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Ensuring Universal Access to Reproductive Health



The Global Strategy for Women's and Children's Health makes a strong case for investing in reproductive health as an investment in the growth of economies as well as the health of entire families and communities. Recognizing that meeting the unmet need for family planning alone would avert 53 million unwanted pregnancies, 640,000 newborn deaths and 150,000 maternal deaths, over 85 global actors have committed to promote universal access to reproductive health services including family planning in support of the Global Strategy. Learn more about their commitments below.

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Read more about the commitments to promote reproductive health including family planning, in support of Every Woman Every Child:

Action for Global Health

In collaboration with other networks and organisations, Action for Global Health (AfGH) commits to track the amount of Official Development Assistance that is allocated to health, including maternal and child health, by European donors. AfGH will advocate for more and better aid to the health sector to increase universal access to healthcare, particularly for women, girls and children, who face key barriers in achieving their sexual and reproductive health and rights and the right to health because of user fees, a shortage of health workers and reproductive health supplies, and a lack of access to comprehensive sexual education or an enabling environment.

Afghanistan

Afghanistan will increase public spending on health from $10.92 to at least $15 per capita by 2020. Afghanistan will increase the proportion of deliveries assisted by a skilled professional from 24% to 75% through strategies such as increasing the number of midwives from 2400 to 4556 and increasing the proportion of women with access to emergency obstetric care to 80%. Afghanistan will also improve access to health services - strengthening outreach, home visits, mobile health teams, and local health facilities. Afghanistan will increase the use of contraception from 15% to 60%, the coverage of childhood immunization programs to 95%, and universalize Integrated Management of Childhood Illness.

Akaa Project, Inc

The Akaa Project, Inc, active in the community of Akaa in the Yilo Kobo district of the Eastern region of Ghana, commits that by 2015, an international collaborative model for improving maternal, infant and child morbidity and mortality will be in place, with preventative efforts and improved health care delivery aimed toward reducing illness, preventing malnutrition and stunted growth. Teaching will reinforce health care protocols by the World Health Organization. The community will soon be drilling of a bore hole to minimize parasitic infection, reducing malnutrition and a host of other illnesses. Families within Akaa and its greater community will have access to high quality health care services by qualified health care providers or by capable health care workers trained to provide excellent care. High level midwifery skills will be available for prenatal care and to avert preventable complications. This model will require the active involvement of academic and health care institutions globally. Clinical experiences and mentorships will offer students experience in meeting the health care needs of mothers, infants and children. Efforts will be made to offer adolescent females academic and job opportunities to prevent risky lifestyles. Since this area is challenged by HIV infection, major efforts will be made toward preventing transmission, alleviating stigma, developing widespread screening and offering anti-retrovirals to forestall disease and enhance wellbeing. Also, by 2015, the majority of sexually active community members will have access to barrier methods of contraception. Funding sources for the above outcomes will be thoroughly explored.

Amnesty International

Amnesty International will advocate for equal and timely access to reproductive healthcare services for all women and girls and campaign for greater accountability for violations of reproductive health rights.

Australia

Australia supports the UN Secretary-General’s Global Strategy for Women’s and Children’s Health as a firm platform for putting the health needs of women and children back into the centre of the development agenda. Recognising the need for increased effort on women’s and children’s health, Australia will invest around US$1.5 billion (A$1.6 billion) over the five years to 2015 on interventions evidence shows will improve maternal and child health outcomes. These will include expanding access to family planning and vaccination services, and funding skilled health workers (including midwives), health facilities and supplies. Financial support committed in 2010 includes an additional US$79.5 million (A$85 million) for the Pacific and Papua New Guinea and US$131 million (A$140 million) for Eastern Africa. Australia’s strong focus on Indonesia, South Asia and effectively performing international organisations will also continue. [on current projections subject to annual budget processes]

Bangladesh

Bangladesh commits to: doubling the percentage of births attended by a skilled health worker by 2015 (from the current level of 24.4%) through training an additional 3000 midwives, staffing all 427 sub-district health centres to provide round-the-clock midwifery services, and upgrading all 59 district hospitals and 70 Mother and Child Welfare Centres as centres of excellence for emergency obstetric care services. Bangladesh will also reduce the rate of adolescent pregnancies through social mobilization, implementation of the minimum legal age for marriage, and upgrading one third of MNCH centres to provide adolescent friendly sexual and reproductive health services. Bangladesh will halve unmet need for family planning (from the current level of 18%) by 2015; and ensure universal implementation of the Integrated Management of Childhood Illness Programme.

Benin

Benin will increase the national budget dedicated to health to 10% by 2015 with a particular focus on women, children, adolescents and HIV; introduce a policy to ensure universal free access to emergency obstetric care; ensure access to the full package of reproductive health interventions by 2018; and increase the use of contraception from 6.2% to 15%. Benin will also step up efforts to address HIV/AIDS through providing ARVs to 90% of HIV+ pregnant women; ensuring that 90% of health centres offer PMTCT services; and enacting measures against stigma and discrimination. Benin will develop new policies on adolescent sexual health; pass a law against the trafficking of children, and implement new legislation on gender equality.

Bill and Melinda Gates Foundation


The Bill & Melinda Gates Foundation commits $1.5 billion over the next 5 years to improving women’s and children’s health. This includes investments to support maternal, neonatal and child health, family planning and nutrition programs in developing countries. This investment does not reflect the foundation’s grant making for vaccines, or for the prevention of pneumonia, diarrhea, malaria or HIV/AIDS—all of which are closely linked to child health.

Burundi

Burundi commits to increase the allocation to health sector from 8% in 2011 to 15% in 2015, with a focus on women and children’s health; increase the number of midwives from 39 in 2010 to 250, and the number of training schools for midwives from 1 in 2011 to 4 in 2015; increase the percentage of births attended by a skilled birth attendant from 60% in 2010 to 85% in 2015. Burundi also commits to increase contraception prevalence from 18.9% in 2010 to 30%; PMTCT service coverage from 15% in 2010 to 85% with a focus on integration with reproductive health; and reduce percentage of underweight children under-five from 29% to 21% by 2015.

Cambodia

Cambodia will ensure that 95% of the poor are covered by health equity funds by 2015, and develop a new policy to ensure availability of emergency obstetric care at the district level. Cambodia will improve reproductive health by increasing the proportion of deliveries assisted by a skilled birth attendant to 70%; increase the proportion of couples using modern contraception to 60%; and increase the number of health facilities offering safe abortion/post abortion services. Cambodia will further seek to increase attendance at ante-natal clinics to 90% and attendance at post-natal clinics to 50%.

Cameroon

Cameroon commits to implement and expand the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA), re-establish midwifery training to train 200 midwives a year, and pilot a performance-based financing and a voucher system in order to promote access to maternal and child care services. Cameroon further commits to increase the contraception prevalence from 14% to 38%; the proportion of HIV+ pregnant women access to antiretrovirals from 57% to 75%; and the vaccine coverage from 84% to 93%. Cameroon will increase to 60% the proportion of health facilities offering integrated services; increase to 50% the proportion of women with access to Emergency Obstetric Care (EmOC) services; offer free malaria care to children under 5; ensure free availability of mosquito-treated nets to every family; increase funding to paediatric HIV/AIDS; strengthen health information systems management and integrated disease surveillance.

Central African Republic

Central African Republic commits to increase health sector spending from 9.7% to 15%, with 30% of the health budget focused on women and children’s health; ensure emergency obstetric care and prevention of PMTCT in at least 50% of health facilities; and ensure the number of births assisted by skilled personnel increase from 44% to 85% by 2015. CAR will also create at least 500 village centers for family planning to contribute towards a target of increase contraception prevalence from 8.6% to 15%; increase vaccination coverage to 90%; and ensure integration of childhood illnesses including pediatric HIV/AIDS in 75% of the health facilities.

Chad

Chad commits to increase health sector spending to 15%; provide free emergency care for women and children; provide free HIV testing and ARVs; allocate of US$10million per year for implementation of the national roadmap for accelerating reduction in MNC mortality; strengthen human resources for health by training 40 midwives a year for the next 4 years, including creating a school of midwifery and constructing a national referral hospital for women and children with 250 beds; and deploying health workers at health centres to ensure delivery of a minimum package of services. Chad also commits to pass a national human resources for health policy; increase contraception prevalence to 15%; ensure 50% of the births are assisted by a skilled birth attendant; and increase coverage of PMTCT from 7% to 80%, and pediatric HIV coverage from 9% to 80%.

China

China will continue to increase its domestic investment in women and children's health, through new policies and measures, and additional financing. New reforms now being implemented will provide basic health care insurance for all. There are also new measures which especially benefit rural women, including free breast and cervical cancer screening, hospital birth-delivery subsidies, and free folic acid supplements. Additional measures include free hepatitis B vaccination for all children under 15 years old, a national immunization program covering all children, and free services to prevent mother-to-child transmission of the HIV virus for all pregnant women. The government will also reimburse 90% of medical expenses for rural children who have congenital heart disease or leukaemia.

Comoros

Comoros commits to increase health sector spending to 14% of budget by 2014; ensure universal coverage for PMTCT by 2015; reduce underweight children from 25% to 10%; increase contraception prevalence rate from 13% to 20%; and the births that take place in health facilities from 75% to 85%. Comoros will also accelerate the implementation existing national policies including the national plan for reproductive health commodity security, the strategic plan for human resources for health, and the roadmap for accelerating reduction of maternal and neonatal mortality.

Côte d’Ivoire

Côte d'Ivoire commits to ensure the provision of free health services for all pregnant women during delivery, including free caesarian-sections, for women affected by obstetric fistula, and for children under 5. Côte d'Ivoire also commits to rehabilitate maternity centres, provide insecticide-treated mosquito nets for women and children under 5; to strengthen the integrated management of childhood illnesses programmes; and to integrate HIV and Sexual and Reproductive Health, and community involvement in health management, including training health workers to ensure the provision of family planning at the community level.

David and Lucile Packard Foundation

The David and Lucile Packard Foundation commits $120 million over the next 4 years to ensure that family planning and reproductive health information and services are more accessible to all. It will support new funding initiatives that promote women’s leadership at global, regional, national and local levels to revitalize political will and build new momentum to support increased investment in reproductive health and improved reproductive health outcomes for couples in Bihar, India. The Foundation has also partnered with the Bill & Melinda Gates Foundation to support a new, Advance Family Planning, initiative that seeks to revitalize political and financial commitments in nine countries through African women leaders and their networks.

Democratic Republic of Congo (DRC)

The Democratic Republic of Congo (DRC) will develop a national health policy aimed to strengthen health systems, and will allocate more funds from the Highly Indebted Poor Country program to the health sector. DRC will increase the proportion of deliveries assisted by a skilled birth attendant to 80%, and increase emergency obstetric care and the use of contraception. The government will increase to 70% the number of children under 12 months who are fully immunized; ensure that up to 80% of children under 5 and pregnant women use ITNs; and provide AVRs to 20,000 more people living with HIV/AIDS.

Djibouti

Djibouti commits to increase the health budget from 14% to 15%. In terms of service delivery, the Government will ensure that all pregnant women will have access to skilled personnel during childbirth. For this purpose, the Government will increase the number of trained midwives and nurses and will increase access to emergency obstetric care services nationally to 80%. A package of integrated emergency obstetric and newborn care and reproductive health will also be delivered in health services. This will be achieved by ensuring that all health centers are upgraded to deliver a package of emergency obstetric and newborn care and reproductive health services by upgrading them and ensuring that appropriate staff are posted and maintained in those centers. Contraceptive prevalence will be increased to 70%. The mobile health services will be extended to cover all areas of the country and will adopt a mix of outreach services, home visits and community based interventions. The government commits to implement Integrated Management of Childhood Illnesses in all health centers. Vaccine coverage will be 100%. Malnutrition will be addressed through a comprehensive multi-sectoral package in order to reduce the prevalence of stunting to 20% and that of wasting to 10%. Djibouti commits to decrease the HIV/AIDS prevalence to 1.8% in 2015 and to ensure that all pregnant HIV-positive women receive antiretrovirals.

DKT International

DKT International commits through the HAND to HAND Campaign to increase new users of family planning from 19 million couples to 25 million couples and increase of 6 million users by 2015 and sell 3 million condoms, 250 million oral contraceptives and 60 million injectable contraceptives and 500,000 IUDs by 2015.

EngenderHealth

EngenderHealth commits to building the capacity of health care professionals and programs in underserved communities of Africa and Asia, to protect the ability and right of women and adolescents to make free and informed decisions about their sexual and reproductive health. We do this by: training providers to effectively counsel clients seeking family planning, HIV/AIDS, and maternal health services; educating communities about their sexual and reproductive health and available services; promoting the widest possible range of quality family planning methods to offer options for individuals and couples to meet their reproductive intentions; and strengthening the ability of implementing partners to incorporate informed choice into routine supervision and program monitoring. Safeguards for informed and voluntary decision making are particularly important for the most vulnerable members of society, especially women and girls. We are pleased to undertake efforts that will improve the quality of and use of sexual and reproductive health services, which contributes directly to MDGs 3, 4 and 5.

European Parliamentary Forum on Population and Development

European Parliamentarians active in the European Parliamentary Forum on Population and Development (EPF) commit to building political support for women and children's health and rights, and specifically sexual and reproductive health and rights, by holding governments to account for their financial commitments and speaking out for the millions of vulnerable girls around the world.

FHI 360

FHI commits through the HAND to HAND Campaign to galvanize the community's contribution to the Global Strategy and endorse the Coalition's ambitious new goal of achieving 100 million new users of contraception in low-income countries by 2015. FHI is committed to the quality assurance of contraceptive commodities and its quality assurance program to help ensure the safe use of a wide range of contraceptive methods. Success at meeting this challenge will address the family planning needs of 80% of women in these countries, and reduce by 110,000 the number of women who die giving birth.

Ford Foundation

The Ford Foundation projects over $100 million in grants in its Sexuality and Reproductive Health programs over the next five years to strengthen sexual and reproductive health and rights through comprehensive sexuality education and an evidence-based public discourse -- supporting visionary people and organizations working to ensure that young people are empowered to have access to the information and services they need.

Gambia

Gambia commits to increase the health budget to 15% of the national budget by the year 2015; and to implement its existing free maternal and child health care policy, ensuring universal coverage of high quality emergency maternal, neonatal and child health services. Special attention will be accorded to rural and hard-to-reach areas. Efforts will be intensified to increase the proportion of births attended by skilled professionals to 64.5%, ensure reproductive health commodities security, scale up free Prevention of Mother-to-Child Transmission (PMTCT) services to all reproductive health clinics and ensure universal access to HIV prevention, treatment, care and support services, including social protection for women, orphans and vulnerable children. Furthermore, Gambia will continue to maintain the high immunization coverage for all antigens at 80% and above at regional levels, and 90% and above at national levels, while seeking to increase access of all children, particularly in the most vulnerable communities, to high impact and cost-effective interventions that address the main killers of children under five.

Germany

Germany is developing a new initiative on Voluntary Family Planning with resources to be made available for family planning and reproductive health and rights as part of Germany’s ongoing annual commitment in the area of mother and child health of 300m euros per year and Germany’s commitment made in June at Muskoka of an additional 400m euros over the next five years.

Ghana

Ghana will increase its funding for health to at least 15% of the national budget by 2015. Ghana will also strengthen its free maternal health care policy, ensure 95% of pregnant women are reached with comprehensive PMTCT service and ensure security for family planning commodities. Ghana will further improve child health by increasing the proportion of fully immunized children to 85% and the proportion of children under-five and pregnant women sleeping under insecticide-treated nets to 85%.

Global Fund for Women

Global Fund for Women commits $2 million over the next 2 years towards advancing health and sexual and reproductive rights in over 40 countries in the Americas, Asia and Oceania, Middle East, North Africa, and Sub-Saharan Africa.

Global Health Workforce Alliance

The Global Health Workforce Alliance pledges to keep women and children at the heart of its work. Analysing the impact of increased health workforce action on the areas of maternal, newborn and child health will be a key indicator for progress. The Alliance firmly commits to continue advocating for action to address the health workforce crisis -- and thereby improve the health of women and children -- at the highest political levels and across our vast network of members and partners. GHWA pledges to ensure a better health workforce availability and capacity to address reproductive, maternal, newborn and child health (RMNCH) needs in selected human resources for health (HRH) priority countries through a combination of advocacy and knowledge brokering activities at global and regional levels and the provision of direct catalytic support and targeted capacity building activities in selected countries, through its Country Coordination and Facilitation (CCF) approach.

Global Leaders Council for Reproductive Health (GLCRH)

The Global Leaders Council for Reproductive Health (GLCRH) commits $1,846,669 over the next 2 years. The Global Leaders Council commits to create an expert working group to produce policy briefs on the linkages between reproductive health and development outcomes including gender equity, MDGs, economic development, global security and climate change. The GLCRH will convene the Aspen Population and Global Health Roundtable Series at the Aspen Institute in Washington, DC; to host a Population, Health and Development track at the Aspen Ideas Festival in Aspen, CO; and to mobilize political will and financial resources necessary to achieve universal access to reproductive healthcare by 2015.

Guinea

Guinea commits to establish a budget line for reproductive health commodities; ensure access to free prenatal and obstetric care, both basic and emergency; ensure provision of newborn care in 2 national hospitals, 7 regional hospitals, 26 district hospitals, and 5 municipality medical centres; and introduce curriculum on integrated prevention and care of new born and childhood illnesses in health training institutes.  Guinea also commits to secure 10 life-saving essential medications in at least 36 facilities providing basic obstetric care and 9 structures with comprehensive obstetric care by 2012; ensure at least three contraception methods in all the 406 centres of health in the public sector by December 2012; and include PMTCT in 150 health facilities.

Guinea-Bissau

Guinea-Bissau commits to increase financial spending from 10% to 14% by 2015 and to implement the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA); to ensure accessible comprehensive emergency obstetric and neonatal care in all regions, and to provide around-the-clock referrals. Guinea-Bissau also commits to ensure that each health center has access to basic Emergency Obstetric Care (EmOC), including strengthening the technical capacity of 95% of the EmOC facilities; increasing the proportion of women giving birth in health facilities from 35% to 60%; ensuring that 75% of the pregnant women are covered by health mutual funds, and that 90% of the most vulnerable are covered by state funds. In addition, Guinea-Bissau also commits to reduce the unmet need for family planning to 10% and to increase contraceptive prevalence from 10% to 20%; to increase pre-natal consultations to 70%, postnatal consultations to 30%, and to reduce the proportion of underweight children from 24% to 10%; and to integrate Prevention of Mother-to-Child Transmission in 90% of the maternity care centers.

Guyana

Guyana commits to improve the contraceptive prevalence rate from 34.5% to above 60% by increasing the method-mix at national and regional levels, including by promoting long-term methods and emergency contraceptives; and further integrating family planning in community-based activities, as well as gender-based violence and teen mothers initiatives. Guyana also commits to increase Emergency Obstetric and Newborn Care (EmONC) to 100%, including by strengthening referral and transportation in Basic EmONC facilities and improving the interconnectedness of maternal health facilities to ensure access to EmONC.

Haiti


Haiti will create a financial mechanism to ensure free maternal, newborn and child health services, and develop a plan for human resources in health by 2015. Haiti will also provide emergency obstetric care in 108 health institutions constructing, rehabilitating or equipping facilities as necessary. Haiti will further reduce unmet need for family planning from 38% to 10% by improving commodity security and making services more youth-friendly.

Health Alliance International

Health Alliance International, a US NGO, commits a total of US $21,780,000 over the next 3 years towards the attainment of MDGs 4 and 5. These funds will be used to provide technical and managerial support to Ministries of Health in Mozambique, Timor-Leste and Cote d'Ivoire to strengthen their programs and systems for maternal and newborn care, Prevention of Mother-to-Child Transmission of HIV, and family planning. In each country the geographic scope is regional; the source of funds is from bilateral agencies (US and Australia), the World Health Organization, and private foundations. Beneficiaries are 510,000 women of reproductive age and 347,200 young children including newborns. These programs directly address the first three goals of the Global Strategy, providing support for country-led health plans, integration of maternal and child health and reproductive health services, and strengthening of health systems and the capacity of health workers.

HRP (the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction)

HRP (the UNDP/UNFPA/WHO/World Bank Special Programme of Research,
Development and Research Training in Human Reproduction), working with partners,
commits to generate, synthesize, coordinate and implement a prioritized research
agenda for improving reproductive, maternal and newborn health. It will establish a
global network of academic and research institutions, to develop and implement a
global workplan to deliver a coordinated research agenda that informs policy
formulation and strengthens health systems. Key issues will include the following
actions in the 49 countries identified in the UNSG's Strategy:

• fostering collaboration within a global network and with partners to facilitate
strong linkages between academic/research institutions and government
ministries to generate and apply research that identifies needs and barriers
and facilitates implementation of interventions necessary to improve
reproductive, maternal and newborn health;
• promoting uptake of research findings that inform policies and programmes,
including in partnerships with the private sector;
• strengthening of research capacity in low-income countries to improve access
to and quality of sexual and reproductive health services;
• identifying and promoting best practices for advancing sexual and reproductive
health;
• supporting the scaling up of evidence-based interventions to improve
reproductive, maternal and child health;
• defining and updating norms and standards and facilitating their integration to
support service delivery;
• fostering innovation and development of new technologies, implementation
strategies and innovative financing mechanisms that will improve sexual and
reproductive health and reduce inequities in accessing services.

It will work with academic and research centres from the north and south to support
countries to define and implement priority interventions to accelerate progress on
women's and children's health.

International Planned Parenthood Federation (IPPF)

International Planned Parenthood Federation (IPPF) commits through the HAND to HAND Campaign to strive to contribute to meeting the needs of the 215 million women with unmet needs for contraception by increasing the number of new users of IPPF contraceptive services by at least 50% by 2015, and at least doubling the number of unintended pregnancies averted through the Campaign. By 2015 they aim to deliver 80% of services to the poorest, most marginalized and under-served women of the world.

John D. and Catherine T. MacArthur Foundation

In 2010 and 2011, the John D. and Catherine T. MacArthur Foundation will invest approximately $30 million towards achieving MDG 5. The priorities of the Population and Reproductive Health area are to reduce maternal death and improve the sexual and reproductive health and rights of young people. The bulk of these investments are concentrated in India, Mexico, and Nigeria. In the area of maternal health, the Foundation supports interventions to reduce death from postpartum hemorrhage and eclampsia. MacArthur also provides resources to support sexuality education and youth-friendly services. In addition, the Foundation invests in reproductive health advocacy and research initiatives.

John Snow, Inc. (JSI)

John Snow, Inc. (JSI) commits through the HAND to HAND Campaign to supporting the availability of contraceptives in low‐income countries through the provision of supply chain management technical assistance and training for national, regional, and global programs; to collecting accurate, timely information about the status of supplies, program requirements, and supply chain operations in over 20 countries, and sharing that information widely with stakeholders to raise awareness and improve decision‐making.

2011

With support from multilateral organizations, the US government, other bilateral development assistance agencies, and private foundations, John Snow, Inc. (JSI) implements a broad portfolio of maternal, newborn and child health (MNCH) activities valued at approximately US $531 million. JSI is dedicated to sharing its long-standing body of MNCH technical expertise and the results of our work to help improve the health of women and children worldwide. To demonstrate our support to the Every Woman Every Child effort, we at JSI are proud to commit to the following:

·         Train over 20,000 health workers to provide quality MNCH services in 14 countries and support them with the training of MNCH managers in supportive supervision;

·         Engage and empower communities in 14 countries through the training and support of over 350,000 community-based health volunteers;

·         Improve the quality of health data, increase evidence-based decision making, and respond to the growing demand for information-driven health services planning and management in over 50 countries; and

·         Identify opportunities in over 50 countries to apply our core competency in public health supply chain management to the essential products for MNCH

Kyrgyzstan

The Government of Kyrgyzstan commits to ensure that 100% of the population of reproductive age have choice and access to modern contraception with at least 3 modern methods of family planning ; 100% free medical care for  pregnant women and under-fives; ensure at least 80% of births take place at a health facilities and 90% of health facilities have access to centralized water supply system. Kyrgyzstan will ensure that 95% of health facilities with antenatal services provide  both HIV testing PMTCT; 35% family medicine centers provide the standard package of youth-friendly health services; and  that70% of children receive evidence-based services within integrated management of childhood illness.

Lao People's Democratic Republic

The Lao People's Democratic Republic commits to provide free deliveries in order to ensure access to the most vulnerable; produce 1500 new midwives by 2015 by upgrading existing staff and training and recruiting new staff; and increase immunization from 67% to 90% by 2015. Lao PDR will also increase the proportion of couples with access to modern contraception and the proportion of births attended by a skilled attendant.

Lesotho


The Government of Lesotho is committed to meeting the Abuja Declaration Target of 15% expenditure for health, compared to the current 14% expenditure. The Government abolished user fees for all the health services at Health Centre level, while it has standardized user fees at hospital-level. The country has developed the National Health Sector Policy and its Strategic Plan which puts women and children at the centre. The National Reproductive Health Policy and its Strategic Plan also focus on women and children. These documents have been disseminated and their implementation is closely monitored. The Reproductive Health Commodity Security Strategy is in place and ensures that 90% of the women and men in the reproductive age group have access to commodities. The Lesotho Expanded Programme on Immunization Policy has been disseminated in 2010, focusing on under-five children. The Infant and Young Child Feeding Policy focuses on nutrition of children.

Liberia

Liberia will increase health spending from 4% to 10% of the national budget and will ensure that by 2015 there are double the number of midwives trained and deployed than were in the health sector in 2006. Liberia will provide free universal access to health services including family planning and increasing the proportion of health care clinics providing emergency obstetric care services from 33% to 50%. Liberia will increase the proportion of immunized children to 80%, and address social determinants of ill-health through increasing girl’s education, and the mainstreaming of gender issues in national development.

Madagascar

By 2015, Madagascar commits to increase health spending to at least 12%; ensure universal coverage for emergency obstetric care in all public health facilities; increase births assisted by skilled attendants from 44% to 75%; and double from 35% the percentage of births in health facilities. Madagascar will also address teenage pregnancy by making 50% of primary health care facilities youth-friendly; reduce from 19% to 9.5% the unmet need of contraception by strengthening commodity security;  increase tetanus vaccination for pregnant women from 57% to 80%; and institute maternal death audits.

Mali

Mali commits to create a free medical assistance fund by 2015 and to reinforce existing solidarity and mutual funds for health, and extend the coverage of a minimum package of health interventions. Mali will implement a national strategic plan for improving the reproductive health of adolescents; and will strengthen emergency obstetric care, introducing free caesarean and fistula services, also by 2015. Mali will promote improvements in child health through free vitamin A supplements, and increased screening for and management of malnutrition, and through the extension of the Integrated Management of Childhood Illness Programme. Mali will also distribute free insecticide-treated bed-nets to women making second ante-natal visits, and remove taxes on other ITNs.

Management Sciences for Health

Management Sciences for Health (MSH) announces a five-year, US $200 million commitment to improve health systems and family planning services in Afghanistan, Democratic Republic of Congo (DRC), and Haiti. In partnership with local and national governments, and with funding from USAID (in Haiti), MSH will continue to strengthen local capacity to manage the supply chain of USAID-donated condoms and family planning commodities. In Afghanistan, MSH will continue to work with the Ministry of Health to build its management, leadership, and public health technical capacity the central level and in 24 provinces. In DRC, MSH will continue to unite diverse health providers under a strategy to fully implement the minimum and complementary health service packages. In addition to our field work in the selected countries, MSH is committed to educating US members of Congress and other policymakers on the unique needs of women and children in these fragile states through advocacy and communication activities.

Marie Stopes International

Inclusive of commitments made through the Hand to Hand Campaign, MSI pledges that the voluntary family planning and quality reproductive healthcare it provides globally during 2011-2015 will have the long term health impact of preventing 29 million unwanted pregnancies, 8 million unsafe abortions and 80,000 maternal deaths. These health outcomes will be achieved by significantly expanding MSI's direct service delivery and through partnerships with governments, private sector providers and other agencies.

Mauritania

Mauritania commits to increasing expenditure on health to 15% by 2015, and including a budget line on reproductive health commodities with a focus on contraceptives; to increase contraception prevalence from 9% to 15%, constructing 3 more schools of public health, increasing access to Emergency Obstetric and Newborn Care in all regional and national hospitals; to increase the proportion of births assisted by skilled personnel from 61% to 75%; and increasing the proportion of health centers offering PMTCT services to 75%. Mauritania further commits to increase proportion of vaccinated children, institute in all districts a program of integrated management of childhood illnesses, and improve the management of human resources including providing incentives for staff to work in isolated areas.

Merck

Merck commits an estimated $840 million over the next 5 years through their HIV prevention and treatment, childhood asthma programs and donation of HPV vaccine, GARDASIL®, to organizations and institutions in eligible lowest income countries to enable countries to develop capacity to implement vaccination programs. Merck and Qiagen are also committed to increasing access to HPV vaccination and HPV DNA testing in some of the most resource-poor areas of the world through up to five million doses of GARDASIL and HPV DNA tests to screen an additional 500,000 women. The two companies will also support the development and implementation of sustainable best practice models for cervical cancer reduction in low-income, high disease burden countries.

2011

Merck, a global healthcare leader, commits to joining global partners to save the lives of women during pregnancy and childbirth and is making this fight part of its mission for the long-haul. Merck for Mothers (www.merckformothers.com) starts with a 10-year, US $500 million initiative to help reduce maternal mortality by 75%. Merck will apply its scientific and business expertise to make proven solutions more widely available, develop new game-changing technologies and improve public awareness, policy efforts and private sector engagement for maternal mortality.

'Merck for Mothers' will work to improve the quality and supply of diagnostic, prevention, and treatment interventions for post-partum hemorrhage and pre-eclampsia. In addition, the company will strengthen medical education for skilled birth attendants, develop sustainable models for health delivery and expand access to family planning, a critical life-saving solution. Merck will collaborate with partners to develop game-changing maternal health technologies for widespread use in resource-poor settings starting with an assessment of more than 30 existing promising technologies. The initiative will be guided by input from an internal steering committee and an external advisory board and will utilize an independent organization to monitor and evaluate its efforts. Merck is known as MSD outside the United States and Canada.

Mongolia

Mongolia commits to implement a policy on increasing salaries of obstetricians, gynecologists and pediatricians by 50%; increase financial allocation to national immunization program; improve provision of micronutrients to children under 5; ensure reproductive health commodity security; and increase the number of health facilities for women and children, including the construction of a new Women’s and Children’s Health Centre in Ulaanbaatar.

Mozambique

Mozambique commits to increase the percentage of children immunized aged under 1, from 69 to 90 percent by 2012 and to increase the number of HIV+ children receiving ARTs from 11, 900 to 31,000 by 2012. Mozambique will also increase contraceptive prevalence from 24 to 34 % by 2015 and will increase institutional deliveries from a level of 49% to 66% by 2015. Mozambique also commits to establish a centre for the treatment of obstetric fistula in each province by 2015.

Muskoka Initiative

Muskoka Initiative: In June 2010 at the G8 Muskoka Summit, partners to the Muskoka Initiative for Maternal, Newborn and Child Health committed US$7.3 billion in new and additional funding for MNCH by 2015. It was anticipated that, subject to respective budgetary processes, the Muskoka Initiative would eventually mobilize more than US$10 billion. In June, G8 partners committed US$5 billion in new and additional funding by 2015. Together, the Governments of the Netherlands, New Zealand, Norway, the Republic of Korea, Spain and Switzerland, the Bill & Melinda Gates Foundation and UN Foundation committed US$2.3 billion by 2015. According to WHO and World Bank estimates, the Muskoka Initiative will assist developing countries in preventing 1.3 million deaths of children under five years of age and 64,000 maternal deaths, and enable access to modern methods of family planning by an additional 12 million couples.

Myanmar

Myanmar commits to ensure 80% ante-natal care coverage; 80% of births attended by a skilled attendant; 70% access to emergency obstetric care; and 80% coverage for PMTCT as well as its integration with MCH. Myanmar will also ensure universal coverage for the expanded immunization; increase the proportion of newborn who receive essential newborn care at least two times within first week of life  by 80%; increase contraception prevalence to 50%; reduce unmet need for contraception to under 10%; improve ratio of midwife to population from 1/5000 to 1/4000; and develop a new human resources for health plan for 2012-2015.

Nepal


Nepal commits to recruit, train and deploy 10,000 additional skilled birth attendants; fund free maternal health services among hard-to-reach populations; and will ensure at least 70% of primary health care centres offer emergency obstetric care. Nepal will also double coverage of PMTCT; reduce unmet need for family planning to 18%, including by making family planning services more adolescent friendly and encouraging public-private partnerships to raise awareness and increase access and utilization. Nepal will work to improve child health and nutrition through rolling out the Community Based Integrated Management of Childhood Illnesses Programme from 27 districts to all 75 districts in the country; maintaining de-worming and micro-nutrient supplementation coverage at over 90%; and implementing effective nutrition interventions (using innovative programs such as cash transfers to pregnant and lactating women and other community based interventions).

Netherlands


The Netherlands endorses the Global Strategy for Women's and Children's Health, as the effort to ensure that women's and children's health issues have the priority they deserve in the 21st century. In 2011 the Netherlands' Parliament approved development policies focusing on sexual and reproductive health and rights including HIV/AIDS, food security, water and security and governance issues. The Netherlands directly supports efforts to improve the health of women and children through our substantial core contributions to UNICEF, UNFPA and UNAIDS. In addition, the Netherlands has allocated EUR 29 million in 2011 to the Global Programme to enhance Reproductive Health Commodities Security and the Maternal Health Thematic Fund; EUR 55 million to the Global Fund to fight AIDS Tuberculosis and Malaria; and will maintain its ongoing support to the GAVI Alliance for the period 2011-2015.

Niger

Niger commits to increase health spending from 8.1% to 15% by 2015, with free care for maternal and child heath, including obstetric complications management and family planning. Niger will train 1000 providers on handling adolescent reproductive health issues, and to address domestic violence and female genital mutilation (FGM). Niger will reduce the fertility rate from 3.3% to 2.5% through training 1500 providers of family planning, and creating 2120 new contraception distribution sites. Niger will further equip 2700 health centres to support reproductive health and HIV/AIDS education, and ensure that at least 60% of births are attended by a skilled professional. Niger will additionally introduce new policies that support the health of women and children, including legislation to make the legal age of marriage 18 years and to improve female literacy from 28.9% in 2002 to 88% in 2013.

Pathfinder International

Pathfinder International commits to work with The Nature Conservancy and Frankfurt Zoological Society to raise at least US $250,000 to launch an integrated family planning and maternal and child health program in the extremely remote villages surrounding Mahale Mountains National Park in Tanzania. The project will launch in 2012 and we anticipate continuing for at least five years with additional funds raised. This project is focused entirely on the hardest-to-reach women and children without access to the government health system. The main focus is family planning, along with prenatal care, delivery and postnatal care, newborn care, immunizations and adolescent reproductive health. This will be done through training of health personnel and of additional community health workers to conduct home visits, and substantial improvements to existing health facilities, to the benefit all women of reproductive age, children, and adolescents seeking maternal, newborn and child health and contraceptive services. Pathfinder International promises to develop and test innovative approaches; integrate essential services for the most vulnerable; educate, engage and mobilize communities to seek their own solutions; track progress through monitoring and evaluation; strengthen local capabilities to scale up interventions; and advocate for increased attention and government investments to women's and children's health, especially family planning. We will coordinate with government and community organizations and introduce available technologies, such as mobile phones, where appropriate.

Planned Parenthood Federation of America

Planned Parenthood Federation of American (PPFA) commits to supporting our in-country partners in Africa and Latin America to reach 2 million people with sexual and reproductive health information, supplies and services, especially family planning, by 2015. Through our partnerships, PPFA helps local groups cultivate capacities necessary for institutional sustainability, including the flexibility to act amidst emerging reproductive health problems, technologies and policies. Recognizing that the largest generation the world has ever seen is entering their reproductive years, we will expand projects focusing on young people, especially using social media, to reach an additional half a million adolescents with information and access to services when the need them. Our goal is to help create the healthiest generation ever.

Population Council

The Population Council will conduct social science, public health, and biomedical research in reproductive health, HIV, and poverty, gender, and youth to improve people's lives. It designs health products and supports service delivery programs and policies responsive to people in developing countries.

In support of this initiative, the Council is committed to:

·         Bringing new contraceptives, microbicides, and multipurpose technologies appropriate to the needs of vulnerable women, children, and men in developing countries to market; and engaging with pharmaceutical companies to license, register, manufacture, and/or donate Council technologies and devices to expand choice in developing countries.

·         Using research to identify service delivery problems that affect women's and children's health; conducting operations research and economic analyses to test the feasibility and effectiveness of solutions to these problems; and providing program managers and policy makers with the information and capacity to expand coverage and improve service quality.

·         Seeking to reduce inequities related to poverty, ethnicity, age, HIV status, gender, and sexual orientation; and, helping adolescents reach a successful, productive adulthood through expanded access to innovative products, services, and interventions.


We will focus on about 20 countries. The estimated financial commitment will be US $10 million annually for three years.

Population Services International (PSI)

Population Services International (PSI) commits on behalf of PSI and their partners to support over the next 5 years the provision of life-saving products, clinical services, and behaviour change communications that empower the world's most vulnerable populations to lead healthier lives. PSI’s commitment will help the UN address key global health priorities, including malaria, child survival, HIV and reproductive health.

2011

Population Services International (PSI) is pleased to make a commitment to the following by 2015: provide 12.3 million individuals with contraceptives per year; distribute a total of 4.2 billion male condoms, 158 million cycles of oral contraceptives, 26 million female condoms, 32 million injectables, 11 million doses of emergency contraception, 3.5 million lUDs and 460,000 hormonal implants between 2011 and 2015. We see the successful achievement of our commitment as having a significant impact on the lives and well-being of women and families across the developing world. Specifically, these 12.3 million family planning users per year will prevent 3 million unintended pregnancies and avert 14,000 maternal deaths each year. In addition, we commit to advocate for the improvement of women and children's health and access to quality and affordable life-saving products over the next five years, and to disseminate information and research findings about proven-effective reproductive health services.

Reproductive Health Supplies Coalition

The Reproductive Health Supplies Coalition commits, through its launch of the HAND to HAND Campaign, to achieve 100 million new modern contraceptive users by 2015 thereby fulfilling the family planning needs of 80 percent of women in low- and middle-income countries of the developing world. The Reproductive Health Supplies Coalition is leading the effort for the Global Strategy among its members organization by encouraging them and the broader health and development communities to commit resources, scale up services, provide supplies and advocate reaching this goal.

2011

The Reproductive Health Supplies Coalition commits, through its HANDtoHAND Campaign, to reduce unmet need for family planning by 100 million additional users of modern contraception by 2015. In the last 12 months, the following organizations have made HANDtoHAND Pledges of financial, program and/or policy support to the Global Strategy for Women's and Children's Health: Advance Family Planning, APROFAM, Bayer Pharma, CIES-UNAN, CLAE, Crown Agents, DFID, Ipas, Merck MSD, MSI, PAI, PATH, Pathfinder, Population Council, PRISMA, UN Foundation, UNFPA, USAID and WomanCare Global. The pledges include increases in contraceptive prevalence of at least 2 percentage points per year in over 45 countries, greater access to affordable commodities through price reductions, and over US $215 million in new financing for reproductive health. More information on individual pledges is available at http://www.rhsupplies.org.

Royal College of Obstetricians and Gynaecologists

The Royal College of Obstetricians and Gynaecologists is committed to reducing maternal and newborn mortality. We draw on the experience of our global network of members to make an effective contribution to improving sexual and reproductive healthcare. Some of our projects are delivered in partnership with the Liverpool School of Tropical Medicine who have extensive experience of management and delivery of courses. Our work involves:

·         Advocacy – to raise awareness of maternal health at local/global levels

·         Technical assistance – capacity development through training, exchange programmes and setting of standards and guidelines that can be adapted locally

·         Strategic programme work – working with governments and international organisations to improve quality of care/assistance with monitoring and evaluation.

·         Fellowship programme – sending trained doctors to specific sites, for between 3-months/1 year, where along with midwives, anaesthetists and paediatricians build capacity by structural development, training of healthcare workers, development of risk assessment, triaging and referral capability.

·         Outcome assessment – develop the appropriate audit capability to assess maternal and child morbidity and mortality. This is important to support the ongoing aid provision.


The ultimate aim is to capacity build with a sustained local workforce with the appropriate training, network structure and facilities with an increasing reduced need for external input.

Sao Tome and Principe

Sao Tome and Principe commits to increase the percentage of the general budget for health from 10% to 15% in 2012; increase the ratio of births attended by a qualified health personnel from 87.5% to 95%; reduce the percentage of inadequate family planning service delivery from 37% to 15%; increase the geographic coverage of PMTCT services from 23% to 95%; increase the percentage of pregnant women receiving ARVs from prenatal centres from 29% to 95%; and increase the prevalence of contraception from 33.7% to 50%.

 

South Sudan

The Republic of South Sudan commits to increase the percentage of government budget allocation to the Ministry of Health from 4.2% to 10% by 2015; to increase the proportion of women delivering with skilled birth attendants from 10%- 45%, through the construction of 160 Basic Emergency Obstetric Care facilities by 2015 and training of 1,000 enrolled/registered midwives by 2015; and to establish 6 accredited midwifery schools or training institutions/colleges; increase the contraceptive prevalence rate from 3.7% to 20%, and increase the percentage of health facilities without stock-out of essential drugs from 40% to 100%. South Sudan also commits to reduce the prevalence of underweight among children under five from 30% to 20%; increase the percentage of fully-immunized children from 1.8% to 50%; and increase the percentage of under-fives sleeping under bed nets from 25% to 70%. Finally, South Sudan will develop and implement a range of national policies that will strengthen its response to women and children's health, including policies on national family planning, on provision of free reproductive health services, especially Emergency Obstetric care services, on decentralization of budgeting, planning, management of health services, and on adolescent sexual and reproductive health and rights.

Sudan

Sudan commits to increase the total health sector expenditure from 6.2% in 2008 to 15% by 2015. Sudan commits to guarantee immediately free universal access to Maternal and Child Health (MCH) services including Immunization, Integrated Management of Neonatal and Childhood Illnesses (IMNCI), Nutrition, Antenatal Care (ANC), delivery care, post-natal care, and child spacing services to target all women and children. Sudan also commits to train and employ at least 4,600 midwives focusing on states with the highest maternal mortality ratios and the lowest proportion of births attended by trained personnel. This will increase the percentage of births attended by trained personnel from 72.5% to 90%, increase quality universal access to Comprehensive Emergency Obstetric and Neonatal Care, and advocate for the elimination of harmful traditional practices like early marriage and Female Genital Mutilation/Cutting.

Susan G. Komen for the Cure Global Health Alliance

Susan G. Komen for the Cure Global Health Alliance commits $500,000 through the expansion of the their Middle East Partnership Initiative to broaden the focus for women's cancers and women's health and include a financial commitment and a health services commitment to the NGOs working in the Middle East to improve women’s health by addressing issues of breast and cervical cancer in an integrated health care system.

Sweden

Sweden’s strong commitment to Women’s and Children’s health is clearly reflected in Sweden's policy for global development , in Sweden's international policy on Sexual and Reproductive Health and Rights (SRHR) and in the Policy for Gender Equality and the Rights and Role of Women . In the bilateral development cooperation support is primarily given to the strengthening of national health and education systems with a focus on a broad SRHR approach. A range of funding and other mechanisms is used. Policy dialogue and strategic partnerships are essential to raise awareness and build capacity with regard to phenomena related to maternal and child health including controversial issues such as access to safe abortions. Globally Sweden supports the UN system (UNFPA including the UNFPA/ICM program to strengthen midwifery, UNICEF, UNESCO), global initiatives (GAVI, Education for all Fast Track Initiative, GFATM) and civil society (IPAS, IPPF, Men Engage network). To further strengthen the commitment a special effort on MDG5 has been developed . The ambition is to raise awareness and build capacity to improve maternal health at all levels of development cooperation. Sweden also endorses the G8 Muskoka Initiative for Maternal, Newborn and Child Health, and has made a substantial allocation in the budget bill proposed to parliament for 2011 to further strengthen work to improve child health.

2011

Sweden has enhanced its commitment to the Global Strategy for Women's and Children's Health during 2011. Contributing to the achievement of the MDGs, especially MDGs 4 and 5, is one of the core focuses of Swedish development aid, which amounts to approximately 1% of its annual Gross Domestic Income. In 2011, Sweden has committed to allocate 500 million Swedish kroner to combat child mortality and maternal mortality and promote health, education and youth entrepreneurship. In addition the Swedish Minister for International Development Cooperation has announced that Swedish development aid has the ambition of helping save the lives of 250,000 children, as well as 50,000 women who otherwise would lose their lives due to complications arising from pregnancy or childbirth. Sweden will support, through bilateral development cooperation, efforts to strengthen national health and education systems, in order to generate better access to sexual and reproductive health. A range of different funding mechanisms are utilized and policy dialogues and external partnerships are essential to Sweden's assistance. Sweden will continue its support to UNFPA, UNICEF and UNESCO; global initiatives such as the GAVI Alliance (with $201 million for the period 2011-2015), the GFATM; and civil society (Ipas, IPPF, MenEngage Alliance). Sweden endorses the G8 Muskoka Initiative on Maternal, Newborn and Child Health.

Tajikistan

Tajikistan commits to ensure that by 2015, 85% of midwives are trained in provision of emergency obstetric care; at least 85% of maternity facilities apply the clinical protocols approved by the ministry of health; youth friendly health services are expanded from pilot to nationwide implementation; and 50% of the needs of women of reproductive age in modern contraceptives are covered from the budget. Tajikistan will also develop an accreditation policy for maternity institutions and ensure that 90% of maternity hospitals are certified.

Tanzania

Tanzania will increase health sector spending from 12% to 15% of the national budget by 2015. Tanzania will increase the annual enrollment in health training institutions from 5000 to 10,000, and the graduate output from health training institutions from 3,000 to 7,000; simultaneously improving recruitment, deployment and retention through new and innovative schemes for performance related pay focusing on maternal and child health services. Tanzania will reinforce the implementation of the policy for provision of free reproductive health services and expand pre-payment schemes, increase the contraceptive prevalence rate from 28% to 60%; expand coverage of health facilities; and provide basic and comprehensive Emergency Obstetric and Newborn care. Tanzania will improve referral and communication systems, including radio call communications and mobile technology and will introduce new, innovative, low cost ambulances. Tanzania will increase the proportion of Children fully immunized from 86% to 95%, extend PMTCT to all RMNCH services; and secure 80% coverage of long lasting insecticide treated nets for children under five and pregnant women. Tanzania will aim to increase the proportion of children who are exclusively breast fed from 41% to 80%

The Bangladesh Women Chamber of Commerce and Industry

The Bangladesh Women Chamber of Commerce and Industry has committed to Every Woman Every Child to raise awareness of cervical cancer by disseminating information about cervical cancer and its prevention to 30,000 Bangladeshi women through leaflets, letters, counseling, hotline centers, training programs, meetings, and roundtables by 2016. The BWCCI will also take initiatives to motivate 20,000 young mothers to be inoculated to prevent cervical cancer and 30,000 women to do pap smears test annually.

Uganda

Uganda commits to ensure that comprehensive Emergency Obstetric and Newborn Care (EmONC) services in hospitals increase from 70% to 100% and in health centers from 17% to 50%; and to ensure that basic EmONC services are available in all health centers; and will ensure that skilled providers are available in hard to reach/hard to serve areas. Uganda also commits to reduce the unmet need for family planning from 40% to 20%; increase focused Antenatal Care from 42% to 75%, with special emphasis on Prevention of Mother-to-Child Transmission (PMTCT) and treatment of HIV; and ensure that at least 80% of under 5 children with diarrhea, pneumonia or malaria have access to treatment; to access to oral rehydration salts and Zinc within 24 hours, to improve immunization coverage to 85%, and to introduce pneumococcal and human papilloma virus (HPV) vaccines.

UN Foundation

The UN Foundation commits (with its partners) $400 million over the next 5 years in support of the Global Strategy (including $215 million committed in June 2010). Through campaigns and partnerships UNF’s commitment will help the UN address key global health priorities including childhood immunizations, malaria prevention, holistic health for adolescent girls, access to reproductive health supplies and services, clean cook-stoves, and improving maternal and other health outcomes through mobile technologies.

United Kingdom

The UK is currently re-orienting its aid programme to put women at the heart of its development efforts and is focusing rigorously on results, including a review of all bilateral and multilateral aid programmes to maximise impact on mothers and babies. The UK’s new Business Plan for Reproductive Maternal and Newborn Health will set out how the UK aims to increase efforts up to 2015 'to double the number of maternal, newborn and children's lives saved. It is anticipated that UK aid will save the lives of at least 50,000 women in pregnancy and childbirth, a quarter of a million newborn babies and enable 10 million couples to access modern methods of family planning over the next five years. To achieve this ambitious goal, the UK will double its annual support for Maternal, Newborn and Child Health by 2012, and sustain that level to 2015. The UK will provide an annual average of £740 million (US$1.1 billion) for Maternal, Newborn and Child Health from 2010 to 2015. This means that over this period the UK will spend an additional £2.1bn on Maternal, Newborn and Child Health. This commitment adds an additional £1.6bn to the commitment of £490m the UK made for 2010 and 2011 at the Muskoka Summit.

United States

The commitments detailed in this document build on important recent efforts, notably President Obama’s Global Health Initiative (GHI), a $63 billion initiative to help partner countries save lives and achieve sustainable health outcomes. Through the GHI, the United States will scale up efforts and achieve significant results in maternal and child health and family planning. The GHI sets out ambitious targets for improving maternal and child health to inspire an intensive effort, and will: reduce maternal mortality by 30 percent across assisted countries; reduce mortality rates for children under 5 by 35 percent across assisted countries; reduce child under-nutrition by 30 percent across assisted food insecure countries, in conjunction with the President’s Feed the Future Initiative; double the number of at-risk babies born HIV-free, from a baseline of 240,000 babies of HIV-positive mothers born HIV-negative during the first five years of PEPFAR; and reach a modern contraceptive prevalence rate of 35 percent across assisted countries.

United States, United Kingdom, Australia and Gates Foundation

The US, UK, Australia and Gates have formed a new alliance, to work together in partnership at the global level and with selected high-need countries in sub-Saharan Africa and South Asia to accelerate progress in reducing unintended pregnancies, reducing maternal and neonatal mortality, and addressing key elements of MDGs 4 and 5 where progress has been especially slow. The alliance will work to help 100 million more women satisfy their need for modern family planning by 2015.  See US, UK, Australia and Gates press releases.


Uzbekistan

Uzbekistan commits to ensure that 96% of children aged 6-59 months receive vitamin A twice a year by up to 2015; 100% coverage of pregnant women with HIV counseling; and testing and reduction of mother-to-child HIV transmission down to less than 2%. Uzbekistan also commits to improve quality of care provided to mothers and children by training 25,000 health workers up to 2015 on evidence-based modern technologies to provide reproductive health services, emergency obstetrical care, effective prenatal care, international criteria of live birth, basic care and resuscitation of newborns, breastfeeding and rational nutrition of children, integrated management of childhood illnesses in the primary healthcare and hospitals and child growth monitoring.

Viet Nam

Viet Nam commits to increase rate of pregnant women with access to PMTCT services from 20% to 50%; increase the rate of people with disabilities who had access to RHC services from 20% to 50%; increase rate of pregnant women received antenatal care (at least three visits during 3 trimesters) from 80% to 85%;  increase the rate of couples who received pre-marital counseling and health check from 20% to 50%;and the rate of women giving birth with trained health workers from 96% to 98%.

Women’s Health and Education Center

The Women's Health and Education Center (WHEC) aims to improve women's health through education and advocacy, particularly in developing countries. WomensHealthSection.com, launched in cooperation with the UN, provides information on everyday issues associated with women's health. This e-learning initiative is active in 220 countries, linked to 30,800 courses in the developing world, and receives 25,000-30,000 visitors per day. As a web-enabled platform, it allows for multiple forms of collaboration worldwide. WHEC will cover the costs of the research and development of our e-learning initiative. Continuing medical education services will be provided free to the countries identified by the UNDP as Least Developed Countries. WHEC remains committed to providing health education and advocacy regarding improving neonatal health outcomes. We will also provide evidence-based medical information to in-country partners and health care providers in Africa and Latin America, to reach 3 million people with reproductive health information, especially family planning, by 2015. WHEC will continue its commitment to create health-promoting schools, recognizing that adolescents find themselves under strong peer pressure to engage in high risk behavior. The spread of HIV/AIDS among adolescents is growing phenomenon, while the traditional problem of sexually transmitted diseases (STDs) continues to increase. WHEC will continue to emphasize: self-esteem; family planning; the importance of postponing the first pregnancy; and the ability to withstand peer pressure.

World YWCA

As a global movement leading change in our communities, reaching 25 million women and girls in 125 countries, we commit to:
    mobilise political support, engaging new constituencies and promoting accountability to women and girls.

    advocate for and monitor the implementation of key global commitments on women and children's health especially on reproductive health, HIV and violence related actions through our member associations.

    deliver effective interventions; programmes and services to women's sexual and reproductive health and rights through provision of safe and empowering spaces for women and girls in 20 countries.

    contribute US $2 million dollars through the Power to Change Fund in five years, as well as through individual programmes of our YWCA member associations.

    provide an estimated 1 (one) billion hours of time in the next five years through volunteer work in communities in 100 countries through provision of care; support, counselling, information and accompaniment.

Yemen

Yemen will enforce the ministerial decree to provide free contraceptives to all women of reproductive age, and free deliveries, and will endorse a safe motherhood law to minimize harmful practices. Yemen will expand Reproductive Health services to reach 85% of all health facilities, focusing expansion in rural areas, and increase by 20% the percentage of health facilities that provide basic and comprehensive Emergency Obstetric and Neo-Natal Care services. Yemen will increase security on essential drugs and contraceptives through improving the logistics management system, ensuring full cost coverage of reproductive health commodity security, maintaining the full cost coverage of routine vaccines and assuring financial sustainability of new vaccines according to GAVI’s co-financing policy.

Youth Coalition for Sexual and Reproductive Rights

The Youth Coalition for Sexual and Reproductive Rights (YCSRR) commits to continue promoting the sexual and reproductive health and rights of adolescent girls and young women, in order to help ensure full and unconditional access to comprehensive sexuality education, and quality sexual and reproductive health services, including emergency contraception and safe abortion services. We will advocate at the international level; support the capacity of youth who are advocating for sexual and reproductive rights; and generate knowledge about adolescent girls' and young women's health and rights.

Zambia

Zambia commits to: increase national budgetary expenditure on health from 11% to 15% by 2015 with a focus on women and children’s health; and to strengthen access to family planning - increasing contraceptive prevalence from 33% to 58% in order to reduce unwanted pregnancies and abortions, especially among adolescent girls. Zambia will scale-up implementation of integrated community case management of common diseases for women and children, to bring health services closer to families and communities to ensure prompt care and treatment.