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




A series of failures was the starting point for this analysis. Several outbreaks of hepatitis E, transmitted via the water supply, occurred in refugee and IDP sites in the Sahel (Sudan in 2004, and Chad in 2007) and in central Africa (Central African Republic in 2002, and Uganda in 2007). MSF was responsible for all or part of the water supply, as well as medical care. These outbreaks are a reminder that significant infectious risks persists even after we implement our usual procedures.

Jean-Hervé Bradol, Francisco Diaz, Jérôme Léglise, Marc Le Pape

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

MSF OCB commissioned an extensive multi-sectoral critical review of its Ebola intervention. The summary report highlights key findings from all specific reports and draws global conclusions. Lessons have been identified both, for future large scale emergency responses as well as for a next Ebola response. Many of lessons identified are not entirely new, but their importance has been strongly accentuated by the extremity of this health crisis. Priority recommendations are listed in the summary report, while specific recommendations are made in the respective reports.

The following persons have contributed to this report: Virginie Adams, Dr Marie-Pierre Allié, Pierre Beurrier, Murray Biedler, Elio de Bonis, Prof. Robert Colebunder, David Curtis, Gillian Dacey, Veronique de Clerck, Dr Javier Gabaldon, Xavier Henry, Francois Mounis and Veronica Sanchez.

This evaluation has been triggered by the recent finding that a substantial proportion of the Changara project’s patients had a high VL of more than 3,000 copies/ml (the criteria at the time), raising questions on the efficacy of the counselling services. Although the relationship between counselling and high VL remains unclear, this report details three key recommendations aimed at improving the overall efficacy of the counselling services.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Mranda Brouwer of PHTB Consult. This publication was produced at the request of Médécins sans Frontières. It was prepared independently by Miranda Brouwer of PHTB Consult.

During the 2014-2015 Ebola virus disease outbreak in West Africa, MSF built a number of Ebola Treatment Centres (ETCs). MSF set up centres in the three countries at different moments and with different MSF Operational Sections, which resulted in a heterogenic collection of solutions. This review was conducted jointly for all MSF operational centers (OCs). It was commissioned by OCA and was conducted as part of the OCB Ebola review. 

This publication was produced at the request of MSF OCA coordinated within a broader review on OCB's response to the Ebola emergency, under the management of the Stockholm Evaluation Unit. It was prepared independently by Veronica Sanchez Carrera.

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

After an initial period of three years in Lesotho, MSF has decided to extend its presence in the country for two more years and to launch a second phase of the project primarily focused on intensifying the transfer of responsibility for the programme to local health authorities and partners. This is due partly to the administrative process now underway in Lesotho to decentralise to local government, coupled with related health sector reforms, which have divided the former catchment area of Scott Hospital Health Service Area into two districts with different management structures.

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

MSF's HIV/AIDS project in Thyolo district, Malawi was one of the MSF movement's earliest efforts to address HIV/AIDS in sub-Saharan Africa, beginning in 1997. The handover of project responsibilities from MSF Luxembourg to MSF Belgium took place in 2005. MSF Belgium agreed to undertake this external evaluation of the project with the goal of assessing the project's performance, identifying constraints preventing the achievement of its goals, and proposing recommendations to improve overall effectiveness.

David Evans

Following the handover of AIDS treatment programs to the authorities of Guatemala, MSF conducted a study to assess various aspects of the continuity of HIV/AIDS care. This review was conducted 18 months after MSF left the Roosevelt hospital, and examined both the clinical data and opinions of staff and patients. Despite some shortfalls in the frequency of laboratory testing and community follow up, the level of care and outcomes for the patients was well maintained by the hospital staff.