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



The analysis shows a still fragile equilibrium for several components of these projects: HR, Quality Standards expected, possibilities of integration in RCA etc. Before imagining handover scenarios with the MOH and/or others actors, MSF needs to take a longer term view and define carefully the steps.

Isabelle Voiret, Vincent Brown

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

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

En juin 2009, une évaluation finale des 3 années de projet de MSF-CH (2005 à 2008) à Dabola en Guinée a été menée afin (i) d’en documenter les stratégies et (ii) d’en faire une analyse critique en termes d’accès auxsoins, de perception, de durabilité et d’impact.


In June 2009, after three years of the project by MSF-CH (2005 to 2008) in Dabola, Guinea, a final evaluation was conducted with the objective to (i) document the project’s strategies and (ii) undertake a critical analysisof the project regarding access to health care, perception, sustainability and impact.

Dr. Sophie Odermatt-Biays


French report. MSF launched a project in Mali in September 2007 to treat Vesicovaginal fistula (VVF) which continued until January 2008. This cost analysis study was conducted in response to concerns about the high costs of the surgical procedure.

Please note: this report is not available online. Please email to request access.

Guillaume Jouquet

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

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