MSF's identity and strategic framework is outlined in its Charter and Chantilly agreement which frames what MSF is, its goals, and how it can achieve more with its existing resources. The agreements are meant to inspire cooperation, find meaning in the work, and nurture change and accountability. Having a clear shared identity and values generates inspiration and energy to create a better future for MSF to remain relevant and effective in delivering healthcare. Without agreement on its strategic direction, there could be confusion, inefficiencies, and lost opportunities.