JUNE 2006 — To assess the Start program's main achievements and challenges, FHI's Ghana office requested a process evaluation in September 2005, resulting in this report.

The technical areas evaluated included clinical care, counseling and testing, PMTCT, HBC, NGO community mobilization and behavior change communication (BCC). The objectives of this evaluation include:

• Determining if the program complied with the yearly work plans
• Identifying the program's key accomplishments and results
• Recommending next steps for the program and documenting lessons learned

The British Department for International Development (DFID) awarded FHI a grant in 2003 for the Start program.