Improving home-based care in Southern Africa: An analysis of project evaluations

Alana Rosenberg, Zonke Mabude, Kari Hartwig, Sahar Rooholamini, Dede Oracca-Tetteh, Michael Merson

Research output: Contribution to journalArticlepeer-review


We describe lessons learned from independent evaluations of nine home-based care (HBC) projects in Lesotho, South Africa and Swaziland. Projects were funded through Bristol-Myers Squibb's Secure the Future (STF) initiative and evaluated through the STF Monitoring and Evaluation Unit (MEU) at Yale University. The objectives of this study were to: ■ Assess the management capacity of the HBC organisations reviewed, concentrating on monitoring and supervision mechanisms. ■ identify innovations in responding to the challenges of delivering care in resource-poor settings, and ■ explore the nature of linkages between HBC projects and governments. Specific strategies to assure quality are discussed, as are policy changes necessary to provide system-wide improvements in quality and the integration of HBC. These are particularly important as governments seek ways to use existing resources to make antiretroviral (ARV) roll-outs successful.

Original languageEnglish (US)
Pages (from-to)30-36
Number of pages7
JournalSouthern African Journal of HIV Medicine
Issue number19
StatePublished - Jun 2005

ASJC Scopus subject areas

  • Infectious Diseases


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