Palliative care

Integrating paediatric palliative care into home-based care: an evaluation of 3 home-based care projects

Published by: 
Health Systems Trust
The Nelson Mandela Childrens Fund (NMCF) has, through the Goelama Programme since 2002, funded non-governmental organisations to support orphans and vulnerable children. The focus has been on strengthening households and support systems for orphans and vulnerable children (OVC), promoting behaviour change to prevent further spread of HIV, and enhancing integration with local government services. Based on the fact that many children, including orphans, are dying of AIDS, without appropriate palliative care, an expansion of the NMCF Goelama approach is being developed. This is a collaboration between the Diana, Princess of Wales, Memorial Fund, the NMCF and the Hospice Association of South Africa.

The Integration of HIV/AIDS Care and Support into Primary Health Care in Gauteng Province

Published by: 
Health Systems Trust
This study aimed to assess the integration of HIV/AIDS care and support in Gautengs primary health care (PHC) services. With this aim in mind, the research sought to provide answers to three main sets of questions. Firstly, are care and support services for people with HIV/AIDS being provided at PHC clinics, what is the quality of these services, and to what extent are these services being utilised? Secondly, are the inputs (e.g. staff knowledge and attitudes) and support systems (e.g. drug supplies), necessary for good quality, accessible HIV/AIDS care, present in the PHC infrastructure? Thirdly, what if any, systems changes are required to improve the access and quality of PHC services for people living with HIV/AIDS? This research was conducted in collaboration with, and partly funded by, the Gauteng Provincial Department of Health which is in the process of disseminating primary health care clinical guidelines in the Province.