In the regions, MdM has set up regional delegations. Elected every two years, the regional colleges represent the Association in the regions. The delegations carry out international or regional projects, within the overall framework defined by the Board. All the board members, Heads of Projects, group co-ordinators, regional and board representatives meet three times a year for a National Advisory Council meeting.
Twelve delegations, nine in Europe (Belgium, Cyprus, France, Greece, Italy, Portugal, Spain, Sweden and Switzerland) and three in the Americas (Argentina, Canada and the United States) were members of Médecins du Monde's international network in 2005.
Médecins du Monde bases its work around local partners to provide links that will ensure the work will continue. If no partners exist, MdM supports the setting up of sister organisations, which are often formed on the initiative of, and based around, MdM's local team. They gradually become autonomous and are supported for one to two years on average. The structures thus created remain MdM's natural partners in the region.