FIRST MEETING OF CAN-MNCH 20 November 2011 Ottawa, Canada Proceedings of the Meeting Background The first face-to-face meeting of the Canadian Network for Maternal Newborn and Child Health (CAN-MNCH) took place in a closed session on 20 November 2011 in Ottawa, Canada, in parallel with both the second Ministerial Roundtable on the Muskoka Initiative on November 22, Ottawa, hosted by the Honourable Minister of International Cooperation, Beverly J. Oda and the second International Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health (CoIA), Ottawa, November 20-22, co-hosted by WHO and Canada at the occasion of “Delivering Results for Women and Children” Forum. The purpose of the first CAN-MNCH meeting was to: 1) Report on activities of the Network to date and currently planned; 2) Discuss the value and role of the Network; 3) Agree on a list of metrics to take forward to the second Ministerial Roundtable on the Muskoka Initiative; and 4) Review the draft Terms of Reference. The present document summarizes the discussions and action points at the first meeting of the Canadian Network for Maternal Newborn and Child Health. Opening Rosemary McCarney welcomed the Network Partners to the Inaugural CAN-MNCH meeting and facilitated Network Partner’s introductions. Dr. Dorothy Shaw provided background information about the Network and the context for this initiative. In November 2010, the Honourable Minister of International Cooperation, Beverley J. Oda, hosted a Roundtable on the Muskoka Initiative, attended by leaders from Canadian organizations involved in maternal, newborn and child health (MNCH). Subsequently, at the Minister’s request, Dr. Dorothy Shaw (Canada Spokesperson for G8/G20, Partnership for MNCH, Geneva) and Rosemary McCarney (President and CEO, Plan International Canada, Inc.) agreed to coordinate the establishment of a Canadian Network for MNCH (CANMNCH). Helen Scott was hired as the Coordinator for the pilot initiative in May 2011. CAN-MNCH is a pilot initiative to determine possible synergies between different Canadian constituents, in order to facilitate integration across the Health Millennium Development Goals (1c, 4, 5, 6). The goal of this Network is to foster synergy and collaborative relationships between organizations working on MNCH, through the sharing of information, as well as providing advice to the Canadian International Development Agency (CIDA). This pilot initiative was undertaken with the financial support of the Government of Canada provided through CIDA (<$100,000). As described by Dr. Shaw, one year since the launch of Every Woman Every Child, progress updates and recent publications highlight achievements and the need to keep pushing for improvement in women's and children's health worldwide. Meeting Proceedings CAN-MNCH 2011 1 Report on activities to date and currently planned The first phase of this initiative involved surveying potential partner organizations and developing an appropriate web-based interface, through a mapping exercise of MNCH-related activities in current CIDA-focus countries (and relevant global activities overall). The results this exercise are reported in the CAN-MNCH Mapping Exercise Report (available at www.can-mnch.ca/resources). Helen Scott provided a snapshot of the information gathered through the Activity Survey/ Mapping Exercise. The main purpose of the pilot project was to develop an online, up-to-date, interactive tool that allowed the organizations and government bodies, - both Canadian and abroad - to explore the nature, scope and type of MNCH-related work that Canadian organizations do and to promote collaborative efforts among Canadian organizations working toward a common goal. The website allows the users to explore detailed descriptions of the MNCH initiatives that are being done in 94 CIDA Focus, Global Strategy Priority and other countries. In addition to a brief description of the programs being offered in-country, and the region where the organizations are working, the website also provides information about program objectives, evaluation metrics used, descriptions of target population, in-country workers and where to go to find more information about the program. The website is intended to be a forum to bring Canadian organizations together to improve our efforts at meeting the Health Millennium Development Goals - specifically saving the lives of women and children. The website is a platform to launch synergistic activities in Canadian organization’s combined efforts at meeting these goals. As described at the meeting, Canadians are truly doing exceptional work around the world to make a difference in the lives of women and children. Discussion on the value and role of CAN-MNCH The second phase involves consulting partners on the level of support for creating a Canadian MNCH Network and determining their unique value contribution. This will drive the development of principles/mandates to guide future work of the Network. Greatest potential value of CAN-MNCH Establish a common platform to promote better collaboration, coordination and innovation amongst Canadian Partners in support of the MNCH initiative Inform the Canadian International Development Agency’s MNCH strategy and programming Exchange information on best practices and experiences Organization’s contributing to CAN-MNCH Responses and discussions indicated willingness to share and collaborate o Contribute to culturally-, country-, and sector- specific knowledge o Technical expertise in program evaluation, monitoring and evaluation and evidencebased interventions o Training, innovation, policy and advocacy Value of annual discussion of CAN-MNCH activities in two sample countries A forum to discuss gaps in responses to global MNCH needs and to discuss initiatives that are focused on priority setting, principles of engagement and technical professional development may be more beneficial. Value of the development of a repository of a common set of MNCH metrics and health indicators. Importance of recognizing the rich diversity of the Partners in joint efforts on metrics Understanding programming realities and aggregate reporting needs to be further unpacked Meeting Proceedings CAN-MNCH 2011 2 Development of list of common metrics The Commission on Information and Accountability for Women’s and Children’s Health was convened by the WHO, and co-chaired by the President of Tanzania, H.E. Jakaya Kikwete and the Prime Minister of Canada, H.E. Stephen Harper. In Summer 2011, the Commission presented the report, Keeping Promises, Measuring Results, with its recommendations to ensure that resources are spent in the most effective way to save lives and that pledges for women's and children's health are honoured. The Commission report's ten recommendations address the need to improve health information systems in countries and to track pledged resources and health expenditures for women and children. The third phase of the pilot CAN-MNCH initaitve involves the development and contribution to a limited, common set of MNCH metrics for tracking and evaluating activities in-country, with comparability for participating partners. This is aligned with Recommendations #5: “By 2012, in order to facilitate resource tracking, “compacts” between country governments and all major development partners are in place that require reporting, based on a format to be agreed in each country, on externally funded expenditures and predictable commitments (page 4). These metrics are meant to be developed through consultation with all partners, and aligned with recommended metrics in the report from the Commission Small group and consolidation session discussions determined the following: Currently Tracking/Measuring All organizations were currently tracking or measuring at least one of the 11 Commission indicators 2/3 process measures; 1/3 outcome measures Network Partner’s Contribution Strengthen the capacity of local governments/ Ministry of Health to improved data collection systems Improve sustainability of Health Information Systems Challenges Equity analysis: are results being achieved by the poorest and most vulnerable? We can collect the numerator, but what is the denominator? Limited resources, technical skills and overwhelming, non-standard reporting requirements Future Directions Commitment to improving accountability Data repository on CAN-MNCH website o Tools o Data (counts/rates?) o Results, case studies and Monitoring and Evaluation Reports CAN-MNCH Terms of Reference, rules and procedures Dr. Dorothy Shaw and Rosemary McCarney were unanimously voted to continue their role as Co-chairs for the next 12 month period. David Tocyen (World Vision) and Anne Wilson (Canadian Association of Midwives) agreed to oversee an election of the Steering Committee A funding proposal for CAN-MNCH will be undertaken Terms of Reference and other documentation to follow Steering Committee Election: November 22, 2011 Acclaimed: Dave Toycen, Kevin McCort, Vyta Senikas Elected: Alvin Zipursky Meeting Proceedings CAN-MNCH 2011 3 Participants Organization African Medical and Research Foundation Aga Khan Foundation Canada BC Women’s Hospital & Health Centre Canadian Association of Midwives Canadian Network for International Surgery Canadian Nurses Association Canadian Pediatric Society Canadian Public Health Association Canadian Red Cross Society Canadian Society for International Health CARE Canada CAUSE Canada Christian Children's Fund of Canada CUSO-VSO Dalhousie University Dignitas International Ghana Rural Integrated Development Healthy Child Uganda Impact First International Médecins du Monde Canada Micronutrient Initiative Plan International Canada Presbyterian World Service & Development Programme for Global Paediatric Research Save the Children Canada Save the Mothers Society of Obstetricians and Gynecologists of Canada SOS Children's Villages Canada Attendee Anne-Marie Kamanye Abid Mallik Jan Christilaw Anne Wilson -Debbie Grisdale Marie Adele Davis Marnie Davidson Salim Sohani Janet Hatcher Roberts Kevin McCort -Philip Tanner Sam Landon Shawna O’hearn Jesse Clark -Carolyn Pim Dorothy Nyambi -Pierre Lacerte Tanjina Miraz Leah Adema Alvin Zipursky P. Erb/ C. McWilliams Dan Scott Vyta Senikas Email Address akamanye@amrefcanada.org khalil@akfc.ca jchristilaw@cw.bc.ca annewilson@cogeco.ca Mark Bonomo The Primate's World Relief and Development Fund University of British Columbia World Vision Canada Zaida Bastos m.bonomo@soschildrensvillages. ca zbastos@pwrdf.org dgrisdale@cna-aiic.ca madavis@cps.ca mdavidson@cpha.ca salim.sohani@redcross.ca jroberts@csih.org kevin.mccort@care.ca rsugay@ccfcanada.ca sam.landon@cuso-vso.org] shawna.ohearn@dal.ca j.clarke@dignitasinternational.org cppim@sympatico.ca dnyambi@tdrinternational.org placerte@micronutrient.org tmirza@plancanada.ca LAdema@presbyterian.ca alvin.zipursky@sickkids.ca perb@savethechildren.ca ddscott@rogers.com Vsenikas@sogc.com Diane Sawchuck E. Vandenberg/ D. Toycen Sandeep Prasad dsawchuck@phsa.ca dave_toycen@worldvision.ca Nicci Stein rcnakai@telusplanet.net Mark Walker mwalker@ohri.ca RESULTS Canada Jean Francois Tardiff jean-francois@results-resultats.ca Canadian Network for MNCH Dorothy Shaw dshaw@cw.bc.ca Canadian Network for MNCH Canadian Network for MNCH Rosemary McCarney Helen Scott rmccarney@plancanada.ca hscott@hollandbloorview.ca Action Canada for Population and Development Interagency Coalition on AIDS and Development Ottawa Hospital Research Institute Meeting Proceedings CAN-MNCH 2011 Sandeep@acpd.ca 4