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




This study sheds light on the mechanisms producing the official data used by humanitarian aid decision makers. It views Early Warning Systems (EWS) as tools that facilitate consensus between the decision-makers involved in the allocation of food aid, enabling them to reach institutional agreements. This argument is strengthened by a socio-theoretical analysis and by ethnographic observation of experts' practice in Ethiopia (2002-2004), whose results of food aid evaluations appear as a combination of empirical and political factors.

François Enten

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

This evaluation of MSF OCP concerns the review of MSF-OCP's emergency intervention for South-Sudanese refugees in Ethiopia, early 2014 (part of an intentional global review of MSF response to crises with major population Displacement - decision IB/5 DG, 2014). Here in Gambella, the response to well-known 11 priorities/refugee needs is checked out systematically - while the initial reactivity is fair, there are some limitations concerning know how in key operational domains (cf details in report).

Michel Janssens, Olivier Blondeau, Vincent Brown

Cette évaluation de MSF-OCP concerne la revue critique de l’intervention MSF en urgence pour les réfugiés sud-soudanais en Ethiopie, début 2014 (partie de l’intention d’une revue globale des réponses MSF aux crises avec déplacements massifs de pop°– décision du BI/5 DG MSF, 2014). Ici à Gambella, la réponse aux 11 priorités connues / besoins des réfugiés est vérifiée systématiquement – alors que la réactivité initiale est satisfaisante, il existe une certaine perte de savoir-faire dans des domaines opérationnels majeurs (cf détails dans le rapport).

Michel Janssens, Olivier Blondeau, Vincent Brown

The evaluation looks at the process for managing MSF-OCP's construction/rehabilitation projects since 2012. The main problems identified are not related to the process itself, but the way it is put into application. The main users pointed out the long delays (periods of indicision) as being the biggest difficulty, followed by budget/cost issues (cost/m² estimates) , and the quality of constructions (techniques, materials, etc). One of the root causes of delays relates to unclear/incomplete definition of roles and responsibilities = actions to take.

Nicolas Bérubé & Vincent Brown

In October 2013 MSF developed a proposal for a new WHS strategy for meeting the medical humanitarian needs in large scale emergencies. In May 2015, the MSF Stockholm Evaluation Unit commissioned an evaluation of the 2013 MSF Operational Centre Amsterdam (OCA) strategy for a more offensive WHS approach. The evaluation focused on OCA interventions in South Sudan in Jaman, 2012, Bentui in 2014, CAR/Bossangoa and Bangui in 2014 and Ethiopia/Gambella in 2014. The period of evaluation was the first 3 months of the interventions.


This operational evaluation, requested by the Emergency Department of MSFOCB, concerns only the emergency response in Aceh in the first three months (from 26th Dec 2004). The report illustrates MSF intervention strategy, a description of implemented activities and draws lessons learned from the confronted challenges.


In September 2009, MSF carried out an assessment of two of its former projects in Karuzi (OCB) and Kinyinya (OCA), Burundi. These two projects were handed over to MOH in 2007 with significant investment from MSF in the handover processes. Following reports of the breakdown of healthcare after MSF’s departure and criticism on the way the handover of these two projects was managed, MSF wanted to assess the current situation in the two sites and document which, if any, handover strategies were successful and led to the continuation of MSF activities.

Frédérique Ponsar and Annie Désilets

MSF is one of the pioneering organisations to implement HIV & AIDS related interventions including ART in different settings. Understandably, the organisation is thus often solicited to provide information on cost analysis of programs. This is the purpose of this study into 3 different MSF HIV/AIDS programs: Kenya, DRC and Malawi. The present study proposes a detailed description of the cost for the HIV/AIDS program in Thyolo in Malawi for the period of time from 2005 to 2007. The methodology used is inspired by the “Activity based costing” (ABC approach)

Guillaume Jouquet

This evaluation is best understood as a peer review aimed at learning from the experiences of 3 different sections of MSF operating HIV/AIDS programmes in Malawi. Our aim was to evaluate how specific differences in objectives might impact on programme strategies and whether these differences would be relevant when assessing programme outcomes. The general issues of interest were decentralisation, simplification and task shifting in relation to the expansion of ART services.

Richard Bedell, Jean-Marc Biquet, Alexandra Calmy