; (2) the establishment and implementation, in coordination with international organizations and nongovernmental organizations, of standards, protocols, and accountability mechanisms for preventing and addressing sexual or other gender-based exploitation or abuse perpetrated by personnel delivering humanitarian assistance; and (3) the development of monitoring tools across all humanitarian assistance programming to standardize monitoring and accountability relating to gender-based violence prevention and response. (c) Improvement of protection mechanisms The Secretary shall improve the delivery and quality of United States assistance to protect survivors of gender-based violence, through the Safe from the Start programming described in subsection (a), by improving activities in the following areas: (1) Access to and quality of comprehensive medical services for survivors and at-risk populations in line with international standards, including— (A) post-rape and post-sexual assault medical care; (B) psycho-social and mental health services; and (C) hygiene and dignity kits. (2) Service delivery to hard-to-reach populations, prioritizing services that reach— (A) shelters for survivors of natural disasters; (B) internally displaced person camps; (C) active conflict zones