Table 5.

Midwifery roles and practice identified across the emergency disaster management cycle according to key guidelines and statements

	Before an emergency: mitigation and preparedness
SRH in crisis multi-agency guidelines	Integrate SRH into disaster risk reduction/mitigation, emergency preparedness and response plans	Address laws, policies and practices that affect whether people in crises can access SRH services:	Involve the community, particularly vulnerable groups in monitoring:	Identify and reduce risks for vulnerable communities and SRH services by reducing underlying risk factors	Identify and prepare human resources, infrastructure, funding, and supply, information and logistics systems.	Undertake population-based health education
Review findings	X	X	X	X	Pre and in-service training of midwives	X
	During an emergency: response
The MISP	Ensure an organisation is identified to lead the implementation of the MISP	Prevent and manage the consequences of sexual violence	Reduce HIV transmission	Prevent excess maternal and newborn death and illness	Plan for comprehensive sexual and reproductive health care, integrated into primary health care, as the situation permits	Additional priorities: a. Continue family planning, b. Manage symptoms of STIs, c. Continue HIV care and treatment, d. Distribute hygiene kits and menstrual protection materials
Review findings	X	Provision of ECP by midwives	Infection control and PMCTC	ANC, BEmOC, BEmNC, CEmOC, PNC ASRH, Referral, linking communities and health services	X	ART Family planning
	After an emergency: protracted crises and recovery
SRH in Crisis Granada Consensus	Mainstream SRH in all health policies:		Achieve sustainable consolidation and expansion of SRH:	Develop partnerships and synergy between humanitarian and development actors:	Recognise and support local leadership:
Review findings	X		Training and recruitment of midwives	X	X

Key: X = No evidence from review