Global Strategy for Women's and Children's Health

UN Secretary-General Ban Ki-moon

Investing in Our Common Future

What is the Global Strategy?

The UN Secretary-General's Global Strategy for Women's and Children's

Health is the first comprehensive roadmap to accelerate progress, deliver

results, and ensure accountability for women's and children's health by:

• Galvanizing commitments and 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, including human resources

• Holding ourselves accountable for results

• Addressing social determinants

This global health effort builds on existing initiatives and aims to gain new commitments

How was the Global Strategy created?

Secretary-General Ban Ki-moon initiated a joint effort in April 2010 to improve

women's and children's health and accelerate progress towards the Millennium

Development Goals (MDGs)

300+ organizations contributed to the Global Strategy, developed under the

auspices of the UN Secretary-General and facilitated by The Partnership for

Maternal, Newborn & Child Health

The Global Strategy was launched at the MDG Summit on September 22,

2010 in New York City

Strategy welcomed by the United Nations General Assembly

Member States "committed to

accelerating progress in promoting

global health for all, including by...

Welcoming the Secretary-General’s

Global Strategy for Women’s and

Children’s Health, ...in order to

significantly reduce the number of

maternal, newborn and under five child

deaths..."

-High Level Plenary Meeting on the

MDGs

United Nations General Assembly

September 20-22, 2010

Total

40.3

Health care

professional

associations

0.03

Business

community

1.0

Global

philanthropic

institutions

2.3

UN & other

multilateral

organizations

5.0

Civil society

6.0

49 Lowest

income

countries

8.6

All countries

except 49

lowest

income

16.8

At MDG Summit, $40 billion pledged by stakeholders

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

Billions (2010 US$)

Governments

Strategy focuses on most vulnerable women and children

Women and newborns

Improve care during childbirth and

first days afterwards - which is the

period of greatest risk of death

Adolescents

Ensure adolescents have control over

their life choices, including fertility,

and access to appropriate

interventions

Vulnerable groups

Focus on ensuring equity of access to

health; e.g. poorest, those with HIV /

AIDS, orphans, indigenous populations

and those living furthest from health

services

More than 8 million women, newborns, and children under the

age of 5 die from preventable causes every year

Achieving the Global Strategy would save ~16 million lives

• Protect 120 million children from contracting pneumonia

Progress in the world's 49 poorest countries if goals are met (2010-15)

• 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 to improve the lives of millions of people

Progress needs to be accelerated to reach 2015 targets ...

Target 201520081990

89

99

6268

3033

-51%-52%

400

450

260290

100113

-61%-62%

WorldDeveloping

regions

Reduction in child mortality rates

(MDG 4)

Reduction in maternal mortality ratio

(MDG 5)

WorldDeveloping

regions

Source: Estimates of maternal mortality levels and trends 1990-2008. WHO / UNICEF / UNFPA / World Bank, 2010; Levels & Trends in Child Mortality, Report 2010. WHO / UNICEF / UNPD / World Bank, 2010;

Coverage (%)

100

50

0

Measles

immunisation

Case

management

of pneumonia

Exclusive

breast-

feeding

Postnatal visit

within 2 days

Skilled

attendant

at delivery

1+ ante-

natal visits

Contraceptive

prevalence

Pre-pregnancy Pregnancy Birth Postnatal Childhood

~2 million deaths still occur at the time of birth1

1. Including .5 million maternal deaths, 1 million stillbirths, and 1 million newborns 2Source: Coverage estimates for interventions across the continuum of care in the 68 priority countries. Range shows max and minimum values of individual countries. Bar is the average.

Max

Min

...Especially in increasing coverage of interventions

• Healthy women are more productive and earn more

throughout their lives

Why invest in women’s & children’s health?

It reduces poverty

It stimulates economic productivity and growth

It is cost effective

It helps women and children realize their

human rights

• Maternal and newborn deaths slow growth leading

to annual global productivity losses of US$15 billion

• Essential health care prevents illness and disability,

saving billions of dollars annually in treatment costs

• People are entitled to the highest attainable

standard of health

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

Accountability

AccessHealth

workers

Interventions

The MNCH global consensus – a framework for coordinated action

Leadership

LeadershipAccountability

AccessHealth

workers

InterventionsPolitical leadership,

community engagement

and mobilization across

diseases and social

determinants

The MNCH global consensus – a framework for coordinated action

AccessHealth

workers

Interventions

The MNCH global consensus – a framework for coordinated action

AccountabilityLeadership

Ensuring skilled and motivated health workers

are in the right place at the right time,

with the necessary infrastructure, drugs,

equipment and regulations

Accountability

AccessHealth

workers

Interventions

Leadership

Removing financial, social

and cultural barriers to access

including providing free essential services

for women and children (where countries choose)

The MNCH global consensus – a framework for coordinated action

Accountability

AccessHealth

workers

Interventions

Leadership

Accountability at all levels

for credible results

The MNCH global consensus – a framework for coordinated action

Accountability

AccessHealth

workers

Interventions

Leadership

Delivering high-quality services and packages of interventions in a continuum of care:

• Quality skilled care for women and newborns during and after pregnancy and childbirth (routine as well as emergency care)

• Improved child nutrition, and prevention and treatment of major childhood diseases, including diarrhea and pneumonia

• Safe abortion services (where not prohibited by law)• Comprehensive family planning• Integrated care for HIV/AIDs (i.e. PMTCT), malaria, and other services

The MNCH global consensus – a framework for coordinated action

• 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

Make funding channels

more efficient

• Innovative approaches in leadership, results-based

financing, public-private partnerships, tools and

interventions, service delivery, and monitoring and

evaluation can improve chances of achieving healthy

outcomes for women and children

• 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

Maximize impact through more health for the money

• Integrated a variety of child health

and family planning programs

• Trained health-care workers in

parallel with community outreach

initiatives

Result:

• Egypt is one of the few countries on track to meet the MDGs 4 and 5.

Examples of successful country approaches

Egypt

Integrating child and family health

Effectiveness through integration

• Emergency transport in one part of

India is met through an innovative

public private partnership model

• Costs paid by the state; technical and

operational management is handled

by EMRI

Result:

• 20-30% of all emergencies in this

area are mothers transported into

health facilities for delivery

India

Broadening access to health care

Innovation to public-private partnerships

• Introduced results-based financing

program

• Offered compensation incentives to

health facilities

Result:

• Deaths of infants reduced by 22%

and children deaths have dropped

26% in just 3 years

Examples of successful country approaches

Afghanistan

Reducing the deaths of infants and children

Making funding channels more efficient

• Already a Health Systems Funding

Platform country

• Share country priorities and timelines

with major donors

Result:

• Platform enables alignment of

programs and grants with its national

health plan

Nepal

Aligning funding with national health plan

Innovation to results-based financing

More money for women's and children's health is needed

Gap for health MDGs in 49

lowest-income countries:

• US$26 billion (US$19 per

capita) additional in 20111

• US$42 billion (US$27 per

capita) additional in 2015

• Almost half of these costs

are related to women and

children

Funding gap is significant... ...across 3 distinct categories

26

33

37

42

31

2012

4

12

15

12

2011

4

10

20

2014

15

6

13

18

Direct costs for programs

targeting women and

children7

2015

Health systems costs of

programs targeting

women and children

Other costs for scaling up

to meet the health MDGs

2013

5

12

16

Billions (2005 US$)

Potential impact by 2015 if funding gap is filled

Results for the 49 lowest-income countries assuming full funding:

• 43m new users with access to comprehensive family planning

• 19m more women give birth supported by a skilled health worker with the

necessary infrastructure, drugs, equipment and regulations

• 2.2m additional neonatal infections are treated

• 21.9m more infants breastfed for the first six months of life

• 15.2m more children under one are fully immunized

• 117m more children under five receive vitamin A supplements

• 85k more quality health facilities and 3.5m more health workers

Accountability essential to ensure commitments are met

Ongoing monitoring/tracking

Feedback

Global forum

(e.g., UNGA, WHA)

Reporting on global progress

(e.g., Countdown to 2015 / PMNCH,

MDG report)

Monitoring and evaluation

(e.g., countries, UN agencies,

academic institutions, OECD-DAC)

Activities of countries and partners Activities of countries and partners

National and global commitments and

actions

Financial, policy and services delivery input

Results and outcomes

Intervention coverage, access to and

quality of service

Impact

Women's and children's health outcomes

Over 300 organizations have contributed to this effort

The Global Strategy was developed under the auspices of the United Nations Secretary-General with

the support and facilitation of The Partnership for Maternal, Newborn & Child Health.

Governments: Australia ; Bangladesh; Brazil; Cambodia; Canada; Chile; China; Ethiopia; Finland; France; Germany; India; Indonesia; Italy; Japan; Liberia; Malta; Malawi; Mexico;

Mozambique; Nepal; Netherlands; Niger; Nigeria; Norway; Pakistan; Republic of Korea; Russia; Rwanda; Senegal; Sierra Leone; Spain; South Africa; St. Lucia; Sweden; Tanzania; Uganda;

United Kingdom; United States of America; African Union; European Union;

International organizations: Asian Development Bank; Organisation for Economic Co-operation and Development - Development Assistance Committee; the GAVI Alliance; the

Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria; Global Work Force Alliance; the Joint United Nations Programme on HIV and AIDS; United Nations Children's Emergency Fund;

United Nations Development Fund; United Nations Development Programme; United Nations Office of the High Commissioner for Human Rights; World Bank; World Food Programme; World

Health Organisation;

Business community: Abbott; Boston Consulting Group; Intel; GE Healthcare; GlaxoSmithKline Biologicals; GSM Association; Johnson & Johnson; Lyfespring Hospitals; Merck

Vaccines; MTV Networks International; Pfizer; Pepsico; Procter&Gamble; Rabin Partners; Sanofi Aventis; The Coca-Cola Company; Vodafone; Voxiva;

Academic, research and teaching institutions: All India Institute of Medical Sciences, India; ART constituency of the Partnership for Maternal, Newborn and Child Health;

Barcelona Centre for International Health Research, Spain; Centre for Development and the Environment, University of Oslo, Norway; Centre for Health and Population Sciences, Pakistan;

Earth Institute, Columbia University, USA; Harvard School of Public Health, USA; Initiative for Maternal Mortality Programme Assessment, School of Medicine and Dentistry, University of

Aberdeen, UK; Johns Hopkins Bloomberg School of Public Health, USA; National Health Systems Resource Center, India; Umea Centre for Global Health Research, Sweden; Universedade

Federal de Pelotas, Brazil; University of British Columbia, Canada; University of Lbandan, Nigeria;

Foundations: Aga Khan Foundation; Bill and Melinda Gates Foundation; Doris Duke Charitable Foundation; Dubai Cares; Rockefeller Foundation; United Nations Foundation;

Health professional organizations: Council of International Neonatal Nurses; International Confederation of Midwives; International Federation of Gynecology and Obstetrics;

International Paediatric Association; Royal Australian and New Zealand College of Obstetricians and Gynaecologists; Royal College of Obstetricians and Gynaecologists; Society of

Obstetricians and Gynaecologists of Canada; The International Pharmaceutical Federation; The World Federation of Societies of Anaesthesiologists;

NGOs: 34 Million Friends of UNFPA; Africa Progress Panel; Amnesty International; Aspen Institute; ASTRA Central and Eastern European Women’s Network for Sexual and Reproductive

Health and Rights, Poland; BRAC; Campaign for the Accelerated Reduction of Maternal Mortality in Africa; CARE International and CARE/USA; Center for Economic and Social Rights;

Center for Health and Gender Equity; Center for Reproductive Rights; Commission for Africa; Digital Health Initiative; Eakok Attomanobik Unnayan Sangstha; End Water Poverty; Family Care

International; Federation for Women and Family Planning; Federation of European Nurses in Diabetes; Foundation for Studies and Research on Women, Argentina; Girls Power Initiative,

Nigeria; Global Health and Development; Global Health Council; Global Healthcare Information Network; Global Health Visions; Gynuity Health Projects; Health Alliance International; Health

Poverty Action; International Advocacy Director Center for Reproductive Rights; International Baby Food Action Network; International Civil Society Support; International Coalition of Sexual

and Reproductive Rights; International HIV/AIDS Alliance; International Planned Parenthood Federation; International Women’s Health Coalition; LitteBigSouls; m-Health Alliance; March of

Dimes; Mothers 2 Mothers; Mujer y Salud, Uruguay; Nord Sud XXI; ONE Campaign; Oxfam/France and Oxfam/GB, Accra; Partners in Population and Development; Pathfinder International;

Physicians for Human Rights/USA; Population Services International; Program for Appropriate Technology in Health; Realizing Rights; Reproductive Health Matters; Rotary International;

Save the Children/UK and USA; Special Program of Research Development and Training in Human Reproductive Health; Tearfund; The Children’s Project International; The International

Confederation of Midwives; The YP Foundation, India; University of Washington/Health Action International; US Coalition for Child Survival; VSO International; WaterAid; White Ribbon

Alliance; Women and Children First; Women Deliver; Women’s Front of Norway; World Population Foundation/Germany; World Population Foundation/Netherlands; World Vision International;

World Vision/Australia and World Vision/UK.

Partner involvement equals success for women's and children's health

Commitments and support can be made by contacting:

A call to action for all partners to get involved

Organization

The United Nations Foundation

commitments@everywomaneverychild.org

The Partnership for Maternal, Newborn & Child Health (PMNCH)pmnch@who.int

Next steps: Commission on Information and Accountability

• The Global Strategy called for WHO "to establish a process to determine the most effective international institutional arrangements for global reporting, oversight and accountability for women's and children's health"

• On 16 December 2010, the UN announced that it is establishing a high-level Commission on Information and Accountability for Women's and Children's Health

• Co-chaired by Jakaya Kikwete, President of the United Republic of Tanzania, and Stephen Harper, Prime Minister of Canada

• 25+ Commissioners have been appointed from developed and developing countries, academia, civil society and the private sector

Commission on Information and Accountability

• The Commission will develop a framework for tracking resources committed to women's and children's health and results that will:

• Track results and resource flows at global and country levels

• Identify a core set of indicators and measurement needs

• Propose steps to improve health information and registration of vital events

• Explore opportunities for innovation in information technology to improve access to reliable information on resources and outcomes

• Work carried out by two working groups:

• Accountability for Results (chair: Richard Horton, Editor, The Lancet)

• Accountability for Resources (chair: Anne Mills, Professor of Health Economics and Policy, London School of Hygiene and Tropical Medicine)

• Draft report: May 2011

Backup Slides

•

• The global economic impact of maternal and newborn mortality is estimated at US$15

billion in lost productivity every year.

• Women are the sole income earners for over 25% of households worldwide.

• A woman’s income is more likely than a man’s to go toward food, medicine, education,

and other family needs.

• Women’s unpaid work — farming, managing their homes, caring for children and others

— equals about ⅓ of the world’s GNP.

• 30-50% of Asia's economic growth from 1965-1990 can be attributed to improvements

in reproductive health and reductions in infant and child mortality rates

Why investing in women’s & children’s health makes sense

More than 8 million women, newborns, and children under the

age of 5 die from preventable causes every year

To drive economic development

•

• Research confirms that a health system that delivers reproductive health care is a strong

system that delivers for everyone

• A woman’s poor health often pushes her family further into poverty

• Children born to women who have had at least 5 years of education are 40% more

likely to live past age 5

Why investing in women’s & children’s health makes sense

To reduce poverty and improve a countries overall well-being

To enable families to thrive•

• A mother’s death or disability greatly raises the chances her newborn and her other

children will die before age five

• Women connect their families and communities, instilling cultural and social values

• It helps women and children to realize their fundamental human rights

• Women’s and children’s health is inextricably linked to meeting the other MDG goals

Progress to date has been slow for MDG 4

Target 201520081990

8999

12

4552

46

80

667376

122

180

6268

6

37

6072

133

3033

4151715

27222425

41

60

-51%-52%

2123252932

-58%

-44%

-55%

Source: Levels & Trends in Child Mortality, Report 2010. WHO / UNICEF / UNPD / World Bank, 2010

Progress overall has been very slow for MDG 5

400450

16

110140

68

230

140

380

290

590

870

260290

1441854068

160

230280

640

100113

2835175835

9573

148

218

4

-61%-62%

92

Target 201520081990

Source: Estimates of maternal mortality levels and trends 1990-2008. WHO / UNICEF / UNFPA / World Bank, 2010

MDG 4: Little progress in Africa

UPDATED

On track

Insufficient progress

No progress/reversal

No data

Source: Levels & Trends in Child Mortality, Report 2010. WHO / UNICEF / UNPD / World Bank, 2010

MDG 5: Maternal deaths still common in Africa and AsiaUPDATED

Low

Medium

High

Very high

1. Maternal mortality ratio is defined as the number of deaths per 100,000 live births. Low represents countries with less than 100 deaths per 100,000 live births, medium represents countries with 100-500 deaths per 1000,000 live births, high represents countries with 501-1,000 deaths per 100,000 live births, and very high represents countries with greater than 1,000 deaths per 100,000 live births. Source: Estimates of maternal mortality levels and trends 1990-2008. WHO / UNICEF / UNFPA / World Bank, 2010

Maternal death rates1

No data

Cause of

Death% of Deaths Known Successful Interventions

Haemorrhage 24-35% of maternal deaths - Oxytocin and Misoprostol

- Controlled cord traction and uterine massages

- Skilled attendants

Unsafe

Abortion

9-13% of maternal deaths - Family planning

- Safe abortion, where not prohibited by law

- Trained healthcare providers and sanitary conditions

- Post-abortion care

Infections (e.g.

Sepsis,

pneumonia,

tetnus)

8-15% of maternal deaths,

29-36% of newborn deaths,

46% of child deaths

- Immunizations

- Antibiotics

- Hygienic delivery and postpartum care

- Skilled health care provider

Eclampsia &

Hypertensive

Disorders

12% of maternal deaths - Magnesium Sulphate administered by skilled attendants

What interventions work?Comment:

Ann suggests

1) deleting "Trained healthcare

providers and sanitary

conditions." in unsafe abortion

2) Only including TT

immunizations in infections – I

think you should just say

immunizations because there is

also the pneumoccal vaccine

Cause of

Death% of Death Known Successful Interventions

Obstructed

Labour

8% of maternal deaths - Caesarean section by skilled attendants in appropriate setting

- Improved Maternal Nutrition

Asphyxia 23% of newborn deaths - Improved maternal nutrition

- Skilled care during childbirth

Diarrhoea &

pneumonia

24% of child deaths

2.4% of newborn deaths

due to diarrhoea

Represent the two leading

causes of child deaths

- Oral rehydration therapy

- Increased sanitation and access to clean water

- Immunizations

Malaria and

HIV/AIDS

15% of child deaths

19% of women’s deaths

(AIDS)

- Treatment by a skilled health care provider

- Use of insecticide-treated nets and antimalarial medicines

- Preventing Maternal to Child Transmission (PMTCT) counseling and

ARVs

-Treatment with ARVs

Nutrition-

related

disorders

35% of child deaths - Access to proper, age-appropriate nutrition

- Encouraging breastfeeding

- Vitamin A supplements

What interventions work?

• Midwives assigned to every district

to provide basic home care for

expectant mothers

• Government encourages women to

visit the expanded national system of

hospitals and clinics during

pregnancy and for childbirth

Result:

• 99% of pregnant women receive at

least four prenatal visits and give

birth at a health facility

Success stories reflecting the key elements

Sri Lanka

Lowering the maternal mortality rate

Country led health plans

• Implement an insecticide treated net

(ITN) program providing family-sized

ITN to women enrolled in antenatal

care

• Parents of children under five that are

on track with scheduled vaccinations

receive greater subsidies

Result:

• Net distribution seems to have

increased the use of prenatal care and

renewed parents vaccination efforts.

Mali

Reducing cases of malaria

Integrated package of services

Success stories reflecting the key elements

• Country-wide campaigns have made

significant progress, particularly in the

rapid expansion of PMTCT

• 180 out of the 207 health facilities

provide PMTCT services

Result:

• From 2006 to 2009, services

expanded from 5% of HIV-positive

pregnant women to 42%

Lesotho

Preventing transmission of HIV to children

Health systems strengthening

• Government has made improving

family planning services a national

priority

• Rwanda has been a model of improving

access to maternal health care

Result:

• Contraceptive prevalence jumped from

10% in 2005 to 26% in 2008

Rwanda

Prioritizing family planning

Country led health plans

Success stories reflecting the key elements

• Approach that provides prevention and

treatment of the leading killers of

children by training workers at the

community level to diagnose and treat

these diseases

• Platform to deliver other key

interventions such as screening for

malnutrition, vitamin A support during

immunization and bed net campaigns

Sierra Leone

Integrated community case management

Health workforce capability building

• Government launched a new approach

to vitamin A supplementation.

• All children were given vitamin A

supplements

Result:

• Coverage for over 80% of the target

population resulting in an estimated

80,000 lives saved annually

Tanzania

Reducing child mortality rates

Health systems strengthening

Additional commitments

for health

Total for

health

Governments

26.0

Total

MNCH

39.7

Health

care pro-

fessional

associations

0.02

Business

community

1.0

Global

phil-

anthropic

institutions

2.3

UN &

other

multi-

lateral

organ-

izations

5.0

Civil

society

6.0

49 Lowest

income

countries

8.6

All

countries

except 49

lowest

income

16.8

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

Commitments for the health of women and children

~$66 billion for health committed for 2010-2015

Billions (US$)

Governments

65.7

A call to action: we all have a role to play

Women

and

children

Academic

/research

institutions

Health

care

workers

Civil

society

Gov /

Policy

makers

Donors

UN

agencies

Business

community

Governments and policymakers at local, national, regional

and global levels

• Develop prioritized national health plans, and allocate more funds

• Ensure resources are used effectively

• Strengthen health systems, including the health workforce, monitoring and evaluation

systems and local community care

• Introduce or amend legislation and policies in line with the principles of human rights,

linking women's and children's health to other areas (water and sanitation, poverty,

nutrition, education, gender equity)

• Encourage all stakeholders (including academics, health-care organizations, the

private sector, civil society, health-care workers and donors) to participate and to

harmonize their efforts

• Work with the private sector to ensure the development and delivery of affordable,

essential medicines and new technologies for health

Donor countries and global philanthropic institutions

• Provide predictable long-term support (financial and programmatic) in line with

national plans and harmonized with other partners

• Advocate focusing global health priorities on women and children

• Support research efforts

The United Nations and other multilateral organizations

• Define norms, regulations and guidelines to underpin efforts to improve women's and

children's health, and encourage their adoption

• Help countries develop and align their national health plans

• Work together and with others to strengthen technical assistance and programmatic

support, helping countries scale up their interventions and strengthen their health

systems, including health-care workers and community-level care

• Encourage links between sectors and integration with other international efforts (such

as those on education and gender equality), including harmonized reporting

• Support systems that track progress and identify funding gaps

• Generate and synthesize research-derived evidence, and provide a platform for

sharing best practices, evidence on cost-effective interventions and research findings

Civil society

• Develop and test innovative approaches to delivering essential services, especially

ones aimed at the most vulnerable and marginalized

• Educate, engage and mobilize communities

• Track progress and hold all stakeholders (including themselves) accountable for their

commitments

• Strengthen community and local capabilities to scale up implementation of the most

appropriate interventions

• Advocate increased attention to women's and children's health and increased

investment in it

The business community

• Scale up best practices and partner with the public sector to improve service

delivery and infrastructure

• Develop affordable new drugs, technologies and interventions

• Invest additional resources, provide financial support and reduce prices for goods

• Ensure community outreach and mobilization, coordinated with health-care workers

Health-care workers and their professional associations

• Provide the highest-quality care, grounded in evidence-based medicine, share best

practice, test new approaches, use the best tools possible and audit clinical practice

• Collaborate to provide universal access to the essential package of interventions,

addressing the needs of the vulnerable and marginalized

• Identify areas where services could be improved and innovations made

• Ensure that women and children are treated with respect and sensitivity when they

receive health care

• Advocate better training, deployment and retention of workers

• Work with academics to provide training and continuing education

• Provide information to track progress and hold authorities and donors to account

Academic and research institutions

• Deliver a prioritized and coordinated research agenda

• Encourage increased budget allocation for research and innovation

• Build capacity at research institutions, especially in low- and middle-income countries

• Strengthen the global network of academics, researchers and educators

• Help policy development by reporting on trends and emerging issues

• Disseminate new research findings and best practice, in collaboration with HCPAs