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| Title: | Pitting Botswana's 1996 community home based care programme (CHBC) objectives against 2005/2006 empirical study findings: the case for the Kanye programme |
| Author: | Kang'ethe, Simon M. |
| Year: | 2009 |
| Periodical: | Journal of Social Development in Africa (ISSN 1012-1080) |
| Volume: | 24 |
| Issue: | 2 |
| Pages: | 139-162 |
| Language: | English |
| Notes: | biblio. refs. |
| Geographic terms: | Botswana Southern Africa |
| Subjects: | health care self-help AIDS Medicine, Nutrition, Public Health Home care services Community health services AIDS (Disease)--Patients Caregivers |
| Abstract: | Community home-based care (CHBC) programmes are vehicles used by communities to complement government efforts in tackling care challenges presented by HIV/AIDS. This study validates Botswana's CHBC programme objectives, pitting them against empirical findings from a study conducted in 2005/2006 in the Kanye area of Botswana. These objectives include the ensurance of the best level of care for all terminally ill patients and the provision of a counselling service to both patients and their families; the avoidance of unnecessary hospital admission; the provision of clinical and nursing care in the home; the referral of terminally ill patients to social welfare and other appropriate agencies for material support; the establishment of a functional referral system between hospitals, district health teams, clinics and between districts. The study involved 10 focus group discussions with 82 primary caregivers, one-to-one interviews with five nurses supervising the programme, and participant observation. The findings indicate that while the national CHBC objectives are relevant, valid and visionary, the conditions on the ground are often such that the objectives are sometimes inadequately implemented. Policymakers need to ensure there is closer supervision, monitoring and evaluation surveillance, and research on the ground to address the widening gaps and glaring challenges faced in attempts to fulfil the objectives. Bibliogr., sum. [Journal abstract] |
