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Carole Presern, Director
International Stakeholders Meeting on Implementing the
Recommendations of the Commission on Information and Accountability
Ottawa, November 20-22, 2011
Women's and Children's Health: Supporting Accountability
General Perspectives
Outline
1. Global Strategy for Women's and Children's Health
2. Commitments to the Global Strategy (EWEC) and the 2011 Report
3. Contribution to COIA follow up and the work of the Expert Review Group?
1. Global Strategy for Women's and Children's Health
� Rodmap to: accelerate progress, deliver results, and ensure accountability
� Builds on existing efforts and aims to gain new commitments
“Together we must make a decisive
move, now, to improve the health of
women and children around the
world. We know what works…
The answers lie in building our
collective resolve to ensure
universal access to essential health
services and proven, life-saving
interventions as we work to
strengthen health systems. these
range from family planning and
making childbirth safe, to
increasing access to vaccines and
treatment for HIV and AIDS,
malaria, tuberculosis, pneumonia
and other neglected diseases.”
The aspiration – to save ~16 million lives
• Protect 120 million children from contracting pneumonia
Progress in the world's 49 poorest countries if goals are met (2010-15)
• Prevent 88 million children from stunting
• Prevent 33 million unwanted pregnancies
• Prevent 15 million deaths of children under the age of 5
• Prevent 570 thousand deaths of pregnancy related complications
We have the tools and resources and the political will
Key areas for urgent action
1. Plan. Country led health plans - support
2. Integrate. For delivery of quality health services and life-saving interventions
3. Start with people - stronger health systems, sufficient skilled health workers, serving mothers and children
4. Innovate – in finance, product development and for the efficient delivery of health services
5. Promote human rights, equity and gender empowerment
6. Improve monitoring and evaluation to ensure accountability for resources and results
Accountability
AccessHealth
workers
Interventions
Leadership
Accountability at all levels
for credible results
A framework for coordinated action
2. Commitments to Advance the Global Strategy and the Every Woman Every Child effort
�More than 200 commitments from a range of constituencies - www.everywomaneverychild.org
�Most commitments by low-income countries
�Financial, policy and service delivery
The 2011Report – analysis of comittments
Aim: introductory analysis of commitments to the Global Strategy to inform discussion and action on:
�Accomplishments of the Global Strategy and the Every Woman, Every Child effort
�Opportunities and challenges in advancing commitments
�Stakeholders’ perceptions - added value of the Global Strategy
�Next steps to strengthen advocacy, action and accountability
� Not a comprehensive stock-taking of all RMNCH efforts, focuses on Global Strategy commitments
�127 stakeholders from a range of constituencies
�Most by low-income countries (39 out of the 49 countries)
Commitments (as of June 2011)
Commitments. No. of stakeholders, by group
(total = 127)
Key Findings
� Geographic focus: high-burden countries relatively well targeted
� Continuum of care: need to focus on service delivery gaps
� Added value:
� Catalyst - more visibility of women's and children's health
� Stimulated internal dialogue
� Identified synergies and opportunities for collaboration
� Part of global movement!
Source: Analyzing Commitments to Advance the Global Strategy for Women’s and Children’s Health. PMNCH 2011
Alignment of commitments to needs?
� 15 countries (31%) - more than 10 commitments
� 8 countries - only one or no commitment
� India - 24 commitments
Geographical distribution - with respect to progress on MDGs 4 & 5a
Alignment of commitments to needs?
Coverage - RMNCH interventions in Countdown to 2015 countries
� Link of needs to commitments uneven:
- Some interventions with already high coverage:
o Focus of a relatively large number of commitments
o Neonatal tetanus protection and childhood immunizations
- Some interventions with low coverage:
o Focus of a limited number of commitments
o Postnatal care for mother
Opportunities and challenges
� Increase integration and engagement
� Business and MICs
� MDG 6 and NCDs
� Nutrition, water and other social determinants of health
� Link commitments to needs
� Bridge the funding gap and clarify access to funds
� Harmonize efforts to ensure value for money
� Common understanding of what a commitment is to better target Global Strategy priorities
� Prioritize implementation
� Invest in innovation to speed up progress
Source: Analyzing Commitments to Advance the Global Strategy for Women’s and Children’s Health. PMNCH 2011
3. PMNCH 2012-15 Framework
�Vision: The achievement of the MDGs, with women and children enabled to
realize their right to the highest attainable standard of health
Efficient, effective and inclusive Partnership Governance/administration
Fulfillment of Partnership's role as part of the Countdown to 2015 workplan
Promote implementation of, and access to, essential RMNCH interventions
Mission: Supporting Partners to align their strategic directionsand catalyse collective action to achieve universal access
to agreed essential interventions for women’s and children’s health
SO1:Broker knowledge and innovation for action
SO2: Advocate for mobilising and aligning resources and for
greater engagement
SO3:Promote accountability for
resources (results)
PMNCH contribution?
Consultation and dialogue, and action - draw on the platform (430+) to:
� Link with other accountability processes
� Identify best practices
� Draw on 2011 Report database, and adapt if useful
� Identify obstacles to implementation of COIA recommendations
� Discuss ERG findings and recommendations
� Advocacy for uptake of findings and recommendations
- key messages and their dissemination through all constituencies and other networks
Thank you