Committing to Child Survival: A Promise Renewed
Launching: WDC June 14, 2012
Overall goal.
End preventable child deaths in every country
Interim goals. Reach MDGs 4 and 5 by 2015 ( Annex 1)
In countries with an under-five mortality rate above 20 under-five deaths per 1,000, reduce the
mortality rate to 20 deaths or fewer by 2035 and continue to make progress.
U5 Mortality x 1000l.v SOWC 2012 in TACRO:
Example: Haiti (165), Bolivia (54), Guatemala (32), Suriname (31) Guyana (30), Dominican
Republic (27), Nicaragua (27), Trinidad Tobago ( 27), Honduras (24), Paraguay (25), Jamaica
(24). (Annex 2)
Signed pledge by:
In LAC 18 countries signed so far: Belize, Bolvia, Colombia,El Salvador, Grenada, Guatemala,
Guyana, Haiti, Honduras, Mexico, Nicaragua, Panama, Paraguay,Peru, Suriname, Uruguay,
Dominican Republic, Antigua, Barbuda. (closing September 3).
All partners’ pledge Vision: Committing to Child Survival- A Promise Renewed:
- Pledge to be signed by the Ministers of Health
- To support partners in fulfilling the renewed commitment to child survival, UNICEF will
establish a small secretariat in HQ to facilitate collective action on three fronts:
i. Evidence - based country plans
ii. At the national level, participating governments will lead the effort to sharpen
country action plans for child survival.
iii. Five-year milestones for maternal, newborn and child survival will be identified to
track and hasten declines in child mortality.
- Transparency and mutual accountability
- As part of A Promise Renewed, governments and partners from civil society, the U.N.
and the private sector will track and report the global progress of child survival strategies
- Global communication and social mobilization
- Social media, publications, and other communication channels will be used to sustain
the focus on and generate momentum for the goal to end preventable child deaths
UNICEF Vision. UNICEF Country Offices can cultivate the country ownership that is so critical
to the goals of A Promise Renewed, while helping governments identify and respond to the
children in greatest need. We see the momentum building around A Promise Renewed as a
movement, anchored in local initiative.
UNICEF Roles at global level they will continue to support Cos and Regional efforts by
providing technical assistance, mobilizing resources and political support, establishing a
secretariat to report on annual progress, and posting the latest data and analysis on the website
for A Promise Renewed.
UNICEF Roles at the regional level …… How we in TACRO will comply and deliver on the
regional office commitments/contributions.
- Information, Communication and Dissemination ( E.Paz with ALopez)
i. Disseminate the promise renewed documents to countries offices and partners including
UNICEF staff, civil society, religious groups, private sector and governments.
ii. Translate all the materials into Spanish, French, and Portuguese and some indigenous
languages. For example the brochure, the Global Road Map Vision for 2035.
iii. Positioning of the initiative in different forums and medias
- Update the MNCH strategy and disparity analysis ( E.Paz with EDL)
i. Update the MNCH regional situation today and disparity analysis ( Annex 3)
ii. Update the MNCH regional strategic orientation to the proposed strategic shifts described in
the global road map and annex below to accelerate progress and sustain commitment
strategy.
- Planning process (E. Paz with A.Oliver and Planning section)
i. Introduce in the Planning process of concerned countries the strategic shifts to accelerate
progress and sustain commitment in their current CPDs and future MTR to accelerate
actions to achieve 20 or FEWER under - five deaths per 1,000 live births by 2020
- Technical Assistance and Follow up of the overall process in the region to incorporate
strategic shifts Cos ( E. Paz and others) (Annex 4)
i. Develop global, regional and country scorecard indicators, tracking with a publication process
and provide technical support for country scorecard development
ii. Support the promise renewed, incorporate U5MR milestones and targets in programs and
partnerships’ tracking and reporting
iii. Provide and support forums for leaders to assess progress and share lessons
 Call to action promise renewed LAC version conference in 2013: PAHO, UNFPA, IDB,
Alliance on maternal health GTR and Neonatal health.
 Conference advocacy in regional forums such as the SLAN, ALAPE, Latino San,
Education
iv. Provide country support to sharpen national plans
v. In partnership with multilateral/bilateral initiatives, UNICEF will:
 Allocate funding and technical support using criteria tied to objective data on highest
burdens - geographies, causes and populations.
 Align and make emphasis on overall metrics for progress across child, neonate and
maternal health
vi. Provide unified support of potential country re-prioritization based on objective data. Each
country to choose its own path e.g. equitable reduction in U5MR throughout country,
coverage targets of specific interventions, policy and technology innovations
vii.Update funding process to support multi sector and multi-cause country priorities
viii.
Support country planning and implementation tools up to the global targets
 There will be a five year interim targets to track progress.
 Monitor the Milestones that would be re-evaluated based on sharpened national child
survival plans for 2020. This will create a fact-base and starting point for engaging RO in
post 2015 discussions:
 Child survival and development prioritized
 Greater shared knowledge of countries at starting points
 Planning process underway in many countries in the region
 Greater resource alignment and accountability and transparent information
UNICEF roles at CO level supported by RO ( E. Paz and others)
1) Provide Political Support to Governments in their efforts to encourage
governments to sign the child survival pledge
2) Provide Technical Assistance to Governments to develop evidence-based action
plans and milestones for accelerating declines in preventable child deaths: ( E.Paz
and others)
a. In districts or provinces where child mortality is higher than the national average.
b. Detailed analysis of the nature, distribution and social determinants of maternal
and child mortality, including girls’ education.
c. Implement modelling tools such as the Lives Saved Tool (LiST), to identify the
most effective and efficient strategies for reducing child mortality.
d. Encourage governments to incorporate analytic findings within their country
action plans for child survival, with the goal of accelerating progress towards the
MDG target.
e. Encouraging governments to set five year milestones for the period after 2015,
beginning with a new 2020 target that will bend the curve in child mortality.
f. Technical support to implement the four strategic Shifts requested ( Annex 4)
3) Provide Technical Support to Governments in Monitoring efforts: Reinforce
government-led efforts to monitor national and sub-national progress on
maternal, new-born and child survival through processes that encourage public
participation and strengthen accountability. ( with Bastiaan Vant Hoff)
a. Country scorecard development (generic monitoring template). The template
builds on indicators developed by the U.N. Commission for Information and
Accountability for Women’s and Children’s Health, and offers countries a menu of
options that can be simplified or augmented, based on national priorities and
planning processes. ( Annex 4)
b. Promote innovative applications that use mobile technology to enable civil society
groups and individual citizens to report on the quality of public services. The
information generated through these participatory approaches can supplement
and strengthen data obtained through existing monitoring mechanisms, including
MoRES.
4) Provide Strategic Representation at country level to call on partners from
government, civil society, the private sector, and the development community to
strengthen coordination and scale-up action, in support of government priorities
for maternal, new-born and child survival. (Annex 6)