Presentation on theme: "Inter-Agency Working Group on Reproductive Health in Crises"— Presentation transcript:
1Inter-Agency Working Group on Reproductive Health in Crises SPRINT, sharing good practices:Lebanon MISP trainingNada Aghar Naja, UNFPA
2Presentation objective Share the Lebanon experience in rolling out the MISP training in terms of challenges and lessons learned
3Minimum 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 SRHUpon completion of this training, participants (coordinators/managers) should be able to:1. Advocate for SRH in crises2. Apply core concepts and techniques provided in the MISP3. Apply coordination skills for the implementation of the MISP4. Produce an action plan to integrate SRH into national emergency preparedness plans
4Context 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 UNFPALaunched the training in the North, early 2012
5Context of the MISP training April 2011: Security events in Syria ==) displacement of Syrians across the Lebanese - Syrian bordersLebanese-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 tiesNbr 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
6MISP training for the North area UNFPA CO initiative to launch the trainingCoordination was done with the core group of TOTLSOG interest to take it in chargeParticipants selection:From SDC MOSA), and PHC (MOPH/NGOs) and a referral hospital in Akkar.Have a large volume of SRH work and beneficiariesAvailability of specialized health care providers and social workersBackground and current work: Social science, nurses, midwives, socio-medical supervision and medical doctors.
7LESSONS LEARNED: Facilitating factors Good selection of the TOT core group membersBenefit gained from the TOT regional trainingA well established system of communication and information sharing (TOT, UNFPA, UNHCR)Advocacy for rolling out the ECHO training lead by UNFPA with support from TOT1) committed, multidisciplinary (RH including HIV/AIDS; GBV), field knowledge, represent a variety of UN agencies, NGOs and governmentBenefit from the regional TOT3) 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
8LESSONS 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.
9LESSONS LEARNEDThere 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 activitiesMM and sexual violence management are concepts to be highlighted during the MISP training as they were perceived very important topics to addressNeed for a refresher or further coordination after the training in order to keep momentum high among participantsEquip the referral hospital with the supplies/commodities needed for EO services and NN care in crisis and after crisis situations covered in this training.
10LESSONS LEARNEDMOPH 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.