1. Inter-Agency Working Group on Reproductive Health in Crises
SPRINT, sharing good practices:
Lebanon MISP training
Nada Aghar Naja, UNFPA

2. Presentation objective
Share the Lebanon experience in rolling out the MISP training in terms of challenges and lessons learned

3. Minimum Initial Service Package (MISP) in RH in times of crises
The training is part of the SPRINT Initiative that aims to increase SRH services and information for persons living in crisis and post-crisis situations.
The overall goal of the training is to increase the coordination skills of SRH
Upon completion of this training, participants (coordinators/managers) should be able to:
1. Advocate for SRH in crises
2. Apply core concepts and techniques provided in the MISP
3. Apply coordination skills for the implementation of the MISP
4. Produce an action plan to integrate SRH into national emergency preparedness plans

4. Context of the MISP training
2009 Regional TOT workshop attended from national stakeholders (MoPH, IMC, UNHCR, UNRWA, LFPA, LRC)
Inclusion of the MISP activity within the 2011 MoPH AWP supported by UNFPA
Launched the training in the North, early 2012

5. Context of the MISP training
April 2011: Security events in Syria ==) displacement of Syrians across the Lebanese - Syrian borders
Lebanese-Syrian borders are still not demarcated residents in both Syria and Lebanon around the borders in the North are known to inter marry and have family ties
Nbr of registered and assisted till March: UNHCR: 11,000; others not registered because for security reasons.
March 2012: more than 500 (4,000 persons) Syrian families crossed the Bekaa border. No demarcation line too

6. MISP training for the North area
UNFPA CO initiative to launch the training
Coordination was done with the core group of TOT
LSOG interest to take it in charge
Participants selection:
From SDC MOSA), and PHC (MOPH/NGOs) and a referral hospital in Akkar.
Have a large volume of SRH work and beneficiaries
Availability of specialized health care providers and social workers
Background and current work: Social science, nurses, midwives, socio-medical supervision and medical doctors.

7. LESSONS LEARNED: Facilitating factors
Good selection of the TOT core group members
Benefit gained from the TOT regional training
A well established system of communication and information sharing (TOT, UNFPA, UNHCR)
Advocacy for rolling out the ECHO training lead by UNFPA with support from TOT
1) committed, multidisciplinary (RH including HIV/AIDS; GBV), field knowledge, represent a variety of UN agencies, NGOs and government
Benefit from the regional TOT
3) Lead to including the training activity in the UNFPA supported AWP of MOPH, all this lead to representation of the MoPH DG and the Qada doctor of Akkar in the opening, Implementing partner: LSOG , Participation of doctors in workshop’s opening session where MISP on RH in crisis situations was presented (to gain support and advocacy

8. LESSONS LEARNED: CHALLENGES
Absence of a National Preparedness Plan to respond to crises
====)
Absence of a lead governmental response including advocacy and awareness raising addressed to humanitarian partners, decision makers and donors.
(not yet felt a priority, lack of vision (this will affect referral, credibility among the national stakeholders trained, inclusion of their PoA within the national one, establishment of a functional coordination mechanism, etc.)
A need for advocacy and awareness raising addressed to : Humanitarian partners, decision makers and donors.

9. LESSONS LEARNED
There is a need for such a training though it might be considered very basic to service providers: remarkable improve in knowledge from 24% to 80% correct answers, especially questions related to when preparation for MISP to take place, what are the priority activities
MM and sexual violence management are concepts to be highlighted during the MISP training as they were perceived very important topics to address
Need for a refresher or further coordination after the training in order to keep momentum high among participants
Equip the referral hospital with the supplies/commodities needed for EO services and NN care in crisis and after crisis situations covered in this training.

10. LESSONS LEARNED
MOPH to reconsider the provision of RH commodities and drugs to SDC (as they stopped supplying them since 2009) for the MISP to be realistically implemented.