REPORT of TRAINING WORKSHOP

On
Minimum Initial Service Package (MISP)

24-26th March, 2022

Four Points, Lahore

Integrated Reproductive Maternal Neonatal & Child

Health,
Department of Health, Punjab

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Contents
Background................................................................................................................................3
Workshop Objectives:................................................................................................................3
Methodology..............................................................................................................................4
Agenda of the Training Workshop.............................................................................................4
Trainers of the Workshop...........................................................................................................4
Proceedings of the Workshop....................................................................................................4
First day of the Workshop......................................................................................................4
Second Day of Workshop......................................................................................................4
Third Day of Workshop.........................................................................................................5
Participants Evaluation:.............................................................................................................5
Picture Gallery:...........................................................................................................................6
ANNEXURES............................................................................................................................6
ANNEXURE I: Agenda.........................................................................................................6
ANNEXURE II: Participant Profile.......................................................................................9

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Background
Sexual and reproductive health (SRH) is an essential component of the humanitarian
response. Sexual and reproductive health is a state of complete physical, mental and social
well-being (not merely the absence of disease and infirmity) in all matters relating to the
reproductive system and its functions and processes. SRH 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.

The global community began prioritizing the SRH

needs of refugee and displaced populations in the mid-
1990s. In 1995, more than 50 governments, United
Nations (UN) agencies, and non-governmental
organizations (NGOs) committed themselves to
strengthening reproductive health services for refugee
populations and subsequently formed the Inter-Agency
Working Group on Reproductive Health in Crises (IAWG). In 1999, IAWG-affiliated
agencies released Inter-Agency Field Manual on Reproductive Health in Humanitarian
Settings Reproductive Health in Refugee Situations: An Inter-Agency Field Manual.
Importantly, the manual outlined a set of minimum reproductive health interventions to be
put in place at the outset of a humanitarian crisis known as the Minimum Initial Service
Package (MISP).

The Minimum Initial Service Package (MISP) for Sexual and Reproductive Health in Crises
is a set of priority activities to be implemented at the onset of an emergency. Comprehensive
SRH services must be implemented as soon as the situation permits. Since 1999, the MISP
has undergone a series of revisions, which included technical updates and re-prioritization.
The most current version designed and circulated in 2018 in the Interagency Field Manual on
Reproductive health in humanitarian settings (IAFM 2018 version of MISP).

Workshop Objectives:
1. Recognize the importance of addressing sexual and reproductive health in
humanitarian settings.
2. Understand the objectives of Minimum Initial service Package (MISP) for sexual and
reproductive health in humanitarian settings.
3. Advocate for the inclusion of sexual and reproductive health in emergency
preparedness and response policies and plans.
4. Advocate for integration of the MISP into emergency preparedness and response
policies and plans.

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Methodology
A mixed training methodology was followed. It contained interactive sessions, power point
presentations, group work and role play method to generate interest and active participation
of group. The trainers used audio visual aids like video clips that highlighted the MISP
Objectives, RH kits, EmONC and BeMONC services.

Agenda of the Training Workshop

The agenda of the Training workshop is attached as Annexure I.

Trainers of the Workshop

The training was conducted by three trainers who had been trained in the Training of Trainers
at Islamabad in November, 2021; namely
1. Dr Shysta Sahukat, Assistant Professor, OBGYN department, SIMS, Lahore
2. Dr Humaira Zulfiqar Saifee, Assistant Professor, OBGYN department, SIMS, Lahore
3. Dr Sayema Awais, Consultant, MoNHSR&C, Islamabad

Proceedings of the Workshop

First day of the Workshop
The Workshop began with recitation of the Holy Quran. Mr Shoiab Ahmed Shahzad
(Program & Technical Specialist-UNFPA) introduced Dr. Khalil, Project Director, IRMNCH.
Dr Khalil welcomed the participants and emphasized the importance of Disaster Preparedness
in times of peace. He also welcomed the participation of the Provincial Department of
Disaster Management (PDMA) who needed to be sensitized and motivated for preparedness
in anticipation of disasters/calamities, both natural and man-made.

After that, the participants were requested to introduce themselves. Participants belonged to
12 districts of Punjab: Attock, Rawalpindi, Gujrat, Mandi Bahauddin, Jehlum, Chakwal,
Chiniot, Faisalabad, Khushab, Lahore, Kasur and Jhang.

The facilitators Dr Shysta Shaukat, Dr Humaira Zulfiqar Saifee and Dr Sayema Awais
introduced themselves. After an ice breaker, the definition of MISP was explained and the
topic was further elaborated with the use of PowerPoint presentation and a video depicting
the six objectives.

The first day of the workshop provided an introduction to MISP and a brief description of
Objective 1, including a scenario of a disaster emphasizing the SRH needs of the survivors.
The trainers sensitized the participants to the importance of MISP with relevance to their
departments, namely as District Coordinators, Provincial Disaster Management Authority and
as part of the emergency Ambulance Services 1122. The list of participants with their
designations is attached as Annexure II.

Second Day of Workshop

On the second day of the workshop, a review of the previous day’s activities was done. Then,
the participants were briefed regarding the Objectives 2-5. Use of scenarios depicting the

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power dynamics in the society with respect to SRH rights led to an animated discussion and
the various methods used for this purpose were audio-visual aids and scenarios of two
individuals Amina and Alieva who faced different struggles in life. The participants actively
took part in discussions and expressed their own experiences in different emergency
situations. The role of 1122 and how they helped the survivors was also quite informative.

Third Day of Workshop

On the third day of the workshop, the participants were encouraged to share what they had
learnt in the past two days. The objectives of MISP were revised. The MISP calculator and
RH kits calculator were taught using hands-on practice. Data of various countries was
explored to drive home the importance of the use of data for planning and ordering the
various RH kits for the specific population affected by the disaster. The Monitoring and
Evaluation Matrices were revisited for all the objectives and the use of lessons learnt during
implementation of MISP to improve the delivery of services was emphasized. Evaluation of
the participants after the workshop was done using the post-test.

At the end of the workshop, Dr Tayyaba Wasim distributed the certificates among the
participants. Mr Sarfaraz Hussain Kazmi (Regional Director, Rahnuma FPAP) gave an
overview of the MISP in Pakistan and thanked the participants for their enthusiastic
participation.

The workshop ended with a vote of thanks.

Participants Evaluation: The pre/post test were conducted to evaluate the training in
terms of knowledge improvement of the participants. Identical tests were used for pre- and
post-tests to compare scores before and after the training respectively.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

Pre-Test Post-Test

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Picture Gallery:

ANNEXURES
ANNEXURE I: Agenda

Sexual and Reproductive Health in Emergencies

An introduction to Minimum Initial Service Package (MISP)
Three Days Workshop
Venue: Four Points by Sheraton, Lahore
Dates: March 24-26, 2022

AGENDA DAY 01
Resource
Time Session Method persons/Facilitator

Registration of Workshop
09:15-09:30
Participants
Shoaib Ahmed
Shahzad
(Program &
09:30-09:40 Welcome Remarks
Technical
Specialist-SRH/FP,
UNFPA)
Introduction of the Participants
Ice Breaking
Workshop goal and objectives
09:40-10:15 Group Dr. Shysta Shaukat
Participants Hopes & Expectations
Activity
Pre-Test
10:15-11:15 Introduction to sexual & Power Point Dr. Sayema Awais
reproductive health in emergencies Presentation
-The Global Humanitarian Crisis Program

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 Regional & National Humanitarian
Crisis
-Causes of global humanitarian crisis
Managers
-Effects of Emergencies
Handout#1
Exploring Humanitarian
Emergencies (CASE STUDY)
-Sexual & Reproductive Health
Effects of Emergencies on SRHR
What is Minimum Initial Service
Package for SRH?
-The continuum of Emergency
-Sexual & Reproductive Health in
Emergency
-Sexual & Reproductive Health is a
11:15-12:15 Human Right for All Humanitarian Dr. Sayema Awais
Principles
-The Fundamental Principles of
Providing SRH Services in
Emergencies
-Challenges to delivering SRH
services in Emergencies
Group Work
Stories of accessing SRH in Program Dr. Sayema Awais
12:15-13:00
emergencies Manager
Handout # 3
Lunch Break (01 Hour)
Inclusion: Leaving no one behind
Diversity
Inclusion & Exclusion Dr. Sayema Awais
14:00-15:15
Intersectionality
Inclusion, exclusion and
Intersectionality
Video &
15:15-16:00 Why Did Mrs X die?
Discussion
MISP Objective 1: Ensure the Health
Sector/ Cluster Identifies an PowerPoint Dr. Humaira
16:00-17:00 Organisation to Lead Implementation Presentation Zulfiqar
of the MISP Coordination of the
MISP for SRH
Agenda Day 02

Review of Day 01 (Introduction, Group

09:30-10:00 Dr. Sayema Awais
Inclusion and MISP Objective 1) Discussion
10:00-11:30 MISP Objective 2: Prevent sexual PowerPoint Dr. Shysta Shaukat
violence & respond to the needs of Presentation
survivors Program
Manager
Handout 08

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 Program
Manager
Handout 10

MISP Objective 3: Prevent the

Transmission of & Reduce Morbidity PowerPoint
11:30-13:00 Dr. Shysta Shaukat
& Mortality Due to Presentation
HIV & other STIs
Lunch & Jummah Break (02 Hours)
MISP Objective 4: Prevent Excess
PowerPoint Dr. Humaira
14:30-17:00 Maternal & Newborn Morbidity &
Presentation Zulfiqar
Mortality
Agenda Day 03
Group
09:30-10:00 Review of Day 02 Dr. Sayema Awais
Discussion
MISP Objective 5: Prevent PowerPoint
10:00-12:00 Dr. Shysta Shaukat
unintended pregnancies Presentation
MISP Objective 6: Plan for
comprehensive SRH services,
integrated into primary health PowerPoint Dr.Humaira Zulfiqar
care as soon as possible Presentation & Dr. Sayema
12:00-13:00
MISP for SRH Other Priority Participant Awais
Activity: Safe Abortion Care to the Handout 16
Full Extent of the Law in
Emergencies
Lunch Break
Exploring the MISP Objectives
What’s needed to make the MISP for
PowerPoint Dr. Humaira
14:00-15:00 SRH happen? Multi-sector
Presentation Zulfiqar
collaboration, National Coordination
mechanisms
What’s needed to make the MISP
happen?
Preparedness, Planning and
Integration, Response, coordination,
PowerPoint
15:00-16:00 implementation, recover, Dr. Sayema Awais
Presentation
rehabilitation, learning and building
back better, funding, supplies and
commodities, Monitoring &
Evaluation
Closing Remarks
Vote of Thanks Post-Test
16:00-17:00 Post Test & Training Evaluation Training Evaluation
Form Form
Certificate Distribution
ting the Workshop
ANNEXURE II: Participant Profile

Name Institution District Role/Title Email

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Malik M Shakeel Rescue 1122 Khushab Control Room Incharge shakeel756@gmail.com
Dr. Umbreen Sarwar IRMNCH Jhang District Coordinator umbreenahmd@gmail.com
Sajid Hussain Rescue 1122 Chakwal Administrator sajjid1122@gmail.com
Abdul Rehman PDMA Gujrat District Incharge  
Rashid Mahmoos PDMA Kasur District Incharge rashidksr343@gmail.com
Wyclife Uzziah Rescue 1122 Rawalpindi    
Muneeb Qureshi Rescue 1122 Attock   muneebkoreshi@gmail.com
M Usman Khalid DHA Faisalabad Medical Officer usman24k@gmail.com
Usman Ahmad Rescue 1122 Faisalabad   rsousman1122@gmail.com
Dr M Babar DHA Chiniot Medical Officer  
Dr. Zahid Tanweer DHA Gujrat    
Mandi
Mushtaq Ahmed Tarar DHA Bahauddin Monitoring & Evaluation mushtaqtarar1975@gmail.com
Dr. Jawad Ahmed DHA Jehlum   drjawad78@gmail.com
Dr. Rao Gulzar DHA Khushab   drraogulzar@hotmail.com
Dr. Samra Khurram IRMNCH Kasur District Coordinator  
Dr. Lubna Ishaqe IRMNCH Rawalpindi District Coordinator  
Dr Abrar Hussain IRMNCH Chakwal Dsitrict Coordinator abrar_malik89@yahoomail.com
Dr Saeed Akhtar IRMNCH Attock District Coordinator  
Saeed Ahmad Rescue 1122 jehlum District Manager  
Umar Akbr Ghumman Rescue 1122 Gujrat Emergency Officer umarhumman73@gmail.com
Sultan Mahmood Rescue 1122 Kasur Emergency Officer engr.sultaneo@gmail.com
Syed Qaiser Abbas Rescue 1122 Chiniot Control Room Incharge qaiserabbasshah72@gmail.com
Ahma Saeed PDMA Khushab Incharge ahmadsaeedawan@yahoo.com
Mandi
Imtiaz Ali Rescue 1122 Bahauddin Control Room Incharge imtiazch91@gmail.com
Imran Siddique Rescue 1122 Lahore Rescue Safety Officer rsoimran9@gmail.com
M. Iqbal Ul Hassan Rescue 1122 Jhang Rescue Safety Officer iqbalulhassan17@gmail.com