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.

After a very intense and difficult one week response to support the MoH Hospital with specialised burn trauma capacity, the cell and mission brought in Stockholm Evaluation Unit to facilitate an internal Retrospect process to help the team identify key lessons and to bring closure to the project team. Note, the Retrospect does not aim to make independent judgement or analysis, only to facilitate bringing out the lessons and to help synthesize these into actionable outcomes.

This study was conducted to help identify factors for improving compliance to the programme, linkage and retention to care. The objectives included providing information and recommendations to the project team in order to support their understanding of local culture, health care perceptions and mobility patterns of the local fishing population, helping the team to formulate adapted messages and medical strategies as well as providing reports and tools to the project team to improve medical activities.

Since MSF’s return to Afghanistan in 2009, its operations on the ground have been monitored with a spyglass, unlike any other mission in this kind of environment. Consequently, OCs have been pushed to innovate but also remain critical vis-a-vis their respective strategies and the overall modus operandi of the Afghan mission. This evaluation of the single representation set up aims to analyse and learn from the current state of affairs of the Afghan mission in view of possible ways forward.

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