HIV decentralisation - an 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.