Ministry of Local Government (MLG)
COMMUNITY HOME BASED
19/09/16
COMMUNITY HOME BASED CARE (CHBC) PROGRAMME The Department of Social Protection exists to develop policies, laws, legislation and programmes to coordinate, monitor and evaluate the implementation of Social Protection delivery to improve the quality of life of Batswana. Service delivery is guided by divisions such as Child Protection, Family Welfare Services, Elderly and Social Benefits Services, Information, Research and Public Relations, Specialized Services and Departmental Management. This week Batho Pele targets the home based care.

COMMUNITY HOME BASED CARE (CHBC) PROGRAMME

The Department of Social Protection exists to develop policies, laws, legislation and programmes to coordinate, monitor and evaluate the implementation of Social Protection delivery to improve the quality of life of Batswana. Service delivery is guided by divisions such as Child Protection, Family Welfare Services, Elderly and Social Benefits Services, Information, Research and Public Relations, Specialized Services and Departmental Management. This week Batho Pele targets the home based care.

CHBC program was introduced as a response to the HIV/AIDS pandemic. Currently the programme caters for all patients with chronic illnesses who are bed ridden. The Department of Social Protection through Local Authorities provides food basket and psycho-social support to the CHBC patients.

The overall objective of Community Home Based Care is to provide quality care, counselling, psychosocial and spiritual support to the patients and their families in a home setting. These bed ridden patients are also provided with food baskets to make sure that they keep healthy through the hard times of being deprived of feeding themselves.

Patients are provided with food baskets monthly. This basket is prescribed by Government Dieticians or otherwise derived from the existing CHBC standard food basket based on the condition of the disease and the nutritional needs of the eligible patient. There are mainly two types of patients, those on oral tube feeding and those not on oral tube feeding.

The cost of the prescribed food basket for patients on oral tube feeding will be up to P1200.00 per month whilst the cost for patients not on oral tube feeding will be up to P500.00 per month. The food basket determined by the dietician/ Medical Doctor should be reviewed after every 3 months, to monitor progress of the patient.

TRANSPORTATION

Transportation of needy CHBC patients to checkups is coordinated and managed under the programme. Vehicles purchased under the programme are used for all transportation of the beneficiaries under this programme, through a joint venture with core service providers (Nurse/ Social Worker) under the programme.

REPATRIATION

CHBC Coordinator and social worker should undertake repatriation of patients jointly. A terminally ill patient should be accompanied by either a nurse or social worker depending on the condition of the patient.

Counselling is crucial of the Community Home Based Care Social Safety net programme. It is therefore embedded into the programme and must be carried out by the CHBC social worker at all costs.

REHABILITATION

Patients registered under this programme, recovering as a result of proper counseling, eating correct diet, adhering to the ARV therapy and responsible living are obligated to enrol into a rehabilitation programme as described under the “Guidelines for Implementation of the Rehabilitation Programme for the Destitute Persons”. The medical doctor’s report will determine participation on the rehabilitation programme.

BURIAL

CHBC patients who die while in the programme may be buried by council. Budgeting for the funeral expenses of the CHBC patients is the responsibility of the CHBC Social Workers

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