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Transitioning the Global Strategy for Women’s and Children’s Health for the Post-2015 Era

Great strides have been made in reducing maternal and child mortality – with a 47% reduction in maternal mortality and a 49% reduction in child mortality since 1990 – demonstrating that change is possible. While there has been substantial progress, much remains to be done. As we transitioned from the MDGs to the SDGs, it became imperative to accelerate momentum for women and children, but also to protect the often fragile gains in some countries, as witnessed with the impact of recent epidemics, growing antibiotic resistance and weakened health systems on the health and survival of the most vulnerable amongst us.

Launched in September 2010 by the UN Secretary-General, the Global Strategy for Women’s and Children’s Health (2010-2015) contributed to significant progress worldwide for women’s and children’s survival and health. The Every Woman Every Child movement that grew out of the Global Strategy mobilized actors from all sectors to work towards shared goals. Strong progress has been made toward the vision to end all preventable maternal, newborn, child, and adolescent deaths within a generation but there was still unfinished business and new challenges that need to be addressed as we transitioned from the Millennium Development Goals to the Sustainable Development Goals agenda. 

An updated Global Strategy for Women’s, Children’s and Adolescents’ Health was developed to build on new evidence, including the need to focus on critical population groups such as newborns, adolescents and those living in fragile and conflict settings, build the resilience of health systems, improve the quality of health services and equity in their coverage, and work with health-enhancing sectors on issues such as women’s empowerment, education, nutrition, water, sanitation and hygiene.  

The updated Global Strategy was aligned with the targets and indicators developed for the Sustainable Development Goals framework and outline opportunities for means of implementation, including innovative financing and the Global Financing Facility in support of Every Woman Every Child. To build the political support needed to develop and implement an updated Global Strategy, it was essential to demonstrate how the Every Woman Every Child multi-stakeholder partnership and accountability models have contributed to accelerated progress for women’s, children’s, and adolescents’ health. 

A Progress Report was launched in March 2015 that documented progress, lessons learned, and the added value of partnerships facilitated under the Global Strategy. It also looked at the unfinished business and set-up the rationale for an updated Global Strategy for the 2016-2030 period. The next Global Strategy will be launched at the UN General Assembly in September with a draft five-year implementation plan and will be proposed for formal endorsement at the World Health Assembly in May 2016.

A set of supporting technical papers was produced during the process of updating the Global Strategy and later published as a special suplement of the British Medical JournalTowards a new Global Strategy for Women’s, Children’s, and Adolescents’ Health.


Below are key milestones, products and institutions involved in the process of updating the Global Strategy for the SDGs. 


Main Products for 2015

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Key Principles

Transitioning the Global Strategy for the post-2015 era required:

1. Strong country ownership
2. The highest-level and broad-based political support
3. Added value
4. Mobilizing ambitious and concrete multi-stakeholder action
5. A human-rights based approach
6. Aligning with SDGs and related processes and mechanisms


Roadmap

The Strategy and Coordination Group, led by the Executive Office of the Secretary-General, made up of eminent persons, managed decision-making and political mobilization. Members of the group were composed of the work stream leads and constituency representatives nominated through a process managed by PMNCH.

    • Convenor: Ms. Amina J. Mohammed, UN Secretary-General’s Special Advisor on Post-2015 Development Planning, EOSG
    • Focal point contact person: Nana Taona Kuo, Senior Manager, EWEC Health Team, EOSG This email address is being protected from spambots. You need JavaScript enabled to view it.

Work Streams:

1. Progress report on Global Strategy 2010-2015           

This report outlined the progress made towards accelerated progress for women’s, children’s health and lessons learned on partnership and accountability demonstrated under the EWEC global multi-stakeholder partnership approach. It also set the rationale for continued and accelerated action for the unfinished MDGs agenda.     

    • Convenor: Ms. Amina J. Mohammed, UN Secretary-General’s Special Advisor on Post-2015 Development Planning, EOSG
    • Focal point contact person: Nana Taona Kuo, Senior Manager, EWEC Health Team, EOSG This email address is being protected from spambots. You need JavaScript enabled to view it.   
                                                                        
2. National Leadership and Operationalization

This work stream developed an operational plan for national leadership and operationalization of the Global Strategy. This group helped identify what updates and additions to the Global Strategy were most needed for country-level impact and to ensure prioritization and identification of high-impact interventions and investments for women's, children's and adolescents' health. This work stream was led by the Government of India and Partners in Population and Development (PPD). 

    • Convenors: Mr. C.K. Mishra, Additional Secretary in the Ministry of Health & Family Welfare, Government of India, and Dr. Joe Thomas, Executive Director of Partners in Population and Development (PPD)
    • Focal point contact person: Dr. Rakesh Kumar, Ministry of Health and Family Welfare, Government of India, This email address is being protected from spambots. You need JavaScript enabled to view it. and Ms. Anshu Mohan, Ministry of Health and Family Welfare, Government of India, This email address is being protected from spambots. You need JavaScript enabled to view it.  

3. Updating the conceptual framework and technical content of the updated Global Strategy

The updated framework considered the emerging needs, increased evidence-base, and a better understanding of the broader determinants related to health systems, enablers, and human rights. Greater attention was given to the role of health enhancing sectors, such as education, water, nutrition and sanitation and enhance focus on innovation and sustainable financing. This work stream was led by the H6 partnership (then H4+) and PMNCH, with WHO playing a key coordinating role.

    • Convenor: Dr. Flavia Bustreo, Assistant Director-General for Family, Women’s and Children’s  Health, WHO
    • Focal point contact person: Marleen Temmerman, WHO, This email address is being protected from spambots. You need JavaScript enabled to view it. and Andres de Francisco, PMNCH, This email address is being protected from spambots. You need JavaScript enabled to view it.


Under the umbrella of the technical content work stream, other partners lead on specific areas, as noted below:

substreamsasofMarch12

4. Accountability 


The updated Global Strategy brought together one single framework for accountability and used innovative approaches to accountability. The CoIA recommendations were incorporated as well as new areas identified under the updated conceptual framework. The accountability framework for the updated Global Strategy was also linked to the Sustainable Development Goals accountability framework and work undertaken by the Global Financing Facility in support of Every Woman Every Child. This work stream was led by the Governments of Tanzania and Canada.

    • Convenors: Ms. Diane Jacovella, Assistant Deputy Minister, Global Issues and Development, Foreign Affairs, Trade and Development Canada, and Dr. Donan Mmbando, Permanent Secretary, Ministry of Health and Social Welfare, United Republic of Tanzania
    • Focal point contact person: Christopher Armstrong This email address is being protected from spambots. You need JavaScript enabled to view it. and Neema Rusibamayila, Ministry of Health & Social Welfare, United Republic of TanzaniaThis email address is being protected from spambots. You need JavaScript enabled to view it.


5. Advocacy and Communications

This stream focused on planning and coordinating effective partner-based processes to create strong visibility, awareness and support for the updated Global Strategy and to include multi-stakeholder consultations. This work stream was led by the UN Foundation, PMNCH and UNICEF.

    • Convenors: Ms. Kathy Calvin, President and CEO, UN Foundation, Dr. Geeta Rao Gupta, Deputy Executive Director, UNICEF, and Ms. Robin Gorna, Executive Director, the Partnership for Maternal, Newborn and Child Health (PMNCH) 
    • Focal point contact person: Anita Sharma, UNF, This email address is being protected from spambots. You need JavaScript enabled to view it., Lori McDougall, PMNCH, This email address is being protected from spambots. You need JavaScript enabled to view it., Kate Rogers, UNICEF, This email address is being protected from spambots. You need JavaScript enabled to view it.



Key Events 

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Updating the Global Strategy: Consultation Management Process

PMNCH coordinated global stakeholder consultations to inform the updated Global Strategy. This was done in two rounds:

Round 1 (Feb-March 2015) asked stakeholders about their priorities for developing an updated Global Strategy for Women's, Children's and Adolescents' Health. Round 2 (May-June 2015) sought comments on the first draft of the updated Global Strategy, which was then posted on the Every Woman Every Child website.

PMNCH produced summary reports that synthesized the feedback received through each of the consultation rounds.These summary reports was also be posted on the interactive consultation hub.