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This evaluation of the MSF OCB Maputo HIV/Aids Project aims to provide a comprehensive overview of the implementation phases of the MoH handover and related consequences to the continuity of patient care, and with the added objective to make clear recommendations towards improvements and replicability of the handover ‘tool’ itself.

Gerard Verbeek

Médecins Sans Frontières has been running HIV/AIDS treatment programmes since 2001. As national systems scaled up capacity, MSF began to hand over HIV projects in 2005. Variable experience with handover and internal debates about MSF responsibility to patients led OCG to propose an evaluation of the handover process, to learn from experience and inform policy and practice. A qualitative review was carried out through interviews, case studies in Cameroon and Laos, and review of other vertical and integrated HIV projects.

Dr. Rosamund Lewis and Dr. PehrOlov Pehrson

The project in Lichinga is a vertical program addressing HIV/Aids in one of the northern provinces of Mozambique. The approach of integrating activities in the existing health services is rather new, hence it was felt important to evaluate the current strategy in order to support future planning and draw lessons. The purpose of the evaluation was to assess whether the integration and decentralization strategies are appropriate and efficient in order to reach to overall objective of the project. The evaluation was carried out between Mid May and Mid June 2005, by two evaluators.