Changes in ward and hospital administration are
also needed, as are outreach support services for families
affected by HIV and AIDS, but both were beyond the scope
of the project. Nonetheless, the success of the project as
perceived by hospital staff and health officials has led to
a second phase inwhich we have developed a training and
support programme for home-based palliative care for young
children supported by the Diana Princess ofWalesMemorial
Fund. With greater support at home, young children living
with HIV and their families may be able to avoid unnecessary
and costly hospital admissions for conditions that can be
managed with home-based nursing and palliative care.