HIV, TB and Hepatitis

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.

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.

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.

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.

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.

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.

Evaluation de la composante PTME du projet VIH de MSF à Conakry, Guinée

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.

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

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