Ebola intervention in Equateur province

Reports

Our reports are either openly accessible via pdf download, or accessible via MSF's internal Sharepoint, which is mainly due to the sensitive nature of the operational contexts and resulting content.

Mbare ASRH Clinic

Mbare ASRH project in Zimbabwe

After 5 years of implementation, MSF wanted to organize a roundtable discussion to assess the Mbare Adolescent Sexual and Reproductive Health project’s relevance, effectiveness and future in hindsight, current sight and with foresight. To support this roundtable, the SEU conducted a follow-up exercise three years after an initial evaluation took place.

Enhancing access to maternal health care in Sierra Leone

Evaluation of the MSF-OCB’s maternal and child health project in Kenema, Sierra Leone

The evaluation was conducted to assess the project’s implementation, effectiveness, and plausible impact, with the aim of generating recommendations to guide its progress through the remaining timeline (2024–2029) and inform its exit phase.

Khost Maternal Health Project

Evaluation of the Khost Maternal Health Project, Afghanistan

Initiated in 2011, the Khost Maternal Health Project (KMH) in Afghanistan aims to reduce neonatal and maternal mortality in Khost province by providing Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) services.

MSF supports access to healthcare to key population groups in Beira

Evaluation of the decentralisation through mentorship in Beira, Mozambique

This evaluation of the mentorship component of HIV/TB and SRH services decentralisation at the primary healthcare facilities within the Beira HIV project provides insights into its relevance, coherence, effectiveness, impact, and replicability.

Kiambu MAT clinic

Evaluation of the Handover Process of the Kiambu Project, Kenya

Over five years, MSF provided Medication-Assisted Treatment (MAT) for People Who Use Drugs (PWUD) in Kiambu, Kenya.
In 2024, with the project coming to its end, the MSF team wanted to assess how successful the handover process was.

Survivors of Sexual Violence

Summary Paper on MSF experience in Survivors of Torture and Ill Treatment (SOiT) projects

The objective of this exercise is to summarise the experiences of MSF working with survivors of torture and ill treatment (SOiT), ensuring they are considered when embarking in future similar activities or simply to keep a record of MSF’s achievements and challenges.

Patient taking her methadon dosis

I can change my life: Perceptions and experiences of people who use drugs engaging in medically assisted therapy in Kiambu County, Kenya

The Médecins Sans Frontières (MSF) Kiambu People Who Use Drugs (PWUD) project, which started in September 2019, had enrolled 590 PWUD in its Medically Assisted Therapy (MAT) program by April 2022. This project provides a one-stop-shop model, offering a comprehensive range of medical and psychosocial services. This study aimed to explore how PWUD navigate from heroin use to MAT enrolment.

Surayo with MSF nurse Shakhlo

Evaluation of the Medical Operations Manager (MOM) in MSF Germany

This evaluation highlights both strengths and challenges of the MOM model, including opportunities for the future based on lessons learned from this experience.

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Evaluation of the MSF Germany Strategic Plan 2021 - 2024

This evaluation report summarises key learning around MSF-Germany’s (MSF-G) strategic plan (SP) (2021-2024) to improve and inform decisions, support resource allocation and inform strategic priorities for MSF-G’s 2025-2029 SP. This evaluation was commissioned by the MSF-G general director (GD) and head of strategy and planning, and completed by Standard of Proof, in collaboration with the MSF Vienna Evaluation Unit (VEU).

© MSF. Photo mosaic presenting MSF staff from MSF offices in some of the countries where the project ‘People, Respect, and Values’ has been piloted.

Strengthening Diversity, Equity and Inclusion in the MSF Movement through a Grassroots-led Approach

The current evaluation examines PRV's potential in promoting DEI within MSF, using the PRV Framework’s grassroots approach as a benchmark for its potential wider application throughout MSF missions. The evaluation objectives included determining the Framework's capacity to promote DEI, pinpointing essential factors for its successful deployment, documenting the concrete outcomes from its pilot implementations, and generating insights to guide future DEI efforts within MSF.

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SEU Annual Report 2023

SEU Annual report for 2023 including annexes

A person in hazmat suit looking out through a window

Evaluation of MSF's Lassa Fever Project in Abakaliki, Nigeria

At the request of the authorities and the Alex Ekwueme Federal University Teaching Hospital of
Abakaliki (AE-FUTHA), a team from Médecins Sans Frontières (MSF) - Operational Centre Brussels
(OCB) supported AE-FUTHA’s response to the outbreak in Ebonyi State. This emergency intervention
led to an interest in having a longer-term project to continue to support the Lassa fever response and
build institutional capacity for this neglected disease. As a result, a four-year project in Abakaliki
started end of 2018 and was later extended until 2025.

In order to improve the relevance, effectiveness and quality of its interventions, MSF, decided to conduct an
evaluation of the Abakaliki project from its onset until the end of 2022.

Dr Chenery Lim

An Evaluation of the MSF SEEAP Project Outcomes 2020-2023

The Southeast and East Asia-Pacific Project (SEEAP) is a formal partnership between the Institutional members of MSF Hong Kong, Japan, and Australia in close collaboration with the branch office of The Republic of Korea.

Sustained high fatality during TB therapy amid rapid decline in TB mortality at population level:

Despite declining TB notifications in Southern Africa, TB-related deaths
remain high. We describe patient- and population-level trends in TB-related deaths in Eswatini over a period of 11 years.

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Harnessing the hive mind - Review of the Global Health Actors Network (GHAN)

The Global Health Actors Network (GHAN) is made up of people working directly, or with an interest, in global health issues and actors within MSF. The network provides analysis and guidance on advocacy strategies, as a facilitator rather than a gatekeeper. It aims to improve information sharing and support for staff that interact with these actors and initiatives, and to improve MSFs understanding of the global health landscape and health policy trends.

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OCA COVID-19 EVALUATION

This evaluation examines the OCA’s response to the severe threat posed by Covid-19 to people everywhere, including in OCA’s offices; a threat that simultaneously jeopardised existing programming, carried the potential of a worldwide medical crisis, and disrupted core OCA habits in terms of travel, supply, transport, staffing, and security.

CAR : A Forgotten Health Emergency

Evaluation du programme d'incitation basé sur la performance mis en oeuvre à Bangasso, République Centrafricaine

MSF OCB a soutenu la mise en œuvre d'un système de primes basé sur la performance (PBI pour performance based incentive) à l'hôpital de Bangassou, à partir de 2022.L’évaluation avait trois objectifs principaux: documenter la manière dont le système d'incitation basé sur les performances a été conçu et mis en place à l'hôpital de Bangassou ; identifier si les principaux objectifs du système de primes basé sur les performances ont été atteints ; et
déterminer ce qui a fonctionné et quels sont les domaines nécessitant des améliorations.

Bibiche

Improving The Availability & Use of SGBV Services in Kananga Project in Central Kasai, DRC

Improving The Availability & Use of SGBV Services in Kananga Project in Central Kasai, DRC
- Phase 2 Evaluation report (in English and French)

Hands holding certificate from MSF Academy

Evaluation of MSF Academy for Healthcare’s Basic Clinical Nursing Care Training

This evaluation focuses on the basic clinical nursing care (BCNC) training initiative implemented by the Médecins Sans Frontières (MSF) Academy in Kenema, Sierra Leone since 2020 and in Old Fangak (OFG), South Sudan since 2021. The evaluation specifically covers the first implementation of BCNC in these locations to the point of the graduation of the first cohort of nurses in May/June 2022. The specific stated purpose of the evaluation was to assess the value of the BCNC programme in Kenema and OFG. Ultimately key stakeholders wanted to know which results the BCNC has achieved, if they are worth the investment and if potential adaptations could increase the value of the BCNC.

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Review of OCA General Director recruitment and leadership transition crisis

This review report has been commissioned by the Council to improve the ways of working and decision making in the Council through the learning from the recruitment and onboarding of the General Director (GD) and the Council response to issues which arose in this period.

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SEU Annual Report 2022

In 2022, the SEU commissioned a meta evaluation of five years of evaluation to explore their value to MSF Operational Centre Brussels (OCB). The result showed us that we do, and we take with us numerous recommendations for how we can make our work generate even more value. Consequently, we have a clearer understanding, and perhaps even an idea of the implementation, of what quality medical humanitarian evaluation is for MSF. In 2022, we adapted elements of our set-up and our approach, to move us closer to this goal.
Through this annual report, of this specific format, we want to share insight into all important elements – the transversal analysis, how we engage colleagues and consultants, and not least, what happens with the findings.

Two papers are linked in the annual report but also downloadable separately; one on the reoccuring themes and the second on the alignment between evaluations vs OCB's strategic orientations.

Close-up of a person wearing an MSF t-shirt with a stethoscope hanging around his neck (where the photo is cut so no face is visible)

Evaluation of MSF Operational Centre Brussels' Field Recentralisation Programme

The Field Recentralization Programme’s design, implementation and outcomes was the focus of the evaluation commissioned by OCB’s General Director and Director of Operations based on the work completed in Central and Southern Africa. A consultation group representing the Regional Support Groups in the Southern African Region and Central Afrixa, Middle-Eastern countries, catalyst team and OCB Board accompanied the evaluation.

The evaluation was implemented by an evaluation team led by Amjad Idries and managed by the SEU. Recommendations focused on suggestions that could enhance the programme design and implementation in the next phase, looking at, amongst other areas: Leadership, Governance, and Oversight; Programme implementation guidance and communication; and Implementation Monitoring and Evaluation. Download the full report below in English or the translated version in French.

Pair of hands of MSF staff taking blood sample from a patient's arm for a PCR test.

Evaluation of the Hepatitis C Strategy in MSF's Project in Karachi, Pakistan

As of 2020, there were an estimated 57 million people chronically infected with Hepatitis C virus (HCV) globally, with around 10% of these living in Pakistan. OCB has run an HCV project in Machar Colony Karachi since 2015. In 2020, the strategy for 2021-2024 was revised to build on the success and capitalize on earlier experience. This evaluation was conducted with the purpose to reflect and take stock of this revised strategic direction and the likelihood of its success within the given context.

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OCB Meta-Evaluation of SEU Managed Evaluations 2017-2021

The Stockholm Evaluation Unit Steering Committee commissioned this meta-evaluation to assess the quality and value of past evaluations and produce useful processes and products to “maximiz[e] the strategic value of requesting, conducting and making use of [future] evaluations” at Operational Centre Brussels (OCB).

Everybody Breathes: Treating TB in Eshowe, South Africa

Evaluation of the Schools-Based Component of MSF's Eshowe Tuberculosis Programme in South Africa

This evaluation has a specific focus on lessons learned about the design and implementation of the school-based component of the Eshowe TB programme, conditions for success, enablers and challenges to identify considerations for replicability should MSF decide to implement a similar programme elsewhere in South Africa, or internationally.

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Support decentralization - HIV activities - Kinshasa

HIV/AIDS is still a widespread epidemic, where the DRC has an average adult HIV prevalence of 1.2%, with an HIV prevalence of 1.6% in Kinshasa.
MSF OCB works to care for people living with HIV, with activities in Kinshasa since 1993. Since 2002, to address the problem of access to HIV services, MSF launched an HIV project at Kabinda Hospital, a referral hospital southwest of Kinshasa (AIDS project), in collaboration with the Ministry of Health.
In 2022, MSF commissioned a second evaluation of the decentralization component of the project, covering the period 2017 to 2022.

MSF restarts HIV-related activities in Beira after the Cyclone Idai

Evaluation of the AHD Project Component

Mozambique is one of the most severely affected countries by the HIV pandemic. The Médecins Sans Frontières (MSF) – Operational Centre Brussels (OCB) HIV project in Beira started in 2014 as a project for migrants and key populations (KPs). This led to insights into the magnitude of the Advanced HIV Disease (AHD) issue that needed to be addressed. In 2018, MSF introduced an AHD component in the Beira Central Hospital (BCH) and in two health centres (Munhava and to a lesser extent, Ponta Gea). The AHD component covered MSF-run laboratory diagnostics and in-facility case management circuits. During the evaluation period, Cyclone Idai and COVID-19 restrictions were important external factors.

KANANGA Provincial Hospital

Improving the Availability and Use of SGBV Services in Central Kasai, DRC

Improving the Availability and Use of SGBV Services in Central Kasai, DRC - Phase 1 Evaluation Report (in English and French)

Gaza: reconstructing lives after amputations

Final report: Evaluation of the Gaza and Mosul Reconstructive Surgery projects

Evaluation report: Gaza and Mosul MSF reconstructive surgery projects

SEU Annual Report 2021

The Stockholm Evaluation Unit's Annual Report for 2021

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Final Report: Evaluation of Design and Build Process of MSF Health Facilities

Evaluation of Design and Build Process of MSF Health Facilities

Camino

Strategic Review CAMINO (EN/ES) April-July 2022

The strategic review is designed to support the coming discussions on the future of CAMINO. This Report gathers findings and analysis (Section II) and then sets out further questions and issues to be addressed in mapping out CAMINO’s future. The Report breaks down findings and analysis into five
areas.

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Briefing and Debriefing of International Staff in MSF-OCG

The various surveys and evaluations carried out on briefings (BG) and debriefings (DG) have shown that the current system of BG/DG was inadequate. This was partly because of the growing number of recruits on international contracts (expatriates) and has resulted in an increase in briefings and debriefings.

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Evaluación Nueva Capital MSF Honduras

Desde 2012 as tasas de homicidios a nivel nacional han disminuido, pero Tegucigalpa sigue siendo uno de los lugares con las tasas más altas del país, lo que se suma al nivel de insatisfacción con el gobierno. A nivel nacional, MSF sigue siendo un actor principal para la prestación de atención a las víctimas de violencia sexual (VS) y otras situaciones de violencia (OVS), a través de sus programas en Tegucigalpa (Departamento Francisco Mazarron) y en San Pedro Sula/Choloma (Departamento Cortes). El Ministerio de Salud carece de políticas o regulaciones que garanticen la atención médica, salud reproductiva comprensiva o de salud mental de esta población.

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Evaluation de la Composante PTME du projet VIH de MSF à Conakry, Guinée

Evaluation de la composante PTME du projet VIH de MSF à Conakry, Guinée

OCB ops

Staff perceptions after the re-organisation of OCBA’s Medical Network

The Overall Objective, as outlined in the ToR is: “to assess to what extent the 2020 reorganisation of the Medical Network (from hereinafter called Network) has improved initial reasonsfor change (individual and collective needs of the medical network), if it has enabled more efficient collaboration and strategic sparring between OCBA departments and Regional Units, and how it is responding to patients and communities medical-humanitarian needs in MSF field operations”

IRAQ: Tackling multidrug-resistant tuberculosis, one patient at a time

Evaluation of Drug Resistant Tuberculosis (DRTB) Intervention, in Baghdad, Iraq

Evaluation of Drug Resistant Tuberculosis (DRTB) Intervention, in Baghdad, Iraq

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Evaluation of MSF-OCA's Mission to Uzbekistan, 2011-2021

Médecins sans Frontières Operational Centre Amsterdam (MSF OCA) has been working in Uzbekistan from the beginning of 1998 with a profile
of running vertical, specialised medical projects, sometimes on a very advanced technical level. MSF runs its programme in close collaboration with the relevant institutes within the Uzbek Ministry of Health (MoH). MSF in Uzbekistan mainly works through the MoH in an advisory and supportive capacity.

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Evaluation of MSF-OCB’s Ebola Interventions in DRC (2018-2020)

The purpose is to help generate evidence-based proposals for improved scenarios and examples of ‘good practice’ for future Ebola outbreaks. More generally, these findings will contribute to ongoing discussions around the roles and work of the organization within a changing global landscape.

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Evaluation of The Arche Project: Centre of Traumatology in Bujumbura, Burundi

The project aimed to reduce mortality and morbidity related to trauma in the city of Bujumbura and its surroundings. The evaluation focused on the criteria of relevance, coherence, effectiveness, efficiency, impact and sustainability; it also analysed cross-cutting themes of gender and contribution to the preservation of the environment.

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Evaluation of MSF-OCB’s End-to-End Supply Chain

The OCB Supply Chain aims to ensure timely and cost-effective provision of quality goods and services to all MSF OCB projects in highly complex environments. The evaluation assesses the extent to which the objectives of the OCB Supply Chain are being met and identify areas that work and those that need further adjustments.

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Evaluation of COVID-19 Digital Health Promotion

The purpose of this evaluation is to provide an independent assessment of an international sample (n=10) of MSF’s Covid-19 DHP campaigns.

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Evaluation of Maternal and Child, Sexual and Reproductive Health Intervention In El Alto, Bolivia

In 2018, MSF started a project in the city of El Alto, Bolivia. The aim was to contribute to decreasing maternal mortality and morbidity of women and adolescents, by supporting two existing Ministry of Health’s health centres. This evaluation had the purpose to assess the appropriateness, effectiveness, coverage, and efficiency of the intervention.

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Evaluation of The Catalytic Role of Mumbai TB Project with Regards to Policy Changes

The MSF-OCB Mumbai Project aims to improve outcomes of patients with DRTB within targeted areas/facilities within Mumbai, India. The objectives of the evaluation was to systematically describe the DR-TB project approach (the strategy, the model, and activities) and catalytic dimension and the expected outcomes and to evaluate results achieved in terms of policy changes and identify potential lessons learnt.

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Reconciling the perspectives of MSF, the Ministry of Health (and patients) on the quality of care during the Covid-19 epidemic in Malawi (2021)

After a mild first Covid-19 wave, Malawi experienced a short but brutal second wave between mid-December 2020 and February 2021, which put a high strain on the Malawian health system, especially in Blantyre district.

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Mental health conditions and epilepsy in Liberia

This report presents the findings of a medical anthropological analysis conducted within the MSF mental health (MH) project in Monrovia, Liberia. The analysis focused on gaining a deeper understanding of patient and caregivers healing pathways (within and outside the MSF clinics); how traditional and religious healers fit into this and approach care; and how each understands MH conditions/epilepsy and treatments, in order to adopt a more tailored community-based and patient-centred approach which ultimately improves quality of care.

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Mid-Term Evaluation of the Kisangani Emergency Response Team (KERE)

The main goal of this evaluation was to document and analyse the results achieved by the KERE project during the first phase of project implementation (2018-2020) in terms of control of morbidity and mortality, reactivity of response, and efficiency.

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Evaluation of MSF OCBA's COVID-19 Response in Spain

Spain and Italy were the epicentre in Europe with more than 245.000 cases and 27.136 confirmed deaths in Spain during the first wave of COVID-

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"Better dead than being mocked" – Unwanted pregnancy and abortion: an anthropological study on perceptions and attitudes

This study was conducted by Doris Burtscher on behalf of the IO/Task Force for Safe Abortion Care and the MSF Vienna Evaluation Unit to understand and document perception of and attitudes towards unwanted pregnancies and induced abortion, among health care providers, the general population and local leaders in the DRC.

Doris Burtscher / MSF

Medication is like food - Perceived healthcare needs and access to healthcare

This report is the result of an anthropological assessment in South Sudan, in the Greater Pibor Administrative Area (GPAA). The report provides an analysis of the main healthcare needs and current access to healthcare of the population in the GPAA.

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Review of MSF OCG Regionalized Initiatives for Operational Support

Over the last few years MSF Operational Centre Geneva (OCG) has developed several “regionalized” operational initiatives

Evaluation of Adolescents’ Sexual And Reproductive Health Project in Mbare, Zimbabwe

In 2015, MSF initiated an Adolescent Sexual and Reproductive Health (ASRH) project in Mbare, Zimbabwe. A pilot to test innovative models of providing HIV and

MSF-USA’S COVID-19 Evaluation of Seven Projects

The intervention in the US was a response to the COVID-19 pandemic in seven locations: New York, Puerto Rico, the Pueblos, Navajo Nation, Florida, Michigan,

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Evaluation of the MSF Mambasa project (2016-2020) on sexual violence and sexually transmitted infections

Evaluation of MSF's Cervical Cancer Intervention in Gutu, Zimbabwe

The cervical cancer project in Gutu district in Zimbabwe ran from August 2015 until the end of 2020 focusing on cervical cancer prevention, diagnosis and tre

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Evaluation of Eshowe HIV Project

Since 2011, Médecins Sans Frontières (MSF) have been supporting the Government of South Africa’s efforts to “bend the HIV epidemic curves downwar

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Evaluation of the MSF OCBA Tembo project

This Report is an evaluation of the MSF Tembo programme of MSF Operational Centre Barcelona (OCBA). Tembo is a learning and development (L&amp

Evaluation of MSF Reaction Assessment Collaboration Hub – The REACH Project

The evaluation on the REaction Assessment Collaboration Hub (REACH) Project piloted by Médecins Sans Frontières (MSF) was held between December 2020 and Marc

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MSF Treatment & Rehabilitation of Victims of Torture Programs in Four Locations

Prior to 2012, MSF did not run vertical projects for Victims of Torture (VoT), although treatment has been given in many countries for a long time. This eval

Evaluation of MSF-OCB’S Malaria Project in Bili, DRC

This evaluation aims at assessing the Bili project in DRC, since its start in July 2017 until its closure in November 2019. The evaluation focuses on reviewi

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Annual Report 2020 for Stockholm Evaluation Unit (SEU)

This annual report uses MSF Operational Centre Brussels; strategic plans, and more specifically the ones described in the Operational Prospects 2020-2023

Copyright: Melanie Wenger

MSF and Likhaan, the story of a partnership

This capitalisation and lessons learned project was carried out in collaboration with the MSF Philippine mission and the field team working at the Manila sex

Evaluation of Clinical Mentoring in MSF’s NCD Project in Embu, Kenya

In March 2017, MSF-OCB in collaboration with the Division of Non-Communicable Diseases and the Embu county Ministry of Health (MoH), started in Embu county a

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Executive Summary: The practices of traditional healers in Bamaa, Sierra Leone

Executive Summary: The practices of traditional healers in Bamaa, Sierra Leone

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DMC CAR Recommendations

DMC CAR Recommendations

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DRC DMC Recommendations

DRC DMC Recommendations

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VEU Evaluation Report Template, 2021

VEU Evaluation Report Template, 2021

"Free treatment, free death" The practices of traditional healers and their influence on the health-seeking behaviour in Bamaa, Sierra Leone

This report provides an analysis of the practices of traditional healers and their influence on health-seeking behaviour related to maternal and child health

Evaluation of MSF OCBA's Decentralised Models of Care in Malakal, South Sudan

This report examines the case study of Decentralised Models of Care (DMC) implemented in the MSF Operational Centre Barcelona (OCBA) Malakal project in South

Evaluation of MSF OCBA's Decentralised Models of Care in Kalehe, Democratic Republic of Congo

This report examines the case study of Decentralised Models of Care (DMC) implemented in the MSF Operational Centre Barcelona (OCBA) Kalehe project in Democr

Evaluation of MSF OCBA's Decentralised Models of Care in Kabo, Central African Republic

This report examines the case study of Decentralised Models of Care (DMC) implemented in the MSF Operational Centre Barcelona (OCBA) Kabo project in Central

Evaluation of the HIV Decentralisation Initiative, Kinshasa, DRC (in Eng/Fre)

As part of a HIV/AIDS programme in Kinshasa, MSF introduced in 2005 an initiative of decentralising HIV services in primary healthcare (PHC).
The aim

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Cyclone Idai Final Report

Cyclone Idai Final Report

MSF Emergency Response to Cyclone Idai in Mozambique

This evaluation analyses the emergency intervention of MSF in Mozambique in March-May 2019. The five MSF Operational Centers intervened, responding to a cycl

13 Years - Looking back to plan ahead: Lessons learned from Magaria, Niger, 2019

MSF has been working in Magaria, Niger, since 2005. Every year, peaks of malaria and malnutrition have a devastating effect on the local population, particul

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13 years - looking back to plan ahead. MSF-OCG, Magaria Lessons Learned

MSF-OCG has been present in Magaria, Niger since 2005. MSF is confronted with yearly peaks of severe acute malnutrition and malaria, which mainly affect children under five-years-old. Despite MSF’s presence mortality rates during these months often rise above MSF standards, while periodically, mortality rates in the community rise above emergency thresholds. Using both qualitative and quantitative data, we found the project to be relevant for MSF, but some changes could be made to ensure greater efficiency and effectiveness. This includes establishing a long-term strategy, the simplification of protocols, exploring innovative ways to treat malnutrition
and malaria, and perhaps using this as an opportunity to revitalise the general interest in malnutrition

The Use of Antibiotics and its Drivers in MSF OCBA Projects - 4 Case Study Reports

In 2015, MSF operations and medical directors recognised antibiotic resistance (ABR) as a priority and called for the elaboration of an intersectional roadma

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Economic Evaluation of MSF OCA’s 5-priority strategy in DRC South Kivu: Baraka project

This economic evaluation is part of a broader evaluation of “OCA’s 5-priority strategy in DRC South Kivu: Baraka project”. The objective of this economic component is to answer to the following question: “To what extent has the 5-target population strategy improved the manageability of the project in terms of overall project cost (enhanced cost efficiency)?” To do so we propose to compare the costs by nature, the costs by destination and the cost-efficiency
(cost per output) of the Baraka project before and after the change of strategy that started to be implemented by 15 December 2016 with 2-3 months adaptation of activities.

’MSF never gives up’ – Lessons learned from Dagahaley Project, OCG Kenya

This report presents a lessons learned exercise of OCG’s ongoing intervention in Dagahaley refugee camp in Kenya. It describes the project’s main

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Review of Middle East Support Office (MESO), 2016-2019

Middle East Support Office (MESO) opened at the end of 2016 with the main goal to provide support to OCG ME missions. While objectives and outcomes were not clearly outlined at the beginning, this became clearer in the following years and adjusted around three main objectives/pillars: increase access and acceptance, investing in people and operational support.

Report by Tim McCann

Retrospect: Philippines Lessons Learned Workshop

This document describes the Lessons identified during the emergency phase of the MSF Sweden (MSFSE) response to the November 2013 Philippines Disaster. It su

„TIME TO SHINE“: AN EVALUATION OF THE MSF SWEDEN INNOVATION UNIT (SIU), 2014 - 2018

The MSF Sweden Innovation Unit (SIU) aims to promote innovations that help save lives and alleviate suffering, and to develop a culture of innovation within

MSF-OCG Strategic Plan 2016-2019: Progress and Lessons Learnt Exercise

The review of a Strategic Plan (SP) provides a picture of whether an organisation has achieved what it intended to do for the set period. Three years into th

Evaluation of MSF-OCB Corridor Programs for Key populations, 2018

Since 2014, MSF has been implementing health programs for key populations (KP) mainly along a major transport corridor running through Mozambique and Malawi.

Evaluation of the Paediatric Days, 2018

The Paediatric Days have been held twice so far (2016 in Stockholm and in Dakar in 2017). A third edition is planned for April 2019, again in Stockholm. The

The Patient Perspective of Quality of Care: A Review of the Literature

CRASH and RIDER proposed to carry out a literature review on recent work on the patient perspective of quality of care. The study sums up seventy articl

Operational History. MSF France intervention in north-eastern Nigeria war (2015-2016). A 15 episodes operational series

RIDER, CRASH and Epicentre have finalized a critical review of the operations of MSF France in Borno, Nigeria, from 2015 to 2016.
***English and Fren

Understanding health practices for women and under 5 years old children in the villages of Moissala district, Chad

This report examines knowledge and practices of the inhabitants of Moissala Rural District in Chad regarding sexual, reproductive and pediatric health as wel

Clinical Management of Acute Coronary Syndromes in Chechnya - MSF's Experience in Hospital No. 9 in Grozny, Chechnya Republic, Russian Federation, 2010-2017

After seven years of existence and shortly before its closure, Cell 2 and the Direction of Operations launched a lessons-learned exercise of the Cardiovascul

"Better dead than being mocked" – Unwanted pregnancy and abortion: an anthropological study on perceptions and attitudes COMPILED REPORT

This compiled report on unwanted pregnancy and unsafe abortion in the DRC presents the most important findings and recommendations of three studies conducted

“Deseado no era pero querido es” – An anthropological study on perceptions and attitudes on abortions and unwanted pregnancies in Choloma, Honduras

Understanding attitudes and perceptions of unwanted pregnancies and abortions in Choloma/ Honduras has to do with Christianity, pro-life politics, a strict a

Lessons Learnt: The MSF governance model of the UNITAID Grant “Ensuring access to the HCV treatment - revolution for HCV/HIV co-infected patients in LMICs”

The objective of this lessons learnt exercise was to assess the advantages and disadvantages of the UNITAID grant governance and management model for project

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MSF OCBA Ebola Response in the Democratic Republic of Congo, Province Equateur, 2018

The objective of this exercise is to reflect on the recent OCBA Ebola intervention in Province Equateur, DRC, in order to understand the actual in-house capacities in this field. This reflection exercise aims further to serve as the trigger for a broader exercise where, once the main findings and
conclusions are shared and acknowledged by key OCBA stakeholders with regard to VHF response, OCBA ambitions on the domain of Ebola response will be discussed again. Finally, the outcome of that broader exercise could be, considering the result of this capitalization as the baseline situation, the design and implementation of an action plan that should contribute to fulfil those ambitions. This capitalization exercise intended to explore strengths and weaknesses of OCBA’s response; what seems to have worked well and what didn’t regarding the resources deployed; how adequate were the strategies defined and their implementation for the different pillars and aspects of the response.

“The child is like water, without any form”: Unwanted pregnancy and abortion – an anthropological study on perceptions and attitudes

Since unwanted/unintended pregnancy and unsafe abortion contribute significantly to the burden of ill health, maternal suffering and death in the Democratic

“BETTER DEAD THAN BEING MOCKED*”: UNWANTED PREGNANCY AND ABORTION - AN ANTHROPOLOGICAL STUDY ON PERCEPTIONS AND ATTITUDES

Since unwanted/unintended pregnancy and unsafe abortion contribute significantly to the burden of ill health, maternal suffering and death in the Democratic

“WHEN IT (ABORTION) DOES NOT WORK”: UNWANTED PREGNANCY AND ABORTION - AN ANTHROPOLOGICAL STUDY ON PERCEPTIONS AND ATTITUDES

Since unwanted/unintended pregnancy and unsafe abortion contribute significantly to the burden of ill health, maternal suffering and death in the Democratic

Evaluation of the EMR Deployment in Kabinda HIV Hospital in Kinshasa, DRC (2018)

MSF-OCB requested the Stockholm Evaluation Unit to conduct the evaluation of the introduction of an Electronic Medical Record (EMR) in Kabinda HIV Hospital (

CHOLERA IN TIME OF WAR – EVALUATION OF THE MSF-OCBA CHOLERA RESPONSE IN YEMEN

This evaluation was commissioned with the objective to enhance future operational performance by means of lessons learned from the intervention in Hajjah Gov

Capitalisation des projets MSF-OCG dans le Sud Irumu, Ituri, RDC – Réussites et difficultés selon les différentes approches stratégiques

The objective of this evaluation was to compare the substitutional approach in Gety project to the approach focused on capacity building and skills transfer

Strategic Review of the Vienna Evaluation Unit 2005 - 2017

Strategic Review of the Vienna Evaluation Unit 2005 - 2017