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UNAIDS - Joint United Nations Programme on HIV/AIDS
Reaching Out, Scaling Up: Eight Case Studies of Home and Community Care for and by People With HIV/AIDS
UNAIDS Best Practice Collection Case Study
Description of Work
UNAIDS - Joint United Nations Programme on HIV/AIDS, Geneva, September 2001, 116 pp
92 9173 108 0

Reproduced with the kind permission of UNAIDS.


" The theme of this report, Reaching out, scaling up, reflects a concern that has become increasingly important in the past few years. All too often, good local-level responses to HIV/AIDS best practices, in other words have remained local and small-scale. The many lessons learned have not been translated into bigger projects or wider coverage. This report focuses, therefore, on projects and programmes that have been able to scale up or reach out, and in doing so have brought an improved quality of life to people living with or affected by HIV/AIDS. The initiatives are widely spread geographically, with five from Africa, two from Asia, and one from Latin America. Cambodia’s Home Care Programme is a collaboration of the Ministry of Health, the coordinating committee of Cambodia’s NGOs involved in AIDS, and the World Health Organization (WHO). Home Care Teams, made up of staff from government health centres and community-focused NGOs, have created strong links with community resources such as local community leaders (phum), traditional healers and the members of Buddhist temples (pagodas). Referral systems link the Teams with health centres, hospitals, and the three government-run HIV Voluntary Testing and Counselling (VTC) Centres. Piloted during 1998-99 in Cambodia’s capital city, Phnom Penh, the programme is being extended to other parts of the country. The Continuum of Care Project (COCP) in the State of Manipur, India, evolved out of a series of discussions and workshops with the government of Manipur, the National AIDS Control Organization, Oxfam, WHO, the British Council, and representatives of 28 local NGOs. Among other innovations, the Project has created multidisciplinary ‘core groups’ within hospitals, NGOs and communities. These core groups are designed to improve quality of service, and also to help these care providers better understand the needs of persons living with HIV/AIDS and reduce their prejudices about vulnerable populations."

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