The Global Strategy and supporting initiatives

Every Woman Every Child The Global Strategy, launched by UN SG Ban Ki-moon 2010 recognizes the need to scale up essential interventions across the continuum of care Building on pre-existing women's and children's health strategies, it targets saving 16 million lives by 2015 Aligning partner efforts around set principles – country led health plans, scaling up packages of essential interventions, integrated care, health systems strengthening, health workforce and research and innovation Call for more health for the money and more money for health Outline roles of key stakeholders –everyone has a role to play, from government to private sector to NGOs, the UN, donors, health professionals and academia Supported by a robust accountability framework to track and monitor resources and results (see next slide)

Key efforts associated with the Global Strategy A Promise Renewed: A global movement to end preventable child deaths How? Global strategies to scale-up and sustain results Some examples: Life-saving commodities Family Planning WASH EMTCT Who? Global mechanisms for coordinated action and advocacy Some examples: FP 2020 Commission on Information and Accountability Independent Expert Review Group Reviewing progress on the Global Strategy and the Commission’s recommendations 10-part framework for global reporting, oversight and accountability on women's and children's health

Commissions for Women and Children The H4+ has also contributed to the establishment of two Commissions to address critical issues within Every Woman Every Child: 2011: The Commission on Information and Accountability for Women’s and Children’s Health sets out a framework for global reporting, oversight and accountability on women’s and children’s health. This Commission was led by WHO and ITU 2012: The UN Commission on Life-Saving Commodities for Women and Children aims to remove the barriers to access to affordable, effective medicines and simple health supplies for the most vulnerable women and children. The Commission was led by UNICEF and UNFPA

Commission on Information and Accountability The Commission made 10 recommendations for strengthening accountability and reporting mechanisms at country level, created a system to track whether donations are made on time 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 recommendations - The iERG

The iERG Report makes 6 key recommendations for strengthening the accountability framework developed by the Commission Strengthen the global governance framework for women`s and children`s health Devise a global investment framework for - taking into account national investments and allocations, to guide a more targeted and strategic approach to supporting women`s and children`s health Set clearer country-specific strategic priorities for implementing the Global Strategy and test innovative mechanisms for delivering those priorities through equity-focused initiatives, community mobilisation, and integration of services Accelerate the uptake and evaluation of eHealth and mHealth technologies Strengthen human rights tools and frameworks to achieve better health and accountability for women and children Expand the commitment and capacity to evaluate initiatives for women`s and children`s health

UN Commission on Life-Saving Commodities for Women and Children The Key Objectives of the Commission Identify opportunities to increase the production and supply of affordable, high-quality, high-impact commodities for women’s and children’s health Propose innovative strategies to support EWEC countries to rapidly increase access to overlooked commodities through proven, private and public sector market shaping interventions Recommend strategies to raise awareness of and demand for these lifesaving products among health care providers and end-users http://www.everywomaneverychild.org/resources/un-commission-on-life-saving-commodities

High-impact, effective commodities Three criteria were established for identifying a list of underutilized, life-saving commodities High-impact, effective commodities In general, high-impact commodities are those medicines and health supplies that effectively 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 distribution and use. Selected commodities, therefore, are not funded by existing mechanisms, such as The Global Fund to Fight AIDS, Tuberculosis and Malaria, and the Global Alliance for Vaccines and Immunisation (GAVI). Untapped potential Innovation and rapid increases in product development and market opportunities (including potential for price reduction and improved stability of supply) could rapidly improve the affordability, availability and use of selected medicines and health supplies.

Life-Saving Commodities Commodity/ Cause of Death Examples of Key Barriers Female Condoms, Implants, Emergency Contraception - Family Planning/Contraception Low awareness among women and health workers, implants require trained health workers Oxytocin Misoprostol-Post partum haemorrhage Often poor quality, misoprostol not on Essential Drugs Lists Magnesium sulphate- Eclampsia and Severe Pre- Eclampsia Lack of training and demand by health workers Injectable Antibiotic- Newborn Sepsis Poor compliance by health workers Antenatal Corticosteroid (ANCS)- Preterm Respiratory Distress Syndrome Low awareness of product and impact Chlorhexidine- Newborn Cord Care Limited awareness and demand Resuscitation Equipment-Newborn Asphyxia Requires trained health workers Amoxicillin- Pneumonia Limited availability of child-friendly product Oral Rehydration 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 commodities in countries

A Promise Renewed Child Survival: Call to Action Co-hosted by the Governments of Ethiopia, India, United States and UNICEF June 2012, Washington DC http://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 reduction in U5MR in every country, with the goal of reaching a national average of 20 by 2035 In countries that have achieved < 20, focus on population groups with above average rates of U5MR A Promise Renewed is a global effort to accelerate declines in preventable child deaths. This goal applies to non-programme countries as much as it does programme countries. We want to see all countries, especially those that signed the pledge, doing all they can to redouble efforts to save children from dying of preventable causes. A modeling exercise presented at the Call to Action demonstrated that all countries can lower child mortality rates to 20 or fewer deaths per 1,000 live births by 2035. Countries that have already achieved a mortality rate of 20 or below can sustain the progress by analyzing sub-national disparities and intensifying efforts to reach the most disadvantaged groups. Achieving 20 by 2035 represents an important milestone towards the ultimate goal of ending preventable child deaths.

We have an inclusive and expansive understanding of what it takes to end preventable child deaths Nutrition Family planning 26 Child survival Maternal health Immunization 13 Prevention and Treatment of Infectious diseases Pneumonia Diarrhea Malaria AIDS/PMTCT Neonatal causes Preterm birth complications Intra-partum events Neonatal infections Congenital abnormalities Enabling Environment Education Empowerment of women Economic growth Environmental factors (e.g. water supply, sanitation, hygiene) To advance Every Woman Every Child, a strategy launched by the UN Secretary-General, UNICEF and other agencies are joining partners from the public, private and civil society sectors in a global movement to accelerate declines in preventable maternal, newborn and child deaths. A Promise Renewed emerged from the Call to Action, convened in June 2012 by the Governments of Ethiopia, India and the United States, in collaboration with UNICEF. The more than 700 government, civil society and private sector participants who gathered for the meeting reaffirmed their shared commitment to scale-up progress on maternal, newborn and child survival. Partners are uniting under A Promise Renewed to strengthen collaboration and coordination among the many partnerships, structures and interventions that currently exist within and beyond the field of health. A modeling exercise presented at the Call to Action demonstrated that all countries can lower child mortality rates to 20 or fewer deaths per 1,000 live births by 2035. Countries that have already achieved a mortality rate of 20 or below can sustain the progress by analyzing sub-national disparities and intensifying efforts to reach the most disadvantaged groups. Achieving 20 by 2035 represents an important milestone towards the ultimate goal of ending preventable child deaths. A Promise Renewed is supported by UNICEF and ‘owned’ by the many partners that support the movement. NOTE: Because UNICEF does not claim exclusive ownership, the logo and messaging for A Promise Renewed is not subject to the corporate rules that govern the UNICEF brand.

Collective action on three fronts Sharpening and scaling-up high-impact country plans Analyse the distribution of U5MR Identify barriers and bottlenecks Sharpen government-led action plans with high-impact strategies Track and sustain progress against 5 year milestones Align cross-sectoral support for maternal, newborn and child mortality 1 Building the movement to strengthen accountability Encourage civil society and other groups to advocate and take action Promote accountability and transparency through country score cards Compile and disseminate annual progress reports 2 NOTE: These actions are intended for all contexts – programme and non-programme countries – and all actors – country offices and Nat-Coms. Note too that USAID is heavily involved in APR and is encouraging their country offices to promote these strategies in the countries where they have a presence. Communicating progress and mobilizing resources Celebrate national progress Support resource mobilization efforts by brokering innovative partnerships 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 action plan? Global action with a plan that will propose a roadmap for change in countries, enabling high-level policy makers to take accelerated action to design and implement national plans for improving newborn survival and health and reducing stillbirths 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 multiple organizations: Country governments, United Nations, NGOs, Universities and Professional organizations and Donors and foundations Global launch in May 2014 NATIONAL action by professionals, policymakers and parents = ALL OF US! 1717

How it fits together at Country Level National Health Sector Plans RMNCH Strategic Plan Increased access and use of FP Ending preventable maternal deaths Ending preventable newborn deaths Ending preventable child deaths COMMODITIES, HUMAN RESOURCES etc.