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This end of project evaluation of the Roma and Semongkong project “Reducing maternal and infant morbidity and mortality in a hyper-epidemic HIV/TB setting” in Lesotho was commissioned by the MSF Operational Centre Brussels (OCB) South Africa & Lesotho mission to evaluate the impact of the five years programme and identify lessons learned to support the design and planning of potential future projects in Lesotho.
This evaluation was conducted by Heidi Becher and Timothy McCann, on behalf of the Stockholm Evaluation Unit of MSF.
This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by heidi Becher and Timothy McCann.
This evaluation finds project performance to be highly satisfactory and identifies some critical obstacles relating to the continuity of care. The capacity of the local partners to continue with the implementation of the strategic framework for the fight against HIV/ Aids and TB when MSF departs is severely compromised. The report urges MSF to place more emphasis on identifying a feasible partner for handover before engaging as a leader in such contexts.