 JOICFP 1 Japan and SRH Sumie Ishii, JOICFP February 9, 2009

2  JOICFP Traditionally… Multi, bi-lateral – balance Japan did not want to intervene with developing countries’ national population policy Japan wanted visibility within global context Population issues: Japan contributed through multilateral channels, UNFPA/IPPF

3  JOICFP Japan’s aid architecture Challenge for Japan: how to harmonise aid with other donors as well as developing countries’ development plans Japanese aid policy structure – ODA Charter, ODA Mid- Term policy, Sectoral Development Policy, Country Assistance Program  ODA Charter – revised once in 10 years (1992&2003)  ODA Mid-Term policy will be revised in 2010  Sectoral Development Policy  Country Assistance Program

4  JOICFP Japan’s aid architecture (continued) Japan: single-year funding system will not be changed Far from “budget support” The way of thinking: Japan is not used to presenting visions nor global initiatives, the government needs to have money built up when they make any commitment (Japan=reliable) Under the umbrella of MDGs

5  JOICFP Towards G8 Toyako Summit in 2008 Intensive lobbying towards MOFA, MPs, mass media Together with other NGOs, “One voice”: 2008 G8 NGO Forum/Global Health Committee G8 Leaders’ Communique: Africa and Development, 46 (c)

6  JOICFP Towards G8 Toyako Summit in 2008 (continued) G8 Leaders’ Communique: Africa and Development, 46 (c)  (c) We note that in some developing countries, achieving the MDGs on child mortality and maternal health is seriously off-track, and therefore, in country-led plans, the continuum of prevention and care, including nutrition should include a greater focus on maternal, new born and child health. Reproductive health should be made widely accessible. The G8 will take concrete steps to work toward improving the link between HIV/AIDS activities and sexual and reproductive health and voluntary family planning programs, to improve access to health care, including preventing mother-to-child transmission, and to achieve the MDGs by adopting a multisectoral approach and by fostering community involvement and participation.

7  JOICFP Towards G8 Toyako Summit in 2008 (continued) Toyako Framework for Action on Global Health: follow-up mechanism to ensure accountability, MNCH, RH  B. Maternal, Newborn and Child Health  16. Maternal, newborn and child health and care, and sexual and reproductive health are important for promoting health in individuals, families and communities. While there have been gains in reducing overall child deaths, there has been little progress in reducing newborn and maternal mortality.

8  JOICFP Towards G8 Toyako Summit in 2008 (continued) 18. We recommend that the G8 will contribute to support a comprehensive approach to reducing maternal and newborn mortality through investment across the continuum of care work to improve access to quality antenatal and postnatal care, increasing access to skilled birth attendants bearing in mind the target agreed at the ICPD+5 in 1999, 90% of all births should be assisted by skilled attendants by 2015, backed by access to emergency obstetric care, to reach the MDGs target of a three quarters reduction in maternal deaths during the period 1990 to An effective approach will maximize the contacts between the health worker and the mother and child and maximize linkages across programs to deliver a range of effective interventions. It will invest in the health workforce, health facilities and culturally appropriate referral systems and tools such as simple and culturally appropriate handbooks for maternal and child health. Reproductive health should be made widely accessible.

9  JOICFP Towards G8 Toyako Summit in 2008 (continued)  C. Infectious Diseases  21. The international community needs to continue to strengthen its efforts in scaling up towards the goal of universal access to prevention, treatment, and care and support of HIV/AIDS by 2010, including by meeting our pledges at Heiligendamm to support life-saving ART through bilateral and multilateral efforts for approximately 5 million people, to prevent 24 million new infections, and to care for 24 million people, as well as to scale up coverage of programs for the prevention of mother to child transmission of HIV/AIDS in Africa. In order to tackle the causes of the disease, accelerating efforts for comprehensive and evidence based prevention including prevention of mother to child transmission and addressing sexual exploitation and gender based violence remain critical. Given the vulnerability and susceptibility of women to HIV infections and steadily increasing proportion of women among those newly infected, there is a need for gender analysis, promotion of gender equality and actions to address the specific needs of women and girls. Support for sexual and reproductive health should be made available and accessible to adolescents and to other highly vulnerable groups. Barriers of discrimination, stigma and exclusion which prevent access to HIV prevention, treatment, care and support should be eliminated. The G8 supports ongoing work to review travel restrictions for HIV positive people with a view to facilitating travel and we are committed to follow this issue.

10  JOICFP Towards La Maddalena Summit… No money is committed nor the need for additional money ($10.2 billion) to achieve MDGs 4&5 even recognized

11  JOICFP Thank you !