©2012 International Medical Corps Janet Meyers Capacity assessment of humanitarian organizations to implement the MISP and comprehensive reproductive health:

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©2012 International Medical Corps Janet Meyers Capacity assessment of humanitarian organizations to implement the MISP and comprehensive reproductive health: Global review

©2012 International Medical Corps Global Review Objectives To review the commitment to, scope, coverage, quality and use of RH service by populations affected by humanitarian crisis; To identify and document progress made since the last IAWG global evaluation in 2004; To identify gaps and areas for improvement; and To provide guidance for implementation, management, funding and future research areas.

©2012 International Medical Corps Components of 2013 Global Review – Literature review – Assessment of agency commitment and capacity – In-depth assessment of RH service availability and quality – Assessment of RH service availability and use – MISP assessment – Funding trends for RH in crises – Review of UNHCR Health Information System (HIS) RH data

©2012 International Medical Corps Capacity Assessment Team Nguyen-Toan Tran, MD, MSc, DrMed, University of New South Wales Carina Hickling, MPH, PhD Student Sandra Krause, RN, MPH, Reproductive Health Program, Women's Refugee Commission, NY, NY Janet Meyers, RN, MPH, International Medical Corps Angela Dawson, PhD, University of Technology Sydney Louise Lee-Jones, MSc, BA Valerie Wisard Rainer Tan, MD Candidate, University of Lausanne Seher Shafiq, Master of Global Affairs Candidate, Munk School of Global Affairs

©2012 International Medical Corps Objectives of Capacity Assessment Study Evaluate the overall state of Reproductive Health in Humanitarian Settings (RHHS) since 2004 Assess the capacity of institutions – institutional policy – accountability mechanisms – program delivery strategy – financial resources – human resources – technical guidance – procurement of supplies related to RHHS

©2012 International Medical Corps Methodology Elements of Capacity: Structured Theoretical Framework – based upon Allan Kaplan’s capacity building model Ethical approval from the Faculty of Health of the University of Technology Sydney Cross-sectional online survey from April to August 2013 Purposive sampling – IAWG, GHC and CORE Group listservs

©2012 International Medical Corps Characteristics of Institutional Respondents

©2012 International Medical Corps Institutional Policy

©2012 International Medical Corps Accountability Mechanisms

©2012 International Medical Corps Accountability Mechanisms

©2012 International Medical Corps Program Delivery Strategy

©2012 International Medical Corps Presentation Title

©2012 International Medical Corps Community-based Interventions

©2012 International Medical Corps Advocacy and Policy Work

©2012 International Medical Corps Clinical RHHS

©2012 International Medical Corps Maternal Newborn Health

©2012 International Medical Corps Family Planning

©2012 International Medical Corps GBV

©2012 International Medical Corps HIV

©2012 International Medical Corps Financial Resources

©2012 International Medical Corps Human Resources: Proportion of Dedicated Staff for RHHS

©2012 International Medical Corps Presentation Title

©2012 International Medical Corps Proportion of Institutions Reporting High Level Workforce Competencies

©2012 International Medical Corps Top Resource Materials since 2004

©2012 International Medical Corps IAWG Clinical Guidance Needs

©2012 International Medical Corps Preferred Training Methods

©2012 International Medical Corps RH Procurement Issues

©2012 International Medical Corps Recommendations Formalize the Inter-agency Working Group (IAWG) structure Continue annual work meetings and support to regional working groups on RHHS Systematically identify a lead agency to lead RH coordination in all emergencies Develop or adapt practical guidance for emerging topics Strengthen RH supply chain management and re- supply

©2012 International Medical Corps Recommendations Implement established mechanisms of accountability Advocate for engagement of development and humanitarian sections Strengthen formal partnerships and build resilience of crisis affected communities Ensure well-funded dissemination strategy for guidance resources Continuously improve quality and access to address gaps in service delivery