Implementation of the Minimum Initial Service Package (MISP) as an Effort to Fulfill Reproductive and Sexual Health Services in Disaster Situations: Systematic Review

  • Efa Nugroho Faculty of Medicine, Universitas Negeri Semarang, Indonesia
  • Alfiana Ainun Nisa Faculty of Medicine, Universitas Negeri Semarang, Indonesia
  • Rafidha Nur Alifah Faculty of Medicine, Universitas Negeri Semarang, Indonesia
  • Bambang Budi Raharjo Faculty of Medicine, Universitas Negeri Semarang, Indonesia
  • Annisa Novanda Maharani Utami Faculty of Public Health, Universitas Diponegoro, Indonesia
  • Dwi Yunanto Hermawan Indonesian Planned Parenthood Association, Jakarta, Indonesia
DOI: https://doi.org/10.56338/mppki.v8i1.6485
Keywords: Disaster Situations, MISP, Reproductive and Sexual Health Services, Systematic Literature Review

Abstract

Background: The Minimum Initial Service Package (MISP) was developed as a guideline for implementing reproductive health services in disaster situations. However, there have not been many studies that comprehensively assess the implementation of all components of the MISP in disaster situations. This study provides an overview and evaluates the implementation of the eight components of the MISP in various countries.

Methods: This research was a systematic review that gathered several studies using the PRISMA flow. Using relevant keywords, the researcher obtained studies from PubMed, Science Direct, and Scopus databases. Studies were collected from April to June 2024.

Results: The findings of this research highlight the importance of strengthening coordination, communication, training, advocacy, comprehensive implementation strategies, and targeted interventions to maximize the effectiveness of the MISP in disaster response efforts. Our research offers a robust empirical basis to reformulate MISP policies, directly contributing to greater investment in healthcare, with a particular focus on emergency response.

Conclusion: In conclusion, our study contributes to the understanding of reproductive sexual and health issues in disaster setting by evaluating the implementation of the Minimum Initial Service Package (MISP). This research provides insights into the implementation of MISP in various disaster context across different countries. Future studies should focus on evaluating the effectiveness of the MISP to further advance knowledge in the field of international health. 

References

Kurnio H, Fekete A, Naz F, Norf C, Jüpner R. International Journal of Disaster Risk Reduction Resilience learning and indigenous knowledge of earthquake risk in Indonesia. Int J Disaster Risk Reduct. 2021;62:102423.

Beaglehole B, Mulder RT, Frampton CM, Boden JM, Newton-howes G, Bell CJ. Psychological distress and psychiatric disorder after natural disasters?: systematic review and meta-analysis. Br J Psychiatry. 2018;4201705689:716–22.

Cénat JM, Mcintee S emilie, Blais-rochette C. Symptoms of posttraumatic stress disorder , depression , anxiety and other mental health problems following the 2010 earthquake in Haiti?: A systematic review and meta-analysis. J Affect Disord. 2020;273(May):55–85.

World Health Organization. Inter-Agency Field Manual on Reproductive Health in Humanitarian Settings. 2018.

Dambre C, Baumgart NJ, Feron S, Engel O, Seddighi H, Degomme O, et al. ‘It never rains, but it pours’–Disasters triggered by natural hazards, sexual risk-taking behavior, and the role of health systems: A worldwide ecological analysis. J Clim Chang Heal. 2022;8:100158.

Mary R, Tazinya A, Mona I, Mowafi E, Hajjar JM, Yaya S. Sexual and reproductive health and rights in humanitarian settings?: a matter of life and death. Reprod Health. 2023;20(42):1–6.

Shukla S, Ezebuihe JA, Steinert JI. Association between public health emergencies and sexual and reproductive health , gender ? based violence , and early marriage among adolescent girls?: a rapid review. BMC Public Health. 2023;23(117):1–14.

Kementrian Kesehatan Republik Indonesia. Pedoman Pelaksanaan Paket Pelayanan Awal Minimum (PPAM) Kesehatan Reproduksi pada Krisis Kesehatan. 2021.

Hermawan DY, Widyaningrum H, Lee SF, Nugroho E, Indarjo S, Raharjo BB. Integration of Minimum Initial Sercvice Package for Reproductive Health in the Sister Village Program. J Kesehat Masy. 2023;19(2):287–94.

Myers A, Sami S, Onyango MA, Karki H, Anggraini R, Krause S. Facilitators and barriers in implementing the Minimum Initial Services Package ( MISP ) for reproductive health in Nepal post-earthquake. Confl Health. 2018;12(35):1–9.

Borghi J, Brown GW. Taking Systems Thinking to the Global Level?: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID-19. Glob policy. 2022;(February):193–207.

Tran NT, Greer A, Kini B, Abdi H, Rajeh K, Cortier H, et al. Integrating sexual and reproductive health into health system strengthening in humanitarian settings: a planning workshop toolkit to transition from minimum to comprehensive services in the Democratic Republic of Congo, Bangladesh, and Yemen. Confl Health. 2020;14:81.

Hadush F, Tsegaye D, Legass SA, Abebe E, Zenu S. Factors contributing to the high prevalence of intimate partner violence among south Sudanese refugee women in Ethiopia. BMC Public Health. 2023;23(1418):1–9.

Gordon ACT, Mamluk L. Sexual and reproductive health focus group discussions with Syrian men and women living as refugees in the Bekaa Valley , Lebanon. Discov Soc Sci Heal. 2024;4(40).

Calderón-Jaramillo M, Parra-Romero D, Forero-Martínez LJ, Royo M, Rivillas-García JC. Migrant women and sexual and gender-based violence at the Colombia-Venezuela border: A qualitative study. J Migr Heal. 2020;1–2:100003.

Svallfors S, Scholar P. Reproductive justice in the Colombian armed conflict. 2024;

Nasar S, Raz S, Parray AA, Hossain MR, Sultana R, Nadim ASM, et al. An assessment of gender vulnerability in the humanitarian crisis in Cox’s Bazar, Bangladesh: Developing a gender-based vulnerability index in the Rohingya and Host community contexts. Int J Disaster Risk Reduct. 2022;81:103246.

Logie CH, Okumu M, Coelho M, Loutet MG, Berry I, Lukone SO, et al. Sexual violence stigma experiences among refugee adolescents and youth in Bidi Bidi refugee settlement, Uganda: Qualitative insights informed by the stigma power process framework. SSM - Ment Heal. 2023;4:100242.

Murphy N, Rarama T, Atama A, Kauyaca I, Batibasaga K, Azzopardi P, et al. Changing climates, compounding challenges: a participatory study on how disasters affect the sexual and reproductive health and rights of young people in Fiji. BMJ Glob Heal. 2023 Dec;8:1–12.

Cannon CEB, Ferreira R, Buttell F, Connor AO. Intimate Partner Violence Survivorship , Posttraumatic Stress Disorder and Disaster?: Implications for Future Disasters. Sage. 2024;30(12–13):3251–71.

Oli L, Maternowska MC, Fry D. Child Abuse & Neglect Addressing violence against children?: A systematic review on interventions to accelerate the achievement of the UN sustainable development goal in Europe and Africa ?. Child Abuse Negl. 2023;145(September).

Mudarris N, Oktaviany D, Khoiriyah S, Dwiyani T, Kumalasari U. Edukasi Kesehatan Reproduksi Pencegahan dan Penanggulangan Penyakit Infeksi Menular Seksual pada Ibu-Ibu Pasca Gempa di Cianjur. J Abdimas-HIP. 2023;85–90.

Rice CE. Risk Factors for Sexually Transmitted Infections and HIV in Men who have Sex with Men: Examination of a PSA Biomarker, Sexual Behaviors, and the Role of Body Image. The Ohio State University; 2014.

Florom?Smith AL, De Santis JP. Exploring the concept of HIV?related stigma. In: Nursing forum. Wiley Online Library; 2012. p. 153–65.

Hamra M, Ross MW, Orrs M, D’Agostino A. Relationship between expressed HIV/AIDS?related stigma and HIV?beliefs/knowledge and behaviour in families of HIV infected children in Kenya. Trop Med Int Heal. 2006;11(4):513–27.

Rice CE, Maierhofer C, Fields KS, Ervin M, Lanza ST, Turner AN. Beyond anal sex: sexual practices of men who have sex with men and associations with HIV and other sexually transmitted infections. J Sex Med. 2016;13(3):374–82.

Harmita D, Ibrahim K, Rahayu U. Penggunaan Media Sosial terhadap Pencegahan Penyebaran HIV/AIDS. J Keperawatan Silampari. 2022;5:740–9.

Bhadra S. Exploring dimensions of sexual issues in disasters and conflicts: Need to bridge the gaps between policy and practice. Sexologies. 2022;31(3):277–90.

World Health Organization. Consolidated guidelines on HIV prevention, testing, treatment, service delivery and monitoring?: recommendations for a public health approach. 2021;

Setyaningsih D. POST-EATHQUAKE OVERVIEW OF MOTHER AND CHILDREN HEALTH SERVICES IN SALUT, KAYANGAN, NORTH LOMBOK. Semin Nas UNRIYO. 2019;1–7.

Sajow HS, Water T, Hidayat M, Holroyd E. Maternal and reproductive health (MRH) services during the 2013 eruption of Mount Sinabung: A qualitative case study from Indonesia. Glob Public Health. 2020 Feb;15(2):247–61.

Rostomian L, Chiloyan A, Hentschel E, Messerlian C. Effects of armed conflict on maternal methods and infant health?: a mixed- ­ study of Armenia and the 2020 Nagorno- ­ Karabakh war. BMJ Open. 2023;1–10.

Suryati. Kematian Maternal dan Faktor Predisposisi Penyebabnya. Jawa Tengah: CV EUREKA MEDIA AKSARA; 2022.

Handayani A, Anggraeni S, Ernawati M. PEMBERDAYAAN KADER DALAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI OBSTETRI DAN NEONATAL. Community Dev J. 2024;5(2):3085–92.

Situmorang K, Muthe J, Simanullang E, Simbolon M, Febrianty F, Intina G, et al. Pemberdayaan Nakes Melalui Kelas Mitigasi Bencana Alam Dan Penanganan Awal Kegawatdaruratan Maternal Neonatal Di Sungai Tuntungan Medan 2023. J Pengabdi Kpd Masy Nusant. 2024;5(1):238–44.

Gunawan R, Salham M, Moonti S. The Influence of Behavior of Students of SMP Negeri 1 Sirenja, Donggala Regency on Perceptions of Danger of Drugs. J Public Heal Pharm. 2022;2(3):59–64.

Fatimahi S, Miswan, Rismawati N. Analysis of Wastewater Management Systems at Bhayangkara Hospital, Palu. J Public Heal Pharm. 2021;1(1):1–5.

Tansile SN, Amalinda F. Evaluation of the Toddler Family Development Activity Group. J Public Heal Pharm. 2023;3(3):55–7.

Handayani OWK, Wiranti I, Raharjo BB, Nugroho E. The reproduction health behaviour of high school teenager in Semarang, Indonesia. Open Public Health J. 2019;12:309–14.

Özvar?? ?B, Kaptano?lu ?Y, Erdost T, Ünlü HK. A descriptive analysis of sexual and reproductive health services for refugees provided through minimum initial service package approach. Turkish J Public Heal. 2024;22(2):136–48.

Sulistiawati F, Taufiqurrahman. Kajian Penanggulangan Gizi Balita Pasca Bencana Gempa Bumi Di Desa Dasan Geria Kabupaten Lombok Barat. J Ilm Mandala Educ. 2020;6(2):320–8.

Raharjo BB, Handayani OWK, Nugroho E, Hermawati B. Local Potentials as Capital for Planning Nutrition Programs for Urban Fringe Areas in Developing Countries. Pakistan J Nutr. 2017;15:1026–33.

Bappenas, Badan Pusat Statistik, UNFPA. Proyeksi Penduduk Indonesia 2015-2045. Jakarta; 2018.

Hande V, Id MO, Id HM, Id YK. Comparison of quality of life between elderly and non-elderly adult residents in Okuma town , Japan , in a post-disaster setting. PLoS One. 2023;18(2):1–14.

Published
2025-01-14
How to Cite
Nugroho, E., Nisa, A. A., Alifah, R. N., Raharjo, B. B., Utami, A. N. M., & Hermawan, D. Y. (2025). Implementation of the Minimum Initial Service Package (MISP) as an Effort to Fulfill Reproductive and Sexual Health Services in Disaster Situations: Systematic Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 8(1), 42-55. https://doi.org/10.56338/mppki.v8i1.6485
Issue
Vol. 8 No. 1: JANUARY 2025 - Media Publikasi Promosi Kesehatan Indonesia
Section
Article

Copyright (c) 2025 Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with Media Publikasi Promosi Kesehatan Indonesia retain the copyright of their work. The journal applies a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which grants the following rights:

  1. Copyright Retention: Authors retain the copyright of their work, maintaining full control over their intellectual property without restrictions.

  2. Right of First Publication: Authors grant the journal the right of first publication of their work. This ensures that the work is initially published and credited in Media Publikasi Promosi Kesehatan Indonesia.

  3. License to Share and Reuse: The work is licensed under CC BY-SA 4.0, allowing others to copy, distribute, remix, and build upon the work for any purpose, even commercially, as long as proper credit is given to the authors, and any new creations are licensed under the same terms.