Monday, February 19, 2018
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Otse Community Home Based Care (OCHBC) was formed in 1991,Rwadisanyang Morwalo a pilot project ,as a voluntary service by two retired nurses and evolved into a community-driven response to combat HIV/AIDS at the household level and assisted families to provide care and support for chronically and terminally ill people in Otse Village.

Mission Statement

Our mission is to compassionately provide high-quality, comprehensive health care support services for communities of Botswana based on regional and international best practices.

Vision

We envision a community with a sustainable and improved quality of life.

Core Values

  • Holistic and Compassionate Care – We value the physical, psychological, social and spiritual well-being of our community.
  • Community Engagement – We value the views and opinions of all of our stakeholders and understand that collaboration with them is the key to our success.
  • Respect of Human Rights – We value human dignity and equal rights for all members of the human family.
  • Dynamic and Professional Organization – We value the ever-changing needs of our community and are committed to utilizing evidence and best practice models for continuous improvement.

Organizational Background

The burden of care during the acute phase of the epidemic demanded more resources, therefore the nurses recruited and trained volunteers from the community in palliative care. OCHBC also lobbied to the Ministry of Health to support home based care activities by providing nursing materials, food for needy patients and allocating more nurses to the community.

As a result, the health of Otse community greatly improved as evidenced by a dramatic reduction in the number of families caring for bedridden patients and the number of families that lost their loved ones due to HIV/AIDS.

This remarkable success served as the primary motivation of OCHBC to undertake radical efforts to empower the community to take responsibility for its own health and well-being. In 1997, OCHBC registered as a civil society organization.

Rapid developments, such as the erection of the OCHBC centre and recruitment of additional human resources, occurred between 2005 and 2009 when OCHBC was funded by Global Fund, PACT and PCI. Another major milestone was reached during this time period when, in 2007, OCHBC successfully registered as a trust. Otse Community Home Based Care Trust (OCHBCT) expanded its services to provide care and support for Orphans and Vulnerable Children (OVCs) beginning in 2008.

Since the beginning of 2009, OCHBCT has utilized their capacities to expand home based care services to the nearby villages of Ramotswa and Mogobane as part of the OVC Support and Palliative Care Project with NPI funding. Other recent initiatives of OCHBCT include mobilization of community volunteers and staff recruits, facilitation of community kitchen gardens, specialized nutritional education, and craft skills training.

Services

  • Referrals
  • Spiritual Counseling
  • Social and Psychological Issues
  • Disease Prevention, Emphasis on the daily taking of ARV pills
  • Environmental/hygienic issues with help in cleaning
  • TB education
  • HIV counseling and Testing
  • Assistance to Orphans and Vulnerable Children incl. Health care and HIV prevention
  • Proper school attendance
  • Help in paying school fees
  • Child protection issues Psychological/social support
  • Proper shelter
  • Counseling on proper nutrition

All these interventions are aligned to national goals as outlined in the Botswana National Strategic Framework on HIV/AIDS which outlines prevention of HIV infection, provision of treatment, care, & support as well as mitigation of economic impact.

Extensive referral and collaborative partnerships are maintained with the Ministry of Health (MOH) and the Ministry of Local Government (MLG) including:

  • Health centers and hospitals
  • The District Health Team and the Home Based Care Coordinator attached to the DHT
  • The District Office for OVC under the Department of Social & Community Development, and the Social Workers attached to that office
  • The Village Multi-sectional AIDS Committee in Otse
  • The South East District Multi-sectional AIDS Committees

Achievements

We have been able to develop organizational policies such as Human Resource, Finance, vehicle and Consultancy policies.
We have a full operational board
Conducted three successful financial audits
We have M&E systems
We own modern office structures where we operate in Otse.
We have managed to sustain our interventions despite serious problems of funding.

Challenges

Despite the success we have, there are a number of challenges that we encounter.

  • Sustainability – as a not for profit making organization, we are concerned about what happens after the current donors end the funding.
  • We are failing to provide meals to our clients, more especially those not receiving food baskets from government.
  • Failure to secure multiple funding
  • Failure to retain qualified personnel

Y-Care Charitable Trust Assistance

Otse Community Home Based Care Trust received a donation of BWP 10,000 from Y CARE. The purpose of the funding was to help upgrade our community garden. The garden materials were worn out and some garden equipments were damaged some stolen.
This bad state of the garden negatively affected our Community Nutrition program:

  • We were not able to provide fresh vegetables to our clients
  • We are not able to encourage kitchen gardens to community members because there are no seedlings
  • No fundraising as we used to sell some vegetables

Expected Output

  • Community nutrition improved in the village
  • More and more kitchen gardens coming out
  • Kitchen Gardens supervisors having work to do
  • Improved income
  • Dignified and improved garden with proper materials

Acknowledgements

We would like to take this opportunity to thank the management of Y Care Charitable Trust, stakeholders, volunteers for having found it fit to assist Otse Community Home Based Care Trust. We trust this will not be the first and last interaction.
We value this partnership and hope it works wonders as we try and address our sustainability concerns.

You are warmly invited to come and see the organisational site at any given time.
Thank you.

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