1 / 14

Sandra Krause Women’s Refugee Commission On behalf of the

Taking stock of reproductive health in humanitarian settings: Preliminary findings from the 2012-2014 global evaluation. Sandra Krause Women’s Refugee Commission On behalf of the Inter-agency Working Group on Reproductive Health in Crises.

kiora
Download Presentation

Sandra Krause Women’s Refugee Commission On behalf of the

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Taking stock of reproductive health in humanitarian settings: Preliminary findings from the 2012-2014 global evaluation Sandra Krause Women’s Refugee Commission On behalf of the Inter-agency Working Group on Reproductive Health in Crises

  2. Inter-agency Working Group (IAWG) on Reproductive Health in Crises • 1994: Refugee Women and Reproductive Health Care: Reassessing Priorities. • 1994: International Conference on Population and Development Programme of Action • 1995: Formation of the IAWG on Reproductive Health (RH) in Crises

  3. Inter-agency Working Group (IAWG) on Reproductive Health in Crises • 2002-2004: First IAWG global evaluation of RH in humanitarian settings • RH services were generally well established and consistent with pre-existing standards in stable refugee settings. • Gender-based violence and HIV/AIDS services were comparatively weak. • Services for internally displaced persons were severely lacking. • Little information regarding the RH of populations in acute emergencies.

  4. 2012-2014 Global evaluation • Literature review • Institutional capacity assessment • MISP assessment • Jordan • In-depth and service availability • South Sudan, DRC, Burkina Faso • SRH funding trends • Health Information System (HIS) review and analysis

  5. Preliminary findings: Progress • Increased institutional capacity towards RH in humanitarian settings • Improved policies. • Increased dedicated guidelines and resources. • Improved accountability to stakeholders. • Increased investments in dedicated human and financial resources. • Enhanced integration of disaster risk reduction in emergency management cycle.

  6. Preliminary findings: Progress cont’d • Increased RH programming in humanitarian settings • Improved MISP response and comprehensiveness of clinical services. • Expanded array of program delivery strategies. • Increased number of emergency health and protection programs noting RH in humanitarian appeals.

  7. Preliminary findings: Progress cont’d • Increased funding for RH to conflict-affected settings overall • Analysis of official development assistance (ODA) to 18 conflict-affected countries showed an increase of 298% in overall ODA for RH from 2002-2011. This reflects a broader increases in overall ODA.

  8. Preliminary findings: Gaps • Reproductive health components • Comprehensive abortion care • Emergency obstetric care, including post-abortion care • Long-term and permanent methods of contraception; emergency contraception • Prevention of mother-to-child transmission of HIV • Clinical care for survivors of sexual violence • Cervical cancer screening and treatment

  9. Preliminary findings: Gaps cont’d • Quality of care • Community perceptions of poor service quality. • Lack of information about the benefits and availability of services. • Challenges and delays to implementing comprehensive RH services. • Discrepancies between NGO-supported and non-supported health facilities. • Logistics and supply chain gaps.

  10. Preliminary findings: Gaps cont’d • Funding • Over half (56.3%) of the 298% increase in total RH ODA disbursements was due to a substantial increase in HIV/AIDS funding. • Average annual per capita ODA for RH activities to non-conflict-affected countries was 57% higher than to conflict-affected countries.

  11. Recommendations • Training and capacity development • Improve capacity of Ministries of Health and NGOs. • Strengthen engagement and collaboration of RH actors through the disaster planning and response cycle. • Advance “task-sharing” to address human resource shortages.

  12. Recommendations cont’d • Implementation • Improve information, education and communication among communities. • Strengthen quality transition from MISP to comprehensive RH services. • Strengthen RH supply chain management and resupply. • Strengthen attention to RH in urban areas. • Research agenda • Dedicated and predictable funding for the IAWG on RH in Crises

  13. Next steps • Publish a series of articles in Conflict and Health (September 2014). • Implement advocacy and communications campaign to disseminate findings and recommendations.

  14. Acknowledgements • IAWG Global Evaluation Steering Committee Agencies: • Centers for Disease Control and Prevention • Columbia University • International Medical Corps • Kings College London • Marie Stopes International • Medecins Sans Frontieres • United Nations High Commissioner for Refugees • United Nations Population Fund • University of New South Wales • Women’s Refugee Commission

More Related