Chapter 7
Ordering Reproductive Health Kits
When should the Interagency
RH Kits be ordered?
The RH Kits are intended for the early stage of an emergency
as the contents of the kits are designed for a limited
period of time (three months) for a particular number
of people. Once basic RH services are established, the
RH Coordinator should analyze the situation, assess
the needs of the population and re-order disposables
and other equipment as needed to ensure the sustainability
of the RH program and to avoid shortage of some supplies
and wasting of others that are not used in the setting.
Follow-up orders for ongoing supply needs would be made
through the regular supply lines in-country, procurement
channels used by NGOs or through the UNFPA Procurement
Services Section.[]
In other words, once the emergency phase has ended,
continued ordering of the prepackaged RH Kits should
be avoided.
Are there other agencies that
provide pre-packed kits with RH supplies in addition
to UNFPA?
Yes, the Interagency Emergency Health Kit 2006 []
(formerly the New Emergency Health Kit (NEHK)) is the
most recent version of a standardized emergency health
kit that contains essential drugs, supplies and equipment
for the provision of primary health care services. This
Emergency Health Kit was designed by WHO, UNHCR, UNICEF,
UNFPA, Médecins Sans Frontières, the International Committee
of the Red Cross and the International Federation of
Red Cross and Red Crescent Societies. It contains a
midwifery kit, emergency contraceptive pills, post-exposure
prophylaxis treatment to prevent transmission of HIV
after rape and supplies for the adherence to universal
precautions. However, to provide the full range of priority
RH services in an emergency situation, it is recommended
that the Interagency RH Kits are ordered or other supply
sources are identified to ensure all necessary equipment
and materials are available.
What information do I need to
order the Interagency RH Kits?
UNFPA needs to know where the kits will be used and
which organization/individual will organize the distribution
of the kits, along with the relevant contact, delivery
and financing information. In addition, information
about the type of setting, number of target population,
time period of operation and the number of health centers
and referral hospitals helps to calculate the amount
of supplies needed to address the situation. It may
also help to have information about personnel, including
the:
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number of doctors |
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number of doctors qualified for obstetrical
surgery |
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number of nurses |
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number of nurses trained in obstetrics |
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number of qualified midwives |
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number of traditional birth attendants |
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number of community health workers |
Knowing the following basic data can help you to order
the correct supplies. (Default estimates are
provided in case requested data are not available.)
How much do the
Interagency RH Kits cost?
The cost of the kits changes periodically. It is best
to contact UNFPA directly to facilitate ordering, discuss
budgeting questions and ensure that contact and delivery
information is correct.
How quickly will Interagency
RH Kits arrive at my site?
In crisis situations, kits should arrive at the country
port of entry within two to seven days after an order
is placed and the funds are transferred. Transport to
field sites is dependent upon the ordering agency's
local transport and storage arrangements.
How are Interagency RH Kits
packaged?
To facilitate logistics in country, UNFPA has arranged
that the boxes containing the kit contents:
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are marked with the number
of boxes and the weight and volume of each kit |
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can be handled by one or two people |
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are clearly marked with the kit number,
description, contact person and contents |
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are branded on all sides with one
color representing a particular kit |
How can I find
out the exact contents of each RH Kit?
Contact UNFPA to obtain a copy of the booklet Reproductive
Health Kits for Crisis Situations.[]
This booklet provides a list of contents of each kit
as well as guidance on the type of training health personnel
should have to use the contents of the kit appropriately.
Are any reference or training materials included with my RH Kit order?
Yes, a Reference and Training Package is provided with each kit order. The following documents and manuals are included:
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Clinical Management
of Rape Survivors: A guide to the development of
protocols for use in refugee and internally displaced
person situations.[]
WHO/UNHCR, (revised edition) 2004. |
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Distance Learning Module on the
Minimum Initial Service Package (MISP) for Reproductive
Health.[]
Women's Commission for Refugee Women and Children,
2006. |
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Minimum Initial Service Package
(MISP) Fact Sheet.[]
Women's Commission for Refugee Women and Children,
(revised) 2006. |
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Field-Friendly Guide to Integrate
Emergency Obstetric Care in Humanitarian Programs.[]
Women's Commission for Refugee Women and Children/RHRC
Consortium, 2005. |
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Guidelines for Gender-Based Violence
Interventions in Humanitarian Settings: Focusing
on Prevention of and Response to Sexual Violence
in Emergencies.[]
Inter-agency Standing Committee Task Force on Gender
and Humanitarian Assistance, 2005. |
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Guidelines for HIV/AIDS interventions
in emergency settings.[]
IASC, 2005. |
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Guidelines for the Management
of Sexually Transmitted Infections.[]
WHO, 2003. |
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Integrated Management of Pregnancy,
Childbirth, Postpartum and Newborn Care: A guide
for essential practice.[]
WHO, UNFPA, UNICEF, WB, 2003. |
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Reproductive Health during Conflict
and Displacement: A Guide for Program Managers.[]
WHO, 2000. |
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Reproductive Health in Refugee
Situations: An Inter-Agency Field Manual.[]
UNHCR/UNFPA/WHO, 1999. |
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RHRC Monitoring and Evaluation
Tool Kit.[]
RHRC Consortium, 2004. |
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The Reproductive Health Kit for
Emergency Situations.[]
UNFPA/IAWG, (revised edition) 2006. |
Some materials are available in various
languages to be suited to the context of the crisis,
but these are not automatically included and need to
be requested specifically. For example, the Inter-agency
Field Manual is available English, French, Spanish,
Portuguese and Russian.
The RH Kits are designed for use for a 3-month period
for a varying population number, depending on which
block of kits is ordered.[]
The RH Kits are divided into three blocks as follows:
Block 1 contains six kits. Each sub-kit
is designed for 10,000 persons for a 3-month period.
The kits contain mainly disposable items. Kits
1 and 2 are subdivided into parts A and B, which can
be ordered separately.
Block 2 is composed of five kits containing
disposable and reusable material. In order to prevent
wastage of expensive reusable equipment, these kits
are designed to be used for a population of 30,000 persons
over a 3-month period. However, this certainly does
not exclude the kits from being ordered for a setting
with fewer than 30,000 persons—in this case the
supplies in the kits would last longer.
Block 3 is composed of 2 kits containing
disposable and reusable material for the referral (surgical
obstetrics) level. In most countries, this level normally
serves a population of approximately 150,000 persons
over a 3-month period. In displaced situations, patients
are generally referred to the nearest hospital, which
will often require support in terms of equipment and
supplies to be able to provide the necessary services
for this additional population.
How do I order Interagency RH
Kits?
Information on the kits or assistance with ordering
can be provided by UNFPA field offices, agency partners
or the UNFPA Humanitarian Response Unit (HRU) in New
York or Geneva:
Kits can also be directly
ordered from:
How do I order the Interagency
Emergency Health Kit?
A booklet describing the
Interagency Emergency Health Kit and how it can be ordered
is available from the International Dispensary Association
(IDA) Foundation:
You can also contact UNICEF directly at:
Exercise
To next section:
Frequently Asked Questions
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