The Partnership for Maternal, Newborn & Child Health in support of Every Woman Every Child 2016 Annual Report Coming of age in a time of transition Acronyms and abbreviations
AA-HA! NGOs SDGs Accelerated Action for Health of Nongovernmental organizations Sustainable Development Goals Adolescents MDGs UAF Agenda 2030 Millennium Development Goals Unified Accountability Framework 2030 Agenda for Sustainable IAP Development UHC Independent Accountability Panel Universal Health Coverage AY IPPF Adolescents & Youth UN International Planned Parenthood United Nations FCI Federation UNAIDS Family Care International IPU The Joint United Nations Programme Inter-Parliamentary Union GFF on HIV/AIDS Global Financing Facility PMNCH UNICEF Global Fund Partnership for Maternal, Newborn & Child Health United Nations International Children’s The Global Fund to Fight AIDS, Emergency Fund Tuberculosis and Malaria QED Quality, Equity and Dignity UNFPA Global Strategy United Nations Population Fund Global Strategy for Women’s, SRMNCAH Children’s and Adolescents’ Health Sexual, reproductive, maternal, WHO (2016-2030) newborn, child and adolescent health World Health Organization
The Partnership for Maternal, Newborn & Child Health 2016 Annual Report: Coming of age in a time of transition
WHO/FWC/NMC/17.1
© World Health Organization 2017 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo).
Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”.
Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization.
Suggested citation. The Partnership for Maternal, Newborn & Child Health 2016 Annual Report: Coming of age in a time of transition. Geneva: World Health Organization; 2017 (WHO/FWC/NMC/17.1). Licence: CC BY-NC-SA 3.0 IGO.
Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris.
Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing.
Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user.
General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement.
The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.
All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use.
Printed in Switzerland. Contents
Message from the Chair of the Board ...... 4
Message from the Executive Director ...... 5
Key moments for the Partnership in 2016 ...... 6 2016 by numbers ...... 6
1. New beginnings: on the road to 2030 ...... 8
2. Adolescent & Youth constituency: the beginning of a social movement ...... 11
3. Gearing up for country engagement ...... 14
4. Driving accountability for results, resources and rights ...... 16 Spotlight: Citizen-led accountability ...... 20
5. Focusing on strategic action for results ...... 21 Spotlight: Working with parliamentarians ...... 25
6. Deepening partnerships ...... 26 Spotlight: Engaging civil society in the Global Financing Facility ...... 29
7. Resource mobilization ...... 30
The Partnership Board Members ...... 31
Annex 1. The Partnership’s value-add at country level: five areas of work ...... 32
Further reading ...... 33 Message from the Achieving the SDGs is Chair of the Board heavily dependent on our partners working In terms of our accountability work, together in stronger the Partnership led the development alignment within the of the Global Strategy’s Unified Every Woman Every Accountability Framework. We also Child architecture, facilitated the establishment of the and throughout the Independent Accountability Panel, continuum of care, for set up a secretariat to support its work, and provided inputs into its the good of the most first report, which was launched vulnerable among us. during the UN General Assembly at our annual accountability breakfast event. social justice will be vital in helping 2016 was a pivotal year for our us realize the SDGs. Now more than 2016 was a successful year Adolescent and Youth constituency: ever his leadership is crucial to for the Partnership as it it took centre stage and is now ensuring that the rights of women, embarked on implementing leading the charge in advocacy, children and adolescents to health its 2016-2020 Strategic accountability and meaningful and well-being are protected. Helga Plan. The Partnership engagement of young people in the Fogstad, a champion of SRMNCAH, joined the Partnership as Executive grew globally, reaching a Global Strategy. The response of our country partners in support of Director at the end of 2016, and membership of 800 the adolescent agenda has brings to the organization a wealth and adding three emboldened us. In October, the of SRMNCAH experience. Under her new constituencies. Government of Mozambique hosted guidance and ability to inspire and a public event within our 19th Board build consensus, I am confident that meeting, focusing on adolescent we will make significant strides in We are thrilled by this growth, as girls and underlining the country’s fulfilling our mandate for 2030. we believe that achieving the SDGs commitment to listening to them is heavily dependent on our partners and addressing their needs. We continue to work collectively for working together in stronger Bringing the Partnership family to a world where every woman, child alignment, within the Every Woman Maputo was a proud homecoming and adolescent matters and enjoys Every Child architecture, and for me, made more poignant by the their fundamental rights to good throughout the continuum of care, example this event set of what we health and well-being. PMNCH is for the good of the most vulnerable can achieve when we engage pleased to do this in concert with among us. In addition, we set about young people and let countries our partners and is deeply strengthening our governance lead. Our work must continue in committed to this common agenda. structure to ensure inclusive this regard so that we are optimally In our important efforts to ensure governance and decision-making, positioned to achieve the SDGs. the well-being and empowerment and coordinated action among of women, children and adolescents partners. We also explored new I am particularly excited by new everywhere so that they can thrive ways to publicize evidence for action leadership at both the UN and the and realize their full potential, at each life stage, launching a new Partnership to help us carry our onwards and upwards! knowledge summary on adolescent important work forward. The new health and hosting several events UN Secretary-General António Graça Machel, and webinars presenting key Guterres places great importance Chair of the Board findings from variousLancet series on human rights and gender The Partnership for Maternal, launched in 2016. equality, and as a proponent of Newborn & Child Health
4 Message from the Executive Director
our work progressed with the We are excited that United Nations steady guidance of our partners. Secretary-General António Guterres The accomplishments has accepted an invitation to join documented in this report are a the Every Woman Every Child High- tribute to them and a testament to Level Steering Group as a senior the power of partnership. co-Chair. This will ensure the continuation of high-level political 2017 offers an opportunity not only championship for and a staunch ally to do new things but also to do the in our work in support of the Every old things better. However, the Woman Every Child movement. need for even stronger partnerships has never been greater. Our work The Partnership looks forward to must continue to complement the playing its part in this ensemble of Every Woman Every Child extraordinary constituencies and Implementation of the movement’s efforts to put the partners, where each member is Sustainable Development Global Strategy into action. To special and critical to achieving the Goals (SDGs) began in 2016, achieve the Global Strategy’s results we want in 2030. setting the world on a firm Survive, Thrive and Transform path towards 2030. objectives and leave no one behind Helga Fogstad, Reflecting on this report, we need to work together, Executive Director especially on areas that need extra it is interesting to note how The Partnership for Maternal, attention. Some areas need extra Newborn & Child Health this has also been a year attention because they have of significant “firsts” for received too little in the past and the Partnership. are part of the unfinished agenda, including: quality and equity improvements to ensure women, It was the first year of children and adolescents survive implementing our new Strategic and thrive; early childhood There is a part for Plan 2016-2020. Our Adolescent & development; adolescents’ health; everyone in this Youth constituency progressed work in humanitarian and fragile rapidly from small steps at its settings; and empowerment of grand orchestra, and inception in 2015 to giant strides women and communities. Other if we act in concert by the end of 2016, developing a areas need extra attention because there is beautiful common agenda for advocacy and they have lately come under fresh music to be made. accountability on adolescent health attack, notably sexual and and becoming a priority go-to reproductive health and rights. platform for youth engagement in Leaving no one behind on the way the Global Strategy for Women’s, towards 2030 calls for accelerated Children’s and Adolescents’ Health action, stronger alignment and (Global Strategy) and the SDGs. streamlining in an architecture that We turned our attention to country is unnecessarily complex, crowded work. For the first time, we and duplicative—in a word focused more deliberately on a cacophonous. There is a part for specific set of countries. While it everyone in this grand orchestra, takes time to understand the and if we act in concert there is needs of different constituencies, beautiful music to be made.
PMNCH Annual Report 2016 | 5 May ¾¾PMNCH joins over 5,000 advocates, experts and young people at the 4th Key moments for Women Deliver conference and along the Partnership in 2016 with The Lancet and the Gates Foundation showcases key findings and evidence from several Lancet series ¾¾PMNCH launches a new adolescent health knowledge summary and brief on adolescent-led accountability, to facilitate meaningful youth engagement in improving health outcomes January ¾¾The Partnership’s 18th Board meeting agrees a set of governance recommendations, strengthening inclusive ¾¾PMNCH and partners begin year-long governance, decision-making and coordinated action among advocacy around key findings from partners on the Board The Lancet, starting with series on ending stillbirths & breastfeeding ¾¾NGO constituency members—International Planned (January), followed by Lancet March Parenthood Federation, Save the Children, World Vision and Commission on Adolescent Health and ¾¾190+ organizations from White Ribbon Alliance—hold a Global Dialogue for Citizen-led Wellbeing (May), maternal health series 51 countries sign up to a Accountability at the World Health Assembly (September) and early childhood PMNCH-sponsored joint ¾¾ development series (October) A Common Cause, a letter campaign calling for report co-authored by G7 commitment to PMNCH and Save the Universal Health Coverage Children, outlines the ¾¾Parliamentarians at the rationale for placing IPU Assembly address women, children and early and forced marriage adolescents at the at an event co-sponsored centre of Universal by IPU, PMNCH and WHO Health Coverage ¾¾Mrs Graça Machel, PMNCH Board Chair, is appointed SDG advocate and member of the High-level Advisory Group for Every Woman Every Child by the UN Secretary-General
February April ¾¾The Partnership’s NGO constituency-led ¾¾PMNCH joins the Global Fund Partner meeting in Dakar leads to the creation constituency with a commitment to advocate of 6 civil society seats on the national for action on women’s, children’s and RMNCAH platform in Senegal adolescents’ well-being through the fight against TB, HIV/AIDS and malaria ¾¾PMNCH co-leads a commitment drive for the Global Strategy ahead of its presentation at the 69th World Health Assembly ¾¾PMNCH holds multistakeholder consultations to help develop the Indicator And Monitoring Framework for the Global Strategy, published in September 2016
2016 by numbers
US$ 5 billion 3 new constituencies (Global Financing Mechanisms, 2,600+ webinar views from 40 commitments Inter-Governmental and to the Global Strategy Organizations and United Nations Agencies) 1,150+ event attendees
800 members 400,000+ website visitors
6 October July ¾¾A partner-led effort yields PMNCH’s December ¾¾Every Woman Every Child first ever advocacy and partners at the High-level communications strategy, outlining ¾¾A series of webinars co-hosted Political Forum in New York priorities for the next three years, with the American Public Health commit to greater collaboration with quality, equity and dignity, Association and other partners and alignment with national-led adolescents and youth, and share evidence across the plans and coordination across humanitarian settings identified as continuum of care, bringing sectors to achieve the Global key focus areas frontier issues such as adolescent Strategy objectives and the SDGs ¾¾The Government of Mozambique health, humanitarian settings and reinforces its commitment to stillbirths to the fore adolescent girls at a public event during PMNCH’s 19th Board meeting
¾¾At the 21st International AIDS conference Adolescent & Youth constituency members call for youth-led advocacy, accountability and meaningful engagement in the implementation of the Global Strategy at country level
September ¾¾Stakeholders at PMNCH’s 5th November Accountability breakfast call for June improved accountability for women’s, ¾¾PMNCH-led advocacy group contributes to World Prematurity ¾¾PMNCH and partners collaborate on an children’s and adolescents’ health Day, aligning action by more than operational approach to the Unified 50 partners, across 130 events in Accountability Framework, which sets out 60 countries, and highlighting a clear structure and system to strengthen prematurity as the largest accountability at all levels contributor to under-5 mortality
¾¾The Independent Accountability Panel launches its first report,Old challenges, new hopes. ¾¾Every Newborn Action Plan, launched by a ¾¾40 new commitments, worth US$ 5 broad group of partners including PMNCH, billion, are pledged to the Global marks its second anniversary Strategy at a high-level event during ¾¾Every Newborn Action Plan partners the UN General Assembly release a country progress tracking tool to assist countries in mapping needs and successes in pursuit of national milestones
33 million+ users 12 e-blasts 9 high-level advocacy events reached on Twitter and (up 85% from 2015) 10 video blogs 100 citizens’ hearings supported 3 publication launches Twitter followers up 15% by PMNCH board members in more from 2015 than 10 countries
PMNCH PMNCH Annual Annual Report Report 2016 2016 || 7 1. New beginnings: on the road to 2030
Alignment, analysis, accountability relating to child, reproductive and and advocacy have been core maternal health widened to The Partnership for functions since the Partnership embrace the Survive, Thrive and Maternal, Newborn & Child was created in 2005. Through its Transform targets of the Global Health (PMNCH, the collaborative work, much has Strategy for Women’s, Children’s Partnership) brings been learned about how to and Adolescents’ Health (2016- together 800 partners maximize partners’ impact on the 2030).1 Given that these are also across 10 constituencies. health and well-being of women, SDG targets, the Global Strategy children and adolescents. offers countries and other Working together enables stakeholders a guide to them to achieve more than As with all stakeholders engaged implementing the 2030 Agenda any individual partner in health and development, 2016 for Sustainable Development.2 could do alone. was a transition year for the Membership increased by Partnership following the launch of Every Woman Every Child is the 15% in 2016, including strong the Sustainable Development global movement that puts the 3 growth in the Adolescents Goals (SDGs). Specifically, Global Strategy into action. It PMNCH’s original focus on the defines the Partnership’s role as & Youth and the Private Millennium Development Goals driving stakeholder engagement, Sector constituencies.
Academic, Research and Inter-Governmental Training Institutes 1 6 Organizations
Non-Governmental Adolescents & Youth 2 7 Organizations
Donors and TEN Partner Foundations 3 Constituencies 8 Governments
Global Financing Private Sector Mechanisms 4 9
Healthcare Professional United Nations Agencies Associations 5 10
8 Box 1
The Partnership's vision and mission for the SDG era
Vision: Mission: A world in which every To increase the engagement, alignment woman, child and and accountability of partners, by adolescent in every creating a multistakeholder platform setting realizes their rights to physical and that will support the successful mental health and well-being, has social and implementation of the Global Strategy for Women’s, economic opportunities, and is able to Children’s and Adolescents’ Health, enabling participate fully in shaping prosperous and partners to achieve more together than any sustainable societies. individual Partner could do alone.
alignment and accountability, one of Strategic Plan began in 2016—a together towards overcoming three pillars that support country-led year of new beginnings. country challenges that are best implementation (Figure 1). addressed through multipartner The Partnership’s Business Plan and multisectoral action. The In 2015, in order to ensure full 2016-20185 was adopted by the development of the 2016 Workplan6 alignment with the Global Strategy Board in February 2016. The and its activities was overseen and and the SDGs, the Partnership Business Plan provides an driven forward by partners revised its vision and mission operational blueprint for the themselves, in line with the Board’s (Box 1) and developed a Strategic Secretariat to support the intention to implement the Plan for 2016-20204 (Box 2). The Partnership’s constituencies and Strategic Plan through a partner- process of operationalizing the individual partners in working centric approach.
Figure 1 Every Woman Every Child architecture
PMNCH Annual Report 2016 | 9 Box 2
Strategic Plan for 2016-2020: focus areas and strategic objectives
Three focus areas
Accelerate action on the Accelerate action and gather the learning and Build knowledge and unfinished business of the MDGs, evidence needed to tackle “frontier” and other experience with with a focus on equity, to sustain critical challenges, including stillbirths, fulfilling intersectoral collaboration efforts in countries that have fallen the sexual and reproductive health needs and between partners and behind and to address the most rights of all, meeting adolescents’ unique and related sectors to address marginalized, excluded and high- varied needs, and inspiring action everywhere, the drivers of ill health burden populations and settings. particularly in humanitarian and fragile settings. and inequity.
Prioritize engagement in countries: at the service of countries, and focusing on populations and places with the highest burden, greatest need and most inequity.
Drive accountability: nurture a culture of open accountability to drive purposeful engagement with and sustained commitment to the Global Strategy, tracking progress and holding all partners to account. Four strategic objectives Focus action for results: drive advocacy and share learning to focus and accelerate action and financing to achieve the objectives of the Global Strategy.
Deepen partnerships: engage and align a broad and inclusive range of partners to realize the full ambition of the Partnership for action and accountability.
This report sets out the key throughout the report highlight key activities so as to increase achievements in 2016 towards each moments, including the work of the effectiveness and efficiency, and of the Strategic Plan’s four Adolescent & Youth constituency, encourages and promotes mutual interdependent strategic objectives and illustrate the interconnections accountability through (Box 2). “Spotlight” sections between the objectives. inclusiveness and transparency.
Across all achievements the In this context the added value of partner-centric approach is evident: the Partnership is its ability to the Partnership’s objectives are set broker and forge partnerships not by its partners and are achieved only within the sexual, reproductive, It is the partners through their work. It is the maternal, newborn, child and who have both partners who have both the adolescent health (SRMNCAH) the capacity and capacity and the responsibility to continuum of care but also across the responsibility implement policies and plans. The sectors, and to align the partners’ partner-centric approach mobilizes, relationship towards consensus to implement engages and empowers the building, common goals, and policies and plans. different implementing partners to collective and accelerated action. that end. It allows them to PMNCH believes in the power of coordinate their actions and partnership and puts it into practice.
10 2. Adolescent & Youth constituency: the beginning of a social movement
Growing membership, The investment into the expanding reach constituency structure and A highlight of 2016 was the full In 2016 the AY constituency chose operations in 2016 will enable establishment of the to focus its efforts on securing the future membership expansion, Adolescent & Youth (AY) membership of and engagement by and greater diversity in terms of constituency, and the global, regional and national age, region and other criteria. mainstreaming of issues youth-led organizations. The affecting young people's International Federation of Medical As with the other nine health across the Partnership. Students’ Associations, with over a constituencies, members work Created in October 2015, the million members, is one example. through their organizations and networks to increase and AY constituency has two At the establishment of the AY strengthen the Partnership's reach, Board seats and two alternate constituency 19 youth-led and therefore its ability to influence seats, giving it equal footing organizations were registered as relevant debates, policies and with the other constituencies. PMNCH members, and 20 more resource commitments. The AY Members are youth-led youth-led organizations were being constituency benefits from strong organizations and/or networks processed to become new members. support and engagement by that have been leading and/or Their operations are more or less partners based in other implementing SRMNCAH work equally split between global, regional constituencies. As a result, by the and country levels (Figure 2). at national, regional or global end of 2016 the constituency, level for at least two years.
Figure 2 Adolescents & Youths Geographic Level of Reach Adolescent & Youth (AY) constituency geographic distribution
Adolescents & Youths Representation
European Region (9) Eastern Mediterranean South East Region Asia Region Region (1) (3) of the African Americas Region Western (5) (18) Pacific Region (0)
Global (40%) National (31%) Regional (29%)
PMNCH Annual Report 2016 | 11 •• Advocating for the inclusion of young people on global multistakeholder platforms, including, for example, the Global Financing Facility and Partners in Population and Development.
Throughout 2016 the AY constituency provided members with access to presentations, background materials, training and through its members, had secured leaders to work on influencing and learning opportunities including representation in more than 180 shaping global, regional and webinars, which the AY constituency countries, with millions of young national decision-making on issues played a critical role in developing people in its combined networks— associated with young people’s with partners. Initial feedback from an impressive achievement for a health and well-being. members suggests that this capacity constituency that only came into building programme has been being at the end of 2015. Examples of collective partner useful and empowering, and will activities in 2016 include: feed into an induction programme A constituency focused on •• Initiating the development of a results in countries, to be launched in 2017 to youth-led advocacy toolkit for systematically orient new members regionally and globally action at national level, reviewed in the technical and political AY members quickly got to work in by members in seven countries landscape of adolescent health and early 2016, formalizing a and the broader AY well-being. It also creates governance structure, membership constituency platform opportunities for constituency criteria and other operational •• Exploiting opportunities to members to share knowledge guidelines, and developing an advocate for the visibility of through their own networks. 18-month workplan aligned with the adolescent health at high-level Partnership's Business Plan. In events at regional and global As part of its efforts to reach out to addition, a strategy was developed levels using the Adolescent stakeholders, including ministers to drive youth-led advocacy, Health Knowledge Summary, and heads of state, the AY meaningful youth engagement and which was produced by PMNCH constituency was involved in accountability. An institutional in 20167 showcasing work concerning platform was established for youth advocacy, accountability and •• Developing an adolescent- meaningful engagement of young friendly package on the people in the Global Strategy and Accelerated Action for Health of AA-HA! at the following events, Adolescents (AA-HA!) among others: Throughout 2016 the AY Implementation Guidance, a •• The staging of the “Moving from constituency provided comic book targeted at 10-14 year olds, tested among dialogue to action! Citizen-led members with access to adolescents and young people accountability for women’s, presentations, background in several countries, with plans children’s and adolescents’ materials, training, and to launch it at the World Health health” event at the World Health learning opportunities Assembly in May 2017 Assembly in Geneva in May including webinars, which •• Contributing to accountability •• At Women Deliver, the AY constituency efforts to monitor progress on “Implementing the SDGs: A Dive played a critical role in adolescent-specific health into the Global Strategy for developing with partners. indicators and advocating for Women's, Children's and disaggregation of data for a Adolescents' Health” in broader set of health indicators Copenhagen in May
12 Box 3 •• Youth pre-conference under the theme "Access Equity Rights Now" at the 21st Nothing about us without us International AIDS Conference, in Durban, South Africa, in July One of the highlights of the bilateral partners and several Partnership’s Board meeting in United Nations agencies. The •• Partnership event at the UN Maputo in October was a public Minister of Health invited the young General Assembly in New York event organized by the people present to “tell us what you in September entitled “Young Government of Mozambique need”. Their responses reinforced voices for young lives: How focusing on adolescent girls. the slogan "Nothing about us young people and Sixty-five per cent of without us". They demanded to be governments are partnering to Mozambique's population is included in decisions that concern improve adolescent health”. under 25 years of age—almost them, such as child marriage, Ministers and young leaders 17 million young people. education and family planning, and shared their experiences on Reflecting the fact that they emphasized the vital role improving young people’s addressing their needs requires adolescents must play if there is to health and well-being comprehensive multisectoral be accelerated development. outcomes. Advocates called and multistakeholder for more adolescent health- approaches, the meeting was related commitments to the attended by the Ministers of Global Strategy and issued Health, Education and Human recommendations for tracking Development, Youth and adolescent outcomes 8 Sports, and Gender, Children •• At a high-level breakfast on and Social Action, as well as the sidelines of the UN General representatives of civil society, Assembly, the AY constituency participated in an event entitled “Prioritizing the leadership of adolescents and young people at the UN General Assembly”.9 The event enabled an interactive Looking forward Priorities for 2017 include: exchange of ideas between •• Mobilizing structured youth young leaders and world The inclusion of adolescents in engagement in the roll-out of AA-HA! leaders spearheading progress the updated Global Strategy has in priority countries, including rolling on the SDGs resulted in a large and growing number of governments and out the youth-led advocacy toolkit in •• A public event organized by other stakeholders making India, Malawi and others the Government of investments and policy changes •• Launching the induction programme to Mozambique at the in the areas of young people’s support new members’ engagement in Partnership’s Board meeting in health and well-being. The the Partnership Maputo in October entitled Partnership is emerging as the •• Launching a mentorship programme to "Experiences, Opportunities "go-to" platform, providing the build capacity of young people, and to and Prospects of Mozambique institutional context for create strategic partnerships with to Accelerate Health Outcomes engaging youth-led other constituencies and Adolescent Development" organizations within the (Box 3). broader health and •• Developing targeted campaigns to development community, in a reach underrepresented communities structured and organized within the AY constituency, and to manner. The AY constituency is strengthen engagement in expected to accomplish much implementing the work plan and more in the years to come. collaborating with other constituencies.
PMNCH Annual Report 2016 | 13 Selection of countries 3. Gearing up for Although the Partnership has a country engagement mandate to serve all countries, a decision was taken to focus on four to eight countries at any one time. This will allow a balance between ambition for breadth and realistic capacity to engage in a meaningful way. As a first step the Partnership agreed a set of principles to guide the selection of countries.
These criteria facilitated the selection of the countries with Significant foundational work was whom the Partnership will done by the Partnership in 2016 in collaborate in the first instance. The With the Global Strategy articulating the overall approach, selected "focus countries" are and Agenda 2030 both process, principles and Afghanistan, Malawi, Mozambique, emphasizing the need for procedures for country Nigeria and Sierra Leone. Malawi, country leadership and action engagement. The aim is to support for example, has a high burden of at national and subnational countries’ efforts to better harness maternal, newborn and child and align the contributions of the levels, the Partnership has mortality and high unmet demand wide array of players engaged in for modern contraceptives; and made prioritizing country SRMNCAH by strengthening their national health and SRMNCAH plans engagement one of its four country-led multistakeholder are in place. Although not a member strategic objectives for platforms and promoting of PMNCH, Malawi has made 2016-2020. This means using transparent and unified commitments to the Every Woman its partner-centric approach accountability processes for Every Child movement and its with a focus on meeting the health and related SDG Minister of Health expressed targets set out in the Global mutistakeholder engagement interest in working closely with the Strategy. Ultimately, the Partnership, particularly to to reach out to and better Partnership's contribution at the strengthen coordination through the coalesce with its existing and country level will be demand-driven national multistakeholder platform, other in-country partners in and will vary according to the strengthen social accountability relation to SRMNCAH issues. specific contexts and priorities of mechanisms and improve It also means facilitating a individual countries. adolescent health and well-being. broader conversation at the country level, and including Partnership constituencies that are not traditionally involved in government health policy-making processes, strategic planning, implementation and evaluation (e.g. Adolescents & Youth, Academic, Research and Training Institutes, Healthcare Professional Associations, Non-Governmental Organizations).
14 The building blocks of country engagement The three documents briefly described below, which were developed and published in 2016, set the stage for the Partnership’s country-based work in 2017 and beyond.
The Guidance note on the Partnership’s universal approach to country engagement11 broadly outlines how PMNCH will have an impact in all 75 Countdown countries that are classified as low-income or lower-middle-income and that are also prioritized by the Global Financing Facility.
The Guidance note on engagement with focus countries12 sets out the ways in which the Partnership will deepen its knowledge of and relationships with governments and country-based partners. At the global level PMNCH will work with partners on analysis and advocacy issues that bring the concerns of the countries to global platforms, and vice versa. At the country level the Partnership will work with multistakeholder platforms to ensure accountability and alignment.
Finally, a process paper13 identifies the key principles and standards to which the Partnership will adhere and outlines the step-by-step process that will enable a systematic and inclusive partner-centric approach to country engagement.
The Partnership's value Children’s and Adolescents’ Health.”10 proposition at country level This statement reinforces the Given that country engagement is a Partnership’s working principle of new strategic objective for the aligning, supporting and Looking forward strengthening existing processes Partnership in what is already a The Partnership remains and national platforms (for example, crowded and complex SRMNCAH committed to placing countries the RMNCH Trust Platform and the landscape in many low- and lower- at the centre of its work, with a Global Financing Facility). middle-income countries, it was an focus on strengthening national urgent imperative to articulate and build multistakeholder platforms for Partners agreed on five areas of consensus around the Partnership’s SRMNCAH, supporting and work where the Partnership can value proposition at country level and building on existing structures, add value, always in the context of to explain how synergies would be shaped by country context and each country's needs, ambitions achieved with other relevant initiatives. in-country partner guidance. and SRMNCAH strategy (Annex 1). Agreement was reached through a Such platforms are needed to series of consultations with partners, take accountability, advocacy including the H6 (UNAIDS, UNFPA, and partner engagement UNICEF, UN Women, WHO and the activities forward, and to focus World Bank Group). Although the and maintain attention on Partnership has a women’s, children’s and The consensus is that: "By leveraging mandate to serve all adolescents’ health, at the constituency-based linkages of its community, district and national global partnership, PMNCH will countries, a decision levels. In addition to pursuing support efforts to strengthen existing was taken to focus on opportunities for engagement in country-led multistakeholder four to eight countries current focus countries, partners platforms for SRMNCAH in order to at any one time. will be mobilized to respond to better harness the contributions of specific requests from other diverse partners in delivering on the countries as they arise. Global Strategy for Women’s,
PMNCH Annual Report 2016 | 15 4. Driving accountability for results, resources and rights
The UAF aims to “establish a clear all partners to account for results, structure and system to strengthen resources and rights, with ultimate When it was launched in accountability at the country, accountability to all women, children September 2015 the Global regional and global levels and and adolescents as rights holders. Strategy included a new between different sectors”14 and approach to accountability. provides a way of organizing and This section describes the bringing together diverse Partnership’s role in operationalizing The Unified Accountability stakeholders and critical elements the UAF in 2016, mostly at the global Framework (UAF) was to streamline accountability at all level. The Spotlight highlights designed to address new levels (Figure 3). PMNCH's achievements in challenges and opportunities advancing accountability at country in the SDG era, such as the The Every Woman Every Child level through citizens' hearings. need to improve equity, architecture mandates that the Partnership works with other A major milestone was reached in multistakeholder engagement stakeholders towards establishing March when partners, supported by and multisector action. and/or strengthening and PMNCH, agreed on five priority coordinating the processes and areas that will guide the platforms that are needed to hold implementation of the UAF15 (Box 4).
Box 4
Key functions of the Unified Accountability Framework •• Facilitate tracking of resources, •• Contribute to national and SDG Adolescents’ Health” report results and rights, including monitoring through the Global which will identify areas needing through multistakeholder Strategy indicator and monitoring increased progress and commitments and multisector framework that covers 9 SDGs and accelerated action. action, to achieve the Global prioritizes 60 indicators: 34 from •• Harmonize with other Strategy objectives and the SDGs. the SDGs and an additional 26 accountability initiatives, such as drawn from established global •• Promote alignment of national, the Health Data Collaborative, initiatives to help avoid duplication. regional and global investments Countdown to 2030 and others, and initiatives in support of the •• Support the critical independent including to strengthen country country accountability system review function through the information systems and to and plans, and improve Independent Accountability support reporting for national multistakeholder engagement at Panel (IAP). The IAP will produce planning and on progress all levels, including through an annual “State of the World’s towards the Global Strategy citizens’ hearings. Women’s, Children’s and objectives and SDGs.
16 Figure 3 The Global Strategy's Unified Accountability Framework
• Health sector reviews • Country plans • Human rights monitoring • Government • Gender assessments • Civil society organizations • Parliamentary committees • Private sector • Citizens’ hearings • Development partners • Financial and performance COUNTRY audits ACCOUNTABILITY • Mortality and health audits • Data collection • Special studies • Social accountability reports Regional peer review • Score cards
Global report/ Country and regional report cards reports/report cards
• United Nations monitoring reports • Expenditure reports • Independent Accountability Panel (IAP) • OECD-DAC reporting • Data hub/s • Social accountability reports • State of Women’s, Children’s and • Civil society organization reports GLOBAL Adolescents’ Health report • Academic reports ACCOUNTABILITY
• Global initiatives • Stakeholder commitments • High-level Political Forum for the • Advocacy Sustainable Development Goals • Alignment • World Health Assembly
The Global Strategy's Indicator and monitoring accountability mandate was framework for the Global further strengthened in May Strategy 2016 when Member States of The Partnership worked with WHO to the World Health Assembly provide critical inputs into the Indicator adopted a resolution and Monitoring Framework for the Global committing to implement the Strategy for Women’s, Children’s and Global Strategy. The Adolescents’ Health (2016-2030).17 This resolution includes report outlines how the Global Strategy’s invitations to Member States Survive, Thrive and Transform objectives and others to “strengthen accountability and follow-up and targets will be monitored, and at all levels” and requests the highlights key challenges in WHO’s Director-General to strengthening the collection and use of “report regularly on progress strategic information to ensure “data for towards women’s, children’s action” and accountability at all levels. and adolescents’ health”.16 Significantly, there is an indicator on The Partnership played an stillbirths, which is missing from the SDG important facilitating and indicators and for which many PMNCH coordinating role in enabling members advocated strongly. Data countries to agree on this systems will need to be strengthened to significant resolution. monitor progress on reducing stillbirths.
PMNCH Annual Report 2016 | 17 the indicators included in the to support the IAP. The 10 Identifying critical monitoring framework. Monitoring members include legal, human gaps in accountability priorities for the Global Strategy for rights and health specialists, and intensifying Women's, Children's and government representatives, Adolescents' Health (2016-2030)18 statisticians, academics, and policy attention and was launched in September 2016 advocates for gender equality and investments are at on the sidelines of the UN General young people. least as important Assembly (Box 5). as showcasing The IAP does not have a direct promising models. The Independent monitoring function: its objectives Accountability Panel are to provide a snapshot of The Independent Accountability progress, in part using the Global Panel (IAP) is another vital part of Strategy Progress Report, to help the UAF. It is mandated by the UN harmonize reporting, and to make Secretary-General to provide recommendations to accelerate The monitoring framework ensures independent and transparent progress towards the Global that Global Strategy indicators are analysis and review of progress Strategy's targets. Importantly, the harmonized with the SDG indicators, towards and challenges to the IAP has added "remedy" to the thereby reducing the reporting implementation of the Global UAF's monitor, review and act burden on countries for the most Strategy. The IAP is the leading functions. This addition has important indicators of progress. independent accountability contributed to a wider awareness PMNCH supported the extensive mechanism established by the of the need for both preventative consultative process underpinning United Nations under the rubric of and reparative measures at all this report, including working with Agenda 2030. levels in order to establish stakeholders to organize post-2015 meaningful accountability. working group consultations. In 2016 the Partnership facilitated Identifying critical gaps in the establishment of the IAP, accountability and intensifying PMNCH also supported partners in assisting the UN Secretary-General’s policy attention and investments an assessment of monitoring Office to identify and select are at least as important as readiness for global reporting on members, and set up a Secretariat showcasing promising models.
Box 5 PRIORITY Global Strategy monitoring priorities
The monitoring priorities report18 the data that are required to highlights the worldwide state of inform programmes at all levels on readiness to use the Global how to target interventions better Strategy's Indicator and Monitoring and accelerate progress. Framework. It identifies key areas Strengthening national routine of health information systems that data collection systems (which in need strengthening to ensure that turn strengthens estimates) is an the monitoring of progress is as urgent priority. This includes accurate, timely, representative improving data collection and and ultimately as useful for monitoring in humanitarian and other equity stratifiers to countries as possible. Currently, fragile settings. Health information identify who is not being health information systems in systems must also be able to reached and to monitor many countries are weak and do provide data that can be progress among the most not systematically collect some of disaggregated by sex, age and vulnerable populations.
18 Box 6
The Independent Accountability Panel's first year highlights
The IAP report19 was launched at a disseminated a survey to hundreds side event during the UN General of stakeholders to garner Assembly convened in collaboration assessments and views on its first with PMNCH and Countdown to report, as well as recommendations 2030. World experts addressed key for developing its 2017 report. As issues of IAP concern, including part of its outreach efforts, the IAP inequalities, citizen- and youth-led made strong calls to the new UN accountability, data improvements Secretary-General and the next and strategies for unified WHO Director-General to uphold accountability initiatives under the and continue high-level SDGs. The IAP also pointed to the commitments to the Global Strategy need for transparency in financing and to improved accountability at and expanding fiscal space for all levels for its realization. investments in health, improved dissemination and circulated a donor coordination, and funding for The Partnership, which hosts this survey to all 10 PMNCH national capacity development for important initiative, contributed constituencies to solicit structured enhanced accountability systems. critical inputs into the development feedback from members on the IAP's of the IAP's first report, including recommendations. Based on the In line with its mandate and the commitment tracking analysis. feedback, the PMNCH workplan was principles of inclusive accountability After publication, the Partnership revised to take on board some of the and transparency, the IAP provided a platform for the report’s recommendations from the IAP.
In September 2016 the IAP submitted placed emphasis on addressing its inaugural report, Old Challenges, inequities, going beyond the usual New Hopes, to the UN Secretary- analysis of wealth inequalities to Looking forward General.19 The report paid particular include those based on age, and The Partnership will continue to attention to humanitarian and calling for expanded disaggregation track partner commitments to the fragile settings, adolescents and across other variables (see Box 6 Global Strategy. It will coordinate— human resources for health. It for more highlights from 2016). with the support of partners, including WHO, the H6 and the Health Data Collaborative—the development of the firstGlobal Strategy Progress Report, which will be launched during the World Health Assembly in May 2017. In addition to reporting to Member States, the report will also serve as a harmonized monitoring input to the IAP's second annual report. The Partnership will continue to host and support the IAP, and to promote its independent review function and role in ensuring progress towards implementing the Global Strategy.
PMNCH Annual Report 2016 | 19 Spotlight
Citizen-led accountability
Both the UAF and the IAP's report identify social or citizen-led accountability as being central to the Global Strategy and vital to the achievement of the SDGs. A fundamental element of human rights-based accountability is that beneficiaries are active agents of change. The Global Strategy calls for a world in which women, children offered freely in all public health members, the Partnership helped and adolescents are able to fully facilities. A third priority was to to convene a Global Dialogue for participate in shaping sustainable clamp down on service providers Citizen-led Accountability for and prosperous societies, and charging a fee for free services. To Women’s, Children’s and community engagement is one of this end they requested the Adolescents’ Health during the its nine areas of action. placement of a notice at the World Health Assembly. Richard entrance of all public hospitals Horton, editor-In-chief of The Lancet, To make progress in this area, the indicating which services are offered in his opening remarks at the event Partnership's NGO board members for a fee and which ones are free. co-hosted by Bangladesh, Sweden organized over 100 citizens' and Zambia, described the hearings in more than 10 countries In Mauritania, citizens' hearings in movement as an “explosion in to build citizens’ capacities to claim three districts in May 2016 gave citizen-led accountability … which their rights. Citizens' hearings give citizens from marginalized feels like not just a transformation marginalized and vulnerable populations an opportunity to make but something of a revolution communities a voice in government their needs known to key decision- taking place in the dialogue around priority setting, policy-making and makers, including members of health and well-being in countries”. programmatic planning at local, parliament, mayors, municipality national, regional and global levels. counsellors and religious and other The NGO board members, with They can lead to more effective community leaders. Participants support from the Secretariat, also services and policies in health and included women living with HIV and led a workshop in Mozambique to many other sectors, and they can sex workers, who said they are build the capacity of civil society help to close the gap between stigmatized and rejected by service representatives to implement commitments made and the providers and usually denied access social accountability. This followed realities of citizens’ lives.20 to services. Young people were also a strategy workshop aimed at included because as a group they developing a joint strategy to For example, a county (district) are denied access to sexual and institutionalize social citizens' hearing in Kenya was held reproductive health services. accountability efforts. to give women and young adults a Participants in all three citizens' say in decisions concerning the hearings called for greater efforts to In future the Partnership will county health budget, in which they combat stigma and discrimination at continue to support key have traditionally not been included. all levels. At the end of each hearing, constituencies' activities to Citizens' priorities included a coalition was formed to follow up strengthen social accountability strengthening community health the realization of commitments mechanisms and human rights- volunteers’ capacities and providing made by government officials in related forums (from the Universal them with comprehensive kits to attendance in regard to these and Periodic Review, UN treaty bodies, enable them to diagnose and treat other issues that were raised. regional courts, etc.) as vital a wider array of ailments. Another elements of accountability for priority was the need to ensure that At the global level, under the women's, children's and family planning commodities are leadership of the NGO board adolescents' health.
20 5. Focusing on strategic action for results
In 2016 the Partnership focused its Notable 2016 pledges included advocacy on adolescent health the creation of the BabyWASH Action for results, the and continued to strengthen Coalition, a multistakeholder third objective of the constituency-specific engagement platform to intensify the focus Strategic Plan 2016– in improving health outcomes, on integrating programmes for 2020, enables working with civil society and children and their caretakers in programmes, policies parliaments to strengthen the first 1,000 days of life. This and financing to deliver advocacy for improved SRMNCAH coalition, launched by World planning and implementation and Vision International, WaterAid, health and well-being accountability for results and FHI360, WHO, UNICEF and outcomes for women, resources. Achievements in these Action Against Hunger, is newborns, children and and other areas are described committed to action, bringing adolescents, especially below. (see also section 2 and together nearly 30 partners the poorest and most Spotlights). from different PMNCH excluded, sustaining their constituencies in a common needs and rights at the Securing new commitments effort to advocate for and to the Global Strategy and facilitate integration through centre of the to SRMNCAH programme guidance. development agenda. Through concerted, multifaceted Specifically, the aim is to advocacy efforts at global, regional maximize the and national levels, the Partnership Partnership's strengths actively contributed to securing in: galvanizing over US$ 5 billion through 40 commitments to the additional commitments to the Global Strategy and Global Strategy in 2016. PMNCH organized seven high-level events SRMNCAH; curating and in support of Every Woman Every disseminating evidence Child, bringing together over 850 across the continuum of people. Its associated care in user-friendly communications efforts reached traditional and newer 9.5 million social media accounts, formats; and leading had over 1,380 mentions and advocacy campaigns on gained over 350 new followers. The Partnership also coordinated, priority SRMNCAH and through its constituencies issues, both neglected implemented, partner and emerging. commitment outreach.
PMNCH Annual Report 2016 | 21 The Partnership also acted to raise Save the Children and PMNCH in the profile of SRMNCAH in broader 2016, which outlines the evidence- global health and development based rationale for a shared agenda agendas. For example, PMNCH between women's, children's and aligned and coordinated a major adolescents' health and UHC.21 advocacy effort across partners, including a letter to Japan's Prime Advocacy highlights Minister Shinzō Abe with 192 As co-chairs of the Every Newborn signatories, that helped to convince Action Plan and Ending the G7 to include a section on Preventable Maternal Mortality prioritizing women’s, children’s and joint subcommittee on advocacy, adolescents' health in its final PMNCH, the FCI Programme at communiqué in 2016. Management Sciences for Health, Save the Children and White Because of continuing interest in Ribbon Alliance developed a universal health coverage (UHC) framework for Quality, Equity and the G7 working group was Dignity (QED) for maternal and stakeholders, in order to support converted into a UHC and newborn health. Its purpose is to and guide advocacy planning and SRMNCAH working group, which promote the roles of civil society action at the national and advocated to both the SRMNCAH and nongovernmental subnational levels. The framework and UHC communities on the organizations, women and health attempts to integrate advocacy interlinkages between these workers in planning and efforts across the newborn health, movements. This involved webinars accountability for efforts to maternal health, stillbirth, and joint statements, among other improve the quality, equity and breastfeeding and midwifery activities. The advocacy messages dignity of care. This is a starting communities. Additional examples were derived from A Common point for a conversation with of advocacy efforts and their Cause, a report co-published by broader global and national impacts are described in Box 7.
Box 7
PMNCH's advocacy in 2016, selected examples
Efforts by the A side event co-hosted by the The World stillbirths advocacy Partnership and its members Prematurity Day working group at the Global Fund’s 5th advocacy group's resulted in the Replenishment Conference efforts aligned inclusion of stillbirth as an addressed the challenges to improving action by over 50 partners that indicator in the Global Strategy women’s, children’s and adolescents’ health led to 224 buildings being lit monitoring framework and in a and survival in fragile contexts and with messages and 130 events recommendation concerning humanitarian crises. At a side event of the in 60 countries, Facebook stillbirths in the IAP's report. 135th Inter-Parliamentary Union (IPU) reach of 2.3 million engaging The Partnership ensured that Assembly, co-hosted by the Partnership, 131,600 users, 38,683 thousand voices of parents who have IPU and WHO, parliamentarians discussed Twitter tweets—including from experienced a stillbirth were how they could leverage their core functions 6 celebrities—with 247,333,400 heard at its events during the to ensure effective emergency responses impressions, 62,000 profile UN General Assembly, the and continuity of care for women, children pictures changed to include World Health Assembly and and adolescents in humanitarian and fragile Twibbons and 2,100 Women Deliver, among others. settings, including migration crises. thunderclap users.
22 Sharing evidence for action across the continuum of care Ensuring that policy-makers, donors, implementers and advocates have access to the latest evidence about what needs to be done to improve the health of women, newborns, children and adolescents has been a critical role for the Partnership since its creation. It presents research findings in user-friendly forms (adapting material from partners, as required) and disseminates them as widely as possible to support policy and programme changes. In addition to printed materials, face-to-face meetings and webinars, the Partnership reaches constituencies, stakeholders, the public and the media through its website and social media channels.
Examples from 2016 include the publication of PMNCH's 35th Knowledge Summary, “Act now for adolescents”, 22 which was developed under the guidance of an advisory In addition, the Partnership hosted a The Partnership complemented group of 14 organizations and number of events presenting key its continuum of care-focused launched at Women Deliver. This findings from the variousLancet events with thematic webinar short, user-friendly summary sets series launched in 2016 concerning series including sessions on out why action on adolescents’ the SRMNCAH continuum of care, in humanitarian settings, UHC, health is important, and why it is order to inform and equip advocates, adolescents and stillbirths, needed as a matter of urgency. programme managers and policy- which provided the latest The Knowledge Summary was makers to accelerate their work in evidence to thousands of accompanied by a brief on support of the Global Strategy and advocates, academics, policy- adolescent-led accountability, the Every Woman Every Child makers and implementers. seeking to facilitate meaningful movement. The purpose was to youth engagement in improving present findings from theLancet adolescent health. series on stillbirths (launched in January), breastfeeding (January), maternal health (September) and early childhood development In addition to printed (October), and the Lancet materials, face-to-face Commission on Adolescent Health meetings and webinars, and Well-being (May).23-27 Examples the Partnership reaches included a session for advocates and constituencies, planners at Women Deliver, a side stakeholders, the public event at the World Health Assembly and the media through for policy-makers, and an event at the American Public Health its website and social Association's annual meeting for media channels. health professionals.
PMNCH Annual Report 2016 | 23 Developing its first multi-year advocacy and •• Promoting awareness of and communications strategy Looking forward consensus around the latest PMNCH led a partner-centric effort evidence on the continuum of care, The Partnership's first advocacy to develop the multi-year strategy curating information and serving as and communications strategy28 will under the guidance of a 20-person a centralized repository, and form the bedrock of advocacy and steering group, which identified advocating for research to remedy communications activities in 2017 how the Partnership can maintain SRMNCAH knowledge gaps and 2018. It will focus on four areas: momentum for women’s, children’s •• Providing a "one-stop shop" for and adolescents’ health and incite •• Advocating at all levels for SRMNCAH advocacy and effective action by all stakeholders. quality, equity and dignity knowledge and increasing use of The strategy was informed by 141 throughout the continuum of social media and other effective responses to a survey asking care and increasing attention communication tools and formats partners about their advocacy on neglected populations priorities and communications such as adolescents and all •• Continuing and increasing the channels (Box 8) and by a partner women, newborns, children discussion of women’s, children’s perception survey carried out in and adolescents in and adolescents’ health in the 2015 to identify gaps in PMNCH humanitarian settings media, including online social media. communications and advocacy.
Box 8
Results from the PMNCH survey on partners’ advocacy and communications priorities
The most common theme raised by Among non-health issues, gender Although PMNCH's partners respondents was the lack of attention equality and women’s work fairly evenly across global, to quality, equity and dignity (QED) empowerment were the most regional and national levels, in health care by policy-makers and important issues identified (56% of their advocacy efforts are service providers and the need for respondents). 52% placed nutrition directed more towards NGOs, these to run through all parts of the next, followed by education (42%), training institutions and donors/ health system, at all levels. poverty (34%) and water, sanitation foundations. National policy- Adolescents were also identified as and hygiene (32%). This highlights makers are the target of only needing more attention. Both QED the importance of working across one quarter of advocacy efforts, and adolescents are priorities in the sectors, in line with the highlighting the need to step up new 3-year strategy. multisectoral SDG approach. national-level advocacy significantly, either by coalitions of national partners or through gender equality and women’s empowerment 56% case studies of lessons learned in priority countries. Finally, the nutrition 52% survey confirmed the education 42% importance of engaging on Twitter and Facebook, and poverty 34% identified YouTube as offering potential for expanded water, sanitation and hygiene 32% engagement in future.
24 Spotlight
Working with parliamentarians
The Partnership has helped some form of discrimination. The focusing on seven priority areas where various constituencies to workshop also provided key MPs could make a difference: participate in improving health information on tackling violence providing incentives for women to outcomes. For example, it has against women and girls, and give birth in hospitals, as well as collaborated for some years with improving their health outcomes by access to antenatal and postnatal the Inter-Parliamentary Union (IPU) increasing access to health services. care; ensuring that government in advocating to parliaments for The MPs then disseminated the funding to increase access to family increased action on SRMNCAH. In messages on Ebola and violence at planning and counselling services is 2016 PMNCH supported two-day outreach events in put to best use; countering local bans parliamentary seminars in Sierra Freetown and the eastern town of on sexuality education in schools; Leone, Uganda and Rwanda, Kenema. More than 80 people took setting targets for increased access to allowing citizens to voice their part in each event, including local and uptake of family planning; priorities and concerns related to leaders, police and legal officials, overseeing implementation of the SRMNCAH and to urge their health, education and social health worker retention strategy and members of parliament (MPs) to workers, civil society organizations advocating for increased recruitment elevate women’s, children’s and and groups representing women and training of midwives; increasing adolescents’ health to the top of and youth. interaction with local partners to legislative agendas. facilitate sharing of information; and On 21 November 2016 an inception seeking intersectoral partnerships to Forty MPs in Sierra Leone received seminar on women’s, children’s and coordinate the implementation and in-depth training at a workshop in adolescents’ health for the 10th oversight of government programmes, Freetown on ending the Parliament of Uganda was plans and strategies. discrimination and stigmatization attended by 42 MPs (26 women) experienced by some survivors of and representatives of On 26 November 2016 47 Rwandan the deadly Ebola outbreak in West government, academia, civil MPs (31 women) met with their Africa. Many survivors are society and NGOs. As a result MPs constituencies to learn about the marginalized by their communities: from across party lines agreed to challenges involved in accessing family a survey suggests that 96% of draft a new MNCH advocacy planning services and modern Ebola survivors have experienced strategy for the current parliament, contraceptives. During these interactive discussions local leaders and health service providers gave detailed information about the availability of sexual and reproductive health services. Issues which need increased advocacy from MPs, and interventions that need to be scaled up, were documented and included in the recommendations which will be submitted to Rwanda’s parliament in 2017 for increased oversight activities. Citizens took this opportunity to address MPs on other issues, such as health insurance, access to roads and access to clean water, which also affect SRMNCAH. This has sparked a number of initiatives by the Rwandan parliament on women’s, children’s and adolescents’ health in 2017.29
PMNCH PMNCH Annual Annual Report Report 2016 2016 || 25 6. Deepening partnerships
To foster participation in the The dynamic, ongoing process different work streams over the of deepening partnership is both A key objective of the five years of the Strategic Plan, inward- and outward-looking. Partnership is to engage and communities of practice, steering In 2016 the Partnership made align a broad range of groups and co-convener groups significant progress in three have been established for the four areas: strengthening governance; partners, driving collective strategic objectives (Figure 4). establishing and operationalizing action towards more effective Partners lead each group in close new constituencies; and increasing policies, programmes, finance collaboration with the Secretariat. partner engagement. and accountability. The aim is This partner-centric approach to build strong, diverse, proved very successful in 2016: Strengthening governance inclusive and balanced 800 partners engaged in PMNCH In 2014 the Partnership’s overall coalitions of partners who are work through the different groups, performance and the achievement and 49 meetings were held for of its goals and strategic objectives committed to the Every this purpose. for 2009–2013 were externally Woman Every Child movement and are actively involved in implementing the Figure 4 Global Strategy. Partner-centric approach
Community of Practice
Steering Group Up to 16
Co-Conveners 2-3 (incl. 1 Board Member/Alternative)
Strategic Objective Manager Cross-coordination
26 evaluated.30 In the area of governance, the evaluation acknowledged the importance of the Board’s diversity, the successful leveraging of Board meetings for advocacy purposes and the Partners’ Forum as a flagship project. However, the evaluation recommended a review of the Board’s composition and its decision-making processes, including a review of the Board committees, and particularly of the Executive Committee. The Board agreed,31 and in 2016 the Partnership completed its comprehensive governance strengthening process. The process was overseen by the Ad Hoc Governance Group, which later became the Governance and Nominations Committee.
In total, 15 governance elements were reviewed and strengthened, including the Partnership's The Global Financing Mechanisms governance structure, Board and (GFM) constituency includes the Executive Committee mandates, Global Fund to Fight AIDS, In 2016 the Partnership Board composition and ways of Tuberculosis and Malaria, GAVI, the made significant working, among other issues. Vaccine Alliance and the Global progress in three areas: The result: more inclusive Financing Facility. GFM members strengthening governance and decision-making play a crucial role in advancing the governance; establishing processes and better aligned SRMNCAH agenda towards the priorities and coordinated actions Global Strategy and the SDGs and operationalizing new among the constituencies through their influence and ability constituencies; and represented on the Board. to drive prioritization of funding, increasing partner deliverables and accountability, engagement. Establishing and particularly at country level. The operationalizing new Board approved establishing this constituencies constituency with the aim of As noted in section 2, the increasing alignment and Partnership fully operationalized coordination among key partners the Adolescents & Youth and of increasing financing for the engagement at regional level and constituency in 2016, the first of its SRMNCAH agenda, including to amplify impact at country level. kind among the global health domestic financing. The IGO constituency adds value to platforms aimed at supporting the the Partnership by providing delivery of the Global Strategy. In The Inter-Governmental insights into regional needs and addition, two new constituencies Organizations (IGO) constituency, expectations in order to shape were established, further led by the Inter-Parliamentary strategies, and to drive expanding and strengthening the Union and Partners in Population accountability and advocacy, Partnership's membership base. and Development, aims to increase particularly at country level.
PMNCH Annual Report 2016 | 27 By joining the •• having the right partners/ To facilitate the process illustrated members to catalyse the impact in Figure 5, entry criteria for Partnership, members sought at global, regional and participation in the Partnership pledge commitment country levels were developed. In addition to to its vision, mission constituency-specific criteria, •• fully engaging the current base and strategy. members are required to sign a of partners (through PMNCH's pledge to advance SRMNCAH. By constituencies, strategic joining the Partnership, members objectives, and members’ own pledge commitment to its vision, actions) mission and strategy. Members Increasing and improving •• addressing the challenges some also commit to the Every Woman partner engagement constituencies face in engaging Every Child movement to help The Partnership’s strength lies in its their members meaningfully fulfil the aims of theGlobal broad, diverse and inclusive range of •• engaging and coordinating Strategy and achieve better health partners, which is vital for implementing with other partnerships for women, children and the Global Strategy and Agenda 2030. influencing SRMNCAH (for adolescents around the world. However, the 2014 external evaluation example, in nutrition, education, Members commit to regularly identified low partner engagement as water and sanitation). contributing to the work of the a key area for improvement. The need Partnership and of their to review its partners' base and their The first phase of implementing the constituency, as laid out in the engagement also stemmed from the Partner Engagement Strategy workplans, and to engage with beginning of the SDG era, and the involves carrying out a stakeholders’ other constituencies and partners. repositioning of PMNCH as "The mapping exercise, followed by a gap Partnership in support of Every analysis, to facilitate developing an Both the Partner Engagement Woman Every Child". engagement improvement plan. Strategy and the entry criteria This will ultimately help to recruit were informed by consultations in In response, PMNCH developed a new members purposefully, ensure 2016 with all PMNCH members. As Partner Engagement Strategy as a first inclusivity and alignment, and part of this process all members' step in the endeavour to fully leverage encourage active participation in profiles were reviewed, resulting the strength of its platform by: the Partnership's work. in 200 profiles being updated.
Figure 5 Illustrative Partner Activities at Different Levels of Engagement The partner engagement journey 1 Potential member not aware/interested or low awareness/interest Influencer 9 8 2 Member is aware of the Partnership, makes decision to join, OWNERSHIP and goes through the application process successfully 3 Read communications/publications; limited engagement CONNECTION 4 Adopt and apply knowledge products 6 7 5 5 Participate in constituency consultations on strategy, Active Member decision-making and other work-related matters Inactive Member Inactive 6 Attend Partners' Forum and other events 4 Member
Level of Engagement of Level 7 Enrolled in one or more of 50 Communities of Practice and INTEREST other working groups 3 2 8 Contribute financial or in-kind resources to the Partnership, New Member and/or become a member of a Strategic Objective (SO) UNAWARE Steering Group Outsider 1 9 Active role in internal Partnership activities (e.g., SO Co-Conveners, board, committees, etc.) Time as Member
28 Looking forward Satisfaction Survey will be launched In addition, the Partner Engagement The Partnership strives to to provide baseline information on Strategy will be applied in the focus enable its members to achieve the quantity and quality of partner countries, including carrying out more together than any engagement. Engagement stakeholders’ mapping and developing individual partner can do alone. improvement plans will be recommendations for partner To that end, the process of developed for all 10 constituencies engagement at country level. Closer increasing the frequency, depth and implemented in four: alignment with the Every Woman Every and breadth of interactions Academic, Research and Training Child movement will be a priority in between partners around the Institutes, Adolescents & Youth, 2017, as well as engaging other sectors world will continue in 2017. Non-Governmental Organizations and strengthening engagement at The first PMNCH Partner and the Private Sector. regional level.
Spotlight
Engaging civil society in the Global Financing Facility
The Partnership's Global Financing •• Act as a pool of experts to Facility (GFF) civil society work on various GFF-related coordinating group brings working groups together over 30 organizations in •• Disseminate to and consult joint planning and advocacy broader networks on questions around the GFF. The group was related to the GFF. formed in November 2015 following concern from civil The coordinating group is an society about suboptimal example of the Partnership's engagement in GFF-related greater focus on aligning partner processes in countries. The aims efforts for more effective action. of the group are to: Its achievements in 2016 (some of •• Advocate for civil society which are listed below) are a priorities and interests, in testament to how partners can •• Produced a civil society guide particular to create achieve more by working together about the GFF33 opportunities for meaningful than by acting alone: •• Supported civil society civil society engagement in ••Sent bi-monthly newsletter consultations in Cameroon and country-level GFF processes 34 co-branded by group members Senegal which resulted in •• Coordinate GFF-related civil to the Africa Health Budget increased civil society society efforts to ensure Network listserve of about representation on national efficient use of limited civil 100,000 recipients platforms in both countries society resources •• Held webinars before and after •• Organized a regional meeting of •• Promote access to information each GFF Investors Group civil society organizations by civil society for optimal meeting so that over 100 civil ahead of the GFF Investors engagement in the GFF society organizations could Group meeting processes at all levels contribute to the positions of •• Started developing a civil •• Act as a resource group for the the GFF Investors Group society engagement strategy to GFF civil society Investors representatives and hear be presented for endorsement Group representatives outcomes of the meetings32 by the Investors Group in 2017.35
PMNCH PMNCH Annual Annual Report Report 2016 2016 || 29 7. Resource mobilization
In a difficult and uncertain global increase the integration of the funding climate, the support workplan. Some donors provided The Partnership’s ability to provided by the donor community multi-year funding at the start of deliver an extensive body of reflects their recognition of the this strategic planning period, while work was made possible by value of the Partnership’s work. others, whose operational modalities do not allow for multi-year grants, financial support from 10 The vast majority of these resources pledged to continue funding the bilateral and private were provided as un-earmarked Partnership in the future. Table 1 foundation donors, who funds, enabling the Partnership to below summarizes the grant made available more than effectively manage resources and funding made available in 2016. US$ 9 million in grant funding. In addition, the partner-centric model of Table 1 operations has translated Grant funding made available in 2016 into ongoing in-kind contributions in time and Donor 2016 (US$) effort from PMNCH Bill & Melinda Gates Foundation 2,430,800 members in delivering its 2016 workplan. Government of Canada 787,591 Children’s Investment Fund Foundation 200,010 Government of Germany 93,990 Government of India 1,000,000 MacArthur Foundation 500,000 Government of the Netherlands 800,000 Government of Norway 1,048,644 Government of Sweden 339,125 Government of the USA 650,000
Balances brought forward 408,322
Total 8,258,482
30 The Partnership Board Members As of January 2017
Zulfiqar Bhutta Isaac Adewole Kishwar Azad Núria Casamitjana Badia Robert Harding Inaugural Chair in Global John Borrazzo BIRDEM and Ibrahim Medical College, Barcelona Institute for Global Health Child Health, Hospital for Sick Children, U.S. Agency for International Government of Nigeria Diabetic Association of Bangladesh (ISGlobal) Canada Development (USAID)
Flavia Bustreo Ted Chaiban Mariam Claeson Frances Day-Stirk Timothy G Evans International Confederation of World Health Organization (WHO) UNICEF Global Financing Facility (GFF) World Bank Midwives (ICM)
Lars Grønseth Lennarth Hjelmåker Tikhala Itaye Farouk Shamas Jiwa (Mato) Natalia Kanem The Norwegian Agency for Development Swedish International Development African Youth and Adolescent Network Merck/MSD International GmbH United Nations Population Fund (UNFPA) Cooperation (NORAD) Cooperation Agency (SIDA) on Population & Development (AfriYAN)
Peter Kazembe Thiago Luchesi Betsy McCallon Chandra Kishore Mishra Nila Moeloek Baylor College of Medicine Children's White Ribbon Alliance for Safe Save the Children International Government of India Government of Indonesia Foundation Malawi Motherhood
Ummy Mwalimu David Nabarro Nosa Orobaton Gogontlejang Phaladi C. N. Purandare Gogontlejang Phaladi Pillar of Hope International Federation of Government of Tanzania United Nations Secretary-General Office Bill & Melinda Gates Foundation Project (GPPHP) Gynaecology and Obstetrics (FIGO)
Jan-Willem Scheijgrond Syed Kamal Shah Ann Starrs Susan Tolton Gillian Turner International Planned Parenthood Foreign Affairs, Trade and Development Department for International Royal Philips Guttmacher Institute Federation (IPPF) Canada (DFATD) Development (DFID)
PMNCH Annual Report 2016 | 31 Annex 1.
The Partnership's value-add at country level: five areas of work
1. Promote ••Facilitate multistakeholder consultations to review the SRMNCAH partner landscape: inclusive and Drawing on existing documentation, tools, and/or recent reviews, support in-country meaningful partners to assess existing multistakeholder platforms, jointly take stock of the country multistakeholder SRMNCAH partners’ landscape, and identify: engagement a) under-represented stakeholder groups (e.g. civil society, private sector and youth groups, health-care professional associations, academic and research institutions) and ways to facilitate their engagement; and b) opportunities to strengthen existing partner coordination mechanisms, promoting alignment and streamlining accountability processes; and priorities for joint advocacy. ••Catalyse constituency-building and strengthen existing partner networks: including by convening and linking under-represented stakeholder groups with their respective PMNCH constituency networks, facilitating exchange and mobilizing support for building those groups’ organizational, coordination and/or advocacy capacities to increase their inclusion and engagement in country-led multistakeholder platforms. ••Reinforce coordination mechanisms to facilitate multistakeholder engagement and cross-sectoral linkages, as appropriate: focusing, in particular, on strengthening the effectiveness and sustainability of convening/coordination capacities and functions within the Ministry of Health (MOH) in alignment with existing governance structures and processes, building on the capacities of designated SRMNCAH-related coordinating focal points within the MOH (e.g. those coordinating GFF processes).
2. Strengthen ••Review existing accountability mechanisms at national, subnational and local levels and align to identify opportunities for: accountability a) promoting broader engagement in existing processes for tracking progress on the processes Global Strategy; and b) supporting efforts to streamline and unify accountability processes including through joint monitoring of agreed milestones and results; harmonizing data gathering and management, reporting, review and oversight processes; and linking social accountability initiatives and citizens’ hearings with national/subnational SRMNCAH accountability frameworks.
3. Strengthen ••Facilitate dialogue between health sector SRMNCAH partners, health ministries cross-sectoral and those in health-allied sectors: identify specific priorities and opportunities linkages for collaborative action, and strengthen existing mechanisms for cross-sectoral coordination and exchange.
4. Support joint ••Foster a concerted approach to advocacy for women’s, children’s and adolescents’ advocacy health: strengthen and sustain commitments to SRMNCAH priorities by leveraging PMNCH’s global SRMNCAH advocacy strategy and the collective expertise and resources of its vast network of partners to: a) support consultations among in-country partners to identify key SRMNCAH priorities for joint advocacy and build local advocacy capacities; and b) amplify country-identified SRMNCAH priority advocacy messages through broader advocacy efforts in regional and global forums.
5. Facilitate ••Support and facilitate learning through regular consultations among country learning and representatives, including between GFF-supported and other countries, to share exchange across experiences in strengthening country-led multistakeholder platforms, accountability countries processes and joint advocacy efforts, including by synthesizing evidence and best practices across countries for global dissemination to foster multistakeholder action for enhanced impact in other countries.
32 Further reading
1. The Global Strategy for Women’s, Children and Adolescents’ Health (2016-2030). New York: United Nations, 2015. www.everywomaneverychild.org/wp-content/uploads/2016/12/EWEC_Global_Strategy_EN_inside_LogoOK_web.pdf 2. The 2030 Agenda for Sustainable Development. New York: United Nations, 2015. https://sustainabledevelopment.un.org/ content/documents/21252030 Agenda for Sustainable Development web.pdf 3. Every Woman Every Child website. www.everywomaneverychild.org 4. PMNCH Strategic Plan 2016-2030. Geneva: WHO, 2015. www.who.int/pmnch/knowledge/publications/pmnch_strategic_plan_2016_2020.pdf 5. PMNCH Business Plan 2016-2018. Geneva: WHO, 2015. www.who.int/pmnch/about/strategy/pmnch_business_plan_2016_2018.pdf 6. PMNCH Workplans and Budget. Geneva: WHO, 2016. www.who.int/pmnch/about/strategy/pmnch_workplans/en/ 7. Act Now for Adolescents. PMNCH Knowledge Summary #35. Geneva: WHO, 2016. http://www.who.int/pmnch/knowledge/publications/summaries/ks35/en/ 8. Ministers and young leaders share their experience improving adolescent health outcomes, 2016. http://www.who.int/pmnch/media/events/2016/unga/en/index3.html 9. Prioritizing the leadership of adolescents and young people at the UN General Assembly, 2016. http://www.who.int/pmnch/media/events/2016/unga/en/index6.html 10. PMNCH value proposition. Geneva: WHO, 2016. http://www.who.int/pmnch/activities/countries/partnership_value_add.pdf 11. Guidance note on the Partnership’s universal approach to country engagement. Geneva: WHO, 2016. http://www.who.int/pmnch/activities/countries/pmnch_universal_guidance.pdf 12. Guidance note on engagement with focus countries. Geneva: WHO, 2016. http://www.who.int/pmnch/activities/countries/pmnch_country_guidance.pdf 13. Process paper. Geneva: WHO, 2016. http://www.who.int/pmnch/activities/countries/process_engagement_countries.pdf 14. The Unified Accountability Framework. Geneva: WHO, 2016. http://www.who.int/pmnch/activities/accountability/framework.pdf 15. The Unified Accountability Framework. Geneva: WHO, 2016. http://www.who.int/pmnch/activities/accountability/framework/en/ 16. World Health Assembly 69.2. Committing to implementation of the Global Strategy for Women’s, Children’s and Adolescents’ Health. Eighth plenary meeting, 28 May 2016. 17. Indicator and monitoring framework for the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030). Geneva: WHO, 2016. http://www.who.int/life-course/about/coia/indicator-and-monitoring-framework/en/ 18. Monitoring priorities for the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030). Geneva: WHO, 2016. http://www.who.int/life-course/partners/global-strategy/gs-monitoring-readiness-report/en/ 19. 2016: Old Challenges, New Hopes: Accountability for the Global Strategy for Women’s, Children’s and Adolescents’ Health. Geneva: WHO, 2016. http://www.iapreport.org/ 20. Citizen-led accountability website. http://www.citizens-post.org/ 21. Save the Children and PMNCH. A Common Cause. London: Save the Children Fund, 2016. http://www.savethechildren.org.uk/resources/online-library/common-cause 22. Act Now for Adolescents. PMNCH Knowledge Summary #35. Geneva: WHO, 2016. http://www.who.int/pmnch/knowledge/publications/summaries/ks35/en/ 23. http://www.thelancet.com/series/ending-preventable-stillbirths 24. http://www.thelancet.com/series/breastfeeding 25. http://www.thelancet.com/series/maternal-health-2016 26. http://www.thelancet.com/series/ECD2016 27. Patton GC. Our future: a Lancet commission on adolescent health and wellbeing. The Lancet 2016, 387: 2423-2478. 28. PMNCH Advocacy and Communications Strategy 2016-2018. Geneva: WHO, 2016. http://www.who.int/pmnch/about/strategy/communications_16_18/en/ 29. Rwanda Parliament. Twitter. https://twitter.com/RwandaParliamnt 30. External Evaluation of the Partnership for Maternal, Newborn and Child Health, Final report: 22 July 2014. http://www.who.int/pmnch/about/strategy/evaluation.pdf 31. PMNCH Board Response to the External Evaluation. http://www.who.int/pmnch/about/strategy/board_response.pdf 32. YouTube: Global Financing Facility (GFF) June Investors Group (IG) Meeting Debrief, 2016. https://www.youtube.com/watch?v=LCBA9X15MMo&feature=youtu.be 33. Civil Society Guide to the GFF. Washington DC: PAI, 2016. http://pai.org/reports/civil-society-guide-gff/ 34. CSOs outline steps for greater engagement ahead of Global Financing Facility learning meeting, 2016. http://www.who.int/pmnch/media/events/2016/cso/en/ 35. GFF Civil Society Engagement Strategy Public Consultation, 2016. http://www.who.int/pmnch/media/events/2017/cso/en/
PMNCH Annual Report 2016 | 33 34 Photos: cover, Flickr Creative Commons License/Feed My Starving Children (FMSC)/ReachHaiti; page 9, Flickr Creative Commons License/Marisol Grandon/Department for International Development; page 12, Flickr Creative Commons License/UN Women/Deepak Malik; page 14, Flickr Creative Commons License/Asian Development Bank/Luis Enrique Ascui; page 19, Flickr Creative Commons License/Marisol Grandon/Department for International Development; page 20, Flickr Creative Commons License/The White Ribbon Alliance; page 21, Flickr Creative Commons License/©UNICEF Ethiopia/2013/Tsegaye; page 25, Rwanda Parliament; page 34, Flickr Creative Commons License/UN Women/Ryan Brown. Design: Roberta Annovi. Writing and editing: Joanne McManus and Anna Rayne. The Partnership for Maternal, Newborn & Child Health c/o World Health Organization 20 Avenue Appia, CH-1211 Geneva 27, Switzerland [email protected] twitter.com/pmnch www.pmnch.org facebook.com/pmnch
WHO/FWC/NMC/17.1