As an MSF donor, you can feel confident that we will use your money in a responsible, effective, and innovative way.

Our work is 100 percent funded by people like you who put their trust in MSF.

So, across 72 countries, including conflict zones, epidemics and natural disasters, we work hard to make sure that your donation is spent in an efficient way that ultimately saves lives.

Staff story: Making every cent count in South Sudan

"Every cent you donate helps us provide our life-saving work here – treating communities displaced by floods, people injured by conflict, survivors of sexual and gender-based violence, and children suffering from malnutrition, malaria and other diseases. Without MSF, many communities have no access to medical care.

"My role involves carefully scrutinising the expenditure of our projects and ensuring your money is spent on essential activities that benefit our patients and local communities.

"My team and I carefully analyse and monitor all costs for transparency and accuracy so that we can ensure money is getting to where it’s most needed. As both an MSF staff member and as a national of this country, I would like to extend my personal thanks for your ongoing support to MSF and the people we serve."

Ggale Sharim | Deputy finance coordinator in South Sudan

Ggale Sharim - MSF deputy finance coordinator in South Sudan Caption
Ggale Sharim - MSF deputy finance coordinator in South Sudan

Four reasons to trust MSF with your donation

An MSF Land Cruiser passes by a military vehicle during unrest in Bangui, Central African Republic Caption
An MSF Land Cruiser passes by a military vehicle during unrest in Bangui, Central African Republic

1 | Your money keeps us independent

MSF Ireland does not take money from governments. We rely on the support of passionate individuals, as well as the institutions, foundations and companies they make up.

This independent funding means we have the freedom to act fast. We can stay neutral in complex environments and conflict zones, and we can provide impartial care to people regardless of ethnicity, religion or politics.

A young child in the Diffa region of Niger is screened for malnutrition Caption
A young child in the Diffa region of Niger is screened for malnutrition

2 | Support without restrictions

MSF’s emergency teams can only launch a rapid response thanks to ‘unrestricted’ donations – money generously given to our general funds. 

This means we don't always need to launch a charity appeal when a humanitarian emergency is in the news or wait for funding to be cleared. Instead, our teams around the world can act fast with valuable flexibility.

In short, our donors trust us to use their donations wherever the need is greatest.

An MSF midwife checks on the labour of a pregnant patient, rushed by boat to a remote hospital in Old Fangak, South Sudan Caption
An MSF midwife checks on the labour of a pregnant patient, rushed by boat to a remote hospital in Old Fangak, South Sudan

3 | Direct medical aid

MSF delivers healthcare directly to people in need rather than through partner organisations. 

We set up and run medical services, build facilities, transport supplies and train staff ourselves.

In many places, we also support existing healthcare staff with professional development and resources – an investment that means life-saving healthcare will continue, even after we leave.

The money you give to MSF is spent by MSF.

MSF project coordination staff working at an office in Kinshasa, DRC Caption
MSF project coordination staff working at an office in Kinshasa, DRC

4 | Transparency

Money transferred to an MSF medical programme is carefully managed by expert project teams – including financial staff.

Funds are subject to a rigorous accounting system, with every penny logged and all the information flowing back to headquarters, offices and our donors. We believe transparency and accountability are essential.

We are also transparent about our charity appeals – we will only ever launch a campaign if we are certain that we can spend your money on that specific crisis. There are no hidden disclaimers that will divert your donation to other parts of the organisation.

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80.2%

OF EVERY € DONATED PAYS FOR MEDICAL PROJECTS

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15%

OF EVERY € DONATED IS SPENT ON FUNDRAISING

3_8_OfficeManagment

4.8%

OF EVERY € DONATED IS SPENT ON OFFICE MANAGEMENT

Essential costs

Money donated to MSF is directed to crises wherever the need is greatest – this is coordinated across 23 offices and our projects in 90 countries around the world.

Funds meant for the frontline of a humanitarian emergency are never spent on international admin. However, there are essential running costs for any organisation and a very small percentage is spent in Ireland.

For every €1 donated to MSF Ireland

  • 80.2% goes directly to medical projects around the world
  • 15% is reinvested in future fundraising 
  • Just 4.8% is spent on Irish running costs

Each aspect of the way we operate from our Dublin office is designed to keep these essential costs low. We rent an inexpensive office, take the lowest fares for travel and stay in budget accommodation when working abroad.

Our finances: In-depth

MSF Ireland is part of an international movement of entities please note the figures on this page apply only to staff whose salary is set and paid by MSF Ireland.

What is the highest salary in MSF Ireland?

The highest salary in MSF Ireland is paid to our executive director, Isabel Simpson. Isabel is eligible for an annual salary of €96,940 (as of September 2023). There are no additional bonuses or performance-related additional payments.

This amount excludes pension contributions by MSF, which total 10 percent of the gross salary. 

How much does MSF pay top executives elsewhere in the world?

We publish the highest and lowest salaries for all MSF offices worldwide as part of our commitment to transparency in financial reporting. The most recent data available (2021) is on page 38 (numbered as p. 36) of this document.

As an MSF donor, you fuel the delivery of medical care to the people who need it most, no matter where they are or whether they have hit the headlines.

Your money pays for millions of consultations, operations, treatments and vaccinations every year. As an organisation, we work to spend your money in the most efficient way and to help those in greatest need. But how do we do it?

At MSF we deliver care directly rather than through local partner organisations. We set up and run medical services, train staff and respond to fast moving emergencies, as well as longer-term crises. This means the money you trust to MSF is spent by MSF.

When you donate to MSF in Ireland, the money is banked and then directed to the country where the need is greatest. This is coordinated across the 19 MSF offices and our projects in over 70 countries.