An assessment of the quality of home-based care services provided by Zimbabwe Red Cross Society to people living with HIV in Midlands Province of Zimbabwe
Document type: mthesis
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Abstract:
INTRODUCTION: This study seeks to assess the quality of community home-based care (CHBC) services provided by Red Cross in Midlands province of Zimbabwe so as to make recommendations for strengthening the quality of home based care services in Zimbabwe. METHODOLOGY: The study is based on a review of unpublished Red Cross reports, published CHBC literature and a questionnaire response by Red Cross Provincial CHBC coordinator (Midlands). A theoretical framework adapted from the Institute of Medicine’s six elements of quality is then used to assess the quality of home based care services. FINDINGS AND CONCLUSIONS: Study findings show a 134.7% increase in PLHIV accessing CHBC services and a 63.5% increase in volunteers providing care. The major categories of PLHIV care needs are physical, psychosocial, palliative and spiritual. These are changing as the epidemic progresses thus there is a continuous assessment of the changing care needs. The care being provided by Red Cross is not able to cater for all the currently known care needs of PLHIV. It can be concluded that the quality of CHBC care being provided by Red Cross is declining when the demand for care is increasing as the HIV epidemic matures in Zimbabwe. People living with HIV are no longer able to access quality CHBC care and some of their care needs are remaining unmet. RECOMMENDATIONS: Quality of home-based care in Zimbabwe can be strengthened through increased funding, improvements in training and supervision of volunteers, improved M7E and the presence of a functional referral system.
Authors:
Munhenga, R.
Country:
Zimbabwe
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
HIV and AIDS
,
health services
,
communities
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
x, 57
Year:
2009
Region:
East Africa
Right:
© 2009 Munhenga
Subject:
Health and Nutrition
Title:
An assessment of the quality of home-based care services provided by Zimbabwe Red Cross Society to people living with HIV in Midlands Province of Zimbabwe
Training:
Master of Public Health / International Course in Health Development (ICHD)