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Table 1 MISP Standard

From: Reproductive health services for Syrian refugees in Zaatri Camp and Irbid City, Hashemite Kingdom of Jordan: an evaluation of the Minimum Initial Services Package

The major objectives and priority activities that comprise the MISP include [2]:

ENSURE the health sector/cluster identifies an agency to lead implementation of the MISP. The lead RH organization:

• RH Officer in place

• Meetings to discuss RH implementation held

• RH Officer reports back to health cluster/sector

• RH kits and supplies available and used

PREVENT AND MANAGE the consequences of sexual violence:

• Protection system in place especially for women and girls

• Clinical care available for survivors of rape

• Community aware of services

REDUCE HIV transmission:

• Ensure safe blood transfusion practice

• Facilitate and enforce respect for standard precautions

• Make free condoms available

PREVENT excess maternal and newborn morbidity and mortality:

• Emergency obstetric and newborn care services available

• 24/7 referral system established

• Clean delivery kits provided to birth attendants and visibly pregnant women

• Community aware of services

PLAN for comprehensive RH services, integrated into primary health care (PHC)

• Collect existing background data

• Identify suitable sites for future service delivery of comprehensive RH services

• Coordinate ordering RH equipment and supplies based on estimated and observed consumption

• Assess staff capacity to provide comprehensive RH services and plan for training/retraining of staff

ADDITIONAL priority activities

• Ensure contraceptives are available to meet the demand

• Syndromic treatment of sexually transmitted infections (STIs) is available to patients presenting with symptoms

• Antiretrovirals (ARVs) are available to continue treatment for people already on ARVs, including for prevention of mother-to-child transmission.

• Ensure that culturally appropriate menstrual protection materials are distributed to women and girls.