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Managing powerpoint

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Tonja Khabir

on 26 April 2010

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Transcript of Managing powerpoint

Addressing the Reproductive Health Care Needs of Persons in Crisis Settings thankyou! Introduction Reprodutive Health in a crisis setting refugee IDP Program Design Approach References Burns, K., Malé, S., and Pierotti, D. (2000). Why Refugees Need Reproductive Health Services. International Family Planning Perspectives (26):4.

Chen, M., Von Roenne, A., Souare, Y., Von Roenne, F., Ekirapa, A., Howard, N., Borchert, M. (2008). Reproductive health for refugees by refugees in Guinea II: sexually transmitted infections. Conflict and Health 2:14.

Creel, L. (2002) Meeting the needs of displaced peoples. Policy Brief. Population Reference Bureau: Measure Communication.

Garimoi Orach, C., Dubourg, D., and De Brouwere, V. (2007). Costs and coverage of reproductive health interventions in three rural refugee-affected districts, Uganda. Tropical Medicine and International Health, 12 (3):459–469.

Hanquet, Germaine (Ed). (1994). Medicins Sans Frontieres. Refugee health: An approach to emergency situations.

Hynes, M., Lopes Cordozo, B. (2000). Sexual Violence against Refugee Women. Journal of Women’s Health and Bender-based Medicine, 9 (8).

Hynes, M., Sheik, M., Wilson, H.G., et al. (2002). Reproductive Health Indicators and Outcomes Among Refugee and Internally Displaced Persons in Post-emergency Phase Camps. Journal of American, 288(5):595-603.

Inter-Agency Working Group (2010). Accessed from Inter- Agency Working Group on April 16, 2010 from http://www.iawg.net/

Inter- Agency Working Group. (2009) What is MISP and why is it important? Accessed from Reproductive Health Response in Conflict Consortium on April 16, 2010 from http://www.iawg.net/resources/MISP%20Advocacy%20Sheet%20-%20IAWG%20FINAL%20Nov09.pdf

Internally Displaced Persons. (2010). Accessed from Internal Displacement Monitoring Centre on April16, 2010 from http://www.internal-displacement.org/8025708F004D404D/(httpPages)/CC32D8C34EF93C88802570F800517610

Krause, Sandra K., Jones, Rachel K., Purdin, Susan J. (2000). Programmatic Responses to Refugees' Reproductive Health Needs. International Family Planning Perspectives. 26 (4): 181-187.

Morris, M. D., Popper, S. T., Rodwell, T. C., Brodine, S. K., Brouwer, K. C. (2009). Healthcare Barriers of Refugees Post-resettlement. Journal of Community Health 34:529–538.

Reproductive Health Response in Conflict Consortium. (2010) Minimum Initial Service Package. http://www.rhrc.org/rhr_basics/misp.html

Schully, Pamela. (2010). War and Health Conference: Break out session on Gender Based Violence given on March 27, 2010. Emory University School of Medicine.

Toole, M.J. and Waldman, R.J. (1993). Refugees and Displaced persons: War, Hunger, and Public Health. Journal of American Medicine, 270(5).

UNHCR (2010). Retrieved from http://www.unhcr.org/cgi-bin/texis/vtx/page?page=49e492086

Wulf, Deirdre (ed.) (1994). Refugee Women and Reproductive Health Care: Reassessing Priorities. Women’s Commission for Refugee Women and Children.

World Health Organization (2010). Retrieved from http://www.who.int/reproductivehealth/en/

World Health Organization. (2002). Sexual Violence. Global Report on Violence and Health. Accessed from the World Health Organization on April 17, 2010 from http://www.who.int/mediacentre/news/releases/pr73/en/index.html
Goals The goal of the intervention program is to impact reproductive health of refugee and internally displaced persons through focusing on the education and capacity building in the provision of needs for the population. Step 1 Formative Research Step 2 Program Development a state of physical, mental, and social well- being regarding a person’s reproductive system (WHO, 2010) involves men, women and children situations of conflict or instability due to war, persecution, or natural disasters. a person fleeing their homeland because of racial, religious, national, or even political persecution a displaced person is a person who has been forced to flee their homeland, but has not crossed a national border Statement of the Problem:

Issues of vulnerability place people at risk for negative outcomes
involving their reproductive health. Settings of conflict and crisis heightne this vulnerability.

issue of vulnerability maternal mortality,
threat of sexual violence,
access to family planning and condoms,
sexually transmitted diseases especially HIV, and cultural or religious practices that can affect maternal and sexual health

(Burns, Malé, and Pierotti, D., 2000; Hanquet, 1994). Background In recent years, reproductive health of refugee populations has been recognized as a necessity amid a lack of services and basic programming in refugee situations (Krause, Jones, Purdin, 2000).

Women’s Commission for Refugee Women and Children and Inter-Agency Working Group are a couple of organizations that brought this issue to the forefront.
Theoretical framework War or conflict is experienced differently between men and women (UNFPA, 2007).
Interventions must be mindful of the notions of gender sensitivity without excluding the fact that reproductive needs must be met for both men and women (Schully, 2010).
Furthermore, participation from the displaced population in reconstruction after conflict is an important element of the intervention process. 1) Capacity building and training so that participatnts have a role in decision making process in order to strengthen development and implementation of solutions for conflict and post- conflict situations.

2) Policy and sector improvement (where needed) is also important in stabilizing post conflict situations.

3) Finally interventions must ensure access to health services that are comprehensive and inclusive of reproductive and sexual health such as prevention and treatment for HIV/AIDS (UNFPA, 2007; Tomcyzk, 2010). Target Population A subset of the population affected by issues of reproductive health in situations of conflict are women of reproductive age (15- 49).

(Women are impacted for a number of reasons. In most situations these women bear the brunt of sexual health practices including family planning and condom use whether they have a choice in it or not). Step 3 Program Evaluation The program has two components Education Capacity Building Results from the formative study will be able to provide details on the appropriate measures to take to address defined needs of the population.
Tools are available for conducting this research including the use of stakeholder analyses and participatory methods of research participation Over the course of one year in weekly sessions, the program will educate participants about safe sex practices, birth spacing, how to use contraceptives, proper process for safe abortions, how to protect themselves and others from sexual violence, and understand other forms of gender based violence. The program will begin with a recruitment process of women within a central locality in the displacement camp.
The program will target both men and women in different age groups
The camp population are already culturally aware of the background of the situation and can help better facilitate the needs of entering patients. The program should have a strong component of training personnel including obstetricians, gynecologists, general practitioners, nurses, midwives, and traditional birth assistants to provide the services needed. Though this is a difficult process, it is one that can drastically impact health. From here, the program needs to be evaluated in order to determine both effectiveness and areas of enhancement.
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