1. From Harm to Home | theIRC.org Presenter: Esther M.Nyambu 25 4h to 28 th February 2015 IRC’s Experience Transitioning from the MISP to Comprehensive RH Service Delivery in Southern Chad Fifteenth Annual IAWG Meeting Ishtar, Jordan Inter-Agency Working Group (IAWG) on Reproductive Health in Crises

2. 2 From Harm to Home | theIRC.org Outline of Presentation Contextual Background Overview of RH Emergency response Results & Major Achievements Transition: Comprehensive RH Challenges Addressing challenges Key ingredients for transition to comprehensive RH

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4. 4 Refugee and returnees flee to S. Chad 190,000 Central African refugees have fled to Cameroon, Chad, the Congo and the Democratic Republic of the Congo (DRC) since December 2013. IRC launched a MISP response in April 2014 at 3 transit camps in S. Chad - ~ Pop 25000 people

5. 5 From Harm to Home | theIRC.org Presentation of Kit SR to National NGO Provide Technical support.SR clinic in Tazalit camp RH emergency response RH Kits pre-packaged set of kits Emergency RH services

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11. 11 From Harm to Home | theIRC.org CHW raising awareness

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13. 13 From Harm to Home | theIRC.org Prevent excess Maternal and Neonatal M& M 24/7 referral Health Facility Deliveries 398. Prevent excess Maternal and Neonatal M& M 1075 - New acceptors of FP Clinical services for survivors – All the 3 Health Facilities supplied with PEP Kits Reduce HIV Transmission Free Condoms avaliable. Over 65000 condoms distributed Results in 8 months of implementation RESULTS

14. 14 From Harm to Home | theIRC.org RESULTS: Key successes Deliverables in southern Chad : Target Pop. 25000 people May to December 2014 Results May to December 2014 Targets Achievement (%) Health Facility deliveries394 643 (4% of Total Pop in 8 months) 61% New accepters of family planning methods 1,075 904 (15% of WRA) 119% 303 (28%) of new acceptors chose a long-term FP method

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19. 19 From Harm to Home | theIRC.org Clinical Care for Sexual Assault Survivors, IRC S. Chad, May – December 2014 Number of survivors of sexual assault who received clinical care within 72 hours of presenting to the facility00100112 Number of survivors who received clinical care within 72 hours of presenting to the facility00100111

20. 20 From Harm to Home | theIRC.org Major achievements Successful implementation of MISP> immediate planning for comprehensive RH Demand for RH services created Strengthened staff capacity—on the job Created a positive working relationship with Beneficiaries Direct meetings with community leaders and groups – services well accepted

21. 21 From Harm to Home | theIRC.org Key ingredients for comprehensive RH MISP integrated into the existing primary health activities of IRC in Southern Chad its programming On – the - Job training for humanitarian service providers > transfer of skills Advocacy for MISP in cluster and coordination forums Established bi lateral working relationship with RH Focal points of partners

22. 22 From Harm to Home | theIRC.org Conclusion Dedicated staff and pre-positioned RH supplies can set the foundation for successful MISP implementation > immediate planning for comprehensive RH Capacity-building and on-the-job trainings for health staff helped to build service quality and facilitated scale-up of MISP > preparing for later formal training CHWs worked with the community to generate increasing awareness of and demand for RH

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