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Based on the analysis of a widening gap between humanitarian needs and the aid sector’s response in complex emergencies, MSF-OCBA has placed its operational focus on interventions in armed conflict and emergencies. A comprehensive advocacy initiative – The Emergency Gap Project – has accompanied and supported the operational effort. Having met its operational Strategic Plan ambitions, OCBA commissioned a review of its emergency response and support capacity with the aim to identify the enabling and disabling factors. The findings are intended to inform internal debates about future strategic choices, as well as to support OCBA’s dialogue with external actors on the topic of emergency response.