Overview Debra A. Jones Director of Global Advocacy, Family Care International

1. Overview Debra A. Jones Director of Global Advocacy, Family Care International Presentation at GTR Annual Planning Meeting November 30, 2010 Panama City, Panama

2. 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

3. What is the Global Strategy? The Global Strategy For Women’s and Children’s 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 women’s and children’s 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

4. Focusing on the most vulnerable women and children Women and newborns Adolescents • Childbirth and next few hours and days are period of greatest risk • 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

5. Coverage of key MNCH interventions is still too low Coverage (%) 100 50 Contraceptive prevalence 1+ ante-natal visits Skilled attendant at delivery Postnatal visit within 2 days Exclusive breast-feeding Case management of pneumonia Measles immunisation 0 Childhood Pre-pregnancy Pregnancy Birth Postnatal Source: Countdown to 2015 estimates for 68 priority countries.

6. Progress needs to be accelerated to reach 2015 targets Reduction in child mortality rates (MDG 4) Reduction in maternal mortality ratio (MDG 5) 100 450 90 -54% 400 -54% -59% -59% 72 65 290 260 33 30 120 108 Developing regions Developing regions World World 1990 2008 Target 2015

7. 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

8. More health for the money: The Global Consensus on Maternal, Newborn, and Child Health Removing barriers to access Skilled health workers Political leadership, community engagement Accountability for results Package of interventions Across the MNCH continuum

9. Maximize impact through 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 • Innovative approaches in leadership, results-based financing, public-private partnerships, tools and interventions, service delivery, and monitoring and evaluation Make funding channels more efficient • 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

10. More money for health: Substantial fundinggap: $26B in 2011, $42B in 2015 (for 49 lowest-income countries) Billions (US$) Other costs for scaling up to meet the health MDGs 20 18 16 15 Health systems costs of programs targeting women and children 12 15 13 12 12 10 Direct costs for programs targeting women and children 6 5 7 4 4 2011 2012 2013 2014 2015

11. 0 At MDG Summit, $40 billion pledged by stakeholders 1.0 0.03 40.3 2.3 Billions (2010 US$) 5.0 6.0 8.6 16.8 All countries except 49 lowest income 49 Lowest income countries Civil society UN & other multilateral organizations Global philanthropic institutions Business community Health care professional associations Total Governments 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

12. Accountability is essential to ensure commitments are met Feedback Activities of countries and partners Activities of countries and partners National and global commitments and actions Financial, policy and services delivery input Global forums (e.g., UNGA, WHA) Results and outcomes Intervention coverage, access to and quality of service Reporting on global progress (e.g., Countdown to 2015 / PMNCH, MDG report) Impact Women's and children's health outcomes Monitoring and evaluation (e.g., countries, UN agencies,academic institutions, OECD-DAC) Ongoing monitoring/tracking

13. Civil society’s 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 women’s and children’s health and increased investment in it

14. The Partnership for Maternal, Newborn and Child Health • Overview • Launched Sept. 2005 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

15. From Pledges to Action • What key actions can GTR take at regional and national levels during 2011-2015 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?