Support to Nsambya Home Care Programme Nsambya Home Care Programme (NHC) is a department of St. Raphael of St. Francis Hospital, Nsamya working within a radius of 21kilometres in Kampala City, Gaba, Mukono and Wakiso. 

The ended Nsambya Home Care Programme (NHC) implementation period began in October 2006 to September 2009. The three year program aimed at improving the quality of life of HIV and AIDS infected and affected persons living within NHC program area, with interventions primarily designed to mitigate the effects of AIDS, restoring dignity and quality of life for HIV and AIDS infected and affected people by increasing their ability to access and to manage HIV and AIDS services. 

NHC conducted home-based care project end of cycle evaluation in August 2009. Evaluation results indicate that the project has registered significant success in terms of patient enrolment, service provision as well as capacity building for communities and families where People Living with HIV and AIDS (PLWHA) live. It also revealed that services provided to clients during the three year period included HIV testing, couselling services, medical treatment, Laboratory services, septrin prophylaxis, as well as home-visits. Very few clients (16.2%) reported to have received other health related commodities like mosquito nets and food-stuffs. Widespread poverty was attributed to such trends where people living with HIV have insufficient food and other social amenities. 95% of the beneficiaries proposed strategies towards household economic empowerment through Income Generating Activities (IGAs).

NHC has proposed a 5-year follow-up project (January 2010 -December 2014) that is intended to strengthen community integrated HIV care and to deepen ownership and participation of communities and families where PLWHA live. The primary focus will be on issues of sustainability as well as quality assurance. The project will purpose deliberate attention towards moving out and strengthening community outreach activities. 

In order to achieve the above objectives, NHC will seek to strengthen service provision at the main facility but also in the three outreaches by providing infrastructure and supervision so that clients there can be served better. HIV Prevention services will be at the core of services that will be provided. NHC will in addition empower families and communities with skills to enable them participate in HIV and AIDS care and prevention services. Similarly, PLWHA and their families will receive appropriate entrepreneur skills for sustainable livelihoods.

The program will ensure that sustainable referral networks are built and that an improved management information and documentation system is maintained to enhance cross learning and sharing. 

The project will be implemented by NHC, with financial support from CAFOD. Other stakeholders will be St. Francis Nsambya hospital; other AIDS service providers, PLWHA networks, family and community members, as well as government. The direct project targets, however, include: 16,000 HIV and AIDS infected men, women, and children, and the Orphans and Vulnerable Children (OVCs). The indirect beneficiaries are 32,000 including the youth, family members and community members. The majority of these are unemployed, with limited sources of income to support access to quality care services for themselves.