Developing Institutional Capacity for Reproductive Health in Humanitarian Settings: A Descriptive Study

Area of Science:

• Public Health
• Global Health
• Humanitarian Response

Background:

• Institutions are crucial for advancing reproductive health in humanitarian settings (RHHS).
• Limited understanding exists regarding institutional capacity for RHHS delivery and its evolution over the last decade.

Purpose of the Study:

• To document current institutional experiences and capacities related to RHHS.

Main Methods:

• A descriptive study was conducted using an online questionnaire tool.

Main Results:

• 82 institutions from 48 countries participated, with two-thirds from low- and middle-income countries.
• RHHS delivery spans humanitarian, development, and dual-mandate organizations, serving refugees, internally-displaced, and stateless persons in various settings.
• Institutions demonstrate progress in policies, accountability, partnerships, RH focal points, and integration of RHHS into disaster risk reduction and emergency management cycles, with reported improvements in advocacy, capacity development, and technical support for a range of RH services, though budget and staffing increases were varied.

Conclusions:

• Evidence suggests a decade of growth in institutional capacity for RHHS, indicating maturation beyond crisis response.
• The field has expanded to encompass disaster risk reduction and broader emergency management.
• Consolidating progress, addressing gaps, and sustaining momentum are critical for continued advancement.