Marie-Paule Kieny. “Keeping Promises, Measuring Results: The Global Strategy and Accountability for Women’s and Children’s Health.” (English) Presentations to the Second Stakeholders Meeting on Implementing the Recommendations of the Commission on Information and Accountability for Women's and Children's Health Ottawa. Session 1 - General Perspectives Plenary Panel 21-22 November 2011

1. Keeping promises, Measuring results:
The Global Strategy and Accountability for
Women's and Children's Health
Dr Marie-Paule Kieny
Assistant Director General
Innovation, Information, Evidence and Research Cluster
World Health Organization
Ottawa, 21-22 November 2011

2. Commission on Information
and Accountability
• Commission established,
November 2011
• Advanced copy of the Commission's
Report released during the World
Health Assembly, May 2011
• Recommendations discussed in high
level meetings
– World Health Assembly -
resolution WHA 64.12: May
2011
– G8 meeting: July 2011
• Report officially released by
Secretary-General Ban Ki-moon,
September 20, 2011

3. Commission's recommendations
Monitoring results
1. Vital events: By 2015, all countries have taken significant steps to establish
a system for registration of births, deaths and causes of death, and have
well-functioning health information systems that combine data from facilities,
administrative sources and surveys.
2. Health indicators: By 2012, the same 11 indicators on reproductive,
maternal and child health, disaggregated for gender and other equity
considerations, are being used for the purpose of monitoring progress
towards the goals of the Global Strategy.
3. Innovation: By 2015, all countries have integrated the use of Information
and Communication Technologies in their national health information
systems and health infrastructure.

4. Commission's recommendations
Tracking resources
4. Resource tracking: By 2015, all 74 countries where 98% of maternal and child deaths
take place are tracking and reporting, at a minimum, two aggregate resource indicators
- total health expenditure by financing source, per capita; and
- total reproductive, maternal, newborn and child health expenditure by financing
source, per capita.
5. Country Compacts: By 2012, in order to facilitate resource tracking, “compacts” between
country governments and all major development partners are in place that require
reporting, based on a format to be agreed in each country, on externally funded
expenditures and predictable commitments.
6. Reaching women and children: By 2015, all governments have the capacity to regularly
review health spending (including spending on reproductive, maternal, newborn and child
health) and to relate spending to commitments, human rights, gender and other equity
goals and results.

5. Commission's recommendations
Better oversight
7. National oversight: By 2012, all countries have established national accountability
mechanisms that are transparent, that are inclusive of all stakeholders, and that
recommend remedial action, as required.
8. Transparency: By 2013, all stakeholders are publicly sharing information on
commitments, resources provided and results achieved annually, at both national and
international levels.
9. Reporting aid for women’s and children’s health: By 2012, development partners
request the OECD-DAC to agree on how to improve the Creditor Reporting System so
that it can capture, in a timely manner, all reproductive, maternal, newborn and child
health spending by development partners. In the interim, development partners and the
OECD implement a simple method for reporting such expenditure.
10. Global oversight: Starting in 2012 and ending in 2015, an independent ‘‘Expert
Review Group’’ is reporting regularly to the United Nations Secretary-General on the
results and resources related to the Global Strategy and on progress in implementing this
Commission’s recommendations.

6. Putting recommendations
into action
• Development of a common strategic work plan, following
stakeholders' meeting with all interested parties in WHO, Geneva,
14–15 July 2011
– Agreement to focus follow-up on 74(+1) countries - 49 lowest income
countries (Global Strategy) + 25 additional high burden countries
(Countdown)
– Budget: US$ 88 million
• Roles and responsibilities for many partners: H4+, global health
partnerships (PMNCH, HMN, GAVI, others), IPU, civil society
organizations, academics and researchers, country representatives,
private sector
• Funding commitments for implementation made by Norway,
Canada and United Kingdom (just over one-fourth of the budget at
the moment)

7. Accountability:
Progress since May 2011
• PMNCH: Analysing Commitments to Advance the Global
Strategy for Women’s and Children’s Health
• HMN & Countdown 2015: Report on Monitoring key
indicators for maternal, newborn and child health
• Innovation Working Group: Innovating for Every Women,
Every Child
• Country Interactions, including 5 country workshop in Mali
• Recommendation 10: Open process of nomination of
members of Independent Expert Review Group completed
by September 2011 - Independent Expert Review Group
announced
– Carmen Barroso, Zulfikar Bhutta, Richard Horton, Dean Jamison, Joy
Phumaphi, Marleen Temmerman, Miriam Were
• Development of a set of web-based global and country-level
progress tracking tools

8. Web-based tools as
enablers*
S ITE
WHO-hosted web site for the Accountability W EB
Commission's follow up work:
- Information sharing and public consultation
for better transparency and visibility
- Global-level online progress tracking OB
AL
GL
(against all recommendations and
respective activities reflected in the
Strategic Workplan)
- Country-level online progress tracking N TR
Y
U
(against each specific activity) CO
* Directly supporting Recommendations 3, 7, 8, 10

9. Partners acting in concert
• Countdown initiative
– Annual country profiles, national Countdown Conferences, Interpretation and
dissemination of progress
• Inter-Parliamentarian Union
– Focus on Women and Children's Health, Report and resolution in annual
meeting in Kampala, Uganda, April 2012
• OECD DAC/CRS Working Party of Statistics
– Task team set up (October 2011), Different options to be piloted with 1-2
agencies, Decision making in June 2012
• H4+ - UN agencies
– Support to countries in development and implementation of action plans
• Evidence for Action
– Maternal and perinatal deaths reviews, using information for advocacy and
action
• PMNCH
– Advocacy and support to all of the above
• HMN
– Strengthening birth and death registration systems, information systems

10. Immediate next steps
• Country assessment and roadmaps with
priorities:
– Intercountry workshops on domestic expenditure
tracking: Francophone (11), Anglophone (12), Harare (completed)
– Two orientation and planning workshops:
Mali (5 countries): 14 – 16 November 2011; Tanzania (7 countries):
January 2012,
– Country visits: Sierra Leone November 2011, Laos-Cambodia Jan
2012
• International stakeholders' meeting,
hosted by Government of Canada, Ottawa, 21 – 22 November 2011

11. Role of WHO
• Hosting the ERG secretariat
• Facilitating the implementation of the overall workplan and
mobilizing resources
– At HQ, three clusters and six departments involved (IER, FWC, HSS)
• Coordinating technical support (including web-based
monitoring tools) to each of the recommendations – roll out in
countries: focus on 20 countries in initial phase, led by WHO
country offices with support from regional office and HQ
• Building partnership and capitalizing on partners' strengths
• Promoting and supporting innovation

12. Objectives of the
Ottawa meeting
• Advance the Commission' recommendations by
operationalizing the common strategic workplan into more
specific actions.
• Specific objectives of the meeting:
– Review progress and plans, opportunities and challenges of
implementation in countries and globally;
– Establish a shared understanding of the work required and the roles
and responsibilities of partners in the implementation the
Commission’s recommendations and the workplan;
– Explore synergies and identifying areas for collaboration and
coordination between partners involved in implementing the
Commission’s recommendations and the commitments to the Global
Strategy
– Identify a set of concrete next steps with a focus on joint efforts
between stakeholders.

13. Common questions to
be addressed
1. What do we want to achieve? What would success look
like?
2. What is the current situation and main gaps?
3. How can priority gaps be addressed? What are the priority
activities?
4. What are the current facilitation / coordination mechanisms
at the global level that can support this area of work?

14. Thank you.