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Commitments in Support of the Global Strategy, September 2012


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The commitments outlined in this document represent the global community's promise to do more for women's and children's health, in line with the Every Woman Every Child movement spearheaded by UN ...

The commitments outlined in this document represent the global community's promise to do more for women's and children's health, in line with the Every Woman Every Child movement spearheaded by UN Secretary-General Ban Ki-moon.

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  • 3. Every Woman Every Child was launched in September 2010 with the goal of improving women’s and children’s health around the world. In the two years since its launch, the Every Woman Every Child movement has seen remarkable progress, with ambitious commitments; new partners coming on board; increased funding; improved policies; and services on the ground strengthened and expanded. This work is paying off. Deaths of young children have continued to decrease, dropping from 7.6 million deaths in 2010 to 6.9 million at present. Women dying of pregnancy-related causes have fallen from nearly 360,000 in 2008 to 287,000 in 2010, with major gains made in some of the world’s largest countries. Today, far fewer children are being infected with HIV. The percentage of children that are exclusively breastfed until six months has risen over the past decade in many countries, particularly in Africa and Asia, providing a sound nutritional start to life and ensuring critical protection against water-borne diseases and diarrhea – a major cause of death. As of September 2012, an impressive group of more than 250 organizations from a wide range of sectors made commitments in support of Every Woman Every Child. Together, these partners are taking a major step towards filling the gap between the investment needed and what is currently provided for women’s and children’s health. Political support to meet the health-related MDGs has increased at the highest levels. Some of the most neglected causes of women’s and children’s mortality have seen new attention and investment. This year, we saw tangible results of leadership, producing “more money for health and more health for the money”. • April saw the launch of the UN Commission on Life-Saving Commodities for Women and Children, chaired by President Goodluck Jonathan of Nigeria and Prime Minister of Norway Jens Stoltenberg. Their recommendations and a corresponding implementation plan seeks to reduce barriers and increase access to life-saving medicines and health supplies for the world’s most vulnerable women and children; • Thirty new and expanded commitments proposing actions towards the prevention and care of preterm birth were announced in May at the launch of the Born Too Soon report on preterm birth; • Since the June 2012, Committing to Child Survival: A Promise Renewed, has mobilized 114 governments, 174 civil society organizations and more than 250 leaders from faith based groups to renew their commitment to child survival; and • At the London Family Planning Summit in July, more than 150 partners announced commitments to ensure that an additional 120 million women and girls can access voluntary family planning by 2020. More than 20 developing countries made bold commitments to address the barriers to women accessing contraceptive information, services and supplies. Donors made new financial commitments to support these plans amounting to $2.6 billion – exceeding the Summit’s financial goal.GOVERNMENT 4
  • 4. • The Secretary-General has continued to prioritize women’s and children’s health in his own travels. Last year in Nigeria, Ethiopia, Bangladesh, Thailand and Indonesia the Secretary-General’s visits, along with other UN leaders, encouraged coordinated action and helped showcase progress and innovative approaches to advance the Global Strategy that these countries are driving forward. Further detailing the movement’s progress and implementation of commitments, two reports will be released during the week of the 2012 United Nations General Assembly meeting in New York. The independent Expert Review Group (iERG) will submit its first annual review of the results and resources to advance the Global Strategy and the implementation of the recommendations of the Commission on Information and Accountability for Women’s and Children’s Health. The PMNCH 2012 report will review the progress made towards implementing the commitments by all stakeholders to advance the Global Strategy. As we assess progress in 2012, we must also recognize how far we are from the finish line. To achieve the health-related MDGs and reach our global target to prevent the deaths of 16 million women and children and improve the lives of many more, we need to accelerate the rate of progress through 2015 and beyond. The commitments outlined in the rest of this document represent the global community’s commitment to achieving the health MDGs to 2015 and beyond: an ongoing promise to do more for women’s and children’s health. The nearly 275 entries include individual organizations and partnerships, illustrating the growing collaborative spirit of the effort. Commitments are organized alphabetically, by sector. All new and enhanced commitments made between 2010 and September 2012 are listed, with text indicating when commitments were announced as part of key pledging events and advocacy moments throughout the year. With these commitments, partners are re-doubling their efforts to ensure predictable funding, the promotion and scaling up of innovations, and improved access to voluntary family planning and health commodities for some of the world’s most vulnerable women and children. Please visit www.everywomaneverychild.org for the electronic version of this document and to learn more about this exciting movement. If you have not done so yet, join us!GOVERNMENT 5
  • 5. 74 GOVERNMENTSPhoto Courtesy of United Nations Foundation/David Evans
  • 6. AFGHANISTAN (2010) 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. AUSTRALIA (2010 & 2012) 2010 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 ($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 organizations will also continue. [on current projections subject to annual budget processes] 2012—Born Too Soon Australia will spend $1.6 billion over five years to 2015 under the Global Strategy for Women’s and Children’s Health to help give poor women and their babies the best chance of survival. A strong health system, available 24 hours a day, 365 days a year is needed to ensure women have healthy pregnancies, safe deliveries and access to services for their newborn babies. Working in partnership with national governments, Australia helps to strengthen health systems by improving service delivery and access to health clinics, training skilled health workers and ensuring reliable supplies of essential medicines, educating women on nutrition, prenatal and postnatal care, and providing quality emergency care if a delivery becomes complicated. Australia also supports efforts to prevent preterm births and improve the health of preterm babies through substantial core contributions to WHO, UNFPA, UNICEF; global initiatives such as the GAVI Alliance, the Global Fund to Fight AIDS, Tuberculosis and Malaria; and civil society organisations. 2012—London Family Planning Summit Australia commits to spending an additional AUD 58 million over five years on family planning, doubling annual contributions to AUD 53 million by 2016. This commitment will form a part of Australia’s broader investments in maternal, reproductive and child health (at least AUD 1.6 billion over five years to 2015). This commitment is subject to annual budget processes.GOVERNMENT 9
  • 7. BANGLADESH (2010 & 2012) 2010 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. 2012—London Family Planning Summit Bangladesh will increase access and use for poor people in urban and rural areas, improving choice and availability of Long Acting and Permanent Methods (LaPMs), including for men, and post-partum and post- abortion services. The government will work with the private sector and non-governmental organizations (NGOs) to: address the needs of young people, especially young couples; reduce regional disparities, working with leaders and communities to delay early marriage and child birth; and increase male involvement. One-third of Maternal Newborn and Child Health (MNCH) centers will provide adolescent Sexual and Reproductive Health and Rights (SRHR) services. Monitoring to ensure quality of care will be strengthened, including informed consent and choice, and to support women to continue use of family planning. BENIN (2010) 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. BURKINA FASO (2010 & 2012) 2010 Burkina Faso has met the 15% target for health spending, and commits to maintain spending at this level. Burkina Faso will also develop and implement a plan for human resources for health and construct a new public and private school for midwives by 2015. This is in addition to other initiatives being pursued which will also impact on women’s and children’s health, including free schooling for all primary school girls by 2015, and measures to enforce the laws against early and forced marriage, and female genital mutilation. 2012—London Family Planning Summit Burkina Faso, through the leadership and advocacy of the First Lady, pledges to take action in terms of policy, funding and programming. The aim will be to maintain family planning as a central priority of development policies, effectively enforcing existing legal instruments on reproductive health and reducing the cost ofGOVERNMENT 10
  • 8. contraceptive commodities. Burkina Faso will work toward increasing the resources allocated to family planning in state budgets. It will also seek to boost partnerships with the private sector and civil society organizations for service provision, to define and develop strategies for engaging men, and to establish regular and active monitoring of the availability of contraceptive commodities at all levels. BURUNDI (2011) 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 (2010) 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 (2011) 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. CANADA (2010) As Chair of the G8, Canada made maternal, newborn and child health a priority for the G8 Muskoka Summit in June 2010. At the Muskoka Summit, Prime Minister Stephen Harper committed C$1.1billion in new and additional funding for women’s and children’s health as part of the Muskoka Initiative. Prime Minister Harper also confirmed renewal of existing resources of C$1.75 billion, meaning Canada will provide C$2.85 billion for MNCH by 2015. Canada will focus its efforts on improving the services and care needed to ensure healthy pregnancies and safe delivery, and placing a particular emphasis on meeting the nutritional needs of pregnant women, mothers, newborns and young children. Canada will work to increase access to the high-impact, cost- effective interventions that address the leading killers of children under the age of five. Canada will also commitGOVERNMENT 11
  • 9. an additional $540 million over three years to the Global Fund to Fight AIDS, Tuberculosis and Malaria. This is in addition to a total of $978.4 million that Canada has committed and disbursed to the Global Fund since 2002. CENTRAL AFRICAN REPUBLIC (2011) 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 (2011) 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 (2010) 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 (2011) 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. CONGO (2010) Congo commits to reducing maternal mortality and morbidity by 20% by 2015 including obstetric fistula, by introducing free obstetric care, including free access to caesarean sections. Congo will also establish a newGOVERNMENT 12
  • 10. observatory to investigate deaths linked to pregnancy; and will support women’s empowerment by passing a law to ensure equal representation of Congolese women in political, elected and administrative positions. CÔTE D’IVOIRE (2011) 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. DEMOCRATIC REPUBLIC OF CONGO (DRC) (2010) 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. DENMARK (2012) 2012—London Family Planning Summit Denmark commits an additional US $13 million over eight years. DJIBOUTI (2011) 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.GOVERNMENT 13
  • 11. ETHIOPIA (2010 & 2012) 2010 Ethiopia will increase the number of midwives from 2050 to 8635; increase the proportion of births attended by a skilled professional from 18% to 60%; and provide emergency obstetric care to all women at all health centres and hospitals. Ethiopia will also increase the proportion of children immunized against measles to 90%, and provide access to prevention, care and support and treatment for HIV/AIDS for all those who need it, by 2015. As a result, the government expects a decrease in the maternal mortality ratio from 590 to 267, and under-five morality from 101 to 68 (per 100,000) by 2015. 2012—London Family Planning Summit Contraceptive use has doubled in Ethiopia since 2005. The government will further increase its funding to uphold the rights of all people to access and choose voluntary family planning through the strong network of primary health care providers. In particular, the needs of married and unmarried adolescent girls will be met through partnerships with non-government and private providers, as well as expanding youth-friendly services. The government will also improve access for isolated pastoralist communities. FRANCE (2010, 2011 & 2012) 2010 France announced 500 million euros for the period 2011-2015 to support the Muskoka initiative. Furthermore, France announced an increase by 20 % of its contribution to the Global Fund to fight AIDS, TB and Malaria over the period 2011-2013 (1.080 billion euros as compared to 900 million euros for the previous triennium). 2011 France made a substantial commitment to the Global Strategy for Women’s and Children’s Health in 2010, and during 2011 it was greatly strengthened. France has allocated EUR 19 million per year to the World Health Organisation, UNFPA, UNICEF and UN Women in support of their joint initiatives on women’s and children’s health. In addition, the increase of the French contribution to the GAVI Alliance for the period 2011-2015 amounts to EUR 100 million, and the increase of its contribution to UNAIDS amounts to EUR 60 million per year. 100% of the contribution to GAVI and 46% of the contribution to UNAIDS - a total of EUR 47 million per year - directly supports MDG4 and MDG5. Finally, France, through its international development agency, will allocate EUR 48 million per year towards national and multi-country projects to improve the development of health systems. 2012—London Family Planning Summit In 2011, France pledged to spend an additional €100m on family planning within the context of reproductive health through to 2015, in nine countries in francophone Africa. GAMBIA (2011) The 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 professionalsGOVERNMENT 14
  • 12. 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, The 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 (2010 & 2012) 2010 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. 2012—London Family Planning Summit Germany commits €400 million (US $491.6 million) to reproductive health and family planning over four years, of which 25% (€100 million or US $122.29 million) is likely to be dedicated directly to family planning, depending on partner countries’ priorities. GHANA (2010 & 2012) 2010 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%. 2012—London Family Planning Summit Ghana is committed to making family planning free in the public sector and supporting the private sector to provide services. Services will be available for sexually active young people through youth promoters and adolescent friendly services. Improved counseling and customer care will be prioritized. Contraceptive choices are being expanded to include a wider range of long acting and permanent methods along with including task shifting options and improvement of post-partum and post-abortion family planning services. The government has put in place a comprehensive multi-sectorial program to increase demand for family planning as a priority intervention in the MDG 5 Acceleration Framework, including advocacy and communications to improve male involvement, such as the “Real Man” campaign. GUINEA (2011) 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, 7GOVERNMENT 15
  • 13. 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 (2011) 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 (2011) 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 (2010) 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. INDIA (2010 & 2012) 2010 India is spending over US $ 3.5 billion each year on health services, with substantial expenditure on services aimed towards women’s and children’s health. Currently, India is focusing on strengthening its efforts in the 264 districts that account for nearly 70% of all infant and maternal deaths. Between now and 2015, India will provide technical assistance to other countries and share its experience, and will support the creation of a platform for global knowledge management to oversee the dissemination of best practices.GOVERNMENT 16
  • 14. 2012—London Family Planning Summit India will include family planning as a central element of its efforts to achieve Universal Health Coverage. Through the largest public health programme in the world, the National Rural Health Mission and the upcoming National Urban Health Mission, addressing equity, ensuring quality, including adolescents and integration into the continuum of care are slated to be the cornerstones of the new strategy. The centre-piece of its strategy on family planning will be a shift from limiting to spacing methods, and an expansion of choice of methods, especially IUDs (Intrauterine devices). To enable women to delay and space their births, India will distribute contraceptives at the community level through 860,000 community health workers, train 200,000 health workers to provide IUDs, and shall substantially augment counselling services for women after childbirth. Expenditure on Family Planning alone out of the total Reproductive, Maternal, Newborn and Child Health and Adolescent Health (RMNCH+A) bouquet is expected to cross 2 billion dollars from 2012 to 2020. This will ensure free services and commodities through public health facilities for 200 million couples of reproductive age group and adolescents seeking contraceptive services. INDONESIA (2010 & 2012) 2010 Indonesia will ensure all deliveries will be performed by skilled birth attendants by 2015. This universal access intervention is aimed at reducing the maternal mortality ratio from 228 per 100.000 live births in 2007 to 102 per 100.000 live births in 2015. In 2011, at least one and a half (1.5) million deliveries by poor women will be fully funded by the government. Central Government funding for health in 2011 will increase by USD 556 million compared to 2010. This fund will be available to support professional health personnel and to achieve quality health care and services in 552 hospitals, 8,898 health centres and 52,000 village health posts throughout Indonesia. 2012—London Family Planning Summit Over half of Indonesia’s women of reproductive age are using contraception to plan their families, with strong political leadership and a national movement for reproductive health and family planning. This has helped improve economic growth and reduce poverty through the resulting demographic dividend. Key factors have been support from religious leaders, participation of the private sector and quality of care, and communications campaigns. The government right now provides free services to 7 of 33 provinces since 2010; but will include family planning freely throughout the country in the Universal Health-care Coverage program in 2014; and will broaden access and choice especially in poorer regions, through the strengthening of all public and private clinic services and provision of preferable long-acting and permanent methods. Indonesia is investing in South-South exchange to share experiences. The government commits to maintaining its investment in finances for family planning programs, which has increased from US $65.9 million in 2006 to US $263.7 million in 2012 ISRAEL (2011) Israel supports the Global Strategy for Women’s and Children’s Health by placing women’s and children’s health issues at the heart of its international development agenda. In 2011, in line with its ongoing partnership with the Ghanaian authorities in Kumasi, Israel built a cane water supply system at the Komfo Anokye hospital valued at USD $50,000, in addition to supporting the training of health professionals working at the Mother and Baby units previously established by Israel, a training program valued at USD $70,000. In spring 2011, Israel completed the construction of an emergency and trauma unit and provided the operational medical equipment and specialized training for health professionals at the Hospital Justinien in Cap-Haitiën, Haiti, aGOVERNMENT 17
  • 15. project valued at USD $720,000. Over the course of this year and next, in an effort to provide quality diagnostic and emergency services for women and children, Israel will supply equipment for diagnostic services in Freetown, Sierra Leone; an emergency trauma unit in Kampala, Uganda; three mobile medical emergency units in Guatemala; and a diagnostic center in Vinice, Ukraine, for a total value of USD $1.3 million. Finally, this year Israel announced a USD $100,000 contribution to UNAIDS to conduct a qualitative assessment to better understand the gender-related socio-cultural factors which amplify the barriers faced by pregnant women with HIV. JAPAN (2010 & 2012) 2010 At the Plenary of the MDG Summit Japan’s Prime Minister will launch its new Global Health Policy, which places a special focus on maternal, newborn and child health and will commit to provide $ 5 billion in five years from 2011. Under this new Policy, Japan will support the Global Strategy by implementing and advocating a package model by the name of “EMBRACE”, which intends to ensure the continuum of care from pregnancy to post natal stage. Japan also reaffirms its financial commitment made at the G8 Muskoka Summit to provide up to an additional $500 million for maternal, newborn and child health in five years from 2011 will be fulfilled as part of today’s $5 billion commitment. 2012—Born Too Soon The Japan International Cooperation Agency (JICA) commits to support the Global Strategy for Women’s and Children’s Health through the capacity development of partner countries in enhancing their health service delivery for maternal, newborn and child health care. JICA will contribute to achieving the goals expressed in Japan’s Global Health Policy 2011-2015, which commits to saving approximately 11.3 million children’s lives and 430,000 maternal lives in cooperation with other donors. JICA will support partner countries in building and strengthening systems that provide a comprehensive “Continuum of Care for Maternal and Child Health”. Every year, JICA implements technical cooperation and grant aid projects for MNCH at the level of 3 billion and 3-16 billion Japanese yen respectively, and will initiate concessional loans to help support partner countries to achieve MNCH-related MDGs. JICA will endeavor to make a change on MNCH through the integrated management of the three modalities of assistance. KENYA (2010 & 2012) 2010 Kenya will recruit and deploy an additional 20,000 primary care health workers; establish and operationalize 210 primary health facility centres of excellence to provide maternal and child health services to an additional 1.5 million women and 1.5 million children; and will expand community health care, and decentralize resources. 2012—London Family Planning Summit Kenya has enshrined the individual’s rights to quality reproductive health care, including family planning information, services and supplies, in the Constitution. The government’s budgetary allocation to family planning has grown from US $2.5 million in 2005/2006 to US $6.6 million in 2012/2013. The government is workingGOVERNMENT 18
  • 16. closely with development partners to secure increased finance for family planning commodities and services. As part of the efforts to address family planning needs for the poor and hard-to-reach segments of the population, the government will scale up its Voucher System which provides reproductive health services, including family planning, in five rural and urban districts in Kenya. The government has already established over 70 Youth Empowerment Centres. The target is to have one in each constituency to provide a one-stop-shop for youth friendly information, including family planning. The target is to increase the contraceptive prevalence rate from 46% to 56% by 2015. KOREA, REPUBLIC OF (2012) 2012—London Family Planning Summit Korea commits to more than double its support for maternal and child health, including family planning, from US $5.4 million in 2010 to at least US $10.8 million a year beginning in 2013. Maternal and child health, including family planning, will continue as a priority area in Korea’s official development assistance (ODA) policy. Korea will expand its overall ODA program from .12% of its GNI in 2010 to .25% by 2015. KYRGYZSTAN (2011) 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 (2011) 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 (2011) 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.GOVERNMENT 19
  • 17. LIBERIA (2010) Liberia will increase health spending from 4% to 10% of the national budget and will ensure that by 2015 there are double the numbers 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 (2011) 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. MALAWI (2010 & 2012) 2010 Malawi will strengthen human resources for health, including accelerating training and recruitment of health professionals to fill all available positions in the health sector; expand infrastructures for maternal, newborn and child health; increase basic emergency obstetric and neonatal care coverage to reach World Health Organization standards; and provide free care through partnerships with private institutions. 2012—London Family Planning Summit With the goal of “no parenthood before adulthood,” Malawi commits to raising the country’s contraceptive prevalence rate to 60% by 2020 with a focused increase in those aged 15 to 24. Malawi will create a family planning budget line in the main drug budget by 2013/2014 and will raise the age of marriage to 18 by 2014. In addition, Malawi will develop a comprehensive sexual and reproductive health program to meet the needs of its young people and will work to strengthen effective policy leadership for family planning. It will also demonstrate accountability in the utilization of available resources and improve financial allocation for health systems supporting family planning. Malawi will increase coverage of services through the expansion of public/private partnerships, increase community access to family planning methods and strengthen forecasting and data management for effective supply chain operation. MALI (2010) 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.GOVERNMENT 20
  • 18. MAURITANIA (2011) 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. MONGOLIA (2011) 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 (2010 & 2012) 2010 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. 2012—London Family Planning Summit Mozambique is committed to continuing to provide free integrated sexual reproductive health services and commodities in all health facilities, and to cover 5% (2012), 10% (2015) and 15% (2020) of contraceptives needs. Family planning information and services for the youth will be revitalized. Access to long acting and permanent methods will be increased from about 1% to 5% of women by 2015. Post-partum and post-abortion counseling on family planning and contraception will be expanded by training at least 500 health providers throughout the country by 2015. A public-private partnership to strengthen the distribution of contraceptives will increase the number of health facilities with at least three contraceptive methods from one-third to 50% by 2015. MYANMAR (2011) 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.GOVERNMENT 21
  • 19. NEPAL (2010) 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 (2011 & 2012) 2011 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. 2012—London Family Planning Summit The Netherlands commits €370 million in 2012 for sexual and reproductive health and rights, including HIV and health, and intends to extend this amount from €381 million in 2013 to €413 million in 2015. Within this, the Netherlands intends to increase its focus on sexual reproductive health and rights, including family planning. This commitment is dependent on continued political support from a new government that will be elected next September. NIGER (2010 & 2012) 2010 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.GOVERNMENT 22
  • 20. 2012—London Family Planning Summit Niger has a high level of political engagement. It will quadruple its family planning budget for 2013, as well as increasing its overall health and reproductive health budgets. There will be policy change to include injectable contraceptives in the method mix provided by community health workers; a focus on new strategies for reaching disadvantaged groups, including through ‘Friends of Youth’ centers; and new mobile clinic services for isolated communities. Niger will scale up its effective network of Ecole Des Maris (Schools for Husbands), to involve and increase acceptance among men, work with faith based networks, and integrate family planning in the school health curriculum. NIGERIA (2010 & 2012) 2010 Nigeria endorses the Secretary General’s Global Strategy for Women’s and Children’s Health, and affirms that the initiatives is in full alignment to our existing country-led efforts through the National Health Plan and strategies targeted for implementation for the period 2010 – 2015, with a focus on the MDGs in the first instance and the national Vision 20 – 2020. In this regard, Nigeria is committed to fully funding its health program at $31.63 per capita through increasing budgetary allocation to as much as 15% from an average of 5% by the Federal, States and Local Government Areas by 2015. This will include financing from the proposed 2% of the Consolidated Federal Revenue Capital to be provided in the National Health Bill targeted at pro-poor women’s and children’s health services. Nigeria will work towards the integration of services for maternal, newborn and child Health, HIV/AIDS, Tuberculosis and Malaria as well as strengthening Health Management Information Systems. To reinforce the 2488 Midwives recently deployed to local health facilities nationwide, Nigeria will introduce a policy to increase the number of core services providers including Community Health Extension Workers and midwives, with a focus on deploying more skilled health staff in rural areas. 2012—London Family Planning Summit Nigeria commits to achieving the goal of a contraceptive prevalence rate of 36% by 2018. This will enhance maternal and child survival, thereby contributing to the government of Nigeria’s initiative to save one million lives by 2015. In addition to Nigeria’s current annual commitment of US $3 million for the procurement of reproductive health commodities, Nigeria commits to provide an additional US $8.35 million annually over the next four years. This increases Nigeria’s total commitment for the next four years from US $12 million to US $45.4 million, an increase of almost 300%. The federal government will work with the state and local governments to secure complementary budgets for family planning and reproductive health service delivery. Nigeria’s commitments include training frontline health workers to deliver a range of contraceptives and action to improve equity and access to family planning for the poorest. The government of Nigeria will partner with the private sector, civil society, traditional and religious institutions and development partners. NORWAY (2010 & 2012) 2010 Norway will increase its contribution to the Global Fund for AIDS, Tuberculosis and Malaria by 20% for the next 3 years, making a total contribution in 2011-13 of USD 225 million. This is in addition to the commitment made in June as part of the Muskoka initiative of USD $500 million for the period 2011-2020, partly subject to the annual budgetary process.GOVERNMENT 23
  • 21. 2012 Norway commits to doubling its annual contribution to GAVI between 2010-2015, from NOK 500 million in 2010 to NOK 1000 million in 2015. This amounts to an increase of NOK 100 million in 2012. 2012—London Family Planning Summit Norway intends to more than double our support over the next eight year for family planning and to provide an additional 200 million USD over the period 2013 through 2020. This contribution is in support of DFID (UK) and Bill and Melinda Gates Foundation Family Planning Summit and the UN Commission on Life-Saving Commodities for Women and Children, and will contribute to fill the financing gap of 4 billion USD that will provide family planning services and devices to 120 million people in the poorest countries. 2012—Saving Mothers, Giving Life Norway intends to provide an allocation of up to 500 million NOK (app equivalent to 80 million dollars) over five years to the Saving Mothers, Giving Life partnership (Norway, US government, Merck, American College of Obstetricians and Gynecologists, Every Mother Counts). In the Partnership Norway will provide co-leadership globally, including by mobilizing international support through partnerships with African leaders and with other donor governments. The partnership will be drawing on related global and regional initiatives such as the UN Secretary-General’s Every Woman Every Child. The Government of Norway will – as a Founding Participant in the Saving Mothers, Giving Life partnership – support program implementation with a particular focus on promoting sustainability. PAKISTAN (2012) 2012—London Family Planning Summit Pakistan commits to working toward achieving universal access to reproductive health and raising the contraceptive prevalence rate to 55% by 2020. Pakistan will take forward its 2011 commitment with the Provinces for all public and private health facilities to offer birth spacing services. The amount spent on family planning, estimated at US $151 million in 2012/13 will be increased to nearly US $200 million in 2012/13, and further in future years. The federal government assesses the contraceptive requirement as US $186 million over the period 2013 to 2020, which will need to be provided for. Contraceptive services will be included in the essential service package of two provinces in 2012, with the others following in 2013. Supply chain management, training and communication campaigns will be strengthened. Family planning will be a priority for over 100,000 lady health workers, who cover 70% of rural areas. Public-private partnerships and contracting out mechanisms will help scale up access, and work with religious leaders and men to promote the benefit of birth spacing will continue. PAPUA NEW GUINEA (2011) Papua New Guinea commits to improve midwifery education and register 500 new midwives by 2015; increase number of obstetricians from 17 in 2011 to 40 in 2020; improve access to drugs and equipment necessary for maternal newborn and child health; introduce maternal health audits in all districts; and develop comprehensive plans to improve existing health services in all four regions of the country by 2015.GOVERNMENT 24
  • 22. PHILIPPINES (2012) 2012—London Family Planning Summit The Philippines has long believed that access to family planning information, services and supplies is a fundamental and essential right that is key to inclusive growth and sustainable development. The government is working to establish a national policy on reproductive health and population development, and to allocate funds to implement this vital policy. The Philippines will commit $15 million in 2012 for the purchase of family planning commodities for poor women with an unmet need. Family planning services will be provided to poor families with zero co-payment. In addition, the government will be upgrading public health facilities and increasing the number of health service providers who can provide reproductive health information. We are also intensifying efforts with partners who can help give women the information and counseling they need. RWANDA (2010 & 2012) 2010 Rwanda commits to increasing heath sector spending from 10.9% to 15% by 2012; reducing maternal mortality from 750 per 100,000 live births to 268 per 100,000 live births by 2015 and to halve neonatal mortality among women who deliver in a health facility by training five times more midwives (increasing the ratio from 1/100,000 to 1/20,000). Rwanda will reduce the proportion of children with chronic malnutrition (stunting) from 45% to 24.5% through promoting good nutrition practices, and will increase the proportion of health facilities with electricity and water to 100%. 2012—London Family Planning Summit Rwanda commits to ensuring the availability of family planning services in each of the 14,841 Rwanda administrative villages (Imidugudu) through delivery by the 45,000 community health workers already in service. Rwanda will expand existing information and dissemination programs about family planning to the general public and will increase awareness of the various choices available. Focusing on convenience and reducing the frequency of visits to health providers, the government of Rwanda will introduce long-lasting contraceptive methods, including permanent ones, and high quality integrated family planning services in every hospital and health center. Sao Tome and Principe (2011) 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%. SENEGAL (2011 & 2012) 2011 Senegal commits to increasing its national health spending from 10% of the budget currently to 15% by 2015. It also proposes to increase the budget allocated to MNCH by 50% by 2015. The country commits to improving coordination of MNCH initiatives by creating a national Directorate for MNCH, reinstating the national committeeGOVERNMENT 25
  • 23. in charge of the implementation of the multi-sectoral roadmap for the reduction of maternal and child mortality and to accelerate the dissemination and implementation of national strategies targeting a reduction of maternal mortality. Through these efforts the government hopes to offer a full range of high impact MNCH interventions in 90% of health centers, increase the proportion of assisted deliveries from 51% to 80% by increasing recruitment of state midwives and nurses and increasing contraceptive prevalence rate from 10% to 45%, among others. 2012—London Family Planning Summit Senegal commits to making family planning a national top priority, increasing the commodity budget from the government by 200% and doubling the overall budget for the management of the family planning program. Senegal’s vision is for women to have equal access to high quality and affordable maternal, newborn and child health services, including family planning. Senegal’s action plan builds on six fundamental pillars: 1) generate demand especially through mass media communication and community mobilization with targeted messages for women and to increase involvement of men and young people; 2) leverage networks of religious leaders and national and local champions to advocate for family planning; 3) improve the supply chain and reduce stock outs to zero especially through the Informed Push Model; 4) improve the quality of care and services; 5) expand mobile outreach, social marketing and franchising to ensure access in peri-urban and rural areas; and 6) generalize community-based distribution to bring family planning to the most vulnerable and remote areas. Senegal will continue its commitment to introducing innovative approaches to family planning, such as the acceptability study of Depo Provera subQ, a new self-injectable contraceptive that should highly facilitate access for women. SIERRA LEONE (2010) Sierra Leone will increase access to health facilities by pregnant women, newborns and children under five by 40% through the removal of user fees, effective from April 27 2010. Sierra Leone will also develop a Health Compact to align development partners around a single country-led national health strategy and will ensure that all teachers engage in continuous professional development in health. SOLOMON ISLANDS (2012) 2012—London Family Planning Summit Solomon Islands recognizes family planning as a very important component of reproductive and child health, and as an important consideration for development plans. Solomon Islands is recommitting to supporting programs that will help stop preventable deaths of women and babies, including making family planning a priority under the reproductive health program part of the government’s National Health Strategic Plans for 2006-2015. Solomon Islands is also committing to making men partners in all reproductive health issues, including voluntary family planning. SOUTH AFRICA (2012) 2012—London Family Planning Summit South Africa is prioritizing the need to strengthen family planning services while emphasizing dual protection. The government has recently revised its contraception and fertility policy which will be launched publically with a campaign around family planning during August 2012. This policy addresses the full range of issues relating toGOVERNMENT 26
  • 24. contraception within a human rights context and also requires that the full range of family planning methods is available at public health facilities. In order to strengthen implementation, South Africa is developing standard operating procedures for community health workers who are part of outreach teams, for nurses in clinics, as well as for midwives in maternity units. It wants community health workers to be able to promote family planning during their visits to homes, and health professionals to use every encounter with a user of its services to also promote family planning. South Africa recognizes the need to target teenagers in particular given its relatively high rates of teenage pregnancies. SOUTH SUDAN (2011) 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. SRI LANKA (2011) Sri Lanka will empower the health sector through capacity building and leadership in information and communication technology. More specifically, the Government will provide education, training, and assessment to 100,000 members of the work force using a royalty-free open source based technology platform developed by Intel. Sri Lanka will provide training and will certify the 100,000 members of the workforce on information and communication technology by 2015 and also implement a basic electronic health record for children in 5,000 schools that would enable the health sector planners to launch prioritized health programmes by 2015. SUDAN (2011) 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.GOVERNMENT 27
  • 25. SWEDEN (2010, 2011 & 2012) 2010 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. 2012—Born Too Soon This report puts important attention to an area within the continuum of maternal and newborn health care. Knowledge and interventions to prevent prematurity is a neglected area in many countries of the world; especially in low income countries. For Sweden and Sida the reduction of newborn morbidity and mortality remains a high priority. We are committed to reducing the incidence of prematurity and to do so mainly through support to capacity building of a competent midwifery workforce. An educated and professional midwife provides a number of important prerequisites for preventing pre-term births as well as identifying and caring for the pre- term baby. As part of the global movement to reduce MNC mortality Sida will work to increase awareness of the role midwives can play and improve education and working conditions to allow midwives to play a significant role in the prevention of premature birth and competent care for the pre-term baby. 2012—London Family Planning Summit Sweden’s priority is to work in the most effective way for the rights and improved health of women and girlsGOVERNMENT 28
  • 26. in the most vulnerable countries in Africa. The Swedish government will continue to be a major player, both financially and politically, in the issue of family planning. Sweden will increase spending on contraceptives from its 2010 level of US $32 million per year to US $40 million per year, totaling an additional US $40 million between 2011 and 2015. Sweden also commits to ensuring that support of family planning utilizes existing structures for financing and support, and is contributing to the broader agenda of Millennium Development Goal’s (MDG) 4 and 5. The government plans to increase its contribution to MDG 4 and 5 from its current amount of US $450 million per year. TAJIKISTAN (2011) 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 (2010) 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%. THAILAND (2012) Thailand endorses the United Nations Secretary-General’s Global Strategy for Women’s and Children’s Health through the Every Woman Every Child project for strengthening the maternal and child health service system. Thailand will increase the quality of antenatal care service countrywide to reduce maternal and child mortality. The country commits to improving the breastfeeding rate from 26% to 60% and reducing the percentage of low birth weight babies from 8.7% to less than 7% of total births by 2015 through the Family Love Bonding Project (Sai-Yai-Rak Hang Krob Krua Project) under the Patronage of His Royal Highness the Crown Prince of Thailand. Thailand will also support highly active antiretroviral therapy (HAART) for all pregnant women with HIV to reduce the mother-to-child transmission rate from 3.5% to 1.5% by the year 2015. The country will develop and implement a range of national policies that will strengthen its response to women’s and children’s health, including policies on national family planning and reproductive health services to reduce teenage pregnancy.GOVERNMENT 29
  • 27. TOGO (2011) Togo commits to ensure 95% coverage of vaccination for children under 5, and to implement the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA). UGANDA (2011 & 2012) 2011 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. 2012—London Family Planning Summit Uganda commits to universal access to family planning and to reduce unmet need for family planning from 40% to 10% in 2022. It will increase the annual government allocation for family planning supplies from US $3.3 million to US $5 million for the next five years and improve accountability for procurement and distribution. It will develop and implement a campaign for integration of family planning into other services, including partnerships with the private sector, by supporting the alternative distribution channel for the private sector and scaling up of innovative approaches, such as the community-based distribution, outreaches, social marketing, social franchising and youth friendly service provision. Uganda will strengthen institutional capacity of the public and community-based service delivery points to increase choice and quality of care at all levels (through staff recruitment, training, motivation and equipment). UNITED KINGDOM (2010 & 2012) 2010 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.GOVERNMENT 30
  • 28. 2012—Born Too Soon The UK welcomes the publication of Born Too Soon: The Global Action Report for Preterm Birth, highlighting the impact of pre-term birth on newborn and under-five mortality. We agree there is an urgent need for more action to prevent and manage pre-term births. We urge all our partners to increase their efforts to achieve the aims of the UN Secretary-General’s Global Strategy for Women’s and Children’s Health. The UK has set out clear plans to help improve the health of women and young children in many of the poorest countries. We will help save the lives of at least 250,000 newborn babies and 50,000 women during pregnancy and childbirth by 2015. All the UK’s commitments to improve the lives of women and children can be found in “UK AID: Changing lives, delivering results”, at www.dfid.gov.uk. 2012—London Family Planning Summit The UK is committing £516 million (US $800 million) over eight years towards the Summit goal of enabling an additional 120 million women and girls in the world’s poorest countries to be using modern methods of family planning by 2020. This commitment is part of the UK’s broader commitment to double efforts on family planning, increasing investments from £90 million per year (average spend over 2010/11 and 2011/12) to £180 million per year over the eight years from 2012/13 to 2019/20. The UK has put girls and women front and center of its aid program and being able to plan the size of her family is a fundamental right that the UK believes all women and girls should have. Between now and 2020, UK support to the Family Planning Summit Goal will enable an additional 24 million girls and women in the world’s poorest countries, who wish to avoid an unintended pregnancy, to use voluntary family planning information, services and supplies, so that they are able to decide, freely and for themselves, whether, when and how many children to have. Meeting this need will prevent over 20 million unintended pregnancies and in doing so avert the deaths of 42,000 girls and women for whom an unintended pregnancy carries the risk of fatal consequences. British support will contribute to ensuring that governments and partners are enabling access to a wide range of affordable, high quality contraceptive methods. It will also support partners including governments, civil society and faith-based organizations to tackle the social and cultural barriers to using contraception through education, counseling, information campaigns, and working with partners and communities, and to ensure safeguards against coercion and discrimination. UNITED STATES (2010 & 2012) 2010 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.GOVERNMENT 31
  • 29. 2012 USAID continues to focus its MCH resources on reducing maternal and child mortality in 24 countries, which represent more than 70% of the mortality. In 23 of these countries, USAID’s family planning programs also make a substantial contribution to mortality reduction, through health timing and spacing of pregnancies as well as reduction in the lifetime risk of dying as a consequence of pregnancy and childbirth. In partnership with Feed the Future, USAID’s nutrition programs reduce under-nutrition, a key determinant of maternal and child mortality. In countries in sub-Saharan Africa where malaria’s contribution to maternal and child mortality is high, USAID’s malaria programs make substantial contributions to overall mortality reduction. USAID’s programs also build on partnership commitments launched at the June 2012 Call to Action. 2012—Born Too Soon The United Stated Agency for International Development (USAID) is fully committed to saving newborn lives as part of a comprehensive maternal, newborn, and child health program through its investments in the U.S. Global Health Initiative. USAID has worked closely with Governments, UN Agencies, civil society organizations, professional associations, and the private sector to support efforts to generate evidence on high-impact newborn interventions and service delivery approaches, sparked the development of game-changing innovations to reduce maternal and neonatal mortality, supported the update of global guidelines and policies, worked with Governments to introduce them at the country level, increasingly engaged the private sector to be part of the solution, and built global public-private alliances to harness the resources and creativity of diverse organizations. USAID will continue to use these effective and inclusive approaches to support selected high-impact and affordable interventions that can prevent and manage complications associated with preterm birth as part of an integrated newborn and child health program with the aim of ending preventable child death. UZBEKISTAN (2011) 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 (2011) 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%. YEMEN (2010) 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 ObstetricGOVERNMENT 32
  • 30. 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. ZAMBIA (2010 & 2012) 2010 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. 2012—London Family Planning Summit Zambia will double its budgetary allocation to family planning commodities, striving to eliminate the unmet need for family planning and improve universal coverage through an expanded method mix and increased access, particularly to the underserved population. It will address policy barriers to allow task shifting to community health assistants and trained community based distributors to increase access to the underserved communities. Led by the Ministry of Community Development Mother and Child Health, the government will initiate new dialogue with religious and traditional leaders at local level to generate demand, dispel the myths and ‘open up the dialogue’ on family planning. ZIMBABWE (2010 & 2012) 2010 Zimbabwe will increase health spending to 15% of the health budget or $20 per capita and establish a maternal, newborn and child survival fund by 2011 using the same approach as the successful Education Transition Fund (ETF) led by the Ministry of Education, Sports, Arts and Culture and administered by UNICEF. The fund has raised US$50 million in the first year for the ministry’s priorities, and contributed to donor coordination and harmonization. Zimbabwe will abolish user fees for health services for pregnant women and for children under the age of 5 years by the end of 2011; and will strengthen the Maternal and Newborn Mortality audit system - piloting a new system in two provinces in 2011 before expanding nationwide in 2012. 2012—London Family Planning Summit Zimbabwe commits to ensuring that women and girls have greater access to quality sexual and reproductive health services and will reduce the unmet need for family planning from 13% to 6.5% by 2020. The family planning budget, including the procurement of contraceptive commodities, will be doubled from the current 1.7% to 3% of the health budget. This includes support for improved access for women and girls from the poorest wealth quintiles, including the removal of user fees for family planning services by 2013. Zimbabwe will improve method mix and strengthen the integration of family planning with reproductive health, HIV and maternal health services; develop innovative service delivery models to meet the needs and rights of adolescent girls; and reduce their unmet need from 16.9% to 8.5% by 2020. Zimbabwe will strengthen public-private partnerships, including civil society organizations in the provision of community-based and outreach services and implement a national campaign to increase national awareness of family planning, and health worker training and sensitization.GOVERNMENT 33
  • 31. PHILANTHROPIC 25 INSTITUTIONS & OTHER FUNDERSPhoto Courtesy of mothers2mothers/Andrew Topham
  • 32. A. K. KHAN HEALTHCARE TRUST (2011) The A. K. Khan Healthcare Trust has committed to Every Woman Every Child to expand and replicate its collaborative program with the Massachusetts General Hospital of Harvard Medical School in Boston to provide cervical cancer screening, early detection, awareness-raising activities and treatment in underserved settings on a large scale throughout the country over the next five years. AKHT’s current program began in 2010, and more than 30,000 women are expected to be screened in the next year. AMAN FOUNDATION (2012) 2012—London Family Planning Summit The Aman Foundation commits US $5 million over the next five years on a matching basis with the Bill & Melinda Gates Foundation, in additional funds for family planning programs and initiatives in Karachi, Pakistan. These funds are for the purpose of facilitating research in integrated family health service delivery and family planning programs that are strategic to increase the number of new family planning users through improved quality of services, introduction to new contraceptive methods, innovative service delivery interventions and demand generation. The Aman Foundation also commits to enhancing partnerships with local community-based organizations, the private sector and the public sector through an integrated community- based approach. The Aman Foundation will improve quality and effectiveness of family planning programs and services in the targeted project areas, and will help to increase women’s and girls’ ability to make informed decisions and have access to the most appropriate family planning services and supplies. BILL AND MELINDA GATES FOUNDATION (2010 & 2012) 2010 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. 2012—Born Too Soon The Bill & Melinda Gates Foundation commits to reducing the burden of preterm birth as part of its broader Family Health agenda, where we are in the process of granting $1.5 billion from 2010 to 2014. In order to reduce the burden associated with preterm birth, we are investing in three core areas: supporting coverage of interventions that work (e.g. Kangaroo Mother Care, antenatal corticosteroids); supporting research and development of new interventions (particularly related to prevention of preterm birth); and supporting tools to better understand the burden and what can be done to reduce the incidence of preterm birth (e.g. the Lives Saved Tool (LiST) and MANDATE Project). 2012—London Family Planning Summit The Bill & Melinda Gates Foundation commits to investing more than US $1 billion to help reach the goal of providing 120 million additional women with contraceptives, information and services by 2020. That means doubling its investment in family planning from US $70 million a year to US $140 million a year for eight years – totaling an additional US $560 million. The Foundation believes that supporting familyPHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 35
  • 33. planning is one of the most cost-effective investments a country can make in its future. The Gates Foundation recognizes the right of women to have the power to create a better life for themselves and their families, and is committed to supporting the leadership of developing countries in addressing barriers that prevent women from accessing lifesaving contraceptives. The Foundation will also support research and development to create new contraceptives that can better serve the needs and circumstances of more women in the poorest countries around the world. BLOOMBERG PHILANTHROPIES (2012) 2012—London Family Planning Summit Bloomberg Philanthropies commits to becoming a partner in this groundbreaking initiative for family planning with a contribution of US $50 million over the next eight years. Bloomberg Philanthropies will continue their work to improve maternal and child health in some of the world’s poorest regions. For example, in Tanzania, Bloomberg Philanthropies has improved access to emergency obstetric care and raised the standard of care for mothers and their children in some of the most isolated parts of the country. Bloomberg Philanthropies is committed to the importance of integrating family planning services with obstetric care. CENTRE FOR INFECTIOUS DISEASE RESEARCH IN ZAMBIA (CIDRZ) (2010) The Centre for Infectious Disease Research in Zambia (CIDRZ) “Women First” commits $3.5 million and commits to raise an additional $6.5 million. In partnership with the Ministry of Health in Zambia, CIDRZ is creating a centre for treatment, research and training on women’s health in Africa, including treatment for preventing mother-to-child transmission of HIV/AIDS, treating children living with AIDS and tuberculosis, and cervical cancer. Additionally the Centre of Excellence for Women’s Health will include a pharmacy and community centre to teach women life and job skills. CIDRZ has received support from the Fisher Foundation of Detroit, ASHA and individual and small foundation donors to support this effort. CHILDREN’S INVESTMENT FUND FOUNDATION (CIFF) (2010 & 2012) 2010 The Children’s Investment Fund Foundation (CIFF) commits to supporting the Global Strategy through new multi-year investments on a national scale prioritizing child survival, educational achievement, and nutrition and hunger issues through efforts in the deworming of schoolchildren, prevention of mother-to-child transmission of HIV/AIDS, achievement in early childhood education, reduction of neonatal mortality and severe acute malnutrition. 2012—London Family Planning Summit The Children’s Investment Fund Foundation (CIFF) enthusiastically supports the goals set by the London Summit on Family Planning, as integral to the broader program of support to the UN Secretary General’s Every Women Every Child initiative. In conjunction with the global family planning initiative, CIFF will pursue landscaping and develop an action plan in the area of reproductive health with the intention of contributing strategically, tangibly and at scale to further the aims of this initiative. CIFF recently provided both funding andPHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 36
  • 34. human resources to ensure greater accessibility of long-acting and reversible methods of contraception, and will continue their work to enable women and governments to acquire these products at affordable prices. CIFF is compelled by evidence on the need to address reproductive health concerns of adolescents, as these girls and young women and their offspring are most severely impacted by failures to access the knowledge and tools for family planning. CIFF urges those leading this initiative to join in ensuring that this population is reached. CIFF will apply its expertise in program monitoring and impact measurement to help in the development of a robust monitoring and accountability process, to help track progress towards stated Summit goals. CLINTON HEALTH ACCESS INITIATIVE (CHAI) (2012) Every year more than 800,000 children die needlessly from diarrhea, the 2nd leading cause of child deaths globally which can be easily prevented with simple treatment, zinc and oral rehydration salts (ORS). The IKEA Foundation is joining forces with CHAI to save nearly 40,000 children’s lives by 2015, by ensuring that the majority of all children suffering diarrhea in both Kenya and one of the poorest states in India— Madhya Pradesh—are receiving the right treatment. The IKEA Foundation is supporting CHAI with a four-year commitment of €20 million/USD $25 million to increase children’s access to life-saving medicines. CHAI will partner with governments to drive an ambitious, large-scale approach that builds demand for zinc and ORS, and also ensures widespread availability of quality products in public and private health facilities and retail outlets. To create demand, CHAI will pursue a commercial approach that educates moms on the right treatment for their child’s diarrhea and ensures that health workers fully understand the benefits of zinc and ORS over alternatives. CHAI will also encourage manufacturers to develop more child-friendly formulations than currently exists in low-income markets, for example pre-mixed “juice box” versions of ORS that eliminate the need for clean drinking water. DAVID AND LUCILE PACKARD FOUNDATION (2010 & 2012) 2010 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. 2012—London Family Planning Summit The David and Lucile Packard Foundation confirmed its existing funding of US $24 million per year between now and 2020 for family planning. As part of this commitment, the Packard Foundation will establish grantmaking strategies that are aligned with goals of the London Summit on Family Planning. The Foundation will work to strengthen donor and recipient country government’s partnership, political will and funding commitments for family planning. The Packard Foundation commits to continuing to improve the quality and effectiveness of family planning programs and services in the targeted regions where Packard is present, and to increasing women’s and girls’ ability to make informed decisions, utilizing the most appropriate family planning programs and services in their context. Packard Foundation funding is subject to decisions by its Board of Trustees and the performance of the Foundation’s endowment.PHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 37
  • 35. ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION (2011) The Elizabeth Glaser Pediatric AIDS Foundation will leverage its programmatic expertise to advocate for the elimination of pediatric AIDS around the world. This includes advocacy for adoption and implementation of national policies that promote the use of more-effective ARV regimens for prevention of mother-to-child transmission of HIV in the countries we work; programmatic support and training for capacity building and strengthening integrated health services; support of the new Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive; and renewed efforts to improve pediatric HIV diagnosis, treatment, support and research, including greater uptake of services. EMPOWER (2010) EMpower commits $328,000 in 2011 to support new grants in India and Nigeria, EMpower will make grants to Jabala Research Organization (India), Navsarjan Trust (India), Nishtha (India), Vacha (India), Girls Power Initiative (Nigeria), and KIND (Nigeria EUROPEAN FOUNDATION FOR THE CARE OF NEWBORN INFANTS (EFCNI) (2012) 2012—Born Too Soon The European Foundation for the Care of Newborn Infants (EFCNI) as first pan-European organization and interactive network to represent the interests of preterm and newborn infants, and their families, welcomes the release of the collaborative global action report Born Too Soon. Well-organized, effective and targeted pre- conceptional, maternal and newborn care makes a lifelong difference to preterm infants and their families. A healthy start at birth lays the foundation for the good health throughout an individual’s life. In partnership with the Global Alliances, March of Dimes and other organizations worldwide, EFCNI looks forward to reducing the severe toll of prematurity in all countries. As prematurity poses a serious and growing threat to the health and well-being of the future European population, one of EFCNI’s major aims is to raise awareness for preterm birth in society. EFCNI commits itself to make maternal and newborn health a policy priority in Europe by the year 2020. FORD FOUNDATION (2010) 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. GEDDES GROUP (2011) World-renowned photographer Anne Geddes is committed to raising public awareness of issues surrounding the dire need to improve the health and welfare of women and children around the world. In order to accomplish this goal, Anne will lend her voice to support the Every Woman Every Child effort by advocating for action at key events hosted by the United Nations and Every Woman Every Child partners. Anne will also work to engage new audiences at non-Every Woman Every Child events by integrating the goals of Every Woman Every Child into her overall messaging surrounding global maternal health and welfare. In order to inform and facilitate the spread of information, Anne will utilize the multiple platforms at her disposal including social media,PHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 38
  • 36. interviews and press surrounding upcoming projects. She will also encourage her fans to support specific programs that are at work to improve the welfare of women and children, specifically in the developing world. Ultimately Anne will endeavor to lend her photographic talents to provide a voice to the Every Woman Every Child story. Anne, who has a history of charitable commitment, will work alongside the United Nations to find strategic ways to use this voice to raise awareness and to continue to motivate people around the world to make the health of women and children a top priority. GLOBAL FUND FOR WOMEN (2010) 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. GRAND CHALLENGES CANADA (2010) Grand Challenges Canada commits, with funding from the Government of Canada, to the launching of a grand challenge in maternal and child health. IKEA FOUNDATION (2012) The IKEA Foundation will invest $25 million to fight the second leading cause of death for children under 5—diarrhea. This is the single largest investment from the private sector targeted to diarrhea, which kills 800,000 children under 5 every year. These deaths can be easily prevented with simple treatment, zinc and oral rehydration salts (ORS). The IKEA Foundation is joining forces with CHAI to save nearly 40,000 children’s lives by 2015, by ensuring that the majority of all children suffering diarrhea in both Kenya and one of the poorest states in India—Madhya Pradesh—are receiving the right treatment. The IKEA Foundation is supporting CHAI with a four-year commitment of USD $25 million to increase children’s access to life-saving medicines. CHAI will partner with governments to drive an ambitious, large-scale approach that builds demand for zinc and ORS, and also ensures widespread availability of quality products in public and private health facilities and retail outlets. To create demand, CHAI will pursue a commercial approach that educates moms on the right treatment for their child’s diarrhea and ensures that health workers fully understand the benefits of zinc and ORS over alternatives. CHAI will also encourage manufacturers to develop more child-friendly formulations than currently exists in low-income markets. IKEA’s historic commitment is part of the India Public-Private Partnership to End Child Diarrheal Deaths launched by the UN Secretary-General in April 2012 in support of the Every Woman Every Child movement. JOHN D. AND CATHERINE T. MACARTHUR FOUNDATION (2010) 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.PHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 39
  • 37. KING HUSSEIN CANCER FOUNDATION (2012) By 2015, KHCF commits to: 1. Maintaining and expanding infrastructure and medical services available for women and pediatric cancer patients through the King Hussein Cancer Center (KHCC). 2. Building the capacity of health care professionals serving women and children, in addition to introducing quality assurance programs under the leadership of the Jordan Breast Cancer Program (JBCP), JBCP has been established under the directive of the Minister of Health and is governed by a National Breast Cancer Steering Committee comprising most stakeholders in the healthcare sector. JBCP is a nation-wide initiative for the development and provision of comprehensive services for the early detection and screening of breast cancer for all women in Jordan within the age group of 40-59. 3. Reaching at least 1,506,900 women and children across Jordan through public awareness and advocacy efforts. 4. Supporting women and pediatric cancer patients at KHCC through patient support programs (educational and psychosocial). 5. Undertaking studies to drive informed decisions towards better national cancer control for women and children through KHCC’s research department. 6. Increasing the number of women undergoing early detection examination for common female cancers through improving availability and accessibility to quality screening services across the Kingdom, with emphasis on underprivileged and underserved areas. MEDTRONIC FOUNDATION (2010 & 2011) 2010 Medtronic Foundation commits to support key planning and advocacy activities on a global scale, to ensure that the UN General Assembly Special Session on Non-Communicable Diseases (UN Summit), taking place in September of 2011, is successful in catalyzing global efforts toward NCDs, especially with regard to the care and treatment of the most vulnerable populations including women and children. To do so, Medtronic will fund activities of the NCD Alliance and two of its federations (World Heart Federation and International Diabetes Federation), to ensure that they are able to: 1) Advocate for a strong, unified civil society NCD movement 2) Mobilize global public support to influence the UN Summit to adopt key outcomes; 3) Define a global plan for NCDs and share innovative solutions and best practice; 4) Make the business case for investing in NCDs; 5) Promote health systems & solutions for NCD prevention & treatment.” 2011 The Medtronic Foundation is contributing over US $600,000 toward global efforts to control Rheumatic Fever (RF) and eliminate Rheumatic Heart Disease (RHD). Through coordinated, innovative partnerships with Medtronic Foundation’s grantees – The Public Health Foundation of India, Rwanda Heart Foundation, Bienmoyo Foundation, University of Cape Town, World Heart Federation and WiRED, Medtronic Foundation will support efforts that span the continuum of care for RHD on the country, continent and global level. Over the short and long term, Medtronic Foundation will: • Support partners leading in-country RHD efforts, • Support establishment of regional RHD centers of excellence,PHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 40
  • 38. • Promote the exchange of best practices among countries and support global advocacy efforts, • Identify and fund technology initiatives that will facilitate surveillance, awareness and education initiatives globally, • Support publications and white papers to bring attention to the needs of RHD, • Support the creation of a global repository for all information related to RHD, and • Fund the standardization of echo diagnosis for Rheumatic Fever/RHD Medtronic Foundation will work closely with the private sector and civil society to bring about a holistic approach to addressing this critical, yet often neglected, public health issue affecting mostly children. PLANET WHEELER FOUNDATION (2010) Planet Wheeler Foundation will commit $5.6m towards a scientific study to determine whether the power of mass media can be harnessed to save children’s lives on an unprecedented scale. The project will be implemented in partnership with the Wellcome Trust. A model developed by Development Media International (DMI) and the London School of Hygiene and Tropical Medicine (LSHTM) predicts that child mortality can be reduced by 10% to 20% in most developing countries simply by broadcasting radio and television messages on all key life-saving behaviours. If these impact and cost-effectiveness predictions could be proven to rigorous scientific standards, in a real-life setting and implemented in10 countries over 10 years, the model predicts some 2.2 million lives could be saved. ROCKEFELLER FOUNDATION (2012) The Rockefeller Foundation commits to advancing the UN Secretary-General’s Global Strategy for Women’s and Children’s Health by supporting the transformation of health systems around the world towards universal health coverage—one of the most effective accelerators towards improving the lives and health of women and children. Since 2009, the Rockefeller Foundation has invested $94 million dollars to this cause. In 2013, the Rockefeller Foundation commits an additional $6 million—bringing the total to $100 million—to the promotion and support of universal health coverage. TY DANJUMA FOUNDATION (2010) The TY Danjuma Foundation commits $5 million over the next 5 years in Nigeria: in grants to women and children’s health initiatives under its Community Health Initiatives Programme; to support the strengthening of maternal health care centres, train hospital personnel, donate medical equipment and provide technical support to health centres in rural communities; to support the organisation of consultative meetings and capacity building training to strengthen the grantees and other partner organisations effectiveness in the area of maternal and child health; and to identify and forge collaborations with other philanthropic organisations working in similar areas of intervention. UN FOUNDATION (2010 & 2012) 2010 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’sPHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 41
  • 39. 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. 2012—London Family Planning Summit The United Nations Foundation commits to fulfilling and building upon its 2010 US $400 million commitment to Every Woman Every Child and its continued work to achieve universal access to reproductive health care. The UN Foundation commits to strengthening renewed leadership and investment in reproductive health by unlocking new bilateral and multilateral resources to address the global unmet need for family planning by 2015; promoting the voices of global leaders as well as new and influential voices to inform, engage, and ensure greater focus and attention to the issue of reproductive health; improving the lives of adolescent girls through investments in developing country programs focused on adolescent girls’ needs, and advocacy for budgets, policies and laws to protect their sexual and reproductive health, rights and services; championing the use of mobile technologies to improve health throughout the world; and launching and co-leading the Family Planning and Reproductive Health pillar of the Millennium Development Goal Health Alliance to target and engage private sector partners to ensure access to a full range of contraceptive methods. The UN Foundation also made commitments as part of their Universal Access Project, Women and Population’s Adolescent Girl Portfolio and Pledge Guarantee for Health Alliance. WILLIAM AND FLORA HEWLETT FOUNDATION (2012) 2012—London Family Planning Summit The William and Flora Hewlett Foundation commits to continue providing financial support to international family planning and reproductive health indefinitely. For the next eight years, the Hewlett Foundation expects to maintain at least the current level of committing US $22 million annually to international family planning and reproductive health, including extending approximately US $13 million in grants for a combination of direct service provision and advocacy specifically related to family planning. In the near term, the Hewlett Foundation will support an effort to develop and cost out options for an external accountability mechanism around the financial and political commitments made at the London Summit on Family Planning. The Hewlett Foundation also expects to receive funding for a project to visualize data that can better understand the concept of “unmet need” for family planning, and will intensify engagement in the Ouagadougou Partnership and its focus on accelerating access to family planning services in Francophone West Africa with the Gates Foundation, USAID and the French Government. WOMEN’S FUNDING NETWORK (2010) The Women’s Funding Network and the International Network of Women’s Funds jointly commits $7 million for the next year on behalf of 12 women’s funds that make health focused grants in high burden countries. The two networks will strengthen health systems for women and children through investments and grants in women- led solutions that address health and wellness as a part of a holistic approach to fostering communities, countries and nations that thrive. The Networks are committed to ensuring that up to 70 percent of grants made by women’s funds reflect a health component. The networks foundation partners include: African Women’s Development Fund, American Jewish World Service, Bangladesh Women’s Foundation, Mama Cash, Mary’s Pence, Nirnaya Trust, Spark,Tewa, The CIDRZ Foundation, Women of the Evangelical Lutheran Church in America, Women Win, and World Young Women’s Christian Association.PHILANTHROPIC INSTITUTIONS & OTHER FUNDERS 42
  • 41. COMMITTING TO CHILD SURVIVAL: A PROMISE RENEWED (2012) Committing to Child Survival: A Promise Renewed is a global effort to accelerate declines in preventable maternal, newborn and child deaths. To advance Every Woman Every Child, UNICEF and other U.N. agencies are joining partners from the public, private and civil society sectors to refocus and re-energize the global movement for maternal, newborn and child survival. In June 2012, the Governments of Ethiopia, India and the United States, in collaboration with UNICEF, convened over 700 government, civil society and private sector participants from more than 80 countries to renew the global commitment to child survival. Partners emerged from the Call to Action with a renewed commitment to accelerate gains in child survival. Over 100 governments and many dozens of CSOs and faith-based organizations pledged to redouble efforts to strengthen maternal, newborn and child survival by focusing on the hardest-to-reach children in every country. Many more governments and partners are expected to follow suit in the days and months to come. Under the banner of ‘Committing to Child Survival: A Promise Renewed,’ this growing alliance of partners is uniting to scale-up action on three fronts: revitalize the global movement for maternal, newborn and child survival; sharpen and resource evidence-based country plans; and enhance transparency and accountability for maternal, newborn and child survival. Concerted action in these three areas will hasten dramatic declines in child and maternal mortality, enabling more countries to achieve MDGs 4 and 5 by 2015 and sustain the momentum well into the future. [See annex for the government, civil society and interfaith pledges, and lists of signatories] COUNTDOWN TO ZERO (2011) Through powerful synergies, Countdown to Zero – the Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping Their Mothers Alive – will make significant contributions to achieving the health-related and gender-related Millennium Development Goals (MDGs) and the Global Strategy for Women’s and Children’s Health. Such synergies are all the more important in countries where HIV currently accounts for a significant proportion of all adult female and/or child mortality and the AIDS epidemic is impeding progress in reducing child mortality (MDG 4) and improving maternal health (MDG 5). To support the rapid acceleration of efforts to stop new HIV infections among children, significant new resources have been pledged. These include an additional US$75 million from the United States, US$40 million from the Bill and Melinda Gates Foundation, US$20 million from Chevron, and US$15 million from Johnson and Johnson. The African Development Bank is making up to US$5 million available and the Islamic Development Bank is considering proposals for a total of US$1.5 million. The Global Plan was led by a high-level task team co-chaired by Michel Sidibé of UNAIDS and Ambassador Eric Goosby of PEPFAR, and included Member States, communities of women living with HIV, civil society, the private sector and philanthropic foundations. It was launched In June 2011 at the UN High Level Meeting (HLM) on AIDS. The HLM also adopted the goals of eliminating new HIV infections among children by 2015and reducing maternal deaths. DECLARATION ON SCALING UP TREATMENT OF CHILDHOOD DIARRHEA AND PNEUMONIA (2012) Harnessing the resources, expertise, and innovation of the public and private sectors, signatories to the “Declaration on Scaling Up Treatment of Childhood Diarrhea and Pneumonia” commit to working togetherUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 44
  • 42. in new ways to accelerate progress toward ending preventable child deaths from diarrhea and pneumonia in the highest burden countries. The Declaration creates a platform for partners to align technical and financial resources to scale up use of oral rehydration salts (ORS) and zinc for diarrhea, and amoxicillin for pneumonia, for maximum impact. Use of these low cost, life-saving interventions has the potential to save over two million children’s lives every year. In support of this Declaration, the Zinc Alliance for Child Health – an alliance that includes Teck Resources Ltd., the Micronutrient Initiative, and the Canadian International Development Agency – will allocate $15 million to support the national scale up of zinc and ORS in the highest-burden countries. In addition, McCann Health, one of the world’s largest marketing communications companies, commits $5 million of in-kind resources and technical assistance to support the design and implementation of marketing campaigns to increase awareness of and demand for ORS and zinc – a critical barrier to ensuring universal use of these products. Signatories to the Declaration include the U.S. and Canadian governments, UNICEF, WHO, the Clinton Health Access Initiative, the MDG Health Alliance, Teck, the International Zinc Association, and McCann Health, along with a number of implementing partners. THE ELDERS (2011) The Elders are pleased to contribute to the Global Strategy for Women’s and Children’s Health and the Every Woman Every Child effort by committing to establish Girls Not Brides: The Global Partnership to End Child Marriage. Girls Not Brides will bring together civil society organisations working to end child marriage. It will enable them to jointly raise awareness of the harmful impact of child marriage at the local, national and international levels; to learn from each other and develop better programs to address the practice; and to mobilise all necessary policy, financial and other support to end child marriage. Girls Not Brides will amplify the voices of girls at risk of child marriage and will support girls who are or have been married, all over the world. Girls Not Brides will defend the rights of girls to health and education and the opportunity to fulfil their potential. EUROPEAN COMMISSION (2012) 2012—London Family Planning Summit The European Commission commits to an additional US $28.3 million to family planning services in 2013. EUROPEAN PARLIAMENTARY FORUM ON POPULATION AND DEVELOPMENT (2011) 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. FLOUR FORTIFICATION INITIATIVE (2012) 2012—Born Too Soon Iron and folic acid are commonly added to wheat and maize flours in the milling process, and the foods subsequently made with fortified flour provide more of these nutrients to consumers. Several studies indicateUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 45
  • 43. an association between maternal iron deficiency anemia in early pregnancy and a greater risk of preterm delivery (1). Insufficient folic acid before conception and very early in a pregnancy can lead to neural tube defects, and such serious birth defects are one cause of preterm deliveries (2). This March of Dimes report clearly states the health risks associated with preterm deliveries. The Flour Fortification Initiative joins the March of Dimes as partners to work together towards smarter, stronger, healthier babies delivered at full term. GAVI ALLIANCE (2010, 2011 & 2012) 2010 The GAVI Alliance commits on behalf of GAVI and its partners to supporting the Global Strategy over the next 5 years. Through the power of innovation - vaccines, public-private partnership and financing mechanisms, GAVI will help the UN address key global health priorities, including leading childhood killers, pneumonia and diarrhoea, by increasing access to life-saving vaccines for children including new HPV vaccines against cervical cancer for girls in the world’s poorest countries. 2011 Through the power of innovation – vaccines, public-private partnership and financing mechanisms – GAVI made a commitment to Every Woman Every Child in 2010 to help the UN address key global health priorities, including leading childhood killers, pneumonia and diarrhoea, by increasing access to life-saving vaccines for children including new HPV vaccines against cervical cancer for girls in the world’s poorest countries. Since the initial GAVI commitment in September 2010, the first ever replenishment conference was held. This resulted in an additional US $4.3 billion from public and private donors to support GAVI’s new vaccines and health systems strengthening programs and this funding will be utilized in furtherance of the very same goals articulated in Every Woman Every Child. GAVI also has created a new finance leveraging mechanism, the Matching Fund, that forges partnerships between public, governmental commitments to GAVI and private corporations whose business clients and employees may also commit their support. Last June, the Bill & Melinda Gates Foundation and the UK Government responded to the Matching Fund opportunity by confirming over US $130 million in challenge grants to GAVI, which can be matched by new business and philanthropic commitments – an effort that has already secured new resources from the “la Caixa” Foundation, JP Morgan, Absolute Return for Kids (ARK) and Anglo American. 2012—Born Too Soon GAVI commits to accelerating the reach of vaccines that directly benefit the health of mothers, newborns and children in the world’s poorest countries Building on the success of recent efforts to control measles, GAVI will help developing countries to advance the control and elimination of rubella and congenital rubella syndrome. By 2015, over 700 million children will be immunised through campaigns and routine immunisation with combined measles-rubella vaccine. Rubella vaccines alone will avert an estimated 140,000 deaths and will protect hundreds of thousands of babies against severe birth defects from congenital rubella syndrome, and help to prevent still births and miscarriages caused by rubella infection.UNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 46
  • 44. To accelerate the successes of maternal neonatal tetanus elimination, GAVI helped UNICEF support 33 countries in reaching more than 40 million women with two doses of MNT vaccines. GAVI will continue to support countries to strengthen the delivery of quality immunisation services, bringing life-saving vaccines to mothers and children as part of integrated MNCH services. GLOBAL ALLIANCE FOR CLEAN COOKSTOVES (2012) 2012—Born Too Soon While the link between exposure to cookstove smoke and a wide range of health problems such as pneumonia, chronic obstructive pulmonary disease, and lung cancer is well established – causing around 2 million deaths per year—the current body of evidence linking cookstoves with adverse pregnancy outcomes is compelling but somewhat limited. As part of its commitment to Every Woman Every Child, the Global Alliance for Clean Cookstoves, hosted by the UN Foundation, will provide up to US$ 800,000 in funding over the next two years towards research that fills key gaps in the existing evidence on the link between the use of traditional cookstoves and child survival. These will specifically focus on adverse pregnancy outcomes, including low birth weight, pre-term birth, and birth defects; and/or severe respiratory illness, including pneumonia, in children under-five years of age. Results will hopefully identify a new category of interventions aimed at reducing premature births worldwide. GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS AND MALARIA (2010, 2011 & 2012) 2010 The Global Fund, a major international channel for development assistance for health, is contributing to the improvement of maternal and child health through its support of a range of HIV, TB and malaria interventions for women and children across the continuum of care, The Global Fund is committed to intensifying its contributions to maternal, newborn and child health (MNCH) and will continue to augment its investments in order to accelerate progress toward the health related MDGs in general and MNCH in particular. To date, The Global Fund has provided direct support to MDGs 4 and 5 with contributions of at least US$ 4.4 billion, and this figure is expected to increase substantially in the 2011-2013 period subject to the outcome of the Global Fund’s upcoming replenishment conference and Board discussion on deeper involvement in MCH. 2011 The Global Fund to Fight AIDS, Tuberculosis and Malaria is fully committed to continue supporting comprehensive programs that will promote the health of women and children. AIDS, tuberculosis and malaria account for nearly 20 percent of total deaths of women and children in resource poor countries. Through its investments in AIDS, tuberculosis, malaria and Health Systems Strengthening, the Global Fund already has had a substantial impact on efforts to reduce child mortality (MDG 4) and to improve maternal health (MDG 5). The Global Fund supports a range of high-impact HIV, TB and malaria interventions for women and children across the continuum of pre-pregnancy, pregnancy, birth and child care and has substantially contributed to the scale- up of essential services for these populations. It is estimated that 32% of total Global Fund disbursements support services for women and children. In addition, another 12% of the total disbursements contribute to MDG 4-5 through health system strengthening actions. Following its replenishment in 2010 under the leadership of Secretary General Ban Ki-moon the Global Fund expects to disburse at least USD 11 billion over the years 2011- 2013 of which USD 3.5 – 4.8 billion should benefit directly the health of women and children.UNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 47
  • 45. 2012 The Global Fund to Fight AIDS, Tuberculosis and Malaria is contributing to improving the health of women and children through supporting a range of high-impact HIV, TB and malaria interventions across the continuum of pre-pregnancy, pregnancy, birth and child care, as well as community systems strengthening and has substantially contributed to the scale-up of essential services for these populations. The Global Fund estimates that the disbursements on 12 high impact interventions that benefit women and children constitute 30% of total disbursements ($15.7 billion). In addition, another 12% of the total disbursements contribute to MDGs 4 and 5 through health system strengthening actions. The Global Fund is anticipating disbursing USD 3 billion for the health of women and children in the years 2012 and 2013, which represents about 50% of its total disbursements of USD 6 billion for that period. In addition, the Global Fund is facilitating new and innovative financing schemes in partnership with national governments in implementing countries, bilateral and multilateral partners to close specific funding gaps in interventions benefitting women and children. GLOBAL HEALTH WORKFORCE ALLIANCE (2011) 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 POLIO ERADICATION INITIATIVE (2011 & 2012) The Global Polio Eradication Initiative (GPEI) commits to supporting the Global Strategy for Women’s and Children’s Health. Spearheaded by the World Health Organization (WHO), Rotary International, the US Centers for Disease Control and Prevention (CDC) and UNICEF, the GPEI has reduced the incidence of polio by 99% worldwide since its 1988 launch. The GPEI commits to optimizing its 70-country, 3,300-person infrastructure to intensify efforts to finally eradicate this paralytic childhood disease and to do so in a way that also supports broader maternal and child health objectives through opportunistic, value-added health interventions for mothers and children that range from complementary interventions, such as distribution of vitamin A drops and de-worming tablets during polio campaigns, to community micro-planning initiatives, to integrated disease surveillance activities. In July 2012 the Government of the Republic of Estonia pledged US$25,000 to the Global Polio Eradication Initiative (GPEI), becoming the first country to make a contribution since the World Health Assembly declared polio eradication a programmatic worldwide public health emergency.UNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 48
  • 46. HELPING BABIES BREATHE (2012) The Helping Babies Breathe (HBB) global development alliance is a public-private partnership of USAID, the National Institute of Child Health and Human Development, Save the Children, Laerdal Global Health, the American Academy of Pediatrics, Johnson & Johnson, and the Latter Day Saint Charities to reduce neonatal mortality by increasing the availability of newborn resuscitation during birth. The Alliance seeks to support countries in expanding high quality resuscitation services as part of a broader package of essential newborn care. The Alliance offers evidence-based training, high quality, affordable resuscitation equipment, and technical assistance to support countries in their efforts to improve coverage and quality of newborn resuscitation services as part of national efforts to reduce newborn mortality. Since its inception in June 2010 through March 2012, the alliance mobilized $23 million, trained about 70,000 health providers and provided about 50,000 resuscitation bags and masks in 34 countries. Over the next three years HBB aims to move from pilot to scale in 10 countries. HRP (THE UNDP/UNFPA/WHO/WORLD BANK SPECIAL PROGRAMME OF RESEARCH, DEVELOPMENT AND RESEARCH TRAINING IN HUMAN REPRODUCTION) (2012) HRP, 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 work plan 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.UNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 49
  • 47. (H4+) WHO, UNFPA, UNICEF, UNAIDS, UN WOMEN AND THE WORLD BANK (2010) WHO, UNFPA, UNICEF, UNAIDS, UN Women and the World Bank commit to mobilize political support for the Global Strategy in the 49 ’Lowest Income Countries’; increasing the speed of the downward trend in maternal and child mortality by strengthening country and regional technical capacity to implement commitments; advocating for equity-focused approaches that include universal access to an integrated essential package of health services for women and children; and to addressing the root causes of ill-health, in particular gender inequality. They further commit to promoting the critical engagement of other sectors such as education, gender, nutrition, water and sanitation, culture and human rights; strengthening ongoing inter- agency collaboration in order to optimize the advocacy for increased and sustained financial resources, as well as linking additional global resources to evidence-based country-driven interventions; and sustaining the momentum of the Global Strategy beyond 2015. INTER-PARLIAMENTARY UNION (2011) The Inter-Parliamentary Union is mobilizing support for the Global Strategy for Women’s and Children’s Health within the world parliamentary community. It has launched a global parliamentary dialogue that will culminate in April 2012 with a resolution recommending parliamentary action in support of women’s and children’s health. The resolution will contain a catalogue of measures that parliaments can take to improve women’s and children’s health significantly by, for example, allocating adequate funding, revising national health policies and overseeing improved service delivery. The IPU is also providing targeted assistance to strengthen parliament’s legislative and oversight functions in countries where women and children do not have equitable access to essential health services. IPU’s support for the Global Strategy aims at enhancing access to and accountability for improved health services for women and children. MPOWERING FRONTLINE HEALTH WORKERS (2012) USAID and the mHealth Alliance have joined forces to form an innovative three-year public-private partnership called mPowering Frontline Health Workers. The partnership brings together a powerful group of influential and imaginative organizations to accelerate the use of mobile technologies by frontline health workers to help end preventable child deaths in Asia, Latin America and Africa. The mHealth Alliance, serving as the partnership secretariat, will harness the resources and expertise of this multi-stakeholder coalition to strengthen the capacity of frontline health workers to effectively deliver high quality maternal and child health services by using mobile technology and creative multimedia digital health content. USAID and the mHealth Alliance are joined by founding members UNICEF, Frontline Health Workers Coalition, Qualcomm, Vodafone, Intel, MDG Health Alliance, GlaxoSmithKline, Praekelt Foundation and Absolute Return for Kids. MUSKOKA INITIATIVE (2010) 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, SpainUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 50
  • 48. 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. NORWAY, BILL & MELINDA GATES FOUNDATION AND UNITED KINGDOM (2012) 2012—London Family Planning Summit Norway, the Bill & Melinda Gates Foundation and the UK will work together to increase the availability, access and use of quality, life-saving family planning commodities, each committing US $200 million of their total Summit commitment until 2020, amounting to a combined commitment of US $600 million. We welcome others to join in the development of a broader partnership. This work will be guided by the recommendations of the UN Commission on Life-Saving Commodities for Women and Children (Chaired by President Jonathan and Prime Minister Stoltenberg). To ensure availability of high quality commodities in greatest demand we will deploy a range of market-shaping strategies in partnership with key players, such as multilateral agencies, manufacturers, partner governments and the largest procurers to reduce prices, improve quality, minimize market risks and improve value for money. We will also work to strengthen the quality of forecasting, streamline regulatory pathways to reduce barriers to entry and create demand for improved new products. Innovative approaches such as mobile phone technology will also be explored to ensure better access to meet demand from women, improve availability at the community level and increase knowledge of family planning opportunities among women, families and front line health workers. ORGANIZATION OF THE ISLAMIC CONFERENCE (2011) The Organization of the Islamic Conference (OIC) has taken action to meet MDGs 4 and 5 through advocacy, and its active support of health training institutions and programmes, and health delivery in the most challenging settings. The General Secretariat and relevant OIC institutions are actively engaged through the OIC-US Cooperation Framework on Mother and Child Health projects in Bangladesh and Mali; the Statistical, Economic and Social Research and Training Centre for Islamic Countries Health Programme; and the Committee on Scientific and Technological Cooperation. OIC provides support to health professional training through the nursing diploma and bachelor’s degree programme housed at the International Islamic University in Uganda (IUIU) and a programme in medicine and nursing held at the International Islamic University Malaysia (IIUM). The IUIU has also established a nursing school to train Ugandan and East African country nurses. The OIC will aim, in collaboration with partners, to support the operation of field hospitals in conflict areas around the world. OIC will continue is support to the Global Fund to Fight against HIV/AIDs, Tuberculosis and Malaria, through fund raising and religious fatwa efforts PARTNERSHIPS FOR ENHANCED ENGAGEMENT IN RESEARCH (PEER) HEALTH (2012) The National Institutes of Health (NIH) and USAID are pleased to announce the launch of a joint program called Partnerships for Enhanced Engagement in Research (PEER) Health. PEER Health will provide small grant awards to developing country researchers in low income GHI countries who collaborate with USAID missions and NIH supported scientists around country specific strategic health priorities. The focus of theUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 51
  • 49. first round of PEER Health is child survival in support of the Call to Action to end preventable child deaths, emphasizing the improved implementation of integrated biomedical, behavioral, social and public health interventions to reduce causes of morbidity and mortality among young children. The most vulnerable populations within low income countries—the poorest quartile, children outside family care, and HIV+ children—are of particular emphasis for this solicitation. The PEER Health program hopes to accelerate progress towards the GHI country health goals by addressing critical issues in implementation and scale-up of health interventions and through leveraging the capacity and investments of global health research at NIH. PEER Health will be managed by the National Academies of Sciences and the National Institute of Child Health & Human Development (NICHD) will oversee the review of the Child Survival Grants. An RFA for the first round of the program will be posted on the Academies website on June 22, 2012. THE PARTNERSHIP FOR MATERNAL, NEWBORN & CHILD HEALTH (2011 & 2012) 2011 The Partnership for Maternal, Newborn & Child Health (PMNCH) pledges to be an effective catalyst for transforming into action the commitments made to advance the Global Strategy for Women’s and Children’s Health. To do so, PMNCH’s 400+ members commit to enable its seven constituency groups (government, donor/foundation, UN/multilateral, private sector, NGO, health care professional association, and academic and research training) to: • Uphold shared principles for advocacy, action and accountability, including a core set of indicators integrated into country monitoring and evaluation mechanisms, so all partners are mutually accountable for the commitments and results agreed to in the Global Strategy for Women’s and Children’s Health; • Broker multi-stakeholder processes to ensure inclusiveness and participation, and harmonization of existing efforts to ensure complementarity between partners’ work; • Play a central role in the operational workplan of the Every Woman Every Child effort, including specific responsibilities for advocacy aligned with Global Strategy goals, mobilizing new commitments and promoting implementation of existing commitments; • Play a key role in the workplan of the Commission for Information and Accountability for Women’s and Children’s Health, including working closely with the independent Expert Review Group. PMNCH will advocate for key findings and recommendations of the Commission and contribute to the accountability process through the publication of the 2011 PMNCH report on Global Strategy commitments; and • Monitor and report regularly on progress towards this commitment. 2012—Born Too Soon The Partnership for Maternal, Newborn & Child Health (PMNCH) commits to raising greater attention for the significant contribution of preterm birth to neonatal and child mortality, creating greater visibility, resources and partner engagement in this important aspect of reaching Millennium Development Goal 4, which calls for reducing under-five child mortality by two-thirds by 2015. Specifically, PMNCH commits to: • Develop a knowledge summary on preterm birth to accompany the May 2012 launch and dissemination of Born Too Soon: The Global Action Report, with wide distribution to PMNCH members and through other advocacy channels, including web and listserv publication; • Through the Innovation Working Group of the Every Woman Every Child Effort and its private sectorUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 52
  • 50. constituency , support the development of preterm private sector commitments linked to the publication of the final report of the Commission on Life-Saving Commodities for Women and Children, due in September 2012; • Promote widespread engagement of its membership in World Prematurity Day, November 17, to further increase popular and political attention to this important issue; • From 2013, track progress on the implementation of the preterm commitments published in Born Too Soon. Findings will be communicated in an annual report by PMNCH every year through 2015. This PMCH report will be submitted to the independent Expert Review Group for its own annual progress report on the results and resources related to the Global Strategy and on progress in the implementation of the recommendations of the final report of the Commission on Information and Accountability for Women’s and Children’s Health (2011). SAVING CHILDREN THROUGH BEHAVIOR CHANGE: RELIGIONS IN ACTION (2012) This initiative will work to reduce preventable deaths of children under-five by engaging religious leaders across diverse faiths to be effective drivers of behavior change. The signatories of this commitment will help mobilize and equip religious leaders within their networks as agents of ten behavior changes vital to child survival. The Center for Interfaith Action and Religions for Peace are leading the effort, and are joined by organizations such as Saddleback Church, Catholic Relief Services, Islamic Relief, American Jewish World Service, and many others. These groups will develop relevant training modules and tools to help mobilize and equip religious leaders from diverse faith traditions around this initiative. Successful implementation of this commitment will empower individuals and communities to demonstrably improve the wellbeing of millions of children around the world. SAVING LIVES AT BIRTH (2012) Saving Lives at Birth—a partnership leveraging the collective resources of USAID, the Government of Norway, the Bill & Melinda Gates Foundation, Grand Challenges Canada, and DFID—seeks innovative prevention and treatment approaches for pregnant women and newborns in poor, hard-to-reach communities around the time of childbirth. Now in its second call for innovative solutions, the partnership received more than 500 submissions from almost 60 countries. Sixty-five finalists will advance to the final stage of competition at the DevelopmentXChange in Seattle, WA. These 65 innovators come from all around the world. Almost half are from outside the U.S. and a quarter from low-and middle-income countries. Their innovations span science and technology, service delivery, and demand creation—addressing the critical barriers women in developing countries face in accessing life-saving interventions. Maternal and neonatal mortality remains a significant problem globally, with the majority of deaths occurring in low- and middle-income countries. The first call for applications resulted in the selection of the 24 most promising solutions to accelerate substantial and sustainable progress against maternal and newborn deaths and stillbirths at the community level. SAVING MOTHERS, GIVING LIFE (2012) Saving Mothers, Giving Life (Saving Mothers) was launched with the goal of supporting countries where women are dying at alarming rates during pregnancy and childbirth to aggressively reduce maternal mortality. A partnership between the U.S. Government, the Norwegian Government, Merck for Mothers, the AmericanUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 53
  • 51. College of Obstetricians and Gynecologists, and Every Mother Counts, Saving Mothers intends to help mothers during labor, delivery, and the first 24 hours postpartum – the period when an estimated two out of every three maternal deaths and nearly half of newborn deaths occur. Work is beginning in countries where maternal mortality rates are disproportionately high, starting in districts in Uganda and Zambia. The goal of Saving Mothers is to support countries to reduce maternal deaths by up to 50 percent in targeted districts in resource-limited countries. Saving Mothers will develop models of quality maternal health services through district health network strengthening to achieve maximum sustainable impact; galvanize the American public to create a domestic constituency to support saving mothers’ lives around the world; and engage new public and private partners around the world to leverage expertise and co-invest in saving mothers. SPECIAL UNIT FOR SOUTH-SOUTH COOPERATION (2012) The Special Unit for South-South Cooperation, hosted at UNDP, commits through the South-South Global Health Exchange (SS-GHE) initiative to: • Promote South-South and triangular (North-South-South) cooperation following the Secretary General’s policy directive (2008) to support the Secretary-General’s Global Strategy on Women’s and Children’s Health via the Every Woman, Every Child effort; • Leverage the General Assembly endorsed South-South Cooperation delivery mechanism, particularly South- South Global Assets and Technology Exchange (SS-GATE) for Global Health (SS-GHE) platform (online, global, regional and in-country networks) to strengthen knowledge sharing, capacity building and technical assistance between countries. Enable southern countries to identify, exchange, adapt, and scale up global health solutions (e.g., research, policies, practices, technology and funding opportunities); • Mobilize political, institutional, technical and financial support globally, offering SS-GHE services to Southern countries including the least developed countries and enhance the role of emerging economies • Utilize a multi-stakeholder and public-private partnership (private sector organizations, IGOs, and NGOs) approach to optimize advocacy and strengthen delivery of commitments. Streamline interagency efforts on south-south cooperation, working with H4+, as well as the UNDP network, to deliver results on the ground. STOP TB PARTNERSHIP (2011) The Stop TB Partnership commits to advocating and mobilizing political support for the Every Woman Every Child effort. Reducing illness and deaths from tuberculosis (TB) is essential to improving maternal and child health. In many low- and middle-income countries women and children, like other vulnerable groups, lack access to accurate diagnosis and high-quality treatment of TB. Over the next five years at least 3 million women and half a million children will die from TB, even though it is a curable illness. The Partnership will accelerate the downward trend in maternal and child mortality by advocating for improved access to TB prevention, diagnosis and treatment, especially in pregnant women; mothers; women and children living with HIV; and those whose vulnerability to TB is heightened by poverty or social isolation. Stop TB Partners will ensure there is a special focus on saving the lives of women as they implement the Global Plan to Stop TB 2011-2015: Transforming the fight towards Elimination and the Partnership’s initiative to save a million lives among people living with HIV by preventing and treating TB by 2015.UNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 54
  • 52. SURVIVE AND THRIVE: PROFESSIONAL ASSOCIATIONS, PRIVATE SECTOR AND GLOBAL SCHOLARS SAVING MOTHERS, NEWBORNS AND CHILDREN (2012) Survive and Thrive: Professional Associations, Private Sector and Global Scholars Saving Mothers, Newborns and Children aims to improve the quality of facility-based maternal, newborn, and child health services in 24 focus countries. Several organizations – the American Academy of Pediatrics, American College of Nurse Midwives, American College of Obstetricians and Gynecologists, Johnson & Johnson, Laerdal Global Health, and Save the Children— have signed on to the partnership, initiated by the United States Agency for International Development (USAID). Survive and Thrive will “twin” members of U.S. professional health care associations with in-country professional association members to encourage learning and development through a peer-to-peer and partnership approach. This effort also seeks to mobilize and equip senior volunteer members from U.S., international, and national professional associations to strengthen the skills of health workers and champion maternal, newborn, and child health programs in low and middle income countries. In addition, the alliance will nurture emerging leaders in global health by creating Global Health Fellows, a new kind of internship opportunity for newly graduated clinicians. Fellows will have an opportunity to learn in- country, alongside leading experts from U.S. and in-country professional associations, to nurture a passion for global health, and go on to become teachers themselves, building the skills of future clinicians. UNFPA (2012) 2012—London Family Planning Summit UNFPA will double the proportion of its resources focused on family planning from 25% to 40 % based on current funding levels, bringing new funding of at least US $174 million per year from core and non-core funds. This will include a minimum of US $54 million per year, from 2013-2019, in increased funding for family planning from UNFPA’s core resources. UNICEF (2012) 2012—Born Too Soon UNICEF is committed to ensuring the healthy survival and development of all children, particularly the most vulnerable and disadvantaged. Specifically UNICEF commits to: • Support global advocacy efforts to increase awareness and action to prevent and care for preterm births. • Support governments to implement and scale up preterm and newborn care interventions especially for the poorest families. • Strengthen community programs for the prevention of preterm births and care of newborns to improve equitable access to services for the most disadvantaged mothers and babies. • Work with WHO to support Member States to strengthen the availability and quality of data on preterm births and provide updated analyses of global preterm birth levels and trends every three to five years. • Advance the procurement and supply of essential medicines and commodities that relate to preterm births, neonatal illnesses and deaths. Please see Committing to Child Survival: A Promise Renewed for further informationUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 55
  • 53. THE ALLIANCE— UNITED STATES, UNITED KINGDOM, AUSTRALIA AND GATES FOUNDATION (2010) 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. WORLD BANK (2010 & 2012) 2010 The World Bank will focus on women’s and children’s health in 35 countries, particularly in East Asia, South Asia, and Sub-Saharan Africa, which face challenges in achieving the MDGs because of high fertility and poor child and maternal nutrition and disease. This will expand the reach of the World Bank’s results-based programs by more than $600 million to scale up essential health and nutrition services and strengthen the underlying health systems which are essential to sustain better health results over the years. This is in addition to other World Bank commitments to help countries achieve the MDGs such as significantly increased financing for agriculture and education, which will also benefit women’s and children’s health. 2012—London Family Planning Summit The World Bank continues to strongly support family planning and reproductive health through its five-year Reproductive Health Action Plan, which focuses on the 57 poor countries with the highest maternal mortality and fertility rates. In the first two years under this plan, the Bank has already increased its multisector financing, capacity, analytical and advisory work, and monitoring of reproductive health in the priority countries. In support of the goals of the Summit and in partnership with the UK and Norwegian governments, the Bank commits to scaling up support for results-based financing for health – helping countries match financing to specific, measurable targets toward improving maternal and child health, including expanding access to family planning. The Bank will work closely with global partners in the Partnership for Maternal, Neonatal, and Child Health to see how support for these programs can be expanded even further. The Bank will continue to do its part, working with Ministries of Finance and others in its partner countries, to help ensure that support for family planning and reproductive health is, and remains, a key element of country development strategies. THE WORLD HEALTH ORGANIZATION (2012) 2012—Born Too Soon The World Health Organization is committed to reducing the health problems and lives lost as a result of preterm birth. Specifically, we will work with Member States to strengthen the availability and quality of data on preterm births. We will provide updated analyses of global preterm birth levels and trends every three to five years. We will work with partners around the world to conduct research into the causes of preterm birth, and test effectiveness and delivery approaches for interventions to prevent preterm birth and treat babies that are born preterm. We will regularly update clinical guidelines for the care of preterm babies, including “kangaroo mother care” (the baby is carried by the mother, with skin-to-skin contact), feeding babies with low birthUNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 56
  • 54. weight, treating infections and respiratory problems, and home-based follow-up care. And we will develop tools to improve health workers’ skills and assess the quality of care provided to preterm babies. 2012—London Family Planning Summit Family planning is critical to health and development. Expanded use of modern contraceptive methods can prevent more than one third of maternal and one tenth of child deaths. To make access to family planning universal; WHO, in collaboration with donors and partners, commits itself to: 1) Working with countries to integrate the WHO Medical Eligibility Criteria Family Planning wheel and related tools and guidelines into health systems to expand access to, and quality of, family planning services; 2) Expanding choice and method mix through contraceptive research and development and assessment of the safety and efficacy of new and existing methods; 3) Scaling up the availability of high-quality contraceptive commodities through product prequalification and Expert Review Panel (ERP) fast track mechanisms; 4) Synthesizing and disseminating evidence on effective family planning delivery models and actions to inform policies, address barriers and strengthen programs; and 5) In the context of the Commission on Information and Accountability for Women’s and Children’s Health, working with countries with highest levels of unmet needs to examine inequalities and vulnerabilities and reasons for unmet need.UNITED NATIONS, MULTILATERAL ORGANIZATIONS & PARTNERSHIPS 57
  • 56. 34 MILLION FRIENDS OF THE UNITED NATIONS POPULATION FUND (2011) As always, 34 Million Friends of the United Nations Population Fund will continue to urge grassroots support (with one dollar or more) for the United Nations Population Fund both in the USA and abroad. UNFPA is at the very core of MDGs 3, 4, and 5 and thus at the very core of the Global Strategy. The ultimate vision of 34 Million Friends is to educate US citizens and the world at large about the centrality of gender equality in all realms but particularly in the areas of education and health to any hope for people and the planet. Between now and November 15, co-founder Jane Roberts will be giving over 20 talks on the subject of “Women Population and the Millennium Development Goals” to university and civic groups. This campaign has garnered over US $4.2 million and 34 Million Friends send a check to UNFPA every quarter. ACCESSORIES COUNCIL (2012) Within the umbrella of Fashion 4 Development, the Accessories Council commits to broker partnerships among Council’s participants and local designers and producers in developing countries, and to support viable and sustainable distribution of fashion products from developing countries through the Council’s members. The Accessories Council includes 160 fashion brands, retailers, wholesalers and fashion support agencies. The Council also commits to raise awareness among members on the health and education needs in developing countries that can be met through sustainable engagement and active partnerships with local designers and producers, to promote women’s empowerment and their health, in support of Every Woman Every Child. ACTIONAID (2012) 2012—London Family Planning Summit ActionAid commits to promoting a transformative understanding of the sexual and reproductive health of women as central to development and poverty reduction. ActionAid will promote a discourse that reflects the importance of women’s sexual health, sexuality and control over their bodies, to eradicating violence against women and women’s social, economic and political exclusion. With the goal of fulfilling its commitments by 2017, ActionAid pledges to organize women and girls in rural areas to challenge and reject gender-based violence that denies them control over their bodies; secure improvements in the quality, equity and gender responsiveness of public services, including reproductive health services; support women to build and advocate gender-responsive economic alternatives at all levels; convince governments and influential agencies that violence against women is a pivotal barrier to gender equality; and convince governments to enact policies, programs and legislative frameworks to guarantee women full enjoyment of their rights, including the right to sexual and reproductive health. ACTION FOR GLOBAL HEALTH (2011) 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.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 59
  • 57. ADVANCE FAMILY PLANNING (2012) 2012—London Family Planning Summit With its many partners, Advance Family Planning will persuade policy-makers to honor their London Summit on Family Planning commitments and, in general, seek increased political commitment and funding from public and private sources for family planning at the global, regional, country and local levels. AFRICA COALITION ON MATERNAL, NEWBORN AND CHILD HEALTH (2011) The Africa MNCH Coalition commits to innovative and targeted advocacy over the next four years towards: improved domestic resources, budgeting and policy; political commitments, monitoring, accountability; and innovative partnerships. Advocacy will focus on both the health sector and on social determinant sectors which impact strongly on maternal, newborn and child health (MNCH), but which are not covered by health sector budgeting and policy. These include clean water, sanitation, hygiene, nutrition and food security, gender equality, and improved civil registration. The Africa MNCH Coalition also commits to strengthening advocacy for specific proven interventions such as immunization and human resources for health. The Africa MNCH Coalition further commits that all our advocacy efforts will include the millions of Refugees and Internally Displaced Persons, especially vulnerable women and children, whose plight is blight on the progress of the African continent. This new approach emphasizing improved policy and budgeting in key social determinant sectors is based on the landmark August 2011 Africa Integrated MNCH Advocacy Strategy, developed with the African Union Commission and a cross-section of partners. The Strategy integrates cross cutting- issues impacting MNCH, and importantly includes both alignment of the Global Strategy for Women and Children’s Health with African MNCH Frameworks for more effective and integrated implementation at continental and country-level, and promotion of African ownership and accountability. AFRICAN MEDICAL AND RESEARCH FOUNDATION (2011) The African Medical and Research Foundation (AMREF), in partnership with its donors and sponsors, will be investing an additional US $20 million per year in maternal and child health programmes, in 20 countries in Africa, including the training of 600 new midwives annually, retraining of 5,000 existing midwives to update their skills in saving lives of mothers and newborns, and up to 10,000 community health workers to help families provide care to mothers and children at home, and link effectively with health facilities when needed. This new commitment also includes considerable expansion of service delivery in direct community interventions. All this will enable AMREF to reach an additional 0.5 million women of reproductive age and 1.5 million children with health-enhancing interventions that will contribute to progress towards MDGs 4 and 5. THE AKAA PROJECT, INC (2011) 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 careCIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 60
  • 58. 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. AMERICAN ACADEMY OF PEDIATRICS (2011) The American Academy of Pediatrics (AAP) is a US-based not-for-profit membership organization of 62,000 pediatricians, and pediatric medical and surgical specialists. The AAP is dedicated to the health of all children, and has a long-standing commitment to child survival programs and to helping achieve the MDGs. The AAP commitment to Every Woman Every Child is through the delivery of training and technical assistance and through scale-up of the Helping Babies Breathe® (HBB) program. HBB is designed to ensure child survival and prevent birth asphyxia by strengthening the skills of birth attendants through use of a high quality evidence-based zero/low literacy practical educational program which teaches birth attendants in MDG countries how to care for newborns at birth. HBB focuses on the “Golden Minute®,” the first minute after birth, during which time most babies with asphyxia will respond to simple interventions, including stimulation and low-technology room-air resuscitation. The AAP will expand and enhance implementation of HBB in collaboration with its partners, USAID, Save the Children, the National Institute for Health and Human Development, and Laerdal Global Health. AAP’s efforts through HBB will reach more than 1 million children, their mothers, and families. The 2011 estimated contribution of this commitment is US $13 million. AMNESTY INTERNATIONAL (2010) 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. BANGLADESH REHABILITATION ASSISTANCE COMMITTEE (BRAC) (2010) BRAC commits to raise USD 262 million over the next five years in support of programs and projects in Bangladesh and eight other countries: Afghanistan, Pakistan, Uganda, Sierra Leone, South Sudan, Liberia, Tanzania, and Haiti. BBC WORLD SERVICE TRUST (2010) The BBC World Service Trust commits $30 million over the next 5 years. The Trust will scale up its work in Africa and Asia to work with media and communications to improve health. The Trust is committed to building the capacity of local partners in health communication and to developing pioneering new approaches to health communication using the power of new media and communications technology.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 61
  • 59. CARE INTERNATIONAL (2010 & 2012) 2010 CARE commits $1.8 billion over the next 5 years to expand successful maternal, newborn and child health programs, with a focus on empowering girls and women to increase gender equity, linking health systems and communities in systems of mutual accountability, and using innovative approaches to reach the most vulnerable populations. By expanding its maternal health programs into at least 10 additional countries—a 50 percent increase—and by scaling-up programs in countries where it currently operates, CARE aims to aid more than 30 million women of reproductive age by the 2015 Millennium Development Goals deadline. 2012—London Family Planning Summit CARE International commits to putting reproductive rights, women’s empowerment and gender equality at the center of its sexual, reproductive and maternal health programming and policy work, by developing approaches for addressing gender and social barriers to increased family planning use and validating tools to measure the impact of these approaches on health outcomes. CARE will strengthen local governance mechanisms and the capacity of women and communities, particularly the most marginalized groups, to meaningfully participate in their own health, engage in local decision-making processes and to hold governments accountable to their commitments. CARE also commits to reaching the most vulnerable and marginalized populations to reduce inequality, ensuring women and girls’ family planning and reproductive health needs are addressed in both development, emergency and post-conflict response activities. Finally, CARE is committed to building political will and mobilizing action at all levels – local to national to global – to ensure continued funding and prioritization of SRMH, scale-up of successful approaches, accountability to commitments and implementation of policies and programs that are rights-based, effective, culturally appropriate and address the needs of communities. CARING & LIVING AS NEIGHBOURS (CLAN) (2011 & 2012) 2010 CLAN (Caring & Living as Neighbours) commits to ongoing advocacy efforts and grassroots community development action on behalf of children and adolescents, so as to protect and promote their international human rights to health, most particularly in the context of the unacceptably high burden of preventable disability and death caused by chronic health conditions and non-communicable diseases (NCDs) in developing countries. Identifying children who are living with the same chronic health condition as members of a distinct community, CLAN utilizes a strategic framework for action (CLAN’s 5 pillars) to engage a range of partners to work with these communities to help the children enjoy the highest quality of life possible. Using the September 2011 UN High Level Meeting (HLM) on NCDs as a springboard for future action, NCD Child (a project managed by CLAN) will collaborate with a range of stakeholders to run an international Conference on Children, Adolescents and NCDs in March 2012. The conference will focus on reviewing the UN HLM Political Declaration, and developing a comprehensive policy roadmap capable of guiding future international efforts to redress the many global inequities associated with NCDs and other chronic health conditions that currently impact on the health and wellbeing of children and adolescents.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 62
  • 60. 2012 CLAN (Caring & Living as Neighbours) is an Australian-based NGO committed to a community development approach to helping children (and their families) who are living with chronic health conditions in resource poor countries so they might enjoy the highest quality of life possible. CLAN commits to continued grassroots work for these children, with an especial focus on: building the capacity of the Duchenne Muscular Dystrophy (DMD) community in Vietnam in 2013 for the 600 affected boys in north Vietnam; support of the Rheumatic Heart Disease (RHD) community in Kenya; and ongoing support of Nephrotic Syndrome, Diabetes, Autism, CAH, OI and other communities in the Asia Pacific region. In addition, CLAN will build on last year’s commitment of the inaugural NCD Child Conference (held in Oakland, California in March 2012) to officially launch NCD Child from its current status as a “project of CLAN” to see it established as a global, independent, sustainable, rotating entity committed to promoting children and adolescents within the global NCD, health and development discourse. The NCD Child movement is an international multi-stakeholder coalition, championing the rights and needs of children, adolescents and youth who are living with, or are at risk of developing NCDs. CENTER FOR INTERFAITH ACTION ON GLOBAL POVERTY (CIFA) (2012) Ten Promises to Our Children, launched by the Center for Interfaith Action on Global Poverty (CIFA) and Religions for Peace (RfP), is a commitment to engage religious communities around the world to save children’s lives through ten concrete and specific acts. These are ten pragmatic things within the control of families and communities that we can all do. These ten priority behaviors are endorsed by UNICEF and other development agencies. They are vital to saving the lives of children and reducing the burden of disease, and they can be applied almost anywhere. Currently, over 300 religious leaders from different faith traditions and more than 91 faith-based organizations from around the world, including many RfP affiliates, have already made their global, multi-religious commitment to adopt and promote these ten behaviors. CIFA and RfP, working in partnership with donor agencies and development organizations, will expand the signatories to the Ten Promises pledge and seek to equip parents, families and communities with practical tools to translate Ten Promises into ten successes in child survival. CORE GROUP (2012) 2012—Born Too Soon CORE Group will increase awareness about practical steps to prevent and treat preterm complications to the CORE Group’s Community Health Network, a community of practice of over 70 member and associate organizations by disseminating this report and other state-of-the-art information through its working groups, listservs, and social media channels that reach 3,000 health practitioners around the world.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 63
  • 61. DSW (DEUTSCHE STIFTUNG WELTBEVOELKERUNG) (2012) 2012—London Family Planning Summit DSW commits to continue and expand its advocacy for both expanded availability and removal of barriers and to help build community support for contraceptive access. According to its Strategic Plan, 2011-2016 DSW particularly commits to increase the number of: 1) advocacy interventions to prioritize sexual and reproductive health and rights (SRHR), family planning (FP) and gender policies and programs; 2) parliamentarians and policy champions pushing forward the SRHR/FP agenda including gender-sensitive development issues; 3) collaborative efforts to ensure sufficient and transparent funding for FP; 4) interventions to increase the access to FP. D-TREE INTERNATIONAL (2011) D-tree International is a leader in the development of mobile health (mHealth) tools for use by health workers in low income countries. Working together with Etisalat, D-tree is collaborating to improve the quality of health services provided to women, men and children in Tanzania. Through its subsidiary, Zantel, Etisalat is providing improved access to z-pesa outlets and innovative technology to facilitate payments which will be used to pay community birth attendants and transport providers who assist women in reaching health facilities for delivery. This is part of a broader collaboration wherein D-tree combines its expertise in developing mHealth decision support applications with Etisalat’ s experience in providing the technological backbone for scalable mobile solutions and will include projects in treatment of children with severe acute malnutrition as well as other maternal and child health areas. The D-tree International commitment focuses on working closely with the private, government and NGO sectors in operating countries to national sustainability and impact; making its intellectual property freely available so that its impact can be most widely leveraged; ensuring that its work is focused on helping those most in need and in particular on the rights and needs of poor women and children throughout the world. DKT INTERNATIONAL (2010) 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 (2011) 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.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 64
  • 62. EVERY MOTHER COUNTS (2011) Every Mother Counts is committed to increasing education and support for maternal, newborn and child health. Every Mother Counts seeks to engage new audiences to better understand the challenges and the solutions while encouraging them to take action to improve the lives of families through the improved health of girls and women worldwide. Alongside the organization’s Founder, Christy Turlington Burns, Every Mother Counts will continue to scale up these efforts through its website, numerous media platforms, public engagements, and corporate partnerships. FAMILY CARE INTERNATIONAL (FCI) (2010) Family Care International (FCI) commits to advocate for the political will and investment to significantly expand funding for effective maternal, newborn, and child health services, and for their integration with disease-specific interventions and broader health systems strengthening, to push for and facilitate the active engagement of civil society in health and development policy and programs at the global, national, and community levels, and demand that all stakeholders are held accountable for fulfilling their commitments. FASHION 4 DEVELOPMENT (F4D) (2012) Mobilizing the power of the fashion industry to implement creative strategies for sustainable economic growth, Fashion 4 Development (F4D) commits to support Every Woman Every Child through global advocacy campaigns and fundraising activities in support of women’s empowerment and access to affordable health care. F4D pledges to amplify the message of Every Woman Every Child and raise awareness about women’s and children’s health by convening and collaborating with its high-level fashion industry partners and F4D Goodwill Ambassadors. F4D will work to create job opportunities for women in local fashion industries and to broker access to major distribution chains, in order to generate sustainable economic growth and improve women’s access to quality health care. FHI 360 (2010, 2011 & 2012) 2010 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. 2011 FHI 360, a global development organization with forty years of research and programmatic experience in the areas of maternal health and family planning in developing countries in Africa, Asia and Latin America, commits to supporting the Global Strategy for Women’s and Children’s Health by including a gender focus in the majority of its US Government proposals, with special emphasis on women and girls. Through the launch of its new proposal design manual and other internal tools, FHI 360 plans to set up a process for measuring the number of proposals with gender-disaggregated data in 2012CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 65
  • 63. 2012—London Family Planning Summit FHI 360 commits to allocating US $1 million of their resources through 2020 in support of the development and introduction of new contraceptive technologies that will provide women in the developing world with additional high-quality, low-cost family planning options to fill gaps and expand choice for women and girls. FHI 360 will also expand the evidence base for safe and effective family planning and will translate high- quality evidence into policy and practice. FHI 360 plans continue efforts to widen the array of safe, effective, acceptable and affordable contraceptives worldwide. GLOBAL ALLIANCE FOR IMPROVED NUTRITION (GAIN) WITH DSM AND HERBALIFE (2010, 2011 & 2012) 2010 The Global Alliance for Improved Nutrition (GAIN) is an alliance driven by the vision of a world without malnutrition. GAIN’s commitment to Every Woman Every Child is the launch of its new Future Fortified campaign – which seeks to help millions of women and children around the world gain access to the essential nutrients they need to lead healthy and enriched lives. GAIN’s Future Fortified campaign seeks to increase sustainable access to essential nutrients for 50 million pregnant and lactating women and children through innovative, market-based approaches by 2015, helping ensure women are well nourished for a safe and healthy pregnancy and children get the nutrients they need for proper physical and mental growth. In response to the emergency in the Horn of Africa, GAIN and its partners, DSM and Herbalife, have committed to jointly provide 20 million packets of micronutrient powders to reach 400,000 women and children in Ethiopia over a 6 month period to address their critical nutrient gap and support long term health and development. Further, The Goldsmith Foundation and GAIN have contributed vitamin and mineral Premix to fortify 15 million servings of food assistance to reach up to 300,000 people in partnership with the World Food Programme. 2011 GAIN enhances its current commitment to Every Woman Every Child by expanding its programs in Bangladesh to fight malnutrition through innovative and sustainable market-based models that can bring impact at scale. An estimated 125 million people, specifically vulnerable women and children, will benefit through GAIN- supported programs. 2012 GAIN’s programs improve young child feeding practices and bolster the nutritional status of infants and young children. GAIN supports exclusive breastfeeding for six months and the development of nutritious complementary food and food supplements for infants older than six months, in addition to continued breastfeeding for 2 years and beyond. Goal 5: To improve maternal health-GAIN’s work contributes to healthy motherhood and better prospects for babies by improving the micronutrient status of girls, adolescents and women. Under-nourished, anemic women are at severe risk of death and illness when they have children, and are likely to have babies with low birth weight. Goal 6: To combat HIV/AIDS, malaria and other diseases-GAIN has supported small scale projects to provide nutrient dense meals to people living with HIV. In 2009 GAIN initiated a broader program on nutrition and infectious diseases.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 66
  • 64. GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH (GAPPS) (2010 & 2012) 2010 Global Alliance to Prevent Prematurity and Stillbirth commits to develop and uphold a Code of Conduct that puts forth standards of excellence for all repositories to be upheld in partnership with countries where repositories are being established; collaborate with its Research Harmonization Committee to developing repositories in consideration of efforts to enhance national capacity of the country’s healthcare and research sectors; work collaboratively with the local community to develop innovative approaches to engagement in research; evaluate the effectiveness of upholding the Code of Conduct and identify areas for further enhancement of operations in each country on an annual basis. Engage cross-sectors (nutrition, water, sanitation) in such efforts with the resolve of conducting the most comprehensive research to achieve improved birth outcomes. Share best practices in research at a conference in 2012 for all organizations and publish a case statement outlining the critical need for strategic investments in pregnancy and post-birth scientific research where large health gains can be achieved through the development of new, low-cost, high-impact innovations and develop a global advocacy campaign to catalyze funding to promote the utilization of new science, technology and tools to advance research and development on pregnancy and early life. 2012—Born Too Soon Global Alliance to Prevent Prematurity and Stillbirth commits to leading global efforts to discover the causes and mechanisms of preterm birth and stillbirth. Research leadership includes stewardship of the Preventing Preterm Birth initiative, a Grand Challenges in Global Health from the Bill & Melinda Gates Foundation; operating the GAPPS Repository of maternal and newborn samples for researchers of pregnancy and newborn health; and guidance on research harmonization. Additionally, GAPPS commits to expanding collaborative efforts to demonstrate the critical need for strategic investments in pregnancy and post-birth scientific research where large health gains can be achieved through the development of new, low-cost, high-impact innovations and developing a global advocacy campaign to promote the need for research and catalyze funding for it. GAPPS will work to make every birth a healthy birth. GLOBAL HEALTH COUNCIL (GHC) (2010) The Global Health Council (GHC) commits to create political will, mobilize communities to help educate and mobilize communities on women and children’s health issues, increase the engagement with the private sector by identifying increased opportunities for public-private partnerships and organizing roundtable meetings and relevant initiatives to bring partners together and GHC will prioritize and advocate for women and children’s health. GLOBAL LEADERS COUNCIL FOR REPRODUCTIVE HEALTH (GLCRH) (2010) 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.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 67
  • 65. HEALTH ALLIANCE INTERNATIONAL (2011) 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. HOME FOR PREMATURE BABIES (HPB) (2012) 2012—Born Too Soon By uniting 400,000 families, the Home for Premature Babies (HPB)—China’s largest association of parents and families affected by a preterm birth and established in 2005—has entered a phase of rapid development. In addition to our current work on awareness raising and providing rehabilitation service for preterm infants, we are planning to achieve the following goals within 3 to 5 year’s time: 1) double our membership; 2) create and publish a monthly magazine on premature infants, 3) establish a medical tele-consultation system, 4) develop and implement a continuing education program for pediatricians, and 5) establish a branch of HPB in every province in China. INTERACT WORLDWIDE (2012) 2012—London Family Planning Summit Interact Worldwide commits to raising US $1.5 million by the end of 2013. Interact Worldwide also commits to advocating for the removal of policy, financial and regulatory barriers which limit access to family planning, especially for the poor and marginalized, partly through global and national work on universal health coverage. Interact Worldwide will improve the quality and effectiveness of family planning programs for excluded adolescents, implementing an information, education and communication campaign targeting adolescents, their families, their communities, their local government officials and service providers. This will include training programs for service providers in youth friendly services, as well as the recruitment and training of peer educators for adolescents and for older men and women in communities. Finally, Interact Worldwide will work to integrate the views of marginalized women and girls through extensive consultation during the design and evaluation of programs. INTERNATIONAL ASSOCIATION OF INFANT MASSAGE, AUSTRALIA (2011) The International Association of Infant Massage, Australia (IAIM Australia) expresses its strong support to working collaboratively and making a meaningful contribution to the Every Woman Every Child effort, through the Global Strategy for Women’s and Children’s Health. IAIM Australia commits to improving women’s and children’s mental health and physical well-being by strengthening the capacity of communities to support, protect and restore early relationships between women and their babies. We will achieve this by:CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 68
  • 66. • Developing and distributing relevant, evidence-based resources for primary, secondary and tertiary health and early childhood services; • Increasing access to the IAIM program for people working with marginalized and at risk families; • Advocating for increased use of evidence-based education to support positive touch, infant massage and other forms of responsive interaction to strengthen the mental health of women and infants, and to reduce infant mortality and morbidity; • Increasing access to the IAIM program for women and babies who have been traumatised; • Advocating for and actively supporting improved data collection and further research in the IAIM program, and contributing to improved interpretation and dissemination of this research. INTERNATIONAL BABY FOOD ACTION NETWORK (2011) The International Baby Food Action Network (IBFAN), a network of 250 not-for-profit, non-governmental organizations in 166 developing and developed countries, commits to advocate on behalf of the Global Strategy for Women’s and Children’s Health’s goal to increase the number of infants who are exclusively breastfed for the first six months, by 21.9 million by 2015, an increase of about 40% from current numbers. From a policy perspective, IBFAN will advocate implementation of legal measures based on the International Code of Marketing of Breastmilk Substitutes (the Code); support country-level assessment of the Global Strategy for Infant and Young Child Feeding (2002) through the World Breastfeeding Trends Initiative, and bridge the gaps in implementation. IBFAN will also advocate for enhancing ‘maternity entitlements’, for example, paid maternity leave in order to afford mothers and babies the opportunity for 6 months of exclusive breastfeeding, breastfeeding breaks for women returning to work, etc. From a service delivery perspective, IBFAN will support monitoring of the Code, and national and regional level training of health workers in breastfeeding and infant and young child feeding counseling. IBFAN is actively seeking new funding partners to support this commitment; we do not accept support where a conflict of interest may be present. INTERNATIONAL BUDGET PARTNERSHIP (2010) International Budget Partnership commits to explore and share best practices in the field of the generation and publishing of comprehensive and meaningful maternal health budget information, continue to support the active participation, involvement, and monitoring by civil society of health and development budgets, at the global, national, and local levels, feed relevant examples of health budget monitoring and expenditure tracking of the IBP’s partner organizations into the monitoring effort of the Global Strategy for Women’s and Children’s Health. INTERNATIONAL COUNCIL FOR CONTROL OF IODINE DEFICIENCY DISORDERS (2011) Across the globe, the International Council for Control of Iodine Deficiency Disorders (ICCIDD) will strive to ensure that every pregnant, lactating and child-bearing age woman, as well as every child, has access to optimal iodine to allow full realization of their individual mental and physical development potential. ICCIDD will advocate with governments, citizens, and development agencies at national, regional and global level for a strong and sustained commitment to optimal iodine nutrition and a world virtually free from iodine deficiency disorders. This will be done primarily through the strategy of universal consumption of iodized salt using a multidisciplinary approach that involves all relevant partners.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 69
  • 67. INTERNATIONAL DIABETES FEDERATION (2011) The International Diabetes Federation commits to increase recognition of the linkages between diabetes and related non-communicable diseases (NCDs) and women and children’s health, support the integration of diabetes into existing health systems and maternal and newborn child health initiatives, and empower girls and women to prevent diabetes in current and future generations. INTERNATIONAL FEDERATION OF PHARMACEUTICAL MANUFACTURERS AND ASSOCIATIONS (2011) The International Federation of Pharmaceutical Manufacturers and Associations (IFPMA) represents leading research-based pharmaceutical companies and national industry associations worldwide. IFPMA already plays a leadership and advocacy role within the research based pharmaceutical industry in promoting awareness and encouraging engagement vis-à-vis women’s and children’s health. IFPMA commits to continue to advocate for policies to support access to medicines and support increased attention, engagement, and collaboration in these important global health areas within and with the global pharmaceutical industry. As part of this commitment IFPMA will publish a special publication, “Women’s & Children’s Health Partnerships for the Developing World,” which contains a selection of access, education, and capacity building programs addressing women’s and children’s health, to which IFPMA members conduct or contribute. In low and middle income countries, the industry works to reduce mortality and morbidity, and to improve access to health care and medicines by supporting a large number of philanthropic or not-for-profit partnership programs. IFPMA member companies have more than 200 projects in place, worth an estimated US $9.2 billion that address the health-related Millennium Development Goals. Nearly half of these programs focus on women and children’s health, and their number has been growing over the last several years. INTERNATIONAL MUSEUM OF WOMEN (2012) The International Museum of Women (IMOW) commits to producing a range of innovative arts and media projects that will inspire, engage and activate global audiences on issues of mothers’ empowerment and maternal health. The Museum will engage 150,000 visitors via an online exhibition, MAMA: Motherhood Around the Globe (mama.imow.org), featuring the art, voices and stories of mothers around the world. It will also secure at least 10,000 global signatures for an online ‘maternal health pledge’ in partnership with Every Mother Counts; and stage Making Mothers Visible – a sequence of physical global photography installations in eight countries around the world designed to highlight issues of mothers’ health and human rights. INTERNATIONAL PLANNED PARENTHOOD FEDERATION (IPPF) (2010 & 2012) 2010 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.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 70
  • 68. 2012—London Family Planning Summit IPPF supports the Civil Society (CS) Declaration to the London Summit on Family Planning (LSFP). By 2020, IPPF will increase family planning services, saving the lives of 54,000 women, averting 46.4 million unintended pregnancies and preventing 12.4 million unsafe abortions. IPPF will treble the number of comprehensive and integrated sexual and reproductive health (SRH) services provided annually, including 553 million services to adolescents. IPPF will establish technical knowledge centers to train providers of family planning services and will develop a compendium of family planning, maternal, child, SRH, and HIV linkages indicators. IPPF will improve the advocacy capacity of Member Associations in at least 40 of the 69 Summit priority countries. IPPF will mobilize CS and governments to improve the legislative, policy, regulatory and financial environment for family planning, and will mobilize the international movement created through IPPF’s role as Co-Vice Chair of the Stakeholder Group to the LSFP to hold governments accountable. IPPF will generate support for SRHR from regional bodies, the Oil Rich States, the G20, BRICS and emerging economies, advocate to the pharmaceutical industry for affordable pricing for contraceptives and raise awareness and change the attitudes of community, political and public opinion leaders to support SRHR for all. INTRAHEALTH INTERNATIONAL (2010 & 2012) 2010 IntraHealth International commits by striving for ways to offer an integrated package of services for women and their families that addresses their most relevant health needs, continue to support increased capacity of the health workforce, support improvements – large and small – within the health systems and supports high quality, evidence-based and integrated services that can be offered at multiple levels of the system, with a focus on ensuring that services come closer to the communities where the world’s population lives and where the majority of deaths of women and newborns occur. 2012—London Family Planning Summit IntraHealth International commits to advocating for and expanding access to an increased number of skilled frontline health workers delivering quality family planning services in West Africa, building on its global commitment to ensuring health workers are present, ready, connected and safe. IntraHealth International commits to contributing to doubling West Africa’s regional average contraceptive prevalence rate by 2020 – leveraging new and existing programs and partnerships with governments, donors, civil society and the private sector to: expand use of mobile technologies to increase health workers’ access to accurate, up-to- date information on family planning and reproductive health services; foster greater integration of family planning with HIV/AIDS services and maternal, newborn and child health care; collaborate with regional and national accrediting agencies and professional associations to ensure that pre-service and in-service training curricula include state-of-the-art information on methods, services and behavior change; encourage greater involvement and support of male partners for the successful use of contraceptive methods and family planning and reproductive health services; support increased engagement and leadership of civil society and young people to promote healthy reproductive health behaviors, including greater social and cultural acceptability of family planning; and advocate for increased political support and investment in family planning by government partners. IPAS (2012) 2012—London Family Planning Summit Ipas is committing US $10 million per year towards family planning-focused work. In addition, Ipas willCIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 71
  • 69. advocate for the removal of policy and regulatory barriers which limit access to family planning and increase recourse to unsafe abortion, will increase the frequency and improve the quality and effectiveness of education and behavior change programs on family planning and will integrate these efforts with other sexual and reproductive health and rights programs. Ipas will also train new cadres of health care workers – 4,000 per year – to provide a wider range of sexual and reproductive health services, including post-abortion family planning services, integrating family planning and other SRH services with primary care. Ipas will support research on post- abortion family planning service delivery, will advocate for improved medical service delivery protocols and will support the availability of affordable contraceptives and other products through WomanCare Global International, a UK charity closely affiliated with Ipas. Finally, Ipas will also promote increased participation of women and other stakeholders in health policy and decision making and will increase support for SRHR, including family planning and the prevention of unsafe abortion, among religious and community leaders. JHPIEGO (2012) 2012—London Family Planning Summit JHPIEGO commits to providing new, incremental funds in the amount of US $200,000 to support innovations in the provision of implant/injectable services at the community-level, using front-line health workers. JHPIEGO also commits to advocating for task-shifting to improve access to long-acting family planning methods in underserved settings and training matrons or auxiliary midwives to provide implants in underserved settings. JOHN SNOW, INC. (JSI) (2010 & 2011) 2010 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.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 72
  • 70. JUNIOR CHAMBER INTERNATIONAL (2011) JCI (Junior Chamber International) commits to reaching our goal of raising US $10 million by 2015 to combat malaria through the JCI Nothing But Nets campaign in partnership with the United Nations Foundation. JCI members in 115 countries are raising awareness about malaria and raising funds for the purchase and distribution of nets, as well as working on the ground in Africa to assist national distributions. Members have raised more than US $800,000 to date. At the 2011 JCI Global Partnership Summit, members reaffirmed our dedication to advancing the MDGs with a firm commitment for every JCI National Organization to run at least one MDG-focused project in the next year. MANAGEMENT SCIENCES FOR HEALTH (2011) 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. MARCH OF DIMES (2011 & 2012) 2011 The March of Dimes commitment to Every Woman Every Child is a new global awareness and advocacy campaign to increase international attention to and funding for research and programs to reduce the tragic toll of death and disability caused by preterm birth. The March of Dimes and the World Health Organization estimate that 13 million babies are born prematurely each year, and one million of these children die before their first birthday. The centerpiece of our campaign is the first-ever annual World Prematurity Day to be held on 17 November 2011. Partners in this initiative are the European Foundation for the Care of Newborns and Infants, based in Germany and representing 18 countries across Europe; Little Big Souls, based in Nigeria; and the National Preemie Foundation of Australia. Additional participating organizations are being identified in Asia, the eastern Mediterranean, sub-Saharan Africa, and Latin America to be welcomed into the global network in 2013. Each organization will determine the specific recommendations that are appropriate for their own country. We have created an international community of interested parents, professionals, NGOs, hospitals, donor organizations, and others at www.facebook.com/WorldPrematurityDay. 2012—Born Too Soon The March of Dimes commits to continuing its Prematurity Campaign through 2020, working to reduce the preterm birth rate in the United States to 9.6% or less, and helping to build a global constituency to reduce the toll of death and disability caused by preterm birth worldwide. The March of Dimes Prematurity Campaign devotes approximately $20 million annually to: 1) funding for biomedical research, and transdisciplinary research aimed at delineating the multi-factorial causes of premature birth; 2) collaboration with state governments, hospitals, and lower-income country partners to enhance the quality and accessibility of prenatalCIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 73
  • 71. and newborn care; 3) provider education and consumer awareness campaigns to identify and reduce risk of prematurity, and provide guidance and comfort to parents of premature babies. The March of Dimes joined with parent groups to create and promote World Prematurity Day, November 17, to build a constituency for further action, including the recommendations in Born Too Soon. MARIE STOPES INTERNATIONAL (2011 & 2012) 2011 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. 2012—London Family Planning Summit MSI commits to enabling a total of 20 million women, in the world’s poorest countries, to use contraceptives by 2020. To reach this commitment, MSI will use its range of service delivery channels to reach 6 million new family planning users; provide another 4 million existing family planning users with greater quality and choice than they currently have from their existing provider; and sustain the provision of family planning choices for the 10 million women who already used MSI services in 2011. In addition, MSI will work in partnership with governments to help identify, address and remove policy, financial and other barriers to access to contraceptives, information and services. MOTHERS2MOTHERS (2011) As its commitment to the Every Woman Every Child effort, mothers2mothers will strive to double the percentage of HIV+ pregnant women we serve by 2015, growing our reach from 20% to 40% of the global population of pregnant women living with HIV. ONE (2011) ONE will contribute to the Global Strategy through our issue advocacy as well as by mobilizing political support, engaging new constituencies and promoting accountability. ONE will utilize its 2.5 million members, social networks (blog, Facebook, twitter, YouTube), partnerships, and spokespeople to raise continued awareness of maternal and child health issues. Specific attention will be channeled toward efforts to end mother- to-child transmission of HIV and to save children’s lives through improved access to new and underutilized vaccines. ONE will also continue to hold politicians and governments accountable for pledges made in support of maternal and child health. Specifically, we will focus on ensuring that the US $4.3 billion in new pledges for the GAVI Alliance are made real by 2015, and that global ODA for health is maintained or increased. We will advocate for the development of country plans to eliminate mother-to-child transmission of HIV in high-burden countries. We will also work to educate 2012 US presidential candidates about development issues including maternal and child health, and secure their support for these issues ‘on the record’.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 74
  • 72. PATH (2011) Program for Appropriate Technology in Health (PATH), with support from BHP Billiton Sustainable Communities, commits US $25 million over the next five years to improve the health and development of children under the age of two in South Africa and Mozambique. By strengthening local health and development systems, improving services, and changing behaviors, PATH’s work will increase access to maternal-child health and survival programs for a population of approximately 4 million people and support both countries in their efforts to meet their commitments under the Millennium Development Goals (MDGs). Specifically, the Window of Opportunity Project focuses on improving the health and development of children less than two years old in four districts in South Africa and one district in Mozambique. Using a participatory approach aimed at building community ownership and capacity, the Window of Opportunity project will be working in partnership with local health and social services departments, as well as with nongovernmental and community-based organizations, to tailor its activities to local needs and capacities for improving child health and development. PATHFINDER INTERNATIONAL (2011 & 2012) 2011 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. 2012—London Family Planning Summit Pathfinder International commits to increasing financial support for family planning programs in Pathfinder’s existing program countries and at least two new countries. Pathfinder will raise an additional US $3 million by 2014 to augment its already robust family planning related programs. One third of this commitment will be used to reach young people in the underserved regions such as West Africa. Pathfinder will also advocate for the removal of policy and regulatory barriers which limit access to family planning. It will initiate new work with communities to prevent early marriage in two countries in Francophone West Africa and work with partners to deliver family planning as a package of comprehensive reproductive health care, livelihood and environmental conservation activities in remote areas of Western Tanzania.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 75
  • 73. PLANNED PARENTHOOD FEDERATION OF AMERICA (2011 & 2012) 2011 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. 2012—London Family Planning Summit Planned Parenthood Federation of America commits to reaching 2 million more women in the United States with reproductive health care, including life-saving preventative screenings and family planning counseling and services. Planned Parenthood will work with its nearly 80 affiliates across the U.S. to expand reproductive health services to areas and communities currently lacking access. Additionally, through the organization’s international arm, Planned Parenthood Global, it commits to supporting its in-country partners in Africa and Latin America to reach 2 million people by 2015 with sexual and reproductive health information, supplies and services, emphasizing family planning. Planned Parenthood Global will continue to invest in the long-term autonomy and sustainability of local organizations implementing a human rights-based approach to delivering the highest quality reproductive health care. It will support innovative pilot projects to improve quality of care overall and bridge barriers for those most in need of information and services, yet who have the least access to them. Planned Parenthood Global will also 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 they need them. POPULATION ACTION INTERNATIONAL (PAI) (2012) 2012—London Family Planning Summit PAI commits to advocating for expanded access to voluntary, high-quality family planning and reproductive health services and supplies. PAI will support policy engagement and capacity transfer among Southern civil society organizations; conduct policy-relevant research to support evidence-based advocacy; mobilize financial resources and create the policy environment necessary to expand access; and promote accountability at the global, regional and national levels to meet the demand for contraception. POPULATION COUNCIL (2011 & 2012) 2010 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:CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 76
  • 74. • 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. 2012—London Family Planning Summit The Population Council commits to increasing access to and availability of family planning and other reproductive health services in countries where people are unable to achieve their reproductive health goals. The Population Council will promote reproductive rights to reduce inequalities in access to and use of reproductive health services related to wealth, age and gender; strengthen health systems so that contraception can be provided through a range of health services; develop and test the effectiveness, safety and acceptability of new reproductive health technologies designed to benefit women and men in developing countries; and engage pharmaceutical companies to license, register and/or manufacture technologies developed by the Population Council to expand choice in developing country markets. POPULATION REFERENCE BUREAU (2012) 2012—London Family Planning Summit Population Reference Bureau commits to increasing support for family planning through evidence-based advocacy initiatives and materials, as well as increasing the quality and quantity of media coverage on family planning POPULATION SERVICES INTERNATIONAL (2010 & 2011) 2010 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 IUDs 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-beingCIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 77
  • 75. 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 (2010, 2011 & 2012) 2010 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. 2012—London Family Planning Summit As part of RHSC, Resource Mobilization and Awareness Working Group (RMAWG) commits to helping to fulfill commitments made by convening country-level consultations in the world’s poorest countries to identify the most pressing policy barriers that restrict service delivery and access in each country and jointly define effective actions to address these barriers. RMAWG will publish and circulate widely the results of these consultations. Focusing on civil society engagement and partnerships, RMAWG also commits to raising awareness, mobilizing resources, driving policy change and implementation and holding governments and donors accountable for their commitments at both the global and national level. THE ROTARIAN ACTION GROUP FOR POPULATION AND SUSTAINABLE DEVELOPMENT (2011 & 2012) The Rotarian Action Group for Population and Sustainable Development (RFPD) commits to offer the methodology and findings of its pilot project to reduce maternal and newborn mortality, implemented between 2005 and 2010, to Rotary’s worldwide network of clubs. By implementing this comprehensive approach including quality assurance in obstetrics in 10 selected general hospitals in the states of Kano and Kaduna, Nigeria, RFPD reduced the average maternal mortality ratio (MMR) by 60%, from 1,790/100,000 to 710/100,000, within two years. Together with Rotary Clubs and supported by The Rotary Foundation,CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 78
  • 76. RFPD is preparing the scaling up of the ‘Kano and Kaduna model’ in other states of Nigeria and the German government has offered to co-fund this scaling up with 1 million Euros. RFPD offers advice to all Rotary Clubs worldwide on how to adapt, implement and scale up this successful approach to reduce maternal and newborn mortality in other developing regions/countries and provides a comprehensive set of indicators for an adequate and effective monitoring and measuring of progress. Interested stakeholders are invited to join RFPD’s efforts. This comprehensive approach leads to improvements of health systems in developing countries, saves lives of mothers and their newborns and strengthens families and communities. The methodology and results are published in the International Journal of Gynecology and Obstetrics and will be published in detail on www. maternal-health.org. 2012—London Family Planning Summit RFPD, as a resource to all Rotary clubs/districts worldwide for Rotary’s area of focus ‘Maternal and Child Health,’ commits to promote and support all efforts by Rotarians to improve maternal and child health and provide family planning information and resources. RFPD commits to scaling up its model project in Northern Nigeria to expand to other Nigerian states beginning in 2012, opting for further introduction of the model also in other countries. RFPD will continue to expand its efforts in empowering women, promoting responsible parenthood and helping to improve the logistics and supply of family planning services in countries in need. RFPD operates in accordance with Rotary International policy, but is not an agency of, or controlled by, Rotary International. SAVE THE CHILDREN (2010 & 2012) 2010 Save the Children commits up to $500 million per year for the next 5 years (including $150 million contributed by private individuals) to: promote policy changes that accelerate progress on MDG4; expand and intensify efforts to integrate proven technology into health systems to protect newborns in 12 priority countries; train 400,000 health workers; mobilize civil society to hold governments accountable; engage with multi- sector partners to help deliver life-saving programming. Save the Children is also committed to advocating for equity in all health and nutrition programmes to ensure that disproportionate levels of mortality in poor and marginalised groups are no longer tolerated. 2012—Born Too Soon As a technical leader for newborn health, Save the Children commits to working with the poorest families in the highest burden countries to increase access to proven newborn care interventions critical to achieving MDG- 4 since over 40% of under-5 child deaths occur in the first month of life. Basic newborn care, especially for those “born too soon”, makes the difference between life and death. Yet societal norms often accept newborn death as inevitable. We commit to working with partners to make preventable newborn deaths unacceptable. Through partnerships with governments, civil society, professional organizations, corporations and the UN system, Save the Children will continue to advance implementation of maternal and newborn services, enabling frontline health workers and empowering families to provide the care that every newborn needs. We will promote increased and equitable access for high-impact interventions for preterm babies including antenatal corticosteroids to strengthen premature babies’ lungs, Kangaroo Mother Care, neonatal resuscitation, improved cord care using chlorhexidine, breastfeeding support and effective treatment of neonatal infections. 2012—London Family Planning Summit Save the Children commits to strengthening the capacity of 143,600 frontline providers to deliver quality sexual and reproductive health and family planning services that are friendly to adolescents. Save the Children will focus on providing these services to those that are particularly vulnerable and hard-to-reach and will reach more than a quarter of a million adolescent girls. Working to raise awareness of the health and rights of youngCIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 79
  • 77. people, Save the Children will create safe spaces for young mothers and address the needs of girls vulnerable to sexual and gender-based violence. Recognizing the role of education in empowerment, Save the Children will scale up its work to increase girls’ enrollment, retention and graduation from basic education in four conflict-affected and fragile states, with a view to replication elsewhere. Save the Children will increase access to education for 250,000 girls, bring 10,000 women into teaching and provided professional development to 40,000 women teachers. On a global level, Save the Children will advocate for policies that will remove financial barriers to contraception, increase girls’ education and provide for the sexual education and economic empowerment of women. Save the Children will form partnerships that will raise awareness of rights, empower women and girls and stimulate demand for family planning. SESAME WORKSHOP (2011 & 2012) 2011 Sesame Workshop is the world’s leading educational media non-profit organization, reaching millions of children and families in over 150 countries worldwide. The organization’s mission is to maximize the educational power of media to help all children reach their highest potential. Sesame Workshop’s commitment to Every Woman Every Child is the expansion of our health-related work in Latin America, Africa and Asia in 2011-2012. Over the life of the program, it is estimated that expansion of our work in these three priority regions will: reach millions of additional children and mothers with a particular focus on vulnerable populations in both rural and urban settings; result in measurable changes in knowledge, attitudes and behaviors in target populations related to prevention of non-communicable diseases (NCDs) and infectious diseases such as HIV/ AIDS and malaria; build capacity in health education with local partners; lead to social marketing campaigns focused on increased awareness around the critical need for early prevention of NCDs and infectious diseases; result in evidence-based innovations in the use of media and new technologies to promote healthy habits in developing countries targeting women and children; and enable progress and mobilizing media to help meet the Millennium Development Goals (MDGs). 2012 Sesame Workshop, the non-profit organization behind Sesame Street around the world, reaffirms and deepens its commitment to the United Nations Secretary-General’s Every Woman Every Child movement to mobilize and intensify global action to improve the health of women and children around the world. Recognizing that health risks from diseases such as diarrhea, pneumonia, malnutrition and obesity extend across borders and impact millions, Sesame Workshop is seeking to collaborate with organizations to launch and support an unprecedented global health initiative, “Healthy Children, Healthy Lives Around the World.” Through this program, Sesame Workshop aims to improve the lives of millions of women and children by uniquely harnessing the power of educational media and the Sesame Street Muppets to promote health awareness, knowledge and positive behavior change. Sesame Workshop will continue to engage and extend the diverse strengths of its global network of collaborators, funders and current partners, including the United Nations Foundation and the MDG Health Alliance. SUSAN G. KOMEN FOR THE CURE GLOBAL HEALTH ALLIANCE (2010) 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.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 80
  • 78. THE BANGLADESH WOMEN CHAMBER OF COMMERCE AND INDUSTRY (2011) 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. TOGETHER FOR GIRLS (2011) Together for Girls commits to utilizing its research, advocacy and in-country program efforts to improve the health and well-being of women and children. A global public-private partnership dedicated to eliminating sexual violence against children, particularly girls, Together for Girls focuses on three pillars: conducting and supporting national surveys on the magnitude and impact of violence against children, particularly focused on sexual violence against girls; supporting coordinated program actions in response to the data; and leading global advocacy and public awareness efforts to draw attention to the problem and promote evidence-based solutions. In addition, developing and strengthening the capacity of individuals and institutions is an important cross-cutting element of the partnership. Working with governments and civil society, the Together for Girls model builds on existing programs and platforms wherever possible to integrate the issue of sexual violence into social welfare, health, education, and justice programs. Together for Girls is currently active in Tanzania, Kenya, Zimbabwe, Swaziland, Malawi, Haiti, the Philippines, Indonesia and Vietnam. These efforts will continue and expand in the upcoming years, increasing awareness of the magnitude of the problem, and the significant consequences to individuals, communities and society. US COALITION FOR CHILD SURVIVAL (2010) The US Coalition for Child Survival commits by pledging continued efforts to promote and achieve specific Congressional legislation to assure on-going development of a US strategy to improve women’s and children’s health. WATERAID (2011) Diarrhoea, caused by lack of access to safe drinking water, adequate sanitation and hygiene practices, kills 4,000 a day, every day. It is the biggest cause of under-five mortality in sub-Saharan Africa. The absence of these basic services continues not only to risk the lives of women and children, but also has a crucial impact on the quality of their lives, on their levels of poverty, on educational attainment, and on life opportunities. WaterAid, through our direct work and partnership with civil society, government, international organisations, academic institutions and the media, aims to ensure access to improved sanitation, hygiene and safe drinking water for a further 25 million people by 2015. By influencing the policies and practices of governments and service providers we hope to reach a further 100 million people. WaterAid will: promote and secure poor people’s rights and access to safe water, improved hygiene and sanitation; support governments and service providers in developing their capacity to deliver safe water, improved hygiene and sanitation; and advocate for the essential role of safe water, improved hygiene and sanitation in human development.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 81
  • 79. WATERHEALTH INTERNATIONAL (2011) WaterHealth International is the leader in providing scalable, safe and affordable clean water solutions to underserved and impoverished communities through innovative business models. On a yearly basis, our facilities purify over 100 million liters of water, which is received by over 4 million people – a number that is growing as our business models expand along with the geographic areas in which we operate. We currently have operations in India, Ghana, and the Philippines – reaching nearly 4 million people with clean water. Our very existence and success thus far is demonstrative of the true potential of utilizing private sector strengths for public health successes. WaterHealth’s commitment to Every Woman Every Child is the expansion of WaterHealth programs to the Global Strategy’s priority countries of Bangladesh, Nigeria and Liberia in 2011- 2012. Over the life of the program, it is estimated that such expansion into these priority countries will result in: improved access to clean water to 3 million people; drastically lowering the incidents of child diarrhea and other water borne diseases; employing over 250 people (job growth); and enabling progress to meeting the Millennium Development Goals (MDGs) in these countries. WATER.ORG (2011) For the past two decades, Water.org has strived to develop and drive market-based and scalable models that can more effectively address water and sanitation needs at the base of the economic pyramid. Water.org is committed to taking this approach to the next level by expanding and scaling its WaterCredit initiative in India to reach a minimum of 800,000 people, of which more than half are women and children, with clean water and sanitation by 2016. This approach, Water.org’s initial commitment to Every Woman Every Child, will empower thousands of households to gain access to critical financial services to meet their own water and sanitation needs over-time, and improve their well-being. More than 90 percent of WaterCredit loan recipients will be women. WELLBEING FOUNDATION AFRICA (2012) The Wellbeing Foundation Africa recognizes that the effective mobilization of resources, implementation of strategy and delivery to the frontline require broad stakeholder engagement for policy development, resource allocation, private sector partnerships, civil society and community endorsement. To this extent, the Wellbeing Foundation Africa is making a commitment to amplify the exposure of family planning as an essential right for women in Africa by: • Increasing our advocacy focus on family planning and developing associated Public Health Communications messages through our WBF 24-7-365 Advocacy campaign. This will facilitate an increased awareness of family planning as a key intervention to address MNCH and socio- economic development. • Providing a series of downloadable family planning informative materials that can be geographically & culturally customized such as posters, post cards, activist communication packs containing stakeholder templates, letters, banners, artwork etc. • Utilising our social media platform, the foundation will continue daily tweets on family planning needs and associated stories • In line with the foundation’s commitment to Every Woman Every Child and a core theme from the London Family Planning Summit, the foundation will also be bringing private sector skills to increase MNCH and family planning advocacy through partnering with Dice Medical Communications, an international creative agency.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 82
  • 80. WHITE RIBBON ALLIANCE FOR SAFE MOTHERHOOD (2010) White Ribbon Alliance for Safe Motherhood and its members in 148 countries commit to the Global Strategy by engaging local, national, regional, and global organizations and individuals to ensure MNCH is a priority issue for all governments and hold governments accountable to their financial, policy, and implementation commitments through 2015. WOMANCARE GLOBAL (WCG) (2012) 2012—London Family Planning Summit WomanCare Global (WCG) and PSI will expand access to and stimulate demand for family planning by merging WCG’s supply chain management and quality assurance expertise with PSI’s health communications and social marketing of products and services. With the focused deployment of resources for family planning programs from existing funding sources, this partnership will expand access to an array of reproductive health products and manage the large-scale distribution, increase usage of long-acting, reversible contraceptives, monitor quality of products and evaluate programs and will provide training and other forms of support. Specific tactics include the registration of a broad range of reproductive health products and the utilization of the existing wholesale and retail distribution infrastructure to make products widely available, supplemented by outreach events and the engagement of community-based health workers. The partnership will focus on an integrated pilot effort in four markets in Africa. Women and Children First (UK) (2011) Women and Children First (UK) commits to working with partners in Africa and Asia to mobilise communities to reduce maternal and newborn mortality rates through cost-effective and scalable community based interventions. Women and Children First (UK) also commits to keeping up the pressure on donor and national governments to achieve optimal reproductive, maternal, newborn and child health outcomes and to increase political commitment and action to support progress towards Millennium Development Goals (MDGs) 4 and 5 in low and middle-income countries. WOMEN DELIVER (2010 & 2012) 2010 Women Deliver commits to keeping up the pressure to improve women’s and children’s health over the next five years, tracking commitments made and ensuring the global spotlight stays on those who have power to help keep girls and women alive and healthy. Working with 15,000 advocates around the globe, Women Deliver will certify that governments, policy-makers, health systems, foundations, civil society organizations and international agencies understand that the time for action is now, and to standing ready to help anyone turn good new ideas into reality on the ground. Women Deliver will convene a global conference in 2013 to celebrate successes and launch the final push to 2015 and pledges to keep delivering new hope for girls, women and children for as long as it takes to meet their needs. 2012—Born Too Soon Women Deliver commits to making family planning one of three themes of its international conference, Women Deliver 2013, May 28-30, 2013 in Kuala Lumpur, Malaysia. Spacing births through voluntary family planning is a key intervention to reduce the risk of preterm births. The global conference will explore solutions on how to reduce unmet need for family planning by 100 million women by 2015 and 215 million women, by 2020.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 83
  • 81. To encourage sharing of lessons learned and successes, Women Deliver commits to developing a track for its global conference on newborn health. 2012 Women Deliver commits to keeping up the pressure to improve women’s and children’s health over the next five years in the final push to 2015 and the MDG deadline. Women Deliver will galvanize action to improve the health and well-being of girls and women through three regional consultations in 2012 in Africa, Asia and Latin America and the Caribbean; and the 2013 global conference in Kuala Lumpur, Malaysia (May 28-30). A key outcome of these meetings will be recommendations for the post-2015 development framework from on-the-ground practitioners. Other priority themes include: building the economic case for investing in girls and women and advancing solutions to reduce unmet need for family planning. Spacing births through voluntary family planning is a key intervention to reduce the risk of preterm births. Beyond gatherings that convene today’s experts and advocates, Women Deliver pledges to expand its youth program to build the next generation of leaders who are working to advance issues important to the health of women and children. Policymakers, parliamentarians, advocates, academics and journalists, between the ages of 18 and 35, participate in advocacy and professional skills programs, including e-courses, online community building, and workshops at the Women Deliver global conference. WOMEN’S HEALTH AND EDUCATION CENTER (2011) 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 ASSOCIATION OF GIRL GUIDES AND GIRL SCOUTS (2012) The World Association of Girl Guides and Girl Scouts (WAGGGS) has committed 2013 to be the year for Every Woman and Every Child. Girl Guide and Girl Scout organizations in over 100 countries, with a combined membership of 10 million girls and young women, will deliver education programmes, implement community action projects and advocate for change at national and community level: • Non-formal education programme on MDGs 4&5, to be distributed in over 100 countries, with an estimated one million children and young people taking part in the curriculumCIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 84
  • 82. • Education and awareness campaigns focused on topics including family planning, early marriage, hygiene and sanitation • WAGGGS’ annual global day of action on 22 February will be themed on MDGs 4&5. In 2012, this resulted in over 200,000 activities being registered on the website and projects in over 100 countries • MDG 4&5 campaign toolkit for all members, to encourage advocacy at local, national and international level and including opportunities for young women to speak out and influence decision makers • Global survey and report on sexual and reproductive health and rights, focusing on adolescent girls • Participatory photo workshops and exhibitions on MDGs 4&5 in approximately 10 countries, using media for social change • Film on MDGs 4&5 from the girls’ perspective • E-learning and seminars on young women’s leadership, focusing on self-esteem, confidence, life skills and decision making WORLD VISION INTERNATIONAL (2010) World Vision International commits $1.5 billion over 5 years in support of a family and community model of health care delivery, focusing on a health and nutrition strategy, the prevention of mother-to-child transmission of HIV/AIDS and HIV/STI screening of children. WORLD YWCA (2011) 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, counseling, information and accompaniment. YOUTH COALITION FOR SEXUAL AND REPRODUCTIVE RIGHTS (2011) 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.CIVIL SOCIETY/NON-GOVERNMENTAL ORGANIZATIONS 85
  • 83. BUSINESS 37 COMMUNITYPhoto Courtesy of Bill & Melinda Gates Foundation
  • 84. (RED) (2011) (RED) commits to driving corporate sector engagement in the fight for an AIDS Free Generation by 2015. (RED) currently supports Global Fund HIV/AIDS grants in six African countries: Ghana, Lesotho, Rwanda, South Africa, Swaziland and Zambia. 100% of all (RED) contributions to the Global Fund goes to the implementation of these grants – no overhead is taken out. These grants fund vital public health services, including HIV/AIDS awareness building, education and life-skills, nutrition, HIV testing and counseling, anti- retroviral treatment and treatment for the prevention of mother-to-child transmission. Watch the video below to learn how you can join the fight for an AIDS Free Generation. ABDUL MONEM LIMITED (2011) Abdul Monem Limited commits to raise awareness of malnutrition and provide free vitamins. Partnering with the Nutrition Department of Dhaka University, AML plans to reach 50,000 poor and needy mothers (both pregnant and lactating) in the next five years through its nutrition awareness program. AML also pledges to provide eight types of vitamins free of cost to 50,000 pregnant mothers in the next five years. BECTON DICKINSON (2010) Becton Dickinson commits to be a participating partner in ‘Together For Girls,’ with UNICEF, UNAIDS, UNFPA and UNIFEM, private sector organizations and the US government to help the UN drive forward solutions towards ending sexual violence against girls. BODY SHOP (2010) The Body Shop commits over $2.25 million for their initiative, ‘Stop the Sex Trafficking of Children and Young People’, developed in partnership with ECPAT International, and launched in 60 countries. The Body Shop will launch in December 2010 the first of 3 annual campaigns in partnership with UNAIDS. BRISTOL-MYERS SQUIBB FOUNDATION (2011) In 1999 Bristol-Myers Squibb and the Bristol-Myers Squibb Foundation launched Secure the Future (STF), the first and largest private commitment to help address the HIV epidemic in sub-Saharan Africa. STF’s initial commitment of US $100 million in the five southern most African countries has now exceeded US $165 million and is present in over 20 African countries. A major element of STF was the development of the first network of Children’s Clinical Centers of Excellence on the continent in partnership with the Baylor College of Medicine and country governments. BMS has also invested in the human resource needs of these centers by establishing the first Pediatric AIDS Corps to help treat but also train local health care professionals. The sites now see over 97,000 children and parents through the centers and network of satellite clinics. Another component of Secure the Future is the establishment of a South to South, Technical Assistance Program (TAP) on community based care. BMS Foundation’s commitment includes establishing a new clinical center of excellence in Kisumu, Kenya; incorporating breast and cervical cancer training into our Technical Assistance model in South Africa and Lesotho (a five year, US $2 million commitment) and an increase of TAPs efforts on PMTCT and OVC care and support in Swaziland and Democratic Republic of the Congo.BUSINESS COMMUNITY 87
  • 85. BUSINESS LEADERSHIP COUNCIL FOR A GENERATION BORN HIV FREE (2012) The Business Leadership Council for a Generation Born HIV Free commits to bringing the resources, capacities, and mindsets of the private sector to the fight to eliminate mother to child transmission of HIV by 2015. Investments focus on keeping the money moving for PMTCT, applying a business lens to key policy switches, and supporting a select number of countries on the execution of their PMTCT programs. Particular areas of focus include working to ensure that existing funding for PMTCT is used in high-impact ways, that the policy debate on Option A/B/B+ for PMTCT includes analysis about long term cost-benefit and is responsive to countries’ needs, and that Nigeria, which accounts for more than 20% of children born with HIV each year, is successful in its drive to scale PMTCT services. Here, the Government of Nigeria has invited the BLC to inject a fresh, private sector perspective into the possibilities for rapid scale up of PMTCT services. This work has commenced in Nasarawa State, which is now embarking on a groundbreaking scale up, increasing the number of women initiated on ARVs ten-fold by 2014. This state will serve as a model and jumping off point to scale PMTCT services throughout the country. DOW CORNING (2011) Dow Corning will provide US $5 million in unrestricted support over five years to the United Nations-led Global Alliance for Clean Cookstoves. Providing global leadership and grassroots assistance where possible, Dow Corning commits technical, human and financial resources to making a difference in solving one of the world’s leading environmental, health and social problems – traditional cook stoves and open fires that serve as the primary means of cooking and heating for nearly three billion people in the developing world. Additionally, Dow Corning will integrate employee participation into this transformational effort through its Dow Corning Citizen Service Corps. In this way, Dow Corning scientists, engineers and business professionals will work with Alliance partners and in the field on specific projects designed to facilitate adoption of cleaner cooking technology; educate women regarding the benefits of using clean cookstoves; and facilitate development of a viable global cookstove industry. Smoke from traditional cookstoves kills nearly two million people annually, with women and young children most at risk from acute and chronic diseases such as pneumonia, heart and lung disease, COPD, accidents and the dangers to personal safety associated with fuel gathering for the family fire. FEMALE HEALTH COMPANY (2012) 2012—London Family Planning Summit Female Health Company commits US $1.65 million in savings per year for eight years based on a bonus of 5% of 60 million current public sector volume units worldwide (US $1.13 million in savings per year for eight years, 5% of estimated 41 million units annually in Sub-Saharan Africa and South Asia) in “no cost” product. The distribution of the bonus product will be at the public sector’s discretion and savings will increase as the public sector volume increases. Additionally, Female Health Company will also invest US $14 million in training and education over six years. FENDI (2012) Under the umbrella of Fashion 4 Development, Ilaria Venturini Fendi commits to support Every Woman Every Child by providing sustainable economic opportunities to women and youth in particular, through increased production of Fendi’s brand Carmina Campus products in Africa, starting with a minimum 20% increase in 2013. All products are produced with local, eco-sustainable, recycled materials. She also commits toBUSINESS COMMUNITY 88
  • 86. create additional economic opportunities by bringing her knowledge of fashion design and craftsmanship to the African continent, Haiti and other developing countries as needed. Ilaria Venturini Fendi will promote awareness to her employees of health issues affecting women and children in order to provide better health for them and their families. GE & GE HEALTHCARE (2010, 2011 & 2012) 2010 GE & GE Healthcare commit, as part of GE’s $6 billion healthymagination initiative, to expand its Maternal- Infant Care technology portfolio to increase local access to care in more than 80 countries and reduce maternal and infant mortality, more than doubling its presence in the developing world. Additionally, the company will continue to deploy its signature program, Developing Health Globally™, which has already impacted the lives of more than 5.3 million people in Africa, Latin America and Asia. 2011 Through GE’s US $6 billion commitment in September 2010, GE Healthcare is committed to helping achieve the Millennium Development Goals 4 and 5 to reduce child mortality and improve maternal health. Protecting the health of mothers and babies in rural areas is GE’s foremost priority in rural health. GE Healthcare’s goal is to continuously develop innovations that help clinicians and healthcare providers deliver high-quality healthcare at lower cost to more people around the world, particularly in rural areas. GE Healthcare’s rural health strategy is driven by technology and innovation; designing healthcare equipment that can address health needs in remote and underserved areas, through a diverse portfolio of maternal-infant care products, which ranges from ultrasound, fetal monitoring devices, baby warmers and phototherapy devices, and offers midwives effective tools that support a continuum of care from conception to childbirth and infant care. Developing regions such as sub-Saharan Africa are where GE’s commitments come face to face with the greatest need. The company is striving to enable greater access to high-quality healthcare for more people at an affordable cost. To this end, GE Healthcare is expanding its maternal-infant care portfolio to offer more products to over 80 lower-income countries. Included already are safety-tested, affordable and easy-to-use infant care products that provide warmth for newborns, phototherapy to treat jaundiced infants and incubators for babies. By providing effective, high-quality and easy-to-use products, with basic education, we believe we can make a major difference in the region. 2012 GE is proud to continue with our commitment in support of UN Secretary-General’s Every Woman Every Child movement focused on the realization of MDG’s 4 and 5. Globally GE has invested $6 billion through its healthymagination initiative to deliver on this commitment through research initiatives, task-shifted training models, advocacy in healthcare delivery, and partnerships. In addition, healthymagination is focused on the critical healthcare elements that can make a different in rural communities in Africa and around the world. By reducing costs and increasing access and quality, GE is partnering with local communities to provide intuitive medical equipment to address the basic needs in healthcare delivery. GSK (2010) GSK commits to increases support for the WHO strategy to improve children’s health with a new 5-year commitment to expand donations of albendazole medicine to 1 billion doses each year, an increase of 600 million doses each year. This increased donation in collaboration with WHO hopes to create universal access to de-worming for all school age children in Africa.BUSINESS COMMUNITY 89
  • 87. HYDE PARK IMAGE-NATION (2012) Hyde Park-Image Nation, in partnership with the United Nations and Variety, commits to support Every Woman Every Child by highlighting issues and programs that are key to this effort in their upcoming non- scripted series, “CHANCE OF A LIFETIME”. Hosted by prolific film producer, Ashok Amritraj, the show will feature filmmakers from the Middle East, India and Singapore. This unprecedented effort will bring together documentary filmmakers from diverse backgrounds in a filmmaking competition where the contestants must team up to produce one cinematic vision while drawing on their varied cultural perspectives. The topics and tone of the films will reflect the Millennium Development Goals (MDGs) including storylines that highlight issues that are central to the Every Woman Every Child effort. The winning team’s documentary will be screened at the United Nations, and they will receive a special recognition from Variety during the 2013 Festival de Cannes. The show will provide a unique opportunity to spotlight the major health challenges facing women and children around the world. HEWLETT PACKARD (2011) As the world’s largest information technology company, Hewlett Packard (HP) shares an urgent goal with the UN Secretary-General: to improve healthcare and quality of life for millions of women and children around the world. Social innovation at HP is an exciting, dynamic and targeted initiative within the company’s Global Citizenship strategy. Based on the concept of creating shared value, it connects economic progress with societal needs. Social Innovation at HP centers on the belief that the same passion, energy and culture of innovation that makes HP successful commercially can also be used to make a profound and positive social impact in the world. Through its global health initiatives, HP is collaborating with leading health authorities to reinvent processes, modernize systems, and develop solutions that dramatically expand access, improve care, and save lives. HP’s commits to continue applying the skills of its people (more than 320,000), its technology assets, and its customer and stakeholder partnerships to develop innovative solutions that address the root causes of critical global challenges such as infant HIV, maternal health, unemployment and poverty. For example, HP has partnered with the Clinton Health Access Initiative and the Kenya Ministry of Health on the Early Infant Diagnosis (EID) project. The goal is to leverage technology solutions to improve testing and treatment for more than 120,000 infants exposed to HIV in Kenya each year. In 2010, HP provided over US $45 million to support its Global Social Innovation efforts and commits to continue applying its human, technical, intellectual, and financial assets to develop transformative solutions and enable healthy lives, active minds and hope for millions. INFOSYS (2012) Infosys, a global leader in consulting and technology, has committed to work with the MDG Health Alliance, the United Nations Foundation, and the Clinton Health Access Initiative as an Innovation Partner for the India Public-Private Partnership to End Child Diarrheal Deaths, in support of the United Nations Secretary-General’s Every Woman Every Child movement. Under this program Infosys Labs, the research and innovation arm of Infosys, will institute an Innovation Co-creation Lab to explore ways that technology can be used to solve critical maternal and child health challenges. The Innovation Co-creation Lab will facilitate the convergence of the initiative’s task force members onto a common platform and drive joint innovation to develop affordable healthcare solutions.BUSINESS COMMUNITY 90
  • 88. INTEL CORPORATION (2011) Intel Corporation is pleased to announce support and commitment towards the United Nations Secretary- General’s Every Woman Every Child effort. We firmly believe in this effort and that in the 21st century, all women and children must have access to quality healthcare. A strategic imperative for better access to healthcare will include empowered front-line healthcare workers with educational tools, computer literacy skills, and the latest computer and internet technologies. Intel plans to collaborate with governments, private industry, development community, and academia to launch in-country programs that help address the educational needs of at least one million front-line healthcare workers by 2015. We plan to share our healthcare expertise, industry standards leadership, and education tools to enhance computer literacy and health education for healthcare professionals and healthcare students. We need to foster a collaborative business environment where public-private partnerships can thrive and provide the innovation needed to create new sustainable business models that deliver “more health for the money”. Intel is very excited about the opportunity to assist countries in achieving the important United Nations Millennium Development Goals for child mortality and maternal health. INTERNATIONAL FEDERATION OF PHARMACEUTICAL WHOLESALERS (IFPW) (2012) The International Federation of Pharmaceutical Wholesalers represents leading pharmaceutical wholesale and distributing companies and national industry associations worldwide. IFPW commits to expanding and deepening it leadership and advocacy role within the wholesale pharmaceutical industry in promoting awareness and encouraging engagement vis-à-vis women’s and children’s health. IFPW commits to continue to advocate for policies to support access to medicines and support increased attention, engagement, and collaboration in these important global health areas within and with the global wholesale pharmaceutical industry. JOHNSON & JOHNSON (2010 & 2011) 2010 Johnson & Johnson commits $200 million over the next 5 years for a package of commitments called ‘Every Mother, Every Child’ that aims to help as many as 120 million women and children each year. Every Mother, Every Child aims to increase life expectancy and quality-of-life for women and children in the developing world. Johnson & Johnson is committed to providing more than 15 million expectant and new mothers in Bangladesh, China, India, Mexico, Nigeria, and South Africa with free mobile phone messages on prenatal health, reminders of clinic appointments and calls from health mentors over the five-year program. Johnson & Johnson will also donate 200 million doses, each year, of mebendazole, a treatment for intestinal worms in children. Johnson & Johnson is also committed to researching and developing a drug for tuberculosis with a new mechanism of action in 40 years, antiretrovirals to treat HIV and potentially prevent HIV transmission from pregnant women to their infants, as well as new technologies that may, in the future, prevent the transmission of HIV between adults. Johnson & Johnson is also committed to extending current commitments to peer education programs that have been successful in preventing mother-to-child transmission of HIV; reducing a life-threatening condition in infants caused by lack of oxygen at birth (birth asphyxia); and upgrading existing health care facilities to accommodate more women at risk of fistulas. 2011 In September 2010, Johnson & Johnson made a five-year commitment in response to the United Nations’ Global Strategy for Women’s and Children’s Health to achieve the Millennium Development Goals focused onBUSINESS COMMUNITY 91
  • 89. women’s and children’s health by 2015. Our commitment seeks to increase life expectancy and quality-of- life and, by the year 2015, we aim to be reaching at least 120 million women and children per year in 50 countries through partnerships. As one of the first private sector leaders to answer the Secretary-General’s call for increased resourcing, attention, innovation and progress for women’s and children’s health, Johnson & Johnson recognizes the important role of integrated approaches and comprehensive collaborations to support sustainable progress towards MDGs four and five working closely with and through the United Nations. The newest efforts in delivering on our commitment is also the first-ever corporate partner to a joint (H4+) UN program, a 4-year partnership with UNFPA, UNICEF, the World Bank, WHO and UNAIDS (collectively known as the H4+ agencies). The program’s aim is to help reducing maternal and infant mortality in Tanzania and Ethiopia by building healthcare capacity and training skilled birth attendants. LG ELECTRONICS (2010) LG Electronics commits to investing in Bottom of the Pyramid (BOP) communities in Kenya and Ethiopia through a partnership with the World Food Program’s Partnership of Hope – Africa. Through this partnership, LG Electronics is committed to poverty alleviation and reducing hunger through sustainable development LIFESPRING HOSPITALS OF INDIA (2011) LifeSpring Hospitals of India is an expanding chain of maternity hospitals that provides high quality health care to lower-income women and children in India. By using a market-based approach, LifeSpring fills the void of high quality maternal and child health care at affordable rates for India’s low-income population. LifeSpring’s unique existence and expanding operations is demonstrative of the true potential of private sector solutions to dire public health needs – perhaps most powerfully in the area of maternal health and childhood vaccinations. Both of these areas are exactly and exclusively what LifeSpring Hospitals has focused on since their first hospital in 2005. Since then, LifeSpring has expanded to 12 other hospitals in India – safely and successfully delivering over 11,000 babies and serving over 150,000 customers – all of whom come from poor, urban, areas of India. LifeSpring Hospital commits to expanding their maternal health hospital network to 100 new facilities between 2011 and 2015 in 7 cities in India, aiming to reach out to 60 million people and delivering more than 100,000 babies. LifeSpring Hospitals is a member of UNDP’s Business Call to Action. MCCANN HEALTH (2012) McCann Health is very pleased to be part of this rare and exciting opportunity for the world to deliver on the long-standing commitment to give every child the best possible start in life. Demand creation is a powerful, new concept in health, which we believe will bend the curve in delivering effective and efficient health services solutions. Civil society, particularly the private sector, along with faith-based communities must be active, collaborating participants. As we succeed, in addition to the tremendous moral value of saving children’s lives, we will enable organizations and governments to strengthen demand for quality healthcare products and services, providing growth and stability – and making the world more peaceful and secure. McCann Health is the most awarded professional and consumer health communications network with the largest international expertise spanning 35 countries and 57 offices. McCann Health is a part of McCann Worldgroup, the largest marketing communications agency network in the world, and is a leading healthcare agency network owned by Interpublic Group.BUSINESS COMMUNITY 92
  • 90. MERCADO GLOBAL (2012) Mercado Global works in Guatemala with communities with low levels of literacy, high levels of chronic childhood malnutrition, and a widespread lack of access to basic healthcare. They use a non-profit funding model to teach women a trade activity, help them launch sustainable businesses of their own, and connect them to the U.S. market. As of June 2012, over 300 women benefit from the work with Mercado Global, and 2,000 children are in school and receiving adequate food and healthcare, due to Mercado Global’s programs. As part of Fashion 4 Development, Mercado Global commits to supporting the efforts of Every Woman Every Child by doubling the number of women and children Mercado Global engages with, over the next three years. Mercado Global also commits to launching an Educate to Empower Campaign to bring their business model in support of the most disadvantaged women to more communities in Guatemala’s highlands, and recruit more major retailers in the U.S. to join with the current sales partners of Mercado Global in having “profits through principles” – leveraging their market power to source products that sell well, while helping advance the Millennium Development Goals. As part of the Educate to Empower campaign, Mercado Global will also raise awareness among the women they work with on health issues affecting their wellbeing and that of their children. MERCK (2010, 2011 & 2012) 2010 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.BUSINESS COMMUNITY 93
  • 91. 2012 Merck for Mothers is a 10-year, $500 million, initiative to address one of the world’s oldest and most preventable health tragedies – the death of a woman from complications of pregnancy and childbirth. Working closely with governments, international organizations, health experts, and those on the front line, our goal is to help women across the world be well. The three main pillars of our strategy are Product Innovation, Accelerating Access and Advocacy and Awareness. In 2011, Merck and PATH formed an alliance to evaluate a wide range of maternal health innovations and determine their potential to save the lives of the world’s most vulnerable women. Merck for Mothers is also supporting programs in countries with the highest rates of maternal mortality to expand access to proven maternal health solutions and help establish models for care that are both effective and long-lasting. We see private providers and health businesses as an important part of our approach. We are also engaged in a number of international coalitions aiming to build support for maternal health, such as the United Nations Commission on Lifesaving Commodities, Every Woman Every Child Innovation Working Group, Saving Mothers, Giving Life and the Partnership for Maternal, Newborn, and Child Health. 2012—London Family Planning Summit Merck for Mothers commits US $25 million over eight years. NESTLÉ (2010 & 2011) 2010 Nestlé commits to expanding nutrition education to teenage girls in all its milk villages in India to help increase their knowledge about good nutrition and healthy diets. Nestlé also aims to double the number of countries covered by its “Healthy Kids Global Program” launched in 2010, and already has programs in over 50 countries reaching 5 million children. Nestlé is rapidly expanding the training of women to be door to door entrepreneurs and distributors of healthy food products, earning on the average 40% more than minimum wage. In Brazil alone, 6,000 have been trained, to expand to 10,000 by the beginning of 2011. Nestlé supports over 250 programs in countries around the world aimed at empowering women to gain economic independence and escape poverty in three primary areas: farming, nutrition, and small-scale distributors of food products. 2011 As the world’s leading nutrition, health and wellness company, Nestlé makes considerable investments designed to enhance the quality of life of its employees, consumers, suppliers and the communities in which it operates. Overall, Nestlé maintains nearly 300 business-related activities and programmes which directly support the MDGs – particularly related to women’s empowerment and health, nutrition, water, sanitation and hygiene, and community development, especially in rural areas. This unique engagement experience with the Millennium Development Goals (MDGs) is based on Nestlé’s fundamental business philosophy of Creating Shared Value whereby healthy communities, lead to healthy economic systems for growth and development. Nestlé’s commitment to Every Woman Every Child is anchored in continuing and scaling up a host of programmes, including the expansion of Nestlé Healthy Kids Global Programme (HKP) to 51 new countries at the end of 2011. HKP has been designed to address today’s complex health challenges, such as poor nutrition and obesity, by teaching school-age children the value of good nutrition and physical activity. Each programme has been developed in collaboration with national health and education authorities, and child nutrition experts, to address the specific needs of children in target areas. In 2010, alone, HKP reached 3.35 million children.BUSINESS COMMUNITY 94
  • 92. NIGERIAN PRIVATE SECTOR (2011) WellBeing Foundation and Tony Elumelu Foundation with Chellarams Group, Dangote Group and Dangote Foundation, Diamond Bank, Family Care Association, Friends of the Global Fund Africa, Guaranty Trust Bank, KPMG, MON Global Communication, MTN and MTN Foundation, OANDO, Ojora Group of Companies, Phillips Consulting, Stormberg Power Ltd, Stronghold Support Services, Think Africa Foundation, Zenith Bank The WellBeing Foundation of Nigeria has assumed a leadership role in catalyzing and securing private sector commitments and creating new partnerships for maternal newborn and child health (MNCH). The WellBeing Foundation’s commitment to Every Woman Every Child has been the development of new collaborations for MNCH efforts in Nigeria focusing on strategic grant-making, thus far securing new financial, advocacy and corporate social responsibility commitments from a range of Nigerian business and philanthropic leaders. Programmatically, the WellBeing Foundation commitment focuses on the development and scaling up of programs that will immediately show verifiable impact on the survival of mothers and children. Among these programs is the adoption of a contextually and regionally attractive Millennium Development Goals (MDGs)- related communication policy for harmonized messaging and coordinated advocacy efforts on MNCH. Furthermore, WellBeing Foundation commits to the development and deployment of integral tools that will enhance, track, monitor and evaluate universal uptake of beneficial and essential public health provision for women and children – through the scaling up and modernization of personal health records for all women and children in Nigeria. The WellBeing Foundation commits to US $2.5 million per year to support this Nigeria-led, Nigeria-managed, Africa-focused, Africa-impact, private sector-driven effort. As its commitment to Every Woman Every Child, up to US $250,000 of The Tony Elumelu Foundation’s (TEF) existing impact investing capital will be allocated to provide equity or debt capital to start-up and early stage companies seeking to commercialise innovative solutions related to improve maternal and child health care delivery. The primary focus will be Nigeria in year one, but with an eye for opportunistic investments elsewhere in Africa where appropriate. TEF will leverage internal business development talent and experience as well as provide access to networks to provide additional technical assistance support to build sustainable companies. Other investors with an interest in the space will be welcome to co-invest or partner with TEF in other ways to make this effort a success. NOVARTIS FOUNDATION FOR SUSTAINABLE DEVELOPMENT (2011) Novartis and the Novartis Foundation for Sustainable Development (NFSD) have been contributing to the realization of the MDGs since their launch in 2000. NFSD has committed to the achievement of the Millennium Development Goals (MDGs) through a variety of healthcare programs as well as through efforts to bring different stakeholders together to build effective health partnerships. One such project, developed in partnership with WHO, IMCI Computerized Adaptation and Training Tool (ICATT), is the newest example of such a commitment. ICATT is an innovative e-learning software targeted at reducing under five mortality by globally scaling up training in Integrated Management of Childhood Illness (IMCI) after successful testing in Tanzania, Peru and Indonesia. In 2011, the NFSD and the WHO decided to continue collaboration in order to develop a similar training tool for Integrated Management of Pregnancy and Childbirth (IMPAC) in order to contribute to the achievement of MDG 5. The tool will thus be called IMPACTT (Integrated Management of Pregnancy and Childbirth Training Tool) and comprise training modules in pregnancy care, childbirth, newborn care, postnatal maternal care and postnatal newborn care. The first module on Essential Newborn Care will be ready for testing by the end of this year.BUSINESS COMMUNITY 95
  • 93. NOVO NORDISK (2010 & 2011) 2010 Novo Nordisk commits to continue to work towards improving the health of women and children with a specific focus on screening, treatment and care for gestational diabetes and will develop a partnership-based programme, as part of a long-term commitment to sustainable improvement in health, through which the company will campaign for universal screening for gestational diabetes; support the development of new evidence and platforms for action by addressing critical research gaps; mobilise key stakeholders at national and global levels to promote change with a positive health impact for women and the next generation; engage key partners in exploring and co-creating innovative solutions targeting women, diabetes and pregnancy. 2011 Novo Nordisk commits to Every Woman Every Child through the Early Origins of Health Initiative, which is committed to advancing the prevention of non-communicable diseases (NCDs) with a focus on improving maternal, newborn and child health. The overarching aim is to give a healthy start to life by supporting pregnant women and their children during the ‘first 1000 days’ – the nine months of pregnancy and up to the first two years of childhood. The Early Origins of Health Initiative will design and demonstrate efficacious interventions that will improve health outcomes for the mother and unborn child, and explore solutions that can potentially spur new approaches to preventing non-communicable diseases. The Early Origins of Health Initiative will prototype an intervention in South Africa during 2012-2013. The Early Origins of Health Initiative brings together private sector partners with core competencies in areas such as of nutrition, diabetes, healthcare and hygiene. PFIZER (2010) Pfizer commits through ongoing programs and partnerships to support the UN Secretary General’s Every Woman, Every Child objectives by helping address health priorities in the following areas: infant immunization for the prevention of pneumococcal disease; education, training and advocacy programs on maternal and infant health; development of intermittent preventative treatment for malaria in pregnant women; infant and young child nutrition; healthcare system capacity building; and sustainable commercial models for products addressing the needs of women and children in developing countries. One of the primary ways Pfizer supports the health priority of infant immunization for the prevention of pneumococcal disease is by acting as a major supplier to the Advanced Market Commitment (AMC). In 2010, Pfizer entered into a 10-year agreement with UNICEF to provide up to 300 million doses of Prevenar 13 to infants and young children in the poorest countries of the world at a deeply discounted price. Other Pfizer initiatives include supporting the needs of women and children in developing countries by working with institutional buyers, which purchase medicines in bulk and distribute them to some of the world’s neediest patients; and training nurses who provide primary and secondary prevention services to women and children in disadvantaged populations. SAFARICOM (2011) Safaricom, the leading provider of converged communications solutions in Kenya, commits to closely collaborate through a Kenya mobile health (mHealth) partnership with the Kenyan Government, Civil Society Organisations such as World Vision Kenya, Care Kenya, NetHope, mHealth Alliance, and others to develop the needed enterprise architecture for mHealth solutions at national scale. It further commits to provide integratedBUSINESS COMMUNITY 96
  • 94. mHealth solutions to 20,000 community health workers with an initial focus of reaching 1.5m pregnant women in Kenya with mHealth services; provide an affordable and convenient saving option for healthcare during their pregnancy and post natal care that suits their economic status, using its M-PESA solution that currently has over 14 million users; support the Government of Kenya with its mobile based District Health Information System expansion for community health workers, connecting them to quality health service providers via virtual call centres manned by medical professionals and access to health information on their portal and via SMS based solutions. The Safaricom leadership team will also encourage other African business, especially mobile phone providers in other countries in Africa, to make similar commitments to the UN Secretary-General’s Global Strategy. SINGLEHOP (2010) SingleHop commits by fighting IP theft and human abuse such as child pornography, and empowering women. Through its AbuseShield.org site, SingleHop will mobilize the online community to report illegal, inhumane, and malicious content and help authorities and hosting companies around the world keep track of and eliminate such content. TECK RESOURCES LIMITED (2012) Teck Resources Limited (“Teck”) and BASF commit to the UN Secretary General’s Every Woman Every Child movement to jointly develop innovative and affordable zinc fortification and supplementation solutions through a three year partnership, with the goal of reducing zinc deficiency among 100 million people in developing countries by 2015. Leveraging the strengths and competencies of each company, including BASF’s cost- effective micronutrient solutions, analytical and formulation expertise, application and quality control know- how and distribution partnerships, and Teck’s high quality, affordable zinc products and commitment to raising awareness about, and finding solutions to zinc deficiency, the partnership aims to make safe and cost-effective high-quality zinc solutions available to populations at risk of zinc deficiency in developing countries. Zinc from Teck’s Trail Operations will be turned into high grade zinc oxide by GH Chemicals in Montreal, which BASF will use to make food fortification supplements. In addition, Teck also commits $5 million toward the priority countries through the Zinc Alliance for Child Health. TELECONSULT GROUP (2011) TeleConsult Group commits to improve women’s and children’s health through information technologies. TeleConsult Group will establish a 24x7 Contact Center with a trained, skilled team from its m-health project to link mothers and children, and nurses in rural areas with urban-based doctors, and keep real-time digital records. An estimated 1 million mothers and children will benefit from the program next year, and 10 million in the next 5 years. TMA DEVELOPMENT, TRAINING & CONSULTING (2010) TMA Development, Training & Consulting (Egypt) commits by pledging, in cooperation with the Egyptian Ministry of Social Solidarity, to help eradicate illiteracy among Egyptian women and to empower them towards earning and making a better life.BUSINESS COMMUNITY 97
  • 95. UNILEVER (2012) Unilever is pioneering a new business model; our Sustainable Living Plan aims to double our business while halving our environmental impact and increasing the social benefits of our products. By 2020, we are committed to helping more than 1 billion people improve their health and to providing clean water to 500 million people. The work we do to achieve these targets will support progress towards Millennium Development Goal Four. By 2015, our Lifebuoy soap brand aims to improve the handwashing behaviour of 1 billion people in sub- Saharan Africa, South Asia and Latin America, including school children and mothers with newborns. Handwashing with soap reduces diarrhoeal disease and pneumonia - the world’s two leading causes of deaths in under-5s. We are also working to reduce diarrhoeal disease by improving access to clean drinking water and basic sanitation. By 2020, we aim to provide 500m people with safe drinking water through our PureIt water purifier – while our Domestos brand will help 400,000 people gain access to safe toilets and hygiene facilities. The Unilever Foundation’s partnerships with Oxfam, Save the Children, the World Food Programme, Population Services International and UNICEF will help us achieve our goals. We will reach millions of children in the poorest communities in sub-Saharan Africa and South Asia with life saving nutrition, sanitation and health interventions. VESTERGAARD FRANDSEN (2011) Vestergaard Frandsen commits support to the UN Secretary-General’s Every Woman Every Child effort to improve women’s and children’s health. The company’s contribution comes through its ongoing LifeStraw Carbon For Water programme, a ten-year project that has brought safe water to 880,000 homes in western Kenya through an initial investment of USD 30 million. This means that more than 2 million women and nearly 800,000 children under the age of five now have markedly improved chances of avoiding the waterborne illnesses that threaten their lives and thereby impede broader development. Through LifeStraw Carbon For Water, Vestergaard Frandsen provides free products (LifeStraw Family water filters) and services (education, training, repair, and replacement) that will help move the population of Kenya’s Western Province closer to achievement of several of the Millennium Development Goals. The project ensures that women and children have safe drinking water and thereby supports maternal and child health along the entire length of the WHO’s continuum of care. In addition, through partnerships with the UN, the Kenyan government, and local stakeholders, Vestergaard Frandsen is achieving gains for women and children’s health in western Kenya, and will continue to do so over the next ten years of the LifeStraw Carbon For Water project. VIIV HEALTHCARE (2010) ViiV Healthcare commits $47 million between 2010 and 2015, and an additional $31 million through to 2020 to tackle mother to child transmission of HIV (MTCT). ViiV Healthcare has targeted 80% of the Positive Action for Children Fund’s support to sub-Saharan Africa to respond to where the global burden of MTCT is greatest. The Fund is an important part of ViiV Healthcare’s overall mission to deliver advances in treatment and care for people living with and communities affected by HIV.BUSINESS COMMUNITY 98
  • 96. VIYELLATEX GROUP (2011) The Viyellatex Group has committed to Every Woman Every Child to provide free medical services, including eye care, immunization, and clinical services to 3500 mothers and 1500 children in Bangladesh by 2015, to provide free ultrasonograms and medicines to 3500 pregnant women, and to start a school for the physically challenged and underprivileged children by July 2012.BUSINESS COMMUNITY 99
  • 97. HEALTHCARE 5 WORKERSPhoto Courtesy of World Health Organization
  • 98. ASSOCIATION OF WOMEN’S HEALTH, OBSTETRIC AND NEONATAL NURSES (AWHONN) (2012) 2012—Born Too Soon The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) is a leader among U.S. nursing associations, representing more than 350,000 nurses in our specialty. AWHONN achieves its mission to promote the health of women and newborns through its evidence-based practice resources, legislative programs, research, and collaboration with organizations. AWHONN’s Late Preterm Infant (LPI) Research-Based Practice Project (RBP), supported by Johnson & Johnson confirms our commitment to raise awareness of risks associated with late preterm birth, reduce complications, and improve care provided to this vulnerable population. Project outcomes include expanding the body of knowledge about LPI morbidity and increasing nurses’ knowledge and ability to provide appropriate care. A comprehensive Implementation Tool Kit is in development that includes strategies to ensure effective nursing care for key clinical processes identified through the RBP project as pivotal to eliminating preventable LPI complications. COUNCIL OF INTERNATIONAL NEONATAL NURSES (2011) The Council of International Neonatal Nurses (COINN) remains committed to providing education and advocacy regarding improving neonatal health outcomes. We commit to supporting the education of those nurses that take care of neonates by linking resources already available with our regional network partners in over 60 countries and developing other materials on areas such as common and emerging neonatal infections that are impacting Millennium Development Goal 4 (child mortality). Our advocacy will engage and contribute to the adoption of policies related to supporting maternal-child health and decreasing risky behaviors, and, when possible, providing spokespersons on maternal-child health issues. EDNA ADAN UNIVERSITY HOSPITAL (2011) Since our referral hospital was opened in Hargeisa in 2002, we have cared for women with unimaginable obstetrical complications. The maternal mortality rate (MMR) among women admitted to our hospital is now 390/100,000, or 25% of the national average, estimated at 1,600/100,000. The Global Strategy has given the Edna Adan University Hospital an additional incentive to work even harder towards further improving the health of our women and children. The initial reduction of 75% of the MMR of women treated in our hospital was brought about by training more midwives and having a 24/hour readiness to deal with emergencies. We believe a MMR of 150/100,000 is achievable and have set ourselves this goal. Having pioneered the training of nurses and midwives in the region, we are also even more committed to further improving and accelerating our Midwifery Training programmes. We will continue to monitor, supervise and guide our past graduates while training 1,000 Public Health Midwives during the coming six years. HEALTH CARE PROFESSIONALS ASSOCIATIONS (HCPA) (2010) The Health Care Professionals Associations (HCPA) of the Partnership for Maternal, Newborn and Child Health (FIGO, ICM, ICN, IPA, RANZCOG, RCOG, SOGC, WFSA) collectively commit US$31, 218,000, of which $15 million represents in kind contribution over the next five years through support to Ministries of Health, District governments, UN agencies and Bi-laterals in 25 countries across Africa, Asia and Latin America.HEALTHCARE WORKERS 101
  • 99. The International Federation of Gynecology and Obstetrics, the International Confederation of Midwives, the International Council of Nurses, and the International Pediatric Association are committed to continuing their close collaboration with the Council of International Neonatal Nurses, the International Pharmaceutical Federation, and the World Federation of Societies of Anaesthesiologists. The HCPAs are also committed to working with policy and implementing agencies to improve quality and to extend coverage of the key 22 Countdown supported interventions in these high-burden countries by at least 20% over the next five years. INTERNATIONAL PEDIATRIC ASSOCIATION (2012) 2012—Born Too Soon The 177 national and regional pediatric societies of the International Pediatric Association (IPA) are committed to help reduce the incidence of preterm delivery. We support healthiest possible neonatal, child and adolescent health for every future parent with every aspect of our practice and policy contributions. We support the healthiest possible motherhood through planning, available health services, pregnancies that are supported by the entire community and safe delivery for mother and baby. We will feature the publication Born Too Soon: A Global Action Report on Preterm Birth on the IPA website and in the organizational newsletter, encouraging national pediatric societies to feature this topic in their educational meetings and policy discussions.HEALTHCARE WORKERS 102
  • 100. ACADEMIC 21 & RESEARCH INSTITUTIONSPhoto Courtesy of UNFPA/Andrew Cullen
  • 101. CENTRE FOR HEALTH AND POPULATION STUDIES, PAKISTAN (2011) The Centre for Health and Population Studies, Pakistan (CHPS) commits to try to bridge the gap between research generation and policy formulation. We will try to ensure that evidence generated in Pakistan in the field of maternal, newborn and child health reaches the policy makers. This work is underway, including through consultations with stakeholders. Potential priorities include: • annual professional events to focus on and disseminate health evidence, e.g., conferences; • strengthening of Pakistani institutes to offer courses on advocacy, abstract writing, journal paper writing, etc; • review of medical curricula to add research capacity development at undergraduate levels; • public advocacy events, e.g. marathons; • use of print and electronic media as effective dissemination methods. GLOBAL STUDENT FORUM (2011) The Youth at School (Y@S) represented at the GSF2011 (Edinburgh, September 8th, 2011) commit to raise awareness, among at least 30,000 of our peers and 300,000 members of our wider communities in Scotland, of the avoidable mortality among mothers and babies in low-income countries and of the Global Strategy, and to fund-raise for charities working directly to reduce this unacceptable burden. We commit to being part of the global community of Y@S and to add our voice to those of our peers in low-income countries in calling for action to ensure adolescent girls can avoid early pregnancy, and mothers and babies can remain alive and healthy. GUTTMACHER INSTITUTE (2012) 2012—London Family Planning Summit The Guttmacher Institute commits to updating and publishing 2012 estimates of the number of women in all developing countries in need of family planning, the costs of providing services to current users and of providing high-quality services to all women in need and the benefits of meeting the contraceptive needs of current and potential future users (complete). Aligned with the London Summit on Family Planning’s goals, Guttmacher will help develop and implement a monitoring framework as well as evidence-based messaging and data. Guttmacher commits to continuing to employ evidence-based advocacy at the U.S., global and country levels to increase access to the broad sexual and reproductive health services, including family planning, and to protect reproductive rights. Guttmacher will help to inform the work of donors, civil society groups and other stakeholders by providing evidence and evidence-based messaging in support of the Summit’s goals. ICDDR,B (2011) icddr,b commits to eliminate maternal mortality at its Matlab field site, by reducing complications in delivery, particularly post-partum hemorrhaging, by creating comprehensive emergency obstetric facilities at Matlab, by training obstetric, nursing, and hospital staff to support complicated deliveries, and by providing training for midwives to improve the quality of home-based births.ACADEMIC & RESEARCH INSTITUTIONS 104
  • 102. INSTITUTE FOR GLOBAL HEALTH OF BARCELONA (2010) Institute for Global Health of Barcelona, ISGlobal commits to engage in an inclusive and participatory process, advocate for this process and help develop and promote a multi-disciplinary and coordinated global research agenda in the context of the Global Strategy in Europe and internationally that can be actionable by donors and the academic community. This work will help to develop a common strategy for indicators and benchmarks for donors and governments to monitor progress, develop a common strategy to inform and allocate resources more effectively and equitably, promote research in political & economic areas and its translation into useful information for discussion with policy makers to develop tools that are specific to improve women’s and children’s health status, such as microbicides and vaccines and test if these products can benefit those that need them the most. CRESIB and ISGlobal will host the 2011 biannual meeting of Federation of the European Societies for Tropical Medicine and International Health (FESTMIH) under the motto ‘Global Change, Migration and Health’ IS Global will use this event and other upcoming forums to promote Women’s and Children’s health among academia and researchers. INSTITUTE FOR TROPICAL MEDICINE, ANTWERP (2011) The Institute of Tropical Medicine, Antwerp (ITM,A) is an academic institution which purpose is to carry out and promote research, education and services mainly in the fields of tropical medicine and health care in low and middle income countries (LMIC). ITM,A commits to promoting women and children’s health through engaging in the training of the current and next generation of global health professionals, conducting research for reducing suffering and death from health problems and contributing to policy development. Every academic year, with financial support from Belgian cooperation, we train 12 participants from low and middle-income countries (LMIC) in a full MPH course in Reproductive Health, and a further 6 participants in a 2-month short course in Reproductive Health; and we will recruit and coach two PhD candidates on a maternal and neonatal/child health topic. By 2012, ITM,A commits to setting up a new Research Center in Women’s & Child Health. It will involve more than 15 highly experienced researchers coming from various disciplines such as obstetrics, pediatrics, public health, social sciences. This new center will focus on evidence-based interventions for reducing morbidity and mortality of women and children and on maternal and children health policy evaluation research. INTERNATIONAL CENTER FOR RESEARCH ON WOMEN (ICRW) (2012) 2012—London Family Planning Summit ICRW commits to expanding the evidence base on the importance of addressing socio-cultural barriers – including intimate partner violence, stigma and partner involvement – when striving to meet women’s demand for reproductive control and use of family planning services. ICRW will leverage new evidence to inform the framing of national reproductive health/family planning policy, development assistance programs and corporate social responsibility programs. ICRW will expand the evidence base linking women’s social and economic empowerment to family planning and sexual and reproductive health. ICRW will also produce new evidence related to adolescent sexual and reproductive health and rights and strengthen the connection between adolescent girls’ education and sexual and reproductive health outcomes, including delayed marriage and childbearing. This new evidence will help inform the design of family planning and sexual and reproductive health programs and services delivered through governments, the private sector and civil society. In addition, ICRW will develop and validate metrics to improve its understanding of the benefits that education brings to women’s access to and correct use of family planning.ACADEMIC & RESEARCH INSTITUTIONS 105
  • 103. INTERNATIONAL FEDERATION OF MEDICAL STUDENTS’ ASSOCIATIONS (2011) The International Federation of Medical Students’ Associations commits to work with key stakeholders in learning institutions to review the content on reproductive, maternal, newborn, child health (RMNCH) of medical curricula in 10-12 countries by Sept 2012, and further high burden countries by 2015. The aim would be to identify areas to strengthen in the curricula to optimise learning on local and national RMNCH and health systems needs, and on the global consensus on essential RMNCH interventions. Country reports will be produced and used to advocate for and inform improvements in the education of future medical professionals to improve women’s and children’s health. This commitment will be carried out in collaboration with the academic, research and training and health care professional training constituencies of the Partnership for Maternal, Newborn & Child Health (PMNCH). Together with these constituencies, the IFMSA also commits to raise awareness among medical students in high-income countries of the burden of poor health borne by women and children in low-income countries and of the Global Strategy, advocating for inclusion of at least one session on these issues in every undergraduate curriculum by 2014. INTERNATIONAL PARTNERSHIP FOR MICROBICIDES (2010) International Partnership for Microbicides commits to support the implementation of the Global Strategy on Women’s and Children’s Health by continuing to progress microbicide research and product delivery through the next five years so that women throughout the world can have new tools to safeguard their health and that of their families. IPM, inspired by the urgent need of women at risk of HIV infection and supported by the data from CAPRISA 004, is committed to turning this hope into a scientific reality. THE JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH (2012) 2012—Born Too Soon The Johns Hopkins Bloomberg School of Public Health is committed to strengthening evidence on the extent and causes of preterm births globally and to developing culturally and economically appropriate interventions to reduce the burden of premature birth around the world. We also commit to working with governments and their partners on the translation of evidence into effective policies and programs. We aim to achieve measurable results of our efforts by 2015. KINSHASA SCHOOL OF PUBLIC HEALTH, DRC (2012) 2012—Born Too Soon Preterm birth remains a major public health problem in the Democratic Republic of Congo as in other developing countries. According to a study conducted in the Maniema Province in 2006, the low birth rate was 164 per 1000 live births at Kipaka Area. In the year 2011, the General Referral Hospital of Kinshasa had 314 pre-term deliveries out of 1,170. It is not surprisingly then that the Kinshasa School of Public Health with its partner, the University of North Carolina, has joined the Global Alliance to Prevent Prematurity and Stillbirth (GAPPS) and has submitted a proposal aimed to prevent preterm birth.ACADEMIC & RESEARCH INSTITUTIONS 106
  • 104. The goal of this initiative is to encourage scientific studies that eventually will lead to or refine preventive interventions for preterm birth and still birth related to preterm birth, primarily in developing world settings. MEDSIN ABERDEEN (2011) Medsin Aberdeen commits to raise awareness among the constituency of medical students at the University of Aberdeen of the Global Strategy for Women’s and Children’s Health for achieving Millennium Development Goals 4 & 5. By September 2012, we commit to have held at least 2 awareness-raising events. We also commit to liaise with University teaching coordinators to advocate for inclusion in the medical curriculum of information on the Millennium Development Goals 4 & 5 and the Global Strategy for Women’s and Children’s Health. PEKING UNIVERSITY CENTER OF MEDICAL GENETICS (PUCMG) (2012) 2012—Born Too Soon The mission of the Peking University Center of Medical Genetics (PUCMG) is to promote healthcare in order to improve the quality of life in China. The Preterm Clinical Research Consortium of PUCMG estimated the rate of preterm birth in China to be 5.5% in 2011. PUCMG will continue to work closely with global, regional and Chinese national and local communities—including governmental agencies, medical professionals, academic investigators, industrial partners and parent groups—to raise public awareness of the toll of preterm birth in China. We will continue existing programs, including youth and preconceptional interventions, directed to reducing the rate or preterm birth and associated mortality and disability in China. PUCMG will also conduct studies to explore the etiology and pathogenesis of preterm birth in China in order to provide evidence- based, novel strategies for prevention, intervention and care. Within 3 years, PUCMG will have completed a prospective cohort study identifying major risk factors for preterm birth in the Chinese populations. PRETERM BIRTH INTERNATIONAL COLLABORATIVE (PREBIC) (2012) 2012—Born Too Soon Preterm Birth International Collaborative (PREBIC) supports prematurity prevention programs by organizing workshops for scientists, clinicians and other health care professionals around the globe aimed to build consortiums of investigators. These consortiums identify knowledge gaps in various areas of preterm birth research and develop protocols and scientific studies to fill the knowledge gaps. PREBIC organizes satellite scientific symposiums in association with major Obstetrics and Perinatal Congresses to educate professionals in the field on various aspects of preterm birth research. PREBIC has also set up facilities to conduct high throughout “OMICS’ research and build network of investigators to conduct organized research to better understand preterm birth and for global prevention of preterm birth. ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS (2011) 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:ACADEMIC & RESEARCH INSTITUTIONS 107
  • 105. • 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, anesthetists 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. ROYAL MEDICAL SOCIETY, UNIVERSITY OF EDINBURGH (2011) The Royal Medical Society (RMS) commits to raise awareness among our members of medical students at the University of Edinburgh of the Global Strategy for Women’s and Children’s Health for achieving Millennium Development Goals 4 & 5. By 1st September 2012, we commit to have held at least one awareness-raising event. We also commit to advertising the Global Strategy through links on our website and to promote our support at RMS events run throughout the year. RTI INTERNATIONAL (2011) RTI is an independent non-profit research institute. Staff of more than 2,800 provide research and technical expertise to the public and private sectors in more than 40 countries. A major focus of RTI’s international work is in health research; health technology development; health systems and policy; and monitoring and evaluation. RTI’s commitment is through the creation and implementation of the MANDATE initiative. MANDATE is an initiative, funded by the Bill & Melinda Gates Foundation, to inform the development of effective technologies to improve maternal and neonatal healthcare in low resource settings. More than 98% of global maternal and neonatal deaths occur in low resource settings. Delivering innovative and appropriate technologies across the continuum of care--including technologies for frontline workers to use in homes, communities and first level clinics--may improve pregnancy outcomes and reduce mortality. The MANDATE Model will allow users to analyze each condition, and associated prevention, diagnostic, and treatment interventions, to ascertain the impact on lives saved for mothers and newborns. MANDATE’s mission is to inform resource allocation decisions by foundations and the larger global health community by providing an interactive model to assess the conditions and technology improvements with the greatest potential for reducing maternal and neonatal mortality in low- resource settings, with an emphasis on home and community settings. UNIVERSITY OF ABERDEEN (2011) The University of Aberdeen commits in the period up to 2015 over US $500,000 of institutional resources to sustain its Impact unit dedicated to improving maternal and newborn health. Impact will support at least 10 low-income countries to identify maternal and newborn health research priorities, to generate new evidence to improve and assure the quality of care at birth received by mothers and babies, and to utilise this evidence in policy and programme decision-making. Impact will work with global and bi-lateral agencies inACADEMIC & RESEARCH INSTITUTIONS 108
  • 106. the implementation of the COIA recommendations, particularly with regard to maternal and perinatal death audits and quality improvement. Impact will spearhead an initiative (Y@U) with the Partnership for Maternal, Newborn & Child Health to engage the youth constituency at universities in the global North and South in mobilising support and promoting accountability for keeping mothers and babies alive and well. UNIVERSITY OF MALAWI COLLEGE OF MEDICINE (2012) 2012—Born Too Soon The College of Medicine in the paediatric department is committed to improving the care of newborns in Malawi. Specific efforts are being made to help premature babies with respiratory distress by introducing appropriate technologies, and enhancing the Kangaroo Mother Care through teaching and outreach. UNIVERSITY OF THE PHILIPPINES MANILA (2012) 2012—Born Too Soon Born too Soon is a timely reminder to all stakeholders that prematurity must be the concern of all. We stand committed to continue our research and advocacy work on models for preconception care. The current project will produce counseling modules for different settings - counseling at the workplace, peer counseling (targeting high school and college students) and counseling at the community (urban and rural). The project is being piloted city-wide in Lipa City, Batangas, Philippines in cooperation with the Local Government of Lipa City. The modules will be turned over to the Department of Health for replication in other parts of the country. This project is funded by the Department of Health Philippines, Institute of Human Genetics- National institutes of Health and the March of Dimes Foundation, USA. THE UNIVERSITY OF TEXAS MEDICAL BRANCH (2012) 2012—Born Too Soon UTMB and the Department of Obstetrics & Gynecology, Maternal-Fetal Medicine Division, is one of the premier educational institutions in the United States serving a high-risk pregnancy population. The institution is committed to research and educational programs that for decades have been in the forefront of prematurity- prevention initiatives. The Obstetrics & Gynecology Department’s Perinatal Research Division studies preterm- birth risk factors, pathophysiology, pathways, and designs prevention strategies. In addition, the division is dedicated to understanding causes and consequences of fetal programming due to preterm birth.ACADEMIC & RESEARCH INSTITUTIONS 109
  • 107. ANNEXPhoto Courtesy of UNICEF/Giacomo Pirozzi
  • 108. In addition to the above commitments, the following organizations have expressed their endorsement of the Global Strategy for Women’s and Children’s Health: 34 Million Friends of UNFPA, Academy for Educational Development, Advance Family Planning, JHU Bloomberg School of Public Health, African Medical and Research Foundation (AMREF), Africa Public Health Alliance & 15 Percent Plus Campaign, Amnesty International, Amhara Development Association, Azad India Foundation, Catholic Medical Mission Board(CMMB), Centre for Development and Population Activities (CEDPA), Center for Health and Gender Equity (CHANGE), ChildFund International, Children’s Project International, EngenderHealth, FHI, German Foundation for World Population (DSW), Global Alliance to Prevent Prematurity and Stillbirth, Gram Bharati Samiti (GBS), Guttmacher Institute, Health Alliance International, Ibis Reproductive Health, Institute of Tropical Medicine, International Budget Partnership(IBP), International HIV/AIDS Alliance (Alliance), International Paediatric Associations (Ipas), International Women’s Health Coalition, IntraHealth International, Japanese Organization for International Cooperation in Family Planning (JOICFP), Live Alive Foundation Nigeria, Management Sciences for Health, March of Dimes Foundation, mothers2mothers, Nari Unnayan Sangstha, Nestlé, Partners in Health, PATH, Pathfinder International, Project Concern International (PCI), Project C.U.R.E, RESULTS International, Safe Motherhood Program, Dept of Ob/Gyn, Reproductive Sciences, Univ. of California, Space Allies, US Coalition for Child Survival, VSO United Kingdom, Women & Children First UK, Women And Health Alliance (WAHA). Other Academic and Research Institutes A number of other academic and research Institutes across Europe, Asia, North America, and Africa have already enthusiastically endorsed the Global Strategy. In response to the Secretary-General’s call for action, they have indicated their intention to promote women and children’s health through conducting research for reducing illness and death, engaging in the training of the current and next generation of global health professionals, and contributing to policy development over the coming years. They include: University of Aberdeen, Aga Khan University, University of Ghent, International Center for Diarrhoeal Disease Research in Bangladesh, London School of Hygiene and Tropical Medicine, John Hopkins Bloomberg School of Public Health, Osaka Medical Center and Research Institute for Maternal and Child Health, Consortium of Universities of Global Health representing 60 leading North American member Universities and their university partners in low and middle income countries in Africa, Asia and North America, and researchers at the University of Toronto, the All India Institute of Medical Sciences, Special Programme of Research, Development and Research Training in Human Reproduction, International Pediatric Association (IPA) and the School of Medicine, University of Zambia.ANNEX 111
  • 109. COMMITTING TO CHILD SURVIVAL: A PROMISE RENEWED Ten years ago, the United Nations General Assembly passed the landmark resolution on A World Fit for Children, and in doing so, helped save and enhance the lives of millions of children. Today, we renew this promise to the world’s children. Therefore, we the undersigned heads of State and Government and representatives of States, reaffirm our commitment to children. Consistent with the Secretary-General’s Every Woman Every Child initiative, we pledge our support for the global movement to end preventable child deaths. The world has made tremendous strides in reducing child mortality. Over the past 40 years, new vaccines, improved health care practices, investments in education, and the dedication of governments, civil society and other partners have contributed to reducing the number of child deaths by more than 50%. The momentum generated by this unprecedented progress, and the scientific and social advances that underpin it, present an historic opportunity for dramatic declines in preventable child deaths – in high, middle and low-income countries alike. Through national action and international cooperation, we pledge to take action to accelerate progress on newborn, child and maternal survival. We hold ourselves accountable for our collective progress towards this goal. And on behalf of all children everywhere, we recommit the efforts of our respective governments to give every child the best possible start in life.ANNEX 112
  • 112. COMMITTING TO CHILD SURVIVAL: A PROMISE RENEWED – CIVIL SOCIETY PLEDGE Ten years ago, the United Nations General Assembly passed the landmark resolution to build “A World Fit for Children.” That historic act has helped to save and enhance the lives of millions of children around the world. Today, we renew this promise to children. Over the past two decades, technological advancements, increased political will, and social investments have contributed to a nearly 40% reduction in the global under-5 mortality rate. As civil society organizations working in over 150 countries, we have played a critical role in this progress by marshalling our expertise, reach, resources, and ambition. However, 7.6 million children continue to die each year, almost half in their first month of life, and most of these deaths can be prevented. With less than three years left until the deadline for reaching the Millennium Development Goals, too many countries still lag far behind their targets for reducing newborn, child, and maternal deaths. To accelerate progress, we must intensify our efforts and sharpen our approaches. Therefore, we, the undersigned representatives of civil society, reaffirm our commitment to the well-being of all children, and to their right to survival and development. Consistent with the C1ommitting to Child Survival: A Promise Renewed initiative, we pledge our support for ending preventable child deaths and call on all countries to reduce under-5 mortality to 20 or fewer under-five deaths per 1,000 live births, for every segment of society, by 2035. We are a broad and diverse community. In line with our organizational missions, to achieve this goal, we will: 1) Contribute to reaching every child and empowering women, children and families • We commit to helping to reach the most marginalized, so that a child’s sex, social, economic, or cultural status does not determine her or his chance of survival. • We will do more to improve health systems, and to make them more sustainable, so that quality health care is within the reach of every child. • We will empower and mobilize women, children, families, and their communities. We will continue to build their capacity to exercise their right to health, to engage in local and national decision-making, and to hold their governments accountable for providing effective and comprehensive health services in their communities. 2) Support and integrate research and innovation • We will actively support innovative breakthroughs in scientific, therapeutic, and logistical research to improve current interventions and better meet people’s needs. • We commit to developing and testing pioneering approaches to delivering essential services. • We pledge, wherever possible, to fully integrate improved technology, resources, and best practices to ensure that our efforts are as efficient, effective, and long-lasting as possible.ANNEX 115
  • 113. 3) Champion the A Promise Renewed initiative • We will work with our governments at the national, subnational, and local levels to support the goal of “ending preventable child deaths” through continued dialogue with our leaders. • We will work together to mobilize our citizens to call on our governments to increase investments in health and nutrition; to direct these resources to those in greatest need; and to support the goal of “ending preventable child deaths.” We will leverage our resources and expertise in social media, publications, and other communications channels in our outreach efforts. 4) Support mutual accountability including holding ourselves accountable • Where governments have developed strong, ambitious, evidence-based plans for ending preventable child deaths, we will align and coordinate with those efforts and avoid unnecessary duplication. • We will work more effectively across our separate global movements and sectors towards a shared goal of ending preventable child deaths. • We will meet our own commitments, made through the Every Woman, Every Child effort, including our support for the continuum of care approach, recognizing access to integrated essential reproductive, maternal, newborn and child health interventions is critical for reducing child and maternal mortality and improving the health and nutrition of families. • We commit to empowering citizens to participate in local level accountability efforts. 5) Call upon governments, donors, multilaterals and the private sector to: • Recommit to child survival and renew the promise to give every child the best possible start in life by participating in A Promise Renewed. • Set a national target for the under-5 mortality rate at or below 20 deaths per 1,000 for every segment of society. • Sharpen, finance and implement national action plans for maternal and child survival, setting and monitoring five-year milestones using agreed, common indicators These efforts should begin with achieving the Millennium Development Goals. • Deepen engagement with, and build the capacity of, civil society organizations as active partners in the planning, coordination, and decision-making process. • Fulfill their financial and policy commitments.ANNEX 116
  • 119. TEN PROMISES TO OUR CHILDREN: RELIGIONS IN ACTION United in our common goal to save the lives of children in need, we pledge to take action to advance the life-saving behaviors listed below. These priority behaviors–ten life-saving acts for children—can and should be adopted by local families and communities. Doing so will help save the lives and reduce the burden of disease for millions of children. These behaviors are endorsed by UNICEF and other major international aid organizations because they work. Our respective religious doctrines are different, but we are united in the moral conviction that we must save children from needless deaths. Thus, we commit ourselves to ensure that our respective faith communities promote these behaviors sustainably, even as we also support additional needed efforts to strengthen public health systems. We ask all, throughout the world, who have held a child in love, with joy for its life, with tears for its pain, to join us in advancing these life-saving behaviors. To save and improve the lives of all children, we pledge to promote, encourage, and advocate for the following actions by parents and children: 1. Breastfeed all newborns exclusively through the age of six months; 2. Immunize children and newborns with all recommended vaccines, especially through the age of two years; 3. Eliminate all harmful traditions and violence against children, and ensure children grow up in a safe and protective environment; 4. Feed children with proper nutritional foods and micronutrient supplements, where available, and de- worm children; 5. Give oral rehydration salts (ORS) and daily Zinc supplements for 10 – 14 days to all children suffering from diarrhea; 6. Promptly seek treatment when a child is sick; give children antibiotic treatment for pneumonia; 7. Have children drink water from a safe source, including water that has been purified and kept clean and covered, away from fecal material; 8. Have all children wash their hands with soap and water especially before touching food, after going to the latrine or toilet and after dealing with refuse; 9. Have all children use a toilet or latrine, and safely dispose of children’s feces; prevent children from defecating in the open; 10. Where relevant, have all children sleep nightly under insecticide-treated bed nets to prevent malaria, and at the immediate onset of fever seek medical care for children to receive proper malaria testing and treatment. We are committed to working in collaboration with intergovernmental, governmental and civil society bodies – many of whom, such as UNICEF and leading bilateral development agencies, have been strong promoters of positive multi-religious action – and we urge them to support us to develop simple toolkits and roll-out mechanisms that the leaders and congregations of each religion can use to harness their respective beliefs and believers in the implementation of these vital behavioral changes. Please visit www.tenpromises.org to learn more.ANNEX 122
  • 120. CONTACT US: everywomaneverychild.orgPhoto Courtesy of Maggie Hallahan/Sumitomo Chemical - Olyset® Net