The Women’s Refugee Commission is pleased to announce the 2011 revised
Minimum Initial Service Package (MISP) for Reproductive Health in Crisis
Situations: A Distance Learning Module (MISP Module).
The MISP, an international standard of care, is a coordinated set of
priority activities to be implemented at the onset of every new
emergency to: ensure the health cluster/sector identifies an agency to
lead implementation of the MISP; prevent and respond to sexual violence;
reduce HIV transmission; prevent excess maternal and newborn morbidity
and mortality; and plan for the provision of comprehensive reproductive
health (RH) services as the situation permits.
The revised MISP Module integrates updates in the MISP chapter of the
2010 Inter-agency Field Manual on Reproductive Health in Humanitarian
Settings (IAFM). While the five core objectives of the MISP listed above
remain the same, important changes have been made within the MISP in the
revised IAFM, which are now reflected in the Module. These are:
Attention to the needs and capacities of adolescents: The MISP Module
prompts users to ensure that adolescents are provided with opportunities
to participate in designing and implementing accessible, acceptable and
appropriate MISP services.
Considerations of urban displacement: More than half of the world’s
displaced populations now live in cities and towns. The MISP Module
guides users to consider the particular challenges to displaced persons’
access to MISP services in urban settings.
Information, Education and Communication (IEC) for communities: The MISP
Module highlights the importance of IEC with displaced populations about
the benefits of seeking MISP services.
RH coordination strategically centered within the health sector/cluster:
It is now the responsibility of the health sector/cluster to identify a
lead RH agency—one with the most capacity in the field to provide
operational and technical support on RH to all agencies providing health
Importance of agencies establishing a complaints mechanism to handle
complaints of sexual exploitation and abuse: Agencies should ensure the
complaints mechanism is safe, confidential, transparent and accessible.
Priority activities in addition to the MISP: Additional priority
activities include ensuring that: contraceptives are available to meet
the demand; syndromic treatment of sexually transmitted infections is
available to patients presenting with symptoms; and antiretrovirals
(ARVs) are available to continue treatment for persons already on ARVs,
including for prevention of mother-to-child transmission. In addition,
ensure that culturally appropriate menstrual protection materials are
distributed to women and girls.
The Module aims to increase humanitarian actors' knowledge of the
priority RH services. It takes approximately four hours to complete. If
you score 80% or higher on the interactive online post-test, you will be
certified in the MISP Module. The Module and post-test can be accessed
here. The post-test is currently available in English and French; it
will be available in Spanish in late September and in Arabic in late
If you would like to order hard copies of the MISP Module, please send
an email to [log in to unmask] noting 1) the number of copies you
would like; 2) language(s); 3) mailing address (no P.O. boxes, please);
and a phone number. If you plan to order more than 10 copies, shipping
costs will be charged.
Please send all replies to: [log in to unmask]
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