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@FuturePMO #PMOFrontier
Managing Projects in extreme environments:
PMO at Doctors Without Borders (MSF)
Roberta Borgognoni
Médecins Sans Frontières
Operational Centre Amsterdam
@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
@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
@FuturePMO #PMOFrontier
Presentation
▪ Introducing MSF
▪ History of PMO at Operational Centre Amsterdam
▪ Challenges and Solutions
▪ Main takeaways
@FuturePMO #PMOFrontier
MSF is
an International
Independent
Medical
Humanitarian
Association
@FuturePMO #PMOFrontier
MSF provides
emergency medical aid
to people affected by:
• War
• Natural and
manmade disasters
• Epidemics
• Pandemics
@FuturePMO #PMOFrontier
MSF treats patients
regardless of:
• Race
• Religion
• Gender
• Political Views
@FuturePMO #PMOFrontier
We are:
• Impartial
• Neutral
• Independent
‘our actions are
driven by medical
ethics’
@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
@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
@FuturePMO #PMOFrontier
The Future of
OCA PMO
be that center of
expertise to
manage all the
changes
happening across
the organisation
@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%
@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
@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
@FuturePMO #PMOFrontier
Infrastructure
Accessibility
& Security
Local
regulations
@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
@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!
@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.

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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
  • 4. @FuturePMO #PMOFrontier Presentation ▪ Introducing MSF ▪ History of PMO at Operational Centre Amsterdam ▪ Challenges and Solutions ▪ Main takeaways
  • 5. @FuturePMO #PMOFrontier MSF is an International Independent Medical Humanitarian Association
  • 6. @FuturePMO #PMOFrontier MSF provides emergency medical aid to people affected by: • War • Natural and manmade disasters • Epidemics • Pandemics
  • 7. @FuturePMO #PMOFrontier MSF treats patients regardless of: • Race • Religion • Gender • Political Views
  • 8. @FuturePMO #PMOFrontier We are: • Impartial • Neutral • Independent ‘our actions are driven by medical ethics’
  • 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
  • 11. @FuturePMO #PMOFrontier The Future of OCA PMO be that center of expertise to manage all the changes happening across the organisation
  • 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.