Global Strategy for Women''''s and Children''''s Health : Accountability Commission follow up Recommendation 10 Global Oversight pptx

Name • The UN Global Strategy for Women's and Children's Health September 2010 • Commission on Information and Accountability for Women’s and Children’s Health and Accountability

Global Strategy for Women’s and Children’s Health – Global Oversight

Name

• The UN Global Strategy for Women's

and Children's Health

September 2010

• Commission on Information and

Accountability for Women’s and

Children’s Health and Accountability

Framework of 10 Recommendations

December 2010 - May 2011

OUTLINE / CHRONOLOGY:

Global Strategy for Women’s and Children’s Health – Global Oversight

UN Global Strategy

• The UN Global Strategy for Women's and

Children's Health was launched in September

2010 by UN Secretary-General Ban Ki-moon

• It is a roadmap on how to enhance financing,

strengthen policy and improve service on the

ground for the most vulnerable women and

children

• It aims to save the lives of 16 million women and

Name

Commission on Information and Accountability

for Women’s and Children’s

Health

Global Strategy for Women’s and Children’s Health – Global Oversight

Commissioners

1 st Meeting of the Commissioners, WHO HQ, Geneva, 26 January 2011

Overview of the Commission

• Called at the request of the UN

Secretary-General as an integral part of the UN Global

Strategy for Women's and Children's Health

 President of Tanzania and Prime Minister of Canada co-chair

 WHO (secretariat) and ITU vice-chairs

 30 Commissioners

 2 Working Groups – Results and Resources

• Six month, time-limited Commission, from 26

Global Strategy for Women’s and Children’s Health – Global Oversight

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Objectives of the Commission

1 Determine international institutional

arrangements for global reporting, oversight and accountability - for results and resources - on

women's and children’s health

2 Identify ways to improve monitoring of progress

3 Propose actions to overcome major challenges

to accountability at the country level

4 Identify opportunities for innovation provided by

information technology

Accountability Framework: Key principles

• National leadership and ownership of results

• Strengthen countries’ capacity to monitor and evaluate

• Reduce the reporting burden by aligning efforts with the systems countries use to monitor and evaluate their

national health strategies

• Strengthen and harmonize existing international

mechanisms to track progress on all commitments made

• Founded on the fundamental human right of every woman and child to the highest attainable standard of health, and

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Accountability Framework: Parameters

• Applicable at all levels – national and global

• Links results and resources

• Three building blocks: Monitor, Review, Act

• All partners accountable for the commitments

they make and the health policies and

programmes they design and implement

• Builds on and strengthens existing mechanisms

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Commission: key outcomes

• Final Report Keeping Promises, Measuring Results :

- Accountability Framework

- 10 actionable Recommendations

• Request to WHO to lead implementation

• Advance Copy of Report released at a Technical Briefing (19 May) at the WHA

• Release by UN SG in New York on 20 September

2011

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Name

Accountability Framework:

10 Recommendations

Accountability Framework: Visual Representation

Global Strategy for Women’s and Children’s Health – Global Oversight

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Commission’s 10 Recommendations Holding all stakeholders accountable

• 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

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Better information for better results

1 Vital events: By 2015, all countries have

taken significant steps to establish a system for registration of births, deaths and causes

of death, and have well-functioning health

information systems that combine data from facilities, administrative sources and surveys

Global Strategy for Women’s and Children’s Health – Global Oversight

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Better information for better results

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2 Health indicators: By 2012, the same 11

indicators on reproductive, maternal and

child health, disaggregated for gender and

other equity considerations, are being used

for the purpose of monitoring progress

towards the goals of the Global Strategy

Better information for better results

Eleven indicators

• Three tracer indicators:

– maternal mortality ratio

– under-5 child mortality (with the proportion of newborn deaths)

– children under 5 who are stunted

• Eight coverage indicators:

– met need for contraception

– antenatal care coverage

– antiretroviral prophylaxis among HIV positive pregnant women to

prevent mother-to-child transmission of HIV

– skilled attendant at birth

– postnatal care (within 48 hours of childbirth) for mother and child

– breastfeeding exclusively for 6 months

– three doses of the combined diphtheria, pertussis and tetanus vaccine

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Better information for better results

3 Innovation: By 2015, all countries have

integrated the use of Information and

Communication Technologies in their

national health information systems and

health infrastructure

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Better tracking of resources

4 Resource tracking: By 2015, all 74 countries where 98% of maternal and child deaths take place are tracking and reporting, at a

minimum, two aggregate resource indicators: (i) total health expenditure by financing

source, per capita; and (ii) total reproductive, maternal, newborn and child health

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Better tracking of resources

5 Country Compacts: By 2012, in order to

facilitate resource tracking, “compacts”

between country governments and all major development partners are in place that

require reporting, based on a format to be

agreed in each country, on externally funded expenditures and predictable commitments

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Better tracking of resources

6 Reaching women and children: By 2015, all

governments have the capacity to regularly

review health spending (including spending

on reproductive, maternal, newborn and

child health) and to relate spending to

commitments, human rights, gender and

other equity goals and results

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Better oversight of results and resources

7 National oversight: By 2012, all countries

have established national accountability

mechanisms that are transparent, that are

inclusive of all stakeholders, and that

recommend remedial action, as required

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Better oversight of results and resources

8 Transparency: By 2013, all stakeholders are publicly sharing information on commitments, resources provided and results achieved

annually, at both national and international

levels

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Better oversight of results and resources

9 Reporting aid for women’s and children’s

health: By 2012, development partners

request the OECD-DAC to agree on how to

improve the Creditor Reporting System so

that it can capture, in a timely manner, all

reproductive, maternal, newborn and child

health spending by development partners In the interim, development partners and the

OECD implement a simple method for

reporting such expenditure

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Better oversight of results and resources

10 Global oversight: Starting in 2012 and

Review Group is reporting regularly to the

United Nations Secretary-General on the

results and resources related to the Global

Strategy and on progress in implementing

this Commission’s recommendations

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Name

Independent Expert Review Group

Independent Expert Review Group (IERG)

Proposed by a Selection Committee and appointed by

WHO DG on 2 September 2011:

 7 IERG members (2 co-chairs)

 Combination of technical, leadership, political,

geographical and gender factors

 WHO serves as Secretariat

Announced by Dr Margaret Chan, WHO Director-General,

at the UN Secretary-General's event on the Global

Strategy on 20 September 2011

Global Strategy for Women’s and Children’s Health – Global Oversight

IERG Members

• Dr Carmen Barroso - Director, International Planned, Parenthood

Federation (IPPF) Western Hemisphere Region), Brazil

• Dr Zulfiqar Bhutta - Professor and Founding Chair of the Division of

Women and Child Health, Aga Khan University, Karachi, Pakistan

• Dr Richard Horton* - Editor of the Lancet, UK

• Dr Dean Jamison - Professor, School of Public Health, University of

Washington, USA

• Mrs Joy Phumaphi* - Executive Secretary of the African Leaders

Malaria Alliance – ALMA, Botswana

• Dr Marleen Temmerman - Senator and Professor, University of Ghent,

Belgium

• Dr Miriam Were - Global Health Workforce Alliance, Kenya

*co-chairs

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IERG Terms of Reference

• assess the extent to which all stakeholders honor their commitments to

the Global Strategy and the Commission; including the US$ 40 billion of

commitments made in September 2010,

• review progress in implementation of the recommendations of the

• identify good practice, including in policy and service delivery,

accountability arrangements and value-for-money approaches relating

to the health of women and children;

• make recommendations to improve the effectiveness of the

Global Strategy for Women’s and Children’s Health – Global Oversight

IERG Timelines

Four years, from 2011 up to 2015:

 First meeting: 22 November 2011, Ottawa, Canada

 Second meeting : WDC July 2012

 Annual reports

First report: September, 2012

 Monthly telephone conferences

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Name

First meeting of the iERG

21-22 November 2011

Ottawa, Canada

Global Strategy for Women’s and Children’s Health – Global Oversight

iERG members

1 st Meeting of the iERG, Ottawa, Canada, 21-22 November 2011

Members of the independent Expert Review Group (left to right): Dr Marleen Temmerman,

Dr Richard Horton, Mrs Joy Phumaphi, Dr Carmen Barroso, Dr Dean Jamison, Dr Miriam Were

Dr Bhutta was not present in person at this meeting

Major Outcomes:

• The iERG's Chair:

Richard Horton – 2011 - 2013

Joy Phumaphi – 2013 - 2015

• iERG Communication Strategy

• iERG monitoring mechanism

• iERG first annual report – draft outline

Global Strategy for Women’s and Children’s Health – Global Oversight

iERG Communication Strategy:

iERG annual Report; iERG meeting reports and minutes; Web publications; Publications in peer- reviewed journals

Media briefings on accountability issues; media events; annual UN

SG "Accountability awards"

WHO-hosted iERG web site to enable information sharing and public consultation and to monitor progress against 9

recommendations

iERG monitoring mechanism:

• Information gathering through the WHO

web-based monitoring tool for direct country input and progress reports commissioned to different

stakeholders

• Immediate oversight priorities for 2012:

- Recommendations 2, 5, 7 and 9

Global Strategy for Women’s and Children’s Health – Global Oversight

Draft 2012 Report Outline:

1 Introduction

2 Stakeholder Commitment

3 Progress on the Global Strategy

4 Progress on Commission of Information and

Timeline for 2012 annual Report:

Global Strategy for Women’s and Children’s Health – Global Oversight

HOW CAN YOU GET INVOLED

• Input to our calendar

• Interact through our website

• Submit papers and comments