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The Inter-Agency Reproductive Health Kits

Objectives. By the end of the session, you should be able to:Order Reproductive Health Kits and be familiar with the RH kit bookletPlan in-country distribution. Inter-Agency Working Group on RH in Crises (IAWG). Minimum Initial Service Package (MISP)Inter-Agency Field Manual and other guidelin

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The Inter-Agency Reproductive Health Kits

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    1. The Inter-Agency Reproductive Health Kits

    2. Objectives By the end of the session, you should be able to: Order Reproductive Health Kits and be familiar with the RH kit booklet Plan in-country distribution

    3. Inter-Agency Working Group on RH in Crises (IAWG) Minimum Initial Service Package (MISP) Inter-Agency Field Manual and other guidelines Inter-Agency RH Kits for Emergency Situations

    4. Inter-Agency RH Kits for Emergency Situations Block 1 (Kits 0 to 5) Primary health care/health centre level 10 000 people for 3 months Block 2 (Kits 6 to 10) Health centre level or referral level 30 000 people for 3 months Block 3 (Kit 11 and 12) Referral level 150 000 people for 3 months

    5. ‘Standard’ Population Adult males 20% Women of reproductive age (WRA) 25% Crude birth rate 4% Number of pregnant women Number of deliveries Complicated abortions/pregnancy 20% Vaginal tears/delivery 15% Caesarean sections/delivery 5% WRA who are raped 2% WRA using contraception 15% Oral contraception 30% Injectables 65% IUD 5%

    6. RH Kits for emergency situations Block 1 Primary health care/health centre level 10 000 people for 3 months Kit 0 1 A & B 2 A & B 3 A B 4 5 Administration/training supplies Condoms (A/male & B/female) Clean delivery (A/individual & B/attendant) Post-rape treatment (EC/STI prevention) Post-rape (PEP) Oral and injectable contraception Treatment of STIs

    7. Kit 3: Rape Treatment Kit

    8. RH Kits for emergency situations Block 2 Health centre level or referral level 30 000 people for 3 months Kit 6 7 8 9 10 Delivery (Health Facility) IUD insertion Management of complications of abortion Suture of cervical and vaginal tears Vacuum extraction

    9. Kit 6: Clinical Delivery (Health Facility)

    10. Kit 10: Vacuum Extraction for Delivery

    11. Kit 11 A B 12 RH Kits for emergency situations Block 3 Referral level 150 000 people for 3 months Surgical (reusable equipment) Surgical (consumable items and drugs) Blood transfusion

    12. Kit 12: Blood Transfusion

    13. Hygiene Supplies No “global” kit, community specific For women: sanitary supplies for 3 months underwear (3 large) soap, soap powder, toothpaste, toothbrush, aspirin bucket for washing what else? ASK! For men shaving supplies, soap, toothbrush, toothpaste condoms what else? ASK!

    14. RH kits for emergency situations Local logistics issues Customs clearance Observing the cold chain (when necessary) In-country distribution plan In-country transport In-country warehousing Coordinating with local partners (MOH, NGOs, other UN agencies)

    15. RH Kits at Sri Lanka airport

    16. Distribution Plan

    17. In-country Transport

    19. RH Kits for emergency situations Who does what? First: determine needs and make a distribution plan Contact UNFPA Country Office or HQ HRB (Humanitarian Response Branch), or PSB (Procurement and Supply Branch) Funding: NGO’s own funds, Flash, CERF, CAP UNFPA - HRB can assist in determining needs UNFPA Procurement Services: pro-forma invoice, contacts shipping agents, makes shipping arrangements Supplies shipped within 48 hours

    20. After the Crisis Do not re-order kits Develop/strengthen a logistics supply chain for medical supplies Join or build onto existing systems

    21. Resources Essential List of RH Medicines (WHO) UNICEF supplies catalogue; http://www.unicef.org/supply/index.html John Snow Inc; http://deliver.jsi.com/dhome/topics/supplychain/logistics

    22. Logistics Exercise (Group Work) Which assessments have to be made? Which interventions will you put in place immediately Which kits will you order and how many (for 3 months) How much will this cost? Calculate your storage requirement (in mł) Make a distribution plan (consider implementing partners and in-country storage and transport needs) PARTNERSHIPS!

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