Minimum Initial Service Package (MISP) access to displaced people of Pakistan based on Sphere Standards and Indicators

作者：Qayum Mehran^*; Arooj Hina; Mohmand Sundas

来源：Journal of Pakistan Medical Association, 2013, 63(8): 1027-1030.

• Minimum Initial Service Package
• Disaster
• Sphere standards and indicators
• internally displaced people
• Emergency situation

Objectives: To evaluate people's access to priority reproductive health services of the Minimum Initial Service Package at the onset of emergency.
Methods: The descriptive cross-sectional study was carried out at the Jalozai camp for internally displaced people in Pakistan from January to July 2010. A customised structured questionnaire was used at the household level, and a semi-structured questionnaire at the health facility level. Purposive sampling was done at the household levels and all four health facilities in the camp were included in the study. SPSS 17 was used for statistical analysis.
Results: At the household level, 23 women constituted the sample size. Of them, 20 (87%) knew about delivery service, while 14 (70%) of them women reported no antenatal care at the health facilities. Five (23%) women had problems in using delivery and antenatal care at the health facilities. Of the respondents 20(87%) answered that no health personnel had visited them for checkup during pregnancy or for follow-ups. Knowledge of postnatal care services was reported by 10 (43%), while 18 (78%) women had not received Clean Delivery Kits. None of the health facilities at the camp was aware of the Minimum Initial Service Package.
Conclusion: Reproductive health is still a neglected area in Jalozai camp. Steps should be taken at the facility level to educate the health personnel about the requirements and standards set by Sphere and its implementation in disaster-hit communities.

• 出版日期2013-8