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

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

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 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

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