Sexual Reproductive Health(SRH) in Emergencies / RAISEInitiative
Goal: Build on current sexual reproductivehealth programs by integratingemergency preparedness and responseand take best practices and lessonslearned from SRH programs to informstrategies that address the needs ofwomen and girls in emergencies.
What do we mean by SexualReproductive Health?
Family Planning
Maternal Newborn Care -EmONC
Prevention and
Treatment of
STIs/HIV/AIDS
Prevention and Care for
Survivors of Gender-based
Violence
Three core areas
•Strengthen institutional capacity
•Improve staff preparedness
•Enhance learning and sharing
Why SRH in Emergencies
•In general 4% of displacedpopulations are pregnant women
•15% of all pregnancies result inunforeseen complications
•75% of all maternal deaths aredue to five causes (all of whichcan be treated)
•Health including SRH/HIVinterventions can reduce negativeconsequences of disaster onwomen, girls, families andcommunities
Why SRH in Emergencies?(Cont.)
•Reports on rape during conflict detail profoundbrutality towards women and girls and lessfrequently men and boys
•Family planning can prevent 25-30% of allmaternal deaths
•The growing number of humanitarian crises,often linked with displacement, food insecurityand poverty, increase vulnerability to HIV andnegatively affect the lives of PLHIV
Minimum Initial ServicePackage (MISP) for SRH
•Identify focal point for RH within organization
individual
•Prevent and manage the consequences of sexualviolence
plan camp design or assess setting whereaffected population is staying
medical response (EC, STI prevention, PEP)
inform the community about prevention andservices
protection of at risk groups
Components of the MISP Cont.
•Reduce HIV transmission
universal precautions
free condoms
safe blood
Continue antiretrovial therapy, home-based care,PMTCT
•Prevent excess neonatal and maternal morbidity andmortality
referral for obstetric emergencies
clean and safe deliveries at health facility
clean home deliveries
Components of the MISP Cont.
•Plan for comprehensive RH services andprograms (maternal newborn careincluding EmONC, family planning,STIs/HIV/AIDS, gender-based violence),integrated into other programs such asprimary health care as soon as possible
collect background information
identify suitable sites
order supplies
train staff
Mortality, morbidity & disability
in crisis-affected populations
(refugees/IDPs or populations
hosting them)
GOAL
Plan for COMPREHENSIVE RH services,
integrated into Primary Health Care
◙ Baseline info & M&E
◙ ID sites for future delivery of comprehensive RH
◙ Assess staff & ID training protocols
◙ Procurement channels
Objective 5
![MCj02317730000[1]](data/images/img5.png){kind=small}
RH Kit
4
RH Kit
5
RH Kit
7
Minimum Initial Service Package (MISP) for RH in Crisis Situations
Transmission of HIV/STI
◙ Universal precautions enforced
◙ Free condoms available
◙ Safe blood transfusion
Objective 3
Identify agency/persons to facilitate
COORDINATION & IMPLEMENTATION
◙ RH coordinator in place under health
coordination team
◙ RH focal person in place in camps
◙ RH kits available & used
RH Kit
0
Objective 1
Prevent sexual violence & assist survivors
◙ Protection system in place for displaced
populations, especially women & girls
◙ Medical services & psychosocial support
available for survivors
Objective 2
RH Kit
3
RH Kit
9
RH Kit
12
RH Kit
1
Universal precautions
through kits 1-12
Prevent EXCESS maternal & neonatal mortality
& morbidity
◙ Referral system for EmONC available 24/7
◙ Midwife delivery kits for clean and safe
deliveries @ health facilities
◙ Provide clean delivery kits for visibly
pregnant women & birth attendants
to ensure clean home deliveries
RH Kit
2
RH Kit
6
Objective 4
RH Kit
8
RH Kit
10
RH Kit
11
RH Kit
9
RH Kit
12
Minimum Initial Service Package(MISP) for Reproductive Health
Distance learning module available at CARE
Resources for SRH inEmergencies
Join the interagency working group for RH in emergencies,
Resources for MainstreamingGender
For this manual andother resources ongender, go to:
Resources for Gender-basedViolence Programming
These and other tools available at
Resources for HIV/AIDSProgramming
Under development:
Revised IASC Guidelines for
Addressing HIV in Humani-
tarian Situations
-Integrating HIV/AIDS into
Humanitarian Action – an
Induction Manual
Resources for Gender andSexuality
Links for SRH in Emergencies
•www.rhrc.org – MISP distance learning module,resources on all RH topics and to join IAWG forRH in emergencies
Listservs and Virtual Network
•SRH Google Group – Regular messages onSRH topics including tools, materials,conferences, and workshops
•SRH in Emergencies – Bi-weekly messagesregarding tools, materials, workshops andconferences
•SRH in Emergencies Technical ReferenceGroup
Discussion Questions
•What aspects of sexual reproductivehealth might be relevant to yourprogramming?
•What support do you need?