Presentation on theme: "CONTRIBUTIONS OF CSOs IN ATTAINMENT OF MDGs 4 & 5 By Cecilia Senoo Ghana Coalition of NGOs in Health (GCNH)"— Presentation transcript:
CONTRIBUTIONS OF CSOs IN ATTAINMENT OF MDGs 4 & 5 By Cecilia Senoo Ghana Coalition of NGOs in Health (GCNH)
It is people mobilized as you are, more than any government initiatives or scientific breakthrough, who can overcome the obstacle to a better world … the civil society movement continues to grow and make its mark. UN Secretary General Kofi Annan, Civil Society Forum, Brazil, June 13, 2004.
OUTLINE OF PRESENTATION Introduction Our role Our Areas of Interest in MDG 4 &5 Some Specific Actions for MDG 4&5 in Ghana Some Strategies and Tactics employed by NGOs Challenges encountered The way forward
INTRODUCTION GCNH is a reputable not-for-profit CSO established in 2000 as an umbrella and coordinating body of activities of all registered NGOs/CBOs/FBOs in the health sector in the country GCNH has 559 registered NGOs/CBOs/FBOs in all the 10 regions of Ghana. Coalition members work in every district of Ghana.
INTRODUCTION (Cont.) Civil Society Organisations (CSOs) are perceived as organisations that represent the interest of the population and negotiates matters of concern in their interest. These institutions provide a voice to a dispersed range of interests within the health sector who otherwise cannot be placed under a structured system. CSOs may be national or international in nature and includes NGOs, community based groups Research institutes, think tanks,trade unions, academic institutions, the media, professional associations and faith based organisations.
WHAT IS OUR ROLE? Build social capital and enable citizens to identify and articulate their values, beliefs, civic norms and democratic practices; Mobilize particular constituencies, particularly the vulnerable and marginalized sections of masses, to participate more fully in health and public affairs; and Improve the wellbeing of their own and other communities through development work
WHAT IS OUR ROLE? NGOs are widely recognized as an essential third sector. Our strength can have a positive influence on the state and the market. We are increasingly an important agent for promoting good governance like transparency, effectiveness, openness, responsiveness and accountability.
WHAT IS OUR ROLE ? To further good governance, by policy analysis and advocacy; By regulation and monitoring of state performance and the action and behavior of public officials; by building social capital and enabling citizens to identify and articulate their values, beliefs, civic norms and democratic practices; by mobilizing particular constituencies, particularly the vulnerable and marginalized sections of masses, to participate more fully in health and public affairs; and by development work to improve the wellbeing of their own and other communities
OUR AREAS OF INTEREST IN MDG 4 & 5 Maternal and Reproductive Health Matters: Maternal mortality ratio and skilled birth attendants Unmet need for family planning, contraceptive prevalence, adolescent birth rate and antenatal care. Other dimensions of maternal health and well being Maternal morbidity HIV AIDS and maternal health Morbidity from unsafe abortion Maternal under nutrition Violence against women
OUR AREAS OF INTEREST IN MDGS 4&5 Newborn health Before pregnancy Family planning Pregnancy Birth Postnatal care: Care for mother and neonate neonatal health interventions skilled care at birth, early initiation of breastfeeding,
OUR AREAS OF INTEREST IN MDG 4 & 5 Preventive child-health interventions exclusive breastfeeding during the first six months of age, complete immunization of children aged 12–23 months), Curative child-health interventions care-seeking for children with acute respiratory infections (ARI), and provision of oral rehydration therapy (ORT) for children with diarrhoea.
OUR AREAS OF INTEREST IN MDG 4 & 5 Implementing effective packages of care Strategies for implementing effective interventions Making a Difference: Strong Health Systems Health sector governance and political leadership Human resources for health Referral Infrastructure Essential drugs, supplies and equipment
OUR AREA OF INTEREST IN MDG 4&5 Health financing mechanisms for maternal health User fees × Social and community based health insurance Community based emergency funds Private health insurance Cash transfer and Voucher schemes Targeting
OUR AREAS OF INTEREST IN MDG 4 & 5 Making the most of the private sector Social marketing Social franchising Performance based Financing Approaches The Demand Side of MNH: Equity, Access, Advocacy and Accountability Demand side barriers Social exclusion Womens status, empowerment and education Financial barriers
OUR AREAS OF INTEREST IN MDG 4 & 5 Physical access to maternal health services Social and cultural barriers Increasing demand through community mobilisation and engagement Impact on health outcomes Mobilisation as a vehicle for participation and empowerment Scaling up community mobilisation
OUR AREAS OF INTEREST IN MDG 4 & 5 Building political commitment through advocacy Taking a gender and human rights perspective Increasing accountability from below Holding leaders to account: Citizen participation, voice and accountability Results for Improved Outcomes
OUR AREAS OF INTEREST IN MDGS 4&5 Tracking progress in maternal and sexual reproductive health rights and services What should be counted for maternal health, and how? National accounts and sub accounts to improve allocation of funds to maternal, neonatal and child health What is needed to support improvements in results reporting and lesson learning
SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA Advocacy, communication, and social mobilization. Acting as watch dog to government Training and upgrading the skills of core health providers to increase skilled deliveries Educational program on dangers of unsafe abortion, contraceptive use IEC materials on safe abortions, radio discussions and peer group education at schools and communities
SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA Physical infrastructure development established SRH and child welfare facilities/clinics in all regions where some deliveries, anti-natal, post-natal and referrals are made. R3M has renovated 60 FP units in GHS facilities, constructed 6 new RH centers and supplied health equipment (autoclaves, lamps etc.) renovated 30 GHS facilities, constructed 2 new SHR centers and supplied office equipment PPAG has a SHR facilities in the West Mamprusi District in Northern Ghana that provide skilled deliveries
The R3M Consortium has engaged MOH/GHS since September, 2006 and provided the commitment, financial and technical resources to enable significant expansion in womens access to modern family planning and comprehensive abortion care in 3 regions in Ghana Engagement of policy makers at various levels to find mutual ways of addressing the gaps in implementation of the MDGs 4&5 SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA
HFFG has establish reproductive health and food production centre in Mfantsiman district Established 2 community clinics in Ajumako Enyan Essiam. The USIAD SHARPER project has established 31 DIC centres 11 MSM/19FSW and 1 HIV SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA
SOME STRATEGIES AND TACTICS EMPLOYED BY NGOs STRATEGIESTACTICSSKILLS Education Meetings, media, workshops, conferences, commissions Research, information, analysis, dissemination, Communication and articulation Collaboration Building relationships, linkages, cooperate with government and other CSOs Communication, organization, mobilization, networking technical capability, transparency, Openness and effectives Persuasion Meetings, workshops, coalition, lobbying, media, demonstration Organizing, communication, motivation, negotiation, commitment and vision Litigation Use of courts Legislation, communication Confrontation Demonstration, public gatherings, speeches Mobilizing, communication, motivation, lead
CHALLENGES ENCOUNTERED Female Low literacy especially at the grassroots where maternal and child mortality is high Low male involvement in Health especially MDGs 4&5 Inadequate resources for project implementation Low capacity of members in certain critical skills
Inadequate implementation of PPP. Inadequate capacity on data management to show results of our activities. CSOs seen as competitors more than collaborators Coalition vrs Individual NGOs CHALLENGES ENCOUNTERED
WAY FORWARD COLLABORATION & PARTNERSHIPS LOBBYING DELIVERING RESULTS SHOWING EVIDENCE STRATEGIC INITIATIVE FUND? RESEARCH