This paper discusses the formation of the Inter-agency Working Group on Reproductive Health in Crises (IAWG) and the Reproductive Health for Refugees: An Inter-agency Field Manual (IAFM). The IAFM outlines the SRH services to be provided during different phases of a humanitarian emergency. A product of the manual included the Minimum Initial Service Package (MISP) which outlined a set of SRH to be implemented during the early phase of an emergency. The paper addresses the contents of the MISP, including abortion, gender-based violence, and maternal and new-born health. The paper concludes by arguing for more robust research is needed to build evidence on how to offer critical, lifesaving sexual and reproductive health services in these unique settings.