自2017年8月以来,约有940,000名被迫流离失所的缅甸国民(FDMN),主要是妇女和儿童,逃离了缅甸的迫害,到达了考克斯巴扎尔边境的难民营,孟加拉国。这场大规模的人道主义危机使许多遭受性侵犯的FDMN妇女和女孩迫切需要提供与性保健和生殖保健有关的服务。Ipas,一个国际非政府组织(NGO),一直致力于扩大获得安全月经调节的机会,堕胎后护理,2017年,在考克斯巴扎尔的难民营启动了一项紧急人道主义响应方案,以帮助那些迫切需要照顾的受害者FDMN妇女和女孩。了解当前人道主义环境下Ipas计划的实施过程以及可持续性和扩大规模的范围,icddr,B,一家总部位于孟加拉国的国际卫生研究机构,进行了评估研究。
■由于紧急情况,Ipas在2017年启动人道主义应急计划时无法收集基线数据。只有icddr进行了后评估,b根据案头审查,从2022年8月到12月,卫生机构观察和评估,定性访谈,和利益相关者咨询研讨会。
与孟加拉国政府以及当地和国际非政府组织的相关利益相关者合作,Ipas进行了结构翻新和后勤安排,以确保营地内的设施准备就绪。直到2022年12月,它提供了有关月经调节的全面培训,堕胎后护理,以及向来自伙伴组织的约700家服务提供者提供计划生育服务,并将其活动从23个营地的8个服务提供点扩大到51个。总的来说,42213名FDMN妇女接受了月经调节和流产后护理,339334从这些设施获得计划生育服务,随着时间的推移,趋势越来越大。
■尽管人道主义环境固有的挑战和障碍,Ipas的计划活动在提供月经调节方面取得了重大进展,堕胎后护理,计划生育服务,以及对FDMN妇女和女孩的创伤/以生存为中心的护理。灵活的方法,利益相关者的协调和承诺,加强卫生系统的凝聚力方法,和社区参与对Ipas的人道主义应对计划的成功至关重要。
UNASSIGNED: Since August 2017, around 940 000 forcibly displaced Myanmar nationals (FDMN), mostly women and children, have fled persecution in Myanmar and arrived in the refugee camps across the border in Cox\'s Bazar, Bangladesh. This large-scale humanitarian crisis created an urgency for sexual and reproductive healthcare-related services among many of the sexually assaulted FDMN women and girls. Ipas, an international non-governmental organisation (NGO) that has been working on expanding access to safe menstrual regulation, post-abortion care, and family planning services in Bangladesh since 2011, initiated an emergency humanitarian response programme in the refugee camps in Cox\'s Bazar in 2017 for the victim FDMN women and girls who were in desperate need of care. To understand the implementation process and the scope of sustainability and scale-up of Ipas\'s programme in the current humanitarian settings, icddr,b, a Bangladesh-based international health research institution, conducted an evaluation study.
UNASSIGNED: Due to the emergency crisis situation, Ipas could not collect baseline data while initiating its humanitarian response programme in 2017. Only a post-evaluation was carried out by icddr,b from August to December 2022 based on a desk review, health facility observation and assessment, qualitative interviews, and a stakeholder consultation workshop.
UNASSIGNED: In collaboration with relevant stakeholders from the Government of Bangladesh and local and international NGOs, Ipas performed structural renovation and logistical arrangements to ensure facility readiness within the camps. Until December 2022, it provided comprehensive training on menstrual regulation, post-abortion care, and family planning services to around 700 service providers from partner organisations and expanded its activities from 8 to 51 service delivery points in 23 camps. Overall, 42 213 FDMN women received menstrual regulation and post-abortion care, while 339 334 received family planning services from these facilities, with a growing trend over time.
UNASSIGNED: Despite the challenges and barriers inherent to a humanitarian setting, Ipas\'s programme activities have achieved significant progress in providing menstrual regulation, post-abortion care, family planning services, and trauma/survival-centred care to the FDMN women and girls. A flexible approach, stakeholder coordination and commitment, cohesive methods for health systems strengthening, and community engagement were instrumental to the success of Ipas\'s humanitarian response programme.