Transcript Maternal and Newborn Joint Programme

A Joint Programme on
Maternal and Newborn
Death Reduction
United Republic of Tanzania
MOHSW
in collaboration with
UNICEF, UNFPA, WHO, UNESCO, WFP
Presentation at the DPG-HEALTH Meeting Nov 7, 2007
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Why a joint programme on maternal and
newborn death ?
• Maternal mortality highlighted as
priority in MKUKUTA
• Maternal and new born deaths
unacceptably high – far from
achieving MDG 5
• GoT response Road Map for
Acceleration Reduction of
Maternal and Newborn deaths
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Why a UN joint programme on maternal
and newborn death ?
• 2006 United Nations Development
Assistance Framework (UNDAF)
guides UN contribution to MKUKUTA
and MDGs
• UNDAF Outcome: Increased and
equitable access to comprehensive
RCH interventions
• UN agencies working together can
contribute to appropriate multisectoral
response
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One UN in Tanzania
• January 2007 Tanzania one of eight
pilot countries for Delivering as One :
“One UN”
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One Programme
One Budget
One Office
One Leader
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One UN Programme
• Incremental approach beginning with One
UN Programme.
• Seven focus areas: one is Reduction of
Maternal and Newborn Death
• Identifies joint results and strategies for
participating UN agencies, building on
existing programmes
• Identifies areas where UN agencies have
comparative advantage
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Joint programme management
• Joint Progamme funded partly by agencies
existing resources
• Funding gaps will be met by mobilizing
resources through One UN Fund
• Managing Agent (UNFPA) responsible for
programme results and funds going to
govt
• Recognizes contributions to basket.
Gradual shift to using government systems
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Partners
Government: MOHSW,
PMOLARG, MOF, MPEE,
MCDGC
UN agencies: WHO, WFP,
UNICEF,UNESCO and UNFPA
CSOs
DPG Health
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Expected outputs
• Increased
budget
allocation
and
resource mobilization for MNCH
• Improved Information management for
MNCH
• Improved health systems for delivery of
MNC with a focus on the Dodoma
region
• Improved policies and practices to
promote MNH
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Strategies to achieve results
Recognize that reduction of MNM hampered by
factors within and without health sector
• Evidenced-based advocacy and policy
dialogue to influence budget allocation and
implementation essential MNCH interventions
• System Strengthening and Institutional
Capacity Building to support implementation
and monitoring of Roadmap
• Raising awareness and demand creation for
quality MNCH services through empowering
individuals and communities to make informed
decisions.
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What are the challenges?
• Beginning of extensive transition process
• Needs change in mindsets and behaviour
at management and technical level
• Some agencies have core funds to
contribute, some do not
• Some agencies regulations do not allow
pooling
• Managing a One UN Fund to achieve
common results
• Must not become parallel initiative
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What is the value-added of
the Joint Programme ?
• Brings together different skills experience
and approaches of agencies in a more
coherent and coordinated assistance effort
• Move towards increased use of
government systems
• Contributes to national efforts in
implementing road map and the MNCH
Partnership
• Works toward removing competition for
resources an replication of efforts
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
Unique opportunity for UN
agencies and system to make a
difference
 We can make it work, if we work
with all our partners
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