The North-West Province has the fifth highest prevalence of HIV/AIDS in the country and has an estimated HIV prevalence of 22.9%. On the 24th November 1999 cabinet approved a special allocation of funds to finance a National integrated programme in the fight against the HIV/AIDS pandemic. They involved Departments of Social Services, Health, Education and Agriculture. The plan comprised three main components, which included the implementation of Home Community Based Care models for children and youth infected and affected by HIV/AIDS. The North-West Province was one of the provinces identified to pilot the programme and funds were allocated for the establishment of the programme. This study was undertaken with the aim of assessing the quality of services provided by the Home Community Based Care Programme to people infected and affected by HIV/AIDS. An empirical survey as well as a literature study was undertaken to determine whether the caregivers that are part of the Home community based care programme play their set role. Forty-five beneficiaries of the programme were randomly selected as respondents. An evaluative research design was utilised to test the progress of the Programme and check whether the programme is consistent with programme design specifications. A structured self-administered coded questionnaire with descriptive questions was developed and self administered to 45 respondents in Ikageleng Location in Zeerust who were randomly selected from a list of beneficiaries. The findings of the study indicated that caregivers who are part of the Home Community Based Care Programme play their set role. The programme provides good quality services to beneficiaries. The programme provides palliative care services, material support, care and support services, awareness and education and income generation. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2008.

The North-West Province has the fifth highest prevalence of HIV/AIDS in the country and has an estimated HIV prevalence of 22.9%. On the 24th November 1999 cabinet approved a special allocation of funds to finance a National integrated programme in the fight against the HIV/AIDS pandemic. They involved Departments of Social Services, Health, Education and Agriculture. The plan comprised three main components, which included the implementation of Home Community Based Care models for children and youth infected and affected by HIV/AIDS. The North-West Province was one of the provinces identified to pilot the programme and funds were allocated for the establishment of the programme. This study was undertaken with the aim of assessing the quality of services provided by the Home Community Based Care Programme to people infected and affected by HIV/AIDS. An empirical survey as well as a literature study was undertaken to determine whether the caregivers that are part of the Home community based care programme play their set role. Forty-five beneficiaries of the programme were randomly selected as respondents. An evaluative research design was utilised to test the progress of the Programme and check whether the programme is consistent with programme design specifications. A structured self-administered coded questionnaire with descriptive questions was developed and self administered to 45 respondents in Ikageleng Location in Zeerust who were randomly selected from a list of beneficiaries. The findings of the study indicated that caregivers who are part of the Home Community Based Care Programme play their set role. The programme provides good quality services to beneficiaries. The programme provides palliative care services, material support, care and support services, awareness and education and income generation. / Thesis (M.A. (MW))--North-West University, Potchefstroom Campus, 2008.

Background: The role of community matron (CM) was introduced to provide a single point of access to patients living with co-morbid long-term conditions who had, or were at risk of, frequent emergency admissions to hospital. CMs utilised case management as a means of managing this growing population of patients with fragile health. Since its inception, many changes in service delivery have impacted on the role. Aim: The aim was to undertake a mixed methodology study of the factors that have affected embedding of the community matron role in 3 geographical areas. Methodology: A pragmatic mixed methods approach (QUAL quan) was utilised. Settings and participants: The studies were based in health services within 2 cities and a rural area in central England. Participants for the qualitative components of the study were purposefully sampled. The sample comprised professionals: community matrons (n=21), managers (n=4), former commissioners (n=2) and GPs (n=3); and patients (n=10) and their family carers (n=5). Quantitative data for 212 people with long-term conditions were derived from the anonymised Patients at Risk of Rehospitalisation database (PARR data) held by area 1. Methods: Qualitative data were collected from participants using semi-structured interviews and audio diaries. For the quantitative component using PARR, some patient journeys within area 1 were explored. In addition, a sample of patients who were case managed by a CM (n=106) were matched with a set of patients who were not (n=106) and the data was examined. Findings: Participants were largely positive about the role of CM. However, difficulties with role setup had led to numerous changes which affected how the role has embedded. Additionally, this impacted understanding of the role by health care professionals, and caused practical and emotional difficulties for some CMs as they perceived the role to be eroded. The quantitative findings showed that CMs did not make a significant difference to hospital bed days used by patients on their caseload. Evaluating the role and finding an effective means of showing the work undertaken by CMs, which is often invisible, proved difficult. Conclusion: Embedding of the CM role has been affected by numerous changes in service delivery. Invisibility of community nursing rather than autonomy of the community matron role seems to be a key factor in the challenges of embedding the role. The significance of these findings is that using a mixed method approach and Liaschenko and Fisher’s adapted model may help CMs to improve the visibility of their role, and so helping the role to be less prone to the challenges of service redesign.

No description available.

Submitted in Partial fulfillment of the Requirements for the Masters Degree in Social Work at the University of Zululand, 2010. / KwaZulu-Natal is at the heart of Aids pandemic, with HIV prevalence figures consistently higher than other provinces.The basic purpose of this research is to assess the impact of Thandukuphila HIV/AIDS Community Based - Care Centre on the lives of HIV/AIDS infected and affected people (beneficiaries), which is situated in a rural township established on the precincts of a vast tribal area in the northern part of Kwazulu-Natal province. This HIV/AIDS Community Based - Centre was initiated as a response by some community members, initially it was church based, the church was challenged by the difficult health problems and social situations experienced by some of their community people, who were being devastated by the disease, HIV/AIDS, both inside the township and the neighboring rural area. In–depth interviews were utilized to seek more information from these knowledgeable individuals regarding their own and other peoples’ experiences, who are beneficiaries of Thandukuphila and, also those involved in many other ways. A purposive sample of nine participants’ from Thandukuphila CBO, which is situated at Enseleni was purposefully selected for the study. All participants were beneficiaries of Thandukuphila Community based care centre. These individuals were identified for their potential to elicit valuable information since they are beneficiaries of the programme. The individuals were also identified according to the criteria for inclusion. There were four groups of participants: i) PLWA, ii) OVC, iii) Caregivers/Volunteers, iv) Committee members. The review of literature gives some detailed analytical views on the prevalence of the pandemic HIV/AIDs in Kwa-Zulu Natal. The aspect of community –home based care is discussed, for the role it is playing as well as the contribution it is making, albeit, in a limited manner because of resources, expertise and support from formal authority structures. The narrative discussion intertwines quotations with the author’s interpretations. Also in data analysis the researchers “seek to identify and describe patterns and themes from the perspective of the participants” Creswell (1994:167). Throughout the study report the research hints at limitations the organization has to contend with and these are briefly indicated in a nutshell towards the end. The set objectives for the study were achieved. The findings indicated that Thandukuphila Community Based -Care Centre has a positive and significant impact on the lives of HIV/AIDS infected and affected people, who are beneficiaries of the program. However, it is the researcher’s informed opinion that responsible Government Departments need to put more effort on assisting since they have professional personnel, in monitoring and evaluating the standard of services rendered by these Community Based Care Centres.

No description available.

South Africa has been affected both economically and socially by HIV/AIDS. The South African government has put policies in place to support people infected and affected by HIV/AIDS and to ensure that they are not discriminated against. Many children have lost either one or both parents to this pandemic. The purpose of this research study was to explore community-based care for HIV/AIDS orphans. The research question for the study was: “What are the key components of community-based care for HIV/AIDS orphans?” The objectives for this study were as follows: -- To conceptualise community-based care for HIV/AIDS orphans. -- To determine the directions and limitations with regard to community-based care within the current policy framework for caring for children infected and affected by HIV/AIDS. -- To identify the components of Heartbeat’s model for community participation for community-based care of HIV/AIDS orphans. -- To determine the key components for effective community-based care in the care of HIV/AIDS orphans, to serve as guidelines for a sustainable community-based care model for these children. This was an exploratory study. The researcher made use of a case study, which is a type of a qualitative research strategy. Twenty HIV/AIDS orphans, six caregivers and one volunteer were interviewed and a semi-structured interview schedule was used to gather data. Some of the key findings for this study were the significance of community participation, care and support in the placement of HIV/AIDS orphans which guided the key components for sustainable community-based care for HIV/AIDS orphans. The study identified specific challenges in getting communities to participate in the care and support of HIV/AIDS orphans. The study made the following recommendations based on the research findings: -- The revision of policies and guidelines addressing children infected and affected by HIV/AIDS. -- The drafting and implementation of monitoring and evaluation mechanisms for community-based care for HIV/AIDS orphans. -- The Government’s involvement in pledging more resources for HIV/AIDS orphans. / Dissertation (MSD (Social Development and Policy))--University of Pretoria, 2007. / Social Work and Criminology / unrestricted

The focus of this study is on the evaluation of community based care and support service for older persons in the community. The government of South Africa and other African Countries held several discussions with the intention of addressing the needs and challenges of older persons in the community. As a follow up to the discussion, the new developmental approach, that is the South African Policy for Older Persons of 2005 and the Older Persons Act, 13 of 2006, promulgated in line with the recommendation of the Madrid International Plan of Action on ageing which was drafted and adopted at the World Assembly on Ageing that was convened by the United Nations in 2002. Older Persons Act 13 of 2006 was developed with the intention of addressing the needs of older persons in the community as the Aged Act no 100 of 1967 as amended in 1998, was focusing more on the residential care service. The Older Persons Act 13 of 2006 recognizes the importance of community-based care and support services and this means that the service delivery to older persons has been broadened and services have become more inclusive and accessible. Older persons will be able to remain in their communities within their families for as long as possible. According to the Older Persons Act 13 of 2006, the community-based care and support services means any programmes that are rendered to older persons to enable them to remain independent in their communities for as long as possible. These programmes are preventing the unnecessary admission of older persons in the residential care facilities. According to the Older Persons Act 13 of 2006, the Community-based care and support services are categorized into, namely, prevention and promotion programmes and the home-based care services. These two categories will be discussed in details in this study. In this study the researcher used the older persons (recipients of services), representatives of management committees for the Non-profit organizations rendering services to older persons in the community and the officials of the Department of Social Development as participants. The aim of this study is to discuss and evaluate the community-based care and support services strategy as used by the Department of Social Development in rendering services to older persons within communities in Motheo District (Free State Province) and to raise the viewpoints of direct service providers (management committees) officials of the Department of Social Development and older persons that receive these services, in order to enhance the delivery of this programme. The research methodology that was utilized in this study includes the empirical research and the literature review. A literature review was conducted by the researcher for a clear understanding of the nature and meaning of the problem that has been identified. The questionnaires and interview tools were used by the researcher as methods of data collection. This study consists of two articles, article 1: Background and nature of community-based care and support services and article 2: Evaluation of community-based care and support services The findings from the study indicated that the community based care and support services can be the best and important programme for older persons in the community if it can be well implemented. / MSW, North-West University, Potchefstroom Campus, 2014

The focus of this study is on the evaluation of community based care and support service for older persons in the community. The government of South Africa and other African Countries held several discussions with the intention of addressing the needs and challenges of older persons in the community. As a follow up to the discussion, the new developmental approach, that is the South African Policy for Older Persons of 2005 and the Older Persons Act, 13 of 2006, promulgated in line with the recommendation of the Madrid International Plan of Action on ageing which was drafted and adopted at the World Assembly on Ageing that was convened by the United Nations in 2002. Older Persons Act 13 of 2006 was developed with the intention of addressing the needs of older persons in the community as the Aged Act no 100 of 1967 as amended in 1998, was focusing more on the residential care service. The Older Persons Act 13 of 2006 recognizes the importance of community-based care and support services and this means that the service delivery to older persons has been broadened and services have become more inclusive and accessible. Older persons will be able to remain in their communities within their families for as long as possible. According to the Older Persons Act 13 of 2006, the community-based care and support services means any programmes that are rendered to older persons to enable them to remain independent in their communities for as long as possible. These programmes are preventing the unnecessary admission of older persons in the residential care facilities. According to the Older Persons Act 13 of 2006, the Community-based care and support services are categorized into, namely, prevention and promotion programmes and the home-based care services. These two categories will be discussed in details in this study. In this study the researcher used the older persons (recipients of services), representatives of management committees for the Non-profit organizations rendering services to older persons in the community and the officials of the Department of Social Development as participants. The aim of this study is to discuss and evaluate the community-based care and support services strategy as used by the Department of Social Development in rendering services to older persons within communities in Motheo District (Free State Province) and to raise the viewpoints of direct service providers (management committees) officials of the Department of Social Development and older persons that receive these services, in order to enhance the delivery of this programme. The research methodology that was utilized in this study includes the empirical research and the literature review. A literature review was conducted by the researcher for a clear understanding of the nature and meaning of the problem that has been identified. The questionnaires and interview tools were used by the researcher as methods of data collection. This study consists of two articles, article 1: Background and nature of community-based care and support services and article 2: Evaluation of community-based care and support services The findings from the study indicated that the community based care and support services can be the best and important programme for older persons in the community if it can be well implemented. / MSW, North-West University, Potchefstroom Campus, 2014

Between 1980 and 2000, mortality rates of children under the age of five and maternal mortality ratios declined across sub-Saharan Africa. During the same period, Kenya's mortality rates continued to rise until 2005 when the Kenyan Ministry of Health (MOH) introduced the Kenya Essential Package for Health (KEPH) in an effort to reverse its declining health indicators. The KEPH defined six service delivery levels which included the new community level, also known as level one. The Ministry of Health's plan for delivering services at the community level, known as the Community Health Strategy (CHS), called for the creation of Community Health Workers (CHWs) which the MOH hoped would produce the expected outcomes of the CHS. CHWs would be trained volunteers that were both members of the community they would serve, and selected by their community. Their training would allow them to recognize health problems, provide basic first aid, refer patients with serious problems to health facilities, conduct surveys, maintain records, provide education, and distribute supplies. In 2010, the Division of Community Health Services released an evaluation of the relevance, efficiency, and sustainability of the community health strategy. Their results showed that CHWs could produce many of the CHS's expected outcomes. In 2013, researchers from the Boston University School of Public Health and Moi University resolved to conduct a cross-sectional study for the Kenyan Ministry of Public Health and Sanitation to assess the effectiveness of the CHWs in Kajiado County. The county faced numerous health challenges and an overburdened health system. Data collection was completed over a seven-day period in June of 2013 by fourteen teams. Data was collected from 12 communities located in the areas of Rombo, Entonet, and Central Divisions of the Loitokitok sub-county within Kajiado County in rural South Kenya. Six of the selected communities had CHWs mobilized and were the intervention communities. Six communities had no registered CHWs and served as the controls. Eligibility to participate in the study was limited to permanent members of randomly selected households that housed at least one child less than five years of age and no active CHWs. Mothers of children less than five years of age were the preferred respondents. The primary and secondary outcomes were selected to address as many of the CHS's expected outcomes as possible. In an effort to compensate for the study's cross-sectional design, results were analyzed by stratifying them by each community's proximity to a hospital, the time since the CHW's last visit, and the respondent's knowledge of their CHW's name. Data was collected from 316 households, half of which were from intervention communities, and was entered into CSPro 5.0 before being exported to EpiInfo 7.1.1 for analysis. Analysis of the results suggests that the Community Health Strategy has been largely ineffective at producing its expected outcomes in Kajiado County as communities with active community health workers typically did not fare significantly better than non-CHW communities. The CHS was not entirely unsuccessful however, as mothers in CHW communities were significantly more likely to give birth at a health facility (PR: 1.41; CI: 1.15-1.72) than in non-CHW communities. Results also indicated that a community's proximity to a hospital could be a confounder in the relationship between a community's CHW status and health outcomes. The success of CHWs may have been masked by their tendency to visit households with worse health indicators more frequently.