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



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

MSF OCP Field Coordinators requested this review in order to clarify the future perspectives related to this long term mission with stakeholders and field visits in West Bank; it allowed to confirm the relevance of working in Palestinian Occupied territories (PoT), but future operational objectives need to be reconsidered and adapted to the on-going context in West bank, such as areas of intervention or target populations (analyses were based on main historical events over time and operational response, MSF and Partners - EU/Echo invited - NGOs met on the spot).

Claire Beuzelin, Vincent Brown

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 report summarises the key lessons learned from MSF's cholera interventions in Zambia 2004, 2006, 2008, 2010 (OCBA), Guinea Bissau 2005-2008 (OCBA), Juba 2006 (OCBA), Haiti 2010-2011 (OCBA), Angola 2006 (OCB, OCA, OCBA), Zimbabwe 2009 (OCB, OCA, OCBA)

M Iscla

L’analyse montre un équilibre encore fragile pour divers volets des projets (RH, qualité/standards souhaités, intégration éventuelle, etc …avant d’envisager des scénarios « à terme » avec le Min. Santé. Une vision à distance est nécessaire, avec des étapes à préciser.


In CAR, MSF’s medical presence finds itself unprecedentedly in the midst of a health desert. MSF intervenes in CAR to provide access to health to populations affected by the conflict in the North. Within this context, 3 MSF sections (MSF-OCBA, OCA, OCP) in CAR since 2006 requested an evaluation of their hospital-based projects. This work involves the comparison of the three projects (hospital + outreach activities) and the analysis of factors in the face of a potential handover to the MoH or other actors present in the area.

Isabelle Voiret and Vincent Brown

The analysis shows a still fragile equilibrium for several components of these projects: HR, Quality Standards expected, possibilities of integration in RCA etc. Before imagining handover scenarios with the MOH and/or others actors, MSF needs to take a longer term view and define carefully the steps.

Isabelle Voiret, Vincent Brown

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