Overview Debra A. Jones Director of Global Advocacy, Family Care International Presentation at GTR Annual Planning Meeting November 30, 2010 Panama City,

Overview

Debra A. JonesDirector of Global Advocacy, Family Care International

Presentation at GTR Annual Planning MeetingNovember 30, 2010Panama City, Panama

How was the Global Strategy created?

Initiated by Secretary-General Ban Ki-moon in April 2010 to improve women's and children's health and accelerate progress towards the MDGs

300+ organizations contributed to development of GS, facilitated by PMNCH

GS launched at the MDG Summit on September 22, 2010 in New York City

What is the Global Strategy?The Global Strategy For Women’s and Children’s Health is a focused effort to achieve MDGs 4, 5 and 6. It aims to accelerate progress, deliver results, and ensure accountability by:• Galvanizing commitments & action from partners

• Prioritizing women’s and children’s health in national health plans

• Ensuring access to a comprehensive, integrated package of essential services and interventions

• Addressing critical health system gaps• Holding ourselves accountable for results • Addressing social determinantsThis is not a “new” global health initiative. It

builds on existing efforts and aims to gain new commitments

Focusing on the most vulnerable women and children

Women and newborns

Childbirth and next few hours and days are period of

greatest risk

Adolescents

Must have control over life choices, including fertility

Vulnerable groups

Ensure equity of access for poorest, people living with

HIV/AIDS, orphans, indigenous populations, and those living furthest from health services

More than 8 million women, newborns, and children under 5 die from preventable

causes each year

Coverage (%)

100

50

0Measles

immunisation

Case managem

ent of pneumoni

a

Exclusive

breast-

feeding

Postnatal visit within

2 days

Skilled attenda

nt at delivery

1+ ante-natal visits

Contraceptive

prevalence

Coverage of key MNCH interventions is still too low

Pre-pregnancyPregnancy Birth Postnatal Childhood

Source: Countdown to 2015 estimates for 68 priority countries.

Progress needs to be accelerated to reach 2015 targets

Target 201520081990

-54%-54%

30

65

90

33

72

100

-59%-59%

108

260

400

120

290

450

WorldDeveloping

regions

Reduction in child mortality rates (MDG 4)

Reduction in maternal mortality ratio (MDG 5)

WorldDeveloping

regions

What are the key elements of the Global Strategy?

• Country-led health plans

• Comprehensive package of essential interventions and services

• Integrated care

• Health systems strengthening

• Health workforce capability building

• Coordinated research and innovation

• Accountability at all levels

Political leadersh

ip, communi

ty engagement

Accountability for results

Removingbarriers to

access

Skilled health

workers

Package of interventionsAcross the MNCH

continuum

The Global Consensus on Maternal, Newborn, and Child Health

More health for the money:

• Link efforts to improve women's and children's health with those intended to tackle poverty, malnutrition, disease, access to education, adequate sanitation, and a clean safe environment

Increase effectiveness

through integration

Use innovation to increase efficiency

and impact

Make funding channels more

efficient

• Innovative approaches in leadership, results-based financing, public-private partnerships, tools and interventions, service delivery, and monitoring and evaluation

• Countries and donors have agreed to a set of principles around aid effectiveness to make funding more long-term, predictable, and harmonized across the international community

Maximize impact through more health for the money

More money for health:

4

2011

10

1215

12

16

2012

4

12

2013

5

18

13

6Direct costs for programstargeting women and children

Health systems costs ofprograms targetingwomen and children

20

2015

15

Other costs for scaling upto meet the health MDGs

7

2014

Billions (US$)

Substantial funding gap: $26B in 2011,$42B in 2015 (for 49 lowest-income countries)

Total

40.3

Health care

professional

associations

0.03

Business

community

1.0

Global philanthro

pic institution

s

2.3

UN & other

multilateral

organizations

5.0

Civil society

6.0

49 Lowest income countrie

s

8.6

All countries except 49

lowest income

16.8

At MDG Summit, $40 billion pledged by stakeholders

Note: Additional commitments have been made but could not be translated into dollar value . These estimates are made in current dollars.Source: Commitments made to the Global Strategy September 2010

Billions (2010 US$)

Governments

Accountability is essential to ensure commitments are met

Ongoing monitoring/tracking

Feedback

Global forums(e.g., UNGA, WHA)

Reporting on global progress(e.g., Countdown to 2015 /

PMNCH, MDG report)

Monitoring and evaluation(e.g., countries, UN agencies,academic institutions, OECD-

DAC)

Activities of countries and partners

Activities of countries and partnersNational and global

commitments and actionsFinancial, policy and services

delivery input

Results and outcomesIntervention coverage, access to and

quality of service

ImpactWomen's and children's health

outcomes

Civil society’s role is critical

• Develop and test innovative approaches to delivering essential services

• Educate, engage and mobilize communities

• Track progress and hold all stakeholders accountable

• Strengthen community and local capabilities to scale up implementation of interventions

• Advocate increased attention to women’s and children’s health and increased investment in it

The Partnership for Maternal, Newborn and Child Health

Overview

• Launched Sept. 2005 as merger of 3 pre-existing partnerships

• Focusing on MNCH Continuum of Care

• Aim is to accelerate achievement of MDGs 4 & 5Structural elements• Board (23 members, specific seats for each

constituency group)• Secretariat hosted by WHO• Members “at large” – 350 and counting• Workplan implemented by Lead partners/task

teams

From Pledges to Action

What key actions can GTR take at regional and national levels during 2011-2015 to ensure the implementation of Global the Strategy and mobilize additional commitments?

How can the GTR contribute to monitoring the Global Strategy and the commitments made by governments, donors, and other constituencies?