This portal is dedicated to specific TB learning. All HIV/TB evaluations are included in the HIV/AIDS portal: http://evaluation.msf.org/hivaids
MSF Anthropology Reports
“My Favourite Day Is Sunday”: Community Perceptions of (Drug-Resistant) Tuberculosis and Ambulatory Tuberculosis Care (2016) public
Kyrgyzstan is one of the 27 high multidrug-resistant tuberculosis (MDR-TB) burden countries listed by the WHO. In 2012, Médecins Sans Frontières (MSF) started a drug-resistant tuberculosis (DR-TB) project in Kara Suu District. This study was undertaken to understand the perception of TB and DR-TB in order to improve the effectiveness and acceptance of the MSF intervention and to support advocacy strategies for an ambulatory model of care.
Perceptions and poverty: Family health seeking behavior and access to (MDR-) TB diagnosis and treatment. Dushanbe region and Khatlon province, Tajikistan. (2012) internal
The main objective for this research was to gain a better understanding of the cultural aspects that influence a family’s health seeking behavior and affect their own and their children´s access to TB and multidrug-resistant TB diagnosis and treatment in order to optimize MSF’s MDR-TB project.
“TB is a disease that is flying to the air” (2008) internal
This research examined perceptions and behaviours towards TB patients and cultural representations of disease transmission in Shiselweni Region, Swaziland, in order to inform operational decision making and the potential use of Home Based Care.
Lessons learned review- prison project Kyrgyzstan (2013) internal
The follow-up to the initial evaluation in 2010, see below, this review took place during the process of closing the project, which was foreseen for end-2014. The review focused on the operational relevance of MSF’s TB prison project in Bishkek in order to identify lessons learned in terms of operational development and medical outcomes, identify missed opportunities that MSF could still implement in the remaining time of the project, identify strengths, weaknesses and the relevance of MSF as an institution in developing such projects and explore which lessons learned can be useful for other MSF projects of the same kind.
For more than 13 years, MSF has been involved in supporting Uzbekistan in the implementation of tuberculosis control activities, particularly in the Autonomous Republic of Karakalpakstan (ARoKK). From 1998 to 2003 MSF implemented the directly observed treatment short-course (DOTS) project, and from 2003 the project for drug-resistant tuberculosis (DR-TB), which was handed over to the national authorities by the end of 2010. In 2010, the MSF prepared a project proposal for implementation of comprehensive TB care in Karakalpakstan with a 5-year expansion plan. This evaluation examined the ongoing programme in terms of its relevance, appropriateness and effectiveness.
In 2004 OCA began a DOTS TB programme, which due to the high security risks and instability, had to be implemented via “remote control”. The objective of this evaluation was to draw lessons learned from the “remote control” model of management and inform the future direction of the programme, particularly by assessing the quality of the TB programme and addressing the question of whether the program was doing more harm than good in light of growing TB drug resistance.
Evaluation of the MSF CH TB project in penal sector , Kyrgyzstan - 4th to 8th October 2010 (2010) internal
TB is a public health problem across large parts of Central Asia, and the situation is worse in prisons due to overcrowded and poorly ventilated institutions, lack of proper TB prevention and case management and the vulnerability of the prison population, who is more likely to additionally be infected with HIV, to be malnourished or to suffer from other morbidities. MSF initiated a tuberculosis project in the penal sector of Kyrgyzstan in 2006. Aware of the limited experience MSF has in such a specific setting, this evaluation analysed the intervention strategy and assessed the existing challenges and shortcomings in order to recommend adapted techniques and strategies for the future.
Evaluation report on the Drug-Resistant TB Programme in Shabunda South Kivu District, DRC (2009) internal
In May 2007 MSF-OCA integrated the drug-resistant tuberculosis (DR-TB) treatment programme into the horizontal primary and secondary health care programme at Shabunda, located in South Kivu District of Democratic Republic of Congo (DRC). The three patients were started on the DR-TB treatment on 17th May 2007. MSF closed the project by the end of 2007, but continued taking responsibility for the treatment of the three DR-TB patients through remote supervision by providing medical, laboratory and social support. All patients finished the treatment and the outcome has been defined as “completed” according to the definition in the WHO guideline for programmatic management of MDRTB, which is a successful outcome. The evaluation of the programme was conducted when all three patients had finished their treatment with the objective of documenting the lessons learnt from this project.