Steps to Establish MRM

© UNICEF/AFGA1996-00036/Jeremy Hartley
While a man in a bicycle-wheelchair watches, a man health worker helps a small child who lost both legs in a land-mine explosion, learn to walk with two prostheses and arm crutches, at an orthopedic workshop run by the International Committee of the Red Cross (ICRC) in the war-devastated city of Kabul, Afghanistan.


  • To ensure coordinators are fully aware of all the elements required for MRM
  • To ensure that coordinators fully understand the technical aspects required for MRM and are able to advise CTFMR co-chairs and other task force members.
Participants Coordinators
Session Plenary discussion
Time required 60 minutes
Venue requirements Main training room
Equipment Flip chart
Resource person(s) 1 person with knowledge of the topic, who can be flexible and also able to think rapidly to develop the session as it evolves.

Also the facilitator should be able to enrich the discussion by providing concrete examples and lessons based on own experience establishing an MRM mechanism
Training materials MRM Field Manual Section B "When is MRM Established?"
Documents for participants Terms of Reference Country Task Force [PDF]
Access to materials


This module is designed to be flexible to meet the needs of the participants and reflect where they are in the process of establishing or managing MRM. Participants that have been doing this longer can be valuable in sharing their experiences with those who are either new to the MRM or from countries where the MRM is in the process of being established.

  1. Identification of areas for further discussion (15 minutes)
    1. Ask participants to spend a few minutes reading Section C "Steps towards Establishing the MRM" from the Field Manual.
    2. Participants to discuss in pairs, areas that they do not understand or that are different to how they perceive it or different to how MRM has been implemented in their country of work.
    3. Brainstorming: Following on from the discussion in pairs, now ask participants to identify any areas that are stumbling blocks or they feel require further discussion to ensure full clarity
      : Some potential areas that can be suggested if not forthcoming:
      • How to determine verification system
      • How to engage partners
      • How to ensure feedback at different levels
      • Where to get help?
  2. Plenary Discussion (45 minutes)
    1. List the key areas for discussion from brainstorming - this may require grouping some elements that were highlighted under appropriate headings.
    2. Some of the aspects highlighted may simply require an explanation either by the facilitator or an experienced participant. Cover these ones first and tick off the list as
      you work through it.
    3. Facilitate discussion on the key aspects remaining - allocate a time limit based on the number of elements to be discussed. Encourage participants to share their own experiences and situations where they were confronted with challenges in establishing MRM.
      : To allow time to organise the plenary discussion, you may find it advantageous to plan to have the break between parts 1 & 2 of this module.

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