SEU

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. 

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.

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.

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.

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.

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). 

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

The Stockholm Evaluation Unit's Annual Report for 2021

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.

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