This evaluation is an end of project cycle evaluation. The main purposes, as with all evaluations in MSF-H, are learning and accountability. While the project was initiated with a three year time line, certain activities may continue for the coming two years. The conclusions and results of this evaluation will be used as a guide for future medical programming.

The evaluation describes an evolving approach to address the needs of traumatised internally displaced Indonesians. The evaluation focuses on how MSF responded to new insights documented in lessons learned and trip reports. The purpose of this is to inform a discussion of how to proceed with mental health in Indonesia, which will be formalised in the country policy.

This evaluation concerns the Natural Disaster Emergency Preparedness & Response Programme (NDPrep) executed by MSF-H in Bangladesh and the resulting interventions related to the floods in the period July - November 1998. A field visit to Bangladesh was made from 30 November - 10 December.

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The purpose of this evaluation was to assess the choices in and the approach of the current primary health care (PHC) projects implemented by Médecins Sans Frontières (MSF) in Peru within the framework of the changing socio-political situation in Peru. This evaluation served to document lessons learned which may feed into future decisions on the direction for policy and planning of MSF in Peru.

The Bosnia programme was one of the largest programmes MSF has implemented so far, and it was the first major operation MSF executed in an European environment. There was a widely shared view that the programme had gone “out of control”. As a result, many within MSF considered drug distribution in general as being beyond the scope of MSF. The dominance of drug distribution in the programme was perceived to be in contradiction with the medical identity of MSF.

An evaluation of the nutritional situation of accessible areas in Marsabit district, aiming to determine the appropriateness of MSF’s program within the actual situation.

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Since October 1991, the Rift Valley, Western and Nyanza provinces of Kenya have been affected by ethnic clashes. The violence has resulted in over 1,500 deaths and approximately 300,000 displaced people. MSF opened its mission in February 1994. To achieve its goal, 3 key strategies were adopted:1) to provide relief by working through churches & local NGOs and strengthening their capacity,2) to hire national staff with the same status and responsibilities than MSF expatriates and 3) to enhance local community participation in the mission activities.

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