Motion 3: Accountability to patients and sustainability to our social mission objectives

Motion:

The OCB Gathering asks the OCB Board to honour the concerns expressed by so many field associations related to accountability towards patients and to the integration of a more sustainable approach to our social mission objectives by challenging and holding the Executive of OCB accountable on their progress to:

  • integrate patients and communities’ feedbacks in the design, monitoring, and evaluation phases of our projects. This includes the systematic use of patient survey, the inclusion of patients in the decision making about their medical care and anthropological/socio-cultural studies when doing exploration missions and designing projects.
  • identify and collaborate with local actors/associations working with similar objectives of those of MSF. To routinely (and not only via the Field Opportunity Envelope - FOE) integrate in our strategic objectives the support to local associations – when applicable and appropriate – to encourage a more holistic approach to our operations, therefore increasing the potential of a sustainable long term positive impact benefiting our patients and their communities, even after our departure.

 

Background and explanation:

This motion is the compilation of a series of proposals and considerations coming from FADs of 12 different field associations. Although these different FADs came up with a multitude of original and distinct ideas, they all had some common denominators that connected them, e.g., accountability towards patients and to integrate a more sustainable approach to our social mission objectives:

  • Burundi: The impact of MSF activities and its perception by patients, community and national staff
  • DRC: The inclusion of development aspects in MSF emergency interventions.
  • Indonesia: MSF medical protocols versus national protocols of the intervention country
  • Iraq: Active patient feedback system and the creation of a Monitoring & Evaluation system by multidisciplinary team (quality and quantity reports).
  • Kenya: A people centred approach and quality of care
  • Lebanon: MSF’s approach to ensure sustainability
  • Mali: MSF moves into the field of development
  • Mozambique (with support also from Southern Africa GA): The use of funds in long-term and emergency situations
  • Nigeria: Local procurement of drugs, medical consumables and other products
  • Occupied Palestinian Territories:  Communication between patients and staff and how to include patients more in the decision about their medical care.
  • Sierra Leone: Partnership vs. sustainability in the context of MSF interventions
  • Venezuela: Quality and people-centred care

In the enlarged OCB Motions Committee meeting, committee members and association focal points and members from 10 missions (Bangladesh, Burundi, CAR, DRC, Guinea, Mali, Nigeria, Pakistan, Sierra Leone and Venezuela) agreed to translate these similar discussions and proposals into a singular motion to be presented and voted at the OCB Gathering.