Presentation on theme: "CONTRIBUTIONS OF CSOs IN ATTAINMENT OF MDGs 4 & 5"— Presentation transcript:
1 CONTRIBUTIONS OF CSOs IN ATTAINMENT OF MDGs 4 & 5 ByCecilia SenooGhana Coalition of NGOs in Health (GCNH)
2 … the civil society movement continues to grow and make its mark.” “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.
3 OUTLINE OF PRESENTATION IntroductionOur roleOur Areas of Interest in MDG 4 &5Some Specific Actions for MDG 4&5 in GhanaSome Strategies and Tactics employed by NGOsChallenges encounteredThe way forward
4 INTRODUCTIONGCNH 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 countryGCNH has 559 registered NGOs/CBOs/FBOs in all the 10 regions of Ghana. Coalition members work in every district of Ghana.
5 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 groupsResearch institutes, think tanks ,trade unions, academic institutions, the media, professional associations and faith based organisations.
6 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; andImprove the wellbeing of their own and other communities through development work
7 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.
8 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; andby development work to improve the wellbeing of their own and other communities
9 OUR AREAS OF INTEREST IN MDG 4 & 5 Maternal and Reproductive Health Matters:Maternal mortality ratio and skilled birth attendantsUnmet need for family planning, contraceptive prevalence, adolescent birth rate and antenatal care.Other dimensions of maternal health and well‐beingMaternal morbidityHIV AIDS and maternal healthMorbidity from unsafe abortionMaternal under nutritionViolence against women
10 OUR AREAS OF INTEREST IN MDGS 4&5 Newborn healthBefore pregnancyFamily planningPregnancyBirthPostnatal care: Care for mother and neonate neonatal health interventionsskilled care at birth, early initiation of breastfeeding,
11 OUR AREAS OF INTEREST IN MDG 4 & 5 Preventive child-health interventionsexclusive breastfeeding during the first six months of age, complete immunization of children aged 12–23 months),Curative child-health interventionscare-seeking for children with acute respiratory infections (ARI), and provision of oral rehydration therapy (ORT) for children with diarrhoea.
12 OUR AREAS OF INTEREST IN MDG 4 & 5 Implementing effective packages of careStrategies for implementing effective interventionsMaking a Difference: Strong Health SystemsHealth sector governance and political leadershipHuman resources for healthReferralInfrastructureEssential drugs, supplies and equipment
13 OUR AREA OF INTEREST IN MDG 4&5 Health financing mechanisms for maternal healthUser fees ×Social and community based health insuranceCommunity based emergency fundsPrivate health insuranceCash transfer and Voucher schemesTargeting
14 OUR AREAS OF INTEREST IN MDG 4 & 5 Making the most of the private sectorSocial marketingSocial franchisingPerformance‐based Financing ApproachesThe Demand Side of MNH: Equity, Access, Advocacy and AccountabilityDemand side barriersSocial exclusionWomen’s status, empowerment and educationFinancial barriers
15 OUR AREAS OF INTEREST IN MDG 4 & 5 Physical access to maternal health servicesSocial and cultural barriersIncreasing demand through community mobilisation and engagementImpact on health outcomesMobilisation as a vehicle for participation and empowermentScaling up community mobilisation
16 OUR AREAS OF INTEREST IN MDG 4 & 5 Building political commitment through advocacyTaking a gender and human rights perspectiveIncreasing accountability from belowHolding leaders to account: Citizen participation, voice and accountabilityResults for Improved Outcomes
17 OUR AREAS OF INTEREST IN MDGS 4&5 Tracking progress in maternal and sexual reproductive health rights and servicesWhat should be counted for maternal health, and how?National accounts and sub‐accounts to improve allocation of funds to maternal, neonatal and child healthWhat is needed to support improvements in results reporting and lesson learning
18 SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA Advocacy, communication, and social mobilization.Acting as watch dog to governmentTraining and upgrading the skills of core health providers to increase skilled deliveriesEducational program on dangers of unsafe abortion, contraceptive useIEC materials on safe abortions, radio discussions and peer group education at schools and communities
19 SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA Physical infrastructure developmentestablished 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 equipmentPPAG has a SHR facilities in the West Mamprusi District in Northern Ghana that provide skilled deliveries
20 SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA The R3M Consortium has engaged MOH/GHS since September, 2006 and provided the commitment, financial and technical resources to enable significant expansion in women’s access to modern family planning and comprehensive abortion care in 3 regions in GhanaEngagement of policy makers at various levels to find mutual ways of addressing the gaps in implementation of the MDGs 4&5
21 SOME SPECIFIC ACTIONS FOR MDG 4&5 IN GHANA HFFG has establish reproductive health and food production centre in Mfantsiman districtEstablished 2 community clinics in Ajumako Enyan Essiam.The USIAD SHARPER project has established 31 DIC centres 11 MSM/19FSW and 1 HIV
22 SOME STRATEGIES AND TACTICS EMPLOYED BY NGOs SKILLSEducationMeetings, media, workshops, conferences, commissionsResearch, information, analysis, dissemination, Communication and articulationCollaborationBuilding relationships, linkages, cooperate with government and other CSOsCommunication, organization, mobilization, networking technical capability, transparency, Openness and effectivesPersuasionMeetings, workshops, coalition, lobbying, media, demonstrationOrganizing, communication, motivation, negotiation, commitment and visionLitigationUse of courtsLegislation, communicationConfrontationDemonstration, public gatherings, speechesMobilizing, communication, motivation, lead
23 CHALLENGES ENCOUNTERED Female Low literacy especially at the grassroots where maternal and child mortality is highLow male involvement in Health especially MDGs 4&5Inadequate resources for project implementationLow capacity of members in certain critical skills
24 CHALLENGES ENCOUNTERED Inadequate implementation of PPP.Inadequate capacity on data management to show results of our activities.CSOs seen as competitors more than collaboratorsCoalition vrs Individual NGOs