Children living with HIV continue to face significant barriers to accessing appropriate care worldwide. Clinical, social, and structural factors affect their timely diagnosis, initiation of antiretroviral therapy, linkage to care, viral load monitoring, and long-term retention in care, including age-appropriate adherence support.

The MSF Operational Center Brussels (OCB) has formally committed to strengthening paediatric HIV care across its portfolio; however, important gaps are widely perceived to persist along the paediatric HIV cascade of care in OCB projects.

The MSF Stockholm Evaluation Unit is now requesting proposals to assess how effectively paediatric HIV services in OCB projects are functioning, and identify where improvements are most urgently needed. It will analyse the accessibility, quality and continuity of paediatric HIV care across the entire care cascade in projects supported by MSF, identify bottlenecks, missed opportunities, enabling factors, and good practices, and generate evidence-based recommendations at project, programmatic and organizational levels.

The primary intended use is to inform the development of MSF-OCB’s overall Paediatric HIV programming and guide strategic decision-making for enhancing HIV paediatric activities in existing and future OCB health interventions.

**EXPECTED STARTING DATE:** May/June 2026

**DURATION:** Final report expected by December 2026 at the latest

**REQUIREMENTS:**

**Essential**

- Proven evaluation competencies
- Professional degree on public health (master or PhD level)
- Experience working with and implementing Pediatrics HIV programs
- Experience in global health programming and project management, notably in delivering pediatric HIV services integrated in non-HIV specialized health services
- Fluency in English and French (spoken and written)
- Excellent interpersonal and communication skills
- Ability to conduct onsite data collection in selected project locations
- The evaluation team should include at least some members based in or near West & Central Africa, East Africa, or Southern Africa to facilitate travel and reduce logistical constraints.

**Assets**

- MSF experience and/or understanding
- Knowledge of some of the contexts covered by this evaluation
- Additional languages that could serve the evaluation process (i.e., Arabic, Portuguese, Swahili...)

For more information on the context, deliverables, and requirements, please refer to the Terms of Reference at: https://evaluation.msf.org/rfp-thematic-evaluation-paediatric-hiv-care-ocb-settings