MDR-TB patients, under MSF’s home-based treatment and care programme, receive individualised treatment regimens according to drug-susceptibility testing (DST) results and WHO guidelines, following the DOT approach as part of the Stop TB Strategy, as well as receiving education, psychosocial support and enablers such as food rations. HIV co-infected patients in need of treatment are offered integrated HIV care within MDR-TB related activities. Initial treatment is delivered in a local isolation unit (at Madi Opei Health Centre, Lamwo district; or Kitgum Government Hospital) until the patient is clinically stable and can be accommodated in a separate sleeping hut (‘tukul’) at home. The remainder of the 18-24 months of treatment is then delivered at home six days per week, directly observed by health-care workers, who are employed by MSF.