Putting the recommendations into action

1. 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

4. What do we mean by accountability? Monitor Review Action

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

6. 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 • 10 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

7. Monitoring the Recommendations: Compacts By 2012, in order to facilitate resource tracking, compacts between country governments and all major development partners ... Achievements • 31 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?

8. Monitoring the recommendations Oversight, advocacy and action National oversight: By 2012, all countries have established accountability mechanisms that are transparent … • 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/

9. 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

10. 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