WELCOME
Helen Scott, Director, Canadian Network for
Maternal, Newborn and Child Health
4.4 million more lives were saved
in 2010 than 1990
Maternal mortality declining
faster since 2000
Annual under-5 child deaths (millions)
Annual maternal death (thousands)
408
12.0
398
9.6
287
7.6
6.6
in
2012
1990
2000
2010
1990
2000
2010
Risk of mortality peaks around childbirth
Stillbirths
Newborn deaths
Maternal deaths
Pre-pregnancy
Pregnancy
Child Deaths
Birth
Newborn/postnatal
Donnay, F. Bill and Melinda Gates Foundation
Childhood
Accelerating progress
• Still not reaching the most vulnerable
• Risk of maternal death 100x higher in Sub
Saharan Africa
• Neonatal period = 40% of child mortality
• 222 million women with unmet need for
voluntary, modern family planning
Economic Benefits of Investing in
Maternal, Newborn and Child Health
• Annual productivity loss of $15 billion due to maternal and
newborn deaths
• US$20 generated in benefits for every $1 invested in RMNCH key
interventions
• Lowering fertility in China and India increases
GDP per capita by 0.7-1.0%
per year
http://www.who.int/pmnch/media/news/2013/pmnchhealthpost2015.pdf
http://www.who.int/pmnch/topics/part_publications/ks24_rev_20130403_high.pdf
http://www.cddep.org/projects/lancet_commission_investing_health
Key Opportunities for IMPACT
•
Gender equity
•
Improved nutrition and food security – key focus on girls and
women
•
Prevent and treat neonatal morbidity and mortality
•
Integrated care for pneumonia and diarrhea prevention and
treatment (including vaccinations)
•
Improved access to emergency obstetric care and family
planning
•
HIV: eliminate transmission to newborns and focus on maternal
survival
Canada’s Leadership
2012
Creation of
CAN-MNCH
2010/11
Muskoka
Initiative
• Commission on
Information and
Accountability
• NGOs,
researchers &
clinicians
• Supported by
DFATD
• Enhanced
effectiveness
2013
Working
Together
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70 Partners
96 countries
100+ initiatives
1,000+ regions
1,000,000+ Canadians
2
0
1
5
2
0
1
2
Sharing insights,
experiences and
evidence
•
•
Connecting
Canadian experts
around the globe
Innovation and
research is key for
scaling up
Common metrics and
reporting to improve
accountability
•
Pilot projects Tanzania and
Bangladesh
Informing and
advising Canadian
stakeholders
•
•
Working closely
with important
stakeholders
Exploring
synergies with
private sector
Partner Organizations
MEASURING
RESULTS
KNOWLEDGE
EXCHANGE
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STAKEHOLDER
ENGAGMENT
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70 Canadian NGO,
Healthcare Professional
Associations and
Academic Institutions
are working in over
1,000 regions around
the world
7 Resource Partners
Complete online
mapping exercise
Approved by Steering
Committee
CAN-MNCH
MEASURING
RESULTS
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KNOWLEDGE
EXCHANGE
STAKEHOLDER
ENGAGEMENT
Steering Committee:
Elected at 2011 Annual
Meeting
Secretariat: Director,
Program Officer
Working Groups:
Knowledge Exchange,
Metrics, Stakeholder
Engagement (Policy)
CIDA
-
MEASURING
RESULTS
-
KNOWLEDGE
EXCHANGE
STAKEHOLDER
ENGAGEMENT
Funding – $1.8 million to
2015 (75%)
Active involvement in
Working Groups
Supportive
Improve MNCH
Working together to
maximize each sectors
valuable contributions
MEASURING
RESULTS
KNOWLEDGE
EXCHANGE
STAKEHOLDER
ENGAGEMENT
Metrics Working Group Update
Dorothy Shaw, Helen Scott
Organization
Member
CARE Canada
Ambrose, Kaia
SickKids/ Dalla Lana U of T
Bassani, Diego
Healthy Children Uganda
Brenner, Jenn
SickKids/ iERG
Bhutta, Zulfiquar
Can. Soc for Int’l Health
Hatcher Roberts, Janet
DFATD
Lajtonyi, Judith
DFATD
Bhattarai, Sudeep
Plan Canada
Mirza, Tanjina
DFATD
Canadian Red Cross
CAN-MNCH
Romaniuc, Lara
Salim Sohani
Scott, Helen
CAN-MNCH
Shaw, Dorothy
Save the Children
Vijayaraghavan, Janani
DFATD
Ahluwalia, Rashim
Mandate
• Clarify CoIA definitions and determine what is possible for Canadian
partners to measure and contribute to national level reporting.
• To create a platform for sharing comparable metrics across and between
CAN-MNCH Network organizations and CIDA.
• Share and socialize selected common metrics and measurement tools.
• To liaise with DFATD as a reference group on feasible and sustainable
reporting requirements.
• Strengthen or develop Network partners’ capacity to contribute to
district- or national-level surveillance in focus countries.
Landscape Analysis - Tanzania
Meetings held prior to Tanzania:
- Canadian partners (in Toronto)
- iERG
- WHO MDSR working group
- Jennifer Bryce
- Countdown to 2015
- Canadian Coalition for Global Health Research
Arusha:
- Save the Mothers (Unable to attend partners meeting)
- Jhpiego
- Integrare
- Merck for Mothers
- Comprehensive Community Based Rehabilitation
Landscape Analysis - Dar Es Salaam
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AKF TZ
AMREF TZ
CARE Canada
CPAR
CNIS
Grand Challenges Canada
PLAN Canada
PWRDF
Cuso International
World Vision Canada
World Vision TZ
• NOTE: Missing some Partners
• CIDA - Nadia Hamel, Judith Lajtonyi,
Gilles de Margerie
• Missing direct or collaborating partners
include CPHA, Save the Mothers; CISH;
SOGC; SickKids Global Child Health
program
• CDC: Sriyanjit Perera
• Ministry of Health and Social Welfare:
Dr. Neema Rusibamayila and Mr.
Kihinga
Landscape Analysis - Summary
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Canada’s contribution is significant (training)
# of data elements is unrealistic (> 300)
Family planning measures not integrated
CHW are responsible for data collection, limited validity,
reliability
• Our Partners rely on MoH and DHS data (poor quality/
slow)
• 11 indicators are gathered through MoH and DHS, not
reliable, regional, timely
MNCH Indicator Portal
Stakeholder Engagement Working Group
Member
Organization
Carmichael, Todd
Dendys, Chris
French, Meg
Lynch, Bridget
McWilliams, Cicely
Shaw, Dorothy
Scott, Helen
Therrien, Wendy
Tardiff, Jean Francois
AMREF Canada
Micronutrient Initiative
UNICEF Canada
Can Association of Midwives
Save the Children Canada
SOGC
CAN-MNCH
CAN-MNCH
RESULTS
Mandate
• To strengthen, accelerate, and amplify Canada’s global
leadership in securing results for the health of the world’s
most vulnerable women, newborns and children.
• Strengthen - Increased use of an integrated, multi-sectorial
approach (best practices) to improve MNCH programming.
• Accelerate - Canada’s MNCH efforts.
• Amplify - Public engagement with a purpose, communicating
for results.
Key Activities
• Supported Mom-mentum Mother’s Day Tea on
Parliament Hill, May 7, 2013 (co-hosted by Save the
Children/ CAN-MNCH)
• Prepared and disseminated the MNCH Strategy Note
– The Final Push: Working Together for Global
Maternal, Newborn and Child Health
• Oversee meeting preparations for high level meetings
with key government staff and elected representatives
Other outreach (examples)
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Canadian Global Health Conference
Grand Challenges, Rising Stars Luncheon - Laureen Harper
Meetings with various MPs and Senators
Dignitas Mother’s Day Campaign
Inaugural meeting - Coalition of Global Child Health Centres
Canadian Launch of the Global Action Plan for Prevention and
Treatment of Diarrhea and Pneumonia, SickKids Hospital
United Nations General Assembly, Every Woman Every Child
Reception
United Nations General Assembly, Every Woman Every Child
event, co-hosted by Prime Minister Harper
Canadian Launch of the Lancet Maternal and Child Series
Partnership for Maternal, Newborn and Child Health
GAVI
ONE.org
Knowledge Exchange Working Group
Member
Organization
Barwick, Melanie
Hospital for Sick Children / University of Toronto
Corluka, Adrijan
Global Health Research Initiative
Davidson, Marnie
CARE Canada
Emary, Colleen
World Vision
Gold, Emily
Micronutrient Initiative
MacDonnell, Heather Canadian Pediatric Society
Neufeld, Vic
Canadian Coalition for Global Health Research
Moerkerken, Ericka
CCISD
Salewski, Tanya
Aga Khan Foundation
Silver, Karlee
Grand Challenges Canada
Scott, Helen
CAN-MNCH
Mandate
• Identify & share evidence based interventions and indicators
in MNCH (science and lessons learned)
• Identify best practices in the implementation of MNCH
programs/ interventions (the HOW-TO). Share the evidencebased evidence about the implementation so as to inform
better implementation of MNCH PROGRAMS/INTERVENTONS
• Build awareness of/ facilitate and showcase examples of good
collaboration
• Facilitate sharing successes and challenges problem
solving/sharing for MNCH issues problems/issues ( i.e.: Rapid
Response Forum)
Key Activities
• Knowledge Portal
• Report template/ casebook that captures the single
most important thing (SMIT) or main messages
• MNCH Seminar Series: Nurturing Maternal Health,
AKF Canada
• October 3/4 – IMPACT 2025: Working Together for
Global, Maternal, Newborn and Child Health
• Regular blog, Facebook post and “News & Events” eblast highlighting key reports and documents
• Linking with domestic and international partners
across sectors to cross-populate latest research,
activities and opportunities
Linking with the research community
• Consultative process to guide government’s
investments (Gates Foundation; GCC models)
• Linking with NGOs for mutual sharing
(empirical and scientific evidence)
• Questions:
– What is the value add for the research
community? The NGO community?
– What are the wins for the network? Reverse
innovation; examples where research is driving
program change
Private Sector Survey
• 65% work with private sector; most have positive
experience
• Vast majority worked with PS for two years or less
• Main types of engagement
• PS provides funding for programming
• PS provides funding for research
• PS provides in kind materials (drugs, equipment)
• Key challenge - high level of effort to generate a low
level of funds
• Concerns with drug quality (expiration date etc.)
Building a network
• Stay focused; set clear, measurable goals
• Keep it small (suggest 5 or 6 key members)
• The first mile – Invest heavily, build trust
• Journey – Complimentary leadership,
discipline, flexible management
• The last mile – don’t stop with the end in sight