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Minimum Initial Service Package (MISP) Process Evaluation Tools (Revised 2022)


The Minimum Initial Service Package for Sexual and Reproductive Health in Crisis Situations (MISP) is a set of priority lifesaving sexual and reproductive health (SRH) services and activities to be implemented at the onset of every humanitarian emergency to prevent excess SRH-related morbidity and mortality.

The purpose of the MISP process evaluation is to facilitate a standardized approach toward measuring the extent to which the MISP has been implemented from the onset of an emergency, ideally at three months following the onset of the emergency. This timing is recommended to allow for both:

  • sufficient time to implement the MISP response from the onset of the emergency, and
  • to gather information from all relevant stakeholders before emergency response stakeholders and personnel exit their intense positions, as they often do following large-scale complex humanitarian emergencies.


These tools are intended to evaluate the extent of MISP implementation across all organizations and in as many settings as necessary. Ideally, several agencies will collaborate for an inter-agency evaluation initiative. However, if one agency is undertaking the evaluation, it should evaluate the response across all agencies. This evaluation can and should be done in collaboration with the lead SRH agency in the health sector/cluster response. The lead SRH agency may be the relevant SRH person from the Ministry of Health (MoH) and, likely, UNFPA or a nongovernmental organization (NGO) leading the SRH response, as well as the in-country SRH working group. It is recommended that planning start with the lead agency(ies) for SRH and the SRH working group at the national level.

Where resources are limited for a comprehensive MISP process evaluation, individual agencies interested in evaluating the extent of MISP implementation in a health facility or learning about a community’s understanding of MISP services available post-crisis could use the health facility or focus group discussion tools.

MISP Process Evaluation Tools

The following tools are available to facilitate desk reviews, key informant questionnaires, health facility assessments, focus group discussions, and reporting:

A. Introduction to the MISP Process Evaluation

B. Acronym List

C. Description of Tools and Analysis Guide

D. MISP Reference (Cheat Sheet)

E. Conceptual Framework, MISP Implementation Logical Model

F. Desk Review Guidance

G. Key Informant (KI) Questionnaires specific to:

  • General Sexual and Reproductive Health (SRH)
  • Gender-Based Violence (GBV)
  • HIV

H. Health Facility Assessment (HFA) Tool - English and Arabic

I. Focus Group Discussion (FGD) Tools specific to:

  • Women and Adolescent Girls
  • Men and Adolescent Boys

J. MISP Evaluation FGD Team Training Sample Presentation

K. Sample Consent and Assent Forms

L. Sample Report Outline

M. Feedback Form

Note: The original MISP Process Evaluation Tools were piloted in multiple settings. The revised 2022 tools have not been piloted. IAWG and Women’s Refugee Commission are interested in hearing from organizations that would like to use/pilot these tools. Please contact info.iawg@wrcommission.org with questions, requests for more information, and to submit feedback to these tools.

Sexual and reproductive health services remain critical during COVID-19

IAWG members and partners are producing clinical and programmatic guidance, assessments, policy papers, and statements to ensure continued prioritization of sexual and reproductive health and rights throughout COVID-19 response in humanitarian settings.