Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-28T09:32:57.922Z Has data issue: false hasContentIssue false

Integrating Reproductive Health into Emergency Response Assessments and Primary Health Care

Published online by Cambridge University Press:  28 June 2012

Lorelei Goodyear*
Affiliation:
Program Manager, Postabortion Care, EngenderHealth, New York, New York, USA
Michelle Hynes
Affiliation:
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
*
Postabortion Care Program Manager, EngenderHealth, 440 9th Avenue, New York, NY 10001, USA E-mail: LGoodyear@engenderhealth.org

Abstract

War-affected populations often are displaced for years. When primary health care is focused on the acute conditions that often present in the emergency phase of a complex emergency, insufficient attention often is directed towards other evolving needs of the population. Their reproductive health, psychosocial health, and problems with chronic diseases may be overlooked even after the situation stabilizes.

This article examines currently available resources for conducting rapid assessments of health needs and services during complex emergencies. Their respective strengths and weaknesses are discussed, particularly for assessing a population's reproductive health needs, and for fostering the integration of reproductive health and primary health-care services, and for designing health services delivery.

When more specific indicators are included in a needs assessment tool, the likelihood that the assessment results will influence the design and scope of the health program is increased. Needs assessments for primary health care that incorporate reproductive health indicators will assist health officials to integrate these services, and thus, use staff and facilities more efficiently, and will highlight areas of opportunity for providing services.

Type
Part 1. Complex Emergencies: Lessons Learned
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2001

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Toole, M: The rapid assessment of health problems in refugee and displaced populations. Medicine and Global Survival 1994;1:200207.Google Scholar
2.U.S. Committee for Refugees: World Refugee Survey 1999. Washington D.C.: Immigration and Refugee Services of America, 1999.Google Scholar
3.Sachs, L: Safe motherhood in refugee settings. Africa Health 1997;19:2425.Google ScholarPubMed
4.Centers for Disease Control and Prevention: Famine-affected, refugee, and displaced populations: Recommendations for public health issues. MMWR 1992;41(RR-13):176.Google Scholar
5.Steering Committee for Humanitarian Response: The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response. Oxford: Oxfam Publishing, 1998.Google Scholar
6.Goma Epidemiology Group: Public health impact of Rwandan refugee crisis: What happened in Goma, Zaire, in July, 1994? Lancet 1995;345:339344.CrossRefGoogle Scholar
7.Toole, MJ, Waldman, RJ: Prevention of excess mortality in refugee and displaced populations in developing countries. JAMA 1990;263:32963302.CrossRefGoogle ScholarPubMed
8.United Nations High Commissioner for Refugees: Handbook for Emergencies. Geneva: UNHCR, 1999.Google Scholar
9.Waldman, R, Martone, G: Public health and complex emergencies: New issues, new conditions. Am J Public Health 1999;89:14831485.CrossRefGoogle ScholarPubMed
10.Schreck, L: Turning point: A special report on the refugee reproductive health field. International Family Planning Perspectives 2000;26:162166.CrossRefGoogle Scholar
11.United Nations High Commissioner for Refugees: Reproductive Health in Refugee Situations: An Inter-agency Field Manual. Geneva: UNHCR, 1999.Google Scholar
12.Reproductive Health for Refugees Consortium: Refugees and Reproductive Health Care: The Next Step. New York: Reproductive Health for Refugees Consortium, 1999.Google Scholar
13.Krause, S, Jones, R, Purdin, S: Programmatic responses to refugees' reproductive health needs. International Family Planning Perspectives 2000;26:181187.CrossRefGoogle Scholar
14.Women's Commission for Refugee Women and Children: Survey of Refugee and IDP Reproductive Health Services Report. New York City: Women's Commission for Refugee Women and Children, 2000. (unpublished).Google Scholar
15.Reproductive Health for Refugees Consortium: Refugee Reproductive Health Needs Assessment Field Tools. Reproductive Health for Refugees Consortium, 1997.Google Scholar
16.World Health Organization: Rapid Health Assessment Protocols for Emergencies. Geneva: World Health Organization, 1999, p 97.Google Scholar
17.Médicin San Frontières: Refugee Health: An Approach to Emergency Situations. London: Macmillan Education Ltd., 1997, p 380.Google Scholar
18.World Health Organization: Reproductive Health during Conflict and Displacement. Geneva: World Health Organization, 2000.Google Scholar
19.Gardner, R, Blackburn, R: People Who Move: New Reproductive Health Focus. Baltimore: Johns Hopkins School of Hygiene and Public Health, 1996.Google Scholar
20.Reproductive Health for Refugees Consortium: Conference Proceedings 2000: Findings on Reproductive Health of Refugees and Displaced Populations. Washington D.C.: Reproductive Health for Refugees Consortium, 2000.Google Scholar
21.McGinn, T: Reproductive health of war-affected populations: What do we know? International Family Planning Perspectives 2000;26:174180.CrossRefGoogle Scholar
22.Tailhades, M, Toole, MJ: Disasters: What are the needs? How can they be assessed? Tropical Doctor 1991;21:1823.CrossRefGoogle ScholarPubMed
23.Brown, V, Moren, A, Paquet, C: Rapid Health Assessment of Refugee or Displaced Populations. 2d ed. Paris: Médicin Sans Frontières, 1999. p 62.Google Scholar
24.United Nations Children's Fund (UNICEF): Assisting in Emergencies: A Resource Handbook for UNICEF Field Staff. New York: UNICEF, 1986.Google Scholar
25.Nduna, S, Goodyear, L: Pain Too Deep for Tears: Assessing and Addressing Sexual and Gender-based Violence against Burundian Refugees in Tanzania. New York: International Rescue Committee, 1997.Google Scholar
26.Nduna, S, Rude, D: A Safe Space Created by and for Women: Sexual and Gender-based Violence Program Phase II Report. Kibondo, Tanzania: International Rescue Committee, 1998.Google Scholar
27.Johnson, D: IRC Program Against Sexual Violence (UNIFEM), Report #1, Congo-Brazzaville. Congo-Brazzaville: International Rescue Committee, 1999.Google Scholar