Videos generated from evaluation learning
Here you can find a series of 11 video tutorials produced as a result of MSF Refugee Evaluations in 2012, with topics ranging from organisation of medical care, coordination, protection and security, water supply and sanitation infrastructure, and so on. The following video is the first of the series, entitled Health Priorities during Emergencies.
The sixth MSF International Evaluation Day took place on February 4th 2016 in Amsterdam. Here you can view footage from the event, including a film of the third session on Refugee Response. NB: the page is password protected so if you would like to view the films please email the evaluation group to request the password.
MSF Anthropology Reports
“Nafsi Ta'baneh - my soul is suffering” (2009) internal
MSF OCG started a Community-Based Mental Health Project in Lebanon in December 2008 for the community of Bourj el-Barajneh. The target population consisted of Palestinian refugees living in the Bourj el-Barajneh camp and Lebanese, Iraqi and other nationalities living within the municipality. The main objective of the study was to assist the team in understanding the health-seeking behaviour of beneficiaries in order to develop a strategy for community involvement in and acceptance of the project.
Evaluation of MSF-OCB Torture Rehabilitation Projects (2017) public
It has been five years since MSF-OCB´s first concrete actions on torture and three years since the launch of the torture rehabilitations projects. Sufficient time has now elapsed to evaluate MSF´s trio of clinics and to make recommendations for their improvement, as well as to identify cross-cutting lessons applicable to future efforts in similar contexts. This is especially important as the clinics represent the first experiences for MSF in the specialized rehabilitation of victims.
MSF Revival in Refugee Camp: Capitalization of the OCG Emergency Response in Tanzania (2016) internal
With the deterioration of the political context in Burundi since April 2015 more than 140,000 refugees have arrived in Tanzania. The refugees are hosted in three camps in Kigoma region. While MSF’s initial response focussed on a cholera outbreak, in the absence of an adequate response from other organisations, MSF’s activities were quickly scaled up to reduce mortality rates among children and to provide WASH, shelter and primary and secondary health care. Currently, the humanitarian situation has been stabilised, entering into a post-emergency phase. The overall objective of this capitalization was to analyse what worked well and what did not in terms of the medical and logistic strategies and activities during the MSF-OCG emergency response in Tanzania refugee camps.
Humanitarian Support to Refugees – Against All Odds: Lessons Learned from OCG’s Response to the Influx of Central African Refugees in Cameroon in 2014 (2016) internal
In late 2013 and early 2014, thousands of people fled the Central African Republic (CAR) to neighbouring Cameroon. MSF OCG provided health care to the refugee population in Garoua-Boulai and Gbiti. In March of 2014, MSF, already very engaged in the emergency in CAR, began responding to a massive Ebola epidemic in West Africa, which consumed much of MSF’s emergency human resources, leaving the regular mission in Cameroon to manage the refugee crisis largely by itself. The objective of this evaluation is to document the chain of events that took place within OCG’s response to CAR refugee crisis in Cameroon, focusing on the first half of 2014. The purpose is to issue practical recommendations and advise MSF on how to best manage similar situations in the future.
Evaluation of MSF OCP’s emergency response to the influx of South Sudanese refugees into Ethiopia (Gambella region) in 2014 (2015) internal
This evaluation focuses on the massive influx of South Sudanese refugees into Ethiopia in 2014, which reached 1,000 a day from January to May. It is part of a global review of MSF’s emergency response to the South Sudanese crisis in 2014. The evaluation is based on a review of the 11 top priorities (see videos above) for urgent coverage in the event of massive population movements in order to assess the Gambella response in terms of its effectiveness, efficiency and relevance.
Version française: Evaluation de la Réponse en Urgence à l'afflux de réfugiés sud-soudanais en Ethiopie, Gambella, en 2014 (2015) interne
Evaluation de la Réponse en Urgence à l'afflux de réfugiés sud-soudanais en Ethiopie, Gambella, en 2014 (2014) internal
Cette évaluation de MSF-OCP concerne la revue critique de l’intervention MSF en urgence pour les réfugiés sud-soudanais en Ethiopie, début 2014 (partie de l’intention d’une revue globale des réponses MSF aux crises avec déplacements massifs de pop°– décision du BI/5 DG MSF, 2014). Ici à Gambella, la réponse aux 11 priorités connues / besoins des réfugiés est vérifiée systématiquement – alors que la réactivité initiale est satisfaisante, il existe une certaine perte de savoir-faire dans des domaines opérationnels majeurs (cf détails dans le rapport). Adapter les ressources MSF (limitées) dans le contexte difficile local est complexe. Ceci a limité l’efficience opérationnelle (atteinte des obj. à temps/besoins vitaux/standards) ou efficacité (tel que le contrôle de la mortalité les 1ers mois) – Certaines initiatives innovantes ont néanmoins remporté un certain succès (vaccination, même si a tardé)- La responsabilité internationale est aussi questionnée (respects des principes d’assistance et de protection des réfugiés).
Emergency Response in Upper Nile, South Sudan - MSF OCBA (Operational Center Barcelona Athens) (2014) internal
MSF OCBA launched an emergency intervention in response mass displacement in Upper Nile State with the objective to reduce morbidity and mortality among the internally displaced (IDPs). The programme consisted of primary and secondary health care, nutrition, water and sanitation, non-food items and surveillance, emergency preparedness and response. This evaluation, which focuses on the relevance, appropriateness and effectiveness of the program and coordination between the regular and emergency missions, other MSF sections and various external actors, represents the first time that OCBA conducted a real time evaluation.
Evaluation of the OCG emergency response for displaced persons in Minkaman, South Sudan (2014) internal
The recommencement of hostilities in South Sudan in December 2013 displaced hundreds of thousands of people within eight states. The arrival of between 45,000 and 85,000 IDPs in Minkaman provoked an acute health crisis. MSF OCG launched an emergency operation at the end of December. This evaluation was commissioned five months into the project to assess its relevance, effectiveness and efficiency.
Evaluation Report Maban Emergency OCB (2013) internal
MSF-OCB’s emergency refugee intervention in Maban County, South Sudan began in December 2011, following the reignition of the conflict in Blue Nile State, Sudan. The refugee population quickly grew to over 60,000 in two camps. The primary objective of the evaluation was to review the effectiveness and efficiency of the intervention, with particular emphasis on lessons learned from the initial phase of the response.
MSF Retrospect Lessons report - Maban Emergency (Hep E response) (2013) internal
The report provides a synthesis of the main outcomes of the retrospect workshop held on 19th September 2012. This document describes the Lessons identified during the emergency phase of the OCA Maban intervention to address an outbreak of Hepatitis E in refugee camps. It summarises the successes and challenges encountered during the project, lists the important learning themes arising from these successes and challenges, and includes a set of lessons derived from an analysis of these learning points.
MSF launched an intervention in Yida refugee camp in December 2011. In August 2012, a press release by MSF declared an ongoing health catastrophe in South Sudan refugee camps. Three months later, when the situation has just stabilised, MSF--‐OCP requested an evaluation of the intervention. This evaluation analyses the relevance, efficacy, efficiency and reactivity of the intervention throughout the duration of the project with a special focus on the emergency phase between April and August 2012. The report gives rise to a discussion regarding MSF’s experience in IDP/refugee camp settings and aims to inform future operations in similar humanitarian crises.
Review of the OCA Emergency Intervention in Liben, Ethiopia (2012) internal
In 2011, violence and drought led to mass displacement in Somalia. The peak of the refugee stream into Ethiopia occurred in June and July 2011 when 43,000 refugees arrived. As the three refugee camps got overcrowded, MSF-OCA got permission from the Ethiopian authorities to start up basic health care and nutritional services in a newly established fourth camp. It also got involved in the transit camp and the reception centre for refugees. The primary focus of the evaluation is on the programme content, strategic decision-making and achievements, with the overall objective to analyse and the quality and impact of the emergency response in terms of effectiveness and timeliness.
Operational Achievements - Despite Remote Modus: The Shangil Tobaya Project, MSF-OCBA (2012) internal
MSF started working in Darfur in 2004 providing humanitarian assistance to a population affected by persistent violence, through provision of health care, nutrition, emergency response and advocacy. International staff were forced to evacuate in 2009, causing the intervention to shift to a (semi) remote control style in order to continue its mission. This evaluation was commissioned by MSF-OCBA with the aim to compare achievements before and after the start of the semi remote control management system in order to learn lessons for other remote programmes in MSF.
Critical review OCP Zahedan project avril 2011 (2011) internal
In October 2001 MSF decided to extend its activities for Afghan refugees by opening a PHC project in Zahedan, Iran. MSF’s main motivation to review the Zahedan mission was to draw lessons learned after 10 years’ of intervention, focusing on the project’s relevance and difficulties faced. Recent events in Zahedan gave special sense to this evaluation as Iranian Authorities (BAFIA) were questioning MSF’s continued presence.
Revue projet d'assistance Betou Congo Brazza MSF OCP mai 2011 (2011) internal
French report. MSF intervened for the second time in November 2009 in the Department of Likouala, with a project to provide primary and secondary care to the refugee and resident population in Bétou District. This evaluation was undertaken to assess the relevance, efficiency and appropriateness of the project.
Is humanitarian water safe to drink? (2011) public
Although not strictly an evaluation, this report is based on evaluation learning about the provision of water in emergencies and contains many examples from refugee and IDP settings. The report is split into two parts: part 1 is the written form of a symposium held in 2010, discussing humanitarian interventions where the water supply is subject to problems, water and health: the current state of scientific knowledge and available technologies, and access to water: sociological, economic and political aspects. Part 2 is an article entitled ‘Water and health in unstable situations’.
MSF response to displacement in open settings (2010) public
The purpose of this evaluation was to review the experience in needs assessment and response to displacement in open settings (i.e. out-of-camp displacement). For the evaluation process, six interventions were reviewed: MSF OCG interventions in the DRC, Djibouti, Cameroon and Iraq; OCB interventions in South Africa and Pakistan; and partially the OCP experience in Pakistan.
To read more in-depth descriptions of the reviewed interventions, please see Evaluation Displacement report II_final.doc (2010) internal
A critique of MSF France Operation in Darfur (Sudan) (2007) public
Part of the ‘Cahiers du Crash’ series, this report is not strictly an evaluation and more of a critical examination of the relevance, effectiveness, adequacy and efficiency of MSF France’s interventions in Darfur.
Evaluation Report Gulu (2005) internal
MSF-CH began working in Gulu district in 2003, where, due to the ongoing conflict and brutal activities of the LRA, 90% of the population in Gulu district were living in about 53 camps. The purpose of this evaluation was to provide information on whether the project was addressing real needs, and why progress towards the objectives set was slow. Overall the evaluation assessed the relevance, effectiveness, efficiency, perception and co-ordination of the project.