MSF-CH has been working in Gulu since 2003, supporting different health structures and running a shelter for “night commuters”. This evaluation was initiated by the desk, mainly because the progress of this project was slow and there were doubts whether it addresses real needs. Hence the general objective of the evaluation was to review the intervention in Gulu and determine its Relevance, Effectiveness and Efficiency. In addition Perception, Co-ordination and Exit strategies were looked at. The evaluation was carried out between September and October 2005.