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



Through an analysis of the events that have marked MSF’s history since 2003, this series of case studies and historical accounts describes the evolution of MSF's humanitarian ambitions, the resistance to these ambitions and the political arrangements that overcame this resistance (or that failed to do so).

edited by Claire Magone, Michaël Neuman, Fabrice Weissman

Given that community HIV testing is often more expensive than HF-based testing, this evaluation aims to fully understand the relative advantages of community testing modalities. MSF has been providing 3 modalities of community HIV testing in KZN since late 2012, to complement the standard, health facility (HF)-based testing provided by the Department of Health. Fixed sites (FS), Mobile 1-Stop Shops (M1SS) and Door-to-Door Community Health Agents (CHAPs) provide testing throughout the project area of Eshowe, Mbongolowane and the adjacent rural areas.

This publication was produced at the request of MSF OCB, under the management of the Stockholm Evaluation Unit. It was prepared independently by Richard Bedell.

2005 was marked by two major natural calamities, the tsunami waves in South East Asia and the earthquake in Kashmir, Pakistan. Both of them were followed by a large intervention of MSF. After the initial assessment, MSF Belgium concentrated his efforts on the district of Bagh. The report will focus on the first 3 months of the intervention. As only a few documents are available, it was requested to reconstitute a chronology of intervention. Secondly, when there was time available, a short description and appreciation of the interventions of the other MSF sections was asked.

William Claus

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

Towards the end of 2006/ early 2007, MSF-OCB opened a primary health care project in Chhattisgarh, India, part of the Red Corridor within which a low-intensity conflict is taking place between Maoists and Government. The situation remains volatile with potential for the project to remain operational for some years. Within this context, and given no history of previous evaluations, a decision was taken to assess the relevance and impact of the project, as well as the appropriateness of operational strategies in relation to these, including the potential for phase out.

Iesha Singh, Anneli Eriksson and Alexandra Papis

The political context toward HIV and AIDS in South Africa is particularly difficult with a government denying the seriousness of the epidemic, with a minister of health undermining confidence in HIV program, not supporting policy changes nor fully budgeting for HIV program, promoting beetroots, lemon and olive oil to treat AIDS. This paper examines the organisation of the project and the handover

Guillaume Jouquet

The formation of HAACO was initiated by Medecins Sans Frontieres (MSF) who had been operating a HIV/AIDS project since 1999 in Khayalitsha in the Western Cape and since 2003 in rural Lusikisiki in the Eastern Cape province. Most of the services provided by the MSF project were handed over to the DoH. However the adherence element was not. The DoH had neither the financial nor the structural capacity to take on the Adherence programme. Hence the formation of HAACO. This process was intended to review the strategic options for the future of HAACO.

Sunjay Panday and Loretta van Schalkwyk

This report summarises the key lessons learned from MSF's cholera interventions in Zambia 2004, 2006, 2008, 2010 (OCBA), Guinea Bissau 2005-2008 (OCBA), Juba 2006 (OCBA), Haiti 2010-2011 (OCBA), Angola 2006 (OCB, OCA, OCBA), Zimbabwe 2009 (OCB, OCA, OCBA)

M Iscla

MSF closed all operations in Lusikisiki at the end of October 2006. That date marked the end of four years of operations setting up a model of comprehensive and decentralized HIV care in one of the poorest and most underserved rural areas in South Africa with a high prevalence of infection. The model implemented has been widely used in South Africa to influence relevant policies. This report looks at the chain of events following the handover and changes in the model of care.