This kit has been developed to support the provision of a Sexual and Reproductive Health service at the primary healthcare facility level (BEmONC).

Containing disposable supplies and pharmaceuticals, it is intended for the use of trained health personnel in their insertion and removal of the contraceptive implant, as a method of long-acting reversible contraception.

Context of use 

Adapted from UN Population Fund (UNFPA) guidance, this kit is a complementary kit to the Primary Healthcare Facility Level (BEmONC) Emergency Reproductive Health kit series (UNFPA, 2019). 

Together these kits have been specifically developed to expediate the provision of vital Sexual and Reproductive healthcare in acute humanitarian settings, primarily within Low and Middle income countries. They may also be useful to services addressing primary healthcare needs in higher income countries during certain circumstances (e.g. natural disasters). 

This kit has been designed to complement the Oral And Injectable Contraception kit in settings where the contraceptive implant was used as a method of contraception prior to the humanitarian emergency. 

It is intended for use by appropriately trained health professionals within a health centre or hospital-level clinical setting.

Scaling

This kit has been designed to assist in the provision of a community healthcare level service for a population of 30,000 people over a 3-month period. 

The contents of the kit are based on the assumptions that 25% of the target population are women aged 15–49 years, or individuals in the same age group who may not identify as women, but for whom contraceptive implants may be a possible contraception option (n=7500). It is expected that 15% of this group will be using contraception (approximately n=1125). Of this estimated number of users of contraception, 3% are expected to use a contraceptive implant (n=34). 

A rapid assessment of the local situation is advised to confirm the need for and suitability of reproductive health kits prior to kit procurement. This will include a review of existing healthcare resources and health facility capacity as well as an assessment of the expected health needs specific to the target population. If possible, this assessment should utilize available pre-crisis demographic and services data.

Sources 

Inter-Agency Emergency Reproductive Health Kits for Use in Humanitarian Settings, 6th edition (UNFPA, 2019, p.68-69)

Solution creators

This solution was developed by Stevie-Jade Beeby with contributions from Paula Przybylowicz Vidal and Anuradha Dissanayake.