Global Strategy for Women's and Children's Health
UN Secretary-General Ban Ki-moon
Investing in Our Common Future
What is the Global Strategy?
The UN Secretary-General's Global Strategy for Women's and Children's
Health is the first comprehensive roadmap to accelerate progress, deliver
results, and ensure accountability for women's and children's health by:
• Galvanizing commitments and action from partners
• Prioritizing women’s and children’s health in national health plans
• Ensuring access to a comprehensive, integrated package of essential services
and interventions
• Addressing critical health system gaps, including human resources
• Holding ourselves accountable for results
• Addressing social determinants
This global health effort builds on existing initiatives and aims to gain new commitments
How was the Global Strategy created?
Secretary-General Ban Ki-moon initiated a joint effort in April 2010 to improve
women's and children's health and accelerate progress towards the Millennium
Development Goals (MDGs)
300+ organizations contributed to the Global Strategy, developed under the
auspices of the UN Secretary-General and facilitated by The Partnership for
Maternal, Newborn & Child Health
The Global Strategy was launched at the MDG Summit on September 22,
2010 in New York City
Strategy welcomed by the United Nations General Assembly
Member States "committed to
accelerating progress in promoting
global health for all, including by...
Welcoming the Secretary-General’s
Global Strategy for Women’s and
Children’s Health, ...in order to
significantly reduce the number of
maternal, newborn and under five child
deaths..."
-High Level Plenary Meeting on the
MDGs
United Nations General Assembly
September 20-22, 2010
Total
40.3
Health care
professional
associations
0.03
Business
community
1.0
Global
philanthropic
institutions
2.3
UN & other
multilateral
organizations
5.0
Civil society
6.0
49 Lowest
income
countries
8.6
All countries
except 49
lowest
income
16.8
At MDG Summit, $40 billion pledged by stakeholders
Note: Additional commitments have been made but could not be translated into dollar value . These estimates are made in current dollars.Source: Commitments made to the Global Strategy September 2010
Billions (2010 US$)
Governments
Strategy focuses on most vulnerable women and children
Women and newborns
Improve care during childbirth and
first days afterwards - which is the
period of greatest risk of death
Adolescents
Ensure adolescents have control over
their life choices, including fertility,
and access to appropriate
interventions
Vulnerable groups
Focus on ensuring equity of access to
health; e.g. poorest, those with HIV /
AIDS, orphans, indigenous populations
and those living furthest from health
services
More than 8 million women, newborns, and children under the
age of 5 die from preventable causes every year
Achieving the Global Strategy would save ~16 million lives
• Protect 120 million children from contracting pneumonia
Progress in the world's 49 poorest countries if goals are met (2010-15)
• Prevent 88 million children from stunting
• Prevent 33 million unwanted pregnancies
• Prevent 15 million deaths of children under the age of 5
• Prevent 570 thousand deaths of pregnancy related complications
We have the tools and resources to improve the lives of millions of people
Progress needs to be accelerated to reach 2015 targets ...
Target 201520081990
89
99
6268
3033
-51%-52%
400
450
260290
100113
-61%-62%
WorldDeveloping
regions
Reduction in child mortality rates
(MDG 4)
Reduction in maternal mortality ratio
(MDG 5)
WorldDeveloping
regions
Source: Estimates of maternal mortality levels and trends 1990-2008. WHO / UNICEF / UNFPA / World Bank, 2010; Levels & Trends in Child Mortality, Report 2010. WHO / UNICEF / UNPD / World Bank, 2010;
Coverage (%)
100
50
0
Measles
immunisation
Case
management
of pneumonia
Exclusive
breast-
feeding
Postnatal visit
within 2 days
Skilled
attendant
at delivery
1+ ante-
natal visits
Contraceptive
prevalence
Pre-pregnancy Pregnancy Birth Postnatal Childhood
~2 million deaths still occur at the time of birth1
1. Including .5 million maternal deaths, 1 million stillbirths, and 1 million newborns 2Source: Coverage estimates for interventions across the continuum of care in the 68 priority countries. Range shows max and minimum values of individual countries. Bar is the average.
Max
Min
...Especially in increasing coverage of interventions
• Healthy women are more productive and earn more
throughout their lives
Why invest in women’s & children’s health?
It reduces poverty
It stimulates economic productivity and growth
It is cost effective
It helps women and children realize their
human rights
• Maternal and newborn deaths slow growth leading
to annual global productivity losses of US$15 billion
• Essential health care prevents illness and disability,
saving billions of dollars annually in treatment costs
• People are entitled to the highest attainable
standard of health
What are the key elements of the Global Strategy?
• Country-led health plans
• Comprehensive package of essential interventions and services
• Integrated care
• Health systems strengthening
• Health workforce capability building
• Coordinated research and innovation
• Accountability at all levels
Accountability
AccessHealth
workers
Interventions
The MNCH global consensus – a framework for coordinated action
Leadership
LeadershipAccountability
AccessHealth
workers
InterventionsPolitical leadership,
community engagement
and mobilization across
diseases and social
determinants
The MNCH global consensus – a framework for coordinated action
AccessHealth
workers
Interventions
The MNCH global consensus – a framework for coordinated action
AccountabilityLeadership
Ensuring skilled and motivated health workers
are in the right place at the right time,
with the necessary infrastructure, drugs,
equipment and regulations
Accountability
AccessHealth
workers
Interventions
Leadership
Removing financial, social
and cultural barriers to access
including providing free essential services
for women and children (where countries choose)
The MNCH global consensus – a framework for coordinated action
Accountability
AccessHealth
workers
Interventions
Leadership
Accountability at all levels
for credible results
The MNCH global consensus – a framework for coordinated action
Accountability
AccessHealth
workers
Interventions
Leadership
Delivering high-quality services and packages of interventions in a continuum of care:
• Quality skilled care for women and newborns during and after pregnancy and childbirth (routine as well as emergency care)
• Improved child nutrition, and prevention and treatment of major childhood diseases, including diarrhea and pneumonia
• Safe abortion services (where not prohibited by law)• Comprehensive family planning• Integrated care for HIV/AIDs (i.e. PMTCT), malaria, and other services
The MNCH global consensus – a framework for coordinated action
• Link efforts to improve women's and children's health
with those intended to tackle poverty, malnutrition,
disease, access to education, adequate sanitation,
and a clean safe environment
Increase effectiveness
through integration
Use innovation to
increase efficiency and
impact
Make funding channels
more efficient
• Innovative approaches in leadership, results-based
financing, public-private partnerships, tools and
interventions, service delivery, and monitoring and
evaluation can improve chances of achieving healthy
outcomes for women and children
• Countries and donors have agreed to a set of
principles around aid effectiveness to make funding
more long-term, predictable, and harmonized across
the international community
Maximize impact through more health for the money
• Integrated a variety of child health
and family planning programs
• Trained health-care workers in
parallel with community outreach
initiatives
Result:
• Egypt is one of the few countries on track to meet the MDGs 4 and 5.
Examples of successful country approaches
Egypt
Integrating child and family health
Effectiveness through integration
• Emergency transport in one part of
India is met through an innovative
public private partnership model
• Costs paid by the state; technical and
operational management is handled
by EMRI
Result:
• 20-30% of all emergencies in this
area are mothers transported into
health facilities for delivery
India
Broadening access to health care
Innovation to public-private partnerships
• Introduced results-based financing
program
• Offered compensation incentives to
health facilities
Result:
• Deaths of infants reduced by 22%
and children deaths have dropped
26% in just 3 years
Examples of successful country approaches
Afghanistan
Reducing the deaths of infants and children
Making funding channels more efficient
• Already a Health Systems Funding
Platform country
• Share country priorities and timelines
with major donors
Result:
• Platform enables alignment of
programs and grants with its national
health plan
Nepal
Aligning funding with national health plan
Innovation to results-based financing
More money for women's and children's health is needed
Gap for health MDGs in 49
lowest-income countries:
• US$26 billion (US$19 per
capita) additional in 20111
• US$42 billion (US$27 per
capita) additional in 2015
• Almost half of these costs
are related to women and
children
Funding gap is significant... ...across 3 distinct categories
26
33
37
42
31
2012
4
12
15
12
2011
4
10
20
2014
15
6
13
18
Direct costs for programs
targeting women and
children7
2015
Health systems costs of
programs targeting
women and children
Other costs for scaling up
to meet the health MDGs
2013
5
12
16
Billions (2005 US$)
Potential impact by 2015 if funding gap is filled
Results for the 49 lowest-income countries assuming full funding:
• 43m new users with access to comprehensive family planning
• 19m more women give birth supported by a skilled health worker with the
necessary infrastructure, drugs, equipment and regulations
• 2.2m additional neonatal infections are treated
• 21.9m more infants breastfed for the first six months of life
• 15.2m more children under one are fully immunized
• 117m more children under five receive vitamin A supplements
• 85k more quality health facilities and 3.5m more health workers
Accountability essential to ensure commitments are met
Ongoing monitoring/tracking
Feedback
Global forum
(e.g., UNGA, WHA)
Reporting on global progress
(e.g., Countdown to 2015 / PMNCH,
MDG report)
Monitoring and evaluation
(e.g., countries, UN agencies,
academic institutions, OECD-DAC)
Activities of countries and partners Activities of countries and partners
National and global commitments and
actions
Financial, policy and services delivery input
Results and outcomes
Intervention coverage, access to and
quality of service
Impact
Women's and children's health outcomes
Over 300 organizations have contributed to this effort
The Global Strategy was developed under the auspices of the United Nations Secretary-General with
the support and facilitation of The Partnership for Maternal, Newborn & Child Health.
Governments: Australia ; Bangladesh; Brazil; Cambodia; Canada; Chile; China; Ethiopia; Finland; France; Germany; India; Indonesia; Italy; Japan; Liberia; Malta; Malawi; Mexico;
Mozambique; Nepal; Netherlands; Niger; Nigeria; Norway; Pakistan; Republic of Korea; Russia; Rwanda; Senegal; Sierra Leone; Spain; South Africa; St. Lucia; Sweden; Tanzania; Uganda;
United Kingdom; United States of America; African Union; European Union;
International organizations: Asian Development Bank; Organisation for Economic Co-operation and Development - Development Assistance Committee; the GAVI Alliance; the
Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria; Global Work Force Alliance; the Joint United Nations Programme on HIV and AIDS; United Nations Children's Emergency Fund;
United Nations Development Fund; United Nations Development Programme; United Nations Office of the High Commissioner for Human Rights; World Bank; World Food Programme; World
Health Organisation;
Business community: Abbott; Boston Consulting Group; Intel; GE Healthcare; GlaxoSmithKline Biologicals; GSM Association; Johnson & Johnson; Lyfespring Hospitals; Merck
Vaccines; MTV Networks International; Pfizer; Pepsico; Procter&Gamble; Rabin Partners; Sanofi Aventis; The Coca-Cola Company; Vodafone; Voxiva;
Academic, research and teaching institutions: All India Institute of Medical Sciences, India; ART constituency of the Partnership for Maternal, Newborn and Child Health;
Barcelona Centre for International Health Research, Spain; Centre for Development and the Environment, University of Oslo, Norway; Centre for Health and Population Sciences, Pakistan;
Earth Institute, Columbia University, USA; Harvard School of Public Health, USA; Initiative for Maternal Mortality Programme Assessment, School of Medicine and Dentistry, University of
Aberdeen, UK; Johns Hopkins Bloomberg School of Public Health, USA; National Health Systems Resource Center, India; Umea Centre for Global Health Research, Sweden; Universedade
Federal de Pelotas, Brazil; University of British Columbia, Canada; University of Lbandan, Nigeria;
Foundations: Aga Khan Foundation; Bill and Melinda Gates Foundation; Doris Duke Charitable Foundation; Dubai Cares; Rockefeller Foundation; United Nations Foundation;
Health professional organizations: Council of International Neonatal Nurses; International Confederation of Midwives; International Federation of Gynecology and Obstetrics;
International Paediatric Association; Royal Australian and New Zealand College of Obstetricians and Gynaecologists; Royal College of Obstetricians and Gynaecologists; Society of
Obstetricians and Gynaecologists of Canada; The International Pharmaceutical Federation; The World Federation of Societies of Anaesthesiologists;
NGOs: 34 Million Friends of UNFPA; Africa Progress Panel; Amnesty International; Aspen Institute; ASTRA Central and Eastern European Women’s Network for Sexual and Reproductive
Health and Rights, Poland; BRAC; Campaign for the Accelerated Reduction of Maternal Mortality in Africa; CARE International and CARE/USA; Center for Economic and Social Rights;
Center for Health and Gender Equity; Center for Reproductive Rights; Commission for Africa; Digital Health Initiative; Eakok Attomanobik Unnayan Sangstha; End Water Poverty; Family Care
International; Federation for Women and Family Planning; Federation of European Nurses in Diabetes; Foundation for Studies and Research on Women, Argentina; Girls Power Initiative,
Nigeria; Global Health and Development; Global Health Council; Global Healthcare Information Network; Global Health Visions; Gynuity Health Projects; Health Alliance International; Health
Poverty Action; International Advocacy Director Center for Reproductive Rights; International Baby Food Action Network; International Civil Society Support; International Coalition of Sexual
and Reproductive Rights; International HIV/AIDS Alliance; International Planned Parenthood Federation; International Women’s Health Coalition; LitteBigSouls; m-Health Alliance; March of
Dimes; Mothers 2 Mothers; Mujer y Salud, Uruguay; Nord Sud XXI; ONE Campaign; Oxfam/France and Oxfam/GB, Accra; Partners in Population and Development; Pathfinder International;
Physicians for Human Rights/USA; Population Services International; Program for Appropriate Technology in Health; Realizing Rights; Reproductive Health Matters; Rotary International;
Save the Children/UK and USA; Special Program of Research Development and Training in Human Reproductive Health; Tearfund; The Children’s Project International; The International
Confederation of Midwives; The YP Foundation, India; University of Washington/Health Action International; US Coalition for Child Survival; VSO International; WaterAid; White Ribbon
Alliance; Women and Children First; Women Deliver; Women’s Front of Norway; World Population Foundation/Germany; World Population Foundation/Netherlands; World Vision International;
World Vision/Australia and World Vision/UK.
Partner involvement equals success for women's and children's health
Commitments and support can be made by contacting:
A call to action for all partners to get involved
Organization
The United Nations Foundation
The Partnership for Maternal, Newborn & Child Health (PMNCH)[email protected]
Next steps: Commission on Information and Accountability
• The Global Strategy called for WHO "to establish a process to determine the most effective international institutional arrangements for global reporting, oversight and accountability for women's and children's health"
• On 16 December 2010, the UN announced that it is establishing a high-level Commission on Information and Accountability for Women's and Children's Health
• Co-chaired by Jakaya Kikwete, President of the United Republic of Tanzania, and Stephen Harper, Prime Minister of Canada
• 25+ Commissioners have been appointed from developed and developing countries, academia, civil society and the private sector
Commission on Information and Accountability
• The Commission will develop a framework for tracking resources committed to women's and children's health and results that will:
• Track results and resource flows at global and country levels
• Identify a core set of indicators and measurement needs
• Propose steps to improve health information and registration of vital events
• Explore opportunities for innovation in information technology to improve access to reliable information on resources and outcomes
• Work carried out by two working groups:
• Accountability for Results (chair: Richard Horton, Editor, The Lancet)
• Accountability for Resources (chair: Anne Mills, Professor of Health Economics and Policy, London School of Hygiene and Tropical Medicine)
• Draft report: May 2011
Backup Slides
•
• The global economic impact of maternal and newborn mortality is estimated at US$15
billion in lost productivity every year.
• Women are the sole income earners for over 25% of households worldwide.
• A woman’s income is more likely than a man’s to go toward food, medicine, education,
and other family needs.
• Women’s unpaid work — farming, managing their homes, caring for children and others
— equals about ⅓ of the world’s GNP.
• 30-50% of Asia's economic growth from 1965-1990 can be attributed to improvements
in reproductive health and reductions in infant and child mortality rates
Why investing in women’s & children’s health makes sense
More than 8 million women, newborns, and children under the
age of 5 die from preventable causes every year
To drive economic development
•
• Research confirms that a health system that delivers reproductive health care is a strong
system that delivers for everyone
• A woman’s poor health often pushes her family further into poverty
• Children born to women who have had at least 5 years of education are 40% more
likely to live past age 5
Why investing in women’s & children’s health makes sense
To reduce poverty and improve a countries overall well-being
To enable families to thrive•
• A mother’s death or disability greatly raises the chances her newborn and her other
children will die before age five
• Women connect their families and communities, instilling cultural and social values
• It helps women and children to realize their fundamental human rights
• Women’s and children’s health is inextricably linked to meeting the other MDG goals
Progress to date has been slow for MDG 4
Target 201520081990
8999
12
4552
46
80
667376
122
180
6268
6
37
6072
133
3033
4151715
27222425
41
60
-51%-52%
2123252932
-58%
-44%
-55%
Source: Levels & Trends in Child Mortality, Report 2010. WHO / UNICEF / UNPD / World Bank, 2010
Progress overall has been very slow for MDG 5
400450
16
110140
68
230
140
380
290
590
870
260290
1441854068
160
230280
640
100113
2835175835
9573
148
218
4
-61%-62%
92
Target 201520081990
Source: Estimates of maternal mortality levels and trends 1990-2008. WHO / UNICEF / UNFPA / World Bank, 2010
MDG 4: Little progress in Africa
UPDATED
On track
Insufficient progress
No progress/reversal
No data
Source: Levels & Trends in Child Mortality, Report 2010. WHO / UNICEF / UNPD / World Bank, 2010
MDG 5: Maternal deaths still common in Africa and AsiaUPDATED
Low
Medium
High
Very high
1. Maternal mortality ratio is defined as the number of deaths per 100,000 live births. Low represents countries with less than 100 deaths per 100,000 live births, medium represents countries with 100-500 deaths per 1000,000 live births, high represents countries with 501-1,000 deaths per 100,000 live births, and very high represents countries with greater than 1,000 deaths per 100,000 live births. Source: Estimates of maternal mortality levels and trends 1990-2008. WHO / UNICEF / UNFPA / World Bank, 2010
Maternal death rates1
No data
Cause of
Death% of Deaths Known Successful Interventions
Haemorrhage 24-35% of maternal deaths - Oxytocin and Misoprostol
- Controlled cord traction and uterine massages
- Skilled attendants
Unsafe
Abortion
9-13% of maternal deaths - Family planning
- Safe abortion, where not prohibited by law
- Trained healthcare providers and sanitary conditions
- Post-abortion care
Infections (e.g.
Sepsis,
pneumonia,
tetnus)
8-15% of maternal deaths,
29-36% of newborn deaths,
46% of child deaths
- Immunizations
- Antibiotics
- Hygienic delivery and postpartum care
- Skilled health care provider
Eclampsia &
Hypertensive
Disorders
12% of maternal deaths - Magnesium Sulphate administered by skilled attendants
What interventions work?Comment:
Ann suggests
1) deleting "Trained healthcare
providers and sanitary
conditions." in unsafe abortion
2) Only including TT
immunizations in infections – I
think you should just say
immunizations because there is
also the pneumoccal vaccine
Cause of
Death% of Death Known Successful Interventions
Obstructed
Labour
8% of maternal deaths - Caesarean section by skilled attendants in appropriate setting
- Improved Maternal Nutrition
Asphyxia 23% of newborn deaths - Improved maternal nutrition
- Skilled care during childbirth
Diarrhoea &
pneumonia
24% of child deaths
2.4% of newborn deaths
due to diarrhoea
Represent the two leading
causes of child deaths
- Oral rehydration therapy
- Increased sanitation and access to clean water
- Immunizations
Malaria and
HIV/AIDS
15% of child deaths
19% of women’s deaths
(AIDS)
- Treatment by a skilled health care provider
- Use of insecticide-treated nets and antimalarial medicines
- Preventing Maternal to Child Transmission (PMTCT) counseling and
ARVs
-Treatment with ARVs
Nutrition-
related
disorders
35% of child deaths - Access to proper, age-appropriate nutrition
- Encouraging breastfeeding
- Vitamin A supplements
What interventions work?
• Midwives assigned to every district
to provide basic home care for
expectant mothers
• Government encourages women to
visit the expanded national system of
hospitals and clinics during
pregnancy and for childbirth
Result:
• 99% of pregnant women receive at
least four prenatal visits and give
birth at a health facility
Success stories reflecting the key elements
Sri Lanka
Lowering the maternal mortality rate
Country led health plans
• Implement an insecticide treated net
(ITN) program providing family-sized
ITN to women enrolled in antenatal
care
• Parents of children under five that are
on track with scheduled vaccinations
receive greater subsidies
Result:
• Net distribution seems to have
increased the use of prenatal care and
renewed parents vaccination efforts.
Mali
Reducing cases of malaria
Integrated package of services
Success stories reflecting the key elements
• Country-wide campaigns have made
significant progress, particularly in the
rapid expansion of PMTCT
• 180 out of the 207 health facilities
provide PMTCT services
Result:
• From 2006 to 2009, services
expanded from 5% of HIV-positive
pregnant women to 42%
Lesotho
Preventing transmission of HIV to children
Health systems strengthening
• Government has made improving
family planning services a national
priority
• Rwanda has been a model of improving
access to maternal health care
Result:
• Contraceptive prevalence jumped from
10% in 2005 to 26% in 2008
Rwanda
Prioritizing family planning
Country led health plans
Success stories reflecting the key elements
• Approach that provides prevention and
treatment of the leading killers of
children by training workers at the
community level to diagnose and treat
these diseases
• Platform to deliver other key
interventions such as screening for
malnutrition, vitamin A support during
immunization and bed net campaigns
Sierra Leone
Integrated community case management
Health workforce capability building
• Government launched a new approach
to vitamin A supplementation.
• All children were given vitamin A
supplements
Result:
• Coverage for over 80% of the target
population resulting in an estimated
80,000 lives saved annually
Tanzania
Reducing child mortality rates
Health systems strengthening
Additional commitments
for health
Total for
health
Governments
26.0
Total
MNCH
39.7
Health
care pro-
fessional
associations
0.02
Business
community
1.0
Global
phil-
anthropic
institutions
2.3
UN &
other
multi-
lateral
organ-
izations
5.0
Civil
society
6.0
49 Lowest
income
countries
8.6
All
countries
except 49
lowest
income
16.8
Note: Additional commitments have been made but could not be translated into dollar value . These estimates are made in current dollars.Source: Commitments made to the Global Strategy September 2010
Commitments for the health of women and children
~$66 billion for health committed for 2010-2015
Billions (US$)
Governments
65.7
A call to action: we all have a role to play
Women
and
children
Academic
/research
institutions
Health
care
workers
Civil
society
Gov /
Policy
makers
Donors
UN
agencies
Business
community
Governments and policymakers at local, national, regional
and global levels
• Develop prioritized national health plans, and allocate more funds
• Ensure resources are used effectively
• Strengthen health systems, including the health workforce, monitoring and evaluation
systems and local community care
• Introduce or amend legislation and policies in line with the principles of human rights,
linking women's and children's health to other areas (water and sanitation, poverty,
nutrition, education, gender equity)
• Encourage all stakeholders (including academics, health-care organizations, the
private sector, civil society, health-care workers and donors) to participate and to
harmonize their efforts
• Work with the private sector to ensure the development and delivery of affordable,
essential medicines and new technologies for health
Donor countries and global philanthropic institutions
• Provide predictable long-term support (financial and programmatic) in line with
national plans and harmonized with other partners
• Advocate focusing global health priorities on women and children
• Support research efforts
The United Nations and other multilateral organizations
• Define norms, regulations and guidelines to underpin efforts to improve women's and
children's health, and encourage their adoption
• Help countries develop and align their national health plans
• Work together and with others to strengthen technical assistance and programmatic
support, helping countries scale up their interventions and strengthen their health
systems, including health-care workers and community-level care
• Encourage links between sectors and integration with other international efforts (such
as those on education and gender equality), including harmonized reporting
• Support systems that track progress and identify funding gaps
• Generate and synthesize research-derived evidence, and provide a platform for
sharing best practices, evidence on cost-effective interventions and research findings
Civil society
• Develop and test innovative approaches to delivering essential services, especially
ones aimed at the most vulnerable and marginalized
• Educate, engage and mobilize communities
• Track progress and hold all stakeholders (including themselves) accountable for their
commitments
• Strengthen community and local capabilities to scale up implementation of the most
appropriate interventions
• Advocate increased attention to women's and children's health and increased
investment in it
The business community
• Scale up best practices and partner with the public sector to improve service
delivery and infrastructure
• Develop affordable new drugs, technologies and interventions
• Invest additional resources, provide financial support and reduce prices for goods
• Ensure community outreach and mobilization, coordinated with health-care workers
Health-care workers and their professional associations
• Provide the highest-quality care, grounded in evidence-based medicine, share best
practice, test new approaches, use the best tools possible and audit clinical practice
• Collaborate to provide universal access to the essential package of interventions,
addressing the needs of the vulnerable and marginalized
• Identify areas where services could be improved and innovations made
• Ensure that women and children are treated with respect and sensitivity when they
receive health care
• Advocate better training, deployment and retention of workers
• Work with academics to provide training and continuing education
• Provide information to track progress and hold authorities and donors to account
Academic and research institutions
• Deliver a prioritized and coordinated research agenda
• Encourage increased budget allocation for research and innovation
• Build capacity at research institutions, especially in low- and middle-income countries
• Strengthen the global network of academics, researchers and educators
• Help policy development by reporting on trends and emerging issues
• Disseminate new research findings and best practice, in collaboration with HCPAs