Community and Home based care (CHBC) is a vital component of community HIV and AIDS management that has been a cornerstone of DOMCCP’s programmes since 1992. As one of the first practical interventions and responses to HIV and TB in Zimbabwe, HBC has played an important role in relieving our overwhelmed public health system. The CHBC intervention involves counseling HIV-infected people (including the chronically ill), palliative and basic nursing care, referrals to HIV testing, ART literacy and treatment adherence monitoring.
The intervention was implemented in Mutasa, Mutare rural, and Chipinge districts with support from Plan, SOIR, Irish Aid and Hospaz/ZAN (Global Fund). A total of 1,680 beneficiaries have directly benefitted from the project. About 370 community care givers have received home-based care kits donated by UNICEF through NAC. The intervention was meant to improve access to care, treatment and support for PLHIV (and other chronically ill persons) in marginalised communities of Manicaland Province.
The intervention was implemented against a background of increasing demand for treatment support services and improved access to ART by PLHIV. Evidently, ART has increased the life expectancy of PLHIV in Zimbabwe, increasing number of ambulatory patients and increasing demand for ARVs.
The intervention was designed to
1. empower care givers to perform their duties more effectively in line with latest guidelines on conducting home-based care,
2. consolidate linkages between HBC and ambulatory services such as ART literacy, treatment and adherence support, palliative care and counseling, and
3. integrate HBC to livelihood support systems for ambulatory PLHIV.
Eighty (80) and 240 HBC kits from NAC and ZAN/Hospaz respectively were distributed to care facilitators in Chipinge. Additional 50 HBC kits were received from NAC and distributed to care facilitators in Mutare Rural district.
Trainings in CMIEACST, buddy, nutrition, treatment literacy, gender mainstreaming and positive living benefitted 60 care givers in Chipinge and over 300 beneficiaries in Mutasa district.
The project facilitated the establishment of 48 support groups for PLHIV in Mutasa district with a membership of 600 PLHIV.
The GFATM provided support in the form of training material and costs for CMEIACST, CHBC, treatment buddy and food security trainings. The GFATM support has enabled the project to incentivise 120 care-givers in Mutare rural and Chipinge districts with uniforms and monthly allowances.