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Sexual and reproductive health self-care in humanitarian and fragile settings: Where should we start?
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Abstract
Recent crises have accelerated global interest in self-care interventions. This debate paper aims to raise the issue of sexual and reproductive health (SRH) self-care and invites members of the global community operating in crisis-affected settings to look at potential avenues in mainstreaming SRH self-care interventions. We start by exploring self-care interventions that could align with well-established humanitarian standards, such as the
Minimum Initial Service Package (MISP) for Sexual and Reproductive Health in Crises, point to the potential of digital health support for SRH self-care in crisis-affected settings, and discuss related policy, programmatic, and research considerations. These considerations underscore the importance of self-care as part of the care continuum and within a whole-system approach. Equally critical is the need for self-care in crisis
Global Snapshot of Contraceptive Services across Crisis-Affected Settings
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Introduction
Access to contraceptive services is both a fundamental human right and a lifesaving public health intervention. However, the Inter-agency Working Group on Reproductive Health in Crises (IAWG) 2012-2014 Global Evaluation found that the provision of contraceptive services, especially long-acting and permanent methods and emergency contraception, continues to be a gap in humanitarian health funding and programming. For example, contraceptive services made up just 14.9% of sexual and reproductive health (SRH) programming in humanitarian health appeals submitted between 2009 and 2013. In terms of absolute funds received for all SRH components during this period, contraceptive services received the smallest amount.