Putting the recommendations
into action
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
2
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
3
What do we mean by
accountability?
Monitor
Review
Action
The strategic work plan
Accountability Framework
COMMISSION
RECOMMENDATIONS
Monitoring of results
Birth and death registration
1. Vital events (CRVS)
2. Health indicators & equity
3. Innovation
4. Resource tracking
5. Country Compacts
6. Reaching Women/Children
Maternal death surveillance & response
Country
Actions
eHealth & innovation
Monitoring country resources
Reviews and compacts
7. National oversight
Advocacy and action
8. Transparency
9. Reporting aid for Women/
Children’s health
10. Global Oversight
Monitoring results
Global
Actions
Tracking resources
Global review (iERG)
5
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
Country Accountability Framework
A tool for assessing and planning implementation of
the country accountability framework for health
with a focus on women's and children's health
Monitor
Review
Action
06 March 2012
6
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?
7
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/
8
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 countryled accountability platform