A Participatory Learning Review Exercise, undertaken by Sechaba Consultants in December 2009 (Paballong Evaluation 15 Feb 2010 Final), showed a 97% satisfaction rate for the core services of the Centre. The Review also made recommendations on how to improve these services and the outreach activities, and proposed some new activities requested by the people:
- Residential care during the day or overnight awaiting transfer to a hospital
- Emergency maternity services for women going into labour at night
- Special TB facilities and improved VCT and counselling facilities
- Improved caregiver training and agricultural training programmes.
Although the Centre could provide the facilities for residential care for 14 patients (4 adult male, 4 adult female, 6 children), it would need to employ 6 more nursing staff to supplement the existing complement of nurses in order to stay fully operational around-the-clock. The Centre does not yet have any maternity facilities. All these services depend on getting more funds.
Due to the new four wheel drive Nissan Patrol, donated by Philips Lesotho, Paballong will have always transport available for its outreach activities. The Toyota Bakkie will now be used solely for supplies and the Toyota Ambulance for transporting patients to or from hospitals.
Outreach proposals being developed are:
- Caregivers’ Training – more caregivers’ training and more home visits, so that other household members (especially the male members) could be involved in providing care.
- Support to Village Health Workers – separate funds are still being sought to implement these plans.
- Herdboy and Initiation School programmes – separate funds are still being sought to implement these plans.