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Integration of HIV/TB services is one of the priorities for the MSF movement since 2010 and in particular for OCBA that started hand over of the so-called vertical programs in the same year. This process has finished for the total of 16 vertical HIV programs of MSF-OCBA started since 2005. Integration aims to provide access to HIV/TB care to all populations in need in locations where MSF has implemented regular projects, regardless of the HIV prevalence in places such as CAR (started in 2008), South Sudan (2011) and Niger (2014).

This publication was produced at the request of MSF OCBA, under the management of the Athens Evaluation Unit. It was prepared independently by Geraldine Brun and Heinz Henghuber (TL) and managed by the Athens Evaluation Referent Dimitra Kageropoulos.

Through an analysis of the events that have marked MSF’s history since 2003, this series of case studies and historical accounts describes the evolution of MSF's humanitarian ambitions, the resistance to these ambitions and the political arrangements that overcame this resistance (or that failed to do so). Analyzing the political transactions that allow humanitarian activities to move forward (but that are usually masked by the lofty rhetoric of ‘humanitarian principles’), they focus on one key question: what is an acceptable compromise for a humanitarian organization such as MSF?

edited by Claire Magone, Michaël Neuman, Fabrice Weissman