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Table 5 Midwifery roles and practice identified across the emergency disaster management cycle according to key guidelines and statements

From: The role and scope of practice of midwives in humanitarian settings: a systematic review and content analysis

 

Before an emergency: mitigation and preparedness

SRH in crisis multi-agency guidelines

Integrate SRH into disaster risk reduction/mitigation, emergency preparedness and response plans

Address laws, policies and practices that affect whether people in crises can access SRH services:

Involve the community, particularly vulnerable groups in monitoring:

Identify and reduce risks for vulnerable communities and SRH services by reducing underlying risk factors

Identify and prepare human resources, infrastructure, funding, and supply, information and logistics systems.

Undertake population-based health education

Review findings

X

X

X

X

Pre and in-service training of midwives

X

 

During an emergency: response

The MISP

Ensure an organisation is identified to lead the implementation of the MISP

Prevent and manage the consequences of sexual violence

Reduce HIV transmission

Prevent excess maternal and newborn death and illness

Plan for comprehensive sexual and reproductive health care, integrated into primary health care, as the situation permits

Additional priorities:

a. Continue family planning, b. Manage symptoms of STIs, c. Continue HIV care and treatment, d. Distribute hygiene kits and menstrual protection materials

Review findings

X

Provision of ECP by midwives

Infection control and PMCTC

ANC, BEmOC, BEmNC, CEmOC, PNC

ASRH, Referral, linking communities and health services

X

ART Family planning

 

After an emergency: protracted crises and recovery

SRH in Crisis Granada Consensus

Mainstream SRH in all health policies:

Achieve sustainable consolidation and expansion of SRH:

Develop partnerships and synergy between humanitarian and development actors:

Recognise and support local leadership:

Review findings

X

Training and recruitment of midwives

X

X

  1. Key: X = No evidence from review