Appendix C. Conceptual Framework for MISP Implementation

Conceptual Framework: MISP Implementation Logic Model


Activities/Inputs/Outputs

Early Activities
RH coordinating agency

Later Activities

Outcomes & Impact




Short

Medium

Long

Health cluster is informed of MISP
Lead RH organization
Effective
Reduced mortality,
è coordinates routine meetings coordination of
(national; subnational;
implementation progress and barriers
morbidity and
and communication re: MISP, MISP
disability, particularly
local/camp) identified by (including supplies/equipment); funding is
within and external to RH
implementation among women and
the health sector/cluster secured to support the MISP; MISP

girls in populations
and weekly/bi-weekly
kits/commodities and supplies are secured implementers

affected by crises,
meetings are facilitated
Vulnerable populations,
Sexual violence is including internally

Measures are in place to protect affected
RH focal points identified populations from sexual violence; clinical
specifically women and girls, prevented and the displaced persons
within health service
are protected from incidents consequences are (IDPs), refugees and
care is available for survivors of rape;
delivery organizations and community is aware of the available
of sexual violence
managed
those affected but
community-based


clinical services
not displaced

organizations
Functional sexual violence
HIV transmission is


Safe blood transfusion is available; respect referral system in place and reduced
Basic health
accessed

for standard precautions is enforced;
demographics determined condoms are available, free and visible
Excess maternal


and newborn
Care for survivors of sexual

RH supplies and kits
morbidity and
violence accessed

Emergency obstetric care (EmOC) and
procured based on
mortality is

newborn care are available: referral
population estimates (See hospitals manage 7 signal functions,
Affected communities have prevented
MISP calculator, RH kit

secure access to health
skilled delivery is available at health
calculator)
facilities
Comprehensive RH
centers, and 24/7 referral is in place from


services are
community to health center and health
Mapping, vetting and

Safe blood supply available planned for and
center to hospital; clean delivery kits are
support of health facilities distributed to birth attendants and to

integrated into
for MISP services
Condoms are freely accessed primary health
visibly pregnant women
conducted

care


Adequate staffing and stocks
Contraceptives are available on demand
Awareness-raising efforts in
available at health facilities
place to alert community of Syndromic treatment of STIs is established
and hospitals (supplies/
priority needs and available

equipment) to implement
services
standard precautions, basic
ARVs are available for existing users,
and comprehensive EmOC and
including for prevention of mother-tonewborn care as
child transmission (PMTCT)
appropriate/500,000

population
Culturally appropriate menstrual

protection materials (usually packed
Contraception to meet
within “hygiene kits”) are distributed to
demand accessed
women and girls


Community awareness raising is underway STI syndromic management

accessed
about the benefits and location for

accessing MISP services
Treatment of HIV among those

in care and PMTCT accessed
RH focal point(s)/staff coordinate orders

of RH equipment and supplies based on
RH referral system accessed by
estimated and observed consumption;
beneficiaries at all levels
collect existing background data, identify

suitable sites for future service delivery of
Women and girls access
comprehensive RH services; assess staff
menstrual hygiene supplies
capacity to provide comprehensive RH

services and plan for training/retraining of
staff; fundraise, or secure funding for
continuation of comprehensive RH