Evaluation of the decentralisation strategy for HIV/TB care in Shiselweni, Swaziland: perception and acceptability

Since the end of 2007 MSF-OCG has been supporting the Ministry of Health in Swaziland to decentralise HIV and TB care in Shiselweni region in order to increase access and coverage in this high prevalence context. Treatment and care were gradually decentralised to all the 22 existing primary health care clinics. After five years of roll-out, this qualitative study was commissioned with the objective to explore the different stakeholders’ perceptions on the process and the achievements as well as the accessibility of services, acceptability of new strategies and perceived perspectives of the programme.