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

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

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.

The Ebola Workshop in Dakar, held over 3 days in June 2015, brought together experienced Ebola field people and HQ staff from diverse specialties and all MSF sections to reflect on lessons learned so far and make recommendations in the areas of outreach response, patient care, human resources and strategy. Participants placed a high value on intersectional approaches within MSF, and on strong engagement with key external organizations in preparing flexible, adapted, more effective responses to future outbreaks of Ebola or other mass epidemics. 

By Patricia Kahn, with input from Sebastian Stein. Based on summaries by Amanda Tiffany, Roberta Petrucci, Ruth Kauffman and Sebastian Stein.

MSF is one of the pioneering organisations to implement HIV & AIDS related interventions including ART in different settings. Understandably, the organisation is thus often solicited to provide information on cost analysis of programs. This is the purpose of this study into 3 different MSF HIV/AIDS programs: Kenya, DRC and Malawi. The present study proposes a detailed description of the cost for the HIV/AIDS program in Thyolo in Malawi for the period of time from 2005 to 2007. The methodology used is inspired by the “Activity based costing” (ABC approach)

Guillaume Jouquet

This evaluation is best understood as a peer review aimed at learning from the experiences of 3 different sections of MSF operating HIV/AIDS programmes in Malawi. Our aim was to evaluate how specific differences in objectives might impact on programme strategies and whether these differences would be relevant when assessing programme outcomes. The general issues of interest were decentralisation, simplification and task shifting in relation to the expansion of ART services.

Richard Bedell, Jean-Marc Biquet, Alexandra Calmy

MSF's HIV/AIDS project in Thyolo district, Malawi was one of the MSF movement's earliest efforts to address HIV/AIDS in sub-Saharan Africa, beginning in 1997. The handover of project responsibilities from MSF Luxembourg to MSF Belgium took place in 2005. MSF Belgium agreed to undertake this external evaluation of the project with the goal of assessing the project's performance, identifying constraints preventing the achievement of its goals, and proposing recommendations to improve overall effectiveness.

David Evans

Optimizing HIV, TB and NCD treatment in five sub-saharan countries.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Catherine Lalonde and Joost van der Meer.

The objective of this lessons learnt exercise was to assess the advantages and disadvantages of the UNITAID grant governance and management model for project achievements in terms of medical (and related) outcomes, strategic decisions, the potential for collaboration between multiple MSF entities and to leverage the learnings for replication in future projects. The exercise showed that the project directly delivered a new, more effective, simpler and much cheaper treatment to patients across seven countries.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Hugues Juillerat, Sharon McClenaghan and Glenn O’Neil of TRAASS International.

MSF has received UNITAID grants since 2013. For several financial, operational and opportunistic reasons, the opportunity and adequacy of receiving funds from UNITAID was questioned by the MSF medical and operational directors. In October 2014 the MedOp platform took a decision not to seek any further UNITAID funding for a one-year period-ending in October 2015.

This evaluation was conducted by Nicole Henze on behalf of the Stockholm Evaluation Unit of MSF. Finalised in November 2015. This publication was produced at the request of MSF MedOp, under the management of the Stockholm Evaluation Unit. It was prepared independently by Nicole Henze.