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