putting the recommendations into action
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Putting the recommendations
into action
2
Promises made in context Global Strategy for Women's and Children's Health
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
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
What do we mean by accountability?
Monitor
Action
Review
5
1. Vital events (CRVS) 2. Health indicators & equity
3. Innovation
4. Resource tracking5. Country Compacts 6. Reaching Women/Children
7. National oversight
8. Transparency9. Reporting aid for
Women/ Children’s health
10. Global Oversight
COMMISSION RECOMMENDATIONS
Country Actions
GlobalActions
Birth and death registration
Monitoring of results
Maternal death surveillance & response
Accountability Framework
eHealth & innovation
Monitoring country resources
Advocacy and action
Monitoring results
Tracking resources
Global review (iERG)
The strategic work plan
Reviews and compacts
6
Country Accountability Framework
AchievementsStandard tool developed for assessing country
situation and priority actionsMethod based on IHP+ common framework,
building on existing country plans and processes10 multi-country workshops to orient 75 country
teams and facilitate the development of roadmaps
50+ Country Accountability Self-Assessments developed
20+ National accountability workshops with roadmaps for 2012-15
Challenges- Lack of clarity on existing M&E plans and
resources- Level of involvement variable: high level gov,
CSO, parliamentarians, development partners
Country Accountability Framework
06 March 2012
A tool for assessing and planning implementation of the country accountability framework for health with a focus on women's and children's health
Action
Monitor Review
7
Achievements31 countries have signed up to the International Health Partnership
(IHP+), 17 countries have signed compacts/partnership agreement (Benin, Cambodia, DRC, Ethiopia, Kenya, Mali, Mauritania, Mozambique, Nepal, Niger, Nigeria, Rwanda, Sierra Leone, Togo, Uganda, Zambia)
What about other countries? Compact-lie arrangements?
Monitoring the Recommendations: Compacts
By 2012, in order to facilitate resource tracking, compacts between country governments and all major development partners ...
8
National oversight: By 2012, all countries have established accountability mechanisms that are transparent …
Monitoring the recommendationsOversight, advocacy and action
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 … MNCH agenda
National Countdown to 2015 events- Using annual reports and country profiles to
convene national conferences with all stakeholders http://www.who.int/woman_child_accountability/en/
Independent expert review group
• 7 members, co-chairs Richard Horton and Joy Phumaphi
• Focuses on implementation of Global Strategy (promises) and recommendations of Commission
• Report launched in Sep at UNGA
Conclusion• Achievement: accountability framework is based on the IHP+
principles– Accountability framed in context of national health strategy,
with special attention for MNCH; annual reviews, transparency; tracking resources include all sources, subaccounts; inclusive process and advocacy: involvement civil society etc.
• Job done?– Much work still needs to be done at global and country levels
to reach adequate levels of accountability for health, but trend is positive
– Global Fund, GAVI, USG and others and the country-led accountability platform
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