1. 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

2. 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)

3. 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

4. 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.

5. 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.

6. 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
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.

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. Uganda