IAWG –Training Partnership Meeting November 2010 Wilma Doedens Humanitarian Response Branch UNFPA-Geneva IAWG-Training Partnership Training on Reproductive Health in Crises

Reproductive health is a state of complete physical, mental and social well- being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes. Reproductive health therefore implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so. It also includes sexual health, the purpose of which is the enhancement of life and personal relations. (Cairo, ICPD Programme of Action, paragraph 7.2)

Right to Reproductive Health “All migrants, refugees, asylum seekers and displaced persons should receive basic education and health services” Chapter 10, ICPD Programme of Action, 1994 “All migrants, refugees, asylum seekers and displaced persons should receive basic education and health services” Chapter 10, ICPD Programme of Action, 1994

Inter-Agency Working Group on Reproductive Health in Crises (IAWG) Formed in 1995: >30 UN, NGO, Academic, Donors Minimum Initial Service Package (MISP) Inter-agency Field Manual (IAFM)  The Minimum Initial Service Package (MISP)  Comprehensive Reproductive Health Inter-Agency RH Kits Annual meetings, regional IAWG chapters Sub working groups; New Technologies, Training Partnership, etc. Research, trainings

Existing RH Training Materials MISP distance learning course (WC/RHRC) RH Emergency (Care/RHRC), 2hrs – 2 weeks Regional RH Coordination trainings (SPRINT), 5 days Self learning emergency contraceptives (WC/RHRC) Self learning universal precautions (Engender Health), ½ day Training manual on GBV (JSI/RHRC), 1-5 days IASC Guidelines for GBV interventions (30 min) GBV Counselling skills ToT Clinical Management of Rape – several: IRC, UNHCR/WHO/UNFPA Ipas Safe Abortion /PAC Modules IASC Guidelines on HIV/AIDS, 1hr advocacy/1 day training HIV/AIDS prevention and control (RHRC) MSI – Obstetric Care, Impac – EmOC, Safe blood supply, STI syndromic approach – WHO etc.

RH in Crises Formal and Ad-Hoc Trainings Academic (Columbia, LSHTM, JHU, KIT…) Short courses (1- 3 months) Master programs ( months) UNFPA/IAWG RH in Emergency Situations 3 x 10-day course Other IASC guidelines training (1 hour – 1 day) RH training in the ICRC H.E.L.P. Course (2 hours) UNHCR/UNFPA, IRC, WHO : Caring for Survivors (2/3 days) Pre-deployment and in-service training for MSF, ICRC, UNHCR.. (2 hours to 1 week) RAISE clinical RH training Ad Hoc training on RH-related toolkits

Challenges for Capacity Building on RH in Crises 1.Scarcity of trainers 2.Updating, dissemination and promotion of training materials 3.Lack of sustainable financial resources to implement training 4.Keeping track of trainers/ trainees IAWG Training Partnership IAWG Academic Partnership for RH in Emergencies Training, Strategy Paper, UNFPA, September 2006

IAWG-Training Partnership Objective: to establish partnerships between IAWG and training institutions from crisis-prone countries in order to assure quality training for humanitarian staff on RH in emergencies on a regular and sustainable basis - Brainstorming meeting, GVA Sept 06 - MISP- related curricula review meeting, GVA May 07 - Update meeting; during IAWG Annual, Cairo Nov th TP meeting, Geneva, October 2009

IAWG - Training Partnership Steering Committee informal (UNFPA, Columbia Uni, MSI, WRC, IRC, IPPF, Care, WHO..) Interest from institutional partners Dakar, Makarere, Colombo, Peradeniya, Ghent University, Asia Disaster Preparedness Centre (Bangkok); Instituto Tecnologico de Santo Domingo, IPAS, MSI, Columbia Uni,,... Secretariat for now UNFPA and CARE in Geneva Funded until end 2010 by RAISE

Training Partnership Target audience - People working or planning to work in emergencies, who need a)RH coordination and planning skills b)MISP „clinical“ skills (medical staff, community/social workers) c)RH advocacy skills (policy, non-medical staff, medical students) Possible training strategies - Institutional training - Mobile/outreach training (short courses, 2 days max.) - Self-learning

TP modules What?For whom?How long? Advocacy Module Policy makers, medical students, service providers 2 hours MISP DL module Managers, RH officers, service providers5-8 hours RH coordinators training RH focal points/ coordinators SPRINT, rolled out in Asia, Africa, Middle East 5 day TOT 3 days in-country trainings MISP Skills Outreach Training Modules Service providers (outreach training) 1. Universal precautions 2. Care for survivors of SV 3. Signal functions for BEmONC (MgSO4, Antibiotics, IV fluid, AMTSL) 4. Manual Vacuum Aspiration (MVA) 5. Vacuum Extraction 2 days per module, in- service

Recommendations 4 th TP Meeting Guiding Principle: Sustainability 1.Focus on strategic capacity building 2.Pilot new modules 3.Ensure quality control

Strategic Capacity Building 1. Share existing training materials for in-country capacity building (pre- and in-service trainings) – Focus on MOH, national/regional Training Institutions, NGOs – Ownership, locally adapted – Preparedness – Bridge the gap between immediate relief, recovery and development 2. Prioritize selected crisis-prone countries/regions – Training delivered by national/regional institutes and supported by IAWG Importance of inter-agency/institution networks to share materials and best practices and to encourage south-south exchange

New modules Identify gaps in trainings and set priorities Field test and/or adapt selected new modules and new RH technologies for low-resource settings Pilot innovative training methods - E-learning - Link with Training and Research Institutes - Explore new ideas  Mobile phone learning...

Quality control High quality standard of trainers Quality standard of training materials - Informed by evidence, reproducible by other trainers, accessible to adult learners, translated and adapted Certification of trainees (link with country or internationally agreed standards) Monitoring and evaluation at different levels - Effectiveness: trainers, training course - Performance/competency of trainees - Mentoring/follow-up of trainees

2009 next steps IAWG website: - Training partnership webpage - Link with other websites, e.g. ReliefWeb Matrix of available trainings - Links to existing trainings: what, for whom, when, where, certification,... Community of practice for trainers: refresher, best practice List of trainers to be shared among agencies Pilot clinical outreach training modules

Objectives of this meeting 1.To provide an update on RH resources and training initiatives developed and/or carried out by IAWG agencies and training institute partners in To explore successful partnership models to roll-out existing training and make it sustainable. 3.To review new activities developed by the TP based on recommendations from the 2009 annual meeting. 4.To discuss the next year’s workplan