Boldosser_Advocacy for Advancing MNH

8/2/2019 Boldosser_Advocacy for Advancing MNH

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Advocacy for Mothersand Babies: Maternal &

Newborn Health as aGlobal Health Priority

Presentation at the Asia Regional Meeting onInterventions for Impact in Essential Obstetric &

Newborn Care

Dhaka, Bangladesh 6 May 2012

Amy Boldosser, Director, Global Advocacy


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Progress, but not enough

Progress hasbeen made,but MDGs 4 &5 still far off

track Most progress

in North Africaand Asia

Leastprogress insub-SaharanAfrica


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REGION

Neonatal mortality rateAverage annual change 1990-2010

Africa < 1%

Eastern Mediterranean 1.5%

Southeast Asia 2.2%

Western Pacific 3.3%Americas 3.4%

Europe 3.5%

Global average annual rate reductionMaternal mortality ratio aARC = 2.3%

1- 59 month mortality rate aARC = 2.5%

Neonatal mortality rate aARC = 1.8%All 3 measures show increased progress since 2000

Source: Lawn J et al A decade of change for Newborn survival: multi country analysis. Health Policy and Planning, in pressData sources: Oestergaard et al 2011 PLoS, UNICEF 2011 www.childinfo.org
http://www.childinfo.org/http://www.childinfo.org/


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More money for health,more health for the money

4

2011

10

12

15

12

16

2012

4

12

2013

5

18

13

6Direct costs for programs

targeting women and children

Health systems costs of

programs targetingwomen and children

20

2015

15

Other costs for scaling up

to meet the health MDGs

7

2014

Billions (US$)

Substantial fundinggap: $26B for MNCH programs,$62B for MNCH health system investment,

$81B for other scale-up (for 49 lowest-income countries)


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High burden & Inequalities

Maternal mortality ratioNeonatal deaths

Copyright SASI Group (University of Sheffield) and Mark Newman (University ofMichigan).


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Key advocacy targets

Policy and program decision-makers: Ministry of Health/Finance officials

Donors

Technical and implementing agencies,including NGOs

Health care professional associations

Those influencing decision-makers:

Media

General public (relatively untapped)


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Global advocacy partnerships:Reproductive, Maternal, Newborn, Child

Health ContinuumEvery Woman, Every Child (Global Strategyfor Womens and Childrens Health )

Commission on Information and Accountability forWomens & Childrens Health & independent Expert

Review Group

UN Commission on Life-Saving Commodities forWomen & Children

www.everywomaneverychild.org


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The Partnership for Maternal,Newborn & Child Health

Focus on Reproductive, Maternal, Newborn andChild Health (RMNCH) Continuum of Care

Aims to accelerate achievement of MDGs 4 & 5

Promotes the collaboration of key constituencies,450 members

Advocacy on accountability for Global Strategyand regional RMNCH commitments

www.who.int/pmnch


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Countdown to 2015

A global movement since 2005 of1. Individuals: Scientists & academics, policymakers, public

health workers, communications experts, teachers

2. Governments: RMNCH policymakers, Parliamentarians

3. Organizations:NGOs, UN agencies,HCPAs, donors,

medical journals

4. Linked to Global Strategy

And from countries


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Countdown tracks progress For maternal, newborn & child health

In the 75 highest burden countries

Analyze and disseminate dataon country progress

Advocate at national and international level

Accountability for action, highlighting gaps Coverage & quality of care with detailed

equity analyses

Financial inputs by donors for MNCH

Policies and health system strength

Data gaps

Country specific Countdowns

www.countdown2015mnch.org


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Global advocacy partners/initiatives

Women Deliver

White Ribbon Alliance

Maternal Health Task Force

Campaign to End Fistula
http://maternalhealthtaskforce.us1.list-manage.com/track/click?u=12f07785d047d1f4eb7414fb2&id=24cc530efb&e=b1dadd85c1


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Opportunities, challenges and priorities

Maintain and strengthen attention/visibility Identify new global, regional, national champions

Translate into increased investment

Focus not just on donors, but on national budgets Share evidence on effective interventions

Linkages across continuum of care

Community-based strategies?

Hold stakeholders accountable

Global (iERG) and national mechanisms

Improve data collection, analysis, use


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Now is the time

Together we must make adecisive move, now, to improvethe health of women and

children around world. Weknow what works. We haveachieved excellent progress ina short time in some countries.- Ban Ki-moon, UN Secretary General, 2010

Boldosser_Advocacy for Advancing MNH

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