MISP-to-CSRH-Interactive-PowerPoint-Presentation.pptx

MISP-to-CSRH-Interactive-PowerPoint-Presentation

1. planning for comprehensive sexual and reproductive health services in Crisis-Affected Settings Location / Date

2. Workshop objective Provide a platform for participatory planning among stakeholders to: improve the quality of MISP services and integrate comprehensive SRH services into health system strengthening efforts develop a shared work plan for comprehensive SRH programming

3. Participatory planning Process & Workshop Steps Three Phases of the Process Phase 1: Preparation Phase 2: Participatory planning workshop (review agenda) Phase 3: Follow-up and implementation of shared work plan Workshop Steps Setting a common understanding Mapping needs and opportunities related to comprehensive SRH priorities Setting planning priorities for comprehensive SRH Team work on agreed planning priorities for comprehensive SRH Reporting back and finding synergies

4. Setting a common understanding What is the Minimum Initial Service Package (MISP) for SRH? What are comprehensive SRH services? What defines quality SRH services? What are the six WHO health system building blocks? How will they be used as a framework for the comprehensive SRH planning process? What is the SRH situation in the context?

5. Minimum Initial Service Package (MISP) for SRH The MISP is a coordinated set of lifesaving priority SRH activities and services to be implemented at the onset of every emergency response Ideally implementation should take place within 48 hours Planning and preparedness is critical The goal of the MISP is to prevent SRH-related morbidity and mortality while protecting the right of the affected community to life with dignity. The MISP can be implemented without an in-depth SRH needs assessment The identified SRH interventions are life-saving

6. Objectives of the MISP for SRH Ensure the health sector/cluster identifies an organization to lead implementation of the MISP Prevent sexual violence and respond to the needs of survivors Prevent the transmission of and reduce morbidity and mortality due to HIV and other sexually transmitted infections (STIs) Prevent excess maternal and newborn morbidity and mortality Prevent unintended pregnancies Plan for comprehensive SRH services, integrated into primary health care as soon as possible. Work with the health sector/cluster partners to address the six health system building blocks Other priority: It is also important to ensure that safe abortion care is available, to the full extent of the law, in health centers and hospital facilities

7. Comprehensive SRH Priorities could include: Broadening and strengthening of MISP services Inclusion of SRH services that fall outside of the MISP Services, like MISP services, must be accessible for all affected populations Requires a multisectoral , integrated approach that incorporates systems thinking Services are essential SRH services that must meet public health and human rights standards, including the ‘Availability, Accessibility, Acceptability, and Quality’ framework of the right to health

8. Comprehensive SRH (2) Comprehensive SRH services should include: accurate information and counseling on sexual and reproductive health, including evidence-based, comprehensive sexuality education; information, counseling , and care related to sexual function and satisfaction; prevention, detection, and management of sexual and gender-based violence and coercion; a choice of safe and effective contraceptive methods; safe and effective antenatal, childbirth, and postnatal care; safe and effective abortion services and care, to the full extent of the law; prevention, management, and treatment of infertility; prevention, detection, and treatment of STIs, including HIV, and of reproductive tract infections; and prevention, detection, and treatment of reproductive cancers. Source: Lancet, May 2018 Accelerate progress—sexual and reproductive health and rights for all: report of the Guttmacher– Lancet Commission //www.thelancet.com/commissions/sexual-and-reproductive-health-and-rights

9. emergency Continuum NOTE: Crisis seldom take a linear, clear-cut path from emergency, stability, recovery to development. Often, they are complex, with settings experiencing varying degrees of improvement or deterioration that can last decades. The provision of RH services must therefore take into account the non-linear trajectory of a crisis, and the gaps in services due to insecurity, competing priorities or dwindling funds in protracted settings. The IAFM is applicable for all settings, wherever an agency finds itself on the emergency continuum.

10. Quality SRH services: Fundamental Elements Provide patients with respect, understanding, equity, accurate information, skilled care, and results.  Availability – SRH services exist and there are not any legal, administrative, or logistical obstacles that limit their availability Accessibility – SRH services are appropriate, physically accessible, affordable, and respectful Acceptability – SRH services conform to sociocultural and community norms, and are respectful of patients’ feedback and concerns Quality – SRH services, supplies, and facilities are up to medical and scientific standards

11. Quality SRH services: Fundamental Elements (2) Organized health care services – SRH service integration into primary health care; referral systems; and the continuum of care Technical competency – quantity and quality of SRH health care providers; health care norms and protocols; supervision Infrastructure and supplies – appropriate technologies and resources; sustainable supply chains Patients ’ rights – discretion; confidentiality; informed consent; respect; courtesy; security

12. Planning for comprehensive SRH services: health system approach Need to know: Needs and strengths of affected populations Available resources Identified priorities within the health system The health system approach: 6 building blocks that make up health systems Offers a useful programming framework within which SRH components can be planned, assessed, monitored and evaluated Always keep in mind: Involve the community in every phase; services must be tailored to their needs and demands

13. Health system approach: 6 building blocks Health systems building block When planning for comprehensive SRH services, collaborate with all stakeholders to: Service delivery Identify SRH strengths and needs in the community Identify suitable sites for SRH service delivery Health workforce Assess staff capacity Identify staffing needs and levels Design and plan staff training Health information system Build upon estimated demographic data to collect more specific SRH information Include SRH information in the health information system Medical commodities Identify SRH commodity needs Strengthen sustainable SRH commodity supply lines Financing Identify SRH short and long-term financing possibilities Governance and leadership Review SRH-related laws, policies, protocols Coordinate with the Ministry of Health Engage communities in accountability

14. [Country /region’s name] : Situation Analysis & SRH Needs Participatory planning workshop for comprehensive SRH Location, Country, Date

15. The Crisis in (region/country): Overview (1 slide: when, why, and how – when did the crisis begin, the type of crisis, the number of people affected, the current situation, and projections for the future)

16. Before the crisis

17. Before the crisis: health successes and challenges in (region/country) (1 slide): See Template A in the toolkit for guidance.

18. Before the crisis: the state of SRH in (region/country) (1-2 slides)

19. Before the crisis: SRH service delivery in (region/country) & coverage (1-2 slides: Available services: where, who are the providers, what types, how. See Template B in the toolkit for guidance.)

20. Ex. (Source: Ministry of health) Goal Objectives Maternal Newborn Health (Example: To reduce the rate of maternal mortality)       (Example: To increase the proportion of pregnant women who receive antenatal care to 75% by 2021.) … …

21. Ex. (Source: Ministry of health) Goal Objectives Contraceptive Services (Example: To reduce the rate of maternal mortality)       (Example: To increase the proportion of pregnant women who receive antenatal care to 75% by 2021.) … …

22. Ex. (Source: Ministry of health) Goal Objectives Safe Abortion Care / Post-Abortion Care ….       … … …

23. Ex. (Source: Ministry of health) Goal Objectives HIV and Other Sexually Transmitted Infections ….       … … …

24. Ex. (Source: Ministry of health) Goal Objectives Gender-Based Violence ….       … … …

25. Ex. (Source: Ministry of health) Goal Objectives Adolescent Sexual and Reproductive Health ….       … … …

26. Ex. (Source: Ministry of health) Goal Objectives Other Areas ….       … … …

27. Since the crisis began

28. Since the crisis began: major health successes and challenges in (region/country) (1 slide)

29. State of MISP implementation Successes & Challenges What MISP objectives and activities are being implemented and by whom ? To what extent are the MISP objectives being provided ? What are the main challenges that are causing the gaps in the provision of MISP services? See Template C in the toolkit for guidance.

30. Coordination (Ensure the health sector/cluster identifies an organization to lead implementation of the MISP)

31. Sexual Violence (Prevent sexual violence and respond to the needs of survivors)

32. HIV and other STIs (Prevent the transmission of and reduce morbidity and mortality due to HIV and other STIs)

33. Maternal and Newborn Health (Prevent excess maternal and newborn morbidity and mortality)

34. Prevent unintended pregnancies (contraception) (Prevent unintended pregnancies)

35. Planning for comprehensive SRH (Plan to integrate comprehensive SRH services into primary health care)

36. Safe abortion care ( It is also important to ensure that safe abortion care is available, to the full extent of the law, in health centers and hospital facilities)

37. SRH supply chain

38. Inclusion of priority populations & impact of events on them

39. changes due to COVID-19 in SRH programming and servicesnd changes due to COVID-19 List any changes due to COVID-19 (or other event that impacted health) in SRH programming and services

40. Mapping needs and opportunities   Current needs Opportunities Service delivery Adolescent SRH Contraceptive services Maternal and newborn health, including safe abortion care and fistula care Gender-based violence Prevention and treatment of STIs/HIV Gynecology/urology services Reproductive cancers Management of infertility Others:…………………………….     Health workforce     Medical commodities     Health information system     Financing     Governance / leadership    

41. Setting priorities Setting SRH Priorities Priority Importance of the problem Efficacy of the intervention Program requirements Costs Health system capacity Opportunities and available resources Higher     ↕   Lower High High Low Low High High Medium Medium Medium Medium Medium Medium Low Low High High Low Low

42. Teamwork: Planning priorities Activities Next steps Focal points Additional groups/people to involve Timeline Resources needed Comments Priority 1                 Priority 2                 Priority 3