MISP in Humanitarian Response



Country Program Action Plan Output:

Increased capacity to implement the Minimum Initial Service Package (MISP) in humanitarian settings.


The findings of a national study in June 2012, which was co-sponsored by UNFPA, the National Disaster Management Agency (BNPB), and Statistics Indonesia (BPS), revealed that more than 97% of the Indonesian population lives in areas with a “very high risk” of natural disaster. Indonesia, which sits along the Pacific “Ring of Fire” at the intersection of the Pacific, Indo-Australian and Eurasian tectonic plates, is particularly prone to natural disasters such as earthquakes, tsunamis and volcanic eruptions.


The December 2004 earthquake and tsunami, which killed 160,000 people and destroyed the homes of some 680,000, primarily in Aceh, impacted local communities as well as the national economy. It was followed a few months later by the Nias earthquake and then, during May and July 2006, by two more two devastating earthquakes on the densely populated island of Java. Major volcanic eruptions that have recently caused loss of life and significant damage include those of Mount Merapi (Central Java) in 2010 and Mount Sinabung (North Sumatra) in 2013-2014.


Reproductive health needs do not disappear in times of emergency: women continue to give birth, there is an increased risk of sexual violence and HIV transmission, and contraceptives are still in demand to prevent unwanted pregnancy.


UNFPA supports the Government of Indonesia in addressing these needs by providing technical assistance to national and provincial health crisis centres to integrate the Minimum Initial Service Package (MISP) for reproductive health in policies and programmes during emergency situations. MISP is an internationally standardized set of priority activities to be implemented during a humanitarian crisis to ensure equitable coverage of reproductive health services.


UNFPA works to increase capacity to implement MISP by integrating the standard into the existing national health emergency preparedness and response system coordinated by the Ministry of Health. This work also includes capacity-building in other institutions, including the Maternal Health Directorate and Health Crisis Centre of the Ministry of Health, and the Indonesian Midwives Association. To further increase capacity to implement MISP with a multi-sectoral approach, activities will be expanded to include socialization via the National Disaster Management Agency (BNPB), the armed forces and the Indonesian National Nurses Association. Youth involvement in MISP implementation will also be explored.


Disaster Preparedness, Planning and Response

UNFPA is playing a key role in assisting the Government of Indonesia in planning for disaster risk reduction and responses. UNFPA provides high-level strategic and technical assistance with the analysis and use of population data for effective humanitarian operations, from disaster preparedness and conflict prevention to emergency relief, rehabilitation and reconstruction processes.


Click here for more information on how UNFPA works to support the Government of Indonesia in this important area.