The  Global  Strategy  and  suppor4ng  ini4a4ves    

 

Every  Woman  Every  Child  

Key  efforts  associated  with  the  Global  Strategy  

A  Promise  Renewed:    

A  global  movement  to  end  preventable  child  deaths    

Commission on Information and Accountability

10-­‐part  framework  for  global  reporAng,  oversight  and  accountability  on  women's  and  children's  health  

Reviewing progress on the Global Strategy and the Commission’s recommendations

How?  Global  strategies  to  scale-­‐up  and  sustain  results  Some  examples:  

WASH   Family    Planning  

Who?  Global  mechanisms  for  coordinated  acCon  and  advocacy    Some  examples:  

EMTCT  Life-­‐saving    commodiCes  

FP  2020  

Independent Expert Review Group

Commissions  for  Women  and  Children  The  H4+  has  also  contributed  to  the  establishment  of  two  Commissions  to  address  criAcal  issues  within  Every  Woman  Every  Child:    

1.  2011:  The  Commission  on  InformaCon  and  Accountability  for  Women’s  and  Children’s  Health  sets  out  a  framework  for  global  reporAng,  oversight  and  accountability  on  women’s  and  children’s  health.  This  Commission  was  led  by  WHO  and  ITU  

2.  2012:  The  UN  Commission  on  Life-­‐Saving  CommodiCes  for  Women  and  Children  aims  to  remove  the  barriers  to  access  to  affordable,  effecAve  medicines  and  simple  health  supplies  for  the  most  vulnerable  women  and  children.  The  Commission  was  led  by  UNICEF  and  UNFPA  

Commission  on  InformaCon  and  Accountability  

•  The  Commission  made  10  recommendaAons  for  strengthening  accountability  and  reporAng  mechanisms  at  country  level,  created  a  system  to  track  whether  donaAons  are  made  on  Ame  and  resources  are  spent  wisely,  and  whether  desired  results  are  achieved.  This  Commission  was  created  in  2011  

•  An  Independent  Expert  Review  Group                                            was  set  up  to  monitor  the    

       recommendaAons  -­‐  The  iERG  

 The  iERG  Report  makes  6  key  recommendaCons  for  strengthening  the  accountability  framework  

developed  by  the  Commission    1.  Strengthen  the  global  governance  framework    for                                                            

women`s  and  children`s  health  

2.  Devise  a  global  investment  framework  for    -­‐                                                                                      taking  into  account  naAonal  investments  and                                                allocaAons,  to  guide  a  more  targeted  and  strategic  approach  to  supporAng  women`s  and  children`s  health  

3.  Set  clearer  country-­‐specific  strategic  prioriAes  for  implemenAng  the  Global  Strategy  and  test  innovaAve  mechanisms  for  delivering  those  prioriAes  through  equity-­‐focused  iniAaAves,  community  mobilisaAon,  and  integraAon  of  services  

4.  Accelerate  the  uptake  and  evaluaAon  of  eHealth  and  mHealth  technologies  

5.  Strengthen  human  rights  tools  and  frameworks  to  achieve  beZer  health  and  accountability  for  women  and  children  

6.  Expand  the  commitment  and  capacity  to  evaluate  iniAaAves  for  women`s  and  children`s  health    

UN  Commission  on    Life-­‐Saving  CommodiCes  for  Women  and  Children    

1.  IdenAfy   opportuniAes   to   increase   the   producAon   and   supply   of  affordable,   high-­‐quality,   high-­‐impact   commodiAes   for   women’s   and  children’s  health  

2.  Propose   innovaAve   strategies   to   support   EWEC   countries   to   rapidly  increase   access   to   overlooked   commodiAes   through   proven,   private  and  public  sector  market  shaping  intervenAons  

3.  Recommend   strategies   to   raise   awareness  of   and  demand   for   these  lifesaving  products  among  health  care  providers  and  end-­‐users  

h=p://www.everywomaneverychild.org/resources/un-­‐commission-­‐on-­‐life-­‐saving-­‐commodi4es  

The  Key  ObjecCves  of  the  Commission  

Three    criteria  were  established    for  idenCfying  a  list  of  underuClized,    life-­‐saving    commodiCes

 

High-­‐impact,  effecCve  commodiCes    

In  general,  high-­‐impact  commodiCes  are  those  medicines  and  health  supplies  that  effecCvely  address  avoidable  causes  of  death  and  disease  among  children  and  

women  during  pregnancy,  childbirth  and  childhood.    

Inadequate  funding    

Inadequate  funding  means  the  commodity  lacks  the  

monetary  support  that  would  allow  a  rapid  increase  in  its  

distribuCon  and  use.  Selected  commodiCes,  therefore,  are  

not  funded  by  exisCng  mechanisms,  such  as  The  Global  Fund  to  Fight  AIDS,  

Tuberculosis  and  Malaria,  and  the  Global  Alliance  for  

Vaccines  and  ImmunisaCon  (GAVI).  

Untapped  potenCal    

InnovaCon  and  rapid  increases  in  product  development  and  

market  opportuniCes  (including  potenCal  for  price  reducCon  and  improved  stability  of  

supply)  could  rapidly  improve  the  affordability,  availability  and  use  of  selected  medicines  

and  health  supplies.  

8  

Life-­‐Saving  CommodiCes  

Commodity/  Cause  of  Death   Examples  of  Key  Barriers        Female  Condoms,    Implants,  Emergency  ContracepCon  -­‐    Family  Planning/ContracepAon  

Low  awareness  among  women  and  health  workers,  implants  require  trained  health  workers    

     Oxytocin        Misoprostol-­‐Post  partum  haemorrhage  

O_en  poor  quality,  misoprostol    not  on  EssenCal  Drugs  Lists  

     Magnesium  sulphate-­‐  Eclampsia  and  Severe  Pre-­‐          Eclampsia    

Lack  of  training  and  demand  by  health  workers  

       Injectable  AnCbioCc-­‐  Newborn  Sepsis   Poor  compliance  by  health  workers          Antenatal  CorCcosteroid  (ANCS)-­‐  Preterm            Respiratory  Distress  Syndrome  

Low  awareness  of  product  and  impact  

       Chlorhexidine-­‐  Newborn  Cord  Care   Limited  awareness  and  demand          ResuscitaCon  Equipment-­‐Newborn  Asphyxia   Requires  trained  health  workers          Amoxicillin-­‐  Pneumonia   Limited  availability  of  child-­‐friendly  product          Oral  RehydraCon  Salts  (ORS)  ,  Zinc  -­‐  Diarrhoea    

Poor  understanding  of  product  by  mothers/care  givers  

   

Commission  provides  an  opportunity  for  the  H4+    to  increase  the  availability,  affordability  and  accessibility  of  overlooked  RMNCH  commodiCes  in  

countries  

A  Promise  Renewed  

10  

Child  Survival:  Call  to  AcCon    Co-­‐hosted  by  the  Governments  of    Ethiopia,  India,  United  States  and    

UNICEF  June  2012,  Washington  DC    

h=p://www.apromiserenewed.org/  

What  is  A  Promise  Renewed?      A  global  movement  to  accelerate  declines  in  preventable  

maternal,  newborn  and  child  deaths    What’s  the  goal?      

  Accelerate  the  annual  rate  of  reducAon  in  U5MR  in  every  country,  with  the  goal  of  reaching  a  naAonal  average  of  20  by  2035  

  In  countries  that  have  achieved  <  20,  focus  on  populaAon  groups  with  above  average  rates  of  U5MR  

13  

26  

We have an inclusive and expansive understanding of what it takes to end preventable child deaths

PrevenCon  and  Treatment  of  InfecCous  diseases  •  Pneumonia  •  Diarrhea  •  Malaria  •  AIDS/PMTCT  

Child  survival  

Family  planning  

Neonatal  causes  •  Preterm  birth  

complicaAons  •  Intra-­‐partum  events  •  Neonatal  infecAons  •  Congenital  

abnormaliAes  

NutriCon  

Enabling  Environment  ▪  EducaAon  ▪  Empowerment  of  women  ▪  Economic  growth  ▪  Environmental  factors  (e.g.  water  supply,  sanitaAon,  hygiene)  

ImmunizaCon   Maternal  health  

CollecCve  acCon  on  three  fronts    ▪  Analyse  the  distribuCon  of  U5MR  ▪  IdenCfy  barriers  and  boglenecks  ▪  Sharpen  government-­‐led  acCon  plans  with  high-­‐impact  strategies    

▪  Track  and  sustain  progress  against  5  year  milestones  ▪  Align  cross-­‐sectoral  support  for  maternal,  newborn  and  child  mortality      

▪  Encourage  civil  society  and  other  groups  to  advocate  and  take  acCon  

▪  Promote  accountability  and  transparency  through  country  score  cards  

▪  Compile  and  disseminate  annual  progress  reports    

▪  Celebrate  naConal  progress    ▪  Support  resource  mobilizaCon  efforts  by  brokering  innovaCve  partnerships    

CommunicaAng    progress  and    mobilizing  resources

 Building  the    movement  to  strengthen  accountability  

 Sharpening  and    scaling-­‐up  high-­‐impact  country  plans  

1  

2  

3  

Family Planning 2020

•  Family Planning 2020 (FP2020) builds on the partnerships launched at the London Summit on Family Planning in June 2012

•  It will sustain the momentum from London and ensure

all partners are working together to achieve and support the goals and commitments announced at the Summit

•  In London, Global Leaders United with a goal to Provide 120 Million Women in the World's Poorest Countries with Access to Contraceptives By 2020

Family Planning 2020 FP2020 will: •  Track progress and report on financial and policy commitments

made at the Summit, linking with established accountability processes for the UN Secretary General's Every Woman Every Child strategy;

•  Monitor and report on global and country progress toward the FP2020 Summit goals;

•  Identify obstacles and barriers to achieving Summit goals and recommend solutions;

•  Ensure promotion of voluntary family planning and concrete measures to prevent coercion and discrimination, and ensure respect for human rights;

•  Ensure data availability to support all of the above, consistent with country processes and sharing data, such as through a global score card; and

•  Publish an annual report to update the global community on progress and challenges.

• 

What  is  the  Every  Newborn  acCon  plan?  •  Global  acAon  with  a  plan  that  will  propose  a  roadmap  for  

change  in  countries,  enabling  high-­‐level  policy  makers  to  take  accelerated  acAon  to  design  and  implement  naAonal  plans  for  improving  newborn  survival  and  health  and  reducing  sAllbirths    

•  Linked  to  Every  Woman  Every  Child,  and  to  A  Promise  Renewed,  following  Born  Too  Soon  report  and  World  Prematurity  Day  movement  

•  Supported  by  new  data  analysis  and  evidence  

•  Global  partnership  with  mulAple  organizaAons:  Country  governments,  United  NaAons,  NGOs,  UniversiAes  and  Professional  organizaAons  and  Donors  and  foundaAons  

 

NATIONAL  acCon  by  professionals,  policymakers  and  parents  =  ALL  OF  US!  

Global  launch  in  May  2014  

17  

NaConal  Health  Sector  Plans  

RMNCH  Strategic  Plan  

Increased  access  and  use  of  FP  

Ending  preventable  newborn  deaths  

Ending  preventable  child  deaths    

Ending  preventable  maternal  deaths  COMMODITIES,  HUMAN  RESOURCES  etc.  

How  it  fits  together  at  Country  Level