4d. Key Informant Interview Indicator List General

(1)

The objectives of the key informant interviews (KIIs) are to:

1. Follow-up incomplete information from literature review on the integration of the MISP into DRR-related health policies and measures of the host country

2. Assess key informants’ knowledge of the MISP and additional priorities 3. Explore key informants' knowledge about affected communities’ priority

RH concerns and needs

4. Explore key informants’ engagement with affected communities including adolescents and persons with disabilities

5. Assess agencies’ MISP response 6. Examine availability of MISP services 7. Explore accessibility of MISP services

8. Assess agencies’ preparedness to implement the MISP

9. Determine key barriers and facilitating factors to MISP implementation in crisis response

SECTION I. PRELIMINARY INFORMATION

P1 Survey # (Code) P1

___ ___ ___ ___ ___ P2 Consent for interview granted

P2 1=Yes 2=No (STOP)(Proceed)

If no, why: __________________________ P3 Today’s date (dd/mm/yyyy) P3

____/____/_____ P4 Location of the interview P4

P5 Interviewer’s name P5

P6 Respondent’s organization P6

P7 Respondent’s position in

organization P7

P8 Respondent’s no. of months in organization

P8

P9 No. of months working in current

(2)

_____: _____ (00:00 – 24:00)

Question

Audien

ce

Objective(

KII

s)

MISP

Objective(

s)

Indicator(s)

Comment

s

BACKGROUND

1a. Is there a national entity responsible for RH coordination in this crisis? ____________(nam e)

1b. Is there an international agency leading RH coordination in this crisis? ____________(nam e)

All KIIs 2. Assess key informants’ knowledge of current MISP response

6. Examine availability of MISP services

MISP

Objective 1 Number/Percentof KIs reporting presence of national RH lead agency in

current emergency 1 Yes 2 No 99 DK Name documented:

Number/Percent of KIs reporting presence of international RH lead agency in current

emergency 1 Yes 2 No 99 DK Name documented:

2a. Is there a designated national RH focal point for this crisis?

____________(nam e)

2b. Is there a designated international RH focal point for this crisis? ____________(nam e)

All KIIs 2. Assess key informants’ knowledge of current MISP response

6. Examine availability of MISP

services

MISP

Objective 1 Number/Percentof KIs reporting presence of national RH focal point for current crisis 1 Yes 2 No 99 DK Name

documented:

(3)

international RH focal point for current crisis 1 Yes 2 No 99 DK Name

documented:

KNOWLEDGE OF MISP AND ADDITIONAL PRIORITIES

3. Have you ever heard of the Minimum Initial Service Package (MISP) for

Reproductive Health?

All KIs 2. Assess key informants’ knowledge of MISP

objectives and

additional priorities

DRR and emergency preparednes s

Number/Percent of KIs reporting awareness (having heard of) the MISP 1 Yes 2 No

4a. Have you received training in the MISP?

4b. If yes, how?

objectives and

8. Assess agencies’ preparednes s to

implement the MISP

Number/Percent of KIs reporting receiving

training in the MISP

1 Yes 2 No

Number/Percent of KIs reporting receiving

training on the MISP through the following: 1 MISP

Training Course 2 MISP

Distance

Learning Module 66 Other (specify)

5. Please name all of the

objectives and additional priorities of the MISP that you

objectives and

(4)

know.

MISP

Number/Percent of KIs correctly citing all five objectives of the MISP

Number/Percent of KIs correctly citing all four additional priorities of the MISP

6. Please name the activities that the LEAD

REPRODUCTIVE HEALTH

ORGANIZATION

should undertake in an emergency.

objectives and

Number/Percent of KIs correctly citing all four activities for MISP objective 1

7. What are the MISP activities to

PREVENT AND MANAGE the consequences of sexual violence?

objectives and

Number/Percent of KIs correctly citing the three activities for MISP objective 2

REDUCE HIV transmission?

objectives and

Number/Percent of KI correctly citing the three activities for MISP objective 3

PREVENT excess maternal and newborn

objectives

(5)

morbidity and mortality?

and

10. How should organizations

PLAN FOR THE INTEGRATION OF

COMPREHENSI VE RH

SERVICES into primary health care?

objectives and

Number/Percent of KIs correctly citing the four activities for MISP objective 5

RH CONCERNS AND NEEDS

11. Have you heard of incidents of sexual violence in this setting? If yes, please describe.

All KIs 3. Explore key

informants' knowledge about affected communities’ priority RH concerns and needs

MISP Objective 2

Number/Percent of KIs reporting hearing of incidents of sexual violence in this setting

12. Have you heard of incidents of maternal

mortality? If yes, please describe.

MISP

Objective 4 Number/Percentof KIs reporting hearing of incidents of maternal death in this setting

13. Have you heard of incidents of newborn

mortality? If yes, please describe number and

informants' knowledge about affected communities’

MISP

(6)

major causes of stillbirths

(fresh/macerated ) and deaths up to 28 days of life.

priority RH concerns and needs

Number of still births (fresh/ macerated)

Causes of still births

documented

Number of newborn deaths up to 28 days

Causes of

newborn deaths up to 28 days documented

14. Have you heard of incidents of unplanned pregnancy? If yes, please describe.

MISP

Objective 4 & Additional Priority - Contracepti ves

Number/Percent of KIs reporting hearing of incidents of unplanned pregnancy

15. Have you heard of incidents of unsafe abortion? If yes, please describe.

MISP

Objective 4 Number/Percentof KIs reporting hearing of incidents of unsafe abortion

RESPONSE

16. At what point during your agency’s response, did your

organization’s implementation

All KIs 5. Assess agencies’ MISP response

Overall RH Response

(7)

of reproductive health services

start? 1 Within 48 hours

2 Within 1-2 weeks 3 Within 3-4 weeks

4 After 4 weeks 66 Other

17. What RH services are available and in this setting?

(Specify the setting)

All KIs 6. Examine availability of MISP

services

MISP Objectives 2-5, and all Additional Priorities

Number/percent of KIs reporting the availability of the following RH services in current

emergency:

1= Protection measures at health facilities: 1a Separated sex-specific latrines

1b Latrines with locks inside 1c Guards at health facilities 1d Adequate lighting)

66 Other (Specify) 99 DK 2= Clinical management of rape:

2a Treatment of injuries

(8)

2e

Psychosocial support 2f Referral system established 66 Other (Specify) 99 DK

3= Community awareness mechanisms (IEC) about availability and benefits of care after rape: 3a IEC materials 3b Peer educators

3c Community health workers 3d Radio 3e Cell phone 66 Other (specify) 3g None 99 DK

4= Safe blood transfusion 5= Standard precautions 6= Condoms 7=Basic emergency obstetric care 8=

(9)

newborn)

12= Community awareness (IEC) mechanisms about

benefits/location of maternal and newborn

services 13= Clean delivery kits 14= Staff capacity assessed and trainings planne 15= Background data collected 16= Sites identified for future delivery of services 17= RH

equipment and supplies

procured 18=

Contraceptives to meet

demand: 18a Male condoms 18b Female condoms 18c Pills 18d Injectables 18e IUD 66 Other (specify) 18g None 18h DK

(10)

19c IUD 66 Other (specify): 19e None 19f DK

20= Community awareness (IEC) about

benefits/location of family

planning services 21= ARVs for continuing users including PMTCT 22= Syndromic management of STIs

23= Menstrual hygiene

supplies 66= Other (specify)

18. Are affected communities engaged in RH programming?

informants’ engagement of affected communities including adolescents and persons with

disabilities

7. Explore accessibility of MISP services

Overall RH

Response Number/Percentof KIs reporting engagement of affected

communities in RH

programming 1 Yes

2 No 99 DK

19. How are the affected

communities engaged in RH programming?

informants’ engagement of affected communities

Overall RH

Response Number/Percentof KIs reporting community engagement in RH

(11)

including adolescents and persons with

disabilities

5. Assess agencies’ MISP response

9. Determine key barriers and

facilitating factors to MISP

implementati on in this crisis response

through: 1 Data collection 2 Program design

3

Implementation (specify)

4 Monitoring 5 Evaluation 6 Feedback mechanisms 7

Consultations 66 Other (specify) 99 DK

20. Are agencies conducting any adolescent RH interventions?

disabilities

7. Explore accessibility of MISP

Overall RH

Response Number/Percentof KIs reporting the

implementation of RH

(12)

services

21. What is being done to address the RH needs of adolescents?

disabilities

Overall RH

Response Number/Percentof KIs reporting the availability of the following services and activities to address the RH needs of

adolescents: 1 Adolescent-friendly RH services

2 Consultation with

adolescents 3 Adolescents involved in RH programming 4 Outreach to schools

5 IEC 66 Other (specify) 99 DK

(13)

reaching out to people with disabilities to address their RH needs?

key

informants’ engagement with affected communities including adolescents and persons with

disabilities

Response of KIs reporting outreach

undertaken to people with disabilities to address their RH needs

1 Yes 2 No 99 DK

23. What is being done to address the RH needs of people with disabilities?

disabilities

facilitating

Overall RH Response

Number/Percent of KIs reporting the availability of the following services and activities to address the RH needs of people with disabilities: 1 Disability inclusive health facility (ramps etc.)

(14)

factors to MISP

language

6 People with disabilities involved in RH programming (specify) 66 Other (specify) 99 DK

24a. Has your organization received any funding for the RH response during this humanitarian crisis?

24b. (If YES)

How much?

Overall RH

Response Number/Percent_{of KIs reporting} receipt of funding for the RH response: a.

1 Yes 2 No 99 DK b.

Amount needed: 99 DK

25. From which

donor(s)? All KIs 5. Assess agencies’ MISP response

Overall RH

Response Number/Percent_{of KIs reporting} receipt of

funding from the following

donors:

1 Flash, Cap or other donor appeals

2 UNHCR 3 MOH 4 UNFPA 5 WHO

6 Foundations 66 Other 99 DK

26a. Is your funding sufficient to meet your RH program goals?

All KIs 9. Determine key barriers and

facilitating

Overall RH

Response Number/Percent_{of KIs reporting} funding

sufficiency to

(15)

26b. (If NO) How much more does your agency need for its RH programming?

factors MISP implementati on in this crisis response

meet RH program goals 1 Yes

2 No 99 DK

Amount needed: 99 DK

With regard to sexual violence, funding should be specific to clinical care for

survivors, not GBV/ Protection more broadly.

27. [If KI is from lead RH agency] What types of inter-agency RH kits are currently available for RH response in this emergency?

(check all that apply)

MOH, and other Lead RH agency only

facilitating factors MISP implementati on in this crisis response

MISP Objectives 1-4, and Additional Priorities – Contracepti ves, STIs, and ARVs

Number/Percent of KIs reporting the availability of the following RH kits in this emergency: 1 Kit0: Administration 2 Kit1: Condoms (male/female) 3 Kit2: Clean delivery kits 4 Kit3: Post-rape

5 Kit4:

Oral/injectable contraceptives

Management of complications of abortion

(16)

delivery 12 Kit11: Referral level kit for RH

13 Kit12: Blood transfusion 14 None 99 DK

28a. [If KI not from lead RH agency] Has your agency ordered RH kits?

28b. If yes, which ones?

MISP Objectives 1-4 and Additional Priorities – Contracepti ves, STIs, and ARV

Number/Percent of KIs reporting ordering of RH Kits

1 Yes 2 No 99 DK

Number/Percent of KIs reporting ordering the following RH Kits:

1a Kit0: Administration 1b Kit1: Condoms (male/female) 1c Kit2: Clean delivery kits 1d Kit3: Post-rape

1e Kit4: Oral/injectable contraceptives 1f Kit5: STIs 1g Kit6: Clinical delivery 1h Kit7: IUD 1i Kit8:

(17)

1k Kit10: Vacuum extraction for delivery

1l Kit11: Referral level kit for RH

1m Kit12: Blood transfusion 99 DK

29. Are there currently RH kits available for the RH response generally?

Overall RH

Response Number/Percentof KIs reporting the availability of RH kits for RH response

generally 1 Yes 2 No 3 Partially 4 DK

30. Are the RH kits/supplies adequate for this emergency generally?

Overall RH

Response Number/Percentof KIs reporting the adequacy of RH kits or supplies for this emergency generally 1 Yes 2 No 99 DK

31. What RH kits are currently lacking for the response?

(check all that apply)

Overall RH

(18)

4 Kit3: Post-rape

5 Kit4:

Oral/injectable contraceptives 6 Kit5: STIs 7 Kit6: Clinical delivery

8 Kit7: IUD 9 Kit8:

10 Kit9: Suture of tears and vaginal examination 11 Kit10: Vacuum extraction for delivery

12 Kit11: Referral level kit for RH

13 Kit12: Blood transfusion 14 None 99 DK

32. [Ask only if KI is from lead RH agency]

Please comment on the supply, usage, and logistics of the kits. (For example, are people ordering enough? Does demand exceed availability? Are there logistics challenges? Etc.)

MOH and other lead RH agencie s

Overall RH

Response KIs’ (from lead agencies) comments on the supply, usage and logistics of RH kits documented

(19)

KI is NOT from lead RH

agency] Please explain some of the reasons the supply of kits is inadequate.

from lead RH agencie s

key barriers and

Response lead agencies) explanations for inadequate RH kits documented

34. [Ask only if KI is from lead RH agency]

Please describe the mechanisms used to distribute the RH kits.

MOH and other lead RH agencie s

facilitating factors MISP implementati on in this crisis response.

Overall RH

Response Number/Percentof KIs (from lead agencies)

reporting the following

mechanisms to distribute the RH kits:

1 Pick them up from UNFPA storage with own pickup 2 Pick them up from MoH storage with own pickup 3 Pick them up from WHO storage with own pickup 4 Get them delivered by MoH transport 5 Get them delivered by WFP transport 6 Get them delivered by private company transport 66 Other (specify) 99 DK

35. Are free condoms made available in this

MISP

(20)

setting? services free condoms this setting 1 Yes 2 No 3 Partially 99 DK

36. How are condoms made available in this setting?

All KIs 7. Explore accessibility of MISP services

MISP

Objective 3 Number/Percentof KIs reporting condom

availability through the following means:

1 In non-food item distribution 2 In

dignity/hygiene packages

3 Through community-based distribution (youth, women’s groups, CHWs) 4 Through clinics

5 Distributed to sex workers 66 Other (specify) 99 DK

37. Are clean delivery packages distributed?

services

MISP

Objective 4 Number/Percentof KIs reporting distribution of clean delivery packages 1 Yes 2 No 3 Partially 99 DK

38. How are the clean delivery packages distributed?

All KIs 7. Explore accessibility of MISP services

MISP Objective 4

(21)

packages through the following means:

1 To pregnant women at registration 2 Distributed at the clinic during antenatal visits

3 Distributed by TBAs

66 Other (specify) 99 DK

39. How often does the RH lead agency host the RH coordination meetings?

MISP

Objective 1 Number/Percentof KIs reporting frequency of RH coordination meetings 1 Never 2 Weekly 3 Bi-weekly 4 Once a month 66 Other (specify) 99 DK

40. Do you think that the

meetings

organized by the RH lead agency include all the stakeholders (e.g. MOH, international NGOs, UN agencies, local NGOs and development agencies)?

implementati on in this crisis response.

MISP Objective 1

Number/Percent of KIs reporting participation of all relevant stakeholders in RH coordination meetings

(22)

41. What types of organizations are missing from the RH meetings?

All KIs 5. Assess agencies’ MISP response.

MISP Objective 1

Number/Percent of KIs reporting absence of the following organizations from RH coordination meetings:

Development agencies

42. Please rank how effective RH coordination is on a scale of 1 to 5, where 1 is very poor and 5 is excellent.

MISP

Objective 1 Number/Percentof KIs who rate the

effectiveness of RH coordination meetings as: 1 Very Poor

How often does the lead RH agency

representative (the RH

Coordinator or

MOH, agencies’ MISP response

MISP Objective 1

Number/Percent of KIs (from lead agencies)

(23)

Focal Point) attend the health sector or cluster meetings?

meetings 1 Never 2 Rarely 3 Most of the time

4 Always 66 Other (specify) 99 DK

44. What is normally

included in the agenda of the RH working group meeting?

MISP

Objective 1 Number/Percentof KIs reporting the following content on the RH working group meeting agenda:

1 General topics on the RH situation of the affected

populations 2 MISP

implementation 3 Information on orientation to the MISP for staff not familiar with it

4 Data

collection issues on RH indicators 5 Using data for action

6 Information on RH Kits/ supplies

7 Information on RH Funding 8 Information on RH protocols 66 Other (specify) 99 DK 45a. Are RH

coordination meeting minutes

MISP

(24)

written?

45b. If yes, how are RH

coordination meeting minutes made available to participants and others?

availability of written RH coordination meeting minutes 1 Yes 2 No 99 DK

Number/Percent of KIs reporting availability of RH meeting minutes through the following means:

1 Uploaded to website (specify site)

2 Emailed to participants and others

3 Printed and distributed 66 Other (specify) 99 DK

46. How could the RH working group meetings be improved?

(Prompt answers and circle)

MISP

Objective 1 KIs’ comments on how to improve RH working group meetings documented

47a. (Ask only if KI is from lead RH agency)

Are MISP indicators collected?

47b. If Yes: Which

MOH, DMA and other lead RH agencie s

implementati on in this

MISP

Objective 1 Number/Percentof KIs (from lead agencies)

reporting collection of MISP indicators 1 Yes

(25)

indicators are collected?

crisis response

99 DK

Number/Percent of KIs reporting the collection of the following MISP indicators: 1 Number of reported rape cases

2 Coverage of supplies for standard precautions 3 Coverage of HIV rapid tests for safe blood transfusion 4 Condom distribution rate 5 Coverage of clean delivery kits

66 Other (specify: 99 DK

48. What

protocols is your agency using to support:

A = Clinical management of rape

B = Emergency obstetric care C= Newborn care D= Family

planning E= HIV

prevention (blood screening,

standard precautions) F = STI treatment G= ARVs

H= Any other RH

MISP Objectives 2-4 and Additional Priorities – Contracepti ves, STIs, ARVs

Number/Percent of KIs reporting usage of

following protocols:

For clinical management of rape

1 MOH 2 WHO 3 NA 66 Other 99 DK

(26)

services

Specify__________ __

66 Other 99 DK For newborn care

1 MOH 2 WHO 3 NA 66 Other 99 DK

For family planning 1 MOH 2 WHO 3 NA 66 Other 99 DK

For blood screening and standard precautions 1 MOH 2 WHO 3 NA 66 Other 99 DK

For STI treatment 1 MOH 2 WHO 3 NA 66 Other 99 DK

For ARVs 1 MOH 2 WHO 3 NA 66 Other 99 DK

(27)

3 NA 66 Other

99 DK

DISASTER RISK REDUCTION INCLUDING PREPAREDNESS

49a. [Ask only if KI is from lead RH agency] Was there a pre-crisis national RH coordination mechanism?

49b. (If YES)

Please describe the stakeholders and activities.

MOH,

1. Follow-up on any incomplete information from

literature review on the

integration of the MISP into DRR-related health policies and measures of the host country

8. Assess agencies’ preparednes s to

implement the MISP

implementati on in crisis response

Number/percent of KIs from lead RH agency reporting

existence of pre-crisis national RH coordination mechanism 1 Yes 2 No 99 DK

50. Did your organization make any prior preparations or arrangements for RH activities for this humanitarian crisis?

All KIs 8. Assess agencies’ preparednes s to

implement the MISP

(28)

this crisis 1 Yes 2 No 99 DK

51. What did your organization do to prepare for this emergency?

implement the MISP

Number/Percent of KI reporting undertaking the following

activities to prepare for this crisis:

1 Supplies: virtual storage, stockpile, pre-positioning, other______ 2 Financial resources

dedicated to RH 3 Dedicated RH focal points identified 4 Information, education and communication materials developed 5 Data on RH indicators collected 66 Other (specify) 7 Nothing 99 DK

52. Are the personnel employed by your agency required to sign a Code of Conduct against sexual exploitation and abuse?

implement the MISP

MISP Objective 2

Number/Percent of KIs reporting requirement of their agency’s personnel to sign a Code of Conduct against sexual abuse and exploitation 1 Yes

2 No

(29)

99 DK

53a. Has your agency made available

opportunities for staff to be

trained in the MISP or RH?

53b. If Yes, specify training

implement the MISP

Number/Percent of KIs reporting that their agency has made available opportunities for staff to be trained in the MISP

1 Yes 2 No 99 DK

Specific training documented:

54a. [Ask only if KI is from lead RH agency]

Were

reproductive health supplies (including kits) procured and pre-positioned (physically or virtually) prior to this humanitarian crisis?

54b. If yes, specify type and number of RH kits procured and/or pre-positioned?

MOH, agencies’ preparednes s to

implement the MISP

Number/Percent of KIs (from lead RH agency) reporting

procurement/pre -positioning of health supplies prior to this humanitarian crisis

1 Yes 2 No

(30)

Administration b= Kit1: Condoms (male/female) c= Kit2: Clean delivery kits d= Kit3: Post-rape

e=Kit4:

Oral/injectable contraceptives f= Kit5: STIs g= Kit6: Clinical delivery

h= Kit7: IUD i= Kit8:

j=Kit9: Suture of tears and

vaginal examination k= Kit10: Vacuum extraction for delivery

l= Kit11:

Referral level kit for RH

m= Kit12: Blood transfusion

55. (Ask only if KI from lead RH agency) Was a logistics system established in preparation to support

emergency distribution of health supplies including RH supplies?

MOH, DMA and other lead RH agencie s

8. Assess lead agencies’ preparednes s to

implement the MISP

Number/Percent of KIs (from lead RH agency) reporting

establishment of a logistics

system in preparation to support

emergency distribution of health supplies 1 Yes

(31)

99 DK

56. (Ask only if KI from lead RH agency) Do you have anything further to add about logistics or procurement/pre-positioning of RH supplies? agencies’ preparednes s to

implement the MISP

Comments by KIs (from lead RH agency) about logistics or

procurement/pre -positioning of RH distribution of health supplies documented

SUMMARY

57. What are top three barriers to an effective RH response to this emergency?

Overall RH

Response Top three barriers to effective RH response

identified by KIs documented

58. What are the top three factors have helped facilitate the RH response in this emergency?

Overall RH

Response Top three facilitators to effective RH response

identified by KIs documented

59. Do you have any suggestions for improving MISP

implementation in this setting? Please think about both preparedness

implementati on in this crisis

Overall RH

(32)

and response. response

60. We talked about a lot of things today; do you have any final comments or questions?

All KIs KIs’ final