The Medical Unit (MU; previously Project Unit) in MSF Australia was established in 2005 to develop a co-ownership of the field operations and expand MSF Australia’s involvement with MSF OCP. Today it includes technical advice for OCP operations as well as training and communication on activities relating to women and child health. The objective of the reflective was to summarize and analyse the contribution of the Medical Unit of MSF Australia to reproductive, women’s and children’s health within the operational capability of MSF OCP. With regards to the achievements of the MU, this reflective focuses on the years 2010 to 2015. The report will provide a larger and long-term view to assist the Board of Directors in shaping its support to the unit in future years. A total of 81 interviews were held.