Health Frameworks and Financing Goals to Improve Maternal Health Felicity Daly Senior Policy & Advocacy Manager Programmes and Policy Department Interact Worldwide

New Policy and Financing initiatives to improve Maternal Health: Global Campaign for Health MDGs International Health Partnership Deliver Now for Women and Children SRH-HIV Integration in the Global Fund Resources Needed

Global Campaign on the Health MDGs Increased Priority/Leadership International Health Partnership Increase Aid Effectiveness Global Business PlanMDGs 4&5 Increase Resources

The Global Campaign for the Health MDGs Throughout 2007 a series of new initiatives were launched to accelerate progress on MDG 4,5 & 6 - also includes “Providing for Health”, “Catalytic Initiative”, “Global Leaders Network”, “Performance Based Financing” and ongoing commitments to disease specific financing. Development partners urged to raise more resources for health, and especially MNCH, at national and global level Innovative sources of financing will be sought Invest in a more effective way to produce results Norwegian PM Stoltenberg pledged US $1 billion over ten years for MNCH through the Clinton Global Initiative DFID pledged £100 million over 5 years to UNFPA – mainly for Global Programme for RH Commodity Security

The Global Business Plan for MDGs 4 and 5 – Deliver Now for Women and Children New advocacy drive to eliminate maternal and child deaths and improve the health of women and children. Launched in September - coincided with UN panel featuring UN leadership (UNFPA) and global health activists. Launch to be followed by roll out of intensive local programs - beginning in 2008 in India and Tanzania. Will bring together local government agencies, civil society, media and other national and international members to allocate resources and more effectively to bring basic health services to women and children. Coordinated by The Partnership for Maternal, Newborn & Child Health (PMNCH) an alliance of over 170 partners - administered by WHO.

Deliver Now - Purpose Mobilize public support and stimulate positive behaviors to reduce maternal, newborn & child deaths Mobilize political support & investment in stronger health systems Raise significant new money for maternal, newborn & child health Expected Outputs Strong social movements generate demand for delivery of MNCH services Greater political commitment to MNCH Coordinated fundraising approach to develop new resources for MNCH Clear evidence of advocacy impact

International Health Partnership (IHP) No new institutions or funding streams Focus on efficiency of resources going into health Understand how resources are allocated – and results of resources Understand critical funding gaps for health Mutual accountability for delivery of national health plans Accelerate action to scale up coverage and use of health services (through public, private or non-governmental channels) Deliver improved outcomes against the health related MDGs and universal access commitments

SRHRN Consultation on IHP Recommended implementation plan be strengthened and improved consultation process to enhance: Links between SRHR and well functioning health systems Relationship to the Global Business Plan on MDGs 4&5 - argued for additional financing for health is in fact needed Need to address the constituent elements of health system strengthening – commodity security and human resources Supporting recipient governments to decide how health services are best provided Encouraging meaningful consultation with civil society

The Global Fund Scaling up/developing integrated approaches through Global Fund - responding to country-led demand for SRH- HIV integration. WHO technical briefings developed (April 07) Strengthening Linkages between Family Planning and HIV and Strengthening Linkages between Sexual and Reproductive Health and HIV Round 7 (July 2007) proposals featured a range of SRH-HIV/AIDS service integration aspects.

Integrated SRH-HIV services benefit MNCH Antenatal and perinatal care for all pregnant women, including delivery and post-partum care, and emergency obstetric care that considers HIV status; PMTCT Plus, including initial provision of PMTCT interventions to pregnant and delivering women and their newborns, delivery and post-partum care, plus HIV treatment for women, infants and their families as appropriate, as well SRH services, including family planning and dual protection advice for women and their partners, and infant feeding options counselling and support; Provision of comprehensive family planning services for all people of reproductive age (including youth friendly information and targeted services for ‘vulnerable groups) which tailors non-coercive contraceptive advice to HIV status and counsels and/or provides safe abortion in circumstances where it is not against the law;

Financing Gaps SRH/MNCH Developing Countries need to commit national resources – AU members pledged to provide %15 national budget to health ? % to SRH/MNCH In 2005, WHO estimated that an additional US$6.1 billion would be needed by 2015 to achieve the initial targets and indicators of MDG5. However, these figures did not include existing amounts being spent or a full range of family planning and reproductive health services. The estimated cost of achieving the ICPD Programme of Action – a more comprehensive response to SRH - is currently being revised as original costing did not fully account for the scale up of SRH services, especially required for the response to HIV and AIDS.

Financing Gaps HIV and AIDS UNAIDS scenarios for scale-up to achieve universal access to HIV prevention, treatment, care and support by 2010 would require US$42.2b in 2010 and US$54b in UK Stop AIDS Campaign calling for UK commitment to £2.5 billion over three years.

Financing the new MDG 5 target – Universal Access to RH by 2015 Interact Worldwide is the UK partner of Countdown 2015 Europe a new NGO campaign concerned with achieving universal access to reproductive health services and supplies. We are calling for action in 10 critical areas to address both the supply and demand for reproductive health supplies - centred on the overall aim of achieving universal access to reproductive health by 2015.

Achieving Universal Access Best available estimates indicate that the funding needed to achieve universal access to reproductive health and the SRH components of HIV and AIDS prevention services is US$29.8billion in 2010 rising to US$35.8billion in Of this, the UK’s fair share would equate to a spending target of £853 million between 2008 and 2010.

SRH resources report available at Felicity Daly Senior Policy and Advocacy Manager Amy Whalley Policy and Advocacy Manager Universal Access