IAWG-Training Partnership Training on Reproductive Health in Crises Good morning My name is Wilma Doedens. I work for the Humanitarian Response Unit of UNFPA in Geneva. Wilma Doedens Humanitarian Response Branch UNFPA-Geneva IAWG –Training Partnership Meeting November 2010

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

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 In response to these problems identified in refugee settings and in response to the ICPD Programme of Action, a group of more than 30, UN agencies, NGO‘s, international academic and donor institutions formed an Inter-Agency Working Group (IAWG), under coordination of UNHCR. The group’s main tasks are organising and facilitating reproductive health in all refugee situations. WHO serves as the technical standard setting agency for this group. Over the years the group has developed several tools. It started with the Minimum Initial Service Package for RH in emergenc situations, which was developed in 1995 and described in the inter-agency field manual. This document will be sent to you after this meeting, but you have received a copy of the most important chapter from this book.

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 (18 - 24 months) UNFPA/IAWG 2000-2001 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 Several training initiatives exist. The UNFPA RH in emergencies course was given 3 times in 2001 and abandoned because of lack of funding. HELP = Health Emergencies in Large Populations. This course is organized in partnership with academic institutions The IASC TF members staff deliver training on an ad-hoc basis to field staff.

Challenges for Capacity Building on RH in Crises Scarcity of trainers Updating, dissemination and promotion of training materials Lack of sustainable financial resources to implement training 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 08 4th 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 Secretariat: A lot of changes in staff. Now a RAISE-funded coordinator

Training Partnership Target audience People working or planning to work in emergencies, who need RH coordination and planning skills MISP „clinical“ skills (medical staff, community/social workers) 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 providers 5-8 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) Universal precautions Care for survivors of SV Signal functions for BEmONC (MgSO4, Antibiotics, IV fluid, AMTSL) Manual Vacuum Aspiration (MVA) Vacuum Extraction 2 days per module, in-service

Recommendations 4th TP Meeting Guiding Principle: Sustainability Focus on strategic capacity building Pilot new modules Ensure quality control - The thrust of our discussions will be presented under the commonly agreed guiding principle of sustainability - Strategic CB: beyond isolated training efforts, considerate of broader national/regional context and framework

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... - Map existing trainings, identify gaps and set priorities

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: www.iawg.net 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 To provide an update on RH resources and training initiatives developed and/or carried out by IAWG agencies and training institute partners in 2010. To explore successful partnership models to roll-out existing training and make it sustainable. To review new activities developed by the TP based on recommendations from the 2009 annual meeting. To discuss the next year’s workplan

Uganda