The document discusses using the MDG Acceleration Framework (MAF) to reduce maternal mortality in the Philippines. The MAF identifies bottlenecks preventing progress, then finds solutions to address those bottlenecks. In the Philippines, maternal mortality increased from 2010 to 221 deaths per 100,000 live births, far from the 2015 target of 52. The MAF could help prioritize existing solutions, address inequalities, and facilitate cross-sectoral collaboration needed to operationalize health policies and accelerate progress on maternal health. The process involves securing government commitment, bringing together stakeholders, and leading advocacy to support implementing an MAF action plan.

1. MDG Acceleration Framework (MAF)
in the Philippines: Reducing Maternal Mortality
21 June 2012
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© United Nations Development Programme
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2. OVERVIEW
The global context for the MAF
What is the MAF? Where it has been applied?
The case of the Philippines on Maternal Mortality
Following through: value addition and
implementation
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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
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4. WHAT IS ACCELERATION?
Achievement of
100%
intermediate targets
Target
80%
60% Historical trend
40%
High Trajectory (solution has
immediate impact)
20%
Low Trajectory (solution has low
Starting point impact)
0%
2000 2005 2010 2015
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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
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6. MAF SYSTEMATIC STEPS
Identify, codify the Identify solutions Implement and
interventions required to to form an MDG Monitor the
meet the MDG targets Country Action MDG Country
Plan that aligns Action Plan to
and focuses ensure required
stakeholders and impact
resources on
accelerating
MDG progress
Help identify and
prioritize MDG
bottlenecks
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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 Ongoing
KEY ▪ Identify and prioritize ▪ Identify and prioritize ▪ Identify and ▪ Develop an MAF
OBJECTIVE 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 2
DELIVERABLES ▪ 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 intervention
PROCESS ▪ Involve critical ▪ Validate bottleneck ▪ Engage key partners ▪ Put in place a
NEEDS TO partners in the analysis findings that may be involved participatory
BUILD identification of key with relevant key involved in the process to arrive at
interventions implementation
PARTNERSHIPS stakeholders an Action Plan
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8. MAF ROLLOUTS TO DATE
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9. MAF LESSONS ADDED VALUE
Government ownership and
coordination
Prioritizing within current
Expert MAF team – national investment plans
and external – for quality
and coherence Motivating cross-ministerial
collaboration
Cross-sectoral and cross-
ministerial engagement: Highlighting local solutions
UNCT involvement: UNDG Bringing together different
endorsement partners and stand-alone
activities
Anchoring in existing plans
Helping implement
Participation of local laws, roadmaps and policies
governments, CSOs and
NGOs Indicating how best to adapt
existing tools
Learning – but not
duplicating – across Addressing inequalities
countries
Attracting partner interest
Using available data
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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 to
be achieved
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11. MATERNAL HEALTH IN THE PHILIPPINES
MDG 5
250
221
209
203
197 191
No. of Maternal Deaths by 100,000 live births
200 186 180
172
162
150
100
52
50
0
Year
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12. MATERNAL HEALTH IN THE PHILIPPINES
Progress in reducing maternal mortality
Source: Staff calculations based on the United Nations MDG Database. |

13. MATERNAL HEALTH IN THE PHILIPPINES
Rate 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 PHILIPPINES
Rate 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.
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16. MAF POTENTIAL VALUE ADDED FOR THE
PHILIPPINES
Helps to break the silos
Relevant 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 inequalities
existing health policies and
strategies
Emphasizes local and
Supports the prioritization
innovative solutions.
of existing solutions
Focus on demand side
Brings together fragmented interventions to address
efforts of various partners bottlenecks related to
service use.
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17. MAF PROCESS GUIDE
Identify MDG
target(s) Verify domestic Secure
needing political Government
accelerated commitment ownership
efforts
Ensure high
Motivate on- Bring together
quality technical
going multi- UNCT, national, a
participation and
stakeholder cademic and
expert
engagement other partners
facilitation
Lead advocacy at
Promote Link to
highest levels
consensus global/regional
with donors and
around MAF acceleration
Government for
action plan efforts
implementation16
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18. Thank You
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