Doctors Without Borders (Médecins Sans Frontières - MSF) provides medical assistance to people worldwide affected by conflict, epidemics, disasters, or exclusion from healthcare. Working with tight financial constraints in emergency and crisis contexts and areas lacking basic infrastructure and accessibility, our teams constantly deal with complex and extreme environments. MSF’s Amsterdam office has a dedicated PMO with a stable core team of experienced PMs. Managing projects in unusual contexts, the PMs draw upon shared best practices and their own flexibility - finding what works in which context and effectively becoming the architects of their own methodology. Building up this community of committed and passionate PMs to drive organisational change is the new frontier for MSF PMO.
This was presented by Roberta Borgognoni, Project Manager from
Médecins Sans Frontières (MSF) at FuturePMO, on the 26th of October.
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Managing Projects in Extreme Environments - Médecins Sans Frontières (MSF) | FuturePMO 2023
1. @FuturePMO #PMOFrontier
Managing Projects in extreme environments:
PMO at Doctors Without Borders (MSF)
Roberta Borgognoni
Médecins Sans Frontières
Operational Centre Amsterdam
2. @FuturePMO #PMOFrontier
Managing projects in extreme environments:
PMO at Doctors Without Borders (MSF)
Roberta Borgognoni
with contributions from: Stephane Chambet, Irene Kalama and Hannah Linnekamp
Médecins Sans Frontières
Operational Centre Amsterdam
3. @FuturePMO #PMOFrontier
Roberta Borgognoni
▪ Project Manager
Médecins Sans Frontières/ Doctors without Borders
Operational Centre Amsterdam
✓ Building on more than 10 years’ experience in the
international development and humanitarian sector
✓ PMP and PROSCI Change Practitioner Certified
✓ Here to to support and inspire others navigating
their way into diverse, fast paced and high-pressure
project settings.
https://www.linkedin.com/in/robyborgo
9. @FuturePMO #PMOFrontier
In 2022:
70+ Countries
67,000 team members
80% local staff
2,2 billion EUR operating
income
7 Million donors
worldwide.
97% private donations
MSF in Action
Source: MSF Financial Report 2022
10. @FuturePMO #PMOFrontier
OCA Organizational Structure
OCB
General Director
Operations
Dep
Resources
Dep
Public
Health Dep
HR Dep
Directors
Office
Control
Unit
Logistics
Dep
Finance
Dep
PMO
ICT
Dep
Support and improvement projects
Youngest Department - 2016
OCBA
OCP
WaCA
OCG
OCA
12. @FuturePMO #PMOFrontier
The Financial Challenge
Ways we overcome:
Mutualise efforts
Leverage internal expertise
Plan annually and break work
in smaller blocks
Share PMO resources
Commitment to social
mission
*figures from 2022 International Financial Report
How we use our
funds
Programme expense and support,
Awareness-raising, Access Campaign &
Other Humanitarian activities, 80%
Management Administration &
Fundraising, 20%
13. @FuturePMO #PMOFrontier
The Infrastructure Challenge
Some examples:
• Poor connectivity
• Lack of IT resources
• No ‘office’ set-up
Available solutions:
Offline Tools
Remote working
Country mission Cyber-Kits
14. @FuturePMO #PMOFrontier
Ways we overcome:
adapt the planning
make choices on project methodologies
be flexible to change
work closely with HR
The Accessibility & Security Challenge
Managing projects, working with teams in:
• Areas that can’t be reached easily
• Countries with staffing restrictions
• Places with different local regulations
• Emergency settings
16. @FuturePMO #PMOFrontier
The new Frontier for MSF PMO
▪ Having a dedicated PMO with a stable core of flexible and
innovative PM practitioners
▪ Hub for sharing best practices that work in our diverse and
complex contexts
▪ Building up a community of committed and passionate PMs
to drive organisational change across the MSF-movement
17. @FuturePMO #PMOFrontier
Key takeaways
▪ PMO as hub to co-create solutions
▪ Passionate and committed PMs to drive
organisational change
▪ Becoming the architect of your own
methodology
Roberta Borgognoni
roberta.borgognoni@amsterdam.msf.org
https://www.linkedin.com/in/robyborgo
Thank you!
18. @FuturePMO #PMOFrontier
Example of an MSF led project
▪ SWOT Safe Water Optimization Tool
This project was supported by MSF OCA PMO and the IT tool was
piloted in OCA missions.