Evaluation of the HIV Decentralisation Initiative, Kinshasa, DRC

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 of this initiative is to improve access to care and service quality of the various health facilities in Kinshasa. The  decentralisation  approach  has undergone  many  changes  and adjustments  since  it  was  first established, particularly regarding the selection of the centres targeted and the type of support provided. This evaluation analyses the medical outcomes,  challenges,  and  enabling factors  of  the  decentralisation initiative  and  it  focuses  mainly  on MSF's past experience in Kinshasa and how  it  has informed  the  current strategy.