This report summarizes a midterm evaluation of the Kyrgyzstan Defeat TB (DTB) Project, implemented by Abt Associates and partners since August 2014. The evaluation reflects field work conducted in June and October 2017, including interviews and focus groups, as well as review of numerous background documents. The project is meeting its interim targets and contributes significantly to tuberculosis (TB) prevention and management in Kyrgyzstan.
DTB had three objectives:
• Improved access to TB services
• Strengthened capacity to provide high-quality TB services
• Improved quality and use of TB data
• To what extent has the project achieved its intended outputs and outcomes per the agreed monitoring and evaluation (M&E) plan?
• To what extent would the current M&E indicators, if achieved, lead to intended impact?
The evaluation found that substantial progress had been made in at least three areas:
• Development of a “Road Map” for restructuring TB services, including commitment of Kyrgyz government funds
• More accurate and timely diagnosis and treatment of TB
• Further development and support for ambulatory care, and reducing non-essential hospitalization and opportunities for cross-infection
While daily observed therapy remains difficult for many — for reasons ranging from side effects to difficulties reaching a clinic — patients and community members reported supportive relationships with clinic staff. Beyond individual case management, DTB should liaise with non-health community development groups. It should also support decentralized data-based decision-making using non-electronic records until larger data systems can be finalized.