Richard Bedell, Jean-Marc Biquet, Alexandra Calmy

This evaluation is best understood as a peer review aimed at learning from the experiences of 3 different sections of MSF operating HIV/AIDS programmes in Malawi. Our aim was to evaluate how specific differences in objectives might impact on programme strategies and whether these differences would be relevant when assessing programme outcomes. The general issues of interest were decentralisation, simplification and task shifting in relation to the expansion of ART services. There was specific attention paid to various aspects of TB diagnosis and treatment among persons living with HIV, including those on ART.