This is a report by ARC’s international health advisor about the RH assistance provided during the FebruaryApril 1997 emergency phase at NuPoh Camp on the ThaiBurmese border. The report documents the findings of the initial reproductive health (RH) Needs Assessment ; the development of the second draft of STD Guidelines for Refugees on the Thailand/Burma Border ; a oneday RH Awareness Course for 79 health workers ; a fiveday Health Worker Training Course for 14 maternal and child health (MCH) staff ; the planning and gearing up of ongoing RH services ; and the implementation of the Minimum Initial Service Package (MISP). Implementation of the MISP included identification of trained midwives and traditional birth attendants (TBAs) ; training and enforcement of universal precautions ; training about genderbased violence (GBV) and emergency contraception ; identification of a longterm RH Coordinator; procurement and provision of safe delivery kits ; ordering of UNICEF TBA and midwife kits ; establishment of a basic community health surveillance system, including RH indicators for maternal and infant mortality; establishment of an emergency system for referral of obstetric complications ; condoms and other contraceptives made available ; equipment and supplies for emergency obstetrics made available and manual vacuum aspiration (MVA) kits ordered. As a result, all components of the MISP were implemented at Nu Poh camp ; however, although condoms were made available they were not accessed due t
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