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Janet Meyers

Janet Meyers. Capacity assessment of humanitarian organizations to implement the MISP and comprehensive reproductive health: Global review. Global Review Objectives. To review the commitment to, scope, coverage, quality and use of RH service by populations affected by humanitarian crisis;

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Janet Meyers

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  1. Janet Meyers Capacity assessment of humanitarian organizations to implement the MISP and comprehensive reproductive health: Global review

  2. Global Review Objectives • To review the commitment to, scope, coverage, quality and use of RH service by populations affected by humanitarian crisis; • To identify and document progress made since the last IAWG global evaluation in 2004; • To identify gaps and areas for improvement; and • To provide guidance for implementation, management, funding and future research areas.

  3. Components of 2013 Global Review • Literature review • Assessment of agency commitment and capacity • In-depth assessment of RH service availability and quality • Assessment of RH service availability and use • MISP assessment • Funding trends for RH in crises • Review of UNHCR Health Information System (HIS) RH data

  4. Capacity Assessment Team • Nguyen-Toan Tran, MD, MSc, DrMed, University of New South Wales • Carina Hickling, MPH, PhD Student • Sandra Krause, RN, MPH , Reproductive Health Program, Women's Refugee Commission, NY, NY • Janet Meyers, RN, MPH, International Medical Corps • Angela Dawson, PhD,University of Technology Sydney • Louise Lee-Jones, MSc, BA • Valerie Wisard • Rainer Tan, MD Candidate, University of Lausanne • SeherShafiq, Master of Global Affairs Candidate, Munk School of Global Affairs

  5. Objectives of Capacity Assessment Study • Evaluate the overall state of Reproductive Health in Humanitarian Settings (RHHS) since 2004 • Assess the capacity of institutions • institutional policy • accountability mechanisms • program delivery strategy • financial resources • human resources • technical guidance • procurement of supplies related to RHHS

  6. Methodology • Elements of Capacity: Structured Theoretical Framework – based upon Allan Kaplan’s capacity building model • Ethical approval from the Faculty of Health of the University of Technology Sydney • Cross-sectional online survey from April to August 2013 • Purposive sampling – IAWG, GHC and CORE Group listservs

  7. Characteristics of Institutional Respondents

  8. Institutional Policy

  9. Accountability Mechanisms

  10. Accountability Mechanisms

  11. Program Delivery Strategy

  12. Community-based Interventions

  13. Advocacy and Policy Work

  14. Clinical RHHS

  15. Maternal Newborn Health

  16. Family Planning

  17. GBV

  18. HIV

  19. Financial Resources

  20. Human Resources: Proportion of Dedicated Staff for RHHS

  21. Proportion of Institutions Reporting High Level Workforce Competencies

  22. Top Resource Materials since 2004

  23. IAWG Clinical Guidance Needs

  24. Preferred Training Methods

  25. RH Procurement Issues

  26. Recommendations • Formalize the Inter-agency Working Group (IAWG) structure • Continue annual work meetings and support to regional working groups on RHHS • Systematically identify a lead agency to lead RH coordination in all emergencies • Develop or adapt practical guidance for emerging topics • Strengthen RH supply chain management and re-supply

  27. Recommendations • Implement established mechanisms of accountability • Advocate for engagement of development and humanitarian sections • Strengthen formal partnerships and build resilience of crisis affected communities • Ensure well-funded dissemination strategy for guidance resources • Continuously improve quality and access to address gaps in service delivery

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