Evaluations 2015

 OCB Kibera Project Handover Process, Kenya 

By Eddah Kanini, Evaluation Consultant, on behalf of Stockholm Evaluation Unit of MSF.

Summary report

OCB initiated the Kibera project at a time when there was a lack of access to affordable HIV/TB health care and succeeded in providing HIV drugs in Kenya, against all odds. The initial decision to intervene in Kibera was based on need and while the needs remain massive, OCB is no longer alone in providing HIV and TB treatment, hence the opportunity to handover the responsibilities of the health facilities to the Nairobi County to ensure that the population is not abandoned and that the quality care and treatment is continued. 


OCB Ebola review
The following persons have contributed to this report: Virginie Adams, Dr Marie-Pierre Allié, Pierre Beurrier, Murray Biedler, Elio de Bonis, Prof. Robert Colebunder, David Curtis, Gillian Dacey, Veronique de Clerck, Dr Javier Gabaldon, Xavier Henry, Francois Mounis and Verónica Sánchez.

MSF OCB commissioned an extensive multi-sectoral critical review of its Ebola intervention. The summary report highlights key findings from all specific reports and draws global conclusions. Lessons have been identified both, for future large scale emergency responses as well as for a next Ebola response. Many of lessons identified are not entirely new, but their importance has been strongly accentuated by the extremity of this health crisis. Priority recommendations are listed in the summary report, while specific recommendations are made in the respective reports.

The sub-reviews covered medico-operational issues, human resource management, water and sanitation, supply, logistics, communications and advocacy, and governance. Key financial data on MSF’s response to the Ebola epidemic for the period between March 2014 and December 2015 have been reported outside this review. 

Summary report
Medical operations report
Watsan report
Advocacy report
HR report
Logistics report
Supply report
Governance report

MSF OCA: Transversal WHS Evaluation 

(by: Erik Toft, Consultants for Development (CD), Copenhagen and Ewan Chainey, independent consultant, November 2015)

In October 2013 MSF developed a proposal for a new WHS strategy for meeting the medical humanitarian needs in large scale emergencies. In May 2015, the MSF Stockholm Evaluation Unit commissioned an evaluation of the 2013 MSF Operational Centre Amsterdam (OCA) strategy for a more offensive WHS approach.

The evaluation questions were grouped into standard evaluation criteria of appropriateness, effectiveness, efficiency, impact, continuity and connectedness.
The general objective of the evaluation is to learn from recent WHS interventions and to assess the extent to which the renewed investment has contributed to better responses.
The evaluation focused on OCA interventions in South Sudan in Jaman, 2012, Bentui in 2014, CAR/Bossangoa and Bangui in 2014 and Ethiopia/Gambella in 2014. The period of evaluation was the first 3 months on the actual commencement of interventions.

(by: Anne-Sofie Munk, January 2015)
This report presents an evaluation of the MSF Belgium Sexual and Gender Based Violence (SGBV) project in Mbare, Harare, Zimbabwe (2011-2014). It is not a comprehensive evaluation of the whole project, but an evaluation of selected strategies/components. 
The selected strategies/components for analysis are: 'nurse-based care', 'decentralization', the '72 hour strategy', the work to 'raise the profile of rape and the need for medical care' and the 'social work'. 

Evaluation of MSF OCA ( In Country) Emergency Response Units: Comparative Analysis and individual evaluations covering Chad, Nigeria, North Kivu, South Kivu and Katanga ERUs                                                                                                                             

(by: Juan Luis Dominguez (independent Evaluation Consultant) and Timothy McCann (MSF), February 2015) 

This is a comprehensive evaluation of OCA's in country emergency response units in Nigeria, Chad, North Kivu, South Kivu and Katanga. The report consists of the transversal analysis of all of the ERUs as well as the individual evaluations of each specific ERU project. The outcomes have been reduced into Management Summary Charts found on p.8 of the report.

Evaluation of OCB Support Programmes in Syria, 2015 

(by: Ofelia Garcia, June 2015)

The overall objective of the evaluation is to improve MSF´s contribution towards saving lives and alleviating suffering of people inside Syria and to identify the opportunities and constraints inherent in the ‘new’ approach- the support programmes are based on donations that were provided in the absence of any other operational alternatives, for life-saving medical needs.
This evaluation will also serve to better understand the support programmes as an operational model and will cover the MSF OCB support programmes to Syria implemented from Lebanon and Turkey.

Evaluation of the added value, benefits, challenges and risks of the MSF-UNITAID collaboration

(by: Nicole Henze, October 2015)

MSF has received UNITAID grants since 2013. For several financial, operational and opportunistic reasons, the opportunity and adequacy of receiving funds from UNITAID was questioned by the MSF medical and operational directors. In October 2014 the MedOp platform took a decision not to seek any further UNITAID funding for a one-year period-ending in October 2015. This evaluation was commissioned in order to inform the revision of the UNITAID collaboration, provide recommendations for the maximization of benefits of the remaining grant time (HIV grant) and for the maximization of internal processes and intersectional cooperation.

Evaluation of MSF OCB Roma & Semongkong project, Lesotho, 2015

(by: Heidi Becher and Timothy McCann, October 2015)

This end of project evaluation of the Roma and Semongkong project “Reducing maternal and infant morbidity and mortality in a hyper-epidemic HIV/TB setting” in Lesotho was commissioned by the MSF Operational Centre Brussels (OCB) South Africa & Lesotho mission to evaluate the impact of the five years programme and identify lessons learned to support the design and planning of potential future projects in Lesotho.




By: Rebecca Cederholm