MSF Anthropology Reports
“It it not a disease but we treat it as a seriousness” (2011) internal
The study was conducted to gain an insight into local understandings of malnutrition and how it should be addressed from the perspectives of MSF beneficiaries in Biraul Block, Darbhanga District, Bihar State, India. In particular the paper asked: what is the daily reality of caretakers, mostly mothers, in relation to childcare and malnutrition? What influences their decision to go to a health facility with a malnourished child? And how do they perceive the treatment provided by MSF?
OCG has been running medical operations in the Zinder region, Niger, since 2005 with the main objective to reduce under-five mortality due to acute malnutrition and its associated pathologies. After ten years, the mission had undergone important operational and strategic changes and MSF began preparing to handover the project to the national authorities. MSF still needed to ‘run the last mile’ in order to close its cycle in Zinder and to leave its nutritional involvement completely to the national authorities. The current evaluation was a follow-up on the initial capitalisation report done in 2014 (see below) and was initiated to assess the future of this handover, and whether it would be feasible or not to completely handover nutritional activities to the HNZ (Zinder National Hospital).
Evaluation of MSF OCB Roma & Semongkong project, Lesotho (2015) internal
The Roma and Semongkong project began in 2011 with the aim to reduce maternal and infant morbidity and mortality in a hyper-epidemic HIV/TB setting. This end of project evaluation was commissioned to assess the impact of the five-year programme and identify lessons learned to support the design and planning of potential future projects in Lesotho. Specific objectives of the evaluation were to 1) review the project impact on policy change; 2) analyse the appropriateness of the operational strategy and the operational model of care; 3) analyse the impact on health results; 4) review the handover process
In 2010, MSF OCBA began working in al-Zahara teaching hospital in Najaf, Iraq supporting 4 departments: the Operational Theatre (OT), the Sterile Neonatology Intensive Care Unit (SNICU), the maternity and the post-natal ward. This evaluation analysed the relevancy and effectiveness of the intervention and examined the actions taken to ensure the continuity of its achievements in the future. It also looked at the proximity of the MSF team to the beneficiaries and the level of understanding of the context, focussing on the particularities of working in a tertiary hospital in a Middle-Eastern country where OCBA had little experience of the local context and security conditions.
French report. OCG began working in Niger in 2005 in response to the famine. The recurring crises in 2010 and 2012 further increased people’s vulnerability. This evaluation analysed the relevance and efficiency of the projects in Zinder and Magaria between 2011 and 2013, as well the impact of regional and national changes on MSF’s ability to meet its goals and the relevance of MSF’s adaptation strategies.
Capitalisation of the handover of the MSF-CRENI to the Zinder National Hospital, Niger (2014) public
The precursor to the 2016 review, this evaluation assessed the earlier phases of the handover process of the nutritional programme in Zinder. The objective was to assess best practices, challenges and lessons learnt of the handover/integration process of the Zinder CRENI to the hospital, with the main purpose to improve handover processes in such contexts as well as decision-making in future projects.
Not strictly an evaluation but part of the ‘Cahiers du Crash’ series, this study looked at the changes that occurred in the nutrition sector in the four years following the 2005 Niger crisis. This cahier aimed to consider this evolution and explore new possibilities for action for MSF: how can these changes get MSF to reconsider its own goals and move its areas of intervention? How can new knowledge and the experience gained by our teams since the crisis in Niger lead to new operational ambitions?
MSF OCBA: Evaluation of the Benson Hospital handover process to the Ministry of Health, Monrovia, Liberia (2010) internal
Following up on the evaluation below, in 2008 reproductive and maternity services, as well as PMTCT and SGBV services were transferred to three nearby locations. This evaluation aimed to: evaluate the effectiveness of the withdrawal and handover process in the light of the context at the end of 2009, the extent of collaboration with the MoH and other participants, the effectiveness of capacity building, the effectiveness of the handover in terms of consequences for patients, and the effectiveness of the operational strategic decisions for withdrawal.
Evaluation: Nutritional emergency intervention in Oromiya and SNNPR zones Ethiopia May - November 2008 (2009) internal
Ethiopia is known to be food insecure and has for many years been a major recipient of food aid from WFP, the majority emergency food aid. Despite a thorough set up of an early warning system, monitoring food security and malnutrition and despite two systems aiming both at emergency and long term food aid/development a nutritional crisis developed “unnoticed” in 2008. When OCB started an intervention in late May 2008 the situation was already quite severe. The objective of this evaluation was to draw "lessons learnt " from the intervention in terms of intervention strategy, activities, resources used and general communication, coordination and perception.
MSF-OCBA Benson Hospital project - Monrovia, Liberia (2008) internal
The post-war years in Liberia were marked by sporadic outbursts of violence and a devastated health care system. The Benson hospital was opened to offer free maternity and paediatric hospital care for some of the most impoverished of Monrovia, where maternal and child mortality were among the worst in the world. The primary purpose of this evaluation was to help the field and HQ staff of MSF make informed decisions on the future of the Benson Hospital project.
Not strictly an evaluation but part of the ‘Cahiers du Crash’ series, this analysis focussed on the institutional production of data concerning food security. The study sheds light on the mechanisms producing the official data used by humanitarian aid decision makers
Nutrition interventions in Marial Lou, South Sudan compared with the Niger nutrition outcomes (2007) public
In 1997, OCG established Marial Lou hospital (Bahr el Ghazal, South Sudan) with the aim to respond to humanitarian emergencies, particularly nutritional crises, in a timely and effective manner. This evaluation analysed the different nutritional strategies implemented in Marial Lou between 2003 and 2006 in terms of appropriateness, effectiveness and efficiency, and, identified recommendations for future similar contexts. The evaluation team was also requested to extend the analysis of outcome data to those of the Niger nutrition program 2005 and 2006, for better comparison of results.