Transparent & accountable

Mozambique is one of the most severely affected countries by the HIV pandemic. The Médecins Sans Frontières (MSF) – Operational Centre Brussels (OCB) HIV project in Beira started in 2014 as a project for migrants and key populations (KPs). This led to insights into the magnitude of the Advanced HIV Disease (AHD) issue that needed to be addressed. In 2018, MSF introduced an AHD component in the Beira Central Hospital (BCH) and in two health centres (Munhava and to a lesser extent, Ponta Gea). The AHD component covered MSF-run laboratory diagnostics and in-facility case management circuits. During the evaluation period, Cyclone Idai and COVID-19 restrictions were important external factors.

The Stockholm Evaluation Unit Steering Committee commissioned this meta-evaluation to assess the quality and value of past evaluations and produce useful processes and products to “maximiz[e] the strategic value of requesting, conducting and making use of [future] evaluations” at Operational Centre Brussels (OCB). 

HIV/AIDS is still a widespread epidemic, where the DRC has an average adult HIV prevalence of 1.2%, with an HIV prevalence of 1.6% in Kinshasa. 
MSF OCB works to care for people living with HIV, with activities in Kinshasa since 1993. Since 2002, to address the problem of access to HIV services, MSF launched an HIV project at Kabinda Hospital, a referral hospital southwest of Kinshasa (AIDS project), in collaboration with the Ministry of Health.
In 2022, MSF commissioned a second evaluation of the decentralization component of the project, covering the period 2017 to 2022.

PHASE 1 – Interim Report (English and French)

IMPROVING THE AVAILABILITY AND USE OF SGBV SERVICES IN CENTRAL KASAI:
A MULTI-PHASE EVALUATION OF THE KANANGA PROJECT