RMC Advocacy: From Charter to Country- level Efforts Mande Limbu WRA June 24, 2014 HPP strengthens maternal health

Formation of RMC Advisory Council to: Provide global leadership in raising awareness of disrespect and abuse (D&A) during facility-based childbirth Encourage dialogue on D&A from both global and national perspective Foster partnerships resulting in strategies that address D&A Promote RMC through advocacy Initial Global Efforts

The Human Rights Argument and Develop- ment of RMC Charter

From RMC Charter to Country- level Efforts Country-level efforts focus on: Mobilizing communities Incorporating RMC into professional standard- setting documents Influencing policy and resource allocation Strengthening the capacity of health facilities

National Campaign Example: Nigeria WRA Nigeria Influencing the Federal Ministry of Health, State Ministries of Health, regulatory bodies and health professional associations to establish RMC as a standard of practice.

Town hall meetings National RMC consultations A communique with recommendations for establishing RMC as a standard of practice National Council on Health approved RMC as standard of practice RMC incorporated in the revised LSS manual State-level implementation plans Progress & Successes

WRA Nepal Incorporating RMC standards into law and in-service curricula for all professional disciplines involved in providing maternal health care. National Campaign Example: Nepal

Community dialogues in 5 districts Consultations with other key stakeholders Media engagement Inclusion of RMC in the Safe Motherhood Bill RMC context analysis RMC training to all health workers Creation of RMC Alliance Progress & Successes

WRA Nepal members handing over the Bill with RMC inputs to the Hon. Health Minister Bidhyadhar Mallik

RMC Community Dialogue Session – Kathmandu District

Measuring contribution of RMC advocacy efforts to policy change vs. maternal health outcomes Measuring impact when activities not implemented in the same area Establishing a framework for evaluation Framing a political global ask on RMC Getting global champions to focus only on this issue Lessons

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