1. Group Work 2 Lessons Learned in Social Protection in Health Group No. 9 Facilitator: Elly Van Kanten

2. Health Systems Functions Priority elements in MNI Lessons Learned Next steps

3. Steering role /stewardship Priority elements in MNI Political will for SPH for WN & Child Health and equal access to all Regulatory framework and Policies, Regulatory function of MOH Increased Leadership competencies Community empowerment, recognition of the rights of the populations Results Based Management Increased maternal education rates / health knowledge Link health indicators to national development goals –includes international funding agencies- Lessons Learned Next steps

4. Steering role /stewardship Priority elements in MNI Political will for SPH for MNI Regulatory framework and Policies, Regulatory function Leadership competencies Community empowerment Results Based Management Increased maternal education rates / health knowledge Lessons Learned To have a Multisectorial National Strategic Plans on WN & Child morbidity and mortality reduction that are rights based, gender and culturally sensitive Implementation of effective evidence based interventions (BFHI, IMCI) Make provision for projected expansions and demands Produce and utilized data to show negative impact of MMR on countries GDP to ensure sustainability of political will –health information systems- Improvement in Quality from a community perspective Active involvement of Ministers of Health in M & E sessions Next steps

5. Steering role /stewardship Priority elements in MNI Political will for SPH for MNI Regulatory framework and Policies, Regulatory function Leadership competencies Community empowerment Results Based Management Increased maternal education rates / health knowledge Lessons Learned To have Multisectorial National Strategic Plans on MNI morbidity and mortality reduction that are rights based, gender and culturally sensitive Implementation of effective evidence based interventions (BFHI, IMCI) Make provision for projected expansions Produce and utilized data to show negative impact of MMR on countries GDP to ensure sustainability of political will Next steps Prioritize and strengthen Primary Health Care Strategies Implement incentive plans for Primary Health Care staff Staff competency respond to WN and Children needs Compensation review study Establish country Management Advisory Groups–top decision makers and authorities-

6. Service Provision Priority elements in MNI Universal access to WN & Child health services Sustainable improvement of Quality of Care Integrated Health Services Client Oriented and culturally sensitive services Competent management at all levels; administrative mobilization Improvement in leadership qualities Intersectorial collaboration and community empowerment Maintenance of Clients dignity Planning, monitoring and evaluation of services Human resources Lessons Learned Next steps

7. Service Provision Priority elements in MNI Universal access to WN & Child health services Sustainable improvement of Quality of Care Integrated Health Services Client Oriented and culturally sensitive services Competent management at all levels; administrative mobilization Improvement in leadership qualities Intersectorial collaboration and community empowerment Maintenance of Clients dignity Planning, monitoring and evaluation of services Lessons Learned Regular review of Perinatal Information System –SIP- Promote client “responsibility for own health” culture Maintain outreach sessions to hard to reach populations Management of services with staff participation in all phases Adolescent SRH programs SRH services with life cycle approach including family planning serv. Family centered care Address barriers to access for care Community participation & Community empowerment Expand Multitask para professional health workers - Essential and Emergency Obstetric Care Next steps

8. Service Provision Priority elements in MNI Universal access to MN & Child health services Sustainable improvement of Quality of Care Integrated Health Services Client Oriented and culturally sensitive services Competent management at all levels Intersectorial collaboration and community empowerment Lessons Learned Promote client responsibility for own health culture Maintain outreach sessions to hard to reach populations Management of services with staff participation in all phases Adolescent SRH programs SRH services with life cycle approach including family planning serv Next steps Leadership training for health Managers Regular performance review of health professionals Implement accountability mechanisms Strengthen intersectorial collaboration in health for WN & Children (e.g. GBV including sexual abuse) Adolescents sexual and reproductive health programs Ensure and implement quality assurance

9. Financing and Assurance Priority elements in MNI Political will Establish National Health Accounts Assignation of budget for Primary Health Care for WN & child health Accountability mechanisms Escalating cost of health care; cost containment measures Transparency Lessons Learned Next steps

10. Financing and Assurance Priority elements in MNI Protect National Health Accounts Assignation of budget for Primary Health Care for WN & child health Accountability mechanisms Escalating cost of health care; cost containment measures Transparency Lessons Learned There are opportunities for solidarity revenue initiatives for WN & Child Health Involvement of local leaders to improve water and sanitation Primary Health Care is the best cost containment strategy “It takes cash to care” Next steps

11. Financing and Assurance Priority elements in MNI Protect National Health Accounts Assignation of budget for Primary Health Care for WN & child health Accountability mechanisms Escalating cost of health care; cost containment measures Transparency Lessons Learned There are opportunities for solidarity revenue initiatives for WN & Child Health Involvement of local leaders to improve water and sanitation “It takes money to care” Next steps Training in Health Economics for managers including costing of programmes and services Create strategies for financing universal access to WN Child care Waste Reduction Strategies Create awareness in cost of health care among staff Utilization of the UN Agencies procurement services

12. Group Work 2 Lessons Learned in Social Protection in Health Group No. 9 Facilitator: Elly Van Kanten