Evaluation 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. However, there are ongoing discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as


Through an analysis of the events that have marked MSF’s history since 2003, this series of case studies and historical accounts describes the evolution of MSF's humanitarian ambitions, the resistance to these ambitions and the political arrangements that overcame this resistance (or that failed to do so).

edited by Claire Magone, Michaël Neuman, Fabrice Weissman

Towards the end of 2006/ early 2007, MSF-OCB opened a primary health care project in Chhattisgarh, India, part of the Red Corridor within which a low-intensity conflict is taking place between Maoists and Government. The situation remains volatile with potential for the project to remain operational for some years. Within this context, and given no history of previous evaluations, a decision was taken to assess the relevance and impact of the project, as well as the appropriateness of operational strategies in relation to these, including the potential for phase out.

Iesha Singh, Anneli Eriksson and Alexandra Papis

In CAR, MSF’s medical presence finds itself unprecedentedly in the midst of a health desert. MSF intervenes in CAR to provide access to health to populations affected by the conflict in the North. Within this context, 3 MSF sections (MSF-OCBA, OCA, OCP) in CAR since 2006 requested an evaluation of their hospital-based projects. This work involves the comparison of the three projects (hospital + outreach activities) and the analysis of factors in the face of a potential handover to the MoH or other actors present in the area.

Isabelle Voiret and Vincent Brown

This review of operational choices and decisions in Pakistan was carried out in 2011 and has now been produced in a shorter summary version. The report provides a historical overview of OCB presence in the country and looks at the way that the operational strategy developed over time, both in response to the external factors but also as OCB used a number of strategies to create an operational space. Many of the findings remain valid today within Pakistan and also in similar missions. A full version of the report is available from Stockholm Evaluation Unit.

Boris Stringer

This 2-day workshop was the first opportunity for the practitioner evaluators from the different MSF sections to share their evaluation experiences among each-other. Based on the recent evaluations presented on the workshop, the common thematic findings were highlighted. Methodological approaches and evaluation processes were analysed; common challenges to good evaluation practices and follow-up were discussed in an empathetic atmosphere. Group discussions tackled some innovative or debatable issues around evaluation.


In February 2011, four MSF staff members acquired Lassa Fever in the MSF-run hospital, GRC (2 of whom died). This led OCB to propose an evaluation of the related events occurring in January-March, in order to learn lessons and possibly adjust internal procedures or processes. A qualitative evaluation was carried out through interviews and document-review.

Mzia Turashvil

A review of the international positions that directly facilitate and coordinate medical and operational issues was initiated by the International Secretary General in August last year. The review should be seen in relation to the on-going reform of MSF’s international governance and in keeping with its commitment to support operations and facilitate international cooperation across the MSF movement.

Anneli Eriksson

This review was commissioned by the International Office in order to look at the performance and effectiveness of the fund and propose recommendations about its future. The main findings highlight the added value of the fund to MSF and the unbureaucratic nature of the fund management, though it has not reached all of its objectives. While the fund has succeeded to place “innovation” as a central topic within MSF, reporting and dissemination of results remain its weakest parts. Insufficient attention is given to clear communication, guidance and follow up throughout the funding process.

Sabine Kampmüller and Mzia Turashvili

This evaluation report is part of the overall report "Enriched or Confined? MSF-Engagement in Local Partnerships".

Annie Désilets