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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 www.insideOCB.com.

Country/Region

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
01/12/2013

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
01/08/2013

In 2009/2010 following the decentralisation of HIV care to primary health care in Maputo City, the former MSF-OCG Alto Maé day hospital was transformed into the chronic care HIV referral centre Centro de Referência Alto Maé (CRAM) with a double purpose: 1) to provide a safety net for the health centres of Chamanculo health area for the clinical management of complex HIV patients that do not require hospitalisation and 2) to reduce the workload of Maputo’s referral hospitals.

This evaluation was conducted by Eric Goemaere and Heidi Becher on behalf of the Vienna Evaluation Unit.
01/06/2013

The evaluation looks at how MSF-OCB support in Mavalane is percieved by stakeholders and gives orientation to the planing for handover of 1st line support activities. The evaluation identifies the important role MSF plays in HIV programming in Mozambique; MSF comes out strongly as an advocate, a technical partner and a motor for change.

Heidi Becher
28/09/2012

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
01/06/2011

The HIV/AIDS project in Chamanculo Health area has achieved an impressive coverage of the ART treatment through the well-applied decentralization and task-shifting strategies. The evaluation demonstrated that the quality of the care was not compromised through this process. This decentralization model shall be valuable for the MoH to scale-up their ART treatment coverage in other areas of this resource-poor country.

Heidi Becher and Beatrice Crahay
01/04/2011

Médecins Sans Frontières has been running HIV/AIDS treatment programmes since 2001. As national systems scaled up capacity, MSF began to hand over HIV projects in 2005. Variable experience with handover and internal debates about MSF responsibility to patients led OCG to propose an evaluation of the handover process, to learn from experience and inform policy and practice. A qualitative review was carried out through interviews, case studies in Cameroon and Laos, and review of other vertical and integrated HIV projects.

Dr. Rosamund Lewis and Dr. PehrOlov Pehrson
01/01/2009

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
01/06/2008

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
01/11/2007

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
01/05/2007

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