Maryam from Tehran, Iran is MSc student of Epidemiology at Tehran University of Medical Science. She is interested in disaster filed then developed some lecture like this ( Minimum Initial Service Package for Reproductive Health) Hope it’s useful for all target groups. My

What is the MISP? The Minimum Initial Service Package (MISP) for Reproductive Health is a priority set of life‐saving activities to be implemented at the onset of every humanitarian crisis. It forms the starting point for sexual and reproductive health programming and should be sustained and built upon with comprehensive sexual and reproductive health services throughout protracted crises and recovery.

Why is MISP important?  The MISP saves lives and prevents illness, trauma and disability, especially among women and girls. As such, the MISP meets the life‐saving criteria for the Central Emergency Response Fund(CERF).

Why is MISP important?  Neglecting the MISP in humanitarian settings has serious consequences:  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 and morbidity experienced particularly by women and girls

Implementing the MISP is not optional: it is an international standard of care that should be implemented at the onset of every emergency.

Goal  The goal of the MISP is to reduce mortality, morbidity and disability among populations affected by crises, particularly women and girls. These populations may be refugees, internally displaced persons (IDPs) or populations hosting refugees or IDPs.

The RH kit is designed for use for a 3-month period for a varying population number, depending on which block of sub-kits is ordered

About the MISP Distance Learning Module The MISP for Reproductive Health (RH) is a coordinated set of priority activities designed to:  prevent and manage the consequences of sexual violence;  reduce HIV transmission;  prevent excess maternal and neonatal mortality and morbidity;  and plan for comprehensive RH services in the early days and weeks of an emergency.

Who is the MISP Module designed for?  humanitarian workers operating in health, camp design and management, community services, protection and other sectors;  members of emergency response teams;  and other first humanitarian responders in crisis situations.

How long will it take me to complete the MISP Module?  Approximately three to four hours.

How do I use the MISP Module? The module is a self-instructional learning module. The module should be read in order of chapters and later can be used as a reference. The user reads through each chapter and completes the chapter quizzes and final quiz.

OBJECTIVE OF THE MISP MODULE IS FOR READERS TO:  define and understand each component of the MISP;  grasp the importance of implementing the MISP in emergency settings;  understand the role and functions of the RH Coordinator/Focal Point;  be able to order MISP supplies internationally or obtain them locally;

OBJECTIVE OF THE MISP MODULE IS FOR READERS TO:  know the most important things to do in the immediate days and weeks of a new emergency to prevent and respond to sexual violence;  know the priority interventions for reducing HIV transmission in the earliest phase of crisis situations;  understand the best ways to reduce maternal and neonatal death and disability at the onset of an emergency;  be able to plan for comprehensive RH programming once the crisis has stabilized.

Coordination of the MISP  Coordination of MISP activities is necessary at multiple levels, including : local/camp, agency, sub-regional, country and international levels. Coordination within and among these various levels and across sectors is aimed at ensuring that efforts are not duplicated, useful data and information are shared among humanitarian actors and scarce resources are used efficiently.

Prevent and Manage the Consequences of Sexual Violence  MISP Sexual Violence Monitoring: - Coordinated multi-sectoral systems to prevent sexual violence are in place - Confidential health and psychosocial services to manage cases of sexual 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 vulnerability to STIs and HIV is complex. Displaced populations in crisis situations are especially vulnerable to STIs and HIV. STIs, including HIV, have the potential to thrive under crisis conditions where access to means of prevention, treatment and care are 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 neonatal and Maternal Mortality and Morbidity.

Exercise

How many deliveries require a cesarean section (c-section)?

Exercise

Planning for Comprehensive RH Services This section outlines the steps to be taken to be ready to expand RH services when a crisis situation stabilizes and when all the components of the MISP have been implemented.

Ordering Reproductive Health Kits  To address the objectives of the MISP, the IAWG has specifically designed a pre- packaged set of kits containing drugs and supplies aimed at facilitating the implementation of priority RH services. UNFPA is in charge of assembling and delivering these Interagency RH Kits.

What information do I need to order the Interagency RH Kits?  which organization/individual will organize the distribution 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 can help you to orderthe correct supplies. (Default estimates are provided in case requested data are not available.)

How quickly will Interagency RH Kits arrive at my site?  In crisis situations, kits should arrive at the country port of entry within two to seven days after an order is placed and the funds are transferred. Transport to field sites is dependent upon the ordering agency’s local transport and storage arrangements.

How are Interagency RH Kits packaged?  To facilitate logistics in country, UNFPA has arranged that the boxes containing the kit contents: -Are marked with the number of boxes and the weight 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 representing a particular kit

How can I find out the exact contents of each RH Kit?  Contact UNFPA to obtain a copy of the booklet Reproductive Health Kits for Crisis Situations. This booklet provides a list of contents of each kit as well as guidance on the type of training health personnel should have to us the contents of the kit appropriately.

How do I order Interagency RH Kits?  Information on the kits or assistance with ordering can be provided by UNFPA field offices, agency partners or the UNFPA Humanitarian Response Unit (HRU) in New York or Geneva:

References:  Minimum Initial Service Package (MISP) for Reproductive Health in Crisis Situations:, A Distance Learning Module, November 2007 UNFPA. State of the World Population CERF Lifesaving Criteria and Sectoral Activities (Guidelines) UNFPA. State of the World Population 2000.