Transcript Barriers To Synergy: The De

Health Frameworks and Financing
Goals to Improve Maternal Health
Felicity Daly
Senior Policy & Advocacy Manager
Programmes and Policy Department
Interact Worldwide
New Policy and Financing initiatives
to improve Maternal Health:
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Global Campaign for Health MDGs
International Health Partnership
Deliver Now for Women and Children
SRH-HIV Integration in the Global Fund
Resources Needed
Global Campaign on the Health MDGs
Increased Priority/Leadership
International Health Partnership
Increase Aid Effectiveness
Global Business PlanMDGs 4&5
Increase Resources
The Global Campaign for the Health MDGs
Throughout 2007 a series of new initiatives were launched to
accelerate progress on MDG 4,5 & 6 - also includes “Providing
for Health”, “Catalytic Initiative”, “Global Leaders Network”,
“Performance Based Financing” and ongoing commitments to
disease specific financing.
Development partners urged to raise more resources for
health, and especially MNCH, at national and global level
Innovative sources of financing will be sought
Invest in a more effective way to produce results
Norwegian PM Stoltenberg pledged US $1 billion over ten years
for MNCH through the Clinton Global Initiative
DFID pledged £100 million over 5 years to UNFPA – mainly for
Global Programme for RH Commodity Security
The Global Business Plan for
MDGs 4 and 5 –
Deliver Now for Women and Children
New advocacy drive to eliminate maternal and child deaths
and improve the health of women and children.
Launched in September - coincided with UN panel featuring
UN leadership (UNFPA) and global health activists.
Launch to be followed by roll out of intensive local programs beginning in 2008 in India and Tanzania.
Will bring together local government agencies, civil society,
media and other national and international members to
allocate resources and more effectively to bring basic
health services to women and children.
Coordinated by The Partnership for Maternal, Newborn &
Child Health (PMNCH) an alliance of over 170 partners administered by WHO.
Deliver Now - Purpose
Mobilize public support and stimulate positive behaviors to reduce maternal
newborn & child deaths
Mobilize political support & investment in stronger health systems
Raise significant new money for maternal, newborn & child health
Expected Outputs
Strong social movements generate demand for delivery of MNCH services
Greater political commitment to MNCH
Coordinated fundraising approach to develop new resources for MNCH
Clear evidence of advocacy impact
International Health Partnership (IHP)
No new institutions or funding streams
Focus on efficiency of resources going into health
Understand how resources are allocated – and results of
resources
Understand critical funding gaps for health
Mutual accountability for delivery of national health plans
Accelerate action to scale up coverage and use of health
services (through public, private or non-governmental
channels)
Deliver improved outcomes against the health related MDGs and
universal access commitments
SRHRN Consultation on IHP
Recommended implementation plan be strengthened and
improved consultation process to enhance:
Links between SRHR and well functioning health systems
Relationship to the Global Business Plan on MDGs 4&5 - argued
for additional financing for health is in fact needed
Need to address the constituent elements of health system
strengthening – commodity security and human resources
Supporting recipient governments to decide how health
services are best provided
Encouraging meaningful consultation with civil society
The Global Fund
• Scaling up/developing integrated approaches
through Global Fund - responding to country-led
demand for SRH- HIV integration.
• WHO technical briefings developed (April 07)
Strengthening Linkages between Family Planning
and HIV and Strengthening Linkages between
Sexual and Reproductive Health and HIV
• Round 7 (July 2007) proposals featured a range
of SRH-HIV/AIDS service integration aspects.
Integrated SRH-HIV services
benefit MNCH
• Antenatal and perinatal care for all pregnant women,
including delivery and post-partum care, and emergency
obstetric care that considers HIV status;
• PMTCT Plus, including initial provision of PMTCT
interventions to pregnant and delivering women and their
newborns, delivery and post-partum care, plus HIV
treatment for women, infants and their families as
appropriate, as well SRH services, including family planning
and dual protection advice for women and their partners,
and infant feeding options counselling and support;
• Provision of comprehensive family planning services for all
people of reproductive age (including youth friendly
information and targeted services for ‘vulnerable groups)
which tailors non-coercive contraceptive advice to HIV status
and counsels and/or provides safe abortion in circumstances
where it is not against the law;
Financing Gaps SRH/MNCH
• Developing Countries need to commit national resources – AU
members pledged to provide %15 national budget to health
• ? % to SRH/MNCH
• In 2005, WHO estimated that an additional US$6.1 billion
would be needed by 2015 to achieve the initial targets and
indicators of MDG5.
• However, these figures did not include existing amounts being
spent or a full range of family planning and reproductive
health services.
• The estimated cost of achieving the ICPD Programme of Action
– a more comprehensive response to SRH - is currently being
revised as original costing did not fully account for the scale
up of SRH services, especially required for the response to HIV
and AIDS.
Financing Gaps HIV and AIDS
UNAIDS scenarios for scale-up to achieve
universal access to HIV prevention,
treatment, care and support by 2010
would require US$42.2b in 2010 and
US$54b in 2015.
• UK Stop AIDS Campaign calling for UK
commitment to £2.5 billion over three
years.
Financing the new MDG 5 target
– Universal Access to RH by 2015
• Interact Worldwide is the UK partner of
Countdown 2015 Europe a new NGO campaign
concerned with achieving universal access to
reproductive health services and supplies.
• We are calling for action in 10 critical areas to
address both the supply and demand for
reproductive health supplies - centred on the
overall aim of achieving universal access to
reproductive health by 2015.
Achieving Universal Access
• Best available estimates indicate that the
funding needed to achieve universal
access to reproductive health and the
SRH components of HIV and AIDS
prevention services is US$29.8billion in
2010 rising to US$35.8billion in 2015.
• Of this, the UK’s fair share would equate
to a spending target of £853 million
between 2008 and 2010.
SRH resources report available at
www.interactworldwide.org
Felicity Daly Senior Policy and Advocacy Manager
[email protected]
Amy Whalley Policy and Advocacy Manager Universal Access
[email protected]