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首页> 美国卫生研究院文献>Conflict and Health >Wishful thinking versus operational commitment: is the international guidance on priority sexual and reproductive health interventions in humanitarian settings becoming unrealistic?
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Wishful thinking versus operational commitment: is the international guidance on priority sexual and reproductive health interventions in humanitarian settings becoming unrealistic?

机译：如意算盘与行动承诺：关于在人道主义环境中优先进行性健康和生殖健康干预的国际指南是否变得不切实际？

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Twenty-one years ago, a global consortium of like-minded institutions designed the landmark Minimum Initial Service Package (MISP) for sexual and reproductive health (SRH) to guide national and international humanitarian first responders in preventing morbidity and mortality at the onset of chaos, destruction, and high insecurity caused by disasters or conflicts. Since then, the MISP has undergone limited change and has become an international reference in humanitarian response. This article discusses our perspectives regarding the 2018 changes to the MISP that have created division among humanitarian field practitioners, academics, advocates, and development agencies. With more than 50 pages, the new MISP chapter dilutes key guidance and messages on the most life-saving activities, leaving actors with excessive room for interpretation as to which priority activities need to be first implemented. Consequently, non-life-saving interventions may take precedence over essential ones. Insecurity, scarce human and financial resources, logistics constrains, and other limitations imposed by field reality at the onset of a crisis must be considered. We strongly recommend that an institution with the mandate, legitimacy, and technical expertise in the review of guidelines reexamines the 2018 edition of the MISP. We urge experienced first-line responders, national actors, and relevant agencies to join efforts to ensure that the MISP remains focused on a very limited set of essential activities and supplies that are pragmatic, field-oriented, and, most importantly, immediately life-saving for people in need.
机译：21年前，由志趣相投的机构组成的全球财团设计了具有里程碑意义的性健康和生殖健康最低起订服务包（MISP），以指导国内和国际人道主义第一反应人员在混乱发生时预防发病和死亡。灾难或冲突造成的破坏，破坏和高度不安全感。从那时起，MISP经历了有限的变化，并已成为人道主义反应的国际参考。本文讨论了我们对2018年MISP变更的看法，这些变更在人道主义现场从业人员，学者，拥护者和发展机构之间造成了分歧。新的MISP章节有50页，淡化了有关拯救生命最多活动的主要指导和信息，使行动者有过多的解释空间来解释哪些优先活动需要首先实施。因此，非挽救生命的干预措施可能优先于必要的干预措施。在危机发生时，必须考虑不安全感，稀缺的人力和财力，后勤约束以及现场实际施加的其他限制。我们强烈建议拥有职责，合法性和技术专长的机构重新审查指南，以重新审视2018年版的MISP。我们敦促经验丰富的一线响应者，国家行动者和有关机构共同努力，以确保MISP继续专注于非常有限的一些基本活动和物资，这些活动和物资是务实的，以领域为导向的，最重要的是立即生活。为有需要的人省钱。

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