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 


Since 2014, MSF has been implementing health programs for key populations (KP) mainly along a major transport corridor running through Mozambique and Malawi.

This evaluation was conceived to evaluate each program individually, and then to look at all programs comparatively in order to discern which interventions were most effective. Furthermore, the intention was to consider the sum of the MSF experience in these programs to infer an optimal model of care that responds best to the health needs.


This evaluation was conducted by Richard Bedell & Victoria Bungay under the management of the Stockholm Evaluation Unit of MSF. Finalized in December 2018.

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.

MSF has received UNITAID grants since 2013. For several financial, operational and opportunistic reasons, the opportunity and adequacy of receiving funds from UNITAID was questioned by the MSF medical and operational directors. In October 2014 the MedOp platform took a decision not to seek any further UNITAID funding for a one-year period-ending in October 2015.

This evaluation was conducted by Nicole Henze on behalf of the Stockholm Evaluation Unit of MSF. Finalised in November 2015. This publication was produced at the request of MSF MedOp, under the management of the Stockholm Evaluation Unit. It was prepared independently by Nicole Henze.

This evaluation takes stock of the two and a half year handover process that started in June 2011. The evaluation highlights both the operational strengths and weaknesses and identifies areas for improvement. The work aims to inform the replicability of the handover tools and approach. The evaluation finds that, at patient level, there has been no impact on the continuity of care and that gives a good indication of a sustainable and smooth take over by MoH.

Helene Juillard

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

This document describes the Lessons identified during the emergency phase of the OCA Rakhine intervention. It summarises the successes and challenges encountered during the project, lists the important learning themes arising from these successes and challenges, and includes a set of lessons derived from an analysis of these learning points.

Stockholm Evaluation Unit

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 review of operational choices and decisions in Pakistan was carried out in 2011 and has now been produced in a shorter summary version. The report provides a historical overview of OCB presence in the country and looks at the way that the operational strategy developed over time, both in response to the external factors but also as OCB used a number of strategies to create an operational space. Many of the findings remain valid today within Pakistan and also in similar missions. A full version of the report is available from Stockholm Evaluation Unit.

Boris Stringer

In Malawi, one of the poorest countries in the world according to UNDP, Médecins Sans Frontières Belgium has been supporting MOH in the provision of HIV care since 1997 in Thyolo district, with provision of ART since 2003. MSF is looking to hand over program activities and phase out their presence. This external evaluation was commissioned with the overall objective of studying the perception of other stakeholders’ perception of the MSF support to Thyolo district health services.

Sarah Gharbi