Decentralisation of HIV/TB care in Shiselweni region of Swaziland: Making a difference

Summary Evaluation Report, December 2013

by Mzia Turashvili, Heidi Becher, Bernhard Kerschberger et al.
Médecins Sans Frontières (MSF), Vienna Evaluation Unit, 2014

39 pp. 1.3 MB:
http://fieldresearch.msf.org/msf/bitstream/10144/325599/1/49_Swaziland%20HIV_TB
_decentralization_combined%20report_July%202014.pdf
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The example of Shishelweni demonstrates that in the context of high prevalence of HIV/TB infections and limited resources available decentralisation of HIV and TB care from regional and district hospitals to primary health care clinics and community level is the way to improve access, coverage, effectiveness and efficiency of service delivery. It also improves satisfaction and acceptance of health service providers, direct beneficiaries and the wider community.

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