Topline Summary and Key Questions Country Outreach Topline Summary and Key Questions

Topline findings Commitments It is very likely that most countries in Tiers 1 and 2 will make a package or single commitments. Package countries seem to be:  Uganda, Pakistan, Sierra Leone, Cote D’Ivoire, the Ougadougou partnership as a group. Other possibilities for packages:  Nigeria, Tanzania, Myanmar. The challenge will be to make sure the commitments are NOT aspirational but are actually pinned down so we know they will be implemented (definite plans, partnerships, funding in place).  The even further step to make the summit a game changer would involve brokering deals/partnerships/conversations that could amplify the country commitments made – this will need input from all of us and more at all levels.

Topline Findings Fast Movers   Uganda, Cote D’Ivoire and Sierra Leone have moved fast and have been discussing with government. Pakistan due to have key meetings this week. (NB:  All Tier 2 have moved slower than Tier 1) Countries with particular challenges Nigeria – although there are ideas, these seem to be less developed than we would want at this stage.  This reflects the complex nature of the country and is likely to need more than just the health technical team pushing for change.  Tanzania – still not certain from country team but  possible challenges around government commitment. India – the country team feel that a ‘win-win’ situation for India will be the best incentive to getting Ministerial attendance at the summit. Kenya – Tier 2 country.  Upcoming elections make securing ministerial participation less likely.  Two calls arranged but no country teams called in.  Ougadougou Partnership countries These will likely be represented as a group by the Minister of Health Burkina Faso.  They may make group or individual commitments.  They may have an OP event on 12th July. Two of many  issues common to these countries are the lack of donors and the need to generate demand and change social norms.

Topline Findings Private Sector   This is the least developed part of the emerging country commitments and countries will need help if these are to be meaningful.  Only Sierra Leone and maybe Myanmar and Bangladesh have stated this as a possible commitment but without a clear plan of how/who.  Options (including ideas from private sector team) could include: Drawing in funds from private sector companies to support general FP work. Using private sector expertise in one/two areas to help countries solve problems:  Last Mile Delivery, IT solutions to commodity tracking and use of mobile technology for reaching the hard to reach are among possibilities.  Creating ‘win-win’ deals for private sector in Tier 1 and 2 countries e.g. accelerating the production of Uniject technology in India; amplifying a promising local private sector initiative. Financing The West African region (OP and Sierra Leone) is suffering from not having many donors. Using country commitments to leverage more funding would be game changing (see Key Questions).

Topline findings Adolescents (discussed with adolescent team)   OP countries, Tanzania, Uganda, Pakistan, Bangladesh, Myanmar, Sierra Leone have all mentioned possible commitments around adolescents. Humanitarian Uganda and Myanmar have specifically mentioned humanitarian commitments. Supply Chains and Method Mix (discussed with supply chain team) Mentioned in Nigeria and Sierra Leone specifically. Shifting to more long acting methods:  Uganda and Myanmar Accelerating sc DMPA roll out has been mentioned in a few countries.

Key Questions Is there a possibility of amplifying country commitments by using these to leverage extra funds by whatever mechanism available?  This could be earmarked to commitments on humanitarian work for example.   Countries with very challenging contexts may need a higher level of senior effort – for Nigeria, for example, should all senior oversight group speak with their heads of mission to encourage them to get involved and look at different approaches to influencing? Countries will need help with the Private Sector piece– how do we provide this?  Can we create a ‘win-win’ situation in countries around this e.g. India and Kenya? Can we influence potential new donors to support grossly underfunded countries/regions?  Do we want to do this? Can we use the summit to change social norms in some countries?  Can we secure high level attendance from India (letter has gone from the SoS already).