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


Following the devastating earthquake in Haiti in January 2010, MSF’s Committee of Executive Directors decided to conduct a global review of MSF’s response to the disaster. This exercise covered the interventions of the five operational centres and consisted of six specific reviews looking at the different axes of the response: global/operational, medical/surgical, logistic/supply, communication, human resources and fund raising. An intended inter-sectional finance review and/or audit did not take place. Evaluators consider this the biggest limitation of this review exercise.

This evaluation was conducted by Francis Coteur (Logistics), Luis Encinas (Medical/Patient perception), Amaia Esparza (Communications), Paula Frankema (Global/Operations), Karine Klein (Fundraising), Laura Kopczak (Supply), Juli Niebuhr (Human Resources), Roger Teck (Medical), Johan von Schreeb (Medical/Surgical), Sabine Kampmüller (Process facilitation, Executive report), Ewald Stals (Team Leader) on behalf of the MSF Vienna Evaluation Unit.

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

The Bosnia programme was one of the largest programmes MSF has implemented so far, and it was the first major operation MSF executed in an European environment. There was a widely shared view that the programme had gone “out of control”. As a result, many within MSF considered drug distribution in general as being beyond the scope of MSF. The dominance of drug distribution in the programme was perceived to be in contradiction with the medical identity of MSF.

Van de Putte, B. and Maslesa, L.