cambodian hiv/aids education and care · a total of 1,553 suspected cases, 870 were women have been...

CAMBODIAN HIV/AIDS EDUCATION AND CARE

ANNUAL REPORT

OF

HOME BASED CARE FOR PLWHAs and OVCs IN 3 ODs

KANDAL: SA ANG PREY VENG: PREAH SDACH

AND KAMPONG CHHNANG: KAMPONG TRALACH

APRIL 2006 –MARCH 31, 2007

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TABLE OF CONTENTS

Pages Abbreviation……………………………………………………..... ii Executive summary………………………………………………. 1 Introduction………………………………………………………… 2 Background………………………………………………………… 3 Project Goals……………………………………………………..... 4 Objectives………………………………………………………..... 4 Achievements……………………………………………………. 4 Constraints………………………………………………………… 10 Conclusion………………………………………………………… 11 Recommendation…………………………………………………. 11 Lesson learnt…………………………………………………........ 11 Plans for next year…………………………………………………. 12 Attachments:……………………………………………………… 13

1. Implementation plans for the first year of Project 2. Referral Records 3. List of participants 4. Project Implementation Plan for Year 2

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ABBREVIATION AIDS Acquired Immuno Deficiency Syndrome CHEC Cambodian HIV/AIDS Education and Care PAO Provincial AIDS Office DAO District AIDS Office FBG Feedback Group HIV Human Immuno Deficiency Virus HBC Home Based Care HC Health Center IEC Information, Education and Communication NCHADS National Centre for HIV/AIDS, Dermatology and STDs NGO Non- Governmental Organization OD Operational District OVC Orphaned Vulnerable Children PLWHA People living with HIV/AIDS STI Sexually Transmitted Infection HBC Home Based Care HBCT Home Based Care Team SHG Self Held Group

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EXECUTIVE SUMMARY The overall purpose of this report is to highlight the result of one year of Home Based Care activities of CHEC. Cambodian HIV/AIDS Education and Care is a Cambodian non-government organization that localized from the International Organization “Quaker Service Australia” on January 2001 and implement Community Based Care Approach that include Education and Counseling in 5 ODs. Since April 2006, CHEC had implemented the Home Based Care project in cooperation with NCHADS, PHD, OD, community health center staff, community personnel and PLWHAs in the target project areas. The target areas of this project located in 3 ODs of 3 provinces: Kandal (Sa Ang OD), Kampong Chhnang (Kampong Tralach OD) and Prey Veng (Preah Sdach OD). The finding of one year result has shown that the PLWHA care and support provided by HBC team members in each district have achieved the following result:

1. 261 of PLWHAs and OVCs have received 2,863 kits. 1,553 clients and patients have been referred to other services such as VCCT, OI, CD4 count and ARV with travel cost was supported by CHEC.

2. Increased capacity of HBC staff related to Home Based Care. Their knowledge was gained through training workshop, and development of general understanding on HIV/AIDS, procedure of referral, HIV/AIDS and Tuberculosis, anti- retroviral treatment and follow up the target group.

3. There is a significantly an increased number of PLWHAs involve in Home Based Care.

4. PLWHAs were empowered in the community, so that they were not looked down. 5. 11 Self- Held Groups were established and conducted regular meeting. 6. PLWHA were encouraged to make decision and their feeling known in the

community. HBC activities have given PLWHA the Hope and Expectation that they can live their lives like any other people in the community.

7. The monthly supporting by CHEC to PLWHAs help them an opportunity to have time to take care themselves instead working hard to earn extra food.

8. Home based care activities help to reduce stigma and discrimination toward PLWHA in their community through Information, Education and communication (IEC) materials provided by CHEC during training.

9. The main achievement of HBC is that it was able to respond to the varied needed of PLWHA depending on their individual situation. Under the care of HBC project, could receive comprehensive services such as: basic care at home, access to medical services, psychological support, anti retroviral treatment (ART), TB, welfare support and create income generation.

10. Although all partner NGOS have experiences to delivering care and support to PLWHA and whole community, there were challenges and constraints encountered in the implementation of home based care activities.

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1- INTRODUCTION CHEC programs contribute to the reduction of HIV/AIDS in Cambodia through long term advocacy and community mobilization. The key approach is to assist the community to link their efforts to reduce stigma and discrimination against PLWHA and in the provision of counseling, care and support. CHEC is the leading advocate for community action against HIV/AIDS, bringing together health centre’s staff and community personnel to work together and to engage the other groups to minimize the impact of HIV/AIDS. It leads, strengthens and supports an expanded response to the epidemic that will prevent the spread of HIV, provide care and support for those infected and affected by the disease, reduce the vulnerability of individuals and communities to HIV/AIDS, and alleviate the impact of the epidemic. With funding support from PACT/Community Reach Grant, CHEC has been implementing the Home Based Care project in cooperation with the community health center staff, community personnel and PLWHA in the target project areas in three districts of Sa Ang in Kandal, Kampong Tralach in Kampong Chhnang Preah Sdach in Prey Veng from April 2006. CHEC signed a joint agreement between NCHADS and the World Food Programmes on the nutritional support to 250 PLWHAs within the home based care program starting from October 2006. Each PLWHA household received nutritional support such as 30 kilograms of rice, a kilogram of vegetable oil and half kilogram of iodine salt. This agreement has been extended the year 2007. In addition, the PLWHAs and their carers were supported in referrals to treatment services and to VCCT for HIV and TB testing. A recent report from the last quarterly June meeting, 52 carers in which 42 female became CHEC volunteers attended the meeting. Over a one-year period, 21 workshops on Home-Based Care were provided to 418 participants including the 160 PLWHAs, 62 OVCs, 178 carers and 18 HBC team members. A total of 261 PLWHAs and OVC, including 168 PLWHAs (104 female) and 93 OVC (50 female) in the 3 ODs of Sa Ang, Kampong Tralach and Preah Sdach received care and support from the programs. Each month, they were supplied with a food package including dried fish, noodle and canned fish. With support from the World Food Program starting from October 2006, each PLWHA household registered within the CHEC Home-Based Care (HBC) program received nutritional support such as rice, vegetable oil and salt. The agreement between CHEC, the World Food Program and NCHADS has been extended throughout the year 2007. In addition, the PLWHAs and their carers were supported in referrals to treatment services and to VCCT for HIV and TB testing. Through the HBC project, PLWHA were empowered in the community, so that they were not looked down on as a result of stigma and discrimination associated with this disease.

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Eighteen Self Help Groups of PLWHAs have so far been set up, and they have regular monthly meetings at the health centre in each district. The main achievement of HBC is that it was able to respond to the varied needs of PLWHA depending on their individual situations. Under the care of the HBC project, they could receive comprehensive services such as basic care at home, access to medical services, psychological support, anti-retroviral treatment (ART), TB, welfare support and the creation of income generation. The HBC Team worked and collaborated with local communities and authorities such as commune councils and village leaders, lay persons, church representatives and pagoda monks to integrate the HBC activities into their monthly meetings and other relevant HIV/AIDS events in the community. The partnership between the community members and the HBC teams assisted in making the project activities reach out to increased numbers of people at minimum cost, as the cost was shared with the target group. CHEC is on the CoC committee in Kandal province and also member of the Provincial Technical Working Groups of the 5 provinces where CHEC works. 2- BACKGROUND Cambodian HIV/AIDS Education and Care (CHEC), has received funding from PACT/Community Reach to implement a Home Based Care program for PLWHAs within the framework of the Strategic Plans for HIV/AIDS and STI Prevention & Care 2004-2007 of the MoH. CHEC Organizational Strategies are to:

1 Strengthen the capacity of Community Action Groups (CAG) in promoting community participation in responding to HIV/AIDS and in reducing stigma and discrimination.

2 Replicate the CHEC approach for developing community-based responses to HIV/AIDS.

3 Strengthen CHEC’s training services to NGOs and other relevant and interested groups.

4 Strengthen advocacy for PLWHAs These strategies are met through the provision of training, media-social marketing, and expansion of our participatory action with affected communities. All of these strategies are coordinated to; prevent HIV and STI transmission, reduce stigma & discrimination and facilitate PLWHA support.

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A HBC Coordinator and a Finance Assistant were employed in April 2006 and a HBC team comprising of 6 members each have been established in the target project areas. Their name list is included in the annex. Currently, through the Home Based Care program a total of 261 of PLWHAs and OVCs have received care and welfare support from home based care team. A total of 1,553 suspected cases, 870 were women have been referred for services such as VCCT, OI, CD4 count and ARV with travel cost supported by CHEC.

3. PROJECT GOAL To facilitate the provision of quality home based care for all people living with HIV/AIDS in 3 Operational District in Cambodia. 4. OBJECTIVES

1. To build on partnership already developed between CHEC, PLWHA, families, community health center and provincial health services to expand activities into Home Based Care for PLWHA and Carers.

2. To develop Home Based care for PLWHA in 3 province districts (Sa Ang, Kampong Tralach and Preash Sdach) over two years.

3. To improve and maintain the quality of live and acceptability to basic home cared and social support for PLWHA and arers.

4. To evaluate and continuously monitor and improve the quality of the project. 5- ACHIEVEMENTS 5.1 BASELINE SURVEY

At the beginning of implementation of the HBC project, the Baseline study was conducted, from April to May 2006 at 3 ODs. 156 PLWHAs, 69 OVCs, 10 widows and 219 carers were selected to be samples of the baseline study.

Structured questionnaire were used for recording data and it were edited, entried and analyzed by SPSS program.

The results of baseline survey of HBC project showed that:

• More of PLWHAs are farmers but some of them have no land for planting and

some of them have land but the size is small. • The health of most PLWHAs was bad to very bad and they must expend a lot of

money to care for and treat themselves. • Some PLWHAs, OVC and widows don’t feel that they have control of their

financial matters.

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• PLWHAs, widows and OVC feel that they need the HBC teams to visit them frequently.

• The quality of life of most PLWHAs was worse than 2 years ago. • Most OVC were students who needed learning materials, but that there was no

project to support these. • Almost all of the widows worried about their children because their living

standards were low and they cannot support them to attend school. • The relationships within and between PLWHAs, OVC, widows and carers groups

were poor because they had few opportunities to meet and discuss helping themselves and each other.

5.2 CONSULTATION WITH PLWHA, CARERS, VILLAGES AND VILLAGE

LEADERS Home Based Care Team members identified disadvantaged and poor PLWHA, OVC, Carers and detected new suspected cases through villagers, village leaders, CAG and health center. The HBC Team worked and collaborated with local communities and authorities such as commune councils and village leaders, lay persons, church representatives and pagoda monks to integrate the HBC activities into their monthly meetings and other relevant HIV/AIDS events in the community.

5.3 NEGOTIATE WITH HEALTH OPERATIONAL DISTRICT ON THE PURCHASE AND PROVISION OF PROPHYLAXIS MEDICATION FOR OIs. CHEC had supported some kind of medicines and medical supplies to treat minor Opportunistic Infection (OI) such as skin infection medicine, goves. If there is a severre cases, and Patient need hospitalization and pro ART, CHEC support loboratiory cost for Kampong Chhnang province, IV fluid for Chey Chumnas RH (Kandal province). If the patient need antibiotic RH has to pay. Severe sick patients received also some additional support from HBC team. The moneys get from donation boxes.

5.4 CONDUCT THE HBC TRAINING COURSE AND STRENTHENING OF CAG THROUGH HBC TRAINING

The Home Based Care Project Coordinator conducted 21 courses of Home Based Care training to build capacity to PLWHA, Carers and OVC in target areas, 418 trainees have completed the 21 weeks courses, Sa ang 13 courses, 272 participants,, Kampong Tralach 4 courses, 70 participants and Preash Sdach 4 courses, 76 participant. Among the 418 participants (62% of whome was female) attended these training course. 38% was PLWHAs, 43% was carers, 15% were OVCs and other 4% was Home Based Care members. Table 1 below show the statistic of HBC training per district provided by CHEC.

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Table 1: Statistic of training course and participants in 3 ODs

Type of Participants Number participants PLWHA Carers OVC HBCT N OD

Number of

Training Courses

Total F Total F Total F Total

F Total F

1 Kampong Tralach

4 70 41 17 11 30 19 17 9 6 2

2 Preah Sdach

4 76 51 38 28 26 17 6 4 6 2

3 Sa Ang 13 272 166 105 67 122 80 39 17 6 2Total 21 418 258 160 106 178 116 62 30 18 6

A follow up survey was undertaken 4 weeks after completing of the training course. It took the forms of a questionnaire which was conducted by Home Based Care team members and HBC Coordinator in 3 districts. The post survey questionnaire forms included questions on work of HBC works, how to live with positively with HIV/AIDS, prevention of HIV transmission during providing care, good nutrition and why PLWHA needs good nutrient, how to prevent diarrhea, management for diarrhea at home, controlling of fever, when to refer patent with fever, using ARV, caused of dehydration, palliative care, practicing after training. 335 (80%) of 418 participants were done with surveyed and 278 were female. Interviewers tried to achieve a balance between the targets groups represented in the 3 district The result for pre test and post in each district indicated the significance increased, participants gained their knowledge on HBC. It shows that participants gained knowledge on HBC skills, the training encourage them to support each other and motivate family, friends and society to involve in HBC activities. This knowledge is very important for participants to use their skills and offer opportunities to the PLWHA to continue to live longer and cope with the issues surroundings. Other results of the responses to the above questions were very good. Everyone improved their understanding very well and able to providing home care activities. Increasing the correct results of questions confirmed that participants knew well how to taking care themselves and provide care to PLWHA after he/she received HBC training These results showed the increasing levels of knowledge of participant after they had received the training course.

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5.5 LINK STRENGTHENING BETWEEN EACH VILLAGE CAG AND THE

PAGODA- DISCUSS INVOLVEMENT OF MONKS IN SPIRITUAL SUPPORT OF PLWHA AND CARERS.

So far, So far, there is increased openness on the subject of HIV/AIDS as the

community gets more involved. The project provides full support to build community capacity; cooperation and trust within the villages, vulnerable groups, youth groups, local authorities and household women; and sow the seeds for community ownership and of the initiatives. Participation at community level is increasing as the need to increase support care and prevention strategies start to mount as the pandemic becomes more visible.

There are 12 metal donation boxes, and collaboration with pagoda committees and monks to keep these boxes in 12 pagodas across three districts to get charity donations from people to support PLWHA and OVC. The donation money has been managed by the established donation management committee and is used to support the urgent needs of PLWHA and their carers, and for other functions such as funeral ceremonies etc.

5.6 REFERRALS OF CLIENTS AND PATIENTS TO VCCT AND OI/ARV

SERVICES

During the period of year 1 of project activities, HBC team of each site cooperated with CAG members to refer the clients and patients to VCCT and ARV services and all patients were supported the transportation costs. The referral records were as following:

• 681 referred, 390 are female cases for VCCT • 872 referred, 480 are female cases for ARV and OI treatment • 10 PLWHAs referred for TB screening, all of them were positive. • 7 TB patients referred for HIV/AIDS testing 2 of them were positive

5.7 WELFARE SUPORT

5.7.1 KITS SUPPORT

• CHEC provided HBC 2,863 kits (noodles, canned fishes and dried fishes) to a total of 261 clients during 1 year through home visits in the three districts.

5.7.2 FOOD SUPPLEMENTARY • CHEC Director, NCHADS and the World Food Program have entered into a joint

Agreement to support 238 PLWHA and OVC in the three districts with food supplementary. Each patient receives 30 kg of rice, 1 kg of vegetable oil and 0.5kg of iodine salt per month, starting from October 2006. However, due to

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shortage of commodities for WFP supported Home Based Care- HIV/AIDS activity there was no supply for the month of November and first quarter of 2007. The patients have only received food support with total amount of 14.994 T (rice 14.28 T, Vegetable oil 0.476 T and salt 0.238 T) for two months (October and December). There will be start to distributed for second quarter of 2007.

5.8 ESTABLISH AND CONDUCT MEETING OF SELF HELP GROUP

In first one year of project, 18 Self Help Groups were established in 3 ODs (10 In Sa Ang, 5 in Preah Sdach and 3 in Kampong Tralach) and these groups had 257 members. All of them attended monthly meeting that usually take place in health center, CHEC sub-office and pagodas. All attendees jointed these meeting for mutual support, recognition and sharing problem solving. A new issue which was discussed in Self Help Group meetings was a savings scheme. Below is table 2 which showing the number of the Self Help Group by district.

Table 2: Number of Self Help Group by district Sa Ang district:

Districts/ # Group

Health Center SHG Male SHG Female Total

Sa Ang group 1 Prek Ambel 1 13 15 28 Sa Ang group 2 Prek Ambel 2 2 13 15 Sa Ang group 3 Koh Khel 1 4 5 Sa Ang group 4 Troeuy Sla 5 3 8 Sa Ang group 5 Talun 5 7 12 Sa Ang group 6 Preik Koy 1 9 10 Sa Ang group 7 Svay Brateal 9 12 21 Sa Ang group 8 Krang Yov 13 9 22 Sa Ang group 9 Sa Ang Phnom 6 7 13 Sa Ang group 10

Toek Vil 11 7 18

10 Groups 66 86 152 Kampong Tralach district

Districts/ # Group


Kampong Tralach group 1

Koh Thkov HC 4 12 16


Seb HC 2 12 14


Taches HC 2 7 9

3 Groups 8 31 39

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Preah Sdach district

Districts/ # Group


Preah Sdach group 1

Chey Kampork & Reathor HC

3 9 12

Preah Sdach group 2

Boeung Daol & Angkor Reach

4 8 12

Preah Sdach group 3

Reussey Srok & Kampong Brasat

7 7 14

Preah Sdach group 4

Preah Sdach & Banteay Chakrey

4 9 13

Preah Sdach group 5

Senareach Udom & Angkor Reach

3 12 15

5 Groups 21 45 66 5.9 OTHER ACTIVITIES:

• So far, 570,100 Riels (about $ 142.00 USD) were received from the 12 boxes, (6

boxes in Sa Ang district with 361,700Riels, 2 boxes in Kampong Tralach with 126,400 Riels and 2 boxes in Preah Sdach with 82,000 Riels). This donation money has been managed by Do and use to support urgent need for PLWHA like the Donation and Saving Management Team to assist patients who were in severe sick and admitted to the hospital, funeral ceremony, and the poorest PLWHA.

• HBC Team member attended the COC monthly meeting conducted at the Provincial Health Office.

• Each HBC Team Leader and PLWHA HBC Team members attended the regular monthly meeting of the Friends Helps Friends Centre/ Mondul Mith Chuoy Mith (MMM).

• Increased capacity of HBC members through HBC monitoring from HBC Project Coordinator, feedback, clarification and problem solving during monthly meeting and monitoring.

• CHEC Director discussed further with the Operational District and health center directors regarding the provision of OI treatment and prophylaxis at health center for PLWHA.

• CHEC Director and HBC Project Coordinator continue to monitor and work with health staff on Home Based Care activities and provide technical support to the HBC Team members on PLWHA home nursing care.

• CHEC supported and monitored the referrals of patients for VCCT: all suspected cases received pre-counseling prior to referral for blood test at assigned OD. If the result is positive HBC team member and health center provided post counseling, register the patient then admit into the CHEC PLWHA list.

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• Many suspected cases showed up due to food support available and the number of referrals increased.

• CHEC Home Based Care Coordinator attended HBC sub-working group for three times.

• Home Based Care members provided home visit and education/ demonstration to the families on how to provide care based on information from HBC training module.

• CHEC HBC work with community and PLWHA neighbors to increase their understanding of HIV/AIDS, to support PLWHA and people affected by AIDS and promote/ advocacy community support for families when the patients die.

• CHEC Home Based Care staff observed and sought for any possible discrimination in the schools against the children who parents are having AIDS and/or have died of AIDS. But so far, no signs of discrimination found in schools.

• CHEC work with the health center and the Referral Hospital staff to make sure that PLWHA and their families receive the same care and treatment that other people receive.

• CHEC HBC team members, Health center staff and community collect information on the situation of orphans and other vulnerable children to determine their needs including their right to access education.

• There was a visit from 22 medical students from Curtin University in Western Australia to CHEC HBC project in Sa Ang to learn about the HBC activities and visit some pagodas where donation boxes were put.

6- CONSTRAINTS:

1. No food distribution from WFP for 4 months, the health status of PLWHA and OVC were not good, OVC spent more time to held their families to get adequate food ,

2. PLWHA spent extra time to work hard to get sufficient food for their families.

3. PLWHA need supplementary food, they wait for food distribution from NGO.

4. The collaboration between PLWHA and HBC is difficult due to there is not available time for them when making appointment.

5. Severe sick patient referred by CHEC HBC did not get IV fluid for treatment when they admitted to Chhey Chum Neas Referral Hospital as the IV fluids were running out of stocks during the month of October 2006.

6. Some patients in Kampong Tralach had met difficulty in hospital fees, and other CD4 test costs prior to get ART at the Kampong Chhnang Referral hospital.

7. The number of new cases increased every month but their names were not register in WFP list yet.

8. PLWHA keep moving from one place to another in order to find labor works.

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9. The number of HIV/AIDS screening for TB and TB check for HIV still low, because most of TB patient are too old, they said “they don’t think they affected by HIV, some PLWHA denied going to have TB check”.

10. The mobility of PLWHA from one place to another was identified as one

of major challenges that HBCT encountered. The migration in and out of the village for job opportunity made it difficult for HBCT to conduct follow up with the patients.

11. Since there is an increasing number of PLWHA coming out to receive

home care caused the HBC members increased workload such as in Sa Ang with the same number of team members.

7- CONCLUSION:

• 418, 259 were female participants in 3 Operational Districts received Home Based Care training, they gained knowledge; understood the practices on HBC, and the role of HBC team members.

• PLWHA and Carers have willing to do care practice for themselves or their clients because they want to be involved in overcome the prevalence of HIV/AIDS and to reduce stigma and discrimination to PLWHAs.

• The Community home based care is an essential element of Continuum of Care (COC) for PLWHAs. It enables PLHA to access health care services such as voluntary and Confidential Counselling and Testing for PLWHA.

• Community home based care plays an important role in encouraging people in the community to support PLWHA re using social services in the community.

8- RECOMMENDATION:

• There is a need to provide financial incentive for HBC members in Sa Ang • Refresher training on HBC should be provided to HBC Team members. • HBC members should get the exchange of field study tour with other NGOs. • A workshop for HBC Team members to share experiences from each district

in order to identify strength, weaknesses and develop plan for HBC activities for next year project would be carry out if possible.

9- LESSON LEARNT

- HBC team members increased their technical capacity, particularly in relation to home based care activities.

- There is an increased number of PLWHAs to get support from the home based care project.

- Through the home based care project PLWHAs and OVCs were empowered in the community to speak out and express their voices and feelings. It has given PLWHAs and OVCs the hope and expectation that they can live normal lives like other people in the community.

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- Welfare supports provided by CHEC to PLWHA and OVCs have helped to alleviate the economic burden of them. PLWHA and OVCs were giving an opportunity not to work hard.

- Providing counseling and teaching PLWHAs and OVCs how to care for themselves has certainly given them a great deal of hope and expectation that they can live normal lives like other people the community.

- Home based care activities have helped to reduce stigma and discrimination toward PLWHAs and OVCs in the communities though IEC materials, HBC practice education on care and HIV/AIDS especially knowledge of disease transmission.

- The overall achievement of home based is that it responded to the varied and changing needs depending on their individual situations.

10- PLAN FOR NEXT YEAR:

Please find attached CHEC Project Implementation Plan for year 2.

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Attachment 1:

IMPLEMENTATION PLANS FOR THE FIRST YEAR OF PROJECT

No Activities Expected result

1 Partnership meeting with each of the 3 initial districts (Sa Ang, Kampong Tralach and Preah Sdach). Develop coordinated CoC plans, referral form and medical treatment.

90%

2 Baseline survey in 3 districts- one of PLWHA and other of those caring for PLWHA at home.

100%

3 Strengthening of CAGs through HBC training. 100% 4 Recruit HBC Project coordinator. 100% 5 Employ Home Based Care Team leaders in 3 districts 100% 6 Consultation with PLWHA, carers, villages and village leaders. 40% 7 Negotiate with Health Operational District on the purchase and

provision of prophylaxis medication for OIs. 80%

8 Rent office space or arrange accommodation with Health district plus office set up.

100%

9 Link strengthening between each village CAG and the Pagoda- discuss involvement of monks in spiritual support of PLWHA and carers.

90%

10 Develop HBC teams in each community including village health volunteer, health center staff and PLWHA.

100%

11 Provision of Home Based Care provision to identified PLWH and orphans.

80%

12 Use existing data collection procedure of CAGs to identify PLWHA, families and carer with HBC needs

80%

13 Identification and distribution of day- to- day and nursing requirement for disadvantage PLWHA and their carers.

100%

14 Implementation of HBC home visit to PLWHA 100% 15 Quarterly CAG meeting – monitoring, quarterly review, support and

action plans 100%

16 Yearly meeting of all HBC team and carers for mutual support, training, feedback, recognition and share problem solving.

100%

17 Quarterly monitoring report to Reach 100%

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Attachment 2 Referrals from April, 2006 to March, 2007 by HBC Teams: ODs M F Total Sa Ang 416 439 855 Kg Tralach 103 204 307 Preah Sdach 165 226 391 Sum 684 869 1,553 Referrals for OI/ARV Treatment by Quarters: Quarters M F Total Q 1 67 67 134 Q 2 75 94 169 Q 3 125 155 280 Q 4 125 164 289 Sum 392 480 872 Referrals for VCCT by Quarters: Quarters M F Total Q 1 72 123 195 Q 2 31 64 95 Q 3 63 87 150 Q 4 125 116 241 Sum 291 390 681 Out the number of referrals for VCCT, 10 PLWHAs were referred for TB testing and all of them got TB positive. 7 TB patients referred for HIV test and 2 of them diagnosed HIV positive.

Referral Testing OI/ARV Sa Ang M F M F M F

Quarter 1 84 82 27 27 57 55

Quarter 2 79 87 11 12 68 75

Quarter 3 103 117 8 9 95 108

Quarter 4 150 153 51 44 99 109

Total 416 439 97 92 319 347

Sum Up 855 189 666

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Referral Testing OI/ARV Kampong Tralach M F M F M F

Quarter 1 17 50 17 50 0 0

Quarter 2 17 34 16 33 1 1

Quarter 3 32 60 21 52 11 8

Quarter 4 37 60 24 48 13 12

Total 103 204 78 183 25 21

Sum Up 307 261 46

Referral Testing OI/ARV Preah Sdach M F M F M F

Quarter 1 38 58 28 46 10 12

Quarter 2 10 37 4 19 6 18

Quarter 3 54 64 34 26 19 39

Quarter 4 63 67 50 24 13 43

Total 165 226 116 115 48 112

Sum Up 391 231 160

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Attachment 3:

HBC training participants list Kampong Tralach District, Kg Chhnang province

1) Number of Participants: 16 Place: Seb health center, Kampong Tralach District, Kg Chhnang province Date: 12/06/06- 16/06/06 (5 days) N0.

Names Age Sex Village Commune Province PLWHA

Carer HBCT

1 Kang Sambo

36 M Kg Prast Seb KCG

2 Chea many 49 M Kg Prast Seb KCG 3 Hem

sambath 55 M PeamPopich Koh Thkov KCG

4 Prum Nov 59 M Krolagn Seb KCG 5 Srong Houy 54 F Kg Prast Seb KCG 6 Math Maly 26 F Taches Taches KCG 7 Sock Pra 18 M Kg Prast Seb KCG 8 Seik Vuthy 21 M Kg Prast Seb KCG 9 Kung

Sopheap 18 M Kg Prast Seb KCG

10 Chea lacknena

21 F Kg Prast Seb KCG

11 BuotSreytoch


12 Keikornthear


13 Chea Vandeit

18 M Kg Prast Seb KCG

14 Kei Sokha 27 F Kg Prast Seb KCG 15 Bouy

yamCha 33 M Kg Prast Seb KCG

16 Seik Sokhom

46 F Seb Seb KCG

Total Pretest1218/16= 76% Post test 1390/16= 87%

Catigories Female Male Total HBC TEAM 2 4 6

PLWHA 2 1 3 CARER 4 4 8

OVC 0 0 0 TOTAL 8 8 16

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2) Number of Participants: 16 Place: Koh Thkov health center, Koh Thkov Commune, Kampong Tralach OD Kg Chhnang province Date: 10/07/06- 14/07/06 (5 days) N0.

Names Age Sex

Village Commune Province

PLWHA

Carer OVC

1 Sam Sun 33 F Svaybakav Taches KC 2 Sock Reda 13 F Svaybakav Taches KC 3 Sun Srey 36 F Svaybakav Taches KC 4 Srey Pakdey 14 M Takoh Taches KC 5 Kung Leang 65 F Taches Taches KC 6 Sim Vandy 12 F Wat thmey Taches KC 7 Gnem

Roeun 67 F Svaybakav Taches KC

8 Sock Chanthou

16 F Kg Prasat Seb KC

9 Nourn Sorn 14 F Svaybakav Taches KC 10 Him sam ath 16 M Tropaing Preal Taches KC 11 Bou Phearun 48 M TropaingPreal Taches KC 12 Pov Sarim 17 M TropaingPreal Taches KC 13 Sum Sophon 16 F Tropaing Preal Taches KC 14 Sum Savein 16 F Kg Basrov Koh

Thkov KC

15 Heang Phaktra

16 F Kg Basrov Koh Thkov

KC

16 Sock Chenda

15 F Kg Basrov Koh Thkov

KC

Total Pretest 1122/16= 75% Post test 1353/16= 85 %

Categories Female Male Total OVC 6 2 8 PLWHA 2 2 3 Carers 4 1 5 Total 12 4 16

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3) Number of Participants: 20 Place: Seb health center (Tacheas) Date: 21/08/06- 25/08/06 (5 days) N0.

Names Age

Sex VVillage Commune Provi PLWHA

Carer OVC

1 KeoKim heang 34 F Kbal Thlal Seb KC 2 Chheung Rith 25 M Daun Toy Seb KC 3 Long Tine 35 F Daun Toy Seb KC 4 Yung leuk 48 M Kg Prasath Seb KC 5 Chum Neak 40 F Daun Toy Seb KC 6 Leuk Sam ath 25 F Preik raing Teuk Haut KC 7 Chem Chhom 34 M Kg Prasat Seb KC 8 Hun Sreang 27 F Kg Prasat Seb KC 9 Pha Sokhom 37 F Kbal thlal Seb KC 10 Kav Pech 57 M Teuk Lo oc Seb KC 11 Tin Me 40 M O’resey Taches KC 12 Thy Lang 33 F Preik Raing Teuk Haut KC 13 Son Theit 40 F Teuk Haut Teuk Haut KC 14 Prum Daneit 14 F Kbal Thnal Seb KC 15 Vorn Kim Aun 16 F Kbal Thnal Seb KC 16 Seng Toch 22 F Kg. Prasat Seb KC 17 Sock Suy 48 F O’resey Taches KC 18 Sam Searng 47 F Taso Seb KC 19 Seik Phoan 31 F Taso Seb KC 20 Noun Von 27 F Thlork Youl Taches KC

Female 15/20= 75%

Categories Female Male Total OVC 0 0 0 PLWHA 5 2 7 Carer 10 3 13 Total 15 5 20

19


4) Number of Participants: 18 Place: Seb health center Date: 04/09/06- 08/09/06 (5 days)

No Names Age Sex Village Commune PLWHA

Carer

OVC

1 Ly younas 12 M Svaybakav Taches 2 Mok Ly 6 M Svaybakav Taches 3 Ny Mosa 3 M Svaybakav Taches 4 Lun Ny 17 F Takoh Taches 5 Veang Tyfann 10 F Taches Taches 6 Nem Meith 12 F Wat thmey Taches 7 Sun El 12 M Svaybakav Taches 8 Heang Sok chea 8 M Kg Prasat Seb 9 Chu Math 14 M Svaybakav Taches 10 Sok Sopack 33 M Tropaing Preal Taches 11 Hum Phat 46 M Tropaing Preal Taches 12 Yim Ron 35 F Tropaing Preal Taches 13 Seng Sovann 25 M Tropaing Preal Taches 14 Sock Poeun 25 M Kg Basrov Koh Thkov 15 Chhim Sophann 30 F Kg Basrov Koh Thkov 16 Dom Luc 23 F Kg Basrov Koh Thkov 17 Seik Sophan 16 M Kg Basrov Koh Thkov 18 Em Mao 42 M Kbal Thlal Seb

Female 6/18= 33%


• Total Courses: 4 • Total Participants: 70, female 41 (57%) • Total PLWHA: 17, female 11 (64%) • Total Carers: 30, female 19 (63%) • Total OVC : 17, female 9 (53%) • HBC team 6, female 2 ( 33%)

20

HBC training participants list Preash Sdach district Prey Veng Province

1) Number Participants: 16 Place: Boeung Doal health center Date: 19/06/06- 23/06/06 (5 days) No Names Age Se

x Village Commune PLWH

A Carer HBC

1 Nop Sambath 49 M Tros Cheykampork 2 Thong Sophea 43 M Porgnearleang Angkorreach 3 Chhorn Borey 23 F Snay Prem Seinareach

Udom

4 Teing chanthoeun

26 F Krosaing Char Seinareach Udom

5 Chhom Chan 45 F Prosva Banteay Chakrey 6 Sat Nann 37 F BoeungKamport Banteay Chakrey 7 Som Bupha 10 F Prosva BanteayChakrey 8 Sath Ann 37 F Boeung

Kamport Banteay Chakrey

9 Poch Ann 47 M Khla Kam Seinareach Udom

10 Chheng Orn 31 F Tamoa Reathor 11 Choun Chenda 25 F Tamoa Reathor 12 Yeangseng

Horn 42 F Rokakaunsat Boeung Doal

13 Seang Heng 45 F SamBour Boeung Doal 14 Seang Soeun 49 F Rokakaunsat Boeung Doal 15 Meas Try 32 M Tamoa Reathor 16 Pa Mom 38 F Rokakaunsat Boeung Doal Female 17 / 20 = 85%

Categories Female Male Total OVC 0 0 0 PLWHA 6 2 8 Carer 4 0 4 HBC team 2 2 4 Total 12 4 16

21


2) Number Participants: 18 Place: Kampong Prasat health center ( Pean Chor Administration district) Date: 17/07/06- 21/07/06 (5 days)

No Names Age Sex

Village Commune PLWHA

Carer OVC

1 Vann Vanna 35 M Kraing Skor Kraing Tayong 2 Chogn Born 55 M Rokados Kraing Tayong 3 Chim Lonn 29 M Kraing Skor Kraing Tayong 4 Sim Trou 66 F Tabeu Kg. Prasath 5 Kha Dany 15 F Tabeu S Kg. Prasath 6 Lay Pov 25 F Chrey

Udom Kraing Tayong

7 Pov Phon 20 F Pein Ressei Srok 8 OU Samann 42 F Tahuy Kg. Prasth 9 Yeng Yeab 18 M Rokados Kraing Tayong 10 Meung Sornn 42 M Kraing

kroch Kraing Tayong

11 Khann Tuy 34 M Tahuy Kg. Prasth 12 Pann

Savoeun 33 M Cheulteal Reseisrok

13 Chong Chei 20 M Cheulteal Reseisrok 14 Kov Sim 50 F Rokados Kraing Tayong 15 Pin Porch 39 M Kraing

kroch Kraing Tayong

16 Heang Moeun

35 F Rokados Kraing Tayong

17 Phong Thy 31 M Tapoung Kg. Prasth 18 Tey Phalla 44 F Rokados Kraing Tayong


22


3) Number Participants: 22 Place: Chey Kampork health center Date: 28/08/06- 01/09/06 (5 days)

No Names Age Sex


Carer OVC HBC

1 Dum SamOeun 49 M Svay Angkor Reach 2 Rem Ra 25 M Soriya Boeung Doal 3 Chhin Sros 38 F Thkoal Boeung Doal 4 Nam Sock 30 F Thkoal Boeung Doal 5 Him Phann 46 M Cheykampork Cheykampork 6 Voeun Thavy 42 F Cheykampork Cheykampork 7 Phal Rady 22 F Po Cheykampork 8 Chhuok Boy 56 F Po Cheykampork 9 Chourn Phal 57 M Cheykampork Cheykampork 10 Mom Sear 42 F Troas Cheykampork 11 Mom Ourn 49 F Troas Cheykampork 12 Khun Ra 24 F Ang Svaytou Cheykampork 13 Phim Roang 55 F Ang Svaytou Cheykampork 14 Vann Sim 42 F Po Cheykampork 15 Chea Tuy 33 M Har Angkor Reach 16 Sim hoeun 58 F Har Angkor Reach 17 Souk Sinath 13 M Har Angkor Reach 18 Soy sophat 25 M Svay Angkor Reach 19 Soy Hul 56 M Svay Angkor Reach 20 Tuy Pao 58 M Prothmor Cheykampork 21 Mao Neath 9 F Kdey Skear Cheykampork 22 Khom Samy 12 F Sam bour Boeung Doal Female 13/22= 59%

Categories Female Male Total OVC 1 1 2 PLWHA 8 3 11 Carer 4 3 7 HBC 0 2 2 Total 13 7 22

23


4) Number Participants: 20 Place: Seina Reach Udom health center Date: 11/09/06- 15/09/06 (5 days) No Names Age Se

x Village Commune PLWHA Carer OVC

1 Ham Hoy 37 F Prey Astaing Angkorreach 2 Ham Punleu 15 M Prey Astaing Angkorreach 3 Im Malis 48 F Snay Prem Seinareach Udom 4 Sin Sokhom 39 F Sam Noy Seinareach Udom 5 Sorn Sophon 28 F Snay Prem Seinareach Udom 6 Sin Samon 42 F Sam noy Seinareach Udom 7 TithKim sour 32 F Thnung Seinareach Udom 8 Chhay Mao 36 F Prosna Thum Seinareach Udom 9 KhimSrey

moa 23 F Khla Kam Seinareach Udom

10 Teng Mom 36 F Krosaingca Seinareach Udom 11 Nou Thab 67 F Krosaingca Seinareach Udom 12 Tat Samaan 42 F Snay Prem Seinareach Udom 13 Chock Neang 15 F Snay Prem Seinareach Udom 14 Ngim Kosal 13 M Thnung Seinareach Udom 15 Y Rain 58 F Thnung Seinareach Udom 16 NoyKamsoth 5 F Thnung Seinareach Udom 17 Hem That 39 F Prosna Thum Seinareach Udom 18 Hem Than 36 F Prosna Thum Seinareach Udom 19 Chhay Mao 32 F Prosna Thum Seinareach Udom 20 Nov Vath 48 F Khla Kam Seinareach Udom


• Total Courses: 4 • Total Participants: 76, female 51 (67%) • Total PLWHA: 38, female 28 (74%) • Total Carers: 26, female 17 (65%) • Total OVC: 6, female 4 (67%) • HBC Team : 6, female 2 (33%)

24

HBC training participants list Sa Ang District, Kandal Province

1) Number Participants: 20 Place: Kraing Yov health center Date: 5/06/06- 09/06/06 (5 days)

No Names Sex Age Village Commune PLWHA

Carer OVC/HBC

1 Srem Sarith M 39 Ang Kraing Yov 2 Vann Hour M 35 TourlKraing Kraing Yov 3 Aun Yorn F 51 TourlKraing Kraing Yov 4 Yon Yin M 28 Ampil Kraing Yov 5 Hun Rotana M 34 Tapich Kraing Yov 6 Gnet Sokhoeun F 36 Tapich Kraing Yov 7 Lork Sock F 24 Ang Kraing Yov 8 Chum Sophon M 23 Ang Kraing Yov 9 ChhayKosal M 33 Ang Kraing Yov 10 Chhom

Chamreun F 24 Ang Kraing Yov

11 Chrek Neang F 39 Ang Kraing Yov 12 Mut samoeun M 41 Tapich Kraing Yov 13 Chum Sockha F 43 Tapich Kraing Yov 14 ChibSamrong M 20 Ang Kraing Yov 15 You Gnorn M 51 Sampanleu Preikambel1 HBC 16 Sam savath M 36 Preikrun Preikoy HBC 17 Khun Khim M 51 Kg. Por Kraing Yov HBC 18 Srun Gnor F 43 Chongkosle

ch Treyslar HBC

19 Huy Channtha F 38 Preiktapem Preikoy HBC 20 Sen sann M 51 Tanou Sa ang phnom HBC

Categories Female Male Total OVC 0 0 0 PLWHA 3 5 8 Carer 3 3 6 HBC 2 4 6 Total 8 12 20

25


2) Number Participants: 20

Place: Kraing Yov health center (2nd time) Date: 3/07/06- 07/07/06 (5 days)

No Names Sex Age Village Commune PLWHA Carer OVC

1 Sam Sockleang F 28 Toulkraing Kraing Yov 2 Sam socklim M 17 Toulkraing Kraing Yov 3 Khat samoeun M 26 Kandal Kraing Yov 4 Khat Sockim F 42 Kandal Kraing Yov 5 Rin tyro M 28 Kandal Kraing Yov 6 Mot Sokkha F 27 Kandal Kraing Yov 7 Cheit Channy F 28 Kandal Kraing Yov 8 Kem Em F 41 Kandal Kraing Yov 9 Yon Veng M 33 Cheik Kraing Yov 10 Yon Mam F 38 Cheik Kraing Yov 11 Sam Oeut F 37 Thom Kraing Yov 12 Kung Chet M 15 Thom Kraing Yov 13 Kheng Krei M 34 Ampil Kraing Yov 14 Chraing Yeit F 33 Ampil Kraing Yov 15 Houy Chenda F 34 Kandal Kraing Yov 16 Dim Sareth F 65 Kandal Kraing Yov 17 Gmim

Chheangly M 44 Preikraing Tuk Vil

18 Khom Pheap F 37 Preikraing Tuk Vil 19 Moeun sambath M 35 Samrong Kraing Yov 20 Eth Rithy M 20 Samrong Kraing Yov


26



Place: Sa Ang Phnom health center (Primary school) Date: 07/08/06- 11/08/06 (5 days)

No Names Sex Age Village Commune PLWHA Carer OVC

1 Pov Kin M 36 Damreychlong Sa Angphnom 2 Socknavy F 36 Damreychlong Sa Angphnom 3 Vong Sarong M 37 Damreychlong Sa Angphnom 4 Thom Sock

Heng F 26 Damreychlong Sa Angphnom

5 Teung Kann M 42 Damreychlong Sa Angphnom 6 saind Gnet F 43 Damreychlong Sa Angphnom 7 Roeun Kdeb M 31 Preik Khmer Sa Angphnom 8 Ponn Lath F 30 Preik Khmer Sa Angphnom 9 Chem soeun F 45 Tanou Sa Angphnom 10 Thon Chanthou M 18 Tanou Sa Angphnom 11 Mo Chantho F 37 Toulsala Sa Angphnom 12 Pen tina M 39 Toulsala Sa Angphnom 13 Khin Vein F 42 Toulsala Sa Angphnom 14 Tith dare M 18 Toulsala Sa Angphnom 15 Oeun Kham M 30 Kampongtrea Sa Angphnom 16 Sen Mee F 24 Kampongtrea Sa Angphnom 17 Touth rith M 36 Kork Sandeik Sa Angphnom 18 Ouch Kim F 56 Kork Sandeik Sa Angphnom 19 Khat Mach F 46 Tanou Sa Angphnom 20 Gnim Nein F 57 Tanou Sa Angphnom

Categories Female Male Total OVC 0 0 0

PLWHA 3 5 9 Carer 8 3 11 Total 11 9 20

27



Place: Prek Ambel I health center Date: 14/08/06- 18/08/06 (5 days)

No Names Ag

e Sex


Carer OVC

1 Meach Ra 15 F Kaun Chrei Prek Ambel II 2 Lat Peov 50 F Kaun Chrei Prek Ambel II 3 Lim Danei 41 F Kaun Chrei Prek Ambel II 4 Horn Bunthoeun 36 F Kaun Chrei Prek Ambel II 5 Born Socky 40 F Kaun Chrei Prek Ambel II 6 Boun Chariya 9 M Kaun Chrei Prek Ambel II 7 Boun Yorn 71 F Kaun Chrei Prek Ambel II 8 Khai Sokha 36 F Kaun Chrei Prek Ambel II 9 Aun Yeun 55 F Kaun Chrei Prek Ambel II 10 Him Kim Eung 38 F Anlung

taseikkrom Prek Ambel II

11 Neit Vannei 15 F Anlung taseik Krom

Prek Ambel II

12 Kem sreang 58 M Anlung taseik leu

Prek Ambel II

13 Chhum Mign 36 F Anlung taseik leu

Prek Ambel II

14 Chhum Keo 45 F Anlung taseik leu

Prek Ambel II

15 Chhann Phal 27 F Anlung taseik leu

Prek Ambel II

16 Seim Gneit 60 M Anlung taseik leu

Prek Ambel II

17 Leang mom 38 F Prek Kranh Prek Ambel I 18 Chhoeun Vutha 18 M Prek Kranh Prek Ambel I 19 Lean Heang 33 F PeamProchum Prek Ambel I 20 Tha Lyda 11 F Peam Prochum Prek Ambel I


28



Place: Prek Ambel II health center (Sam Paan Leu Primary school) Date: 25/09/06- 29/09/06 (5 days)

No Names Age Se

x Village Commune PLWHA Carer OV

C 1 Hun Kim Eung 38 F AnlungTaseil

eu Prek Ambel II

2 Touch Vanneit 39 M Anlung Taseileu

Prek Ambel II

3 Ul Seang Hai 35 F Kaun Chrei Prek Ambel II 4 Ul seang Hoeun 25 F Kaun Chrei Prek Ambel II 5 Chhun Leang 32 F Koh Thmey Prek Ambel I 6 Ngeit Bora 12 M Koh Thmey Prek Ambel I 7 Horn Sambath 31 F Preik Talai Prek Ambel I 8 Pai Gneung 57 F Preik Talai Prek Ambel I 9 Khim Ra 49 F Sampaan Leu Prek Ambel I 10 Neang Thavry 30 F Sampaan Leu Prek Ambel II 11 Yorn Chhorn 33 F Kaun Chrei Prek Ambel II 12 Yorn Chean 22 M Kaun Chrei Prek Ambel II 13 Chhum Mign 38 F Anlung

Taseileu Prek Ambel II

14 Hor Rasmey 14 F Anlung Taseileu

Prek Ambel II

15 Tek Nara 31 F Kaun Chrei Prek Ambel II 16 Tit Lakhina 37 F Kaun Chrei Prek Ambel II 17 Khem Sokha 26 F Kaun Chrei Prek Ambel II 18 Aun Yoeun 54 F Kaun Chrei Prek Ambel II 19 Srun Yoeun 42 F Sampaan

Kroam Prek Ambel II

20 Seng Sreng 60 F Sampaan Kroam

Prek Ambel II

Female 17/20= 85%


29



Place: Svay Proteal health center (Svay Proteal pagoda) Date: 23/10/06- 27/10/06 (5 days)

N0.

Names Age

Sex

Village

Commune PLWHA

Carers OVC

1 Chourb Srey 37 F # 4 Svay Proteal 2 Cheng Samnang 18 M # 4 Svay Proteal 3 Hong Bunnak 25 F # 5 Svay Proteal 4 Tray Bunleng 31 M # 5 Svay Proteal 5 Kheng Theng 37 M # 6 Svay Proteal 6 Chan Pov 31 F # 6 Svay Proteal 7 Sreng Vanny 37 F # 6 Svay Proteal 8 Sreng Heng 46 F # 6 Svay Proteal 9 Yun Mom 38 F # 4 Svay Proteal 10 Chea Cheng 62 F # 4 Svay Proteal 11 Lorn Sotheara 25 F # 4 Svay Proteal 12 Prack Sokun 50 M # 4 Svay Proteal 13 Chi Sockheng 31 F # 4 Svay Proteal 14 Cheat Sovann 24 F # 4 Svay Proteal 15 Nol Sockchea 28 F # 4 Svay Proteal 16 So Chun 70 F # 4 Svay Proteal 17 Heng Pangna 13 M # 6 Svay Proteal 18 Em Seirey `14 M # 4 Svay Proteal 19 Choy Look 42 M # 4 Svay Proteal 20 Dos Ann 50 M # 4 Svay Proteal

Female 12/20= 60%

Categories Female Male Total OVC 0 2 2 PLWHA 7 2 9 Carers 5 4 9 Total 12 8 20

30



Place: Preik Koy health center (Operational District meeting room) Date: 16/10/06- 20/10/06 (5 days)

No Names Age Se

x Village Commun

e PLWHA

Carer OVC

1 Dam Chou 7 F Preik Tachrouk

Preikoy

2 Morn Sokny 28 M Preik Snong Preikoy 3 Phat Sokha 25 M Preik Snong Preikoy 4 Phat Bopha 29 F Preik Snong Preikoy 5 Phat Davann 20 F Preik Snong Preikoy 6 Ut Gnor 38 F Preik Snong Preikoy 7 Vong Visal 23 M Preik Snong Preikoy 8 Khim Kheang 37 M Preik Snong Preikoy 9 Mok Ravy 25 M Preik Snong Preikoy 10 Tho Channa 32 F Preik Snaiy Preikoy 11 Tho Sam Ath 20 M Preik Snaiy Preikoy 12 Hom Suy 34 M Preik Snaiy Preikoy 13 HomPhin 18 M Preik Snaiy Preikoy 14 Heang Sim 40 F Preik Snaiy Preikoy 15 Mong Rita 7 F Preik Snaiy Preikoy 16 Phal Rida 7 F Preik Snaiy Preikoy 17 Soeun Mom 38 F Preik Run Preikoy 18 Heng Ming 38 F Svay Tany Preikoy 19 Soy Vibol 30 F Preik Po Teik Vil 20 Soy Narin 45 F Preik Po Teik Vil

Female 12/20= 60%


31



Place: Treuy Slar health center (Kong Mom pagoda) Date: 27/11/06- 01/12/06 (5 days)

No Names Age Sex Village Commune PLWH

A Carer OV

C 1 Nov Khnok 12 M Kandal Koh

Toch Talun

2 Nop Srey Pov 13 F Toul speu Talun 3 Sock Bangna 11 M # 6 Talun 4 Sok Khai 12 M Kbal Koh lech Koh hach

Tunlear

5 Sock Khourn 11 M Kbal Koh lech Koh hach Tunlear

6 Bo Thy 11 F Kandal Koh Toch

Talun

7 Pho Deab 27 F Kandal Koh Toch

Talun

8 Tit Soeun 42 M Kbal Koh lech Koh hach Tunlear

9 Srey seak Horn

41 M Kbal Koh lech Koh hach Tunlear

10 Saut leang Chor

30 F # 5 Treuy Slar

11 Ly Srey Toch 13 F # 5 Treuy Slar 12 Chan Sokhom 30 F # 5 Treuy Slar 13 Chan Toch 18 F # 5 Treuy Slar 14 Meu Khven 28 M # 5 Treuy Slar 15 Chann Mao 57 F # 5 Treuy Slar 16 Gneung Ry 25 M # 5 Treuy Slar 17 Son Thary 35 F # 5 Treuy Slar 18 Tree Keang 30 M # 7 Treuy Slar 19 Seng Chor 53 F # 7 Treuy Slar 20 Lim Ty 26 M # 2 Treuy Slar


32



Place: Talun health center (Koh Toch pagoda) Date: 20/11/06- 24/11/06 (5 days)

N0.

Names Age

Sex


Carer OVC

1 Mourn Lay 47 M Preik Sleing Talun 2 Lay Phearak 19 M Preik Sleing Talun 3 Pheng Meng 35 M Toul Speu Talun 4 Kong Laing 60 F Toul Speu Talun 5 Peang Channy 30 F Preik Sleing Talun 6 Sov Meng 67 F Preik Sleing Talun 7 Kry Yoeun 30 F Preik Sleing Talun 8 Kry Yong 35 F Preik Sleing Talun 9 Heng Mao 31 M Kbal koh toch Talun 10 Heng Srou 22 F Kbal koh toch Talun 11 Check

Chheang 35 F Kbal koh toch Talun

12 Bith Saut 52 F Kbal Kohtoch Talun 13 Hak pon 45 M Toul Speu Talun 14 Vean Phat 70 M Toul Speu Talun 15 Thol

Sockkhein 29 F Kbal Kohtoch Talun

16 Heak Nakry 55 F Kbal Kohtoch Talun 17 Chea Sou 28 M Toul Speu Talun 18 Heang Phos 58 F Toul Speu Talun 19 Poak Khny 20 M Kbal Kohtoch Talun 20 Seng Khorn 26 F Toul Speu Talun


33



Place: Svay Proteal health center (Taput pagoda) (2nd time) Date: 18/12/06- 22/12/06 (5 days)

N0. Names Sex Age Village Commune Province PLW

HA Carer OVC

1 Thai Vanna F 31 Bareinkrom Svay Proteal Kandal 2 Chorn Chea F 55 Bareinkrom Svay Proteal Kandal 3 Tat Kimsock F 45 Bareinkrom Svay Proteal Kandal 4 Seng Leang M 13 Bareinkrom Svay Proteal Kandal 5 Sos No M 13 Bareinkrom Svay Proteal Kandal 6 Mong

Sambath F 37 Preiktachor Svay Proteal Kandal

7 Mach Sreyneang

F 16 Preiktachor Svay Proteal Kandal

8 Non Phakdey M 7 Preiktachor Svay Proteal Kandal 9 Kung Srey F 45 Preiktachor Svay Proteal Kandal 10 Kon Smoagn M 13 PreikTakin Svay Proteal Kandal 11 Im Phal F 55 PreikTakin Svay Proteal Kandal 12 Mach Sopha F 30 PreikTakin Svay Proteal Kandal 13 Lim Gnech F 40 Po leu Svay Proteal Kandal 14 Heng Channa F 25 Bareinkrom Svay Proteal Kandal 15 Phal touch F 13 Ressiy Chroy Svay Proteal Kandal 16 Meng Kim F 7 # 8 Svay Proteal Kandal 17 Math Lim M 42 Bareinkrom Svay Proteal Kandal 18 So Kon M 60 Preiktachor Svay Proteal Kandal 19 Non Theary F 18 O rumcheik Svay Proteal Kandal 20 Cheang

Meng M 45 # 8 Treuyslar Kandal


34



Place: Preikoy health center 2nd time (Thorn Morn pagoda) Date: 25/12/06- 29/12/06 (5 days)

N0.

Names Sex Age Village Commune Pro/ PLWHA Carer OVC

1 Mut Mann M 43 Kandal Kraing Yov Kandal 2 Thuy Ros F 45 Kandal Kraing Yov Kandal 3 Hak Nairy F 42 Kor Kraing Yov Kandal 4 Vun Nairon F 14 Kor Kraing Yov Kandal 5 Sao Chea F 42 Ambel Kraing Yov Kandal 6 KhunSokhon F 45 Ambel Kraing Yov Kandal 7 Meas Thea F 32 Kandal Kraing Yov Kandal 8 Srem sarith M 24 Kandal Kraing Yov Kandal 9 Kit Ny F 10 Kampongpo Kraing Yov Kandal 10 Sou Horng F 28 Preikrun Preikoy Kandal 11 Lamyang

Vong M 30 Preikrun Preikoy Kandal

12 chan Pisey F 30 Preiksnay Preikoy Kandal 13 Heng Sophal M 35 Preiksnay Preikoy Kandal 14 Touch Ros M 36 Korksandeik Sa

AngPhnom Kandal

15 Son Touch F 63 Korksandeik Sa AngPhnom

Kandal

16 Kat Mach F 48 Toul sala Sa AngPhnom

Kandal

17 Bo Rasa M 9 Prek Thmey Tuk Vil Kandal 18 Choun Srelak F 12 Prek Thmey Tuk Vil Kandal 19 Vay Sovan F 24 Prek Thmey Tuk Vil Kandal 20 Vath Vuthy M 22 Prek Thmey Tuk Vil Kandal


35


2) Number Participants: 26 Place: Tuk Vil health center ( Teuvil pagoda) Date: 15/01/07- 19/01/07 (5 days)

N Names Sex Age Vilages Commune Pro. PLWHA

Carer

OVC

1 Chan Sophak M 12 Chongkohkeut KohKhsacTunlea Kandal 2 Gnor Sophal F 42 Chongkohkeut KohKhsacTunlea Kandal 3 Sin Sophak M 7 Kandalkoh KohKhsacTunlea Kandal 4 Top Ngeit F 44 Kandalkoh KohKhsacTunlea Kandal 5 Kean Kroeun F 46 Kandalkoh KohKhsacTunlea Kandal 6 Sey Nath F 35 Kandalkoh KohKhsacTunlea Kandal 7 Ly Hov M 35 Chongkohkeic KohKhsacTunlea Kandal 8 Vouech Ny F 39 Chongkohkeic KohKhsacTunlea Kandal 9 Leang Pangna M 7 Prek Thmey Tuk Vil Kandal 10 Pho Kimlaing F 47 Prek Thmey Tuk Vil Kandal 11 Sem sann M 14 Preikpor Tuk Vil Kandal 12 Im Sockheng F 37 PreikPor Tuk Vil Kandal 13 Im Sophak F 12 PreikPor Tuk Vil Kandal 14 Tech DyNei M 24 Kohkhel Koh Khel Kandal 15 Tech Sockung F 27 Kohkhel Koh Khel Kandal 16 Seang Noy F 15 PreikPor Tuk Vil Kandal 17 Aing Leang F 44 PreikPor Tuk Vil Kandal 18 Cheng savin F 35 Teib Orchune Koh Khel Kandal 19 Ta cheing M 73 Teib Orchune Koh Khel Kandal 20 Kon Raty F 32 Teib Orchune Koh Khel Kandal 21 Suy Try M 12 Deum Pring Koh Khel Kandal 22 leng Sivkry F 60 Deum Pring Koh Khel Kandal 23 Srent Khim F 7 Deum Pring Koh Khel Kandal 24 Sork Gnor F 70 Deum Pring Koh Khel Kandal 25 Cheit Men M 36 Deum Pring Koh Khel Kandal 26 Poak sarath M 9 Peam Prochum Prek Ambel Kandal


36


13) Number Participants: 26 Place: Kosh Khel health center ( Kosh Khel Pagoda) Date: 22/01/07- 26/01/07 (5 days)

N Names Sex

Age Vilages Commune Pro. PLWHA

Carer

OVC

1 Rith Srey Lot F 14 Sampan leu Prek Ambel Kandal 2 Sroy Tho M 28 Sampan leu Prek Ambel Kandal 3 Ny Leab M 9 # 13 Sampan Leu Kandal 4 Choeun Sreysor F 7 Treuy

Troeung Sampan Leu Kandal

5 Ping Srey neang F 4 Treuy Troeung

Sampan Leu Kandal

6 Rith Soben M 9 Sampan Leu Sampan Leu Kandal 7 soeun Lakhina F 14 Prek Kranh Sampan Leu Kandal 8 _hy Navy F 13 Treuy

Troeung Sampan Leu Kandal

9 Pheng Bunheng M 10 Sampan Leu Sampan Leu Kandal 10 Yon Srey Ny F 12 Sampan Leu Sampan Leu Kandal 11 Nim Chariya F 5 Kaun Chrei Sampan Leu Kandal 12 ro rady M 6 Kaun Chrei Sampan Leu Kandal 13 Sann Samnag M 9 Anlung Tasek

Krom Sampan Leu Kandal

14 Kem Sreang F 58 Anlung Tasek Krom

Sampan Leu Kandal

15 Sorn Lakhina F 11 Anlung Tasek Krom

Sampan Leu Kandal

16 Chhan Sophal F 27 Anlung Tasek Krom

Sampan Leu Kandal

17 Sem Ngeit M 68 Anlung Tasek Krom

Sampan Leu Kandal

18 Meach Ra F 16 Kaun Chrei Sampan Leu Kandal 19 Kun Sockpov M 39 Prek Kranh Sampan Leu Kandal 20 Hok Noch F 38 Prek Kranh Sampan Leu Kandal 21 Rith sandab F 33 Kaun Chrei Prek Ambel

2 Kandal

22 meach Noy F 57 Kaun Chrei Prek Ambel 2

Kandal

23 ChheanPremprei M 5 Kaun Chrei Prek Ambel 2

Kandal

24 Roun Chamnap M 8 Peam Prochum

Prek Ambel 2

Kandal

37

25 Eab Rasmey M 5 Sampan Leu Prek Ambel 2

Kandal

26 Men Chea M 65 Sampan Leu Prek Ambel 2

Kandal


• Total Courses: 13 courses • Total Participants: 272, female 166 (61%) • Total PLWHA: 105, female 67 (65%) • Total Carers: 122, female 80 (65) • Total OVC: 39, female 17 (44%) • HBC Team: 6, female 2 (33%)

38

ATTACHMENT 4 Project Implementation Plan

Month

Objective Activity 1

Ap 2

Ma 3

Jun4

Jul5

Au6 Se

7 Oct

8 No

9 De

10 Jan

11 Fe

12 Ma

1.

A. To build on partnerships already developed between CHEC, PLWHA, families, communities, health centers and provincial health services to expand activities into HBC for PLWHA.

Attend regular quarterly meetings with Provincial Technical Working Group and OD Directors re coordinated CoC plans, referrals and medical treatment

X X X X X X X X X X X

2.

Attend regular monthly meeting of CoC Technical Working Groups at the Provincial Health Departments and the Referral Hospitals.


3.

Sharing experiences/lesson learnt with other HBC projects at provincial and national levels through workshops organized by NCHADS


4. Organize participative appraisals, with

input from villagers and PLWHAs

X X X

5. Work with Referral Hospitals re

patients’ need and fees X X X X X X X X X X

6.

B. To develop home based care to PLWHA in 3 province districts (Sa Ang, Kampong Tralach, Preah Sdach) over two years

Project team and CAG members to assist parents living with HIV/AIDS to plan for what will happen with their children and rights to property/assets if they die.

X X X X X X X X X X

39

7.

Project team and CAG members to monitor the welfare and the condition of PLWHAs in their community.


8.

C. To improve and maintain the quality of life and accessibility to basic home care and social support for people living with HIV/AIDS

Implementation of HBC Team home visits to PLWHA. Support for severe sick patient who are hospitalization and funeral for death.


9. Identification and distribution of day-

to-day & nursing requirements for disadvantaged PLWHA and their carers.


10.

Build links between CAGs and Pagodas to provide emotional/spiritual support for OVC and PLWHA, and coordination


11. Invitation to carers to join the CAG. X X X X X X X X X X X

12. Expansion of PLWHA groups,

encourage PLWHA involvement in the village CAG.


13. Provision of Home Based Care needs

to identified PLWHA and orphans X X X X X X X X X X X

14. Development of microfinance / savings

scheme for PLWHA through the CAGs or PLWHA groups


15. Development of management

committee to monitor and decision making on spending saving moneys.

X X X

16.

D. To evaluate and continuously monitor & improve the quality of the projects

Use existing data collection procedures of CAGs to identify PLWHA, families and carers with HBC needs.

X X X X

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17. Quarterly CAG meetings - monitoring,

quality review, support, Action Plans. X X X

18. Quarterly Performance Reports

(monitoring) to Pact – due on the 20th of the month

X X X

19. Quarterly Financial Reports to Pact –

due on the 20th of the month X X X

20.

Monthly meeting of all HBC teams and carers for mutual support, training, feedback, recognition and shared problem solving.


21. Project Financial Audit X

22. Project Evaluation X X

cambodian hiv/aids education and care · a total of 1,553 suspected cases, 870 were women have been...

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