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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 2009/2010 following the decentralisation of HIV care to primary health care in Maputo City, the former MSF-OCG Alto Maé day hospital was transformed into the chronic care HIV referral centre Centro de Referência Alto Maé (CRAM) with a double purpose: 1) to provide a safety net for the health centres of Chamanculo health area for the clinical management of complex HIV patients that do not require hospitalisation and 2) to reduce the workload of Maputo’s referral hospitals.

This evaluation was conducted by Eric Goemaere and Heidi Becher on behalf of the Vienna Evaluation Unit.
01/06/2013

The evaluation looks at how MSF-OCB support in Mavalane is percieved by stakeholders and gives orientation to the planing for handover of 1st line support activities. The evaluation identifies the important role MSF plays in HIV programming in Mozambique; MSF comes out strongly as an advocate, a technical partner and a motor for change.

Heidi Becher
28/09/2012

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

The HIV/AIDS project in Chamanculo Health area has achieved an impressive coverage of the ART treatment through the well-applied decentralization and task-shifting strategies. The evaluation demonstrated that the quality of the care was not compromised through this process. This decentralization model shall be valuable for the MoH to scale-up their ART treatment coverage in other areas of this resource-poor country.

Heidi Becher and Beatrice Crahay
01/04/2011

MSF-OCA has been addressing a highly relevant issue, TB and DR-TB in Uzbekistan. A steady decrease of the notification and the mortality rates has been indicating a good outcome of the TB DOTS programme. MSF is highly appreciated by the MOH of Uzbekistan as one of the main partners in TB control and the first one who started the diagnosis and treatment of DR-TB. The current model of comprehensive TB care was estimated as the most appropriate approach for this low-income country with high TB/MDR-TB burden. It could be successfully expanded to elsewhere in the region.

Kai Blöndal and Oscar Bernal
25/02/2011

Reviewed Interventions This chapter provides an overview of the contexts and MSF interventions of all the reviewed interventions (DRC, Cameroun, Djibouti, Iraq, South Africa and Pakistan).

Alena Koscalova, Elena Lucchi
16/12/2010

In early 2010 MSF/OCB responded to an increase of malaria in northern parts of Burundi The objectives of the intervention were: To reduce morbidity and mortality related to malaria in the area of intervention (general) and to ensure that the population in the area of intervention had access to preventive and curative measures against malaria.

Carina Johansson
01/11/2010

The purpose of this evaluation was to review the experience in needs assessment and response to displacement in open settings. For the evaluation process, six interventions were reviewed: MSF Operational Centre Geneva (OCG) interventions in the Democratic Republic of Congo (DRC) (Haut-Uélé), Djibouti, Cameroon and Iraq; Operational Centre Brussels (OCB) interventions in South Africa and Pakistan; and partial review of Operational Centre Paris (OCP) experience in Pakistan.

Alena Koscalova and Elena Lucchi
01/06/2010

In September 2009, MSF carried out an assessment of two of its former projects in Karuzi (OCB) and Kinyinya (OCA), Burundi. These two projects were handed over to MOH in 2007 with significant investment from MSF in the handover processes. Following reports of the breakdown of healthcare after MSF’s departure and criticism on the way the handover of these two projects was managed, MSF wanted to assess the current situation in the two sites and document which, if any, handover strategies were successful and led to the continuation of MSF activities.

Frédérique Ponsar and Annie Désilets
27/11/2009

Médecins Sans Frontières has been running HIV/AIDS treatment programmes since 2001. As national systems scaled up capacity, MSF began to hand over HIV projects in 2005. Variable experience with handover and internal debates about MSF responsibility to patients led OCG to propose an evaluation of the handover process, to learn from experience and inform policy and practice. A qualitative review was carried out through interviews, case studies in Cameroon and Laos, and review of other vertical and integrated HIV projects.

Dr. Rosamund Lewis and Dr. PehrOlov Pehrson
01/01/2009

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