We’ve seen from Jim and Courtney what the need and evidence are. So now we’ll look at where the decisions are being made, why they’re being made, and who to talk to to change them.
“ Promise Renewed” (UNICEF, US, India, Ethiopia) Doesn’t track prematurity and stillbirth USAID Global Health Strategy 2012-16 “ Pre-term birth complications” part of Child Survival), including “Thermal protection of pre-term and low birth-weight newborns” New State Department and USAID leadership Presidential Elections
We need to relate our issues to existing priorities, but also elevate them as new priorities. For example, we see here a focus on mortality, not morbidity.
Changing donor landscape: US role: encouraging partners, PPPs (Global Development Alliance), supporting in-country plans Endemic-country governments: Taking the reins, domestic funding BRICS: More international influence, domestic capacity INGOs: Technical expertise, reach, capacity-supporting Private sector: New roles as funders, partners, and priority-setters
“ Promise Renewed” Provide the USG and UNICEF with info about the impact of prematurity on the 20% of deaths that occur in the first month Global Health Strategy, New Leadership Hold USAID to account Support country plans Make and keep its own commitments Offer selves as expert resources Add relevant metrics Show impact
Champions: Cultivate existing, find new, including our organizations’ home state delegations Potential global health legislation in next Congress Newborn, Child, and Mother Survival Act of 2009 (H.R.1410), introduced by US Rep. Betty McCollum (D-MN) The Global Maternal and Newborn Health Outcomes while Maximizing Success Act (H.R.5268), introduced by US Rep Lois Capps (D-CA) SENATE : Barbara Boxer (D-CA) – Senate Foreign Relations Committee; MCH sign-on letter Mary Landrieu (D-LA) – Senate Appropriations Committee; Senate Foreign Ops Subcom; MCH sign-on letter Frank Lautenberg (D-NJ) – Senate Appropriations Committee; Senate Foreign Ops Subcom; MCH sign-on letter Barbara Mikulski (D-MD) – Senate Appropriations Committee; Senate Foreign Ops Subcom; MCH sign-on letter HOUSE : Betty McCollum (D-MN04) – House Approps Committee; Global Health Caucus (CH); MCH sign-on letter Dave Reichert (R-WA08) – Global Health Caucus (CH); MCH sign-on letter Karen Bass (D-CA33) – House Foreign Affairs Committee; House Global Health Subcom; MCH sign-on letter Lois Capps (D-CA23) – MCH sign-on letter Russ Carnahan (D-MO03) – House Foreign Affairs Committee; House Global Health Subcom; MCH sign-on letter Rosa DeLauro (D-CT03) – House Appropriations Committee; MCH sign-on letter Eliot Engel (D-NY17) – House Foreign Affairs Committee; MCH Sign-on letter Jim Moran (D-VA08) – House Appropriations Committee; MCH sign-on letter Chris Murphy (D-CT05) – House Foreign Affairs Committee; MCH sign-on letter Aaron Schock (R-IL18) – MCH sign-on letter Albio Sires (D-NJ13) – House Foreign Affairs Committee; MCH sign-on letter
INGOs such as: PATH Global Alliance to Prevent Prematurity and Stillbirth (GAPPS) Save the Children USA for UNICEF Etc.
Born Too Soon report has recommendations targeted for stakeholder audiences, including governments and policy-makers at local, national, regional and global levels GAPPS Advocacy Toolkit provides resources
Prevention of Prematurity and Stillbirth_
ADVOCACY AND CORE Group Advocates!Prevention of Prematurity and StillbirthAaron EmmelSenior Policy AdvisorOctober 11, 2012
PATH’s Ten steps for developing a strategic advocacy agenda • Identify the population’s needs • Identify policy changes that will address those needs • Identify decision-makers who can change those policies • Why have they not done so? • What obstacles exist? • Identify your organization’s strengths and weakness • Identify others who have an interest in addressing the problem • Identify resources, activities, and messages • Determine how to evaluate successPage 2 10/16/12
The key players The Global Landscape The US Government • The Administration • Congress Other NGOs and CoalitionsPage 3 10/16/12
US Administration: What’s Happening • “A Promise Renewed” • USAID Global Health Strategy 2012-16 • Presidential ElectionsPage 4 10/16/12
U.S. Administration: What’s Happening GHI Results FrameworkPage 5 10/16/12
US Administration: USAID Global Health Bureau Reorganization New Offices: •Office of Health Systems (OHS): Karen Cavanaugh, KCavanaugh@USAID.gov •Center for Accelerating Innovation and Impact (CAII): Wendy Taylor, WeTaylor@USAID.gov •Center of Excellence on Children in Adversity: Dr. Neil Boothby, NBoothby@USAID.gov •Office of Country Support (OCS): Dr. Janis Timberlake, JTimberlake@usaid.gov •Office of Policy, Programs and Planning (P3): Dr. Michael Zeilinger, MZeilinger@USAID.gov New Division: •Malaria Division, within the Office of Health, Infectious Diseases and Nutrition: Elizabeth Fox, EFox@USAID.govPage 7 10/16/12
U.S. Administration: How CORE members can get involved • “A Promise Renewed” • Provide evidence • Global Health Strategy, New Leadership • Show impact • Encourage USAID to fulfill its commitments • Offer selves as expert resources • Add relevant metricsPage 9 10/16/12
Congress: What’s Happening Champions Potential global health legislation in next CongressPage 10 10/16/12
Congress: What’s Happening Budget Account FY2011 CR FY2012 Continuing Proposed Enacted Resolution Sequestrati (+0.612% of on Cut FY2012) (-8.2%) Global Health and $2.625 billion $2.641 billion -$215 Child Survival million (USAID) Maternal and $549 $605.55 $609.256 -$49.655 Child Health million million million million GAVI $100 millionPage 11 10/16/12
Advocacy Community: What’s happening • Maternal, Newborn and Child Health Roundtable • Contact: Annie Toro (email@example.com) and Elizabeth Petoskey (firstname.lastname@example.org) • InterAction International Health in Relief and Development Working Group • Contact: Danielle Heiberg (dheiberg@INTERACTION.ORG) and Erin Jeffrey (ejeffery@INTERACTION.ORG)Page 12 10/16/12
Advocacy Community: How CORE Group members can get involved • Join the Roundtable • Contribute to letters, Hill visits, etc.Page 13 10/16/12