Au cours des dernières années, MSF-OCG a élaboré une politique opérationnelle avec l'ambition d'augmenter et d'améliorer la quantité et la qualité des structures de soins secondaires (ou soins hospitaliers). Cette situation a incité MSF à examiner de plus près les défis, les enseignements et les réalisations en matière de gestion hospitalière afin d'élaborer des stratégies gagnantes pour le démarrage, l'opération et la fermeture de projets pour patients hospitalisés, dans tous les types de contextes.

The review of the IRP2 system was conducted from February to September 2017 with the goal to measure the relevance, effectiveness, appropriateness, and connectedness of the system. The evaluation also had the mandate to formulate recommendations for adjustments to the IRP2 system where appropriate.

MSFeCARE is an electronic clinical decision support system designed to improve quality of care and rational use of antibiotics for childhood illnesses in children <5 years in primary health care. To assess the health workers’, patients’ and communities’ perception of MSFeCARE and its impact on consultation process we conducted a qualitative study six months after MSFeCARE deployment in Central African Republic.

OCB has undertaken to learn from its emergency intervention to support the victims of Hurricane Matthew, during which it experienced difficulties providing shelter and reconstruction relief. The aim is to evaluate the distribution of reconstruction materials in remote and hard to reach areas covering the entire duration and geographical area; Grand’Anse and Sud Department from 6 October 2016 to 20 February 2017.

OCBA commenced a new mental health intervention in the city of Buenaventura in February 2015 with the aim to support victims of violence. The project was set up to demonstrate an innovative approach with two principle elements: a) a focus on a mass media campaign as the main means of communication, and b) a provision of therapeutic sessions on the phone.

In November 2015, MSF-OCB launched a pilot initiative, the Field Opportunity Envelope (FOE), with the objective to give autonomy to field staffs to rapidly and without validation meet the needs of the communities in their intervention area. Each project could request either 100,000 or 200,000 euros, provided that their initiative met a set of criteria. This light review aims to take stock of how it has been received and used by operations and make recommendations for its future development.

It has been five years since MSF-OCB´s first concrete actions on torture and three years since the launch of the torture rehabilitations projects. Sufficient time has now elapsed to evaluate MSF´s trio of clinics and to make recommendations for their improvement, as well as to identify cross-cutting lessons applicable to future efforts in similar contexts. This is especially important as the clinics represent the first experiences for MSF in the specialized rehabilitation of victims.

In 2015 MSF-OCB launched a review to assess the perception, by the field teams, of an increased organisational “bureaucratic” burden. The review spanned three phases, from problem identification, to an in depth field study, to a final phase of webinars to improve the coverage and overall accuracy of the findings. The review process culminated in 2 missions agreeing to pilot a new monitoring and reporting system based on the principles coming out of the review, starting asap

In May 2016, concerns were raised at OCB HQ about the potential underestimation of the general IRFFG implementation costs. The OCB mission in Haiti had to retroactively disburse an unbudgeted 1.33M€ of severance pay to their staff, more than a year after the IRFFG implementation in the country.

In the last few years, MSF OCG has developed an Operational Policy with the ambition to increase and improve the quantity and quality of secondary health care structures (or inpatient care). This recognition has prompted the organization to take a closer look at the challenges, lessons and accomplishments in terms of hospital management to develop strategies that will enable the organization to successfully set up, govern, implement and exit inpatient projects in all types of contexts.

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