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C H I L D R EN ’S H EA L TH D EC 2 0 12
WORLD HEALTH ORGANIZATION (WHO) – IRAQ
NATIONAL WORKSHOP ON THE ACCOUNTABILITY
FRAMEWORK, WITH SPECIAL REFERENCE TO WOMEN’S AND
CHILDREN’S HEALTH
10 - 12 DECEMBER 2012
WORKSHOP REPORT
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TABLE OF CONTENT
INTRODUCTION/BACKGROUND AND RATIONALE
o Objective of the workshop
o Venue of training
o Methodology
o Consultants and facilitators
o Participants
OUTPUT OF THE FIVE DAYS WORKSHOP
o Workshop Outcomes (documents)
o Workshop Outcomes (knowledge)
PROCEEDINGS OF THE WORKSHOP
RECOMMENDATIONS
Annex 1 - Workshop Agenda
Annex 2 - List of Participants
Annex 3 - Contents of CD-ROM
Annex 4 – Completed CAF assessment tool
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SUMMARY
The Ministry of Health in Iraq in collaboration with the World Health Organization (WHO) developed road map to strengthen the results and accountability for women’s and child’s health in Iraq. The three day high-level meeting took place from 10 to12 December, 2012 in Istanbul-Turkey in the presence of delegates from Ministry of Health, medical and nursing syndicates, United Nation for Population Activities, USAID/Primary Health Care project and WHO. The meeting aims to enhance country-led monitoring, evaluation and review of national plans and determine the most important priorities on reproductive, maternal and child health, within the context of the Global Commission’s accountability framework to accelerate progress towards achieving MDGs 4 and 5 in the Eastern.
“Mothers and children are among the most vulnerable
segment of the population. A substantial progress has been
made in the area of maternal, reproductive and child health
and nutrition, however, several countries in our region including Iraq have maternal and child mortality
rates that are among the highest in the world” Said Dr Hassan Hadi Baker, Director General of Public Health
Directorate, Ministry of Health.
In Iraq the infant mortality is 32.9 per 1000 live births (MICS 4 2011), The under 5 Mortality is 37.9 per 1000 live births (MICS 4 2011). Similarly, the percentage of deliveries conducted in the institutions and the contraceptive prevalence rate have increased over the past years. It is a collegial effort, requiring strong collaboration of key stakeholders working for health sector. “Everybody is accountable to make a change in reducing maternal and newborn mortality. Let convert promises and commitments to results focus on the absolute need to strengthen health systems in Iraq”. said Dr Syed Jaffar Hussain, The Representative Of WHO in Iraq.
This exercise of developing road map to strengthening the results and accountability for women’s and
child’s health is part of a chain of innovative mechanisms and instruments linked to the United Nations
Secretary-General’s Global Strategy for Women’s and Children’s Health and the Commission on
Information and Accountability for Women’s and Children’s Health which has been established to
coordinate a process to improve information and accountability.
The completed road map for 2013 -2015 which will cover the priority interventions aiming to improve Maternal and child health will expedite the progress toward accomplishment of Millennium Development Goals 4 and 5 for reduction of child and maternal deaths by 2015. Dr Baker added, that the Ministry of Health will use this tool in other programmes to determine and expedite the progress towards the national commitment in the National Development Plan and MOH strategic plan.
The road map for Iraq presented in a regional meeting on Saving the lives of mothers and children:
accelerating progress towards achieving MDGS 4 and 5 in the Region that took place between 29 – 30
January 2012 in Doha – Qatar. The representatives of 10 selected countries in East Mediterranean Region
participated in the mention meeting and they came up with regional commitment of leaders to improve
maternal and child health in agreement with emerging global targets; develop a regional declaration on
Dr Baqer and Dr Syed during the opening remarks of the
meeting. WHO 2012
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maternal and child health with defined commitments; establish a regional commission on maternal and
child health; agree on practical coordination mechanisms to accelerate progress towards MDGs 4 and 5 in
the Region and increase the commitment of partners to support accelerated action for maternal and child
health in the Region.
INTRODUCTION
In May 2011, the Commission on Information and Accountability for Women's and Children's Health
delivered its ten recommendations to strengthen accountability for resources and results 1(see table 1).
The Commission's work draws on the IHP+ work on monitoring and evaluation2, and endorses the
principles of national leadership and ownership of results, strengthening country capacity in monitoring,
evaluation and review, and reducing the reporting burden. Accountability has been defined by the
Commission as a cyclical process of monitoring, review and action, linking accountability for resources to
results.
A multi-stakeholder process, including a consultation in July 2011 resulted in the translation of the
recommendations into a common strategic work plan. The work-plan identifies priority areas of focus for
strengthening country accountability based on these 10 key recommendations. These include:
monitoring of results
strengthening use of ICT
resource tracking
birth and death registration,
maternal death review and surveillance
national mechanisms for reviews and accountability
Advocacy/action/accountability.
Countries define priorities within these activities but may have others as well. It is generally proposed that
a four year roadmap for strengthening accountability is developed with a budget that allows catalytic
action in countries. The aim is to build on what ongoing activities, mechanisms and processes in -country,
following the IHP+ approach for harmonization and alignment.
The country team completed a self-assessment of the current situation on accountability for health during
a multi-country workshop, held in xxxx . In addition, the teams made a start with the development of a
roadmap to implement the accountability framework according to their specific needs and priorities. A
short report of the assessment and roadmap will be made available to the workshop participants and used
as the basis.
1 Keeping promises, measuring results, Every Woman Every Child. Commission on Information and Accountability for
Women's and Children's Health 2 Monitoring, Evaluation and Review of National Health Strategies. A country platform for information and
accountability. WHO, Geneva 2001. ( http://www.who.int/healthinfo/country_monitoring_evaluation/1085_IER_131011_web.pdf)
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OBJECTIVE OF THE WORKSHOP
1. Orient key country stakeholders about the context and implications of the recommendations of the Commission on Information and Accountability for Women's and Children's Health;
2. Share and discuss the results of the assessment of the current situation on the implementation of the accountability framework
3. Finalize a country roadmap to strengthen accountability for 2012-15, building upon the initial roadmap done at the multi-country workshop.
VENUE OF THE TRAINING
Holiday Inn airport Hotel - Istanbul –Turkey
The daily schedule of the meeting was from 9:00am – 7:30 pm every day
WORKSHOP METHODOLOGY
The workshop was highly participatory in nature. A variety of learning methods were employed, including
presentations, open discussion, group exercises, and receiving feedback.
CONSULTANTS AND FACILITATORS
The workshop was inaugurated by Dr. Hassan Hadi Baqer - Director General of Planning and Development
in Ministry of Health and Dr. Syed Jaffar Hussain, WHO- Representative – Iraq.
The technical parts of the workshop were facilitated by:
Dr. Aqila Noori - Medical Officer for Health System Strengthening, WHO – Iraq
Dr. Diana Zandi - Technical Officer –Programme
Dr Sergio Pieche – Medical officer for child health and development
The logistic part of the workshop was organized by:
Ms. Zeina Husseini - Programme Assistant, WHO - Iraq
The report was drafted by
Ms. Ruba Hikmat- Health Promotion and Communication Officer, WHO-Iraq
Consultants during the discussion session. WHO 2012
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PARTICIPANTS
Altogether, there were 20 participants from different stakeholders representing:
Director General of Planning and Development in Ministry of Health (central and KRG-Iraq)
Primary Health Care Directorate in the Ministry of Health (central and KRG-Iraq)
UNFPA
WHO (HQ)
WHO Regional Office for the Eastern
Mediterranean
WHO- Iraq programme
USAID
Please see Annex 3 for a detailed list of
participants.
OUT PUT OF THE TWO DAYS WORKSHOP
Report of the Commission on Information and Accountability
Report of the completed assessment and draft roadmap by the country team at the multi-country workshop
Completed mapping of current country and development partner efforts in implementing the accountability framework
THE PARTICIPANTS WHERE INTRODUCED TO THE FOLLOWING DURING THE TRAINING WORKSHOP
Increased awareness and understanding by all stakeholders of the Commission recommendations and opportunities/challenges for country implementation;
A completed review of the assessment report and final draft of the accountability roadmap, identifying the priority actions
Group work on the identified priority areas – aim to identify the priority areas for strengthening
during 2012-15, with cost implications for 2012-13.
The health situation of the Mother and child.
RECOMMENDATIONS
Below is a list of the recommendations arising from the workshop.
RECOMMENDATIONS
Participants group photo. WHO 2012
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CIVIL REGISTRATION & VITAL STATISTICS SYSTEMS
PRIORITY ACTIONS
Assessment & Plan
Use of the results of the second rapid CRVS assessment for advocacy /mobilization key stakeholders.
Technical committee will review the assessments tools used by WHO for comprehensive assessment and the tool used by MOP/CSO in the assessment that was conducted in July 2011, especially to check for the presence of main elements with regard to CRVS and recommend whither to conduct comprehensive assessment based on WHO tools or not.
Establish a steering committee from relevant departments in MOH which will guide and oversee in close collaboration with MOP/CSO and other stakeholders the initiative and implementation of CRVS plan.
Develop and agree on strong coordination mechanism among all stakeholders responsible for
CRVS
Coordinating Mechanism
Strengthen interagency coordinating committees involving all key stakeholder and make sure they meet periodically and share information on the main conclusions.
There is an urgent need to review the currently existing committees and mechanisms used for CRVS in order to bring more harmony among the agencies and entities working for CRVS.
0
Hospital reporting Strengthening the hospital recording system through the introduction of tools of quality assurance and the computerized system for record keeping.
Enhance the capacity of the ministry of health at different levels in the use of ICD 10 a nd work up the mechanism for developing and sustaining the core capacities.
0
0
Community reporting Establish community reporting of births&deaths ,impement inovative approach
Strengtheestablish community reporting through use of VA by com munity workers
0
0
Vital statistics Strengthen the analytical capacity of vital statistics office, including data quality Strengthen the analytical and reporting capacity of vital statistics offices at different levels.
Establish data quality assessment sytem inline with international standards
0
Local studies for mortality
Establish the (HDSS) IN IRAQ for all programs
0
0
MONITORING OF RESULTS
POSSIBLE ACTIONS
M&E Plan Update and further strengthen the M&E component of the NHS during the revision process of the NHS.
Review the RMNCH M&E plan(s) and align with the M&E of the revised NHS.
0
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M&E Coordination Strengthen further the M&E coordinating body at National and Governorate level which will make sure to bring all stakeholders to the common platform and thus facilitiate the review of the progress on various dimensions of the health programs.
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Health Surveys Develop 10 year health survey plan
Plan for a national coverage survey 2012-13, that includes RMNCH interventions
0
0
Facility data (HMIS) Strengthen analytical capacity, annual compilation of statistics from facilities with data quality assessment
Conduct annual facility survey for data verification and service readiness
0
0
Analytical capacity Strengthen analytical capacity of the departments responsible for review of the progress and performance and involve key institutions/ partners in the review .
Promote the use of findings from the progress and performance to inform mid term and annual reviews and make them more evidence and context oriented.
0
Equity Review equity analyses taking equity aspects into consideration according to the existing policy guidelines in order to ensure access of all parts of the population to health services.
0
0
Data sharing Strengthen national data repository with all relevant data and reports.
0
0
Maternal death surveillance & response
Possible actions
Notification Improve the promptness of maternal death reporting system especially in rural remote areas
0
0
Capacity to review and act
Strengthen the managerial and technical capacity of health professionals at national and subnational levels in the MDSR. In addition capacitiy of national staff responsible of MDSR has to be enhance on the most updating tools for reporting.
0
0
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Hospitals / facilities Improve reporting by all hospitals especially from non - maternity departments of general and private hospitals in line with ICD requirments.
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Develop and enforce regulation requiring private hospitals to report and review all maternal deaths to the nearest official structure responsible for MDSR.
0
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Quality of care Establish a regular system of QoC assessments and orient the health professionals about its use. The Health Information Strategy is in process of developement which will clearly delineate the use of the results from the Quality and all other conducted assessmenst for policy and decision making.
0
0
Community reporting & feedback
Develop a community system of maternal death reporting and response, using ICT in colloboration with Ministry of Planning and other relevant stakeholders.
Develop a system of maternal death reporting and response initiation by electronic devices in colloboration with Ministry of Planning and other relevant stakeholders.
Develop VA for maternal deaths in communities in colloboration with Ministry of Planning and other relevant stakeholders.
Develop system of involving communities in review and response in colloboration with Ministry of Planning and other relevant stakeholders.
0
0
Review of the system A regular system for assessing the quality of maternal deaths review and surveillance should be established soon. In addition the tools for quality assessment should be introducted and the capacity of health professionals built on the use of tools and the overall review process in line with the standard procedures for such a system.
0
0
Innovation and eHealth
Possible actions
Policy Explore the need both in terms of workforce capacity and the physical infrastruture necessary for successful implementation of E-Health Strategy in colloboration with relevant partners.
ensure MNCH component is clearly articled in the strategy
0
Infrastructure Conduct assessment of infrastructure coverage and availability
Based on health priorities and identified gaps, identify priority needs in terms of infrastructure acquisition and deployment.
Identify/allocate appropriate resources to update all identified infrastructure gaps
Services Conduct assessment of existing ICT applications and services Determine the ICT applications required to support the MOH priority programs and gaps.
Identify/allocate appropriate resources to establish implementation of required ICT applications.
Assess the available capacity of ICT specialists in support of health.
Identify potential HR based on the identified need and allocate resources to upgrade the level of ICT for health.
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Standards Based on the identified priority areas and used ICT applications, align the currently available core set of standards with the internationally recommended standards.
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Governance Develop and support a strong effective coordination mechanism with relevant stakeholders especially when it comes to implementation of E- Health intiatives.
0
0
Protection Develop a new regulatory framework on protection of data in collaboration with relevant government partners.
Enforce compliance to data protection policies
0
0
Monitoring of resources
Possible actions
National health accounts
Develop NHA framework based on the new system of health accounts.
Organize a meeting with decision makers and technical staff to develop instituational arrangements and governance mechanism that specifies coordination, management, national indicators and budget for implementing health accounts an d tracking resources on key policy issues such as financial flows for RMNCH
0
0
Compact Organize a meeting to engage government and development partners and work towards "compact"
0
0
Coordination Re-activate a steering committee, officially approved, with institutional support, and functioning using results-based management methods
Ensure inclusion of all key stakeholders in resource tracking.
0
0
Production Train staff on system of health accounts 2011 at all level espe cially at governarate level.
Map government codes to NHA codes and develop IT conversion tool for NHA
Develop /strengthen database for production of NHA
0
0
Analysis Strengthen analytical capacity in government and other relevant institu tions
Disseminate report and analyses on public website
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0
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Data Use Advocate for /promote use of NHA data in policy making process
0
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Review processes
Possible actions
Reviews Agree on a structured tool and guidelines to be followed by all departments invoved in the review processs which will lead to better alignment and integration among the various review processes.
Identify all the reviews which are planned to take place in a year and reflect them in a calendar of events entailing different activities which will facilitate the proccess of annual and mid term review processes.
Ensure that the RMNCH appraisals are held and that findings feed into the health sector reviews
0
0
Synthesis of information & policy context
Strengthen the capacity to prepare analytical reports prior to the reviews
Ensure the mid term and annual review process focus on qualitative aspects of information.
0
0
From review to planning
Agree on a well established mechanism for making sure that the evidence from the review is used in the planning process and resource allocations.
Ensure greater involvement of all stakeholders
0
0
Compacts or equivalent mechanisms
Ensure the existence of a single M&E framework that fits into the single national health plan
0
0
0
Advocacy & outreach
Possible actions
Parliament active on RMNCH issues
Parliamentarians are mobilized to engage in RMNCH accountability, especially on financing.
Enhance the frequency of public hearings/forums by parliament for sharing information on RMNCH especially the financing and accountability aspect.
Advocate on behalf of MOH with Ministry of Finance and Planning for more resouces and with other relevant Ministries for expediting the approval and review process of policies and regulations with regard to RMNCH programs.
0
Civil Society Coalition Establish a high level co-ordination platform for bringing all CSOs especially NGOs working for health sector to ensure joint work under the same policy framework and contribute to implementation of priorities which has been agreed in the National MoH Strategy.
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Support capacity of civil society to synthesize evidence and disseminate messages according to the current evidence and using a proper dissemination strategy.
0
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Media role Work with the media to strengthen their capacity to report on RMNCH related issues
Work with the media to strengthen their capacity to facilitate information sharing on the monitoring and implementation of the Global Strategy.
Establish a proper mechanism for sharing the information with media and set out the mechanims for monitoring the coverage of information by media.
0
0
Countdown event for RMNCH
Countdown Coordinating Committee, UN agencies (H5), and other partners encourage/support national stakeholders to plan national Countdown
Prepare Countdown report / profile using all evidence
0
0
Child and maternal health
Possible actions
Policy and strategy Initiate implementation of the recently revised plan of action of the national Reprductive ,child and maternal health strategy.
Advocate for a formal commitment to be made to the UN global strategy for wome n's and children's health
Child and maternal health interventions
Expedite the implemenation of the interventions with special focus to the rural remote areas.
Plan for the implementation of the cost effective interventions at both health facility an d community levels.
Plan for universal coverage of IMCI at health facilities level and expand coverage at community level and mobilize resources to achieve the target of the plan.
Plan for universal coverage of IMPAC at health facilities level and introduce IMPAC at community level. B.Mobilize resources to achieve the target of the plan.
Planning already achieved
already achieved
already achieved
Review and improve the plan to include targets, indicators and monitoring plan
Carry out costing of the recently revised MCH plan with technical assistance of partners.
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Strengthen the monitoring process for implementation of the plan
Monitoring and evaluation
Incorporate the 5 missing indicators of COIA in the revised MCH strat egy by the committee who were involved in the revision of the MCH strategy.
Build capacity at all levels of health system with special focus at the governorate level in the reporting of intermediate indicators.
Conduct periodical reviews of the child and maternal health programme.
Strengthen the supervisory system: Develop a plan, conduct visits, reports, and feedback. Capacity building of suprevisors on supportive supervisory skills
Expand the coverage of health facilities assessment to the remaining facilities which are not being assessd yet. Special emphasis should be placed to evaluate the quality of child and maternal health services at PHC facilities. Conduct a national workshop to disseminate results of the assessments. Results are posted on the MOH site to be publicly accesssible
Continue to document and improve the quality of reporting on child health program activities.
Advocacy, commitment and partnership
Conduct advocacy activities for key stakeholders to present the maternal and child health situation and show evidence of impact of implementation.
Disseminate data on the current situation of maternal and child health to the high level decision makers to obtain resources. Engage members of the various committees tasked to advocate on maternal and child health issues in the various meetings conferences organized by MOH and health sector partners.
Advocate to all stakeholders and partners in the country to ensure full and integrated coordination and resource mobilization so that to support the child nd maternal health programmes in the country.
Annex 2
LIST OF PARTICIPANTS
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Name: Dr. Hassan Hadi Baker
Job Title : D.G of Public Health
Directorate
Job Location: MOH/ Baghdad
Address: Baghdad-Iraq
Phone: +964 7901948207
E-mail: [email protected]
Name: Dr. Ola Shakir Fadhil
Job Title : Head of RH/MCH Section
/Public Health Directorate
Job Location: MOH/ Baghdad
Public Health Directorate
Address: Baghdad-Iraq
Phone: +964 7902162510
E-mail: [email protected]
Name: Dr.Jinan Luqman Abdulrahman
Job Title : pediatrician
Job Location: Directorate of Health
/MCH RH in MOH
Address: Baghdad-Iraq
Phone: +964 7905656982
E-mail : [email protected]
Name:Dr.Nidhal Ibraheem
Job Title :National IMCI coordinator
Job location :MOH Baghdad
Phone: +964 7902200200
E-mail: [email protected]
Name: Dr .Awring M.Kadir
Job Title : Pediatrician in PHC
department
Job Location: MOH-Kurdistan
Address: Erbil-Iraq
Phone: +964 -7701483800
E-mail: [email protected]
Name: Nadhim Abdul-Hameed Kasim
Job Title : president of IMA
Job Location: Iraqi Medical Syndicate
Governorate: Baghdad-Iraq
Phone: +964 7901745721
E-mail: [email protected]
Name: Amean Ageel Yasir
Job Title :Deputy scientific Dean
Head of Iraq Nursing Association
Job Location: University of Babylon –Nursing
College
Governorate: Baghdad
Phone: +964 7812267818
E-mail: [email protected]
Name: Dr .Bushra Abbasi
Job Title : Chief of Party USAID Primary
Health Care project in Iraq
Job Location: USAID Iraq
Address: Baghdad-Iraq
Phone: +9647901102565
E-mail: [email protected]
Name: Dr .Radouane Belouali
Job Title : Chief Of Operations –UNFPA Iraq
Job Location: UNFPA Iraq
Address: Baghdad-Iraq
Phone: +962 797313799
+964 7901947439
E-mail: [email protected] Name:
Name: Dr. Ameera Muhammad Abdullah
Job Title : Director of Dental Department
Job Location: MOH Kurdistan
Address:
Phone: +964 7702773242
E-mail : [email protected]
Name: Dr. Sergio Pieche
Job Title : Medical Officer child health and
development
Job Location: WHO-EMRO
Address: Cairo-Egypt
Phone: +20222765352
E-mail: [email protected]
Ms. Diana Zandi
Job Title : Technical Officer –Programme
Manger of eHealth
Job Location: WHO Head Quarter Geneva
Address: Switzerland- Geneva
Phone: +41227912857
E-mail: [email protected]
Name : Dr. Aqila Noori
Job Title: Medical Officer
Job Location : WHO Iraq Office in Amman
City : Amman – Jordan
E-Mail : [email protected]
Phone : 00962 795043930
Name: Ms. Ruba Hikmat
Job Title : Technical officer; Health
Promotion and Communication
Job Location: WHO Iraq Office in Amman
Address: Amman-Jordan
Phone: +962 795096066
E-mail: [email protected]
Name: Zena AL-Hussaini
Job Title : Programme assistant
Job Location: WH0-Amman Office
Address: Amman
Phone: +964 7905043572
E-mail: [email protected]
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Annex 3
CD CONTENTS
Workshop presentations
Day 1: Introduction Accountability
Cairo Global Context TLamberchts
Country Context opening
Introduction tool fgore_cario
Session 2 Monitering result
Session 3 E Health
Day 2 Session 4 CRVS introduction
Session 5 MDSR
Session 6 tracking resources
Session 7 JAPS
Day 3 Session8 introduction to advocacy
Session 9 Advocacy and accountability
Key resources by session
Civil registration and vital statistic
Global strategy for women and children
Information and accountability references
Innovating and e health
Maternal death surveillance and response
Monitoring of recourses
Monitoring of result
Review mechanism
RMNH document s
Commission on information and accountability
Country reports
Doha workshop report and results
Photographs
Workshop log materials (list of participants , context and agenda)
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Country assessment; CAF Assessment Tool 10 Dec Iraq
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Annex 4
AGENDA
Day 1
8.30 – 9.00 Registration
9.00 – 9.15 Opening remarks and Introduction
Central MOH and KRG MOH
Dr Syed Jaffar Hussain, WR
Iraq
9.15 – 9.30 Remarks UN UNICEF and UNFPA
Representatives
9.30 – 9.45 Remarks by Iraqi parliament Representatives of
Parliament from central and
KRG Iraq
9.45 – 10.00 Objectives and expected output of the workshop Presentation Dr Aqila Noori, WHO/ Iraq
10.00 – 10.30 TEA BREAK
10.30-11.00 Progress towards MDG4 and 5 targets and country
commitments to the UN Global Strategy for Women
and Children’s Health
Presentation EMRO/ WHO
11.00-11.30
Introduction of the accountability framework based
on the recommendations of the UN Commission on
Information & Accountability for Women’s and
Children’s Health
Presentation HQ/ WHO
11:30-12:30 Discussion Plenary discussion
13.00 – 14.00 LUNCH BREAK
14.00 – 15.30 Report and results from the multi-country workshop
: Process and results
Presentation and plenary
discussion
MOH/WHO
15.30-16.00 BREAK
16.30–17.30 Mapping of current country and partner efforts in
implementing the accountability framework
Presentation and plenary
discussion
Partners & MOH
P A G E | 18 R EP O R T: I N TR O D U C T O R Y W O R K S H O P O N I NT EG R A T ED D I S T R I C T H EA L T H S YS T EM B A S ED O N F A M I L Y P R A C TI C I N I R A Q , 17 –
21 A P R I L 20 11
Day 2
8:30-9:00
9
Group work on the components of the accountability
framework: assessment, priorities, roadmap (4-6
groups)
Group 1: Civil registration and vital statistics systems
Group 2: Monitoring of results
Group 3: Maternal death surveillance and response
Group 4: ICT
Group 5: Tracking of resources
Group 6: Annual reviews, advocacy and outreach
Group work :
·identify priority actions
·define methods and
approach
·define roles and
responsibilities
·identify timelines for
actions implementation
·Identify priority actions for
2012-2013 with cost
implication
All participants
11:00 – 11:30 TEA BREAK
11:30-13:00 Group work (continued) Group work All
13:00 – 14:00 LUNCH BREAK
14:00-15:30 Groups feedback to plenary and discussion Plenary All
15:30-16:30 Integration of plenary feedback into the final
roadmap
Group work All
P A G E | 19 R EP O R T: I N TR O D U C T O R Y W O R K S H O P O N I NT EG R A T ED D I S T R I C T H EA L T H S YS T EM B A S ED O N F A M I L Y P R A C TI C I N I R A Q , 17 –
21 A P R I L 20 11
Day 3
8.30 – 10.00
Finalization of the roadmap including priority
areas for strengthening during 2012-2015, with
cost implications for 2012-2013
Presentation and plenary
discussion
All
10.00 – 10.30 TEA BREAK
10.30 – 11.30 Official validation of the roadmap MOH
11.30 – 12.30 Next steps
Official closing
All participants
12.30 – 14.00 LUNCH AND END OF PROGRAMME
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