Percentage of functional health facilities with clinical management of rape survivor services

Percentage of functional health facilities with clinical management of rape survivor services

Key indicator to measure the allocation of resources and the availability of services to address consequences of sexual violence.

Numerator: 
Number of functional health facilities, i.e. all public and private health facilities, with clinical management of rape survivors in a defined administrative or health area at a certain point in time
Denominator: 
Total number of functional health facilities in the same administrative or health area at the same point in time
Disaggregation: 
Administrative area; health area; public/private; support/no support from humanitarian organisations
Threshold / Standard: 
100% of health facilities with clinical management of rape survivor services Follow-up of trends
General guidance: 
Calculation: should include clinical management of rape survivor plus contraception and PEP as a target. However countries must define which elements of this package are in place to define the locally appropriate monitoring package. Interpretation: This indicator is a snapshot of the situation at a certain period of time. At the pre-crisis phase, this indicator will indicate the baseline availability of health services. In the early phase after a crisis occurs, this indicator will show the consequences of the crisis (decrease/reduction in availability of health services) when compared to pre-crisis and the needs in term of support to health facilities. At later stages of crisis, trends in this indicator will allow to monitor the response in supporting health services. Limitation: this indicator measures the availability of health services but does not measure access to the service by the popualtion nor the quality of service and is therefore only a proxy for coverage. Quality of services (including trained staff and adequate supplies) should be further appraised.
Guidance on phases: 
There is a differing level of quality of data which can be collected at different phases of the emergency depending on the context, eg the data available and the systems for data collection in place before the crisis, the accessibility of the affected areas, the resources on the ground, etc...
Phase applicability: 
Pre-crisis/Baseline
Phase 1
Phase 2
Phase 3
Phase 4
Guidance for pre-crisis/baseline: 
Census of health facilities and assessment of service availability should be available pre-crisis through the realisation of SARA or HeRAMS.
Data Sources: 
Numerator: assessment of service availability (eg SARA, HeRAMS); Denominator: census of health facilities; assessment of functionality of health facilities;
Code: 
H-A.6
Sub-domain: 
H4.3 Sexual violence
Unit of Measurement: 
Facility
Key indicator: 
Yes
Types: 
Baseline
Output
Indicator used for response monitoring ?: 
Yes
Standards: 
Sphere: Essential health services – sexual and reproductive health standard 1: Reproductive health (Key indicator 1)
Global Clusters: 
Health
Sector cross-tagging: 
PC3 Sexual violence
P2 (PG) Gender-Based Violence
PG1 Developing Referral Pathway for Survivors
PG3 Multi sectoral engagement (health, legal/justice, security, psychosocial)
PG4 Advocacy, awareness, education with affected populations, local authorities, international community
PG5 Data collection, storage and sharing
PG6 Prevention Programming
P7 Documentation
(R) Early Recovery