Médecins Sans Frontières (MSF) associations function according to one main principle: an elected board of directors is responsible for establishing the overarching orientation of the association’s activities, ensuring accountability and adherence to MSF's Charter and values and in some cases, overseeing an executive.
The board of directors is elected (directly or indirectly) by the association members during the annual General Assembly. Most board members have a medical background, which ensures that the medical perspective remains at the core of MSF’s work.
The composition of each board and its role, scope and responsibilities are defined by each association, and detailed in its Statutes and Internal Rules. All boards, however, share some key responsibilities, such as:
- endorsing the operational project and budget of the association;
- appointing the head of the executive of their association; and
- ensuring that the association’s actions and operations are in line with MSF’s social mission and principles.