Minimal Initial Service

Package (MISP)
Inter-Agency Working Group for Reproductive Health in
Crises
 To address:
Preventable consequences of unintended
pregnancy
Preventable cases of sexual violence and
consequences
Why SRH Increased acquisition of STIs
strategy is Increased morbidity and mortality from HIV
important Neglected needs of vulnerable groups such as
adolescents, people with disabilities, LGBGT
Increased risk of sexual abuse, GBV and trafficking
Preventable maternal and newborn mortality
 • Priority set of life-saving activities
to be implemented at the onset
of humanitarian crises.

• Integrated into Sphere Minimum

MISP Standards in Humanitarian
Response

• Endorsed by Global Health

Cluster
 • Provides a coordinated approach with all
stakeholders

• Mapping of service provision and highlights gaps

MISP
• Prevents SRH from becoming deprioritized
Advantages
• Moves towards developing comprehensive SRH
services through protracted crises and recovery
 1. Identify a Lead organization to implement
MISP
2. Prevent sexual violence and respond to the
needs of survivors
3. Prevent the transmission of and reduce
morbidity and mortality due to HIV and other
Six objectives STIs
of MISP 4. Prevent excess maternal and newborn
mortality
5. Prevent unintended pregnancies and ensure
access to safe abortion care.
6. Plan for comprehensive SRH services,
integrated into primary care as soon as
possible.
 • Categorized into three levels:
Inter-agency • Community
Emergency • Primary health care
• Hospital level
Reproductive
kits • Designed for a target population to address
all areas of MISP providing pharmaceuticals
and supplies for a 3 month period.
 • Contact details:

• Irina Mateesscu Midwife and National SRH

expert for Romania
Any • mateescui@who.int
questions? • mobile 0722 658 054

• Nicky Morgan SRH Advisor WHO

morgann@who.int
mobile +44789 680 9459