Photo by Benin Anais Dresse. CTB mothers

Photo by Anais Dresse.

Symposium: Sexual and Reproductive Health in fragile environments

Turning challenges into opportunities

On December 10th a symposium about challenges and innovative approaches that have improved the sexual and reproductive health of people in fragile environments was held at KIT. Lessons learned and good practices were shared. This symposium was organised together with he Dutch Ministry of Foreign Affairs, Share-Net International, Health Net TPO, Cordaid and International Medical Corps.

Aim of the symposium

The aim of the symposium was to learn from and share evidence-based information of existing SRHR programmes and researches conducted about sexual and reproductive health in fragile environments.

After this symposium a briefing paper will be published with recommendations and lessons learned during the symposium that will further be disseminated through two webinars for a wider international audience.

Webinars
More information on the webinars will be posted here shortly. If you are interested in the webinars leave your contact details so we can contact you in due course.

Over half of all maternal, newborn and child deaths occur in around 50 countries categorized as fragile states. Fragile states have some of the worst health statistics in the world, especially with regard to the health of women and children. Nearly two-thirds of fragile states will fail to halve extreme poverty by the end of this year- the deadline of meeting the MDG’s. The sustainable development goals are set to repeat this pattern without targeting people in conflict and fragile environments. A different approach is needed.

Resource constraints

In fragile states, delivery and scaling up of reproductive health services is more difficult than other low-income settings. This is due to poorer governance, severe human resource and financial constraints, the lack of supplies and infrastructure, and particular problems faced by the communities. Under these circumstances family planning is often particularly neglected. Resource constraints are further worsened both by a contested policy environment and a reliance on international aid, which frequently comes with unpredictable and unstable funding.

Progress that can be made

Despite all these challenges and constraints, this symposium wants to look at the progress that can be made when strategies are applied which are comprehensive and multidimensional. It is evident that strategies which have had most impact have moved beyond medical interventions only, while adopting a combined approach to include girls’ education, work on increasing the age of marriage and first pregnancy, family planning and abortion services and efforts to reach out to young people.

The aim of the symposium is to learn from and share evidence-based information of existing SRHR programmes and researches conducted about sexual and reproductive health in fragile environments.

This symposium addressed the following specific topics:

  1. Understanding the complexity and multi-layers of fragility and what kind of implications this has for accessing SRH rights and the uptake of Sexual and Reproductive Health services.
  2. Sharing ways on how to optimize the supply and delivery of Sexual and Reproductive Health in constrained environments.
  3. Diving deeper into community factors eg. gender inequality, social norms, preferences and needs that influence the uptake of SRHR services in post-conflict/fragile settings.

 

Programme:

08:30-09:00: Registration

09:10: Welcome words KIT

09:20: Opening Speech Yvonne Stassen Adjunct Director Ministry of Foreign Affairs

  • SDG risks failing to reach the most vulnerable in fragile states,
  • experiences and insights from the Great Lakes and
  • actions taken by ministry of foreign affairs

09:45: Egbert Sondorp Senior advisor Health Systems KIT

  • Unpacking the complexity and multi-layers of fragility and what kind of implications this has for accessing SRH rights and SRH services.
  • Q&A.
  • Video SRHR in South Sudan; Experiences from the South Sudan Health Action Research Programme SHARP.

10:45: Tea/Coffee break

11:00 – 13:00: Parallel sessions:

1: Sharing ways how to optimize supply and delivery of SRH in constrained environments.

  • IWAG  Melissa Sharer – JSI, Inc. / Katie Meyer – JSI, Inc
  • Sarah Ashraf – Save the Children
  • Dr. Ashraf Badr – Country Director Yemen Marie Stopes International

2: Responding to the Sexual and Reproductive health needs of adolescents in fragile environments

  • Cordaid Next Generation
    Michel Zabiti Cordaid – DRC
    Juvenal Ndayishimiye – Cordaid Burundi
  • Mihoko Tanabe – Women’s Refugee Commission
  • Janet Meyers – IMC

3: Diving Deeper into community factors eg. gender inequality, social norms/preferences that influence the uptake of SRHR services in fragile settings.

  • Elisabeth Wayamba Senior public health advisor Health Net TPO
  • Sumit Kane/Maryse Kok  – KIT
  • Kwesi Owusu director Creative Storm Ghana

4: Financing for SRHR responses in fragile environments; global developments

  • Marco Gerritsen – Ministry of Foreign Affairs
  • Maria Bordallo – IPPF

Read more about the speakers

13:00-14:00: Lunch

14:00-15:00: Highlights & Reflections from Parallel Sessions

15:00: Tea/coffee break

Panel discussion

SRHR in fragile environments: How to make a difference?

  • Jesse Ratan, Director Care global program on SRH in emergencies
  • Dr. Alexander Dimiti Director General Reproductive Health MoH South Sudan
  • Lucie Bahr Director midwives association Liberia
  • Primus Chi Chu Doctoral Researcher PRIO SRHR in post-conflict settings

16:30: Conclusions, Follow up & Closure

17:00 – 18:00: Drinks

Facilitator:

Sally Theobald

Sally Theobold

Sally Theobald is a Professor in Social Science and International Health at the Liverpool School of Tropical Medicine in the UK. She has over 20 years’ experience of research, training and partnership on gender equity and health systems strengthening in Africa and Asia and has published widely. She has particular interests in gender, sexual reproductive health and rights in fragile and post conflict contexts. She leads the gender equity stream in ReBUILD, a consortium focusing on  Research for stronger health systems post conflict. She is also active in a consortium on Research in Gender and Ethics: Building stronger health systems (RinGs).


 

Speakers:

Yvonne Stassen

yvonne stassen

A diplomat, manager and economist with over 20 years of experience in both the Netherlands and abroad. In complex environments she is capable to build networks, connect institutions and interests, and weigh political priorities. In her work experience in 6 countries on 4 continents she has gathered expertise in change management, conflict resolution, post-conflict rehabilitation, mediation, political, development, civil-military and economic cooperation.

Her foreign posts as a diplomat with Embassies of the Netherlands included (in chronological order) Iran, Surinam, Afghanistan, Norway and Sudan. At MFA headquarters she has served at the Eastern-European desk, the OSCE-chairmanship’s office, the Secretary-General’s office and is currently the Deputy-Director for the Social Development Department.


Egbert Sondorp

Egbert Sondorp

Egbert Sondorp is a Public Health Specialist, with specific expertise in health policy & planning, evaluation, health system research, and disease control. He has 30 years of experience in international health, as field practitioner, manager and academic. A specific area of interest is health in fragile and conflict affected areas.

 

 


Parallel session 1:

Sharing ways how to optimize supply and delivery of SRH in constrained environments

Melissa Sharer

Melissa SharerMelissa Sharer has been working in conflict settings since her time with the Peace Corps in Armenia starting in 1994. She has spent the past 20 years working in development, relief and post-conflict/transitional settings on reproductive health (RH), HIV/AIDS, mental health, adolescent/youth, and gender-based violence issues. Having published several publications and training manuals, currently she is teaching masters of social work students at Catholic University of America and is also working at John Snow Research and Training Institute.  She has a master’s degree in public health and in social work from the University of North Carolina at Chapel Hill as well as a PhD in social work from the Catholic University of America.


Sarah Ashraf

Sarah AshrafSarah Ashraf is a Reproductive Health Advisor who has been working in the humanitarian field for the last 15 years. She joined Save the Children in 2004 in Darfur, Sudan. Since then Sarah has been working for Save the Children in various capacities. During this time she deployed and worked in various emergencies including typhoon in Philippines in 2009, the earthquake first and then Cholera outbreak in Haiti, Libya emergency and others. Currently Sarah is back stop (provide technical assistance on a regular basis) for Yemen and Pakistan country offices for emergency health. Also she works with programs in Egypt. She technically supports Pakistan and Egypt for the Family Planning and Post Abortion Care program. Sarah has specific interest in reproductive health and has the experience over 10 years of designing, implementing and managing reproductive health programs in humanitarian crisis. In the past she worked for UNFPA and WHO. Sarah has a Master’s in Public Health and a post graduate diploma for humanitarian assistance.


Ashraf Badr

Ashraf BadrDr. Ashraf Badr is the country director for Marie Stopes International Yemen and the Executive Director of the national affiliated partner NGO, the Yamaan Foundation, which he began in 2009. Dr. Badr has more than 16 years of experience in marketing and management, 9 years of experience with Marie Stopes International with considerable expertise in project management and social marketing. He has played a leadership role in developing and managing sexual and reproductive health programmes in Yemen, in both the private and public sectors. Through his various social marketing projects Dr. Badr has gained experience in behaviour change communication (BCC), community mobilisation, advocacy and project management. This has allowed Dr Badr to build Yamaan into Yemen’s foremost social marketing enterprise for family planning and sexual and reproductive health and drive the growth and success of MSIY as the country’s leading sexual and reproductive health service provider. Dr. Badr is recognized as a strong advocate for SRHR in Yemen and region.


Parallel session 2:

Realizing the reproductive health needs of adolescents in fragile environments

Michel Zabiti

Michel Zabiti

Michel ZABITI ZUMBI is Medical Doctor, Master in public health with 21 years experience in managing health programmes in the development and relief contexts. Proven experience in project planning, management, monitoring and evaluation. Established expertise in social and institutional accountability promotion and good experience and knowledge of the Cordaid emergency and development programs, project management procedures.

 


Juvenal  Ndayishimiye

Juvenal NdayishimiyeDr. Juvenal Ndayishimiye, MD, MPH, is currently Health program Manager at Cordaid Burundi. He coordinates the Cordaid health programs including the sexual and reproductive health program called Next Generation (SRHR) in close collaboration with the MoH (NRHP), He has a great knowledge of the health challenges of youth in comprehensive sexuality education (CSE) which the country has to urgently address. Dr. Juvenal holds 10 years of experience in the implementation of projects financed by donors or development partners of African countries such as the World Bank, the European Union, GAVI, the Government of the Netherlands, particularly projects supporting the activities of primary health care and strengthening the health system in Burundi.

After leading a provincial hospital and a region (province) health for over 8 years, thus building is experience of all aspects of the Burundian health system and its challenges, Dr. Juvenal Ndayishimiye continued since 2006 in the steering and implementation of the performance based financing approach with Cordaid.


Mihoko Tanabe

Mihoko Tanabe is a senior program officer for the Women’s Refugee Commission’s Reproductive Health program, where she has spent the last 8.5 years. Over the years, she has conducted research on reproductive health-related issues in Haiti, Kenya, Nepal, the Thai-Burma border, South Sudan, and Uganda, and has overseen projects in Bangladesh, Democratic Republic of the Congo, Djibouti, Jordan, and Malaysia. Some of her recent projects include piloting community-based approaches to providing reproductive health services in conflict settings; identifying good practice programming for adolescent reproductive health; and addressing the intersections between sexual and reproductive health and disability in humanitarian contexts.
Women’s Refugee Commission


Janet Meyers

Janet MeyerJanet Meyers has over 20 years of clinical nursing and international development and emergency experience in sexual and reproductive health and primary health care and has worked in countries in Sub-Saharan Africa, Central Europe, Asia, and the Middle East.  She is Deputy Director for Health Policy and Practice at International Medical Corps and directly supports global public health programs with a particular focus on Sexual and Reproductive Health programming.  Prior to International Medical Corps, Janet worked on SRH in emergency programming at CARE International and for a consortium of NGOs dedicated to reproductive health in crises.  She is a nurse and has a Master’s in Public Health from University of Illinois School of Public Health.


Parallel session 3:

Diving Deeper into community factors eg. social norms/preferences that influence the uptake of SRHR services in fragile settings


Elisabeth Wayamba

Elisabeth WayambaElizabeth Wayamba is a senior public health advisor with HealthNet TPO- South Sudan Program. She has over 10 years’ experience managing health programs in post conflict environments / post development project mostly in African countries. Her interests are maternal and child health and sexual and reproductive health issues, particular in relation to community participation to gain control over their own health.

 

 


Maryse Kok

Maryse KokMaryse Kok is a public health specialist with KIT. She has experience in evidence informed policy development, project management and quantitative and qualitative research. Her expertise includes sexual and reproductive health, infectious diseases, community health and (district) health systems.

 

 

 


 

Kwesi Owusu

Dr Kwesi Owusu picDr. Kwesi Owusu is Executive Director of Creative Storm, Ghana’s leading communicators for social development and Executive Producer of the award winning Maternal Health Channel Television Series. As film producer, Dr Owusu has several path breaking health documentaries on health to his credit. He has extensive experience  of research and health advocacy in Africa. His particular interests are maternal and child health and sexual and reproductive health issues, particular in  relation to young people. In these respects, Creative Storm has partnered agencies such as UNFPA, Marie Stopes, Unicef and DKT. Dr. Owusu was nominated Personality of the Century by the Millennium Excellence Awards 2006 and won Ghana Critics and Reviewer’s award in 2008. Creative Storm won Ghana’s Health and Advocacy Award for 2014.


Parallel session 4:

Financing for SRHR responses in fragile environments

Marco Gerritsen

Marco GerritsenMarco Gerritsen (born 1957) is a Medical Doctor International Health and Tropical Medicine degree with a Masters in Health Planning Policy and Financing (HPPF) from the London School of Hygiene and Tropical Medicine (LSHTM) and the London School of Economics (LSE). After a childhood and schooling in Africa he returned as a MD with Médicins Sans Frontières in Somalia, in a Mission Hospital in Ghana and as a District Medical Officer in Zambia, where he was also born. After his Masters he worked as an advisor to the Mozambican Ministry of Health in Maputo and contributed to the first Health Sector Strategic Plan for Mozambique. In 2002 he joined the Ministry of Foreign Affairs (MoFA) and worked in Zambia, The Hague and Mozambique as a senior policy advisor. Currently he’s back at the MoFA HQ. His passion continues to be engineering improvements in the field of Sexual Reproductive Health and Rights (SRHR) and HIV/AIDs with a special emphasis on youth and adolescents, community based solutions, health system strengthening, synergies with the private sector, brokering partnerships and taking advantage of innovations.


Maria Bordallo

Maria BordalloMaria is Development and Advocacy Officer at IPPF/WHR since 2012. At IPPF she has been leading the work around Financing for Development. She worked extensively and participated in the FFD conferences of Doha in 2008 and Addis Ababa this year.

Maria has worked broadly with European donors and recipient country governments mostly around financing for development and SRHR, aid modalities and aid effectiveness. She has worked as staff and as consultant for DSW, International Civil Society Support, Care International, Advance Family Planning and Family Care International among others.

Maria has a Master’s degree in Psychology and a post-graduate Master’s degree in International Relations and is fluent in English, Spanish, French, Dutch and Portuguese.

 


Panel discussion

Jesse Ratan

Jesse rattanJesse Rattan is the director of CARE’s global program on SRH in emergencies.  Jesse has been working in crisis affected and fragile states since 1999 supporting SRHR programming  in South Asia, South-East Asia and Sub-Saharan African countries.  She is a nurse with a degree from Johns Hopkins University and masters in public health from the University of California at Berkeley. She leads CARE’s flagship SRHR program in crisis-affected settings (Chad, Eastern DRC, Mali, Pakistan and Djibouti) which has increased access to over 120,000 contraception users (including long-acting, reversible methods) and over 6,000 post-abortion care cases.


Alexander Dimiti

Alexander DimitriDr Alexander Dimiti, Director General Reproductive Health MoH South Sudan. As the Reproductive Health Director General of the Ministry of Health, dr Alexander Dimitri is responsible for implementation of the National Reproductive Health Policy and Strategy and the Maternal Mortality prevention programme as per the Health Sector Strategic Plan for the Republic of South Sudan. He also coordinates all the efforts of collaborating partners in Reproductive Health to ensure effective programming and interventions in South Sudan. In addition he provides the lead technical advisory role in implementing initiatives related to family planning, human resources for maternal/ reproductive health, Emergency Obstetric and Newborn Care (EmONC) and Reproductive Health Commodity Security.

Lucy Bahr

Lucy Bahr photoLucy Bahr is a certified midwife since 1986, and worked in a number of hospitals in Liberia throughout her career. Since 1996 she works for the Redemption Hospital. She lost count on the numbers of babies she has delivered in her life.
During the civil wars in Liberia, Lucy refused to leave her home in Monrovia, even when her husband was forced to flee. When the hospitals closed down, she delivered babies in her own home, making it a safe haven for pregnant women, even when bullets were flying around the house.
Also much of her time she spends to improve midwifery services in Monrovia and throughout Liberia. In her role, she has set up monthly teaching sessions for the many traditional midwives who work outside the city and have little or no training. She has also been campaigning to get better recognition for midwifery as a profession, and to provide a better career path for midwives, so more of them will stay in the profession. Lucy serves as the associate president of the Liberia Midwifery Association. She is a graduating senior from the United Methodist University Winifred J. Hardin college of Health Science BSC in Midwifery Lucy is a widow and a mother of three children and four grand children.


Primus Che Chi

Primus Che ChiPrimus Che Chi is a public health specialist, evidence synthesist, and research ethicist with keen interest in reproductive, maternal, newborn and child health (RMNCH), and health systems strengthening in low-resource and crisis settings. Primus has over eight years of work experience in research and evaluation in developing countries, including four years of work experience in humanitarian/ crisis settings. He has designed and implemented operational research projects in the domains of RMNCH and research integrity across central and eastern Africa, including fieldwork in Cameroon, Burundi, Democratic Republic of Congo, and Uganda. He has undertaken a number of Cochrane collaboration-based systematic reviews of health system interventions in the domain of RMNCH, including interventions for improving maternal, newborn and women’s reproductive health in crisis settings. He has also served as an expert with the International Committee of the Red Cross’ Health Care in Danger project aimed at formulating concrete recommendations on measures that can be taken to help ensure the physical safety of health care facilities during armed conflict or other emergencies. Primus is a contributor to the WHO’s Reproductive Health Library and the Cochrane’s Effective Practice and Organisation of Care (EPOC) Group, and a member of the Inter-agency Working Group (IAWG) on Reproductive Health in Crises and the Cameroon Bioethics Initiative (CAMBIN). He speaks English, French, and Pidgin English (West African Creole) and holds a Master of Public Health, with a specialty in health policy & research ethics from the University of Pretoria and is currently awaiting his PhD defence in International Health with a focus on maternal and reproductive health in crisis settings at the Faculty of Medicine, University of Oslo.


Webinars will be organised on the outcomes of the the different sessions. If you are interested in the webinars leave your contact details so we can contact you in due course. More information will follow.

Interest in webinars Sexual and Reproductive Health in Fragile Environments

 

Verification

 

 

KIPrintT Health’s work on SRHR is to realize better and inclusive access to quality SRH services, promote adolescent SRHR, reduce teenage pregnancy, improve maternal health and strengthen HIV prevention and care, especially for key populations.


 

Ministerie Buitenlandse zaken

The Dutch government wants to promote sustainable economic growth in developing countries. And it wants to work towards global stability and security and to foster human rights. SRHR is one of the four priority themes of Dutch development cooperation policy.

 

 

 


 

Share netShare-Net International, the Knowledge Platform on Sexual and Reproductive Health and Rights (SRHR) and HIV seeks to combine the expertise and strengths of Dutch organisations, Southern partners and key international actors working in the area of SRHR and HIV to achieve Millennium Development Goals 5 and 6 and contribute to the post-2015 agenda.


 

 

International Medical Corps

International Medical Corps is a global, humanitarian, nonprofit organisation dedicated to saving lives and relieving suffering through health care training and relief and development programs. International Medical Corps is a private, voluntary, nonpolitical, nonsectarian organization. Its mission is to improve the quality of life through health interventions and related activities that build local capacity in underserved communities worldwide.

 


Logo HealthNet TPOHealthNet TPO is a Dutch aid agency that works on health in areas disrupted by war and disasters. Its mission is to develop evidence-based interventions to increase the capacity of communities in fragile states to gain control over their own health and well-being.

 


 

 

Cordaid_logo_aanhef_RGB_A1

Cordaid is one of the largest development aid organizations in the Netherlands. Cordaid Healthcare unit aims at providing affordable and accessible healthcare for the most vulnerable, particularly to mothers and children around the world. By focusing its work on Health System Strengthening and Sexual & Reproductive Health, Cordaid works towards a sustainable and transparent healthcare system.
Cordaid’s work in sexual and reproductive healthcare does not include support for abortion services.

Presentations Symposium 10 December 2015:

Opening-Symposium-SRHR-in-Fragile-Settings-Yvonne-Stassen-NL-Ministry-Foreign-affairs.pdf Adjunct Director Ministry of Foreign Affairs

Egbert Sondorp Senior advisor Health Systems KIT: Unpacking the complexity and multi-layers of fragility and what kind of implications this has for accessing SRH rights and SRH services

Parallel sessions:

1: Sharing ways how to optimize supply and delivery of SRH in constrained environments.

  • IWAG  Melissa Sharer – JSI, Inc. / Katie Meyer – JSI, Inc: Presentation
  • Sarah Ashraf – Save the Children: Presentation
  • Dr. Ashraf Badr – Country Director Yemen Marie Stopes International: Presentation

2: Responding to the Sexual and Reproductive health needs of adolescents in fragile environments

3: Diving Deeper into community factors eg. gender inequality, social norms/preferences that influence the uptake of SRHR services in fragile settings.

4: Financing for SRHR responses in fragile environments; global developments

Highlights & Reflections from Parallel Sessions: Debriefings parallel sessions

Twitter report (for results with photo’s, links see twitter #srhrsymposium)

Photo’s: A selection of photo’s taken during the symposium.

Report of the Symposium SRHR in Fragile Environments 10-12-2016

Video SRHR in South Sudan; Experiences from the South Sudan Health Action Research Programme SHARP

Watch the video