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Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal 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.

Country/Region

In Malawi, one of the poorest countries in the world according to UNDP, Médecins Sans Frontières Belgium has been supporting MOH in the provision of HIV care since 1997 in Thyolo district, with provision of ART since 2003. MSF is looking to hand over program activities and phase out their presence. This external evaluation was commissioned with the overall objective of studying the perception of other stakeholders’ perception of the MSF support to Thyolo district health services.

Sarah Gharbi
01/06/2011

In recent years, MSF has recognized the need to improve its handover process and outcomes. It is no longer satisfactory for the organization to enter a country, put in place a program and leave without taking some accountability for what remains after MSF’s departure. It is in this spirit that I accepted to come to Lesotho to evaluate a handover tool that was implemented here during the initial phase of the handover.

Annie Désilets
30/04/2010

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
01/02/2010

After an initial period of three years in Lesotho, MSF has decided to extend its presence in the country for two more years and to launch a second phase of the project primarily focused on intensifying the transfer of responsibility for the programme to local health authorities and partners. This is due partly to the administrative process now underway in Lesotho to decentralise to local government, coupled with related health sector reforms, which have divided the former catchment area of Scott Hospital Health Service Area into two districts with different management structures.

Guillaume Jouquet
01/07/2009

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
01/06/2008

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
01/11/2007

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
01/05/2007

This operational evaluation, requested by the Emergency Department of MSFOCB, concerns only the emergency response in Aceh in the first three months (from 26th Dec 2004). The report illustrates MSF intervention strategy, a description of implemented activities and draws lessons learned from the confronted challenges.

01/11/2005

The evaluation describes an evolving approach to address the needs of traumatised internally displaced Indonesians. The evaluation focuses on how MSF responded to new insights documented in lessons learned and trip reports. The purpose of this is to inform a discussion of how to proceed with mental health in Indonesia, which will be formalised in the country policy.

Giesen, P.
01/04/2000

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