13 September 2014

RMNCH Country Engagement Process

The RMNCH Country Engagement process, launched in 2013, supports countries in their efforts to accelerate the reduction of preventable maternal and child deaths.

Building on the principles of IHP+, the Country Engagement Process responds to a country’s expressed interest to ‘bend the curve’ towards achieving MDGs 4 & 5. Led by the Ministry of Health, the process seeks to better align existing and new funding streams against national priorities and gaps, in order to increase coverage with critical interventions, and thereby accelerate implementation.

The Country Engagement process is geared to achieve immediate progress that can also be sustained beyond 2015.

The steps of the ‘RMNCH Country Engagement process’

  • Multi-stakeholder analysis of the RMNCH landscape, including all the RMNCH-related plans and initiatives in a given country.
  • Prioritization of interventions, across the RMNCH continuum of care.
  • Mapping of the various funding streams (including domestic resources) against the financing gaps and identifying how these can most strategically be applied to the priorities and gaps.

Basic Principles of the ‘RMNCH Country Engagement process’:

Country Ownership. The ‘RMNCH Country Engagement’ process responds to a country’s expressed interest to engage in support of national efforts to ‘bend the curve’ towards achieving MDGs 4 & 5. It is led by the Ministry of Health.

Building on what already exists. It is not a new mechanism, nor does it require an additional plan to be drawn by a country. Rather, it builds on the RMNCH plans and initiatives that already exist at country level.

Rapid support. Under the Ministry of Health’s leadership, the process is facilitated by one of the in-country development partners, typically amongst the H4+. A pool of Country Engagement Facilitators are deployed rapidly and flexibly, upon the specific request of the Ministry of Health, to support the Country Engagement process.

Gap-filling & co-financing. The outcome of the process is meant to be applied to specific (co)funding opportunities such as the Global Fund concept notes, World Bank’s IDA envelopes tied to Results-Based Financing Programs, potential additional resources from UNICEF and other in-country partners, potential support from the RMNCH Trust Fund, additional domestic resources, etc.

Progress of the Country Engagement process:

The Country Engagement process is geared towards low income countries that have still significant progress to make to reach either MDG 4 or 5, or both. The RMNCH Country Engagement process is currently taking place in several countries including DRC, Malawi, Nigeria, Ethiopia and Senegal.

Country Engagement process – some examples

rmnch country engagement