Sexual and Reproductive Health SRH in Humanitarian Settings

2. Why is SRH important in humanitarian settings? There are over 65 million refugees, asylum seekers, stateless and internally displaced persons currently uprooted from their homes. References: UNHCR Global Trends annual report 2008 UNHCR ‘Women, Children, Older Refugees: The Sex and Age Distribution of Refugee Populations with a Special Emphasis on UNHCR Policy Priorities’ July 2001 References: UNHCR Global Trends annual report 2008 UNHCR ‘Women, Children, Older Refugees: The Sex and Age Distribution of Refugee Populations with a Special Emphasis on UNHCR Policy Priorities’ July 2001

3. Reference: The PRS Project: Towards Solutions to Protracted Refugee Situations Reference: The PRS Project: Towards Solutions to Protracted Refugee Situations

4. Provision of SRH is a Life-saving Intervention Reproductive health problems are the leading cause of women’s ill health and death world wide Almost ALL maternal deaths are preventable Gender based violence accounts for as much death and disability among women aged 15 to 44 as cancer – and more than malaria, motor vehicle accidents and war combined. References: UNFPA, State of the World Population 2005: The Promise of Equality, UNFPA, New York, 2005: Based on calculations of disability adjusted life years (DALYs). See: WHO. 2002. "Estimates of DALYs by Sex, Cause and WHO Mortality Sub-region: Estimates for 2001." Geneva: WHO. Web site: www3.who.int/whosis/menu.cfm?path=evidence,burden,burden_estimates, burden_estimates_2001,burden_estimates_2001_subregion&language=english, UNFPA State of the World Population Fact Sheet 2005 http://www.unfpa.org/swp/2005/presskit/factsheets/facts_rh.htm Heise, L., J Pitanguy, A. Germain: Violence Against Women: The Hidden Health Burden World Bank Discussion Paper 255 1994 References: UNFPA, State of the World Population 2005: The Promise of Equality, UNFPA, New York, 2005: Based on calculations of disability adjusted life years (DALYs). See: WHO. 2002. "Estimates of DALYs by Sex, Cause and WHO Mortality Sub-region: Estimates for 2001." Geneva: WHO. Web site: www3.who.int/whosis/menu.cfm?path=evidence,burden,burden_estimates, burden_estimates_2001,burden_estimates_2001_subregion&language=english, UNFPA State of the World Population Fact Sheet 2005 http://www.unfpa.org/swp/2005/presskit/factsheets/facts_rh.htm Heise, L., J Pitanguy, A. Germain: Violence Against Women: The Hidden Health Burden World Bank Discussion Paper 255 1994

5. Neglecting reproductive health has serious consequences Preventable maternal and infant deaths and permanent disability of women and girls Unplanned and unintended pregnancies due to lack of family planning Life threatening complications from unsafe abortions Spread of sexually transmitted infections including HIV Gender-based violence including rape, domestic violence, trafficking and sexual exploitation

6. Global Standards Incorporate SRH Sphere Humanitarian Charter and Minimum Standards in Disaster Response (2004) IASC Global Health Cluster Guide (2009)

7. SRH is a Fundamental Human Right UN Millennium Development Goals Universal Declaration of Human Rights, 1948 Convention on the Elimination of All Forms of Discrimination Against Women, 1990 Program of Action, International Conference on Population and Development, Cairo 1994 Platform for Action, Fourth World Conference on Women, Beijing 1995

8. Addressing SRH in Humanitarian Settings SPRINT is a regional initiative that began in 2007 with the goal of increasing access to sexual and reproductive health (SRH) services and information.

9. The SPRINT Initiative Builds the capacity of health workers to coordinate implementation of the Minimum Initial Service Package (MISP) for SRH - a set of priority, life-saving SRH services Supports advocacy to integrate priority SRH care into emergency response plans Strengthens coordination of SRH responses in crisis situations Raises awareness on SRH in crises at national & regional levels Responds in a timely fashion to SRH needs in crisis situations The MISP is an international standard developed in 1999 (See Reproductive Health in Refugee Situations: An Interagency Field Manual). Over 30 international, national and UN agencies as well as governments and academic institutions have endorsed the MISP, including WHO, UNHCR, UNICEF, IFRC, MSF, US Center for Disease Control and Prevention, USAID, etc.The MISP is an international standard developed in 1999 (See Reproductive Health in Refugee Situations: An Interagency Field Manual). Over 30 international, national and UN agencies as well as governments and academic institutions have endorsed the MISP, including WHO, UNHCR, UNICEF, IFRC, MSF, US Center for Disease Control and Prevention, USAID, etc.

10. The Minimum Initial Service Package (MISP) basic, limited reproductive health for use in an emergency, without site-specific needs assessment services to be delivered to the population supplies (e.g. RH Kit) and activities coordination and planning

12. Example: Progress in the Solomon Islands After the May 2009 Echo Training in the Solomon Islands: SPRINT has been asked to assist in integrating SRH into the Solomon Island’s Public Health and Emergency Management in Asia and the Pacific (PHEMAP) training The SPRINT Country Team and Secretariat have been invited to actively participate in the revision of natural disaster risk management plan. The National Disaster Management Office has agreed to integrate components of the MISP into their training courses.

13. Reproductive Health in [Insert Country Name] [Insert general statistics on SRH from you country] [Insert SRH statistics for conflict/natural disaster settings if available]

14. [Insert Country Name] Experience [ADD a slide about any conflict or natural disasters in your country including information on: Types and frequency of conflict/natural disaster Areas affected Number of displaced]

15. Next Steps [Insert information on how you can move forward in your contexts, e.g. supporting the integration of SRH into a emergency preparedness plan, roll out of echo training, integrate SRH into national health trainings] Governments that have integrated SRH into their emergency preparedness plans are in compliance with international standards and guidelines. Governments that have integrated SRH into their emergency preparedness plans are in compliance with international standards and guidelines.