show menu

Sexual and Reproductive Health (including HIV)

Last updated:
Key points
  • Gaps in the provision of Sexual and Reproductive Health (SRH) services to all members of a crisis-affected population will lead to increased morbidity and mortality
  • A Minimum Initial Service Package (MISP) for SRH needs to be ensured at the onset of an emergency and ideally within the first 48 hours, as an early expansion to comprehensive care needs to be planned from the onset
  • The implementation of comprehensive SRH programming should not negatively affect the availability of MISP for SRH services; on the contrary, it should improve and expand upon them
  • SRH services must be accessible for all crisis-affected populations, including adolescents, persons with disabilities, unmarried and married women and men, the elderly, individuals selling or exchanging sex and clients, and LGBTIQ+ individuals
  • SRH must be integrated into public health packages and linked to other relevant service sectors, including when strengthening SRH supply chain management

Post emergency phase

Longer-term standard (post-emergency phase)

The MISP not only entails coordination to make lifesaving SRH services available, but it also aims to address comprehensive SRH needs and demands as soon as possible. This requires a sound understanding of the local situation and opportunities related to health system functioning.

MISP Objective 6Plan the transition to comprehensive SRH, integrated into primary health care

SRH is a lifetime concern for both women and men, from infancy to older ages. UNHCR recognizes that how SRH needs are met at one stage in life has implications for SRH outcomes and needs during other stages of life. Therefore, to adequately meet the health needs of refugees throughout their life course, UNHCR works to build on the MISP and provide a more comprehensive package of SRH services. This includes:

  • A choice of safe and effective contraceptive methods.
  • Safe and effective antenatal, childbirth, and postnatal care.
  • Safe and effective abortion services and care, to the full extent of the law.
  • Prevention, management, and treatment of infertility.
  • Prevention, detection, and treatment of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), and of reproductive tract infections.
  • Prevention, detection, and treatment of reproductive morbidities (e.g., cervical cancer, obstetric fistula, female genital mutilation, etc.).
  • Health promotion and education, counseling services, community outreach
  • Adolescent friendly services and tailored services that are accessible and acceptable, culturally appropriate, and responsive to gender and life course requirements.

In this section:

Give us some feedback

Let us know what you think of the new site and help us improve your user experience….

Give us some feedback

Let us know what you think of the new site and help us improve your user experience….

Help us keep the handbook up to date
Suggest an enhancement to this page

Welcome to the new UNHCR Emergency Handbook website. If you are UNHCR staff, please use your UNHCR credentials to log in. From 1st April 2023, all non-UNHCR staff may re-register here.