14th Annual Meeting of the IAWG on Reproductive Health in Crisis 31 May – 1 June 2013, Kuala Lumpur, Malaysia STRATEGY FOR MISP ROLL OUT IN INDIA A Joint Partnership between UNFPA and NDMA (National Disaster Management Authority), Government of India

India’s vulnerability to Disaster Close to 60% land vulnerable to earthquakes 70% land under cultivation is prone to drought 40 million hectares of land prone to floods; 8,000 km coastline to cyclones India accounts for 16% of the world’s population with its 1.16 billion people. The HDI for India is 0.612, which gives the country a rank of 134 out of 182. In India, public health spending accounts for less than 20% of total health spending. India spends 10.6% on education, 4.8% on health and 16% on defence 880 million or 75.6% of population lives on less than USD 2 day, this equals 32% of the world’s population 304 million Indians are non-literate. Average annual public expenditure on a primary student is USD 90, in comparison its neighbour Maldives spends USD 800. 320 million below poverty line equals population of US and Australia (this is as per official govt. poverty line i.e. 27.5% (not the 37% that the Tendulkar Committee considers and which is on the slide) ( 12% government revenue spent on relief and rehabilitation 2% GDP loss

MISP PROCESS OF ROLL OUT – NATIONAL LEVEL Successfully Advocacy with Vice Chair and Member, NDMA (National Disaster Management Authority) 2 National level ToTs 2011 [Delhi –Northern states; Hyderabad - Southern and NE states] Adaptation of International MISP Facilitator Manual National Consultation – Delhi, April 2012(Resource persons identified) MISP Manual Reviewed and finalized, Goa, Aug 2012 MISP TOT to Pre test Manual, Goa November 2012 and EMEX – Guwahati and Delhi MISP integrated in Disaster Management Plan and Health Plan in Goa- Dec 2012 Manual finalized and launched in May 2013 Action initiated for assembly and pre positioning of RH kits locally in India (NDMA+ MOHFW) Chair of NDMA is Prime Minister of India. Advocated on the importance and need to address SRH in disasters. Was successful in convincing that these are not addressed as priority National TOTs. VC inaugurated himself both the TOTs.. Sent a message on the importance to this issue Participants feedback was to have a manual in the Indian context and thus the need to adapt Co –Authors from the Government – doctor for MNH an HIV/Sti, professor from NIDM for SGBV, District officer for Data. In the review meeting, officials from Ministry of Health and Family Welfare, National Aids Control Organisation, All India Institute of Medical Sciences (forensic), Department of women and Child, National Institute of Health and Family Welfare (nodal training institution for MOHFW) participated and reviewed page by page, line by line..

PROCESS OF ROLL OUT : STATE/DISTRICT LEVEL State level Advocacy with Policy Makers & Program Managers Establish Core Group – Guide, monitor, supervise state/district level activities State level MISP ToT Conduct of MISP TOT program Integrate MISP in State training institutions' (ATIs/SIHFWs) Integrate MISP in State Disaster Management Plans and Health Plans Allocate budget for MISP interventions (ensure sustainability) District level Advocacy with Program Managers Establish Core Group – Guide, monitor, supervise state/district level activities Conduct MISP Training programmes – following translation of MISP Manual Formulate SOP for GBV Review District DM Plans/Health Plans to integrate MISP Formulate SOP for MISP -preparedness/response and recovery phase Allocate budget for MISP interventions ( ensure sustainability) Joint advocacy missions (UNFPA/NDMA) undertaken to Bihar and Orissa. Meeting of secretaries of concerned departments (health, women and child, army, home affairs, water and sanitation, revenue, etc Joint advocacy mission undertaken to one district for briefing and sensitization on MISP – Bihar and orissa State level TOT scheduled this year, followed by District level training,(translation is required of the recently launched Manual) MISP integrated in Disaster management Plan and Health Plan in Goa following the Training in November 2011. Using Goa as a case study for learning lessons Once in plans, budgets are allocated from the NRHM (national rural health mission) programme of the health department and Capacity building budget of NDMA provided to States

MISP Launch: 21st May 2013 A picture of the MISP launch event held on 21 may 2013. From left: Joint Secretary. Ministry of Health and Family Welfare, Member NDMA, Vice Chair NDMA, UNFPA Representative, UN Resident Coordinator and chair of UNDMT

MISP Launch 21 May 2013, New Delhi Links to films: Animation Film on MISP India - Prioritizing Sexual and Reproductive Health in Disaster Response   Message From Ms. Priyanka Chopra, Actor Bollywood A Message from Priyanka Chopra Hindi Film to show the gaps and importance of SRH services in Disaster A film voices from the field was screened first which was basically a few testimonies from Bihar on the need and gaps in SRH information and services during disasters which laid the foundation and need for such a Manual. This is currently in Hindi but s aversion with sub titled in English will be available shortly The animation film was shown immediately after the launch and depicts the contents of the Manual

WAY FORWARD Continue Advocacy : NDMA : Chief Ministers of State NDMA/UNFPA: Secretaries of all Department at State level Conduct Trainings to build Capacity of Government and other humanitarian actors at national/state and district level on MISP Formulate SOPs for SGBV and MISP Assemble RH kits locally in India and pre-position at state level (NDMA/MOHFW) Integrate MISP in State/District Disaster Management Plans and Health Plans MISP integrated as essential track in Emergency Exercises MISP integrated in NDMA guidelines on minimum standards for food, water, sanitation, medical cover and Shelter SRH Information and Services are available and accessed by disaster affected populations

MISP ROLL OUT STRATEGY (2013-2014) PROCESS GUIDELINES commence EXPAND National TOT (English) NDMA/UNFPA Criteria developed for Master Trainers Sphere INDIA Members + select UNFPA staff Quality assurance Bihar State TOT/ integration of MISP in Plans Odisha State TOT/ Integration of MISP in Plans State X 1 day Advocacy Visit State Y 1 day Advocacy Visit District TOTs (translated) District TOTs (translated) State X TOT State Y TOT The district level TOTs for Bihar and Orissa will be contingent on the MISP translations being available in Hindi (for Bihar) and Oria (for Orissa) Other State/district level advocacy visits and TOTs will be scheduled in consultation with the states and based on the interest generated UNFPA will provide only technical support in respect of master Trainers. All other costs pertaining to participants travel, boarding and lodging as well as venue and other logistics will be provided by respective state Governments. ( this is necessary with regard to ownership and commitment by state Governments) Integration of MISP in DM and Health plans , SOPs for MISP and GBV

Programme Officer, Humanitarian and Disaster Response THANK YOU Ms. Shachi Grover Programme Officer, Humanitarian and Disaster Response UNFPA India