1. Assessment of laws and policies for promoting rights of children Dr Bernadette Daelmans Department of Maternal, Newborn, Child and Adolescent Health World Health Organization

2. Why assessment of laws and policies? Rationale Legal, regulatory and policy frameworks may contain barriers which limit coverage and use of MNCH interventions and services Using human rights obligations of countries as a foundation for legal, regulatory and policy frameworks strengthens: – accountability for MNCH – multi-sectoral collaboration for MNCH

3. Child rights situation analysis for strategic planning What does it do? –Applies CRC principles and provisions for data collection –Analyzes law and policy data, combined with existing child survival data –Synthesizes and integrates findings into national/district strategic planning processes

4. Child rights situation analysis for strategic planning What does it add to strategic planning for child survival? –Holistic approach to child survival: emphasis on health outcomes, goods and services, and underlying determinants of health, e.g. budgeting and insurance –Comprehensive examination of the health-related legal and policy environment and its implications for maternal, newborn and child health –Systematic disaggregation of data to identify child health inequities and disparities, including underlying causes of differences among sub- groups –Supportive legal impetus for improving child survival programs –Government accountability to international commitments –Opportunity to involve wider range of government sectors in data analysis and in the synthesis of findings into strategic next steps

5. Child rights situation analysis in practice Conduct Child Rights-Based Situation Analysis Formation of Core and Stakeholder Groups Data Collection and SWOT Summarize Findings and Hold Consensus Meeting Agree on next steps for integrating findings into strategic planning Develop strategic plan (5-10 yearly) Standard situation analysis Integrate findings or sections from the CRSA tool Prioritize and package interventions Decide how to deliver interventions Select indicators and targets for evaluation Write and disseminate plan Develop operational plan (1-2 yearly) Review program status Develop operational plans using rights-based strategic planning recommendations Develop approaches to delivering interventions Select activities and tasks Plan monitoring and evaluation Write a workplan and budget Manage implementation (Ongoing) Advocacy Resource mobilization Manage supervision Manage human, material and financial resources Monitor progress – using data Integrate sections of the CRSA tool to support monitoring activities Evaluate health impact and intervention coverage (5-10 yearly) Eg. DHS, MICS Integrate sections from the CRSA tool to evaluate the legal and policy environment for child health CRC Reporting Process Apply the CRSA tool to collect information for the CRC Reporting Process Support the role of MOH and WHO in the reporting process

6. Service Delivery Packaging of MCH interv. Goals/outcomes Responsiveness Social & financial risk protection Improved health MMR & U5 mortality Improved nutrition Information Vital registration Access Coverage of proven effective MCH intervention s Quality Safety - Multiple, dynamic interaction s - Priorities in each Health Financing Out of pock et payment Improved efficiency Leadership / Governance Policies for MCH, ie pneumonia treatment at community level Medical products, Technologies Essential medicines for MCH Health Workforce Midwifes available Health workers trained Some examples

7. Available tools ASRH law and policy assessments: – Sri Lanka (report and roadmap for action to be launched in Jan/Feb 2012) – Bangladesh (ongoing) – India (ongoing) – Tajikistan (finalized; legislative reform initiated) Child rights situation analysis for child survival planning: –Proposed for Indonesia in 2012 (focus on legal barriers for CCM for pneumonia) –More pilot countries required

8. Child rights situation analysis tool for strategic planning Structure and Content Chapter A: Introduction and User’s Guide Chapter B: Data Collection – Section 1: Summary Of Core Child Survival Indicators – Section 2: Birth And Death Registration – Section 3: Health Worker Competence And MOH Supervision – Section 4: Budgeting And Costing – Section 5: Supporting And Protecting Caretakers Part C: Data Analysis and Strategic Planning –Analyzing Findings Using Swot –Translating Findings Into Strategic Planning Recommendations