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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 www.insideOCB.com.

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MSF OCB commissioned an extensive multi-sectoral critical review of its Ebola intervention. The summary report highlights key findings from all specific reports and draws global conclusions. Lessons have been identified both, for future large scale emergency responses as well as for a next Ebola response. Many of lessons identified are not entirely new, but their importance has been strongly accentuated by the extremity of this health crisis. Priority recommendations are listed in the summary report, while specific recommendations are made in the respective reports.

The following persons have contributed to this report: Virginie Adams, Dr Marie-Pierre Allié, Pierre Beurrier, Murray Biedler, Elio de Bonis, Prof. Robert Colebunder, David Curtis, Gillian Dacey, Veronique de Clerck, Dr Javier Gabaldon, Xavier Henry, Francois Mounis and Veronica Sanchez.
26/04/2016

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a country, put in place a programme and leave without some degree of accountability for what remains after MSF’s departure. This tendency has led the MSF Operational Centre Paris (OCP) to review the handover process of the Homa Bay County Hospital project in Kenya. The main goal of this evaluation is to explore how effective the handover strategy was in contributing to sustainable, comprehensive quality of HIV/TB care in Homa Bay.

This publication was produced at the request of MSF OCP, under the management of the Vienna Evaluation Unit. It was prepared independently by Marielle Bemelmans and Annie Désilets.
18/01/2016

In recent years, MSF has recognised the need to improve its handover process and outcomes. It is no longer satisfactory for the organisation to enter a country, put in place a programme and leave without some degree of accountability for what remains after MSF’s departure. This tendency has led the MSF Operational Centre Paris (OCP) to review the handover process of the Homa Bay County Hospital project in Kenya. The main goal of this evaluation is to explore how effective the handover strategy was in contributing to sustainable, comprehensive quality of HIV/TB care in Homa Bay.

This publication was produced at the request of MSF OCP, under the management of the Vienna Evaluation Unit. It was prepared independently by Marielle Bemelmans and Annie Désilets.
18/01/2016

Full version and short version available. This evaluation of the viral load (VL) monitoring system was commissioned in order to more fully understand the experience and outcomes of the introduction and scale-up of VL in one district of Zimbabwe but also undertaken with a view to the national scale-up of VL monitoring, and the general issue of VL monitoring in sub-Saharan Africa in light of the UNAIDS 90-90-90 targets. The report details five clear recommendations to reach undetectable viral load.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Richard Bedell.
21/04/2016

Given that community HIV testing is often more expensive than HF-based testing, this evaluation aims to fully understand the relative advantages of community testing modalities. MSF has been providing 3 modalities of community HIV testing in KZN since late 2012, to complement the standard, health facility (HF)-based testing provided by the Department of Health. Fixed sites (FS), Mobile 1-Stop Shops (M1SS) and Door-to-Door Community Health Agents (CHAPs) provide testing throughout the project area of Eshowe, Mbongolowane and the adjacent rural areas.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Richard Bedell.
21/04/2016

This evaluation has been triggered by the recent finding that a substantial proportion of the Changara project’s patients had a high VL of more than 3,000 copies/ml (the criteria at the time), raising questions on the efficacy of the counselling services. Although the relationship between counselling and high VL remains unclear, this report details three key recommendations aimed at improving the overall efficacy of the counselling services.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Mranda Brouwer of PHTB Consult. This publication was produced at the request of Médécins sans Frontières. It was prepared independently by Miranda Brouwer of PHTB Consult.
21/04/2016

The objective of this review was to assess the response of OCG, focusing on the Freetown Prince of Wales Ebola Treatment Centre, Sierra Leone (open Dec 2014 to end of Feb 2015) and to reflect on the ability to incorporate “real time lessons learned” during the ongoing management of the outbreak. The evaluation focused on operational infrastructure management (including laboratories), medical & nursing care management, epidemiological control measures, community engagement & mobilisation, capacity building, relationship with other actors and research. 

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Claire Bayntun and Stuart Alexander Zimble.
03/05/2016

Family and Sexual Violence in PNG is pervasive and widespread, centered within the family and the extended family (wantok), and manifests itself as physical or emotional abuse, sexual abuse, and social isolation. There is also a stigma attached to young survivors making it difficult to report. The endemic nature and high rates of violence within the family impact women and children the most in PNG.    

This publication was produced at the request and under the management of MSF OCA, with support from the Stockholm Evaluation Unit. It was prepared independently by Tania Bernath.
30/05/2016

Despite a 5 day SIAs by MOH in 2014, a new outbreak began in Katanga/DRC and spread throughout 2015. A comprehensive, integrated “3 headed” response was chosen by MSF-OCG in 3 Health Zones (HZ) of Tanganyika, including preventive and curative activities (for measles, malaria, and malnutrition): although quite ambitious given available HR resources, this was relevant given these “three” on-going emergencies in Tanganyika.

This publication was produced at the request of MSF OCG, under the management of MSF Paris. It was prepared independently by Cameron Bopp, Marie-Laure Le Coconnier, and Vincent Brown.
27/06/2016

2015 saw the first large scale Meningitis C outbreak in Africa since 1979. A number of challenges and problems had been noted in the way MSF operational sections in Niger, not least in terms of intersectional collaboration. Some lessons from the 2015 response had been captured. When, at the beginning of 2016, all OCs were getting ready again to respond, it was decided to evaluate the 2016 intervention in real-time.

This publication was produced at the request of programme managers for Niger in OCB, OCBA, OCG and OCP, under the management of the Stockholm Evaluation Unit. It was prepared independently by Alyson Froud.
30/06/2016

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