Swaziland is divided into four regions; each region is served by one nurse from SHAH. The nurse makes home visits to referred patients from his/her own region. The nurse determines the frequency of home visits. This depends on time available and the patient's condition. It is impossible to schedule more than 4-5 home visits a day because of distances and poor road conditions. The home visit is used to: follow up on the patient's condition, to change and modify treatment plans according to the patient's condition, to give psychological and spiritual counselling to the patient and to the caring family, to teach and support good patient care. Often, appropriate medications are dispensed at this time²¹

Home visits to remote homesteads can be hazardous, however, as Stephanie Wyer explains in this story about Patrick, a hospice nurse:

Patrick, was a very wonderful young man with fantastic knowledge of hospice and palliative care; a wonderful nurse; wonderful with his patients, very loved. And about two years ago, I went back to see them as I do most years - we went out for three weeks and did lots of lectures. Anyway, Patrick came to the airport when we were coming back and saw us off. And three days later, I had a called from Sibusiso who told me that I must sit down, he had the most awful news, Patrick had been out visiting his patient and he had - in between one patient and the other - he'd come to some road works and it said, ‘Do not continue beyond this point' and it had an arrow pointing, and he obviously went the way of the arrow, and went straight over a mountain and was killed. So they lost their senior nurse and we lost a very dear friend. So that was a big setback, a very big setback.⁴

Salvation Army : the clinic serves three local communities around Mbuluzi. at present 3/10 nurses provide palliative care alongside 50 (volunteer) community/ family carers.