Overview Debra A. Jones Director of Global Advocacy, Family Care International Presentation at GTR Annual Planning Meeting November 30, 2010 Panama 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 Womens and Childrens 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 womens and childrens 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 determinants This 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 (%) Measles immunisation Case management of pneumoniaCase management of pneumoniaCase management of pneumoniaExclusive breast-feedingExclusive breast-feedingExclusive breast-feedingPostnatal visit within 2 days Skilled attendant at deliverySkilled attendant at deliverySkilled attendant at delivery1+ ante-natal visitsContraceptive prevalence Coverage of key MNCH interventions is still too low Pre-pregnancyPregnancyBirthPostnatal Childhood Source: Countdown to 2015 estimates for 68 priority countries.

Progress needs to be accelerated to reach 2015 targets Target % % World Developing regions Reduction in child mortality rates (MDG 4) Reduction in maternal mortality ratio (MDG 5) World Developing 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 leadership, community engagement Accountability for results Removing barriers to access Skilled health workers Package of interventions Across 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: Direct costs for programs targeting women and children Health systems costs of programs targeting women and children Other costs for scaling up to meet the health MDGs Billions (US$) Substantial funding gap: $26B in 2011, $42B in 2015 (for 49 lowest-income countries)

Total 40.3 Health care professional associationsHealth care professional associationsHealth care professional associations 0.03 Business community 1.0 Global philanthropic institutionsGlobal philanthropic institutionsGlobal philanthropic institutions 2.3 UN & other multilateral organizationsUN & other multilateral organizationsUN & other multilateral organizations 5.0 Civil society Lowest income countries49 Lowest income countries49 Lowest income countries 8.6 All countries except 49 lowest incomeAll countries except 49 lowest incomeAll countries except 49 lowest incomeAll 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 National and global commitments and actions Financial, policy and services delivery input Results and outcomes Intervention coverage, access to and quality of service Impact Women's and children's health outcomes

Civil societys 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 womens and childrens health and increased investment in it

The Partnership for Maternal, Newborn and Child Health Overview Launched Sept as merger of 3 pre-existing partnerships Focusing on MNCH Continuum of Care Aim is to accelerate achievement of MDGs 4 & 5 Structural 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 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?