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Evaluation reports are either openly accessible via pdf download, or accessible via MSF's internal Sharepoint, which is mainly due to the sensitive nature of the operational contexts and resulting content. However, there are ongoing 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

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

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
01/05/2007

MSF's HIV/AIDS project in Thyolo district, Malawi was one of the MSF movement's earliest efforts to address HIV/AIDS in sub-Saharan Africa, beginning in 1997. The handover of project responsibilities from MSF Luxembourg to MSF Belgium took place in 2005. MSF Belgium agreed to undertake this external evaluation of the project with the goal of assessing the project's performance, identifying constraints preventing the achievement of its goals, and proposing recommendations to improve overall effectiveness.

David Evans
01/11/2007

In May 2007 MSF-OCA integrated the drug-resistant tuberculosis (DR-TB) treatment programme into the horizontal primary and secondary health care programme at Shabunda, located in South Kivu District of Democratic Republic of Congo (DRC). The three patients were started on the DR-TB treatment on 17th May 2007. MSF closed the project by the end of 2007, but continued taking responsibility for the treatment of the three DR-TB patients through remote supervision by providing medical, laboratory and social support.

05/10/2009

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
01/03/2007

The purpose of this document is to provide an overview of the handover of the HIV program to the Bureau of Health (BoH) in the Kahsay Abera Hospital (KAH), Humera, Ethiopia, in 2007. The lessons learnt during the handover process could be of value to other MSF teams faced with an impeding handover of activities to the local health structure. A document in this vein was written directly following the handover in July 2007 however this current text acts as an updated version using the knowledge gained during the ten months following handover.

17/03/2008

Following the handover of AIDS treatment programs to the authorities of Guatemala, MSF conducted a study to assess various aspects of the continuity of HIV/AIDS care. This review was conducted 18 months after MSF left the Roosevelt hospital, and examined both the clinical data and opinions of staff and patients. Despite some shortfalls in the frequency of laboratory testing and community follow up, the level of care and outcomes for the patients was well maintained by the hospital staff.

01/08/2007

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 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

MSF Operational Centre Barcelona Athens (OCBA) conducted an evaluation of MSF’s withdrawal from Liberia and the transfer of the Benson Hospital – managed since 2005 by MSF OCBA - to the Ministry of Health. The aim is to gain knowledge through this handover process. The preceding evaluation on the Benson Hospital project, carried out in August 2008 (S. Delaunay; S Girvin) recognised that, for MSF OCBA, deciding on the most appropriate withdrawal process would be a challenge.

Géraldine Brun
13/07/2010

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