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Mozambique The United Nations At Work THE UN REFORM

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1 Mozambique The United Nations At Work THE UN REFORM
Delivering as One Pilot Initiative in Mozambique 11 May 2009

2 Vision of the One UN in Mozambique
The vision of the One UN in Mozambique is of a unified United Nations presence, which acts, speaks and delivers as one The overall goal of the One UN Initiative in Mozambique is to improve programme delivery and results in support of the national development agenda through a more coherent, better coordinated, funded and managed UN These basic indicators gives us a good overview of current progress and challenges in Mozambique. As you see, Mozambique’s population is very young, with 10 million children accounting for half of the total population of 20 million. Around 70 per cent of Mozambicans live in rural areas, where the majority make a living from subsistence farming. Mozambique’s income per capita is US$ 310, which is well below the sub-Saharan average of US$ 754. But since the end of the civil war in 1992, the country has emerged as one of Africa’s most successful examples of post conflict reconstruction and economic recovery. Between 1997 and 2003, economic growth averaged about 9 per cent, well above the continent’s average, and continues to grow. Let’s look at some of these numbers in more detail.

3 One UN in Mozambique One UN Operational Plan: overarching plan outlining the vision of the One UN Initiative in Mozambique and how it is to be operationalised through the five ones: One Programme One Budgetary Framework One Leader One Office and Common Services Communicating as One 1 These basic indicators gives us a good overview of current progress and challenges in Mozambique. As you see, Mozambique’s population is very young, with 10 million children accounting for half of the total population of 20 million. Around 70 per cent of Mozambicans live in rural areas, where the majority make a living from subsistence farming. Mozambique’s income per capita is US$ 310, which is well below the sub-Saharan average of US$ 754. But since the end of the civil war in 1992, the country has emerged as one of Africa’s most successful examples of post conflict reconstruction and economic recovery. Between 1997 and 2003, economic growth averaged about 9 per cent, well above the continent’s average, and continues to grow. Let’s look at some of these numbers in more detail.

4 One Programme Vision: one common programme of
support to the national development agenda, inclusive of the contribution of all UN agencies, which is aligned with national priorities and supports attainment of national and international development goals The One Programme: Should demonstrate the ability of the UN to adapt to the DBS environment Should be realistic and not be too ambitious - focus on strategic sub-set of achievable results Should not be “fund-driven” Gains in child and maternal well-being have not been even across the country, and large numbers of children and women, especially those living in remote rural areas are at a disadvantage. Many young children die at home before reaching a health clinic or hospital because parents are not informed or do not have easy access to medical services. Another challenge is the limited access to health facilities. More than half of Mozambicans live one hour or more on foot from the nearest health clinic. There are only 600 doctors in the whole of Mozambique. Children’s lives can be saved if communities know how to protect children’s health and well-being. When children fall ill, it is critical that families bring them to health facilities in time and that children receive proper treatment. We work towards this goal by increasing public awareness of child and maternal health services and improving the quality of services in health centres. With our technical and financial assistance, the Ministry of Health conducts training for primary healthcare workers in the integrated management of childhood and neo-natal illnesses. IMNCI promotes an integrated, holistic approach to the case management of sick children, looking at the top causes of child mortality (malaria, pneumonia, diarrhoea, malnutrition, measles). It is recognized that many sick children present with more than one of these conditions at the same time, and the IMNCI approach aims to maximize the opportunities to address these multiple problems. The IMNCI programme was updated in 2006 to include HIV/AIDS and neo-natal components – and thus it has now come to be called Integrated Management of Neo-natal and Childhood Illness. The programme was introduced in Mozambique in 1998 and now covers 130 of the 148 districts in the country. UNICEF also supports the healthy and at-risk child consultations, treatment of severe acute malnutrition and emergency obstetric and neonatal care; we support the distribution of insecticide treated mosquito nets as well as immunisation against vaccine-preventable diseases. In the next couple of slides we’ll describe some of these activities in more detail. During the visit, you will see the healthy and at-risk child consultations at the health centre in Chimoio. IMNCI is also implemented at this facility.

5 One Programme (cont.) 2007-2009 UNDAF: the Strategic Framework
Consists of four pillars of cooperation, including all UN agencies: Governance, Human Capital, HIV/AIDS, Economic Development All UN agencies are committed to the achievement of the full UNDAF Delivering as One: Operational Plan of the UN System in Mozambique, Aims to: Ensure attainment of all the results contained in the UNDAF, and Pave the way for a reformed UN under the next cycle, by focusing on a strategic sub-set of UNDAF outputs that best illustrate the added value of the UN in the new aid environment and in the overall development context of Mozambique These basic indicators gives us a good overview of current progress and challenges in Mozambique. As you see, Mozambique’s population is very young, with 10 million children accounting for half of the total population of 20 million. Around 70 per cent of Mozambicans live in rural areas, where the majority make a living from subsistence farming. Mozambique’s income per capita is US$ 310, which is well below the sub-Saharan average of US$ 754. But since the end of the civil war in 1992, the country has emerged as one of Africa’s most successful examples of post conflict reconstruction and economic recovery. Between 1997 and 2003, economic growth averaged about 9 per cent, well above the continent’s average, and continues to grow. Let’s look at some of these numbers in more detail.

6 One Programme (cont.) Eight areas of UN comparative advantage identified in the UNDAF: advocacy for UN core values, including human rights, gender equality and the MDGs; normative and technical advisory services; strengthening of national capacity at both central and decentralised levels; support to national scale-up of evidence-based programmes; implementation services; support to national humanitarian response; bringing the voice of civil society to the table; building partnerships between all stakeholders. Strategic focus on four of the eight areas under the One Programme: policy and advocacy; normative / technical support; capacity development; civil society partnerships. Focus These basic indicators gives us a good overview of current progress and challenges in Mozambique. As you see, Mozambique’s population is very young, with 10 million children accounting for half of the total population of 20 million. Around 70 per cent of Mozambicans live in rural areas, where the majority make a living from subsistence farming. Mozambique’s income per capita is US$ 310, which is well below the sub-Saharan average of US$ 754. But since the end of the civil war in 1992, the country has emerged as one of Africa’s most successful examples of post conflict reconstruction and economic recovery. Between 1997 and 2003, economic growth averaged about 9 per cent, well above the continent’s average, and continues to grow. Let’s look at some of these numbers in more detail.

7 One Programme PARPA II UNDAF Governance Human Capital HIV/AIDS
Economic Dev. Policy and Advocacy UNDAF output 1 UNDAF output 2 UNDAF output 3 Technical Support UNDAF output 1 UNDAF output 2 UNDAF output 3 Capacity Development UNDAF output 1 UNDAF output 2 UNDAF output 3 Civil Society Partnerships UNDAF output 1 UNDAF output 2 UNDAF output 3 One Programme Joint Programme Joint Programme Joint Programme Joint Programme Joint Programme Joint Programme

8 Key Principles for Joint Programmes
The joint programmes (JPs) under the selected outputs should reflect a combination of the four focus areas and demonstrate how the UN family will work together more coherently and effectively in these four areas to achieve results the JPs should build on existing activities/programmes; the JPs should, as far as possible, fall under one primary UNDAF pillar; the JPs should address a number of UNDAF outputs selected as priority outputs of the One Programme the JPs should, in principle and to the extent possible, be at least one third funded; the JPs should include three or more agencies. These basic indicators gives us a good overview of current progress and challenges in Mozambique. As you see, Mozambique’s population is very young, with 10 million children accounting for half of the total population of 20 million. Around 70 per cent of Mozambicans live in rural areas, where the majority make a living from subsistence farming. Mozambique’s income per capita is US$ 310, which is well below the sub-Saharan average of US$ 754. But since the end of the civil war in 1992, the country has emerged as one of Africa’s most successful examples of post conflict reconstruction and economic recovery. Between 1997 and 2003, economic growth averaged about 9 per cent, well above the continent’s average, and continues to grow. Let’s look at some of these numbers in more detail.

9 Joint Programmes…. UNDAF Pillar Joint Programme Governance
Building Capacity of CSO Support Participatory Planning, Monitoring and Evaluation Women’s empowerment and gender equality Human Capital Ensure the Most Vulnerable Populations have Access to a Social Safety Net Enhance the Quality and Accessibility of Sexual and Reproductive Health Services Emergency Preparedness and Disaster Risk Reduction HIV/AIDS Strengthening the HIV and AIDS Response in Mozambique Economic Development Environmental Mainstreaming and Adaptation for Climate Change Building commodity value chains and market linkages for farmer associations Building Capacities for Effective Trade Policy Formulation and Management Promotion of Youth Employment Gains in child and maternal well-being have not been even across the country, and large numbers of children and women, especially those living in remote rural areas are at a disadvantage. Many young children die at home before reaching a health clinic or hospital because parents are not informed or do not have easy access to medical services. Another challenge is the limited access to health facilities. More than half of Mozambicans live one hour or more on foot from the nearest health clinic. There are only 600 doctors in the whole of Mozambique. Children’s lives can be saved if communities know how to protect children’s health and well-being. When children fall ill, it is critical that families bring them to health facilities in time and that children receive proper treatment. We work towards this goal by increasing public awareness of child and maternal health services and improving the quality of services in health centres. With our technical and financial assistance, the Ministry of Health conducts training for primary healthcare workers in the integrated management of childhood and neo-natal illnesses. IMNCI promotes an integrated, holistic approach to the case management of sick children, looking at the top causes of child mortality (malaria, pneumonia, diarrhoea, malnutrition, measles). It is recognized that many sick children present with more than one of these conditions at the same time, and the IMNCI approach aims to maximize the opportunities to address these multiple problems. The IMNCI programme was updated in 2006 to include HIV/AIDS and neo-natal components – and thus it has now come to be called Integrated Management of Neo-natal and Childhood Illness. The programme was introduced in Mozambique in 1998 and now covers 130 of the 148 districts in the country. UNICEF also supports the healthy and at-risk child consultations, treatment of severe acute malnutrition and emergency obstetric and neonatal care; we support the distribution of insecticide treated mosquito nets as well as immunisation against vaccine-preventable diseases. In the next couple of slides we’ll describe some of these activities in more detail. During the visit, you will see the healthy and at-risk child consultations at the health centre in Chimoio. IMNCI is also implemented at this facility.

10 One Budgetary Framework
Vision: one budgetary framework bringing together all contributions, to support the coherent resource mobilisation, allocation and disbursement of donor resources to the Delivering as one: Operational Plan for UN The One Budgetary Framework will be a consolidation of core and unmarked funds (RR and OR) for the UNDAF The One Budgetary Framework will be supported by a Joint Resource Mobilization Strategy One UN Fund The purpose of the One UN Fund is two-fold: Bridging the funding gap in the Joint Programmes Supporting the Change Management Process Gains in child and maternal well-being have not been even across the country, and large numbers of children and women, especially those living in remote rural areas are at a disadvantage. Many young children die at home before reaching a health clinic or hospital because parents are not informed or do not have easy access to medical services. Another challenge is the limited access to health facilities. More than half of Mozambicans live one hour or more on foot from the nearest health clinic. There are only 600 doctors in the whole of Mozambique. Children’s lives can be saved if communities know how to protect children’s health and well-being. When children fall ill, it is critical that families bring them to health facilities in time and that children receive proper treatment. We work towards this goal by increasing public awareness of child and maternal health services and improving the quality of services in health centres. With our technical and financial assistance, the Ministry of Health conducts training for primary healthcare workers in the integrated management of childhood and neo-natal illnesses. IMNCI promotes an integrated, holistic approach to the case management of sick children, looking at the top causes of child mortality (malaria, pneumonia, diarrhoea, malnutrition, measles). It is recognized that many sick children present with more than one of these conditions at the same time, and the IMNCI approach aims to maximize the opportunities to address these multiple problems. The IMNCI programme was updated in 2006 to include HIV/AIDS and neo-natal components – and thus it has now come to be called Integrated Management of Neo-natal and Childhood Illness. The programme was introduced in Mozambique in 1998 and now covers 130 of the 148 districts in the country. UNICEF also supports the healthy and at-risk child consultations, treatment of severe acute malnutrition and emergency obstetric and neonatal care; we support the distribution of insecticide treated mosquito nets as well as immunisation against vaccine-preventable diseases. In the next couple of slides we’ll describe some of these activities in more detail. During the visit, you will see the healthy and at-risk child consultations at the health centre in Chimoio. IMNCI is also implemented at this facility.

11 Resource Requirements for the JP in the One Fund
BUDGET TOTAL % Pillar Total Budget Total Funded (US$) UNFUNDED Unfunded (US$) Confirmed Pledged (Amount to be Mobilised) HIV/AIDS 20,053,000 6,218,000 5,625,000 8,210,000 40.94 Econ.Devel. 24,254,200 2,350,000 11,550,000 10,354,200 42.69 Governance 41,795,000 11,720,000 8,545,000 21,530,000 51.51 Hum. Capital 28,905,000 10,193,000 3,885,000 14,827,000 51.30 Total 115,007,200 30,481,000 29,605,000 54,921,200 47.75 Gains in child and maternal well-being have not been even across the country, and large numbers of children and women, especially those living in remote rural areas are at a disadvantage. Many young children die at home before reaching a health clinic or hospital because parents are not informed or do not have easy access to medical services. Another challenge is the limited access to health facilities. More than half of Mozambicans live one hour or more on foot from the nearest health clinic. There are only 600 doctors in the whole of Mozambique. Children’s lives can be saved if communities know how to protect children’s health and well-being. When children fall ill, it is critical that families bring them to health facilities in time and that children receive proper treatment. We work towards this goal by increasing public awareness of child and maternal health services and improving the quality of services in health centres. With our technical and financial assistance, the Ministry of Health conducts training for primary healthcare workers in the integrated management of childhood and neo-natal illnesses. IMNCI promotes an integrated, holistic approach to the case management of sick children, looking at the top causes of child mortality (malaria, pneumonia, diarrhoea, malnutrition, measles). It is recognized that many sick children present with more than one of these conditions at the same time, and the IMNCI approach aims to maximize the opportunities to address these multiple problems. The IMNCI programme was updated in 2006 to include HIV/AIDS and neo-natal components – and thus it has now come to be called Integrated Management of Neo-natal and Childhood Illness. The programme was introduced in Mozambique in 1998 and now covers 130 of the 148 districts in the country. UNICEF also supports the healthy and at-risk child consultations, treatment of severe acute malnutrition and emergency obstetric and neonatal care; we support the distribution of insecticide treated mosquito nets as well as immunisation against vaccine-preventable diseases. In the next couple of slides we’ll describe some of these activities in more detail. During the visit, you will see the healthy and at-risk child consultations at the health centre in Chimoio. IMNCI is also implemented at this facility.

12 One Leader ‘Cabinet’ Model, with RC as Prime Minister and UN Representatives as Ministers RC is responsible for: guiding the development and management of the One UN initiative oversight of the design and implementation of the UNDAF monitoring and evaluating implementation of the UNDAF supporting advocacy and resource mobilisation for the UNDAF representing participating UN entities at the most senior level of Government Revised TOR and Core Management Principles for UNCT have been endorsed. Gains in child and maternal well-being have not been even across the country, and large numbers of children and women, especially those living in remote rural areas are at a disadvantage. Many young children die at home before reaching a health clinic or hospital because parents are not informed or do not have easy access to medical services. Another challenge is the limited access to health facilities. More than half of Mozambicans live one hour or more on foot from the nearest health clinic. There are only 600 doctors in the whole of Mozambique. Children’s lives can be saved if communities know how to protect children’s health and well-being. When children fall ill, it is critical that families bring them to health facilities in time and that children receive proper treatment. We work towards this goal by increasing public awareness of child and maternal health services and improving the quality of services in health centres. With our technical and financial assistance, the Ministry of Health conducts training for primary healthcare workers in the integrated management of childhood and neo-natal illnesses. IMNCI promotes an integrated, holistic approach to the case management of sick children, looking at the top causes of child mortality (malaria, pneumonia, diarrhoea, malnutrition, measles). It is recognized that many sick children present with more than one of these conditions at the same time, and the IMNCI approach aims to maximize the opportunities to address these multiple problems. The IMNCI programme was updated in 2006 to include HIV/AIDS and neo-natal components – and thus it has now come to be called Integrated Management of Neo-natal and Childhood Illness. The programme was introduced in Mozambique in 1998 and now covers 130 of the 148 districts in the country. UNICEF also supports the healthy and at-risk child consultations, treatment of severe acute malnutrition and emergency obstetric and neonatal care; we support the distribution of insecticide treated mosquito nets as well as immunisation against vaccine-preventable diseases. In the next couple of slides we’ll describe some of these activities in more detail. During the visit, you will see the healthy and at-risk child consultations at the health centre in Chimoio. IMNCI is also implemented at this facility.

13 One Office: Common Premises and Services
Common Premises: Feasibility assessment undertaken UN & Government are under process of identifying land for UN Premises Common Services. Harmonised business practices Focus on five areas: Protocol and General administration Financial Management systems Human Resources Management Procurement of goods and services 5. ICT Gains in child and maternal well-being have not been even across the country, and large numbers of children and women, especially those living in remote rural areas are at a disadvantage. Many young children die at home before reaching a health clinic or hospital because parents are not informed or do not have easy access to medical services. Another challenge is the limited access to health facilities. More than half of Mozambicans live one hour or more on foot from the nearest health clinic. There are only 600 doctors in the whole of Mozambique. Children’s lives can be saved if communities know how to protect children’s health and well-being. When children fall ill, it is critical that families bring them to health facilities in time and that children receive proper treatment. We work towards this goal by increasing public awareness of child and maternal health services and improving the quality of services in health centres. With our technical and financial assistance, the Ministry of Health conducts training for primary healthcare workers in the integrated management of childhood and neo-natal illnesses. IMNCI promotes an integrated, holistic approach to the case management of sick children, looking at the top causes of child mortality (malaria, pneumonia, diarrhoea, malnutrition, measles). It is recognized that many sick children present with more than one of these conditions at the same time, and the IMNCI approach aims to maximize the opportunities to address these multiple problems. The IMNCI programme was updated in 2006 to include HIV/AIDS and neo-natal components – and thus it has now come to be called Integrated Management of Neo-natal and Childhood Illness. The programme was introduced in Mozambique in 1998 and now covers 130 of the 148 districts in the country. UNICEF also supports the healthy and at-risk child consultations, treatment of severe acute malnutrition and emergency obstetric and neonatal care; we support the distribution of insecticide treated mosquito nets as well as immunisation against vaccine-preventable diseases. In the next couple of slides we’ll describe some of these activities in more detail. During the visit, you will see the healthy and at-risk child consultations at the health centre in Chimoio. IMNCI is also implemented at this facility.

14 Communicating as One Vision: Towards ONE UN Communication in Mozambique Communication Strategy provides an effective and efficient commucation support to the overall goal of the One UN initiative. The DaO Communication Strategy builds upon the experience of the Communication Working Group External (Government, donors, NGOs) and internal focus Gains in child and maternal well-being have not been even across the country, and large numbers of children and women, especially those living in remote rural areas are at a disadvantage. Many young children die at home before reaching a health clinic or hospital because parents are not informed or do not have easy access to medical services. Another challenge is the limited access to health facilities. More than half of Mozambicans live one hour or more on foot from the nearest health clinic. There are only 600 doctors in the whole of Mozambique. Children’s lives can be saved if communities know how to protect children’s health and well-being. When children fall ill, it is critical that families bring them to health facilities in time and that children receive proper treatment. We work towards this goal by increasing public awareness of child and maternal health services and improving the quality of services in health centres. With our technical and financial assistance, the Ministry of Health conducts training for primary healthcare workers in the integrated management of childhood and neo-natal illnesses. IMNCI promotes an integrated, holistic approach to the case management of sick children, looking at the top causes of child mortality (malaria, pneumonia, diarrhoea, malnutrition, measles). It is recognized that many sick children present with more than one of these conditions at the same time, and the IMNCI approach aims to maximize the opportunities to address these multiple problems. The IMNCI programme was updated in 2006 to include HIV/AIDS and neo-natal components – and thus it has now come to be called Integrated Management of Neo-natal and Childhood Illness. The programme was introduced in Mozambique in 1998 and now covers 130 of the 148 districts in the country. UNICEF also supports the healthy and at-risk child consultations, treatment of severe acute malnutrition and emergency obstetric and neonatal care; we support the distribution of insecticide treated mosquito nets as well as immunisation against vaccine-preventable diseases. In the next couple of slides we’ll describe some of these activities in more detail. During the visit, you will see the healthy and at-risk child consultations at the health centre in Chimoio. IMNCI is also implemented at this facility.

15 Results achieved in 2008 One Programme document endorsed by Government
11 Joint Programmes developped and 8 signed Members of DaO Steering Committee identified. UN Evaluation Group mission on DaO conducted Establishment of the One Fund Comprehensive UN Staff capacity assessment rolling out DaO Communication Strategy and workplan endorsed and rolling out NRAs Coordination Officer, UN RCO M&E Officer and Change Project Management Officer recruited. Resource mobilization rolling out with $21million received.

16 Obrigado! Thank you!


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