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




A series of failures was the starting point for this analysis. Several outbreaks of hepatitis E, transmitted via the water supply, occurred in refugee and IDP sites in the Sahel (Sudan in 2004, and Chad in 2007) and in central Africa (Central African Republic in 2002, and Uganda in 2007). MSF was responsible for all or part of the water supply, as well as medical care. These outbreaks are a reminder that significant infectious risks persists even after we implement our usual procedures.

Jean-Hervé Bradol, Francisco Diaz, Jérôme Léglise, Marc Le Pape

Four years after the 2005 Niger crisis, many things have changed in the nutrition field. This cahier aims at considering this evolution and exploring new possibilities for action for MSF: how can these changes  get MSF to reconsider its own goals and move its areas of intervention? How can new knowledge and the experience gained by our teams since the crisis in Niger lead to new operational ambitions?

Jean-Hervé Bradol, Jean-Hervé Jézéquel

In September 2004, the Board of MSF-France decided to undertake a critique of the section’s operations in Darfur in 2003 and 2004. According to the terms of reference, the aim was less to ‘evaluate’ our intervention than to subject it to a critical examination which would enable us to “identify our weaknesses and the ways in which they can be corrected”. It addresses the following issues:

Dr. Corinne Danet, Sophie Delaunay, Dr. Evelyne Depoortere, Fabrice Weissman

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

La chimio-prévention du paludisme saisonnier (CPS) a été mise en œuvre au Niger depuis 2013, conformément aux recommandations de l'Organisation mondiale de la Santé (OMS) et à la politique nationale de lutte contre le paludisme. Elle se déroule sous la forme d’une campagne de masse qui consiste en l’administration de doses curatives de sulphadoxine-pyriméthamine (SP) et d'amodiaquine (AQ) durant trois jours, à 28 jours d’intervalle entre juillet et novembre, aux enfants de 3 à 59 mois.

by Alena Koscalova

Chemical prevention of seasonal malaria (CPS) has been implemented in Niger since 2013, pursuant to the recommendations of the World Health Organization (WHO) and the national anti-malaria policy. It consists of a mass campaign involving the administration of curative doses of sulphadoxine-pyrimethamine (SP) and amodiaquine (AQ) to children between the ages of 3 and 59 months for three days, at 28-day intervals, between July and November.

Alena Koscalova

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.

French report. Le projet initial de MSF à Bongor était d'assurer la fonctionnalité correcte d'un centre de formation de Bongor pour la formation des médecins généralistes en chirurgie de base. Une des difficultés quant au déroulement harmonieux du projet était d'éviter d'avoir un service de chirurgie de haute qualité au sein de l'hôpital avec à côté des services de médecine et de pédiatrie connaissant de grandes difficultés et une mauvaise prise en charge des malades.

Guillaume Jouquet

MSF has been present in the Nchelenge region since 1998, when a program was started to provide health care to Angolan and Congolese refugees who had arrived in the region. The MSF project in Nchelenge District was started in April 2001 because of lack of access to HIV/AIDS care in an area with an HIV prevalence estimated at 16.5%. The objective was to achieve a high coverage of treatment and care, and at the same time provide a model for decentralised programs to bring HIV/AIDS treatment and care to all people in Zambia and for MSF Holland/OCA more widely.

Kamalini Lokuge, Robert Musopole and Mupundu Banda

After 15 years of presence in Myanmar, an evaluation was conducted to highlight some of the challenges relating to the context and the lessons learned

Dan Sermand and Dr Jean-Clément Cabrol