Lessons Learnt: The MSF governance model of the UNITAID Grant “Ensuring access to the HCV treatment - revolution for HCV/HIV co-infected patients in LMICs” (2018) public
With the support of USD 13.6 million grant from UNITAID, in 2015 MSF set up screening and treatment of HCV/HIV co-infected patients in 8 sites in 7 countries within existing MSF HIV projects, and carried out related operational research, legal and regulatory work as well as advocacy. MSF estimated that the total costs of these HIV projects were USD 48 million with the UNITAID grant contributing some 30% of the costs. The UNITAID funding for this project commenced in January 2015 and ceased in June 2018. The grant was led by OCG and implemented in collaboration between Epicentre, Access Campaign (AC), four OCs (OCB, OCG, OCP, OCA and MSF UK), Imperial College and University of Bristol. This report identifies lessons in the areas of project strategy, management set-up and working with donors. With UNITAID funding for MSF’s HCV work finishing, it is anticipated that MSF will continue with many aspects of the project; the long-term impact of the grant will be seen as the simplified models of care and cheaper treatments will be rolled out in other countries. As of September 2018, UNITAID’s new strategy for HCV remains to be defined but it is hoped it will build on the achievements to date in HCV of this and other projects.
MSF OCB Stop Stock Out Project , South Africa (2016) (2017) public
The Stop Stock Out project (SSP) was formed in the aftermath of a high profile depot crisis in South Africa in 2012/3, with six organisations already dealing with drug stock outs joining forces to tackle the issue. Largely focused on anti-retrovirals (ARVs) and TB medication, from the beginning the SSP has tasked itself to hold government accountable, to perform a watchdog role and to present the patient view on stock outs. The overall objective of the evaluation was to evaluate the impact and effectiveness of the SSP and specific objectives included evaluating the SSP's impact on provincial/national government policy and reform, on community mobilisation to address stock outs, on creating an effective advocacy consortium on health and HIV, on strengthening a regional stop stock outs movement and on assessing replicability regionally and in other service areas.
Evaluation of the added value, benefits, challenges and risks of the MSF-UNITAID collaboration (2015) internal
MSF began receiving UNITAID grants in 2013. In October 2014 the Medical and Operations Directors Platform took a decision not to seek any further UNITAID funding for a one-year period-ending in October 2015. This evaluation was commissioned in order to provide an understanding of the added value, benefits, challenges and risks of MSF’s collaboration with UNITAID. It assessed the overall relationship between MSF and UNITAID, the influence of UNITAID on MSF’s operations, internal procedures and intersectional work, and the capacity of MSF to influence UNITAID through being an implementing partner.
Engaging in Partnership: the experience of MSF and hCa in Turkey (2014) internal
In 2008 OCBA made the decision to implement operations in Turkey working with a local organization called Helsinki Citizens Assembly on a project addressing the mental health needs of undocumented migrants and refugees. This evaluation was conducted to assess whether the partnership was achieving its objectives and responding to demonstrated needs, to understand the positive and negative consequences of the partnership and what the future held for the partnership.
Four separate field evaluations in DRC, Kenya, Niger and North Korea (see below) as well as a desk review of seven additional partnerships (North Sudan, Somalia, Haiti, Honduras, Kenya, Liberia, and South Africa) were conducted to gain a wider understanding of MSF’s experience of partnership. This evaluation aimed at gaining perspectives on and learning from current partnership practices, informing the debate on MSF’s policy on partnerships and providing guidance for future engagement.
version française: MSF-Suisse et les Partenariats "Locaux" à Bunia, RDC (2011)
Local Partnership of MSF-OCG and the DNTD (and Recommendations for Handover of Kacheliba KA Project) (2011)
In 1985 a small clinic, Clinique Bon Sauveur, was established in Cange which is located in the central region of Haiti. Partners in Health (PIH) was created 2 years later (1987) in Boston, USA, and with its national arm Zanmi Lasante, it is the Organization responsible for the coordination of the Cange project. Cange became the first project of PIH, which presently coordinates 12 projects in Haiti, all in partnership with the Ministry of Health. The hospital offers free medical care to the community and its catchment area covers approximately 1.2 million people. In response to rising demand for anaesthetists, MSF OCB launched a training programme in partnership with the Ministry of Health and PIH. This evaluation was conducted to assess the success of the course, in particular in terms of the course content, the positive/negative aspects of the course, and the impact of MSF's contribution.