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ANNEX B_UNDP Presentation on MAF PHL introduction

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  • 1. MDG Acceleration Framework (MAF)in the Philippines: Reducing Maternal Mortality 21 June 2012 0 © United Nations Development Programme |
  • 2. OVERVIEWThe global context for the MAFWhat is the MAF? Where it has been applied?The case of the Philippines on Maternal MortalityFollowing through: value addition andimplementation | 1
  • 3. THE MAF: GLOBAL CONTEXT▪ The 2010 MDG Summit – Provides the evidence from the ground on what works and what doesn’t: countries know what needs to be done to achieve the MDGs, but progress in implementation is lacking or has slowed in many – Outcome document calls for an acceleration agenda for the MDGs▪ MAF formally endorsed in 2010 by UNDG – UN Secretary-General Ban Ki-moon and UNDG Chair Helen Clark introduce it at the 2010 Summit – UNDP corporate priority – UNDG guidance to UNCTs▪ MAF developed and tested over 2009-2010 – 14 countries and six MDGs – In 2011-2012: MAF being rolled-out in 20 countries▪ Unlocking Progress: MDG Acceleration on the road to 2015 – Summarize and synthesize main lessons learned from the pilot phase – Growing body of country reports and experiences | 2 © United Nations Development Programme
  • 4. WHAT IS ACCELERATION? Achievement of100% intermediate targets Target80%60% Historical trend40% High Trajectory (solution has immediate impact)20% Low Trajectory (solution has low Starting point impact) 0% 2000 2005 2010 2015 3 |
  • 5. WHAT IS THE MDG ACCELERATION FRAMEWORK? Responding to national/local political determination to tackle identified off-track MDGs Drawing upon country experiences and ongoing processes to identify and prioritize bottlenecks interfering with the implementation of key MDG interventions Using knowledge-based good practices to determine objective and feasible solutions for accelerating MDG progress Creating a partnership with identified roles for all relevant stakeholders to jointly achieve MDG progress 4 |
  • 6. MAF SYSTEMATIC STEPSIdentify, codify the Identify solutions Implement andinterventions required to to form an MDG Monitor themeet the MDG targets Country Action MDG Country Plan that aligns Action Plan to and focuses ensure required stakeholders and impact resources on accelerating MDG progressHelp identify andprioritize MDGbottlenecks |
  • 7. APPLYING THE MAF: THE PROCESS Step 1: Intervention Step 2: Bottleneck Step 3: Solution Step 4: Develop MDG identification and identification and identification and Compact and an prioritization prioritization sequencing implementation and monitoring plan X weeks X weeks X weeks OngoingKEY ▪ Identify and prioritize ▪ Identify and prioritize ▪ Identify and ▪ Develop an MAFOBJECTIVE the package of bottlenecks that sequence near-term Action Plan with interventions critical impede solutions to solutions and to accelerating implementation of the remove/mitigate accountability matrix to progress toward priority interventions intervention deliver on the priority MDG targets identified in Step 1 bottlenecks identified solutions of Step 3 by 2015 in Step 2DELIVERABLES ▪ Justification for ▪ Detailed map of ▪ Defined list of ▪ MDG Action Plan for acceleration efforts to bottlenecks solutions for each the country and achieve the MDGs in ▪ Bottleneck specific bottleneck development partners the next years profiles with data on ▪ Solution profiles with ▪ Project roadmap with ▪ Status and trend impact and available data on the impact implementation steps analysis of MDGs in solutions and feasibility and deliverables the country ▪ Prioritized list of ▪ Finalized list of ▪ Resource plan and ▪ List of MDG-critical bottlenecks to be bottleneck solutions cost assessment for interventions removed/mitigated for that the country will each solution ▪ Intervention profiles each priority pursue with data on impact interventionPROCESS ▪ Involve critical ▪ Validate bottleneck ▪ Engage key partners ▪ Put in place aNEEDS TO partners in the analysis findings that may be involved participatoryBUILD identification of key with relevant key involved in the process to arrive at interventions implementationPARTNERSHIPS stakeholders an Action Plan 6 | 6
  • 8. MAF ROLLOUTS TO DATE |
  • 9. MAF LESSONS ADDED VALUEGovernment ownership andcoordination Prioritizing within currentExpert MAF team – national investment plansand external – for qualityand coherence Motivating cross-ministerial collaborationCross-sectoral and cross-ministerial engagement: Highlighting local solutionsUNCT involvement: UNDG Bringing together differentendorsement partners and stand-alone activitiesAnchoring in existing plans Helping implementParticipation of local laws, roadmaps and policiesgovernments, CSOs andNGOs Indicating how best to adapt existing toolsLearning – but notduplicating – across Addressing inequalitiescountries Attracting partner interestUsing available data 8 |
  • 10. MATERNAL HEALTH IN THE PHILIPPINES• From 1990 to 2006, maternal deaths per 100,000 live births decreased from 209 to 162.• But in 2010, it increased to 221• According to the DOH, maternal mortality was caused by three “delays”: (a) delay in deciding to seek medical care; (b) delay in reaching appropriate care; and (c) delay in receiving care at health facilities.2015 target is from 221 to 52---least likely tobe achieved |
  • 11. MATERNAL HEALTH IN THE PHILIPPINES MDG 5 250 221 209 203 197 191No. of Maternal Deaths by 100,000 live births 200 186 180 172 162 150 100 52 50 0 Year 10 |
  • 12. MATERNAL HEALTH IN THE PHILIPPINESProgress in reducing maternal mortality Source: Staff calculations based on the United Nations MDG Database. |
  • 13. MATERNAL HEALTH IN THE PHILIPPINESRate of progress needed for off-track countries to meet the maternal mortality target Source: Staff calculations based on the United Nations MDG Database and World Population Prospects 2010. |
  • 14. MATERNAL HEALTH IN THE PHILIPPINESRate of progress needed for off-track countries to meet the skilled birth attendance target Source: Staff calculations based on the United Nations MDG Database and World Population Prospects 2010. |
  • 15. THE MAF VALUE ADDED FOR MATERNAL HEALTH  Changing the prevailing political thinking: maternal health is more than a health issue, it’s a development challenge (provide evidence to show the strong linkages between MDG 5 and other MDGs). Economic feasibility: investment returns are high – productivity implications. Identifying most effective actions in sectors (including non-health sectors) that could contribute to accelerating maternal health. Engage sectors on how to implement these actions within their mandate. Identify and provide incremental funding for these actions when needed. |
  • 16. MAF POTENTIAL VALUE ADDED FOR THE PHILIPPINES Helps to break the silosRelevant tool to develop a across different sectors, focused Action Plan facilitating cross-sectoral to accelerate maternal and cross-ministerial health collaboration The MAF can support the operationalization of the Address inequalitiesexisting health policies and strategies Emphasizes local andSupports the prioritization innovative solutions. of existing solutions Focus on demand sideBrings together fragmented interventions to addressefforts of various partners bottlenecks related to service use. |
  • 17. MAF PROCESS GUIDEIdentify MDG target(s) Verify domestic Secure needing political Government accelerated commitment ownership efforts Ensure highMotivate on- Bring together quality technicalgoing multi- UNCT, national, a participation andstakeholder cademic and expertengagement other partners facilitation Lead advocacy at Promote Link to highest levels consensus global/regional with donors andaround MAF acceleration Government foraction plan efforts implementation16 |
  • 18. Thank You 17 © United Nations Development Programme