Entre fin 2010 et fin 2014, Médecins sans Frontières (MSF) a, dans des conditions extrêmement difficiles, mené un projet de lutte contre la trypanosomiase humaine africaine (THA) ou maladie du sommeil dans la région de Dingila, Ango et Zobia, dans la Province Orientale de la République Démocratique du Congo (RDC). La THA en RDC est causée par Trypanosoma brucei gambiense et y est transmise par des glossines (mouches tsé-tsé) du groupe palpalis. Sans traitement efficace, quasi tous les malades au premier stade et cent pourcent de malades au deuxième stade de la THA meurent.

This study analyses the composition of armed groups and their relationship to the local populations by taking processes of migration, marginalisation and state into consideration. Also, it elaborates on the multi-layered conflicts in the region, the changes related to the crisis, the influx of IDPs as well as the growing importance of religious identity.

Between late 2010 and the end of 2014 and under extremely difficult conditions, Médecins sans Frontières (MSF) carried out a project to combat Human African trypanosomiasis (HAT), also known as sleeping sickness, in the Dingila, Ango and Zobia regions of Orientale Province in the Democratic Republic of Congo (DRC). HAT in DRC is caused by Trypanosoma brucei gambiense and is transmitted by the tsetse fly (Glossina genus) of the Palpalis group. Without effective treatment, virtually all first-stage HAT patients and one hundred per cent of second-stage patients will die.

Cette évaluation de MSF-OCP concerne la revue critique de l’intervention MSF en urgence pour les réfugiés sud-soudanais en Ethiopie, début 2014 (partie de l’intention d’une revue globale des réponses MSF aux crises avec déplacements massifs de pop°– décision du BI/5 DG MSF, 2014). Ici à Gambella, la réponse aux 11 priorités connues / besoins des réfugiés est vérifiée systématiquement – alors que la réactivité initiale est satisfaisante, il existe une certaine perte de savoir-faire dans des domaines opérationnels majeurs (cf détails dans le rapport).

An external evaluation of the support programs has been conducted between April and June 2015. This 360° snapshot was aiming at evaluating the appropriateness, the effectiveness and the impact of the support activities operated from Turkey and Lebanon.

Here is a list of the latest documentation relating to the Critical Review of the OCB Ebola intervention in West Africa in 2014/5. For further information please contact tim.mccann@msf.org

 

View theTerms of Reference (ToR) of the Critical Review 

( See Above PDF attachments) 

 

View short Biographies of the Consultants 

( see Above PDF attachment)

The evaluation looks at the process for managing MSF-OCP's construction/rehabilitation projects since 2012. The main problems identified are not related to the process itself, but the way it is put into application. The main users pointed out the long delays (periods of indicision) as being the biggest difficulty, followed by budget/cost issues (cost/m² estimates) , and the quality of constructions (techniques, materials, etc). One of the root causes of delays relates to unclear/incomplete definition of roles and responsibilities = actions to take.

Medical Innovations in Humanitarian Situations. The work of Médecins Sans Frontières

Through a series of case studies, the authors reflect on how medical aid workers dealt with the incongruity of practicing conventional evidence-based medicine in contexts that require unconventional approaches.

History of MSF’s interactions with investigations and judicial proceedings: Legal or humanitarian testimony?

The document analyses and describes the different initiatives, experiences and positions that MSF has had with regard to international investigations and judicial proceedings.

MSF and protection: pending or closed?

To address protection, however, is to address the question of our responsibility and role when confronted with violence, in the context of healthcare. Has this question been settled once and for all within MSF? In order to provide elements for a reply, the study looks at the practices and discourse, both past and present, employed by MSF (headquarters, field teams, individuals) when faced with situations of violence affecting either the population in general, or the people we assist. It analyses our discourse on responsibility - discourse which has inevitably evolved with the changes in our work environment, particularly states' international actions. The study also tries to identify the constancies within our practices. Three case studies are presented in the appendices.

Pages