This document (Report No. 08-001-191) is available in printed or online versions. Onlinedocuments can be located in <strong>the</strong> GH Tech Web site library at www.ghtechproject.com/resources.aspx. Documents are also made available through <strong>the</strong> Development ExperienceClearinghouse (www.dec.org). Additional information can be obtained from:The Global Health Technical <strong>Assistance</strong> Project1250 Eye St., NW, Suite 1100Washington, DC 20005Tel: (202) 521-1900Fax: (202) 521-1901info@ghtechproject.comThis document was submitted by The QED Group, LLC, with CAMRIS International and Social& Scientific Systems, Inc., to <strong>the</strong> United States Agency for International Development underUSAID Contract No. GHS-I-00-05-00005-00.
ACKNOWLEDGEMENTSThe <strong>TB</strong> <strong>CAP</strong> evaluation team would like to thank <strong>the</strong> many generous people who contributed <strong>the</strong>ir timeand energy to help us complete this challenging, complex, yet fascinating task.Prominent among <strong>the</strong>m we thankMs. Cheri Vincent, <strong>TB</strong> <strong>CAP</strong> Cognizant Technical Officer, and her colleagues at <strong>the</strong> Bureau forGlobal Health and Regional Bureaus, U.S. Agency for International DevelopmentDr. Maarten van Cleeff, <strong>TB</strong> <strong>CAP</strong> Project Director; Dr. Jeroen van Gorkom, <strong>TB</strong> <strong>CAP</strong> Project DeputyDirector; Dr. Ersin Topcuoglu, <strong>TB</strong> <strong>CAP</strong> Monitoring and <strong>Evaluation</strong> Officer; Ms. Inge Sasburg, <strong>TB</strong><strong>CAP</strong> Financial <strong>Control</strong>ler; and <strong>the</strong> many o<strong>the</strong>r staff in <strong>the</strong> <strong>TB</strong> <strong>CAP</strong> Project Management Unit forenthusiastically, meticulously, and openly explaining <strong>the</strong> many facets <strong>of</strong> how <strong>TB</strong> <strong>CAP</strong> worksThe national <strong>TB</strong> managers and staff who set aside time from <strong>the</strong> inspiring work <strong>the</strong>y do to describe<strong>the</strong>ir programs, experiences with <strong>TB</strong> <strong>CAP</strong>, and suggestions for how best to control <strong>TB</strong>USAID Mission staff and <strong>TB</strong> <strong>CAP</strong> partners who are earnestly supporting <strong>TB</strong> control efforts, forsharing <strong>the</strong>ir opinions about <strong>the</strong> many challenges and remarkable successes <strong>the</strong>y are witnessing, andfor <strong>the</strong>ir efficient organization <strong>of</strong> <strong>the</strong> country visitsThe many technical experts and managers from <strong>TB</strong> organizations worldwide with whom we spoke,for providing <strong>the</strong>ir insight into global <strong>TB</strong> control efforts and international development workMs. Elsa Berhane, <strong>Program</strong> Manager for <strong>the</strong> <strong>TB</strong> <strong>CAP</strong> <strong>Evaluation</strong> at <strong>the</strong> Global Health Technical<strong>Assistance</strong> Project (GHTech), for her dedication, hard work, and seemingly endless patience.Finally, we wish to express our admiration for those working at <strong>the</strong> sharp end, especially <strong>the</strong> manyunrecognized but vital DOTS community volunteers. Quotes from two <strong>of</strong> <strong>the</strong>se extraordinary people stayin our minds:One woman, herself HIV-infected, when asked why she was providing <strong>TB</strong> support, said, ―I just feelthat I should help o<strong>the</strong>rs <strong>the</strong> way o<strong>the</strong>rs have been helping me.‖Ano<strong>the</strong>r community volunteer, asked what one thing could make her work easier and better, told us,―I wish I could have more education about <strong>TB</strong>, so I would know more to help my patients.‖EVALUATION OF THE TUBERCULOSIS CONTROL ASSISTANCE PROGRAM (<strong>TB</strong> <strong>CAP</strong>)i