stories on home-based care
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.
care services can be classified into preventative, promotive,
therapeutic, rehabilitative, long-term maintenance and
palliative care categories.
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.
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
of home-based care programmes due to a shortage of
of home-based care workers.
care programme in Durban
Contact: Liz Towell
Tel: (031) 400 6500
Contact: Cornellius Lebolle
Tel: (012) 312 0132
Cell (082) 414 8961
Contact: Sandra Anderson
Tel: (012) 338 5305
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.
stories on home-based care
They brought me back
By Mawande Jubasi, Sunday
25 Aug 2002
Banks Boost Stressed Out Care-Givers
Sizwe Samayende, African Eye News Service (Nelspruit),
August 22, 2002