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



This report describes the OCB Khayelitsha Project, initiated in 2000, as one of the first MSF projects in Africa to introduce antiretroviral treatment (ART) into the public sector. Currently implementing HIV and tuberculosis (TB) programs, it has produced dozens of very well-received publications in peer-reviewed scientific journals, in large part because of its innovative strategies, major investment in a locally driven monitoring and evaluation system, and a long-standing collaboration with the University of Cape Town (UCT), civil society and local health authorities.

Stockholm Evaluation Unit

This evaluation of the MSF OCB Maputo HIV/Aids Project aims to provide a comprehensive overview of the implementation phases of the MoH handover and related consequences to the continuity of patient care, and with the added objective to make clear recommendations towards improvements and replicability of the handover ‘tool’ itself.

Gerard Verbeek

This document describes the Lessons identified during the emergency phase of the OCA Maban 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

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

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.

The OCB intervention in Maban started in 2011 and quickly grew to become the single largest intervention for 2012. Within this extremely challenging and rapidly developing context OCB deployed significant resources to meet the needs of the refugee population. The evaluation looks at the first months of the intervention between the time of the initial assessment and the handover to the emergency desk at the height of the emergency. The report finds that the intervention was seen positively and the outputs highly appreciated by everybody involved.

Boris Stringer and David Curtis

The evaluation of National Emergency Pools MSF-OCP in Nigeria, DRC, and Chad, show variable investments and interest by missions. In certain cases there is a true added value that is recognised by teams prepared and backed up by MSF Coordinations and Paris HQs (with or without the E-desk intervention). After several years of functionning, a clearer frame has to be defined: follow up of carrier path, ad-hoc trainings, technical back up notably for emergency interventions. Periods away from emegencies should allow to improve the emergency response set ups with NEPs.


Given the health needs, the relevance of MSF-OCP intervention in Yida refugee camp (60 000) makes no doubts. Analyses highlight reasons for the delay in scaling up the project in emergency phase, April to August 2012 : if at the end, efficacy/efficiency of operations were ensured, lessosn must be drawn from this intervention. Omitting to set up a surveillance system and refusing to engage in non-medical activities constituted strategic failures.

Pauline Busson & Vincent Brown

L'évaluation des Pool d'Urgence Nationaux MSF-OCP au Nigeria, en RDC, et au Tchad montre des investissements et des intérêts variables selon les missions. Dans certains cas il existe une véritable valeur ajoutée qui est reconnue avec des équipes préparées et épaulées par les Coordinations et le Siège de Paris (ceci avec ou sans intervention du Desk d'Urgence). Après plusieurs années de fonctionnement, un cadre mieux défini reste à établir : suivi de parcours, formations ad-hoc, appui technique en particulier lors d'interventions sur les urgences.


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