Informal Consultation with UNICEF Executive Board New York, 8 March 2010

1. In-depth Review of the MTSP Informal Consultation with UNICEF Executive Board New York, 8 March 2010 Emerging Findings

2. Overview • Background and process followed • Findings for MTSP Focus Areas • Findings for MTSP Cross-cutting Strategies • Findings for Management and Operations • Ways forward

3. Background and Process • In-depth review of each MTSP focus area • Review of each cross-cutting and operational strategy • Feedback through questionnaires from Country Offices, Member States and National Committees • Findings of recent evaluations and assessments including the 2009 MOPAN common approach • Outcome: adjustments in focus, and further refinement of MTSP Results Matrices and Integrated Monitoring and Evaluation framework

4. Focus Area 1: Young Child Survival and Development • Key trends: • Increase in number of countries on track to combat under-nutrition but setbacks due to economic slowdown (MDG1) • Continued progress in reducing child mortality, although disparities continue – neonatal mortality high (MDG 4) • Inadequate progress in reducing maternal mortality (MDG 5) • Good progress in increasing access to water supply although access to sanitation lagging – new approaches needed (MDG 7)

5. Variations in progress among regions and countries Under five mortality rates (U5MR per 1,000 live births, 2008) On track: U5MR is less than 40, or U5MR is 40 or more and the average annual rate of reduction (AARR) in the under-five mortality observed for 1990-2007 is 4.0 percent or more rate Insufficient progress: U5MR is 40 or more and AARR is between 1.0 per cent and 3.9 per cent No progress: U5MR is 40 or more and AARR is less than 1.0 per cent Data not available Source: UNICEF estimates based on the work of the Inter-agency Group for Child Mortality Estimation, 2009

6. Focus Area 1: Young Child Survival and Development

7. Focus Area 1: Young Child Survival and Development

8. Focus Area 1: Young Child Survival and Development

9. Focus Area 1: Young Child Survival and Development

10. Focus Area 1: Young Child Survival and Development • Ways Forward: • Leverage country and global partnership to focus on health systems strengthening – addressing key bottlenecks • Enhance support to proven interventions which improve access and quality of maternal and newborn care • Strengthen systems and wider partnerships to ensure sustainability of achievements in water and sanitation • In partnership with WHO and others, convene partners to enhance the analysis of disease patterns and promote support to high-impact interventions • Scale up integrated nutrition programming • Emphasize addressing disparities and exclusion (gender, location, ethnicity, disability, children without parents…)

11. Focus Area 2: Basic education and gender equality • Key trends: • Progress in net enrollment rates, although “hard to reach” children remain excluded – 72 million still out of primary school (MDG 2) • Access to pre-primary education, and overall quality, remain low (MDG 2 and MDG 3) • Although progress has been achieved in some countries , girls continue to be disadvantaged in access to education (MDG 3) • Increasingly effective education responses in emergencies

12. Many countries have reached gender parity in primary education Gender parity index (GPI) in primary education (2003–2008) Source: UNICEF global databases, 2009

13. Focus Area 2: Basic education and gender equality

14. Focus Area 2: Basic education and gender equality

15. Focus Area 2: Basic education and gender equality

16. Focus Area 2: Basic education and gender equality

17. Focus Area 2: Basic education and gender equality • Ways forward • In partnership with UNESCO and others, support process to determine where (and who) out of school children are and address the barriers they face • Addressing the learning and development needs of adolescents, especially girls and the marginalised • Engage in dialogue at all levels around Quality Education – including child-friendly schooling, learning outcomes and governance • Continued emphasis on strengthening national disaster risk reduction, preparedness and response • Through partnerships, support innovative ways of financing education at global, national and local levels

18. Focus Area 3: HIV/AIDS and children • Key trends: • 33.4 million people were living with HIV at end of 2008; 4.9 million 15-24 years old and 2.1 million under the age of 15 (MDG 6) • About 40 per cent of all new adult infections (15-49) were among 15-24 years old in 2008 (MDG 6)

19. Gap between pregnant women living with HIV and infants born to them who received ARVs for preventing mother-to-child transmission, 2004-2008 Source: WHO, UNAIDS and UNICEF, Towards Universal Access: Scaling up priority HIV/AIDS interventions in the health sector, Geneva, 2009

20. Focus Area 3: HIV/AIDS and children

21. Focus Area 3: HIV/AIDS and children

22. Focus Area 3: HIV/AIDS and children

23. Focus Area 3: HIV/AIDS and children • Ways forward: • In partnership with UN sister agencies and others at all levels, bring to scale a full range of interventions to promote prevention, based on local context • Promote “AIDS-sensitive” interventions which strengthen health and social protections systems • Support access to health, protection and education services for adolescents, young people and mothers practicing high risk behaviours • More effective use of resources and advocacy to put children at the centre of the global AIDS response – including through the Unite for Children, Unite Against AIDS initiative

24. Focus Area 4: Child Protection from violence, exploitation and abuse • Key trends: • Economic downturn, climate change and disasters will enhance vulnerabilities of children to violence, exploitation and abuse • Strengthening of national and global policy and legal frameworks • Increasing recognition of the need to establish and/or strengthen formal and informal child protection systems

25. The lowest levels of birth registration are found in sub-Saharan Africa and South AsiaPercentage of children under five who were registered (2000-2008) Source: UNICEF Global Database, Nov 2009 Compiled from MICS, DHS and other national surveys and vital registration data

26. Child labour is most prevalent in Africa Percentage of children aged 5–14 years engaged in child labour (2003-1008) Source: UNICEF Global Database, Nov 2009 Compiled from MICS, DHS and other national surveys

27. Focus Area 4: Child Protection from violence, exploitation and abuse

28. Focus Area 4: Child Protection from violence, exploitation and abuse

29. Focus Area 4: Child Protection from violence, exploitation and abuse

30. Focus Area 4: Child Protection from violence, exploitation and abuse

31. Focus Area 4: Child Protection from violence, exploitation and abuse • Ways forward: • Continued emphasis on strengthening multi-sectoral approaches and partnerships, including strengthening informal and formal CP systems including in emergencies and recovery phase (Haiti – prime example) • Greater attention to strengthening monitoring, evaluation and research on child protection in order to inform the development of programmes and policies • Clinton Global Initiative to End Sexual Violence Against Girls – entry point to strengthening CP systems and social change approach

32. Focus Area 5: Policy advocacy and partnerships for children’s rights • Key trends: • Poor families in need of greater support due to food/fuel price instability and economic downturn (MDG 1) • Additional pressures on limited resources threatens funding for basic services (MDG 8) • Continued expansion of data and analysis available for child-focused, gender-aware policies and decision-making

33. Focus Area 5: Policy advocacy and partnerships for children’s rights

34. Focus Area 5: Policy advocacy and partnerships for children’s rights

35. Focus Area 5: Policy advocacy and partnerships for children’s rights

36. Focus Area 5: Policy advocacy and partnerships for children’s rights

37. Focus Area 5: Policy advocacy and partnerships for children’s rights • Ways forward: • Continue to support and build capacity for data collection, including through the Multiple Indicator Cluster Survey and support further analysis and dissemination • Improve statistical literacy for UNICEF leadership to work with partners at all levels through additional training • Work closely with UN/other partners, to engage with policy-makers with a view to making families less vulnerable to economic and other shocks • Enhance integration of human rights principles and action for gender equality in social and economic policy • Advocate and support the elaboration of country-specific measures to advance national systems for child-sensitive social protection • Develop support to improved governance (laws, policies and programmes) and civic action in the best interests of the child

38. Cross-cutting strategies • Global attention to Human Rights has been translated into increased emphasis on reaching the excluded and most vulnerable children and families • Intensified support to promoting Gender Equality, including through mainstreaming in programmes • Emphasis on Communication for Development to reach MTSP targets has increased, although capacities remain limited • Need to adopt a more systematic approach to national capacity development, including a broad range of actors for children

39. Cross-cutting strategies (cont’d) • Results Based Management enhanced through greater attention to performance monitoring • Evaluations at country level require greater strategic focus and improved quality • Knowledge management internally focused - shift to “knowledge for children’s rights” • Greater flexibility in partnerships introduced through revised cooperation guidelines.

40. Progress towards Greater UN-Coherence • UNICEF contributed to the following results: • Simplified UNDAF guidelines, UNDAF Action Plans, common results reporting format and UNDAF Support package • Improved management and accountability for the UN and RC System • Implementation of TCPR recommendations to increase UN coherence • Progress in harmonized business processes, notably ICT and procurement • Contributed to discussions on system wide coherence and new gender entity • Stronger implementation of Cluster Approach in humanitarian situations. • Ways Forward: • Using the lessons learned from Delivering as One pilots to further strengthen joint programming and coherence • Accelerating harmonization of business processes • Focusing on UNCT impact through upstream policy and capacity development, in support of MDG achievement • Improving UNDG global and regional mechanisms to support UNCTs.

41. Management and Operations • Various initiatives (e-recruitment , e-performance assessment, new and emerging talent) have strengthened Human Resource Management – line manager accountability challenges remain to meet performance targets • Finance and Administration: policy development process for IPSAS completed – capacity development necessary to roll-out implementation. Simplified procedures have been introduced (contracts review, travel) • Supply systems strengthened, procurement services for partners has rapidly expanded

42. Management and Operations (cont’d) • Information and Communication Technology (ICT) and other processes enhanced to support UNICEF’s Enterprise Resource Planning (ERP) and Enterprise Content Management/ Collaboration (ECM) • Risk management strategies strengthened – new risk based audit a key component. Roll-out of training in Enterprise Risk Management started

43. Ways forward - Summary • Accelerate progress towards achievement of MDGs through: • Continued emphasis on “high burden” countries • Enhanced support to the appropriate mix of high impact interventions for each context • Greater focus on areas of concern – maternal mortality, sanitation, nutrition • Additional support to improving governance, including accountability systems for management of basic services • Strengthened partnerships at all levels (global, regional and country) to enhance coordination and focus of support • Support analytical and programme work that promotes greater Equity in MDG-related outcomes • Increase availability of disaggregated data on children

44. Way forward (cont’d) • Working more closely with other UN agencies and other partners (including at subnational level) – resulting in improved development effectiveness • Respond to changing context, including economic slowdown, Climate Change and natural disasters, children in slums, migration, opportunities in technology • Contribute to policy development and capacities for children in social sectors and national planning • Protect advances towards MDGs through • Increase emphasis on disaster risk reduction • Strengthen support to humanitarian action (preparedness, response and early recovery) including as cluster lead • Strengthen strategies for recovery and fragile situations.

45. Thank You