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A Joint Programme on A Joint Programme on Maternal and Newborn Maternal and Newborn

Death ReductionDeath Reduction

United Republic of TanzaniaUnited Republic of Tanzania

MOHSW MOHSW in collaboration with in collaboration with

UNICEF, UNFPA, WHO, UNESCO, WFPUNICEF, UNFPA, WHO, UNESCO, WFP

Presentation at the DPG-HEALTH Meeting Nov 7, 2007

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Why a joint programme on maternal and Why a joint programme on maternal and newborn death ? newborn death ?

• Maternal mortality highlighted as priority in MKUKUTA

• Maternal and new born deaths unacceptably high – far from achieving MDG 5

• GoT response Road Map for Acceleration Reduction of Maternal and Newborn deaths

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Why a UN joint programme on maternal Why a UN joint programme on maternal and newborn death ?and newborn death ?

• 2006 United Nations Development Assistance Framework (UNDAF) guides UN contribution to MKUKUTA and MDGs

• UNDAF Outcome: Increased and equitable access to comprehensive RCH interventions

• UN agencies working together can contribute to appropriate multisectoral response

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One UN in Tanzania

• January 2007 Tanzania one of eight pilot countries for Delivering as One : “One UN”

• One Programme• One Budget• One Office• One Leader

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One UN Programme

• Incremental approach beginning with One UN Programme.

• Seven focus areas: one is Reduction of Maternal and Newborn Death

• Identifies joint results and strategies for participating UN agencies, building on existing programmes

• Identifies areas where UN agencies have comparative advantage

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Joint programme management

• Joint Progamme funded partly by agencies existing resources

• Funding gaps will be met by mobilizing resources through One UN Fund

• Managing Agent (UNFPA) responsible for programme results and funds going to govt

• Recognizes contributions to basket. Gradual shift to using government systems

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PartnersPartners

Government: MOHSW, PMOLARG, MOF, MPEE, MCDGCUN agencies: WHO, WFP, UNICEF,UNESCO and UNFPA CSOsDPG Health

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Expected outputsExpected outputs

• Increased budget allocation and resource mobilization for MNCH

• Improved Information management for MNCH

• Improved health systems for delivery of MNC with a focus on the Dodoma region

• Improved policies and practices to promote MNH

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Strategies to achieve resultsStrategies to achieve results

Recognize that reduction of MNM hampered by factors within and without health sector

• Evidenced-based advocacy and policy dialogue to influence budget allocation and implementation essential MNCH interventions

• System Strengthening and Institutional Capacity Building to support implementation and monitoring of Roadmap

• Raising awareness and demand creation for quality MNCH services through empowering individuals and communities to make informed decisions.

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What are the challenges?

• Beginning of extensive transition process • Needs change in mindsets and behaviour at

management and technical level• Some agencies have core funds to contribute,

some do not• Some agencies regulations do not allow

pooling • Managing a One UN Fund to achieve

common results• Must not become parallel initiative

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What is the value-added of the Joint Programme ?

• Brings together different skills experience and approaches of agencies in a more coherent and coordinated assistance effort

• Move towards increased use of government systems

• Contributes to national efforts in implementing road map and the MNCH Partnership

• Works toward removing competition for resources an replication of efforts

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Unique opportunity for UN agencies and system to make a difference

We can make it work, if we work with all our partners

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