Handover and exit strategy

After 10 years of presence in Zinder, the MSF mission is preparing for a successful handover of the project to the national authorities. The handover process, which started 5 years ago, has been well structured and well
planned. It has followed a step-by-step approach, progressively transferring responsibilities to the national authorities, and has thus avoided jeopardizing the quality of care for the beneficiaries.

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 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.

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

The MSF-OCG handover process of the nutritional programme in Zinder was evaluated with the objective to assess best practices, challenges and lessons learnt

After 10 years in Zinder, the MSF mission is preparing for a successful handover of the project to the national authorities. Most of the work has b

After 10 years in Zinder, the MSF mission is preparing for a successful handover of the project to the national authorities. Most of the work has been comple

The review aimed to capture learnings from this difficult exit process in South Sudan and provides an overview of the root causes identified. Some external f

OCB initiated the Kibera project at a time when there was a lack of access to affordable HIV/TB health care and succeeded in providing HIV drugs in Kenya, ag

This evaluation of the MSF OCB Maputo HIV/Aids Project aims to provide a comprehensive overview of the implementation phases of the MoH handover and related