Our reports are either openly accessible via pdf download, or accessible via MSF's internal Sharepoint, which is mainly due to the sensitive nature of the operational contexts and resulting content. 

17.03.2025
MSF supports access to healthcare to key population groups in Beira
Martim Gray Pereira/MSF

Evaluation of the decentralisation through mentorship in Beira, Mozambique

This evaluation of the mentorship component of HIV/TB and SRH services decentralisation at the primary healthcare facilities within the Beira HIV project provides insights into its relevance, coherence, effectiveness, impact, and replicability.
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19.12.2023
ra
Ben

Sustained high fatality during TB therapy amid rapid decline in TB mortality at population level:

Despite declining TB notifications in Southern Africa, TB-related deaths
remain high. We describe patient- and population-level trends in TB-related deaths in Eswatini over a period of 11 years.
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15.03.2023
Pair of hands of MSF staff taking blood sample from a patient's arm for a PCR test.
Zahra Shoukat (MSF 2021)

Evaluation of the Hepatitis C Strategy in MSF's Project in Karachi, Pakistan

As of 2020, there were an estimated 57 million people chronically infected with Hepatitis C virus (HCV) globally, with around 10% of these living in Pakistan. OCB has run an HCV project in Machar Colony Karachi since 2015. In 2020, the strategy for 2021-2024 was revised to build on the success and capitalize on earlier experience. This evaluation was conducted with the purpose to reflect and take stock of this revised strategic direction and the likelihood of its success within the given context.
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28.02.2023
Everybody Breathes: Treating TB in Eshowe, South Africa
MSF/Tadeu Andre

Evaluation of the Schools-Based Component of MSF's Eshowe Tuberculosis Programme in South Africa

This evaluation has a specific focus on lessons learned about the design and implementation of the school-based component of the Eshowe TB programme, conditions for success, enablers and challenges to identify considerations for replicability should MSF decide to implement a similar programme elsewhere in South Africa, or internationally.
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25.02.2023
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Support decentralization - HIV activities - Kinshasa

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.
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10.02.2023
MSF restarts HIV-related activities in Beira after the Cyclone Idai
Pablo Garrigos/MSF

Evaluation of the AHD Project Component

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.
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01.08.2022
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Evaluation de la Composante PTME du projet VIH de MSF à Conakry, Guinée

Evaluation de la composante PTME du projet VIH de MSF à Conakry, Guinée
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15.05.2022
uzbek
Joost Van der Meer

Evaluation of MSF-OCA's Mission to Uzbekistan, 2011-2021

Médecins sans Frontières Operational Centre Amsterdam (MSF OCA) has been working in Uzbekistan from the beginning of 1998 with a profile 
of running vertical, specialised medical projects, sometimes on a very advanced technical level. MSF runs its programme in close collaboration with the relevant institutes within the Uzbek Ministry of Health (MoH). MSF in Uzbekistan mainly works through the MoH in an advisory and supportive capacity.
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30.06.2021
Charmaine Chitate (MSF 2017)

Evaluation of Adolescents’ Sexual And Reproductive Health Project in Mbare, Zimbabwe

In 2015, MSF initiated an Adolescent Sexual and Reproductive Health (ASRH) project in Mbare, Zimbabwe. A pilot to test innovative models of providing HIV and
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20.04.2021
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Evaluation of Eshowe HIV Project

Since 2011, Médecins Sans Frontières (MSF) have been supporting the Government of South Africa’s efforts to “bend the HIV epidemic curves downwar
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18.06.2020

Evaluation of the HIV Decentralisation Initiative, Kinshasa, DRC (in Eng/Fre)

As part of a HIV/AIDS programme in Kinshasa, MSF introduced in 2005 an initiative of decentralising HIV services in primary healthcare (PHC).
The aim
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19.03.2019

Evaluation of MSF-OCB Corridor Programs for Key populations, 2018

Since 2014, MSF has been implementing health programs for key populations (KP) mainly along a major transport corridor running through Mozambique and Malawi.
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15.01.2019

Lessons Learnt: The MSF governance model of the UNITAID Grant “Ensuring access to the HCV treatment - revolution for HCV/HIV co-infected patients in LMICs”

The objective of this lessons learnt exercise was to assess the advantages and disadvantages of the UNITAID grant governance and management model for project
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22.10.2018
Pablo Garrigos

Evaluation of the EMR Deployment in Kabinda HIV Hospital in Kinshasa, DRC (2018)

MSF-OCB requested the Stockholm Evaluation Unit to conduct the evaluation of the introduction of an Electronic Medical Record (EMR) in Kabinda HIV Hospital (
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12.02.2018

Evaluation of DGD-funded projects Guinea, Kenya, Mozambique, South Africa and Zimbabwe (2014-2016), 2017

Optimizing HIV, TB and NCD treatment in five sub-saharan countries.
MSF OCB has been providing HIV care and supporting MoH HIV programs across Sout
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01.03.2017

"It's all about the fish ..." – An anthropological study supporting the MSF project for HIV testing and treatment in the fishing communities surrounding Lake George and Lake Edward, Uganda

This study was conducted to help identify factors for improving compliance to the programme, linkage and retention to care. The objectives included
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10.11.2016

Evaluation of Different Operational Models for Integration of HIV/TB Services in MSF OCBA Projects

Integration of HIV/TB services is one of the priorities for the MSF movement since 2010 and in particular for OCBA that started hand over of the so-called ve
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21.04.2016

Evaluation du projet de decentralisation et de renforcement des structures de sante peripheriques – composants du MSF OCB Projet, Conakry, Guinea

L'évaluation fait partie de l'accord de financement avec le bailleur. En outre, étant donnés les changements que le projet a vécu récemment, le momen
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21.04.2016

EVALUATION OF HIV COUNSELLING MSF OCB, Tete, Mozambique (2016)

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,
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21.04.2016

EVALUATION OF COMMUNITY HIV TESTING MODALITIES MSF OCB in KwaZulu-Natal, South Africa (2016)

Given that community HIV testing is often more expensive than HF-based testing, this evaluation aims to fully understand the relative advantages of community
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18.01.2016

EXECUTIVE SUMMARY: Evaluation of Homa Bay Handover MSF OCP, Kenya

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a count
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18.01.2016

Evaluation of Homa Bay Handover MSF OCP, KENYA

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a count
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30.12.2015

Evaluation of MSF OCB Roma & Semongkong project, Lesotho, 2015

This end of project evaluation of the Roma and Semongkong project “Reducing maternal and infant morbidity and mortality in a hyper-epidemic HIV/TB sett
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01.12.2015

Evaluation of the OCB Kibera Project Handover Process, Kenya (2015)

OCB initiated the Kibera project at a time when there was a lack of access to affordable HIV/TB health care and succeeded in providing HIV drugs in Kenya, ag
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01.11.2015
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Humanitarian Challenges in a Non-Armed Violence Context

MSF in Latin America has a history of more than 40 years of implementing a wide range of programs, including neglected diseases (HIV, Tuberculosis and Chagas), urban violence as well as regular emergency responses to acute epidemic and natural disasters.
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24.06.2015
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Community mobilisation, male inclusion & medical male circumcision in Chiradzulu

This anthropological report informs about the following themes: 

HIV/AIDS activities of local stakeholders (district administration, NGO
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24.06.2015
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NEW APPROACHES IN A NEW HIV ERA: ART/TB SCALE-UP IN GOKWE NORTH BY MSF-OCA

Since 2012 OCA has been implementing a new approach to HIV/TB programming in Gokwe North district of Zimbabwe. In September 2014, towards the end of its hand
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28.01.2015
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EXECUTIVE SUMMARY: New approaches in a new HIV era - ART/TB scale-up in Gokwe North and City of Harare clinics by MSF-OCA

Since 2012 MSF-OCA has been implementing a new approach to HIV/TB programming in two projects in Zimbabwe: Gokwe North district and City of Harare polyclinics.
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15.01.2015

“My favourite day is Sunday”

Anthropological study of community-based perception of TB and DR-TB, Kara Suu, Osh, Kyrgyzstan
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01.11.2014
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New approaches in a new HIV era: ART/TB scale-up in Gokwe North and City of Harare clinics by MSF-OCA

Since 2012 MSF-OCA has been implementing a new approach to HIV/TB programming in two projects in Zimbabwe: Gokwe North district and City of Harare polyclinic
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01.11.2014

New approaches in a new HIV era: ART/TB scale-up in Gokwe North by MSF-OCA

Since 2012 OCA has been implementing a new approach to HIV/TB programming in Gokwe North district of Zimbabwe. In September 2014, towards the end of its hand
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08.07.2014
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Executive summary (combined report): Decentralisation of HIV/TB care in Shiselweni region of Swaziland: making a difference

The example of Shishelweni demonstrates that in the context of high prevalence of HIV/TB infections and limited resources available decentralisation of HIV a
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23.05.2014
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MSF-OCB Matam Project, Guinea: Evaluation of improving access to care for people with AIDS and /or Tuberculosis

This evaluation finds project performance to be highly satisfactory and identifies some critical obstacles relating to the continuity of care. The capacity o
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10.04.2014
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Evaluation of MSF OCB Khayelitsha Project, Cape Town, South Africa

This report describes the OCB Khayelitsha Project, initiated in 2000, as one of the first MSF projects in Africa to introduce antiretroviral treatment (ART)
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14.01.2014
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Evaluation of the decentralisation strategy for HIV/TB care in Shiselweni, Swaziland: infection control through improved infrastructure

The main objective of the rehabilitation work was to support the decentralisation and integration strategy of HIV/TB services in the Shiselweni region by the im
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14.01.2014
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Evaluation of the decentralisation strategy for HIV/TB care in Shiselweni, Swaziland: laboratory services – learning from experience

In order to decentralise the laboratory services in the Shiselweni region, to increase the capacity of overall turn-out and to improve the quality of the diagno
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01.01.2014
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Evaluation of handover: strategy implementation in two minds Report of the handover process and replicability of handover tool in Maputo Project, Mozambique Mission

This evaluation of the MSF OCB Maputo HIV/Aids Project aims to provide a comprehensive overview of the implementation phases of the MoH handover and related
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01.12.2013
Swaziland HIV_TB_decentralization_combined report

Decentralisation of HIV/TB care in Shiselweni region of Swaziland: making a difference - combined evaluation report

The example of Shishelweni demonstrates that in the context of high prevalence of HIV/TB infections and limited resources available decentralisation of HIV a
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19.11.2013
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Evaluation of the decentralisation strategy for HIV/TB care in Shiselweni, Swaziland: Decentralisation model and outcome analysis

Five years after the initiation of an HIV/TB decentralisation and integration project in Shiselweni region of Swaziland, MSF Switzerland took the opportunity to
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01.11.2013
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Providing Comprehensive Health Care in a Slum-setting: External Evaluation of MSFOCB’s Kibera Project

This evaluation finds that the Kibera Project has had a tremendous impact at the patient, community and policy level. Additionally, the report points out tha
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16.10.2013
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MSF Retrospect Lessons report - Maban Emergency (Hep E response)

This document describes the Lessons identified during the emergency phase of the OCA Maban intervention. It summarises the successes and challenges encounter
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03.10.2013
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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
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16.09.2013
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Evaluation of the decentralisation strategy for HIV/TB care in Shiselweni, Swaziland: Cost-effectiveness study

The main goal of this evaluation was to measure the cost-effectiveness of a decentralised approach (primary health care clinics) versus a centralised approach (
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01.06.2013
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Centro de Referência Alto Maé, Chamanculo health area, Maputo, Mozambique: evaluation of an HIV model of care in an urban setting

In 2009/2010 following the decentralisation of HIV care to primary health care in Maputo City, the former MSF-OCG Alto Maé day hospital was transformed into
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01.04.2013
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Evaluation Report - HIV/AIDS Programme 2004-2012, Tsholotsho, Zimbabwe - OCBA

Best practices, challenges and lessons learned from the HIV/AIDS programme in Tsholotsho, with main purpose to improve project implementation amd decision ma
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28.09.2012
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External Evaluation: Stakeholder Perception in Maputo, Mozambique

The evaluation looks at how MSF-OCB support in Mavalane is percieved by stakeholders and gives orientation to the planing for handover of 1st line support ac
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12.09.2012
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Evaluation of the decentralisation strategy for HIV/TB care in Shiselweni, Swaziland: literature review

This literature review is conducted to inform the overall evaluation of an HIV/TB decentralisation project of OCG in Shiselweni region of Swaziland and contribu
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01.06.2012

COMMUNITY MOBILIZATION, MALE INCLUSION & MEDICAL MALE CIRCUMCISION IN CHIRADZULU

This anthropological report informs on the following themes: - HIV/AIDS activities of local stakeholders (district administration, NGOs, communities, support
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25.05.2012

“YOU SEE IT, YOU KNOW IT, BUT YOU DON’T SAY IT”

Community based perception of HIV and AIDS, Testing, counseling and ARV treatment Shiselweni region, Swaziland
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24.01.2012
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Revue projet d'assistance Betou Congo Brazza MSF OCP mai 2011

- Revue du Projet d’assistance aux réfugiés de RDC, Betou, Congo Bza: a été réalisée en cours de projet et permet de ré-orienter les objectifs/ priorit
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01.12.2011
AIDS: A new pandemics leading to new medical and political practices

AIDS: A new pandemic leading to new medical and political practices

At a time when the history of our AIDS missions is compelling us to formulate new goals, it seemed appropriate to assemble these historical and anthropologic
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01.06.2011
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A study of stakeholders’ perception of MSF/OCB HIV/AIDS project Thyolo, Malawi

In Malawi, one of the poorest countries in the world according to UNDP, Médecins Sans Frontières Belgium has been supporting MOH in the provision of HIV care
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16.05.2011
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Meta-review of OCG evaluations 2007-2010

This meta-evaluation is based on a review of 16 evaluation conducted by the Vienna Evaluation Unit between 2007 - 2010. The evaluations covered a wide variet
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01.04.2011
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Evaluation of decentralisation of HIV/AIDS care treatment, Chamanculo - Maputo

The HIV/AIDS project in Chamanculo Health area has achieved an impressive coverage of the ART treatment through the well-applied decentralization and task-sh
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26.01.2011
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Evaluation of MSF OCA's Tuberculosis programme in the Chechen Republic

Since early 2004 OCA has been implementing in Chechnya a DOTS Tuberculosis program through “remote control” using TB facilities and staff of the
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01.12.2010

ACCESS FOR MORE - PART 3

Overcome barriers to access PMTCT services in Homa Bay District, Kenya. This study explored barriers that prevent local communities of Homa bay area to fully
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08.10.2010
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Evaluation of the MSF CH TB project in penal sector , Kyrgyzstan - 4th to 8th October 2010

The evaluation analysed MSF intervention strategies of the TB project in the Penal sector of Kyrgyzstan by reviewing relevance, effectiveness and continuity.
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01.09.2010

ACCESS FOR MORE - Part 2

Overcome barriers to access to HIV/AIDS care in Homa Bay District The main focus of this phase was to gain an insight into the motivating factors that enable
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01.06.2010

ACCESS FOR MORE - Part 1

Overcome barriers to access to HIV/AIDS care in Homa Bay District The main focus of this phase was to gain an insight into the “patients’ health
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30.04.2010

Lesotho Handover: Assessment of Handover Strategy of MSF-B HIV/TB Programme

In recent years, MSF has recognized the need to improve its handover process and outcomes. It is no longer satisfactory for the organization to enter a count
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27.04.2010
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Summary report: Evaluation of the hand-over of HIV/AIDS projects in OCG

Variable experience with handover and internal debates about MSF responsibility to patients led OCG to propose an evaluation of the handover process, to lear
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01.04.2010

Capitalization and Evaluation of the hand over process of MSFF Phnom Penh KSF Hospital HIV/AIDS Project

The hand over of MSF-F Phnom Penh HIV project is a complex process. This HIV cohort is the biggest of MSF OCP to be handed over so far and the hand over is a
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01.02.2010

Evaluation of handover of care: Nchelenge, Zambia

MSF has been present in the Nchelenge region since 1998, when a program was started to provide health care to Angolan and Congolese refugees who had arrived
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05.10.2009

Evaluation report on the Drug-Resistant TB Programme in Shabunda South Kivu District, DRC

In May 2007 MSF-OCA integrated the drug-resistant tuberculosis (DR-TB) treatment programme into the horizontal primary and secondary health care programme at
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01.01.2009
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Evaluation of the hand-over of HIV/AIDS projects in OCG

Médecins Sans Frontières has been running HIV/AIDS treatment programmes since 2001. As national systems scaled up capacity, MSF began to hand over HIV projec
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01.06.2008

Cost Effectiveness Study of HIV/AIDS related care, Thyolo Project, Malawi

MSF is one of the pioneering organisations to implement HIV & AIDS related interventions including ART in different settings. Understandably, the organis
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20.02.2008

Strategic Review Process for the HIV/AIDS Adherence Counsellors Organisation

The formation of HAACO was initiated by Medecins Sans Frontieres (MSF) who had been operating a HIV/AIDS project since 1999 in Khayalitsha in the Western Cap
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01.11.2007

"A Pocket of Excellence" MSF-Belgium's HIV/AIDS project in Thyolo district, Malawi

MSF's HIV/AIDS project in Thyolo district, Malawi was one of the MSF movement's earliest efforts to address HIV/AIDS in sub-Saharan Africa, beginning
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01.08.2007

Guatemala: One year after handover: the case of Roosevelt Hospital

Following the handover of AIDS treatment programs to the authorities of Guatemala, MSF conducted a study to assess various aspects of the continuity of HIV/A
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01.05.2007
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The Lusikisiki HIV/AIDS Programme six months after MSF’s departure

MSF closed all operations in Lusikisiki at the end of October 2006. That date marked the end of four years of operations setting up a model of comprehensive
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01.05.2007

Evaluation of MSF AIDS projects in Malawi: a peer review

This evaluation is best understood as a peer review aimed at learning from the experiences of 3 different sections of MSF operating HIV/AIDS programmes in Ma
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01.02.2007
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Evaluation Ex Post: Antiretroviral treatment for people living with HIV in Honduras and Guatemala - MSF-CH 2001-2005

MSF had been working in Honduras and Guatemala in HIV prevention and care of people living with HIV and AIDS for several years before ART projects were start
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01.12.2006
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Evaluation report: Mundari hospital - Kajo Keji County, South Sudan

MSF-CH did rehabilitate the Mundari hospital in Kajo Keji County (KKC) and did support the existing OPD from September 1997 onward. Environmental- and politi
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23.11.2006
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The handover of a MSF HIV/AIDS program: Lusikisiki end of project report

The political context toward HIV and AIDS in South Africa is particularly difficult with a government denying the seriousness of the epidemic, with a ministe
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27.12.2005
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Evaluation Report Lichinga

The project in Lichinga is a vertical program addressing HIV/Aids in one of the northern provinces of Mozambique. The approach of integrating activities in t
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