1. Putting the recommendations into action

2. 2 Promises made in context Global Strategy for Women's and Children's Health More than 200 commitments from a range of constituencies 15 countries attracted more than 10 commitments 7 countries with only one commitment and 1 country with no commitment

3. 3 Holding ourselves to account Recommendations 1-3: Better information for better results Recommendations 4-6: Better tracking of resources for women's and children's health Recommendations 7-10: Better oversight of results and resources: nationally and globally

4. What do we mean by accountability? Monitor Action Review

5. 5 1. Vital events (CRVS) 2. Health indicators & equity 3. Innovation 4. Resource tracking 5. Country Compacts 6. Reaching Women/Children 7. National oversight 8. Transparency 9. Reporting aid for Women/ Childrens health 10. Global Oversight COMMISSION RECOMMENDATIONS Country Actions Global Actions Birth and death registration Monitoring of results Maternal death surveillance & response Accountability Framework eHealth & innovation Monitoring country resources Advocacy and action Monitoring results Tracking resources Global review (iERG) The strategic work plan Reviews and compacts

6. 6 Country Accountability Framework Achievements Standard tool developed for assessing country situation and priority actions Method based on IHP+ common framework, building on existing country plans and processes 10 multi-country workshops to orient 75 country teams and facilitate the development of roadmaps 50+ Country Accountability Self-Assessments developed 20+ National accountability workshops with roadmaps for 2012-15 Challenges - Lack of clarity on existing M&E plans and resources - Level of involvement variable: high level gov, CSO, parliamentarians, development partners

7. 7 Achievements 31 countries have signed up to the International Health Partnership (IHP+), 17 countries have signed compacts/partnership agreement (Benin, Cambodia, DRC, Ethiopia, Kenya, Mali, Mauritania, Mozambique, Nepal, Niger, Nigeria, Rwanda, Sierra Leone, Togo, Uganda, Zambia) What about other countries? Compact-lie arrangements? Monitoring the Recommendations: Compacts By 2012, in order to facilitate resource tracking, compacts between country governments and all major development partners...

8. 8 National oversight: By 2012, all countries have established accountability mechanisms that are transparent … Monitoring the recommendations Oversight, advocacy and action Working with Parliaments - Inter-Parliamentary Union Resolution on maternal and child health: Access to health as a basic right: the role of Parliaments in addressing key challenges to securing the health of women and children Annual health sector review meetings involving a broad range of stakeholders including civil society … MNCH agenda National Countdown to 2015 events - Using annual reports and country profiles to convene national conferences with all stakeholders http://www.who.int/woman_child_accountability/en/

9. Independent expert review group 7 members, co-chairs Richard Horton and Joy Phumaphi Focuses on implementation of Global Strategy (promises) and recommendations of Commission Report launched in Sep at UNGA

10. Conclusion Achievement: accountability framework is based on the IHP+ principles –Accountability framed in context of national health strategy, with special attention for MNCH; annual reviews, transparency; tracking resources include all sources, subaccounts; inclusive process and advocacy: involvement civil society etc. Job done? –Much work still needs to be done at global and country levels to reach adequate levels of accountability for health, but trend is positive –Global Fund, GAVI, USG and others and the country- led accountability platform