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MISP-for-SRH-Monitoriing-Checklist

The document outlines the MISP for SRH Monitoring Checklist, which is implemented by the SRH Coordinator to monitor service provision in humanitarian settings. It details the frequency of monitoring, stakeholder engagement, and various health service metrics related to sexual and reproductive health. The checklist includes sections on demographics, prevention of sexual violence, HIV response, maternal and newborn health, and planning for comprehensive SRH services.

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JL Calvin
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7 views

MISP-for-SRH-Monitoriing-Checklist

The document outlines the MISP for SRH Monitoring Checklist, which is implemented by the SRH Coordinator to monitor service provision in humanitarian settings. It details the frequency of monitoring, stakeholder engagement, and various health service metrics related to sexual and reproductive health. The checklist includes sections on demographics, prevention of sexual violence, HIV response, maternal and newborn health, and planning for comprehensive SRH services.

Uploaded by

JL Calvin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPENDIX B: MISP FOR SRH

MONITORING CHECKLIST
The SRH Coordinator implements the MISP for SRH Monitoring Checklist to monitor service
provision in each humanitarian setting as part of overall health sector/cluster monitoring
and evaluation. In some cases, this might be done by verbal report from SRH managers
and/or through observation visits. At the onset of the humanitarian response, monitoring
is done weekly and reports should be shared and discussed with the overall health sector/
cluster. Once services are fully established, monthly monitoring is sufficient. Discuss gaps
and overlaps in service coverage during SRH stakeholder meetings and at the health sector/
cluster coordination mechanism to find and implement solutions.
W

1. SRH Lead Agency and SRH Coordinator


Yes No
1.1 Lead SRH agency identified and SRH Coordinator
functioning within the health sector/cluster
Lead agency
SRH Coordinator
1.2 SRH stakeholder meetings established and meeting regularly Yes No
National (MONTHLY)
Sub-national/district (BIWEEKLY)
Local (WEEKLY)
1.3 Relevant stakeholders lead/participate in SRH working group
Yes No
meetings
Ministry of Health
UNFPA and other relevant United Nations agencies
International NGOs
Local NGOs

Protection/GBV

HIV
Civil society organizations, including marginalized
(adolescents, persons with disabilities, LGBTQIA people)
With health/protection/GBV/sectors/cluster and national HIV
1.4 program inputs, ensure mapping and vetting of existing SRH
services

2. Demographics
2.1 Total population
Number of women of reproductive age (ages 15–49,
2.2
estimated at 25% of population)

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Number of sexually active men (estimated at 20% of


2.3
population)
Crude birth rate (national host and/or affected population,
2.4
estimated at 4% of the population)

3. Prevent Sexual Violence and Respond to Survivor’s Needs


Yes No
Multisectoral coordinated mechanisms to prevent sexual
3.1
violence are in place
3.2 Safe access to health facilities
Percentage of health facilities with safety measures (sex-
segregated latrines with locks inside; lighting around health
%
facility; system to control who is entering or leaving facility,
such as guards or reception)
3.3 Confidential health services to manage survivors of sexual
Yes No
violence
Percentage of health facilities providing clinical management
of survivors of sexual violence: (number of health facilities %
offering care/all health facilities) x 100
Emergency contraception (EC)
Pregnancy test (not required to access EC or post-exposure
prophylaxis [PEP])
Pregnancy
PEP
Antibiotics to prevent and treat STIs
Tetanus toxoid/tetanus immunoglobulin
Hepatitis B vaccine
Safe abortion care (SAC)
Referral to health services
Referral to safe abortion services

Referral to psychological and social support services


3.4 Number of incidents of sexual violence reported to health
services
Percentage of eligible survivors of sexual violence who
receive PEP within 72 hours of an incident: (number of
eligible survivors who receive PEP within 72 hours of an %
incident/total number of survivors eligible to receive PEP) x
100

Yes No

3.5 Information on the benefits and location of care for survivors


of sexual violence

4. Prevent and Respond to HIV


4.1 Safe and rational blood transfusion protocols in place
4.2 Units of blood screened/all units of blood donated x 100
4.3 Health facilities have sufficient materials to ensure standard
precautions in place

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4.4 Lubricated condoms available free of charge


Health facilities
Community level
Adolescents
LGBTQIA
Persons with disabilities

Sex workers
4.5 Approximate number of condoms taken this period
4.6 Number of condoms replenished in distribution sites this
period Specify locations:
4.7 Antiretrovirals available to continue treatment for people who
were enrolled in antiretroviral therapy prior to the emergency,
including PMTCT
4.8 PEP available for survivors of sexual violence; PEP available
for occupational exposure

4.9 Co-trimoxazole prophylaxis for opportunistic infections


4.10 Syndromic diagnosis and treatment for STIs available at
health facilities

5. Prevent Excess Maternal and Newborn Morbidity and Mortality


5.1 Availability of EmONC basic and comprehensive per 500,000
Yes No
population
Health center with basic EmONC, five per 500,000
population
Hospital with comprehensive EmONC, one per 500,000
population
5.2 Health center (to ensure basic EmONC 24/7) Yes No
One qualified health worker on duty per 50 outpatient
consultations per day
Adequate supplies, including newborn supplies to support
basic EmONC available
Hospital (to ensure comprehensive EmONC 24/7) Yes No
One qualified health worker on duty per 50 outpatient
consultations per day
One team of doctor, nurse, midwife, and anesthetist on duty
Adequate drugs and supplies to support comprehensive
EmONC 24/7
Post-abortion care (PAC)
Coverage of PAC: (number of health facilities where PAC is
available/number of health facilities) x 100
Number of women and girls receiving PAC
5.3 Referral system for obstetric and newborn emergencies
functioning 24/7 (means of communication [radios, mobile Yes No
phones])
Transport from community to health center available 24/7
Transport from health center to hospital available 24/7

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5.4 Functioning cold chain (for oxytocin, blood-screening tests)


in place
5.5 Proportion of all births in health facilities: (number of women
giving birth in health facilities in specified period/expected %
number of births in the same period) x 100
5.6 Need for EmONC met: (number of women with major
direct obstetric complications treated in EmONC facilities
in specified period/expected number of women with severe %
direct obstetric complications in the same area in the same
period) x 100
5.7 Number of caesarean deliveries/number of live births at
%
health facilities x 100
5.8 Supplies and commodities for clean delivery and newborn
care
5.9 Clean delivery kit coverage: (number of clean delivery kits
distributed where access to health facilities is not possible/ %
estimated number of pregnant women) x 100
5.10 Number of newborn kits distributed including clinics and
hospitals
5.11 Community informed about the danger of signs of pregnancy
and childbirth complications and where to seek care

6. Prevent Unintended Pregnancies

6.1 Short-acting methods available in at least one facility Yes No


6.2 Condoms

6.3 EC pills*

6.4 Oral contraceptive pills

6.5 Injectables

6.6 Implants

6.7 Intrauterine devices (IUDs)

6.8 Number of health facilities that maintain a minimum of a


Number
three-month supply of each
Condoms
EC pills
Combined oral contraceptive pills
Progestin-only contraceptive pills
Injectables
Implants
IUDs

7. Planning for Transition to Comprehensive SRH Services

7.1 Service delivery Yes No


SRH needs in the community identified

Suitable sites for SRH service delivery identified

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7.2 Health workforce Yes No


Staff capacity assessed

Staffing needs and levels identified

Trainings designed and planned

7.3 HIS Yes No


SRH information included in HIS

7.4 Medical commodities Yes No


SRH commodity needs identified

SRH commodity supply lines identified, consolidated, and


strengthened

7.5 Financing Yes No


SRH funding possibilities identified

7.6 Governance and leadership Yes No


7.7 SRH-related laws, policies, and protocols reviewed

8. Other Priority Activity: SAC to the Full Extent of the Law

8.1 Coverage of SAC: (number of health facilities where SAC is


%
available/number of health facilities) x 100

8.2 Number of women and girls receiving SAC

8.3 Number of women and girls treated for complications of


abortion (spontaneous or induced)

9. Special Notes

10. Further Comments

Explain how this information was obtained (direct observation, report back from partner [name], etc.) and
provide any other comments.ents.

11. Actions (For the “No” Checks, Explain Barriers and Proposed Activities to
Resolve Them.)
Number Barrier Proposed solution

169

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