This evaluation assesses the results of the entire OCA Wardher project from 2008 – 2015, drawing lessons from this engagement, including on how to best engage in conflict prone and similar fragile context in the future. It is also an opportunity for MSF to reflect on this project for future interventions.  

This evaluation has been triggered by the recent finding that a substantial proportion of the Changara project’s patients had a high VL of more than 3,000 copies/ml (the criteria at the time), raising questions on the efficacy of the counselling services. Although the relationship between counselling and high VL remains unclear, this report details three key recommendations aimed at improving the overall efficacy of the counselling services.

The evaluation aims to assess the strategies put in place in order to provide further recommendations for implementation of the project in Guinea. The report details four key recommendations, aimed at improving access to HIV care for people living with HIV (PLHIV) in CTA Matam and at the peripheral health structures supported by MSF.

Given that community HIV testing is often more expensive than HF-based testing, this evaluation aims to fully understand the relative advantages of community testing modalities. MSF has been providing 3 modalities of community HIV testing in KZN since late 2012, to complement the standard, health facility (HF)-based testing provided by the Department of Health. Fixed sites (FS), Mobile 1-Stop Shops (M1SS) and Door-to-Door Community Health Agents (CHAPs) provide testing throughout the project area of Eshowe, Mbongolowane and the adjacent rural areas.

Full version and short version available. This evaluation of the viral load (VL) monitoring system was commissioned in order to more fully understand the experience and outcomes of the introduction and scale-up of VL in one district of Zimbabwe but also undertaken with a view to the national scale-up of VL monitoring, and the general issue of VL monitoring in sub-Saharan Africa in light of the UNAIDS 90-90-90 targets. The report details five clear recommendations to reach undetectable viral load.

This report provides an analysis of the perception of adolescents in Kasese municipality regarding their sexual and reproductive health. The data speaks of the socio-cultural dimension of everyday life of adolescents and explains the basic necessity for not only adolescent-friendly healthcare services but also for an intervention that helps adolescents reflect on the consequences of their risky sexual behaviour by promoting responsible sexual behaviour and condom use.

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

After 10 years in Zinder, the MSF mission is preparing for a successful handover of the project to the national authorities. Most of the work has been completed, and MSF can be proud of its accomplishments in Zinder. However, MSF still needs to ‘run the last mile’ in order to close its cycle in Zinder and to leave its nutritional involvement completely to the national authorities.The current evaluation was a follow-up on the initial capitalisation report done in 2014 and was initiated to assess the future of this handover.

After 10 years in Zinder, the MSF mission is preparing for a successful handover of the project to the national authorities. Most of the work has been completed, and MSF can be proud of its accomplishments in Zinder. However, MSF still needs to ‘run the last mile’ in order to close its cycle in Zinder and to leave its nutritional involvement completely to the national authorities.The current evaluation was a follow-up on the initial capitalisation report done in 2014 and was initiated to assess the future of this handover.

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