Post on 30-Jan-2015
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© United Nations Development Programme
MDG Acceleration Framework (MAF) in the Philippines: Reducing Maternal Mortality
21 June 2012
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OVERVIEW
The global context for the MAF
What is the MAF? Where it has been applied?
The case of the Philippines on Maternal Mortality
Following through: value addition and implementation
|© United Nations Development Programme
▪ The 2010 MDG Summit – Provides the evidence from the ground on what works and what
doesn’t: countries know what needs to be done to achieve the MDGs, but progress in implementation is lacking or has slowed in many
– Outcome document calls for an acceleration agenda for the MDGs
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THE MAF: GLOBAL CONTEXT
▪ MAF formally endorsed in 2010 by UNDG– UN Secretary-General Ban Ki-moon and UNDG Chair Helen Clark
introduce it at the 2010 Summit– UNDP corporate priority– UNDG guidance to UNCTs
▪ MAF developed and tested over 2009-2010– 14 countries and six MDGs– In 2011-2012: MAF being rolled-out in 20 countries
▪ Unlocking Progress: MDG Acceleration on the road to 2015– Summarize and synthesize main lessons learned from the pilot
phase– Growing body of country reports and experiences
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20002001200220032004200520062007200820092010201120122013201420152016201720180%
20%
40%
60%
80%
100%
High Trajectory (solution has immediate impact)
Low Trajectory (solution has low impact)
Target
Starting point
Achievement of intermediate targets
Historical trend
WHAT IS ACCELERATION?
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WHAT IS THE MDG ACCELERATION FRAMEWORK?
Drawing upon country experiences and ongoing processes toidentify and prioritize bottlenecks
interfering with the implementation of key MDG interventions
Using knowledge-based good practices to determineobjective and feasible solutions for accelerating
MDG progress
Creating a partnership with identified roles for all relevantstakeholders to jointly achieve MDG progress
Responding to national/local political determination to tackle identified off-track MDGs
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Identify, codify the interventions required to meet the MDG targets
Help identify and prioritize MDG bottlenecks
Identify solutions to form an MDG Country Action Plan that aligns and focuses stakeholders and resources on accelerating MDG progress
Implement and Monitor the MDG Country Action Plan to ensure required impact
MAF SYSTEMATIC STEPS
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KEY OBJECTIVE
DELIVERABLES
▪ Identify and prioritize the package of interventions critical to accelerating progress toward priority MDG targets by 2015
▪ Justification for acceleration efforts to achieve the MDGs in the next years
▪ Status and trend analysis of MDGs in the country
▪ List of MDG-critical interventions
▪ Intervention profiles with data on impact
▪ Identify and prioritize bottlenecks that impede implementation of the priority interventions identified in Step 1
▪ Detailed map of bottlenecks
▪ Bottleneck specific profiles with data on impact and available solutions
▪ Prioritized list of bottlenecks to be removed/mitigated for each priority intervention
▪ Identify and sequence near-term solutions to remove/mitigate intervention bottlenecks identified in Step 2
▪ Defined list of solutions for each bottleneck
▪ Solution profiles with data on the impact and feasibility
▪ Finalized list of bottleneck solutions that the country will pursue
▪ Develop an MAF Action Plan with solutions and accountability matrix to deliver on the solutions of Step 3
▪ MDG Action Plan for the country and development partners
▪ Project roadmap with implementation steps and deliverables
▪ Resource plan and cost assessment for each solution
X weeks X weeks X weeks
Step 1: Intervention identification and prioritization
Step 2: Bottleneck identification and prioritization
Step 4: Develop MDG Compact and an implementation and monitoring plan
Step 3: Solution identification and sequencing
Ongoing
PROCESSNEEDS TO BUILD PARTNERSHIPS
▪ Validate bottleneck analysis findings with relevant key stakeholders
▪ Engage key partners that may be involved involved in the implementation
▪ Put in place a participatory process to arrive at an Action Plan
▪ Involve critical partners in the identification of key interventions
APPLYING THE MAF: THE PROCESS
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MAF ROLLOUTS TO DATE
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Prioritizing within current investment plans
Motivating cross-ministerial collaboration
Highlighting local solutions
Bringing together different partners and stand-alone activities
Helping implement laws, roadmaps and policies
Indicating how best to adapt existing tools
Addressing inequalities
Attracting partner interest
Government ownership and coordination
Expert MAF team – national and external – for quality and coherence
Cross-sectoral and cross-ministerial engagement:
UNCT involvement: UNDG endorsement
Anchoring in existing plans
Participation of local governments, CSOs and NGOs
Learning – but not duplicating – across countries
Using available data
MAF LESSONS ADDED VALUE
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MATERNAL HEALTH IN THE PHILIPPINES
• From 1990 to 2006, maternal deaths per 100,000 live births decreased from 209 to 162.
• But in 2010, it increased to 221• According to the DOH, maternal mortality
was caused by three “delays”: (a) delay in deciding to seek medical care; (b) delay in reaching appropriate care; and (c) delay in receiving care at health facilities.
2015 target is from 221 to 52---least likely to be achieved
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1990 1991 1992 1993 1994 1995 1998 2006 2010 20150
50
100
150
200
250
209203
197 191186 180
172162
221
52
MDG 5
Year
No.
of M
ater
nal
Deat
hs b
y 10
0,00
0 liv
e bi
rths
MATERNAL HEALTH IN THE PHILIPPINES
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MATERNAL HEALTH IN THE PHILIPPINESProgress in reducing maternal mortality
Source: Staff calculations based on the United Nations MDG Database.
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MATERNAL HEALTH IN THE PHILIPPINES Rate of progress needed for off-track countries to meet the maternal mortality target
Source: Staff calculations based on the United Nations MDG Database and World Population Prospects 2010.
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MATERNAL HEALTH IN THE PHILIPPINES
Rate of progress needed for off-track countries to meet the skilled birth attendance target
Source: Staff calculations based on the United Nations MDG Database and World Population Prospects 2010.
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THE MAF VALUE ADDED FOR MATERNAL HEALTH
Changing the prevailing political thinking: maternal health is more than a health issue, it’s a development challenge (provide evidence to show the strong linkages between MDG 5 and other MDGs).
Economic feasibility: investment returns are high – productivity implications.
Identifying most effective actions in sectors (including non-health sectors) that could contribute to accelerating maternal health.
Engage sectors on how to implement these actions within their mandate.
Identify and provide incremental funding for these actions when needed.
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Relevant tool to develop a focused Action Plan
to accelerate maternal health
The MAF can support theoperationalization of the
existing health policies and strategies
Brings together fragmentedefforts of various partners
Address inequalities
Emphasizes local and innovative solutions.
Focus on demand side interventions to address bottlenecks related to
service use.
Helps to break the silos across different sectors, facilitating cross-sectoral
and cross-ministerial collaboration
MAF POTENTIAL VALUE ADDED FOR THE PHILIPPINES
Supports the prioritization of existing solutions
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MAF PROCESS GUIDE
Identify MDG target(s) needing
accelerated efforts
Verify domestic political
commitment
Secure Government ownership
Bring together UNCT, national, academic and other partners
Ensure high quality technical participation and
expert facilitation
Motivate on-going multi-stakeholder engagement
Promote consensus
around MAF action plan
Link to global/regional
acceleration efforts
Lead advocacy at highest levels
with donors and Government for
implementation
18© United Nations Development Programme
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