Women’s and Children’s Health: Supporting Accountability - General Perspectives (English)

Womens and Childrens Health: Supporting Accountability General Perspectives Carole Presern, Director International Stakeholders Meeting on Implementing theRecommendations of the Commission on Information and Accountability Ottawa, November 20-22, 2011

Outline1. Global Strategy for Womens and Childrens Health2. Commitments to the Global Strategy (EWEC) and the 2011 Report3. Contribution to COIA follow up and the work of the Expert Review Group?

1. Global Strategy for Womens and ChildrensHealth Rodmap to: accelerate progress, deliver results, and ensure accountability Builds on existing efforts and aims to gain new commitments

“Together we must make a decisivemove, now, to improve the health ofwomen and children around theworld. We know what works…The answers lie in building ourcollective resolve to ensureuniversal access to essential healthservices and proven, life-savinginterventions as we work tostrengthen health systems. theserange from family planning andmaking childbirth safe, toincreasing access to vaccines andtreatment for HIV and AIDS,malaria, tuberculosis, pneumoniaand other neglected diseases.”

The aspiration – to save ~16 million lives Progress in the worlds 49 poorest countries if goals are met (2010-15) • Protect 120 million children from contracting pneumonia • Prevent 88 million children from stunting • Prevent 33 million unwanted pregnancies • Prevent 15 million deaths of children under the age of 5 • Prevent 570 thousand deaths of pregnancy related complications We have the tools and resources and the political will

Key areas for urgent action1. Plan. Country led health plans - support2. Integrate. For delivery of quality health services and life-saving interventions3. Start with people - stronger health systems, sufficient skilled health workers, serving mothers and children4. Innovate – in finance, product development and for the efficient delivery of health services5. Promote human rights, equity and gender empowerment6. Improve monitoring and evaluation to ensure accountability for resources and results

A framework for coordinated action Health Access workersLeadership Accountability Interventions Accountability at all levels for credible results

2. Commitments to Advance the GlobalStrategy and the Every Woman EveryChild effort More than 200 commitments from a range of constituencies - www.everywomaneverychild.org Most commitments by low-income countries Financial, policy and service delivery

The 2011Report – analysis of comittmentsAim: introductory analysis of commitments to theGlobal Strategy to inform discussion and action on: Accomplishments of the Global Strategy and theEvery Woman, Every Child effort Opportunities and challenges in advancingcommitments Stakeholders’ perceptions - added value of theGlobal Strategy Next steps to strengthen advocacy, action andaccountability Not a comprehensive stock-taking of all RMNCH efforts, focuses on Global Strategy commitments

Commitments (as of June 2011) Commitments. No. of stakeholders, by group (total = 127) 127 stakeholders from a range of constituencies Most by low-income countries (39 out of the 49 countries)

Key Findings Geographic focus: high-burden countries relatively well targeted Continuum of care: need to focus on service delivery gaps Added value: Catalyst - more visibility of womens and childrens health Stimulated internal dialogue Identified synergies and opportunities for collaboration Part of global movement!Source: Analyzing Commitments to Advance the Global Strategy for Women’s and Children’s Health. PMNCH 2011

Alignment of commitments to needs? 15 countries (31%) - more than 10 commitments 8 countries - only one or no commitment India - 24 commitments Geographical distribution - with respect to progress on MDGs 4 & 5a

Alignment of commitments to needs?Coverage - RMNCH interventions in Countdown to2015 countries Link of needs to commitments uneven: - Some interventions with already high coverage: o Focus of a relatively large number of commitments o Neonatal tetanus protection and childhood immunizations - Some interventions with low coverage: o Focus of a limited number of commitments o Postnatal care for mother

Opportunities and challenges Increase integration and engagement Business and MICs MDG 6 and NCDs Nutrition, water and other social determinants of health Link commitments to needs Bridge the funding gap and clarify access to funds Harmonize efforts to ensure value for money Common understanding of what a commitment is to better target Global Strategy priorities Prioritize implementation Invest in innovation to speed up progressSource: Analyzing Commitments to Advance the Global Strategy for Women’s and Children’s Health. PMNCH 2011

3. PMNCH 2012-15 Framework Vision: The achievement of the MDGs, with women and children enabled to realize their right to the highest attainable standard of health Mission: Supporting Partners to align their strategic directions and catalyse collective action to achieve universal access to agreed essential interventions for women’s and children’s health SO1: SO2: SO3: Broker knowledge and Advocate for mobilising and Promote accountability for innovation for action aligning resources and for resources (results) greater engagement Fulfillment of Partnerships role as part of the Countdown to 2015 workplan Promote implementation of, and access to, essential RMNCH interventions Efficient, effective and inclusive Partnership Governance/administration

PMNCH contribution?Consultation and dialogue, and action - draw on the platform (430+) to: Link with other accountability processes Identify best practices Draw on 2011 Report database, and adapt if useful Identify obstacles to implementation of COIA recommendations Discuss ERG findings and recommendations Advocacy for uptake of findings and recommendations - key messages and their dissemination through all constituencies and other networks

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Women’s and Children’s Health: Supporting Accountability - General Perspectives (English)

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