Keeping promises, Measuring results:The Global Strategy and Accountability for      Womens and Childrens Health           ...
Commission on Information                                         and Accountability• Commission established,  November 20...
Commissions recommendations                                           Monitoring results1. Vital events: By 2015, all coun...
Commissions recommendations                                            Tracking resources4. Resource tracking: By 2015, al...
Commissions recommendations                                                 Better oversight7. National oversight: By 2012...
Putting recommendations                                            into action• Development of a common strategic work pla...
Accountability:                                                    Progress since May 2011• PMNCH: Analysing Commitments t...
Web-based tools as                                               enablers*                                                ...
Partners acting in concert• Countdown initiative    – Annual country profiles, national Countdown Conferences, Interpretat...
Immediate next steps• Country assessment and roadmaps with  priorities:  – Intercountry workshops on domestic expenditure ...
Role of WHO• Hosting the ERG secretariat• Facilitating the implementation of the overall workplan and  mobilizing resource...
Objectives of the                                         Ottawa meeting• Advance the Commission recommendations by  opera...
Common questions to                                  be addressed1. What do we want to achieve? What would success look   ...
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Keeping Promises, Measuring Results: The Global Strategy and Accountability for Women’s and Children’s Health

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Marie-Paule Kieny. “Keeping Promises, Measuring Results: The Global Strategy and Accountability for Women’s and Children’s Health.” (English)

Presentations to the Second Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health Ottawa.

Session 1 - General Perspectives Plenary Panel

21-22 November 2011

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Keeping Promises, Measuring Results: The Global Strategy and Accountability for Women’s and Children’s Health

  1. 1. Keeping promises, Measuring results:The Global Strategy and Accountability for Womens and Childrens Health Dr Marie-Paule Kieny Assistant Director General Innovation, Information, Evidence and Research Cluster World Health Organization Ottawa, 21-22 November 2011
  2. 2. Commission on Information and Accountability• Commission established, November 2011• Advanced copy of the Commissions Report released during the World Health Assembly, May 2011• Recommendations discussed in high level meetings – World Health Assembly - resolution WHA 64.12: May 2011 – G8 meeting: July 2011• Report officially released by Secretary-General Ban Ki-moon, September 20, 2011
  3. 3. Commissions recommendations Monitoring results1. Vital events: By 2015, all countries have taken significant steps to establish a system for registration of births, deaths and causes of death, and have well-functioning health information systems that combine data from facilities, administrative sources and surveys.2. Health indicators: By 2012, the same 11 indicators on reproductive, maternal and child health, disaggregated for gender and other equity considerations, are being used for the purpose of monitoring progress towards the goals of the Global Strategy.3. Innovation: By 2015, all countries have integrated the use of Information and Communication Technologies in their national health information systems and health infrastructure.
  4. 4. Commissions recommendations Tracking resources4. Resource tracking: By 2015, all 74 countries where 98% of maternal and child deaths take place are tracking and reporting, at a minimum, two aggregate resource indicators - total health expenditure by financing source, per capita; and - total reproductive, maternal, newborn and child health expenditure by financing source, per capita.5. Country Compacts: By 2012, in order to facilitate resource tracking, “compacts” between country governments and all major development partners are in place that require reporting, based on a format to be agreed in each country, on externally funded expenditures and predictable commitments.6. Reaching women and children: By 2015, all governments have the capacity to regularly review health spending (including spending on reproductive, maternal, newborn and child health) and to relate spending to commitments, human rights, gender and other equity goals and results.
  5. 5. Commissions recommendations Better oversight7. National oversight: By 2012, all countries have established national accountability mechanisms that are transparent, that are inclusive of all stakeholders, and that recommend remedial action, as required.8. Transparency: By 2013, all stakeholders are publicly sharing information on commitments, resources provided and results achieved annually, at both national and international levels.9. Reporting aid for women’s and children’s health: By 2012, development partners request the OECD-DAC to agree on how to improve the Creditor Reporting System so that it can capture, in a timely manner, all reproductive, maternal, newborn and child health spending by development partners. In the interim, development partners and the OECD implement a simple method for reporting such expenditure.10. Global oversight: Starting in 2012 and ending in 2015, an independent ‘‘Expert Review Group’’ is reporting regularly to the United Nations Secretary-General on the results and resources related to the Global Strategy and on progress in implementing this Commission’s recommendations.
  6. 6. Putting recommendations into action• Development of a common strategic work plan, following stakeholders meeting with all interested parties in WHO, Geneva, 14–15 July 2011 – Agreement to focus follow-up on 74(+1) countries - 49 lowest income countries (Global Strategy) + 25 additional high burden countries (Countdown) – Budget: US$ 88 million• Roles and responsibilities for many partners: H4+, global health partnerships (PMNCH, HMN, GAVI, others), IPU, civil society organizations, academics and researchers, country representatives, private sector• Funding commitments for implementation made by Norway, Canada and United Kingdom (just over one-fourth of the budget at the moment)
  7. 7. Accountability: Progress since May 2011• PMNCH: Analysing Commitments to Advance the Global Strategy for Women’s and Children’s Health• HMN & Countdown 2015: Report on Monitoring key indicators for maternal, newborn and child health• Innovation Working Group: Innovating for Every Women, Every Child• Country Interactions, including 5 country workshop in Mali• Recommendation 10: Open process of nomination of members of Independent Expert Review Group completed by September 2011 - Independent Expert Review Group announced – Carmen Barroso, Zulfikar Bhutta, Richard Horton, Dean Jamison, Joy Phumaphi, Marleen Temmerman, Miriam Were• Development of a set of web-based global and country-level progress tracking tools
  8. 8. Web-based tools as enablers* S ITE WHO-hosted web site for the Accountability W EB Commissions follow up work:- Information sharing and public consultation for better transparency and visibility- Global-level online progress tracking OB AL GL (against all recommendations and respective activities reflected in the Strategic Workplan)- Country-level online progress tracking N TR Y U (against each specific activity) CO * Directly supporting Recommendations 3, 7, 8, 10
  9. 9. Partners acting in concert• Countdown initiative – Annual country profiles, national Countdown Conferences, Interpretation and dissemination of progress• Inter-Parliamentarian Union – Focus on Women and Childrens Health, Report and resolution in annual meeting in Kampala, Uganda, April 2012• OECD DAC/CRS Working Party of Statistics – Task team set up (October 2011), Different options to be piloted with 1-2 agencies, Decision making in June 2012• H4+ - UN agencies – Support to countries in development and implementation of action plans• Evidence for Action – Maternal and perinatal deaths reviews, using information for advocacy and action• PMNCH – Advocacy and support to all of the above• HMN – Strengthening birth and death registration systems, information systems
  10. 10. Immediate next steps• Country assessment and roadmaps with priorities: – Intercountry workshops on domestic expenditure tracking: Francophone (11), Anglophone (12), Harare (completed) – Two orientation and planning workshops: Mali (5 countries): 14 – 16 November 2011; Tanzania (7 countries): January 2012, – Country visits: Sierra Leone November 2011, Laos-Cambodia Jan 2012• International stakeholders meeting, hosted by Government of Canada, Ottawa, 21 – 22 November 2011
  11. 11. Role of WHO• Hosting the ERG secretariat• Facilitating the implementation of the overall workplan and mobilizing resources – At HQ, three clusters and six departments involved (IER, FWC, HSS)• Coordinating technical support (including web-based monitoring tools) to each of the recommendations – roll out in countries: focus on 20 countries in initial phase, led by WHO country offices with support from regional office and HQ• Building partnership and capitalizing on partners strengths• Promoting and supporting innovation
  12. 12. Objectives of the Ottawa meeting• Advance the Commission recommendations by operationalizing the common strategic workplan into more specific actions.• Specific objectives of the meeting: – Review progress and plans, opportunities and challenges of implementation in countries and globally; – Establish a shared understanding of the work required and the roles and responsibilities of partners in the implementation the Commission’s recommendations and the workplan; – Explore synergies and identifying areas for collaboration and coordination between partners involved in implementing the Commission’s recommendations and the commitments to the Global Strategy – Identify a set of concrete next steps with a focus on joint efforts between stakeholders.
  13. 13. Common questions to be addressed1. What do we want to achieve? What would success look like?2. What is the current situation and main gaps?3. How can priority gaps be addressed? What are the priority activities?4. What are the current facilitation / coordination mechanisms at the global level that can support this area of work?
  14. 14. Thank you.

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