Keeping promises, Measuring results:

The Global Strategy and Accountability for

Women's and Children's Health

Dr Marie-Paule Kieny

Assistant Director General Innovation, Information, Evidence and Research Cluster

World Health Organization

Ottawa, 21-22 November 2011

Commission on Information and Accountability

• Commission established, November 2011

• Advanced copy of the Commission's 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

Commission's recommendationsMonitoring results

1. Vital events: By 2015, all countries have taken significant steps to establisha 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. Resource tracking: By 2015, all 74 countries where 98% of maternal and child deathstake 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.

Commission's recommendationsTracking resources

7. 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.

Commission's recommendationsBetter oversight

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 healthpartnerships (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)

• 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

Accountability:Progress since May 2011

WHO-hosted web site for the Accountability Commission's follow up work:

- Information sharing and public consultationfor better transparency and visibility

- Global-level online progress tracking

(against all recommendations and respective activities reflected in the Strategic Workplan)

- Country-level online progress tracking (against each specific activity)

Web-based tools as

enablers*

WEB SITE

GLOBAL

COUNTRY

* Directly supporting Recommendations 3, 7, 8, 10

Partners acting in concert

• Countdown initiative

– Annual country profiles, national Countdown Conferences, Interpretation and dissemination of progress

• Inter-Parliamentarian Union

– Focus on Women and Children's 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

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

• 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

Role of WHO

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.

1. 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?

Common questions to be addressed

Thank you.