1. The Global Strategy and supporting initiatives

2. Every Woman Every Child
The Global Strategy, launched by UN SG Ban Ki-moon 2010 recognizes the need to scale up essential interventions across the continuum of care
Building on pre-existing women's and children's health strategies, it targets saving 16 million lives by 2015
Aligning partner efforts around set principles – country led health plans, scaling up packages of essential interventions, integrated care, health systems strengthening, health workforce and research and innovation
Call for more health for the money and more money for health
Outline roles of key stakeholders –everyone has a role to play, from government to private sector to NGOs, the UN, donors, health professionals and academia
Supported by a robust accountability framework to track and monitor resources and results (see next slide)

3. Key efforts associated with the Global Strategy
A Promise Renewed:
A global movement to end preventable child deaths
How? Global strategies to scale-up and sustain results
Some examples:
Life-saving
commodities
Family
Planning
WASH
EMTCT
Who? Global mechanisms for coordinated action and advocacy
Some examples:
FP 2020
Commission on Information and Accountability
Independent Expert Review Group
Reviewing progress on the Global Strategy and
the Commission’s recommendations
10-part framework for global reporting, oversight and accountability on women's and children's health

4. Commissions for Women and Children
The H4+ has also contributed to the establishment of two Commissions to address critical issues within Every Woman Every Child:
2011: The Commission on Information and Accountability for Women’s and Children’s Health sets out a framework for global reporting, oversight and accountability on women’s and children’s health. This Commission was led by WHO and ITU
2012: The UN Commission on Life-Saving Commodities for Women and Children aims to remove the barriers to access to affordable, effective medicines and simple health supplies for the most vulnerable women and children. The Commission was led by UNICEF and UNFPA

5. Commission on Information and Accountability
The Commission made 10 recommendations for strengthening accountability and reporting mechanisms at country level, created a system to track whether donations are made on time and resources are spent wisely, and whether desired results are achieved. This Commission was created in 2011
An Independent Expert Review Group was set up to monitor the
recommendations - The iERG

6. The iERG Report makes 6 key recommendations for strengthening the accountability framework developed by the Commission
Strengthen the global governance framework for women`s and children`s health
Devise a global investment framework for taking into account national investments and allocations, to guide a more targeted and strategic approach to supporting women`s and children`s health
Set clearer country-specific strategic priorities for implementing the Global Strategy and test innovative mechanisms for delivering those priorities through equity-focused initiatives, community mobilisation, and integration of services
Accelerate the uptake and evaluation of eHealth and mHealth technologies
Strengthen human rights tools and frameworks to achieve better health and accountability for women and children
Expand the commitment and capacity to evaluate initiatives for women`s and children`s health

7. UN Commission on Life-Saving Commodities for Women and Children
The Key Objectives of the Commission
Identify opportunities to increase the production and supply of affordable, high-quality, high-impact commodities for women’s and children’s health
Propose innovative strategies to support EWEC countries to rapidly increase access to overlooked commodities through proven, private and public sector market shaping interventions
Recommend strategies to raise awareness of and demand for these lifesaving products among health care providers and end-users

8. High-impact, effective commodities
Three criteria were established for identifying a list of underutilized, life-saving commodities
High-impact, effective commodities
In general, high-impact commodities are those medicines and health supplies that effectively address avoidable causes of death and disease among children and women during pregnancy, childbirth and childhood.
Inadequate funding
Inadequate funding means the commodity lacks the monetary support that would allow a rapid increase in its distribution and use. Selected commodities, therefore, are not funded by existing mechanisms, such as The Global Fund to Fight AIDS, Tuberculosis and Malaria, and the Global Alliance for Vaccines and Immunisation (GAVI).
Untapped potential
Innovation and rapid increases in product development and market opportunities (including potential for price reduction and improved stability of supply) could rapidly improve the affordability, availability and use of selected medicines and health supplies.

9. Life-Saving Commodities
Commodity/ Cause of Death
Examples of Key Barriers
Female Condoms, Implants, Emergency Contraception - Family Planning/Contraception
Low awareness among women and health workers, implants require trained health workers
Oxytocin
Misoprostol-Post partum haemorrhage
Often poor quality, misoprostol not on Essential Drugs Lists
Magnesium sulphate- Eclampsia and Severe Pre-
Eclampsia
Lack of training and demand by health workers
Injectable Antibiotic- Newborn Sepsis
Poor compliance by health workers
Antenatal Corticosteroid (ANCS)- Preterm
Respiratory Distress Syndrome
Low awareness of product and impact
Chlorhexidine- Newborn Cord Care
Limited awareness and demand
Resuscitation Equipment-Newborn Asphyxia
Requires trained health workers
Amoxicillin- Pneumonia
Limited availability of child-friendly product
Oral Rehydration Salts (ORS) , Zinc - Diarrhoea
Poor understanding of product by mothers/care givers
Commission provides an opportunity for the H4+ to increase the availability, affordability and accessibility of overlooked RMNCH commodities in countries

10. A Promise Renewed Child Survival: Call to Action
Co-hosted by the Governments of
Ethiopia, India, United States and
UNICEF
June 2012, Washington DC

11. What is A Promise Renewed?
A global movement to accelerate declines in preventable maternal, newborn and child deaths
What’s the goal?
Accelerate the annual rate of reduction in U5MR in every country, with the goal of reaching a national average of 20 by 2035
In countries that have achieved < 20, focus on population groups with above average rates of U5MR
A Promise Renewed is a global effort to accelerate declines in preventable child deaths.
This goal applies to non-programme countries as much as it does programme countries.
We want to see all countries, especially those that signed the pledge, doing all they can to redouble efforts to save children from dying of preventable causes.
A modeling exercise presented at the Call to Action demonstrated that all countries can lower child mortality rates to 20 or fewer deaths per 1,000 live births by Countries that have already achieved a mortality rate of 20 or below can sustain the progress by analyzing sub-national disparities and intensifying efforts to reach the most disadvantaged groups. Achieving 20 by 2035 represents an important milestone towards the ultimate goal of ending preventable child deaths.

12. We have an inclusive and expansive understanding of what it takes to end preventable child deaths
Nutrition
Family planning 26
Child survival
Maternal health
Immunization 13
Prevention and Treatment of Infectious diseases
Pneumonia
Diarrhea
Malaria
AIDS/PMTCT
Neonatal causes
Preterm birth complications
Intra-partum events
Neonatal infections
Congenital abnormalities
Enabling Environment
Education
Empowerment of women
Economic growth
Environmental factors (e.g. water supply, sanitation, hygiene)
To advance Every Woman Every Child, a strategy launched by the UN Secretary-General, UNICEF and other agencies are joining partners from the public, private and civil society sectors in a global movement to accelerate declines in preventable maternal, newborn and child deaths.
A Promise Renewed emerged from the Call to Action, convened in June 2012 by the Governments of Ethiopia, India and the United States, in collaboration with UNICEF. The more than 700 government, civil society and private sector participants who gathered for the meeting reaffirmed their shared commitment to scale-up progress on maternal, newborn and child survival. Partners are uniting under A Promise Renewed to strengthen collaboration and coordination among the many partnerships, structures and interventions that currently exist within and beyond the field of health.
A modeling exercise presented at the Call to Action demonstrated that all countries can lower child mortality rates to 20 or fewer deaths per 1,000 live births by Countries that have already achieved a mortality rate of 20 or below can sustain the progress by analyzing sub-national disparities and intensifying efforts to reach the most disadvantaged groups. Achieving 20 by 2035 represents an important milestone towards the ultimate goal of ending preventable child deaths.
A Promise Renewed is supported by UNICEF and ‘owned’ by the many partners that support the movement. NOTE: Because UNICEF does not claim exclusive ownership, the logo and messaging for A Promise Renewed is not subject to the corporate rules that govern the UNICEF brand.

13. Collective action on three fronts
Sharpening and
scaling-up high-impact country plans
Analyse the distribution of U5MR
Identify barriers and bottlenecks
Sharpen government-led action plans with high-impact strategies
Track and sustain progress against 5 year milestones
Align cross-sectoral support for maternal, newborn and child mortality 1
Building the
movement
to strengthen accountability
Encourage civil society and other groups to advocate and take action
Promote accountability and transparency through country score cards
Compile and disseminate annual progress reports 2
NOTE: These actions are intended for all contexts – programme and non-programme countries – and all actors – country offices and Nat-Coms.
Note too that USAID is heavily involved in APR and is encouraging their country offices to promote these strategies in the countries where they have a presence.
Communicating
progress and
mobilizing resources
Celebrate national progress
Support resource mobilization efforts by brokering innovative partnerships 3

14. Family Planning 2020
Family Planning 2020 (FP2020) builds on the partnerships launched at the London Summit on Family Planning in June 2012
It will sustain the momentum from London and ensure all partners are working together to achieve and support the goals and commitments announced at the Summit
In London, Global Leaders United with a goal to Provide 120 Million Women in the World's Poorest Countries with Access to Contraceptives By 2020

15. Family Planning 2020
FP2020 will:
Track progress and report on financial and policy commitments made at the Summit, linking with established accountability processes for the UN Secretary General's Every Woman Every Child strategy;
Monitor and report on global and country progress toward the FP2020 Summit goals;
Identify obstacles and barriers to achieving Summit goals and recommend solutions;
Ensure promotion of voluntary family planning and concrete measures to prevent coercion and discrimination, and ensure respect for human rights;
Ensure data availability to support all of the above, consistent with country processes and sharing data, such as through a global score card; and
Publish an annual report to update the global community on progress and challenges.

17. What is the Every Newborn action plan?
Global action with a plan that will propose a roadmap for change in countries, enabling high-level policy makers to take accelerated action to design and implement national plans for improving newborn survival and health and reducing stillbirths
Linked to Every Woman Every Child, and to A Promise Renewed, following Born Too Soon report and World Prematurity Day movement
Supported by new data analysis and evidence
Global partnership with multiple organizations: Country governments, United Nations, NGOs, Universities and Professional organizations and Donors and foundations
Global launch in May 2014
NATIONAL action by professionals, policymakers and parents = ALL OF US!
1717

18. How it fits together at Country Level
National Health Sector Plans
RMNCH Strategic Plan
Increased access and use of FP
Ending preventable maternal deaths
Ending preventable newborn deaths
Ending preventable child deaths
COMMODITIES, HUMAN RESOURCES etc.