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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 www.insideOCB.com.

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The ambition to improve hospital care outcomes is a high priority in the MSF movement today. Over the past few years evaluations of hospital projects have been carried out by all the operational MSF sections at various points in time. The aim of this meta-review of 14 hospital evaluations is to highlight lessons learned and identify some of the major themes, which emerge for discussion.

Isabelle Voiret
18/01/2013

After the 12 January 2010 earthquake in Port-au-Prince, 4 MSF sections (OCG, OCA, OCP and OCB) decided to build container hospitals to respond to the health care needs (including Léogâne). All of these prefabricated structures, though varying in quality, were unique in that they were partially or completely built from modular containers (with different architectural designs). Construction was done by subcontractors, MSF teams trained in construction, or a combination of the two.

Monique Lathelize, Marie-Laure Le Coconnier, Julien Bégou
02/02/2012

L’analyse montre un équilibre encore fragile pour divers volets des projets (RH, qualité/standards souhaités, intégration éventuelle, etc …avant d’envisager des scénarios « à terme » avec le Min. Santé. Une vision à distance est nécessaire, avec des étapes à préciser.

FPENFEUNTEUN
24/01/2012

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
01/12/2011

La stratégie MSF de développer en 6 ans (90  265 lits) les activités d’un vaste complexe hospitalier en brousse (zone de conflit) est revue. Tenant compte des activités actuelles MSF/M.Santé, l’intégration difficile dans la carte sanitaire est analysée, avec propositions. Les résultats contribuent à la réflexion en cours sur les hôpitaux long terme à MSF.

Isabelle Voiret & Vincent Brown
01/10/2011

In the beginning of 2006, OCB opened a hospital project in Bor, in Jonglei state, South Sudan. This was a little over a year after the CPA (the Comprehensive Peace Agreement) was signed between SPLA and GoS The project soon became one of the highest resources consuming project in an unstable environment. In mid 2008 the decision was taken to close the project. OCB considered that they were unable to manage the hospital. It was not thought that the project in the current format was sustainable security wise, given a number of factors.

Anneli Eriksson
14/01/2010

The primary purpose of this evaluation was to help the field and HQ staff of MSF make informed decisions on the future of the Benson Hospital project, particularly the focus of future activities and a potential time frame for the handover of the services currently provided by MSF to other actors in Liberia.

Sophie Delaunay and Sally Girvin
01/08/2008