MSF is committed to the implementation of agreed evaluation outcomes and the systematic follow-up of all evaluations through the relevant departments within the organisation. 

Ownership and utilisation

Ownership of an evaluation is key to a subsequent utilisation of its outcomes. That is why preliminary outcomes are shared and cross-checked with the field team at the end of a field visit, draft reports are shared with the relevant stakeholders for additional feedback and stakeholders and managers have a final opportunity to give input during the presentation workshop. Through these mechanisms, evaluation outcomes are explained and discussed, fostering ownership of the key conclusions and recommendations. 

When an evaluation has been completed, a management response is requested from those who initially commissioned the evaluation – the evaluation ‘owners’.  This ensures that evaluation outcomes are systematically capitalised on.

Internal reflection & change

Dissemination of the evaluation to the broader MSF movement takes place through a systematic report mail-out to the evaluation distribution list consisting of Heads of Missions, operational decision-makers and department managers within MSF. Reports are also posted on the internal associative and executive MSF websites. In addition, a regular Evaluation Newsletter alerts the movement to the latest reports.

Periodically, meta-evaluations are conducted to screen the individual evaluations for repetitive issues of institutional concern. Such meta-reviews also help to maintain an overview of which evaluations have been followed up and how. 

Evaluations thus contribute to knowledge sharing within the movement and help develop and improve overall MSF policies and procedures. It is important to develop and maintain a necessary ‘culture’ of evaluation, which is a prerequisite for meeting the La Mancha aspirations towards internal reflection and accountability.

Further information about MSF’s approach to evaluation of medical humanitarian action, including follow-up procedures, can be found in the MSF Evaluation Manual available under Resources.

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