Misp cheat sheet rev.04 2010


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Misp cheat sheet rev.04 2010

  1. 1. Minimum Initial Service Package (MISP) for Reproductive Health Objective 1 Ensure health cluster/sector identifies agency to LEAD implementation of MISP • RH Officer in place • Meetings to discuss RH implementation held • RH Officer reports back to health cluster/sector • RH kits and supplies available & used RH Kit 0 Objective 5 Objective 2Plan for COMPREHENSIVE RH services, Prevent SEXUAL VIOLENCE & assist survivorsintegrated into primary health care • Protection system in place especially for women • Background data collected & girls• Sites identified for future delivery of comprehensive • Medical services & psychosocial support available GOAL RH for survivors• Staff capacity assessed and trainings planned • Community aware of services• RH equipment and supplies ordered Decrease mortality, morbidity & disability in RH Kit RH Kit RH Kit RH Kit RH Kit 3 9 crisis-affected populations 4 5 7 (refugees/IDPs or popula- tions hosting them) Objective 3 Objective 4 Reduce transmission of HIVPrevent excess MATERNAL & NEWBORNmorbidity & mortality • Safe and rational blood transfusion in place • Standard precautions practiced• Emergency obstetric and newborn care services • Free condoms available available • 24/7 referral system established RH Kit Standard precautions RH Kit• Clean delivery kits provided to birth attendants 1 through kits 1-12 12 and visibly pregnant women RH Kit• Community aware of services 12 RH Kit RH Kit RH Kit RH Kit RH Kit RH Kit 2 6 8 9 10 11
  2. 2. CRISIS POST-CRISIS The RH Kit is designed for use for a 3-month period for a varying population number and Crude mortality rate Mortality returns to level of is divided into three "blocks" as follows: >1 death/10,000/day surrounding populations Block 1: Six kits to be used at the community and primary health care level for 10,000 persons / 3 monthsSUBJECT AREA MINIMUM (MISP) RH SERVICES COMPREHENSIVE RH SERVICES KIT NUMBERS KIT NAME COLOR CODE • Provide contraceptives, such as • Source and procure contraceptive Kit 0 Administration Orange condoms, pills, injectables and supplies Kit 1 Condom (Part A is male condoms + Part B is female condoms) Red IUDs, to meet demand • Provide staff trainingFAMILY PLANNING Kit 2 Clean Delivery (Individual) (Part A + B) Dark blue • Establish comprehensive family planning programs Kit 3 Post-Rape (Part A + B) Pink • Provide community education Kit 4 Oral and Injectable Contraception White • Coordinate mechanisms to prevent • Expand medical, psychological, Kit 5 STI Turquoise sexual violence with the health and social and legal care for survivors Block 1 contains six kits. The items in these kits are intended for use by service providers delivering RH care at the other sectors/clusters • Prevent and address other forms of community and primary care level. The kits contain mainly medicines and disposable items. Kits 1, 2 and 3 are • Provide clinical care for survivors GBV, including domestic violence, subdivided into parts A and B, which can be ordered separately.GENDER-BASED of rape forced/early marriage, female VIOLENCE Block 2: Five kits to be used at the community and primary health care level for 30,000 persons / 3 months • Inform community about services genital cutting, • Provide community education KIT NUMBERS KIT NAME COLOR CODE • Engage men and boys in GBV Kit 6 Delivery (Health Facility) Brown programming Kit 7 IUD Black • Ensure availability of emergency • Provide antenatal care obstetric and newborn care • Provide postnatal care Kit 8 Management of Complications of Abortion Yellow services • Train skilled attendants (midwives, Kit 9 Suture of Tears (Cervical and vaginal) and Vaginal Examination Purple • Establish 24/7 referral system for nurses, doctors) in performing MATERNAL AND Kit 10 Vacuum Extraction for Delivery (Manual) Grey obstetric and newborn emergencies emergency obstetric and newborn NEWBORN CARE Block 2 is composed of five kits containing disposable and reusable material. The items in these kits are intended for • Provide clean delivery packages to care visibly pregnant women and birth • Increase access to basic and use by trained health care staff with additional midwifery and selected obstetric and neonatal skills at the health centre or hospital level. attendants comprehensive emergency • Inform community about services obstetric and newborn care Block 3: Two kits to be used at referral hospital level for 150,000 persons / 3 months • Ensure safe and rational blood • Establish comprehensive STI KIT NUMBERS KIT NAME COLOR CODE transfusion practice prevention and treatment services, Kit 11 Referral level for Reproductive health (Part A + B) Fluorescent Green • Ensure adherence to standard including STI surveillance systems precautions • Collaborate in establishing Kit 12 Blood Transfusion Dark Green • Guarantee the availability of free comprehensive HIV services as Block 3 is composed of two kits containing disposable and reusable supplies to provide comprehensive emergencySTIs, INCLUDING HIV, obstetric and newborn care at the referral (surgical obstetrics) level. It is estimated that a hospital at this level covers a condoms appropriatePREVENTION & population of approximately 150,000 persons. Kit 11 has two parts, A and B, which are usually used together but which • Provide syndromic treatment as • Provide care, support and treat-TREATMENT can be ordered separately. part of routine clinical services for ment for people living with HIV/ patients presenting for care AIDS NOTE: Agencies should not depend solely on the Inter-agency RH Kits and should plan to • Provide ARV treatment for patients • Raise awareness of prevention, integrate the procurement of MISP/RH supplies in their routine health procurement systems. already taking ARVs, including for care, treatment services of STIs PMTCT, as soon as possible RESOURCES:How to order RH Kits for Crisis How to order RH Kits: ► Reproductive Health in Humanitarian Settings: An Inter-agency Field Manual: Situations booklet: http://www.iawg.net/resources/field_manual.html UNFPA Procurement Services Section ► MISP Distance Learning Module: http://misp.rhrc.orgUNFPA – Contact local country offices Emergency Procurement Team ► SPRINT Facilitator’s Manual for SRH Coordination: or Midtermolen 3 www.ippfeseaor.org/en/Resources/Publications/SPRINTFacilitatorsManual.htm ► UNFPA/Save the Children Adolescent Sexual and Reproductive Health Toolkit in Humani-220 East 42nd Street 2100 Copenhagen tarian Settings: A companion to the Inter-Agency Field Manual on Reproductive Health in New York, NY 10017 USA Denmark Humanitarian Settings: www.unfpa.org/public/publications/pid/4169 Tel: + 1 212 297 5245 Tel: +45 3546 7368 / 7000 ► RHRC Monitoring and Evaluation Toolkit: www.rhrc.org/resources/general_fieldtools/toolkit/Fax: +1 212 297 4915 Fax: + 45 3546 7018 ► CDC RH Assessment Toolkit for Conflict-Affected Women: Email: hru@unfpa.org procurement@unfpa.dk http://www.cdc.gov/reproductivehealth/Refugee/RefugeesProjects.htm ► Inter-agency Working Group on Reproductive Health in Crises: www.iawg.netwww.rhrc.org/resources/rhrkit.pdf ► Reproductive Health Response in Crises (RHRC) Consortium: www.rhrc.org April 2010 © IAWG. Based on Inter-Agency Field Manual on Reproductive Health in Humanitarian Settings.