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Home-Based Care


 

 

The basics

In South Africa

Investigative Issues

Contacts

Related Research

Archived stories on home-based care


The basics

»  The World Health Organisation defines home care as the provision of health services by formal and informal caregivers in the home in order to promote, restore and maintain a person’s maximal level of comfort, function and health including care towards a dignified death.

»  Home care services can be classified into preventative, promotive, therapeutic, rehabilitative, long-term maintenance and palliative care categories.

»  Home-based care provides an alternative to institutionalised health care. Discharging patients into the care of a home care programme allows for a shorter stay at the hospital, making more beds available for other patients and reducing costs to the institution.

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In South Africa

» In the past few years, hospitals have become increasingly crowded and in many facilities AIDS patients outnumber patients with other illnesses.

» Doctors in at least two major hospitals in Durban say that between 55% and 65 % of medical in-patients are HIV positive, the vast majority with AIDS-related illnesses.

» Medical beds at two hospitals in Pietermaritzburg and in several rural hospitals are running at 120% over capacity because of AIDS.

» According to the South African Guidelines on home-based care and community-based care (2001) home-based care addresses several problems, including: shortage of hospital beds; inadequate number of medical, nursing and allied health professionals in the public sector; lack of resources for treatment and drugs; hospitals that are crowded and staff who are over-stretched can result in an environment that is unsuitable for managing patients with terminal diseases; and high costs of institutional care.

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Investigative Issues

  • Sustainability of home-based care programmes due to a shortage of funds.
  • Burnout of home-based care workers.

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Contacts

Sinosizo, home-based care programme in Durban
Contact: Liz Towell
Tel: (031) 400 6500
email: ltowell@iafrica.com

Department of Health
Contact: Cornellius Lebolle
Tel: (012) 312 0132
Cell (082) 414 8961

UNAIDS
Contact: Sandra Anderson
Tel: (012) 338 5305

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Related Research

Stigma, denial and shame in Africa: barriers to community & home-based care for people infected and affected by HIV/AIDS
By Nadine France, Sandra Anderson, Joanne Manchester and Scovia Kasolo Nabagala Presented at the 1st SADC Conference on Community Home-Based Care

Reaching out, scaling up: Eight case studies of home and community care for and by people with HIV/AIDS
UNAIDS Case Study (Sept 2001)
This report focuses on eight projects and programmes that have improved the quality of life of people living with HIV/AIDS. The projects and wide-spread geographically: five from Africa, two from Asia and one from Latin America. The South African project profiled is Bambisinani, a health programme in the Eastern Cape.

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Archived stories on home-based care

They brought me back from death
By Mawande Jubasi, Sunday Times, 25 Aug 2002

Banks Boost Stressed Out Care-Givers
Sizwe Samayende, African Eye News Service (Nelspruit), August 22, 2002

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