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