Evaluation reports are either openly accessible via pdf download, or accessible via MSF's internal Sharepoint, which is mainly due to the sensitive nature of the operational contexts and resulting content. However, there are ongoing discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as

Towards the end of 2006/ early 2007, MSF-OCB opened a primary health care project in Chhattisgarh, India, part of the Red Corridor within which a low-intensity conflict is taking place between Maoists and Government. The situation remains volatile with potential for the project to remain operational for some years. Within this context, and given no history of previous evaluations, a decision was taken to assess the relevance and impact of the project, as well as the appropriateness of operational strategies in relation to these, including the potential for phase out.

Iesha Singh, Anneli Eriksson and Alexandra Papis

In recent years, MSF has recognized the need to improve its handover process and outcomes. It is no longer satisfactory for the organization to enter a country, put in place a program and leave without taking some accountability for what remains after MSF’s departure. It is in this spirit that I accepted to come to Lesotho to evaluate a handover tool that was implemented here during the initial phase of the handover.

Annie Désilets

The purpose of this document is to provide an overview of the handover of the HIV program to the Bureau of Health (BoH) in the Kahsay Abera Hospital (KAH), Humera, Ethiopia, in 2007. The lessons learnt during the handover process could be of value to other MSF teams faced with an impeding handover of activities to the local health structure. A document in this vein was written directly following the handover in July 2007 however this current text acts as an updated version using the knowledge gained during the ten months following handover.


MSF closed all operations in Lusikisiki at the end of October 2006. That date marked the end of four years of operations setting up a model of comprehensive and decentralized HIV care in one of the poorest and most underserved rural areas in South Africa with a high prevalence of infection. The model implemented has been widely used in South Africa to influence relevant policies. This report looks at the chain of events following the handover and changes in the model of care.


The political context toward HIV and AIDS in South Africa is particularly difficult with a government denying the seriousness of the epidemic, with a minister of health undermining confidence in HIV program, not supporting policy changes nor fully budgeting for HIV program, promoting beetroots, lemon and olive oil to treat AIDS. This paper examines the organisation of the project and the handover

Guillaume Jouquet