Putting the recommendations into action

Transcription

1 24 May, 2012 Putting the recommendations into action Dr Flavia BUSTREO Assistant Director General, Family, Women s and Children s Health Cluster on behalf of the multi-stakeholder implementation team

2 The aspiration: to save ~16 million lives Progress in the world's 49 poorest countries if goals are met ( ) Protect 120 million children from contracting pneumonia Prevent 88 million children from stunting Prevent 33 million unwanted pregnancies Prevent 15 million deaths of children under the age of 5 Prevent 570 thousand deaths of pregnancy related complications We have the tools and resources and the political will 2

3 Promises made: Status as of September 2011 More than 200 commitments from a range of constituencies 15 countries attracted more than 10 commitments 7 countries with only one commitment and 1 country with no commitment 3

4 Holding ourselves to account Recommendations 1-3: Better information for better results Recommendations 4-6: Better tracking of resources for women's and children's health Recommendations 7-10: Better oversight of results and resources: nationally and globally 4

5 Two interdependent cycles 5

6 From recommendations to action 10 COMMISSION RECOMMENDATIONS May 2011 MULTI-STAKEHOLDER STRATEGIC WORKPLAN & BUDGET November 2011 CONCRETE ACTIONS Specific goals, priorities, activities, roles & responsibilities 6

7 The strategic work plan COMMISSION RECOMMENDATIONS 1. Vital events (CRVS) 2. Health indicators & equity 3. Innovation 4. Resource tracking 5. Country Compacts 6. Reaching Women/Children 7. National oversight 8. Transparency 9. Reporting aid for Women/ Children s health 10. Global Oversight Country Actions Global Actions Accountability Framework Monitoring of results Birth and death registration Maternal death surveillance & response ehealth & innovation Monitoring country resources Concluding compacts Advocacy and action Monitoring results Tracking resources Global review (ierg) 7

8 Key country actions Development of roadmap to strengthen country accountability framework Monitoring of results core indicators, HMIS, surveys, quality Strengthening civil registration and vital statistics Quality assessment through maternal and perinatal deaths surveillance and response (MDSR) Quality of care surveys Use of e-health and Innovation in health information systems Tracking of financial resources national health expenditure tracking, RMNCH sub-accounts Concluding compacts between government and all major partners based on a format agreed in each country Annual review and action with all relevant stakeholders including human rights bodies Advocacy National Countdown conferences, parliamentarians, community participation 8

9 Country Accountability Framework Achievements Standard tool developed for assessing country situation and priority actions Method based on IHP+ common framework building on existing country plans and processes 4 multi-country workshops to orient country teams and facilitate the development of roadmaps 22 Country Accountability Frameworks developed 6 countries developed assessments for CAF High level national endorsement of roadmaps through national accountability workshops Country Accountability Framework A tool for assessing and planning implementation of the country accountability framework for health with a focus on women's and children's health Monitor Action 06 March 2012 Review Challenges - Ensuring sustained technical support and financing for countries to implement priority actions over next 3 years 9

10 Progress: Country Accountability Framework 10

11 Monitoring results By 2012, the same 11 indicators on reproductive, maternal and child health, disaggregated being used Achievements Data quality report card tool developed to strengthen quality of facility data and assess service readiness 10 countries supported to strengthen M&E plans Preparation of analytical reports for health sector reviews Strategic partnerships to strengthen country analytical capacity (Africa Population & Health Research Centre, national statistical offices, Statistics Norway) Challenges - More partner engagement required to support in scale up at country level 11

12 Civil registration and vital statistics By 2015, all countries have taken significant steps to establish a system for registration of births, deaths and causes Achievements UN Human Rights Council adopted a resolution on birth registration as a human right (April 2012) Innovative CRVS initiatives underway in 14 countries (i.e. community registration using mobile devices) 16 countries with rapid CRVS assessments completed Africa Symposium on Statistical Development adopted resolution to strengthen CRVS in all 54 countries in Africa over next 5 years Asia regional CRVS plan under preparation with targets for country strengthening and high level political engagement Challenges - Broad stakeholder engagement slows process - Death and cause of death reporting consistently weak 12

13 Maternal Deaths Surveillance and Response Countries monitor quality of care provided in health services and take steps to make improvements Achievements Capacity building for MDSR in 10 countries 19 additional in June 2012 Concept of MDSR and maternal deaths notification well received Maternal death review used as platform for developing maternal death surveillance and response mechanism Challenges - Ensuring maternal death notification within 24 hours - Capacity for analysis of findings and feedback for action - Reaching all health facilities and communities 13

14 ehealth and Innovation By 2012, all countries are implementing national e-health strategies and web-based systems to report data... Achievements Country assessment based on ehealth Toolkit completed 30 countries for fast-track actions identified Challenges - Multiple initiatives and experiences but as yet uncoordinated - Few countries have a national ehealth strategy 14

15 Monitoring Resources in the country By 2015, all 75 countries are tracking and reporting, at a minimum, two aggregate resource indicators: Total health expenditure by financing source, per capita; and Total reproductive, maternal, newborn and child health expenditure by financing source, per capita Achievements Capacity for expenditure tracking in 30 countries Data on RMNCH expenditures reported at least once by 18 countries (including data from subaccounts on reproductive and child health) Challenges - Country capacity in health accounting is weakened by constant turnover of staff trained 15

16 Compacts By 2012, in order to facilitate resource tracking, compacts between country governments and all major development partners... Achievements Thirty countries have signed up to the International Health Partnership (IHP+) Sixteen countries have signed compacts/partnership agreement (Benin, Cambodia, DRC, Ethiopia, Kenya, Mali, Mauritania, Mozambique, Nepal, Niger, Nigeria, Rwanda, Sierra Leone, Togo, Uganda, Zambia) Six countries have partnership agreements in process (Burkina Faso, Burundi, Cote d Ivoire, Djibouti, Senegal, Sudan) 16

17 Oversight, advocacy and action National oversight: By 2012, all countries have established accountability mechanisms that are transparent In progress Working with Parliaments - Inter-Parliamentary Union Resolution on maternal and child health: Access to health as a basic right: the role of Parliaments in addressing key challenges to securing the health of women and children Annual health sector review meetings involving a broad range of stakeholders including civil society National Countdown to 2015 events - Using annual reports and country profiles to convene national conferences with all stakeholders 17

18 Tracking resources: global actions By 2012, development partners request the OECD-DAC to agree on how to improve the Creditor Reporting System Progress Task team of the Working Party on Development Finance Statistics of OECD-DAC convened October 2011 to prepare a technical proposal on tracking RMNCH disbursements and commitments Two options presented by the Task team to an informal meeting of the Working Party on Statistics February, Feedback obtained Three options to be presented in the official annual meeting of the Working Party on Statistics in Paris this June Technical proposals differ on the precision of the quantification of the amount of ODA to RMNCH Challenges - Accuracy of reporting 18

19 Monitoring of results: global actions More to follow 19

20 Funding Budget Needs Funding Allocation (2012) US$ 25 M Funding Gap 60 million 68% Funds recieved 28 million 29% Partners 21% WHO 27% Countries 42% ierg 10% US$ 10 million disbursed to date 20

21 Mongolian Welfare Association and other partners 21

22 Thank you 22