1. Our Changing World and Implications for Reproductive Health

10. Changing context More large emergencies Four Level 3’s (Iraq, Syria, CAR, S.Sudan) 3,000,000 Syrian refugees scattered across five countries New threats; higher levels of insecurity ISIS, Boko Haram A health issue becomes a global crisis Ebola West Africa 20,650 infected; 8,153 dead

11. Largest number of people displaced by conflict since WWII Syria – 10.8 million affected by the conflict, ½ of population. 6.45 million internally displaced, 3 million refugees 1.4 million internally displaced in S.Sudan since Dec 2013 NGOs and donors stretched as never before Lesser crises & protracted crises – Libya, Honduras, Sahel, Ukraine, Somalia, Afghanistan… falling off the map

12. Changing Actors Gulf States Islamic NGOs Militaries For-profits

13. Changing rhetoric Humanitarian system – not fit for purpose Northern and western normative constructs on aid – outdated System is “not delivering” MSF – Where is Everyone report

14. Changing practice Needs out-stripping resources (personnel & financial) Policy and guidance development out-stripping practice Overwhelming responders with guidance, tools, standards – mismatch with skillsets, available time, and capacity Increased specialization & expertise but not getting basics right/addressed Donors and HQs increasingly out of sync with field practice

15. Implications for Reproductive Health How do we advance reproductive health in such contexts? Role of the IAWG?