In 2007, SHCH initiated community-based support services using our Home Care Team (HCT), in conjunction with a mobile medical clinic, to respond to the desperate health conditions caused by the relocation. The HCT and mobile clinic complement each other by providing medical treatment and social services to PLHIV and their families as well as others who are desperately poor. The current home-based care program is an effective community-based response to the urgent needs of the poor and vulnerable. Not only is the program providing direct socio-economic support; but it is also shaping community behaviors and attitudes towards PLHAs and OVC by reducing stigma and discrimination.
In 2015, SHCH’s Home Care Team covers 107 villages in 13 districts in and around Phnom Penh, with an estimated population of 15,500; 2% or approximately 430 people are PLHIV; 60% of those people are female. The vast majority of this population is very poor, often sustaining themselves through small, income-generating activities when health permits it. With a recent restructuring of Cambodia’s strategy for the Global Fund to End Aids, Tuberculosis and Malaria, nearly all of the country’s current efforts to deliver community-based, health services and nutritional support were eliminated. This change in strategy has tragic implications for the very poor PLHIV, who are now exposed to higher risk factors and strains on their already fragile health. The Home Care Team provides life-saving, critical supports for extremely vulnerable and impoverished people living with HIV and AIDS and other illnesses.