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Estimating coverage of a community-based home care programme

R S Drew1, G Mgombane, T Nyaruwa

  • 1Family AIDS Caring Trust, Mutare, Zimbabwe.

Tropical Doctor
|October 8, 1997
PubMed
Summary

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The Family AIDS Caring Trust (FACT) home care program in Mutare, Zimbabwe, reached between 2.5% and 23% of its target population. This highlights the importance of measuring coverage in home care services.

Area of Science:

  • Public Health
  • HIV/AIDS Care
  • Health Program Evaluation

Background:

  • The Family AIDS Caring Trust (FACT) established a home care program in Mutare, Zimbabwe, in 1992.
  • The program serves an urban population of 131,367 across three townships.
  • Services are delivered by a nurse coordinator and four field assistants.

Purpose of the Study:

  • To estimate the coverage of the FACT home care program in Mutare.
  • To assess the program's reach within its operational area.

Main Methods:

  • Utilized various modeling approaches to estimate program coverage.
  • Data collection focused on the defined urban service area and population.

Main Results:

Keywords:
AfricaAfrica South Of The SaharaCommunicationCommunity Health ServicesDelivery Of Health CareDemographic FactorsDeveloping CountriesDiseasesEastern AfricaEnglish Speaking AfricaEstimation TechnicsEvaluationEvaluation ReportHealthHealth ServicesHealth Services EvaluationHiv InfectionsHome VisitsOrganization And AdministrationPopulationPopulation CharacteristicsPrimary Health CareProgram EvaluationProgramsQuality Of Health CareResearch MethodologyRetrospective StudiesStudiesUrban PopulationViral DiseasesZimbabwe

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  • Estimated program coverage ranged from 2.5% to 23%.
  • Indicated a significant gap between service provision and potential need.

    • Conclusions:

    • Home care programs must prioritize and measure their coverage.
    • Achieving high-quality services should be balanced with broad population reach.