Background
The United Nations
Refugee Agency’s Health Information System issues analytical reports on the
current camp conditions and trends for priority reproductive health issues. The
goal was to assess the status of reproductive health by analyzing seven
indicators and comparing them to standards and host country estimates.
Methods
Data on seven indicators
were extracted from the database during a seven-year period (2007 through
2013). A standardized country inclusion criterion was created based on the year
of country implementation and the percentage of missing reports per camp and
year. The unit of analysis was monthly camp reports by year within a country.
To account for the lack of independence of monthly camp reports, the variance
was computed using Taylor Series Linearization methods in SAS.
Results
Ten of the 23 eligible
countries met the inclusion criterion. The mean camp maternal and neonatal
mortality rates, except for two country years, were lower than the host country
estimates for all countries and years. There was a significant increase in the
percent of births attended by a skilled birth attendant (p < 0.0001),
and 8 of 10 countries did not meet the standard of 100 % for all reporting
years. The percent of births performed by Caesarian section (p < 0.001),
were below the recommended minimum standard for nearly half of the countries
every year. There was a significant increase in the percent of women screened
for syphilis across years (p < 0.0001) and the percent of women who
received post HIV exposure prophylaxis (p < 0.0001) and 10 %
reached the standard for all reporting years, respectively.
Conclusion
Comprehensive,
consistent and comparable statistics on reproductive health provides an
opportunity to assess progress towards indicator standards. Despite some
improvements over time, this analysis confirms that most countries did not meet
standards and that there were differences in reproductive health indicators
between countries and across years. Consequently, the HIS periodic monitoring
of key reproductive health indicators at the camp level should continue. Data
should be used to improve intervention strategies.
Below: Proportion of women screened for syphilis annually by country. UNCHR target is 100 percent
Below: Rate of condom distribution* in the population by year. *Figure depicts percentage (monthly rate*100)
Below: Proportion of rape survivors who received post-exposure prophylaxis (PEP) within 72 h of an incident occurring. UNHCR target is 100 percent
By: 
Rollins School of
Public Health Grace Crum Rollins Building, 1518 Clifton Road, Atlanta, GA 30322
USA
Emergency
Response and Recovery Branch, Division of Global Health Protection, Center for
Global Health, Centers for Disease Control and Prevention, 1600 Clifton Road,
Atlanta, GA 30333 USA
United Nations
High Commissioner for Refugees, Case Postale 2500 CH-1211, Genève 2, Dépôt
Switzerland
More at: https://twitter.com/hiv insight
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