Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal 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


The objective of this lessons learnt exercise was to assess the advantages and disadvantages of the UNITAID grant governance and management model for project achievements in terms of medical (and related) outcomes, strategic decisions, the potential for collaboration between multiple MSF entities and to leverage the learnings for replication in future projects. The exercise showed that the project directly delivered a new, more effective, simpler and much cheaper treatment to patients across seven countries.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Hugues Juillerat, Sharon McClenaghan and Glenn O’Neil of TRAASS International.

In the last decade, while facing increasingly complex “projects”, MSF-OCP has chosen to add means to improve its interventions. This results in the actual growth syndrome of MSF-OCP HQ departments, which is also significantly impacting country coordination (CC) set-ups and means. New scenarios should be tested, notably for mono-projects (to revise), the idea being to reduce CC set-ups whenever possible. Resources' analyses highlight the importance of competent persons to follow (coordinators & key positions), including PCs, with a clearer career path.

Marie‐Laure Le Coconnier

Through an analysis of the events that have marked MSF’s history since 2003, this series of case studies and historical accounts describes the evolution of MSF's humanitarian ambitions, the resistance to these ambitions and the political arrangements that overcame this resistance (or that failed to do so).

edited by Claire Magone, Michaël Neuman, Fabrice Weissman

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


French report. MSF launched a project in Mali in September 2007 to treat Vesicovaginal fistula (VVF) which continued until January 2008. This cost analysis study was conducted in response to concerns about the high costs of the surgical procedure.

Please note: this report is not available online. Please email to request access.

Guillaume Jouquet