and appreciate constant reinforcement
from HBC team members as far as information updates
in how to help OVC live healthy with HIV/AIDS and
directions on taking ARV and OI drugs
• 100% of the care givers have attended SHG meeting at
least once with their loved one, noting that it was good
a experience in helping them as care givers to
understand the difficulties experienced by loved ones,
• 100% of PLHIV/AIDS patients noted that without food
supplements from CHEC and partners they would have
minimal food or no food supplies in turn worsening
their mental, emotional and physical health
Quantitative Data collected highlights
Continued
• 100% of care givers that are young adults interviewed and
not attending school, noted that they have work to
supplement family financial resources,
• 100% of PLHIV/AIDS patients and Care givers noted that:
– HBC team member at least conduct 2 visits per PLHIV/AIDS
patient household per month,
– the most important aspects of the HBC team home visit
include emotional and mental support and healthy lifestyle
counseling by HBC team members
Greatest HBC project achievements
• In its capacity the Home Based Care
project responds to the varied and
changing needs in each affected
individual’s situation or life.
Analysis
• The HBC project continues to work well inline
with MoH standard operating procedures
• There remains a strong demand for
community HIV/AIDS education and care in
the communities
• Skill and capital support for PLHIV/AIDS
patients and OVC is especially needed as part
of a move towards project initiatives towards
sustainability after future project phase out
• Despite an evident sprit of voluntarism in the
community CAG members require some help,
in relation to transport and other costs
Analysis continued
• Support provided by the HBC project to
PLHIV/AIDS patients and OVCs has helped to
alleviate the economic burden within affected
families
• The Home Based Care project activities have
helped to reduce stigma and discrimination
toward PLHIV/AIDS patients and OVCs
Analysis continued
CAG,HBC project members and initiatives to
inform and educate are relevant because for
example Grandmothers who are care givers:
– Insist on constant reinforcement of drug
prescription, and directions of use
– require emotional support related to emotional
and mental stress about the future of OVC if them
as only surviving family member were no longer
present
Project Strengths observed during field
visits.
Continued
– consultation with PLHIV/AIDS patients, Care givers
– Strong collaboration and Information Sharing
With Operational District, Provincial Health
Department
– HBC training and capacity building including
strengthening of CAG and HBC team member
project capabilities.
Recommendations
• HBC project continuation
• In addition to Pagoda donation boxes Establish
microfinance initiatives with a larger financial
cumulative and shorter waiting time when in
comparison to the pagoda donation box
• Provision of professional skills so that the
community can sustain positive changes
enable by HBC project initiatives.
Recommendations continued
• Improve unavailable or poor transportation
resources i.e. broken or old bicycles to enable
HBC team members to fulfill their
responsibilities
• Continue initiatives by CAG and HBC team
members to inform and educate the
community discrimination is never completely
eradicated only reduced.
Recommendations continued
• Continue Providing food support as PLHIV/AIDS
patients require this support due to restricted
skills and availability of economic capital and
good diet is extremely important in the
maintenance of good health
• Expand project capacity to assist with transport
and health costs as PLHIV/AIDS patients continue
to face difficulties in relation to financial fees for
medical check ups i.e.CD4 test costs
Recommendations continued
• Expand Project capacity to offer economic
opportunities as PLHIV/AIDS patients keep moving
from one residential location to another to find
employment due to financial restrictions, making
follow up for the HBC Team difficult if not impossible
• Expand HBC project capabilities as increasing
numbers of PLHIV/AIDS patients are coming out with
their status increasing the work load of the HBC
teams.
Recommendations continued
• HBC project should reconsider the pay
gap between project team leader and
member
THE END.