The Ministry of Health in Lesotho contracted the joint venture of CESAR and Health Focus South Africa (HFSA) to conduct a study on out-of-pocket expenditure as a barrier to accessing national TB services.

To this end, we undertook work in various stages. Project groundwork saw study design, fieldworker training, healthcare facility-based national survey of TB patients with electronic data captured using ONA software. Post-survey activities included data analysis, including descriptive analysis, inferential, supplementary, and thematic analysis, and reporting. Weekly fieldwork reports were produced and shared with the Ministry in addition to final study report. The project called for extensive coordination, efficiency, and ongoing quality assurance, all of which were delivered to the client’s satisfaction.