WELCOME Helen Scott, Director, Canadian Network for Maternal, Newborn and Child Health

2. WELCOME Helen Scott, Director, Canadian Network for Maternal, Newborn and Child Health

3. Maternal mortality declining faster since 2000 Annual maternal death (thousands) 4.4 million more lives were saved in 2010 than 1990 Annual under-5 child deaths (millions) 6.6 in 2012

4. Risk of mortality peaks around childbirth Stillbirths Newborn deaths Maternal deaths Child Deaths Childhood Newborn/postnatal Pre-pregnancy Pregnancy Birth Donnay, F. Bill and Melinda Gates Foundation

5. Accelerating progress • Still not reaching the most vulnerable • Risk of maternal death 100x higher in Sub Saharan Africa • Neonatal period = 40% of child mortality • 222 million women with unmet need for voluntary, modern family planning

6. Economic Benefits of Investing in Maternal, Newborn and Child Health • Annual productivity loss of $15 billion due to maternal and newborn deaths • US$20 generated in benefits for every $1 invested in RMNCH key interventions • Lowering fertility in China and India increases GDP per capita by 0.7-1.0% per year http://www.who.int/pmnch/media/news/2013/pmnchhealthpost2015.pdf http://www.who.int/pmnch/topics/part_publications/ks24_rev_20130403_high.pdf http://www.cddep.org/projects/lancet_commission_investing_health

7. Key Opportunities for IMPACT • Gender equity • Improved nutrition and food security – key focus on girls and women • Prevent and treat neonatal morbidity and mortality • Integrated care for pneumonia and diarrhea prevention and treatment (including vaccinations) • Improved access to emergency obstetric care and family planning • HIV: eliminate transmission to newborns and focus on maternal survival

8. Canada’s Leadership • 2013 • Working • Together • 70 Partners • 96 countries • 100+ initiatives • 1,000+ regions • 1,000,000+ Canadians • 2012 • Creation of CAN-MNCH • NGOs, researchers & clinicians • Supported by DFATD • Enhanced effectiveness • 2010/11 • Muskoka Initiative • Commission on Information and Accountability

9. 2 0 1 5 2 0 1 2 • Common metrics and reporting to improve accountability • Pilot projects - Tanzania and Bangladesh • Informing and advising Canadian stakeholders • Working closely with important stakeholders • Exploring synergies with private sector • Sharing insights, experiences and evidence • Connecting Canadian experts around the globe • Innovation and research is key for scaling up

10. Partner Organizations • 70 Canadian NGO, Healthcare Professional Associations and Academic Institutions are working in over 1,000 regions around the world • 7 Resource Partners • Complete online mapping exercise • Approved by Steering Committee MEASURING RESULTS KNOWLEDGE EXCHANGE STAKEHOLDER ENGAGMENT

11. CAN-MNCH • Steering Committee: Elected at 2011 Annual Meeting • Secretariat: Director, Program Officer • Working Groups: Knowledge Exchange, Metrics, Stakeholder Engagement (Policy) MEASURING RESULTS KNOWLEDGE EXCHANGE STAKEHOLDER ENGAGEMENT

12. CIDA • Funding – $1.8 million to 2015 (75%) • Active involvement in Working Groups • Supportive MEASURING RESULTS STAKEHOLDER ENGAGEMENT KNOWLEDGE EXCHANGE

13. Improve MNCH Working together to maximize each sectors valuable contributions MEASURING RESULTS STAKEHOLDER ENGAGEMENT KNOWLEDGE EXCHANGE

14. Metrics Working Group UpdateDorothy Shaw, Helen Scott

16. Mandate • Clarify CoIA definitions and determine what is possible for Canadian partners to measure and contribute to national level reporting. • To create a platform for sharing comparable metrics across and between CAN-MNCH Network organizations and CIDA. • Share and socialize selected common metrics and measurement tools. • To liaise with DFATD as a reference group on feasible and sustainable reporting requirements. • Strengthen or develop Network partners’ capacity to contribute to district- or national-level surveillance in focus countries.

17. Landscape Analysis - Tanzania • Meetings held prior to Tanzania: • Canadian partners (in Toronto) • iERG • WHO MDSR working group • Jennifer Bryce • Countdown to 2015 • - Canadian Coalition for Global Health Research • Arusha: • Save the Mothers (Unable to attend partners meeting) • Jhpiego • Integrare • Merck for Mothers • Comprehensive Community Based Rehabilitation

18. Landscape Analysis - Dar Es Salaam • AKF TZ • AMREF TZ • CARE Canada • CPAR • CNIS • Grand Challenges Canada • PLAN Canada • PWRDF • Cuso International • World Vision Canada • World Vision TZ • NOTE: Missing some Partners • CIDA - Nadia Hamel, Judith Lajtonyi, Gilles de Margerie • Missing direct or collaborating partners include CPHA, Save the Mothers; CISH; SOGC; SickKids Global Child Health program • CDC: Sriyanjit Perera • Ministry of Health and Social Welfare: Dr. Neema Rusibamayila and Mr. Kihinga

19. Landscape Analysis - Summary • Canada’s contribution is significant (training) • # of data elements is unrealistic (> 300) • Family planning measures not integrated • CHW are responsible for data collection, limited validity, reliability • Our Partners rely on MoH and DHS data (poor quality/ slow) • 11 indicators are gathered through MoH and DHS, not reliable, regional, timely

20. MNCH Indicator Portal

21. Stakeholder Engagement Working Group

23. Mandate • To strengthen, accelerate, and amplify Canada’s global leadership in securing results for the health of the world’s most vulnerable women, newborns and children. • Strengthen - Increased use of an integrated, multi-sectorial approach (best practices) to improve MNCH programming. • Accelerate - Canada’s MNCH efforts. • Amplify - Public engagement with a purpose, communicating for results.

24. Key Activities • Supported Mom-mentum Mother’s Day Tea on Parliament Hill, May 7, 2013 (co-hosted by Save the Children/ CAN-MNCH) • Prepared and disseminated the MNCH Strategy Note – The Final Push: Working Together for Global Maternal, Newborn and Child Health • Oversee meeting preparations for high level meetings with key government staff and elected representatives

25. Other outreach (examples) • Canadian Global Health Conference • Grand Challenges, Rising Stars Luncheon - Laureen Harper • Meetings with various MPs and Senators • Dignitas Mother’s Day Campaign • Inaugural meeting - Coalition of Global Child Health Centres • Canadian Launch of the Global Action Plan for Prevention and Treatment of Diarrhea and Pneumonia, SickKids Hospital • United Nations General Assembly, Every Woman Every Child Reception • United Nations General Assembly, Every Woman Every Child event, co-hosted by Prime Minister Harper • Canadian Launch of the Lancet Maternal and Child Series • Partnership for Maternal, Newborn and Child Health • GAVI • ONE.org

26. Knowledge Exchange Working Group

28. Mandate • Identify & share evidence based interventions and indicators in MNCH (science and lessons learned) • Identify best practices in the implementation of MNCH programs/ interventions (the HOW-TO). Share the evidence-based evidence about the implementation so as to inform better implementation of MNCH PROGRAMS/INTERVENTONS • Build awareness of/ facilitate and showcase examples of good collaboration • Facilitate sharing successes and challenges problem solving/sharing for MNCH issues problems/issues ( i.e.: Rapid Response Forum)

29. Key Activities • Knowledge Portal • Report template/ casebook that captures the single most important thing (SMIT) or main messages • MNCH Seminar Series: Nurturing Maternal Health, AKF Canada • October 3/4 – IMPACT 2025: Working Together for Global, Maternal, Newborn and Child Health • Regular blog, Facebook post and “News & Events” e-blast highlighting key reports and documents • Linking with domestic and international partners across sectors to cross-populate latest research, activities and opportunities

30. Linking with the research community • Consultative process to guide government’s investments (Gates Foundation; GCC models) • Linking with NGOs for mutual sharing (empirical and scientific evidence) • Questions: • What is the value add for the research community? The NGO community? • What are the wins for the network? Reverse innovation; examples where research is driving program change

31. Private Sector Survey • 65% work with private sector; most have positive experience • Vast majority worked with PS for two years or less • Main types of engagement • PS provides funding for programming • PS provides funding for research • PS provides in kind materials (drugs, equipment) • Key challenge - high level of effort to generate a low level of funds • Concerns with drug quality (expiration date etc.)

32. Building a network • Stay focused; set clear, measurable goals • Keep it small (suggest 5 or 6 key members) • The first mile – Invest heavily, build trust • Journey – Complimentary leadership, discipline, flexible management • The last mile – don’t stop with the end in sight