Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as

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 3,000 copies/ml (the criteria at the time), raising questions on the efficacy of the counselling services. Although the relationship between counselling and high VL remains unclear, this report details three key recommendations aimed at improving the overall efficacy of the counselling services.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Mranda Brouwer of PHTB Consult. This publication was produced at the request of Médécins sans Frontières. It was prepared independently by Miranda Brouwer of PHTB Consult.

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 handover, an evaluation was commissioned with the objective to examine the intended goals, outcomes (including quality standards) and implementation process of the project.

Mzia Turashvili

MSF-OCA has been addressing a highly relevant issue, TB and DR-TB in Uzbekistan. A steady decrease of the notification and the mortality rates has been indicating a good outcome of the TB DOTS programme. MSF is highly appreciated by the MOH of Uzbekistan as one of the main partners in TB control and the first one who started the diagnosis and treatment of DR-TB. The current model of comprehensive TB care was estimated as the most appropriate approach for this low-income country with high TB/MDR-TB burden. It could be successfully expanded to elsewhere in the region.

Kai Blöndal and Oscar Bernal