An Evaluation of MSF‘s Field Simulation Transformational Investment Capacity (TIC) Programme 2022-2024
This evaluation examines the comprehensive impact and effectiveness of Médecins Sans Frontières' Field Simulation program, supported by a Transformational Investment Capacity (TIC) grant, a groundbreaking initiative implemented from June 2022 to 2024.
The program aimed to increase the use of simulation in MSF as a tool for learning, improvement, and innovation, with the goal of enhancing staff knowledge, skills, abilities, and confidence; improving MSF systems and processes through simulation; and ultimately contributing to quality improvement in humanitarian medical activities. During the program timeline, simulation efforts focused primarily on OCP, OCBA, and the Dakar regional hub via the Intersectional Medical platform, reflecting operational centers most actively engaged in developing simulation. Resources developed by the program were designed to be accessible for future use by all MSF operational centers.
The evaluation focuses on three critical dimensions of the program's success: the development of accessible and diverse learning solutions for simulation capacity building, embedding simulation methodologies into MSF’s operational ecosystems and processes, and demonstrating innovative applications of simulation to support humanitarian action across diverse operational domains within MSF, guided by a recognized simulation framework.
Through a rigorous mixed-methods approach, this assessment provides evidence-based insights into how simulation technology and methodology have been progressively adopted across MSF's global operations, the extent to which these interventions have improved medical care quality and staff preparedness, and the sustainability of simulation integration within MSF's strategic framework. The evaluation serves as both an accountability measure for the TIC investment and a roadmap for future simulation development within the humanitarian medical sector.
Building on the knowledge generated through the TIC grant, MSF can maximize impact by investing in shared simulation resources and cross-OC coordination. This intersectional approach will help embed simulation practices system-wide, strengthen capacity, and ensure efficient use of expertise and materials for quality improvement across all core humanitarian functions.