5.0Monitoring

The RH Officer implements the MISP checklist to monitor service provision in each humanitarian setting. In some cases this might be done by verbal report from RH managers and in others it might be observed. At the onset of an emergency determine this weekly and then monthly once services are fully established. Gaps in service coverage should be discussed within the reproductive health stakeholder meetings and health sector/cluster coordination mechanism to develop and implement solutions.

MISP Checklist
Geographic area: / Time period for data collection: / Date if onset of crisis, if applicable
1. RH Lead Agency and RH Officer Characteristics and Capacity
YES / NO
1.1 / Lead RH agency identified and RH Officer functioning within the health sector/cluster:
Focal person______
Lead Agency______
1.2 / RH stakeholder meetings established and meeting regularly:
  • National MONTHLY
  • Sub-national/Regional BI-MONTHLY
  • Local WEEKLY

2. Demographics
2.1 / Total population
2.2 / Number of women of reproductive age (ages 15 to 49, estimated at 25 percent of population)
2.3 / Number of sexually active men (estimated at 20 percent of population)
2.4 / Crude birth rate (estimated at 4 percent of the population)
2.5 / Age-specific mortality rate (including Newborn Mortality Rate - newborn deaths 0 to 28 days)
3. Prevent sexual violence and respond to the needs of survivors
3.1 / Coordinated multi-sectoral systems to prevent sexual violence are in place incorporating:
  • Confidential health services to manage cases of sexual violence available
  • PEP to reduce the transmission of HIV
  • Emergency contraception to reduce the risk of pregnancy
  • Antibiotics to prevent STIs and treat existing available
  • Tetanus toxoid/Tetanus immunoglobulin to prevent tetanus
  • Vaccine to prevent Hepatitis B
  • Referral to psychosocial support services

3.2 / Number of incidents of sexual violence reported/ × Total population 1000
3.3 / Community information disseminated on why it is important and where sexual violence survivors can access services
4. Reduce the Transmission of HIV cold chain is under logistics??
4.1 / Safe blood transfusion practices in place
4.2 / Number of blood screened / number of blood donated X 100
4.3 / Sufficient materials in place AND USED for adequate practice of standard precautions
4.4 / Standard precautions checklist enforced
4.5 / Condoms visibly available:
  • Health facilities LEVEL
  • Community LEVEL

4.6 / Number of condoms distributed /Total population x 100
5. Prevent excess maternal and newborn morbidity and mortality
5.1 / Referral system for obstetric and newborn emergencies functioning 24/7
  • transport from community to health center available 24.7
  • transport from health center to hospital available 24.7

5.2 / HealthCenter
  • one qualified health worker per 50 patients per day to ensure basic EmOC 24.7
  • adequate midwife supplies with newborn supplies available at the health centre
Hospital
  • five qualified health workers
  • and at least one doctor to ensure comprehensive EmOC 24.7
  • adequate drugs and supplies to support comprehensive EmOC 24.7

5.3 / Number of caesarean deliveries / number of births x 100
5.4 / Number of clean delivery kits distributed / Estimated number of pregnant women x 100
6. Transition to Comprehensive RH services and Integration into Primary Health Care
6.1 / Sites identified for future delivery of comprehensive RH services
6.2 / Staff assessed, training needs assessed and training tools identified
6.3 / Procurement channels identified
6.4 / Monthly drug consumption assessed OR IN PLACE
7. Special Notes
7.1 / Contraceptives available to meet demand
7.2 / ARV available for patients on ART, including PMTCT
7.3 / STI treatment available at health facilities