•Maryam from Tehran, Iran is MSc student ofEpidemiology at Tehran University of MedicalScience.
• She is interested in disaster filed then developedsome lecture like this ( Minimum Initial ServicePackage for Reproductive Health)
Hope it’s useful for all target groups.
My Email:
Maryam.kandi@gmail.com
What is the MISP?
The Minimum Initial Service Package (MISP) forReproductive Health is a priority set of life‐savingactivities to be implemented at the onset of everyhumanitarian crisis. It forms the starting point forsexual and reproductive health programming andshould be sustained and built upon withcomprehensive sexual and reproductive healthservices throughout protracted crises and recovery.
Why is MISP important?
The MISP saves lives and prevents illness,trauma and disability, especially amongwomen and girls. As such, the MISP meets thelife‐saving criteria for the Central EmergencyResponse Fund(CERF).
Why is MISP important?
Neglecting the MISP inhumanitarian settings has seriousconsequences:
Preventable maternal and newborn deaths;
Sexual violence and subsequent trauma;
Sexually transmitted infections;
Unwanted pregnancies and unsafe abortions;
The possible spread of HIV.
Why is MISP a priority?
to reducing mortality andmorbidity experiencedparticularly by women andgirls
Implementing the MISP is not optional: it is aninternational standard of care that should beimplemented at the onset of every emergency.
Goal
The goal of the MISP is to reduce mortality,morbidity and disability among populationsaffected by crises, particularly women and girls.These populations may be refugees, internallydisplaced persons (IDPs) or populations hostingrefugees or IDPs.
The RH kit is designed for use for a 3-monthperiod for a varying population number,depending on which block of sub-kits isordered
About the MISP DistanceLearning Module
The MISP for Reproductive Health (RH) is acoordinated set of priority activities designedto:
prevent and manage the consequences of sexualviolence;
reduce HIV transmission;
prevent excess maternal and neonatal mortality andmorbidity;
and plan for comprehensive RH services in the early daysand weeks of an emergency.
Who is the MISP Module designedfor?
humanitarian workers operating in health, campdesign and management, community services,protection and other sectors;
members of emergency response teams;
and other first humanitarian responders in crisissituations.
How long will it take me tocomplete the MISP Module?
Approximately three to four hours.
How do I use the MISP Module?
The module is a self-instructional learning module. Themodule should be read in order of chapters and latercan be used as a reference. The user reads through eachchapter and completes the chapter quizzes and finalquiz.
OBJECTIVE OF THE MISP MODULEIS FOR READERS TO:
define and understand each component of theMISP;
grasp the importance of implementing theMISP in emergency settings;
understand the role and functions of the RHCoordinator/Focal Point;
be able to order MISP supplies internationally orobtain them locally;
OBJECTIVE OF THE MISP MODULEIS FOR READERS TO:
know the most important things to do in theimmediate days and weeks of a new emergency toprevent and respond to sexual violence;
know the priority interventions for reducing HIVtransmission in the earliest phase of crisissituations;
understand the best ways to reduce maternal andneonatal death and disability at the onset of anemergency;
be able to plan for comprehensive RH programmingonce the crisis has stabilized.
Coordination of the MISP
Coordination of MISP activities is necessary at multiplelevels, including :
local/camp,
agency,
sub-regional,
country
and international levels.
Coordination within and among these various levels andacross sectors is aimed at ensuring that efforts are notduplicated, useful data and information are sharedamong humanitarian actors and scarce resources areused efficiently.
Prevent and Manage the Consequencesof Sexual Violence
MISP Sexual Violence Monitoring:
- Coordinated multi-sectoral systems to prevent sexual violence are inplace
- Confidential health and psychosocial services to manage cases ofsexual violence are available and accessible
- Number of staff trained in sexual violence prevention and response
Reduce the Transmission of HIV
The relationship between conflict and vulnerabilityto STIs and HIV is complex. Displaced populations incrisis situations are especially vulnerable to STIs andHIV.
STIs, including HIV, have the potential tothrive under crisis conditions where accessto means of prevention, treatment and careare limited.
objective :
to reduce the transmission of HIV by:
-ensuring safe blood transfusions;
- enforcing respect for universal precautions;
- guaranteeing the availability of free condoms.
objective
Prevent excess neonataland Maternal Mortality andMorbidity .
Exercise
How many deliveries require acesarean section (c-section)?
Exercise
Planning for Comprehensive RHServices
•This section outlines the steps to be taken to beready to expand RH services when a crisissituation stabilizes and when all the componentsof the MISP have been implemented.
Ordering Reproductive Health Kits
To address the objectives of the MISP, theIAWG has specifically designed a pre-packaged set of kits containing drugs andsupplies aimed at facilitating theimplementation of priority RH services.
UNFPA is in charge of assemblingand delivering these InteragencyRH Kits.
What information do I need to orderthe Interagency RH Kits?
which organization/individual will organize thedistribution of the kits, along with the relevant contact,delivery and financing information
type of setting,
Number of target population,
time period of operation
and the number of health centers and referral hospitals
Knowing the following basic data canhelp you to orderthe correctsupplies.(Default estimates are provided in case requested data are not available.)
How quickly will Interagency RHKits arrive at my site?
In crisis situations, kits should arrive at thecountry port of entry within two to seven daysafter an order is placed and the funds aretransferred. Transport to field sites is dependentupon the ordering agency’s local transport andstorage arrangements.
How are Interagency RH Kitspackaged?
To facilitate logistics in country, UNFPA hasarranged that the boxes containing the kitcontents:
-Are marked with the number of boxes and theweight and volume of eachkit
-Can be handled by one or two people
-Are clearly marked with the kit number, description,contact person and contents
-Are branded on all sides with one color representinga particular kit
How can I find out the exactcontents of each RH Kit?
Contact UNFPA to obtain a copy of the bookletReproductive Health Kits for Crisis Situations.This booklet provides a list of contents of eachkit as well as guidance on the type of traininghealth personnel should have to us the contentsof the kit appropriately.
How do I order Interagency RH Kits?
Information on the kits or assistance with ordering can beprovided by UNFPA field offices, agency partners or theUNFPA Humanitarian Response Unit (HRU) in New York orGeneva:
References:
Minimum Initial Service Package (MISP) for ReproductiveHealth in Crisis Situations:, A Distance Learning Module,November 2007
•UNFPA. State of the World Population 2005.
•CERF Lifesaving Criteria and Sectoral Activities(Guidelines). 2007.
•UNFPA. State of the World Population 2000.