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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.

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Country/Region

The objective of this review was to assess the response of OCG, focusing on the Freetown Prince of Wales Ebola Treatment Centre, Sierra Leone (open Dec 2014 to end of Feb 2015) and to reflect on the ability to incorporate “real time lessons learned” during the ongoing management of the outbreak. The evaluation focused on operational infrastructure management (including laboratories), medical & nursing care management, epidemiological control measures, community engagement & mobilisation, capacity building, relationship with other actors and research. 

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Claire Bayntun and Stuart Alexander Zimble.
03/05/2016

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.
26/04/2016

Given that community HIV testing is often more expensive than HF-based testing, this evaluation aims to fully understand the relative advantages of community testing modalities. MSF has been providing 3 modalities of community HIV testing in KZN since late 2012, to complement the standard, health facility (HF)-based testing provided by the Department of Health. Fixed sites (FS), Mobile 1-Stop Shops (M1SS) and Door-to-Door Community Health Agents (CHAPs) provide testing throughout the project area of Eshowe, Mbongolowane and the adjacent rural areas.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Richard Bedell.
21/04/2016

Full version and short version available. This evaluation of the viral load (VL) monitoring system was commissioned in order to more fully understand the experience and outcomes of the introduction and scale-up of VL in one district of Zimbabwe but also undertaken with a view to the national scale-up of VL monitoring, and the general issue of VL monitoring in sub-Saharan Africa in light of the UNAIDS 90-90-90 targets. The report details five clear recommendations to reach undetectable viral load.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Richard Bedell.
21/04/2016

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Silvia Gurrola Bonilla, MSc. and Regina Escudero Durán, MD.
23/02/2016

In recent years, MSF has noted that ‘social violence’ is strongly linked to health exclusion and dysfunctional health systems. Therefore, the Operational Centre Geneva (OCG) initiated an intervention in Honduras in 2010 and a project in Nuevo Laredo, Mexico in January 2014. The current evaluation aims to determine the pertinence, appropriateness, effectiveness and impact of the OCG projects in Honduras and Mexico in responding to identified needs.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Silvia Gurrola Bonilla, MSc. and Regina Escudero Durán, MD.
23/02/2016

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a country, put in place a programme and leave without some degree of accountability for what remains after MSF’s departure. This tendency has led the MSF Operational Centre Paris (OCP) to review the handover process of the Homa Bay County Hospital project in Kenya. The main goal of this evaluation is to explore how effective the handover strategy was in contributing to sustainable, comprehensive quality of HIV/TB care in Homa Bay.

This publication was produced at the request of MSF OCP, under the management of the Vienna Evaluation Unit. It was prepared independently by Marielle Bemelmans and Annie Désilets.
18/01/2016

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a country, put in place a programme and leave without some degree of accountability for what remains after MSF’s departure. This tendency has led the MSF Operational Centre Paris (OCP) to review the handover process of the Homa Bay County Hospital project in Kenya. The main goal of this evaluation is to explore how effective the handover strategy was in contributing to sustainable, comprehensive quality of HIV/TB care in Homa Bay.

This publication was produced at the request of MSF OCP, under the management of the Vienna Evaluation Unit. It was prepared independently by Marielle Bemelmans and Annie Désilets.
18/01/2016

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.
01/12/2015

OCB initiated the Kibera project at a time when there was a lack of access to affordable HIV/TB health care and succeeded in providing HIV drugs in Kenya, against all odds. The initial decision to intervene in Kibera was based on need and while the needs remain massive, OCB is no longer alone in providing HIV and TB treatment, hence the opportunity to handover the responsibilities of the health facilities to the Nairobi County to ensure that the population is not abandoned and that the quality care and treatment is continued.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Eddah Kanini.
01/12/2015

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