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In recent years, MSF has recognized the need to improve its handover process and outcomes. It is no longer satisfactory for the organization to enter a country, put in place a program and leave without taking some accountability for what remains after MSF’s departure. It is in this spirit that I accepted to come to Lesotho to evaluate a handover tool that was implemented here during the initial phase of the handover.

Annie Désilets

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

MSF-CH did rehabilitate the Mundari hospital in Kajo Keji County (KKC) and did support the existing OPD from September 1997 onward. Environmental- and political factors and an estimated high HIV prevalence did lead to the decision to implement the first time an integrated HIV/AIDS component (2005). Towards the end of the project it was decided that the handover process, as well as the HIV integrated approach and the capacity build during the last 9 years of presence in KKC should be evaluated.