1. Event number 1
2. Event number 2
3. Event number 3
4. Event number 4
HIV/AIDs program has been designed in partnership with Provincial AIDS department taking into considerations the recommendations and lessons learned from the previous home care models in Phnom Penh.
Since 2001, Caritas has been supporting the public health system and community structures to provide Home Based Care HBC services and is now the largest provider of HBC services in Siem Reap. Caritas was also the first NGO in Siem Reap to facilitate the formation of People living with HIV/AIDs (PLHA) support groups.
Caritas is offering extensive expertise in Home Based Care including the ability to provide comprehensive services at a low cost per client; develops integrated and sustainable services linking community structures to health centers and referral hospital; and enables, over time, PLHA and their families to take greater responsibility for managing their health, social and economic situations.
Furthermore, Caritas plays an important role in strengthening the referral system (CoC) in order to ensure adherence to ARV treatment. Caritas is involved at all levels, from Provincial Aids Office (PAO) , Operational district ( OD) to Health Centers and communities, strengthening self-help groups, MMM network and other community initiatives to address the needs of PLHA, reducing stigma and discrimination, and enabling the greater involvement of people living with HIV & AIDS in community activities and service delivery.
From the beginning, Caritas has been able to provide Care and Support to over 1173 PLHA and their families, targeting 32 Health Centers and 396 villages in 3 ODs of Siem Reap Province. After a difficult experience of working with HC staff while PLHA were all dying from AIDS, Caritas re-started working with HC staff after the arrival of ARV and the HC staff showed more commitment.
By late 2008, 6 HBC Teams have been formed involving HC staff providing weekly visits to PLHA of their catchments area and involving PLHA Volunteers as well. There are already 16 PLHA SG who are meeting monthly, learning to care for themselves, saving and loaning money for income generating activities but their involvement is still very limited to their groups. There is not yet a network of these support groups.
Caritas has been also the first NGO to initiate and develop the Mondol Mit Obroum Mit-friends helping friends (MMM) at Siem Reap hospital and is still providing some support in partnership with CPN+ whose mandate is the MMM development and support. Caritas is also working in partnership with the MMM in Sothnikum.
These "MMM" start to be efficient at the hospital but not yet very much linked with the support groups in the communities except at Sothnikum where the link is well initiated.
The National AIDS Program under NCHADS Authority is now expanding the number of Voluntary Confidential Counseling and Testing (VCCT) sites (199 by Dec 2007) and ARV sites (45 in 19 provinces out of 24 provinces) with free ARV drug supplies and services delivery for the entire country.
NCHADS submitted a Strategic plan to GF with ARV first line for all people in need of ARV and has been approved up to 2015. The HBC component started to be taken into consideration with GF Round 7 with first support for the years 2009 and 2010.
Caritas Cambodia HBC program has been supported through out the years (2001-2008) by Caritas Switzerland and Caritas Germany and both are committed to long term support to Caritas Cambodia. They are our precious long standing supporting donors.
However, In March 2007, Caritas, at the request of NCHADS, made a joined proposal with CRS to the GFATM Round 7 to be part of the Country Program and get partly funded by the Global Fund. The proposal has been approved and we are expected to start working with NCHADS and GF late 2008, very likely in the last quarter of 2008.
The GFATM Round 7 focus on specific objectives regarding 3 targeted diseases: AIDS, Tuberculosis and HIV/AIDS.
|"HIV/AIDS-related mortality and morbidity is reduced, people are able to live longer and contribute positively to the development of Cambodian society through an empowerment process involving communities themselves"|
Since 2001, and in partnership with the Ministry of Health, Caritas HBC Team (15 staff) in Siem Reap is providing home care and socio-economic support to more than 1469 People affected by HIV/AIDS and their families.
The coverage area is very large with 33 Health Centres, 9 administrative districts, 62 communes and 489 villages.
The care and support consists in identifying the new cases in the community, in cooperation with the community health volunteers, providing counselling and emotional support, helping with transportation to the clinic for ARV treatment, providing food support to vulnerable families and PLHA with very severe malnutrition, educating on drug adherence and self-care, providing guidance and support to OVC (orphans and vulnerable children of HIV/AIDS families or orphans) in order to ensure schooling and education to children.
Once people are on treatment and their health stabilized, the people are encouraged to join Self Help Groups to meet once a month, discuss their problems and concerns, start saving and credit activities together in order to make income and sustain their families. Caritas provide support to 14 SHG through group formation, animation, education on health and HIV/AIDS issues, rights of PLHA and any issues they are concerned about.
Caritas has a large "Livelihood program" in order to help PLHA to re-integrate the society and have enough income to sustain themselves and able to send their children to school. There is a saving and credit program for individuals in need of capital to start IGA and there is also saving and credit through SHG. T
here are about 70 loans provided per year to individuals and 14 SHG with an average of 10 to 15 members each. Loans through SHG benefit from formal training and on-the job practice to be able to get new skills and generate enough income for the family.
to facilitate access to PLHA living far away from the health services so that they can get free accommodation at the Center. This Center is also a "Crisis Center" for PLHA women in crisis, abandoned women or destitute who need a place for "healing", place for care and support until their re-integration into the society. In 2007, 251 PLHA benefited from that Center