Sexual Reproductive Health (SRH) in Emergencies / RAISE

Initiative

Goal: Build on current sexual reproductive health programs by integrating emergency preparedness and response and take best practices and lessons learned from SRH programs to inform strategies that address the needs of women and girls in emergencies.

What do we mean by Sexual Reproductive Health?

Family Planning

Maternal Newborn Care - EmONC

Prevention and

Treatment of

STIs/HIV/AIDS

Prevention and Care for

Survivors of Gender-based

Violence

Three core areas

• Strengthen institutional capacity

• Improve staff preparedness

• Enhance learning and sharing

Why SRH in Emergencies• In general 4% of displaced

populations are pregnant women

• 15% of all pregnancies result in unforeseen complications

• 75% of all maternal deaths are due to five causes (all of which can be treated)

• Health including SRH/HIV interventions can reduce negative consequences of disaster on women, girls, families and communities

Why SRH in Emergencies? (Cont.)

• Reports on rape during conflict detail profound brutality towards women and girls and less frequently men and boys

• Family planning can prevent 25-30% of all maternal deaths

• The growing number of humanitarian crises, often linked with displacement, food insecurity and poverty, increase vulnerability to HIV and negatively affect the lives of PLHIV

Minimum Initial Service Package (MISP) for SRH

• Identify focal point for RH within organization

individual

• Prevent and manage the consequences of sexual violence

plan camp design or assess setting where affected population is staying

medical response (EC, STI prevention, PEP)

inform the community about prevention and services

protection of at risk groups

Components of the MISP Cont.• Reduce HIV transmission

universal precautions

free condoms

safe blood

Continue antiretrovial therapy, home-based care, PMTCT

• Prevent excess neonatal and maternal morbidity and mortality

referral for obstetric emergencies

clean and safe deliveries at health facility

clean home deliveries

Components of the MISP Cont. • Plan for comprehensive RH services and

programs (maternal newborn care including EmONC, family planning, STIs/HIV/AIDS, gender-based violence), integrated into other programs such as primary health care as soon as possible collect background information

identify suitable sites

order supplies

train staff

Mortality, morbidity & disability in crisis-affected populations(refugees/IDPs or populations

hosting them)

GOAL

Plan for COMPREHENSIVE RH services,integrated into Primary Health Care◙ Baseline info & M&E◙ ID sites for future delivery of comprehensive RH◙ Assess staff & ID training protocols

◙ Procurement channels

Objective 5

RH Kit 4

RH Kit 5

RH Kit 7

Minimum Initial Service Package (MISP) for RH in Crisis Situations

Transmission of HIV/STI◙ Universal precautions enforced

◙ Free condoms available◙ Safe blood transfusion

Objective 3

Identify agency/persons to facilitate COORDINATION & IMPLEMENTATION◙ RH coordinator in place under health coordination team◙ RH focal person in place in camps◙ RH kits available & used

RH Kit 0

Objective 1

Prevent sexual violence & assist survivors◙ Protection system in place for displaced populations, especially women & girls

◙ Medical services & psychosocial support available for survivors

Objective 2

RH Kit 3

RH Kit 9

RH Kit12

RH Kit1

Universal precautionsthrough kits 1-12

Prevent EXCESS maternal & neonatal mortality & morbidity◙ Referral system for EmONC available 24/7◙ Midwife delivery kits for clean and safe deliveries @ health facilities◙ Provide clean delivery kits for visibly pregnant women & birth attendants to ensure clean home deliveries

RH Kit 2

RH Kit 6

Objective 4

RH Kit 8

RH Kit 10

RH Kit 11

RH Kit 9

RH Kit12

Minimum Initial Service Package (MISP) for Reproductive Health

Distance learning module available at CARE

Academy and www.rhrc.org

Resources for SRH in Emergencies

Join the interagency working group for RH in emergencies,

www.rhrc.org

Resources for Mainstreaming Gender

For this manual and other resources on gender, go to:

http://www.humanitarianreform.org/Default.aspx?tabid=452

Resources for Gender-based Violence Programming

These and other tools available at

http://www.humanitarianreform.org/Default.aspx?tabid=429

Resources for HIV/AIDS Programming

Under development:Revised IASC Guidelines for

Addressing HIV in Humani-

tarian Situations-Integrating HIV/AIDS into

Humanitarian Action – an

Induction Manual

Resources for Gender and Sexuality

Links for SRH in Emergencies

• http://careemergencytoolkit.org/home/

• www.rhrc.org – MISP distance learning module, resources on all RH topics and to join IAWG for RH in emergencies

• www.raiseinitiative.org – Fact sheets and resources

• http://www.aidsandemergencies.org/cms/ - Resources on HIV/AIDS

Listservs and Virtual Network• SRH Google Group – Regular messages on

SRH topics including tools, materials, conferences, and workshops

• SRH in Emergencies – Bi-weekly messages regarding tools, materials, workshops and conferences

• SRH in Emergencies Technical Reference Group

• To join or for more information, contact Brooke Barnes at bbarnes@care.org

Discussion Questions

• What aspects of sexual reproductive health might be relevant to your programming?

• What support do you need?