B13. Home Based Care Best Practice
OBJECTIVES AND SCOPE
Ekwendeni Hospital Home Based care exists to provide continuum care and support to the chronically and terminally ill patients so that they spend their last days of life in comfort, dignity and hope.
To provide care and support to chronically and terminally ill patients at home
To mobilize the community to look after the terminally ill patients themselves at household level
To equip the community volunteers with relevant knowledge and skills
To provide spiritual care to the infected and affected families as well as individuals
Community participation and involvement have been opted as the best model of Home Based Care. This enhances the maximum use of local resources in provision of total patient care. The hospital provides training, HBC provides counseling, care for referred cases where as the community volunteers provides basic patient care nursing care, social support like food stuffs, spiritual care, referral, counseling and monitoring and evaluation.
18 volunteer committees established
362 patients registered and feel at home because of family support
Stigma and discrimination reduction
Home Based Care works best if there is good partnership between hospital and community. Quality Home Based Care can be provided if the providers are equipped with knowledge and skills including supplies and equipment.
Home Based Care without food and drugs is inadequate, therefore, Government and NGOs should consider the component of nutrition and assist in identifying low cost drugs.