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- W2736698847 abstract "There is a growing acknowledgment of the importance of the continuum of care and support services to people living with HIV/AIDS outside of health facilities. Greater reliance on communities to provide care and support to people living with HIV/AIDS as well as non-complex maintenance and adherence support for treatment of those who are under antiretroviral treatment is seen as a way to alleviate the burden placed on traditional health systems in countries highly affected by HIV/AIDS. This report presents findings from the field-test of the Partners for Health Reformplus (PHRplus) guidelines developed for costing home-based care (HBC) programs with cases drawn from nine HBC programs in Uganda. Findings The guidelines help the user to define the core HBC activities and to collect appropriate cost and service data. The guidelines were found to accommodate diversity in HBC service configuration and modes of delivery. Questionnaires were easy for data collectors to implement and respondents to comprehend. The data collection process benefited from respondent sensitization to which data are needed prior to the actual data collection visit. The questionnaire was expanded during the field-test and question order will be modified to expedite future data collection. Importantly the guidelines’ costing boundaries were found to effectively limit what is to be counted in the HBC costing exercise. Regarding the cost findings themselves costs vary greatly among Ugandan HBC providers depending on staffing patterns types of medical care provided and other support to families especially nutritional supplementation. Staff costs are the most significant cost item; for five of the programs it is costliest item and for another two programs it is the third costliest. The next five costliest items are transport training medical supplies food and capital costs. Support to orphans and families of AIDS patients are not widespread: only four of the programs studied have an orphan care component. However direct assistance to orphans especially school fees and supplies is a significant cost for the programs that provide it. Volunteer incentives are the lowest cost. (authors)" @default.
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- W2736698847 date "2005-01-01" @default.
- W2736698847 modified "2023-09-27" @default.
- W2736698847 title "Field-testing costing guidelines for home-based care: the case of Uganda." @default.
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