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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.

Topic

Country/Region

In early 2010 MSF/OCB responded to an increase of malaria in northern parts of Burundi The objectives of the intervention were: To reduce morbidity and mortality related to malaria in the area of intervention (general) and to ensure that the population in the area of intervention had access to preventive and curative measures against malaria.

Carina Johansson
01/11/2010

The Gondama Referral Centre (GRC) project is a reference hospital set up by Médecins Sans Frontières – Operational Centre Brussels (MSF-OCB) to provide secondary level healthcare to children under 15 and pregnant and lactating women in Gondama, Bo district in Sierra Leone. The Ministry of Health (MoH) having recently launched a free healthcare policy for the same target group1 provides a window of opportunity for MSF to gradually hand over its activities.

Guillaume Jouquet and Alexis Eggermont
01/07/2010

In recent years, MSF has recognized the need to improve its handover process and outcomes. It is no longer satisfactory for the organization to enter a country, put in place a program and leave without taking some accountability for what remains after MSF’s departure. It is in this spirit that I accepted to come to Lesotho to evaluate a handover tool that was implemented here during the initial phase of the handover.

Annie Désilets
30/04/2010

The hand over of MSF-F Phnom Penh HIV project is a complex process. This HIV cohort is the biggest of MSF OCP to be handed over so far and the hand over is almost directly done to the national health authorities, NGO partners having been identified only for minor parts of the project. In the first part of the report, a narrative description and an evaluation of the main technical aspects of the handover process are presented.

Cristina Orlandini
01/04/2010

In the beginning of 2006, OCB opened a hospital project in Bor, in Jonglei state, South Sudan. This was a little over a year after the CPA (the Comprehensive Peace Agreement) was signed between SPLA and GoS The project soon became one of the highest resources consuming project in an unstable environment. In mid 2008 the decision was taken to close the project. OCB considered that they were unable to manage the hospital. It was not thought that the project in the current format was sustainable security wise, given a number of factors.

Anneli Eriksson
14/01/2010

In September 2009, MSF carried out an assessment of two of its former projects in Karuzi (OCB) and Kinyinya (OCA), Burundi. These two projects were handed over to MOH in 2007 with significant investment from MSF in the handover processes. Following reports of the breakdown of healthcare after MSF’s departure and criticism on the way the handover of these two projects was managed, MSF wanted to assess the current situation in the two sites and document which, if any, handover strategies were successful and led to the continuation of MSF activities.

Frédérique Ponsar and Annie Désilets
27/11/2009

After an initial period of three years in Lesotho, MSF has decided to extend its presence in the country for two more years and to launch a second phase of the project primarily focused on intensifying the transfer of responsibility for the programme to local health authorities and partners. This is due partly to the administrative process now underway in Lesotho to decentralise to local government, coupled with related health sector reforms, which have divided the former catchment area of Scott Hospital Health Service Area into two districts with different management structures.

Guillaume Jouquet
01/07/2009

The overall objective of the evaluation is to identify and describe factors and issues to consider when planning implementation or continuation of Remote Control Programmes (RCPs) as an alternative to cancelling Médecins Sans Frontières (MSF) programme implementation in a particular region/ country.

Martin Braaksma and Mzia Turashvili
01/06/2009

Médecins Sans Frontières has been running HIV/AIDS treatment programmes since 2001. As national systems scaled up capacity, MSF began to hand over HIV projects in 2005. Variable experience with handover and internal debates about MSF responsibility to patients led OCG to propose an evaluation of the handover process, to learn from experience and inform policy and practice. A qualitative review was carried out through interviews, case studies in Cameroon and Laos, and review of other vertical and integrated HIV projects.

Dr. Rosamund Lewis and Dr. PehrOlov Pehrson
01/01/2009

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