Scaling-up the MSF France HIV/Aids programme in Chiradzulu, Malawi, through decentralization and task-shifting 1993-2012
MSF have been providing HIV care in Malawi for 19 years, 11 of them through ART. Today nearly 30,000 patients are alive on ART in the project. Thus MSF is no longer just demonstrating that it is possible to provide HIV-treatment to poor people in high-prevalence countries, as originally planned, MSF has morphed into a public health provider. The study is an attempt to tell the story of the Chiradzulu project, from its beginning until 2012. The aim is to explain the evolution of health care delivery through scaling-up of treatment using decentralisation and task-shifting.