Inauguration of E4A Steering Committee MembersValencia Hotel Abuja

Objectives of the meeting 22 August 2012

1

Objectives of the meeting

• Introduce and present an overview of E4A to committee members

• Inaugurate committee members and introduce them to E4A staff

• Discuss the role and responsibilities of the committee

Saving the lives of Mothers and Babies in Africa – An Evidence for

Action ProgrammeBy

Dr Tunde SegunCountry Director

Overview

What is E4A?

Our approach

Where we fit

What is E4A?Saving the Lives of

Mothers and Babies

Quality of Care

EvidenceAdvocacy

Accountability

Efficient Use of Resources

What is E4A?

Years of implementation £ million, funded by DFID

Countries in Sub-Saharan Africa

Consortium partners

5 20

6 7

E4A in Nigeria

Host agencies Geographical focus

Advocacy Nigeria

CAMER

OON

Our Approach – Nigeria Year 1

Strengthen MDRs and immediate death notification

Disaggregate, package and disseminate MNH data (eg COIA indicators, census data)

Evidence

Our Approach – Nigeria Year 1

Advocacy

Launch an advocacy campaign to highlight success stories in MNH and demand change where needed

Engage and train journalists; Monitor media coverage of MNH

Our Approach –Nigeria Year 1

Quality of care scorecards at the health facility and state level

Create a website to monitor progress on quality of care and share advocacy resources

Accountability

Where We Fit: Nigeria

National Results Framework

Leadership, Governance, Research

Quality of Care

Human Resources

NHIS

NHSDP Priority Areas

Packaging NHIS data

Evidence-based HR coverage

MDRsFindings

Evidence-based

planning

Maternal death audits

and MMR

E4A Areas of Support

Roles and responsibilities of the Advisory Committee

…You are MNH champions!

Influence

Expertise

Networks

Diversity

Passion

Qualities of our members

• Provide strategic direction• Track progress on operational plan• Governance and oversight• Facilitate productive linkages• Be an E4A ambassador

Roles of advisory members

• 9 individuals• M&E specialist to provide additional input• Membership is on a voluntary basis, with

travel and accommodation expenses provided• Location of meetings to vary• Twice-annual meetings

Practicalities

• Provide written recommendations to country team, TSU and E4A programme director within one week of each meeting

• Contribute remotely through virtual meetings, email, the website and the blog

• Committee members will be provided with secretarial support and regular updates on E4A activities

Responsibilities

Update on the Country Operational Plan

By Dr Tunde SegunCountry Director

• The Commission on Information and Accountability (COIA) for Women’s and Children’s Health sets the international architecture through which E4A will be implemented across each country, including in Nigeria

Introduction

Introduction contd.

• E4A’s mandate to reduce maternal and newborn mortality by galvanising greater action and responses through more effective use of MNH evidence, better advocacy, and strengthened accountability mechanisms, is directly aligned with the overall aim of COIA, to save the lives of women and children through monitoring, reviewing, and acting, and linking accountability of resources to results, outcomes, and impact.

Introduction contd.

Structure of the COP

• Given the common goals and objectives, the proposed activities for E4A in Nigeria, have been developed using the COIA work plan

• The COP provides an overview of activities for year one, with many activities overlapping into year two and beyond.

Structure of the COP

Structure of the COP contd.

• There are a number of avenues at the Federal and State level through which E4A initiatives, learnings, and progress can be shared and guidance provided including the the Core Technical Committee (CTC) of IMNCH, the National Reproductive Health Working Group (NRHWG), Partnership for the Promotion of Maternal and Child Health (PPMNCH) among other working groups

Activities

Activities

• While E4A activities have been framed under each of the COIA areas, they are not bound by them

• In addition, the activities have been organised according to elements within the Theory of Change on evidence, advocacy, and accountability, and are reflective, and directly supportive, of initiatives under Nigeria’s National Strategic Health Development Plan (NSHDP)

Activities

• The evidence-focused activities for E4A have been structured around the following COIA areas:– 2.1 (Monitoring of 11 Core Results Indicators)– 2.2 (Strengthening Registration of Birth and

Deaths)– 2.3 (Quality of Care Assessments)– 2.4 (Tracking of Resources)– 2.5 (Digital Health Strategy)

Evidence activities

Evidence activities contd.

– 2.6 (Annual Review and Action)– 5.0 (Analysis and Reporting on Results)– 6.0 (Analysis and Reporting on Resources)– 7.0 (Dissemination, Interpretation, and Use of

Data)– 8.0 (Global Digital Health Strategy)

Evidence activities contd.

Advocacy activities

• As with the evidence activities, those around advocacy have been articulated under the following COIA areas:– 2.7 (Advocacy)– 4.0 (Advocacy and Outreach)– 3.0. (Galvanising Commitment)

Advocacy activities

Accountability activities

• Under the COIA work plan, only one key area has been defined for accountability work.

• Although all E4A-supported accountability efforts in Nigeria are clustered within this COIA area, they are integrally linked to and based on evidence and advocacy efforts.– 1.0 (Country Plans to Augment Accountability)

Accountability activities

COP LayoutCOIA activity area

Proposed E4A activity in Nigeria

Sub-activity (where necessary)

Proposed timeframe

Partners Lead country team member

Total activity cost for year 1

COP Layout

COP LayoutCOIA activity area

Proposed E4A activity in Nigeria

Sub-activity (where necessary)

Proposed timeframe

Partners Lead country team member

Total activity cost for year 1

2.2. Strengthening registration of births and deaths

2.2.1. Conduct secondary analysis on 2006 census data (including a post enumeration survey question on the number of pregnancy related deaths) to estimate maternal deaths at sub-national levels.

2.2.1.1 Consultant to conduct secondary analysis

X CD ££

COP Layout example