1. 1. Minimum Initial Service Package (MISP) for Reproductive Health Articulated in IAFM in 1996 Articulated in IAFM in 1996 Became a Sphere standard in Became a Sphere standard in 2004 2004 Recent research has shown humanitarian actors are generally not familiar with the MISP and it is not being implemented at the onset of an emergency Recent research has shown humanitarian actors are generally not familiar with the MISP and it is not being implemented at the onset of an emergency –Aceh, Indonesia (tsunami) 2005 –Chad 2004 –Pakistan 2003

2. 2. Five Objectives and Activities of the MISP Identify an organization or individual to facilitate the coordination and implementation –Ensure overall RH Coordinator is in place –Ensure RH focal points are in place –Make materials available for implementing the MISP Prevent and manage the consequences of sexual violence –Ensure systems in place to protect against sexual violence –Ensure medical services are available for survivors

3. Reduce HIV transmission –Enforce respect for universal precautions –Guarantee availability of free condoms –Ensure blood for transfusion is safe Prevent excess maternal and neonatal mortality and morbidity –Ensure referral system for obstetric emergencies is established –Provide clean delivery kits to all pregnant women and birth attendants –Provide midwife delivery kits to health facilities Plan for comprehensive RH services –Collect basic background information –Identify sites for future delivery of CRH –Assess staff and identify training protocols –Identify procurement channels and assess monthly drug consumption 2. Five Objectives and Activities of the MISP cont’ed

4. 3. Global Activities IAWG MISP Working Group –MISP Coordinator JD –Sample proposal –Complex emergency courses –IAWG MISP PowerPoint IAWG Training Partnership Advocacy with donors, gov’ts, NGOs, UN AusAID funding for Asia-Pacific region Asia-Pacific MISP training MISP Distance Learning Module

5. 4. MISP Module Published in September 2006 Currently available in English and French; Arabic, Russian, Spanish, Portuguese, Bahasa Indonesian available in 2008 Certificate of completion – pass online post-test Verifies 3.5 continuing education credits for US nurses

6. How many IAWG meeting participants have completed the Module? –18 (as of last Thursday) –162 have become certified in the MISP Module to date One Certification -AMWA -ARC -Dartmouth U. -Emory U. -Handicap Int’l -Health Care for the Homeless -JHPIEGO -KACOCI -CDC -MSI -Moi U. -Tulane U. -UNICEF -U. of Denver -U. of NC -World Bank -World Lung Found.

7. You could win… ….a red I-Pod! All IAWG members who have completed the MISP Module by the end of this week – October 13 th - are automatically eligible for the next round. The next step is to recommend 5 other people to take the Module. If all 5 have completed it by the end of this year, your name will be entered into the drawing.