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Table 1 Summary of activities and gaps in the SRHiE response to Cyclones Winston (Fiji) and Gita (Tonga)

From: Preparing for and responding to sexual and reproductive health in disaster settings: evidence from Fiji and Tonga

MISP (2010) objective and activities

Fiji response: Winston

Tonga response: Gita

Objective 1: Ensure health cluster/sector identifies agency to LEAD implementation of the MISP

 Activity 1: RH Officer in place

√

√

 Activity 2: Meetings to discuss RH implementation held

√

√

 Activity 3: RH Officer reports back to the health cluster/ sector

√

√

 Activity 4: RH kits and supplies available and used

√

√

Objective 2: Prevent Sexual Violence and assist survivors

 Activity 1: Protection system in place especially for women and girls

Somewhat: monitoring is undertaken; information sessions conducted

√

 Activity 2: Medical services and psychosocial support available for survivors

Some services and referral available

√

 Activity 3: Community aware of services

√

√

Objective 3: Reduce the transmission of HIV

 Activity 1: Safe and rationale blood transfusion in place

–

–

 Activity 2: Standard precautions practices

During medical missions

During medical missions

 Activity 3: Free condoms available

√

√

Objective 4: Prevent excess maternal and neonatal mortality and morbidity

 Activity 1: EmONC services available

√

√

 Activity 2: 24/7 referral system established

Referral (at time of medical mission)

√

 Activity 3: Clean delivery kits provided to birth attendants and visibly pregnant women

√

√

 Activity 4: Community aware of services

√

√

Objective 5: Plan for comprehensive RH services, integrated into primary health care

 Activity 1: Background data collected

√

√

 Activity 2: Sites identified for future delivery of comprehensive RH

–

√

 Activity 3: Staff capacity assessed and trainings planned

–

√

 Activity 4: RH equipment and supplies ordered

–

–

Additional Priorities:

Continue family planning

√ and new users

√ and new users

Manage symptoms of STIs

√

√

Continue HIV care and treatment

–

√

Distribute hygiene kits and menstrual protection materials

√

√

  1. EmOC emergency obstetric care, RH reproductive health