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 Alternatively, if you are interested in receiving a copy of an evaluation report, please contact us



MSF closed all operations in Lusikisiki at the end of October 2006. That date marked the end of four years of operations setting up a model of comprehensive and decentralized HIV care in one of the poorest and most underserved rural areas in South Africa with a high prevalence of infection. The model implemented has been widely used in South Africa to influence relevant policies. This report looks at the chain of events following the handover and changes in the model of care.


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

French report. Le projet initial de MSF à Bongor était d'assurer la fonctionnalité correcte d'un centre de formation de Bongor pour la formation des médecins généralistes en chirurgie de base. Une des difficultés quant au déroulement harmonieux du projet était d'éviter d'avoir un service de chirurgie de haute qualité au sein de l'hôpital avec à côté des services de médecine et de pédiatrie connaissant de grandes difficultés et une mauvaise prise en charge des malades.

Guillaume Jouquet

MSF had been working in Honduras and Guatemala in HIV prevention and care of people living with HIV and AIDS for several years before ART projects were started in 2001. In 2005 the projects were handed over to the National AIDS Programme, though MSF-CH kept some staff in both countries to monitor progress. This evaluation was planned a year and a half after handing over the project, to document the perception of people regarding lessons learnt; whether the project was handed over properly; and the quality of care for people living HIV.


This cahier combines a study of the experience and positions of MSF vis-à-vis occupation contexts since the 1980s, and the minutes of a debate with speakers from outside the organisation, exploring the ambiguities of the notion of occupation, the specificities of certain conflict situations and the ensuing operational and political issues for humanitarian organisations. 

Xavier Crombé

In September 2004, the Board of MSF-France decided to undertake a critique of the section’s operations in Darfur in 2003 and 2004. According to the terms of reference, the aim was less to ‘evaluate’ our intervention than to subject it to a critical examination which would enable us to “identify our weaknesses and the ways in which they can be corrected”. It addresses the following issues:

Dr. Corinne Danet, Sophie Delaunay, Dr. Evelyne Depoortere, Fabrice Weissman

MSF-CH did rehabilitate the Mundari hospital in Kajo Keji County (KKC) and did support the existing OPD from September 1997 onward. Environmental- and political factors and an estimated high HIV prevalence did lead to the decision to implement the first time an integrated HIV/AIDS component (2005). Towards the end of the project it was decided that the handover process, as well as the HIV integrated approach and the capacity build during the last 9 years of presence in KKC should be evaluated.


The political context toward HIV and AIDS in South Africa is particularly difficult with a government denying the seriousness of the epidemic, with a minister of health undermining confidence in HIV program, not supporting policy changes nor fully budgeting for HIV program, promoting beetroots, lemon and olive oil to treat AIDS. This paper examines the organisation of the project and the handover

Guillaume Jouquet

2005 was marked by two major natural calamities, the tsunami waves in South East Asia and the earthquake in Kashmir, Pakistan. Both of them were followed by a large intervention of MSF. After the initial assessment, MSF Belgium concentrated his efforts on the district of Bagh. The report will focus on the first 3 months of the intervention. As only a few documents are available, it was requested to reconstitute a chronology of intervention. Secondly, when there was time available, a short description and appreciation of the interventions of the other MSF sections was asked.

William Claus


French report. MSF restarted the activities of the General Reference Hospital in Man in 2003 in order to deliver primary and secondary health care. As well as providing medcidines and medical/surgical material, MSF also provided medical, para-medical, and HR staff to support the hospital. A therapeutic nutrition centre was also opened. MSF also managed 2 other regional hospitals. This evaluation examined the effectiveness and appropriateness of the services provided by MSF.

Marie-Eve Burny