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Ms. Nana Taona Kuo Senior Manager, Every Woman Every Child United Nations EOSG Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO

Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

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Page 1: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

Ms. Nana Taona Kuo

Senior Manager,

Every Woman Every Child

United Nations EOSG

Dr Shyama Kuruvilla

Senior Strategic Adviser

Family, Women’s and Children’s Health

WHO

Page 2: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

2

1. Unified Accountability

Framework (UAF) overview

2. UAF key functions, indicators,

and opportunities

Presentation outline

Page 3: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

3

Healthy people

and societies

contribute more

positively to all

the SDGs

&

All the SDGs

contribute to

better health and

well-being for all

people and

societies

NO

POVERTY

ZERO

HUNGER

QUALITY

EDUCATION

AFFORDABLE

AND CLEAN

ENERGY

DECENT WORK AND

ECONOMIC GROWTH

INDUSTRY, INNOVATION

AND INFRASTRUCTUREREDUCED

INEQUALITIES

SUSTAINABLE CITIES

AND COMMUNITIES

RESPONSIBLE

CONSUMPTION

AND PRODUCTION

LIFE BELOW

WATER

LIFE

ON LAND

PEACE

AND JUSTICE

PARTNERSHIPS

FOR THE GOALS

GENDER

EQUALITY

CLEAN

WATER AND

SANITATION

PRIORITIZING THE HEALTHNEEDS OFTHE POOR

ADDRESSING THECAUSES AND

CONSEQUENCES OFALL FORMS OF

MALNUTRITION

SUPPORTING HIGH-QUALITY

EDUCATION FOR ALL TO IMPROVE

HEALTH AND HEALTH EQUITY

FIGHTING GENDER INEQUITIES, INCLUDING

VIOLENCE AGAINST WOMEN

PREVENTING DISEASE THROUGH

SAFE WATER AND SANITATION

FOR ALL

PROMOTING SUSTAINABLE ENERGY FOR

HEALTHY HOMES AND LIVES

PROMOTING HEALTH EMPLOYMENT AS A

DRIVER OF INCLUSIVE ECONOMIC GROWTH

PROMOTING NATIONAL R&D CAPACITY AND

MANUFACTURING OF AFFORDABLE

ESSENTIAL MEDICAL PRODUCTS

ENSURING EQUITABLE ACCESS TO HEALTH SERVICES THROUGH UNIVERSAL HEALTH COVERAGE BASEDON STRONGER PRIMARY CARE

FOSTERING HEALTHIER CITIES THROUGH URBAN

PLANNING FOR CLEANER AIR

AND SAFER AND MORE ACTIVE

LIVING

PROMOTINGRESPONSIBLE

CONSUMPTION OF MEDICINES TO

COMBATANTIBIOTICRESISTANCE

PROTECTING HEALTH FROM CLIMATE RISKS,

AND PROMOTING HEALTH THROUGH

LOW-CARBON DEVELOPMENT

SUPPORTING THE RESTORATION OF FISH STOCKS TO IMPROVE SAFE

AND DIVERSIFIED HEALTHY DIETS

PROMOTING HEALTH AND PREVENTING DISEASE THROUGH HEALTHY NATURAL

ENVIRONMENTS

EMPOWERING STRONG LOCAL INSTITUTIONS TO DEVELOP, IMPLEMENT,

MONITOR AND ACCOUNT FOR AMBITIOUS NATIONAL SDG

RESPONSES

MOBILIZING PARTNERS TO

MONITOR AND ATTAIN THE

HEALTH-RELATED SDGS

ENSURE HEALTHY

LIVES AND PROMOTE

WELL-BEING FOR ALL

AT ALL AGES

CLIMATE

ACTION

GOOD HEALTH AND WELL-BEING

WWW.WHO.INT/SDGS

Page 4: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

4

UNSG and world leaders launch the Global Strategy,

alongside the SDGs, in September 2015 as:

“ A front-runner implementation platform for the SDGs”

Integrated across 9 SDGs, including Goal 3 for health and other key SDGs

on social, political, economic and environmental determinants

Page 5: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

5

Global Strategy Objectives

SURVIVE

End preventable

deaths

THRIVE

Ensure health

and well-being

TRANSFORM

Expand enabling

environments

These objectives cover 20 SDG targets (combined as 17 GS targets)

Page 6: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

6

Three pillars support

country-led implementation:

i. Technical support: H6

agencies - UNAIDS, UNFPA,

UNICEF, UN Women, WHO,

and the World Bank Group –

and partners

ii. Financing: Global Financing

Facility and others

iii. Accountability: Unified

Accountability Framework

Country-led implementation supported by the

Every Woman Every Child architecture

Every Woman Every Child

UN Secretary-General

CountryLeadership

High Level

Advisory Group

Page 7: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

7

Defining Accountability

� Begins with national sovereignty and responsibility of governments to

their people and to the global community.

� Includes all partners for the commitments and promises they make,

and the policies and programmes they design and implement.

� Comprises three interconnected processes – monitor, review and act –

that are aimed at learning and continuous improvement.

Country achievements with CoIA from 2011 to 2015

� 70 countries funded to strengthen CRVS, health information systems

� 55 countries implementing maternal death surveillance and reviews

� 30 countries implementing community death reviews

� 33 countries with a System of Health Accounts to track resources,

including specifically on RMNCAH, nearly doubling from 18 in 2011

Commission on Information and Accountability

(CoIA): foundation for the UAF

Page 8: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

8

� Supports country-led implementation and strengthen the linkages

across Monitor, Review Act and from country, regional and global

levels

Unified Accountability Framework

Page 9: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

9

1. Facilitate tracking of resources, results and rights by

multi-stakeholder partners, including EWEC

commitments

2. Promote alignment of partners in support of country-

led plans, and improve multi-stakeholder engagement,

including through citizens’ hearings

3. Contribute to national and SDG monitoring through the

Global Strategy indicator and monitoring framework

4. Support the critical independent review function

through the Independent Accountability Panel (IAP)

5. Harmonize with other accountability initiatives, such as

the Health Data Collaborative (HDC), the Countdown to

2030 and others

Key functions of partners through the UAF

Page 10: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

10

�Commitments to date:

• 53 Governments, 124 others

from private sector, NGOs,

academia, youth,

multilateral, donors

�Continued mobilization

�Tracking of progress, results

� Identifying gaps (annual

Independent Accountability

Panel report)

�Multi-stakeholder engagement

to monitor, review act (all levels)

1. Tracking – multistakeholder accountability for

commitments

Page 11: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

11

Tracking - World Health Assembly Resolution, May

2016

� INVITES member states:

1) to commit, in accordance with their national plans and priorities, to implementing the

Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030) …

2) to strengthen accountability and follow-up at all levels, including through monitoring

national progress and increasing capacity building for good-quality data collection and

analysis …

� INVITES relevant stakeholders:

1) to support the effective implementation of national plans and contribute to the

accomplishment of the Global Strategy …and its milestones;

� REQUESTS the Director General:

1) to provide adequate technical support to Member States in updating and implementing

national plans and relevant elements of the Global Strategy…, including good-quality data

collection and analysis;

2) to continue to collaborate with other United Nations agencies, funds and programmes, and

other relevant funds, partners and stakeholders, to advocate and leverage assistance for

aligned and effective implementation of national plans;

3) to report regularly on progress towards women’s, children’s and adolescents’ health to the

Health Assembly.

WHA69.2: http://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_R2-en.pdf

Page 12: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

12

NATIONAL M&E PLAN AND INFORMATION SYSTEMS (and inputs into regional and global reporting)

COMMON INVESTMENT FRAMEWORK (country investment cases/plans)

FOUNDATIONSFOUNDATIONS

BILATERAL/

MULTI-

LATERAL

BILATERAL/

MULTI-

LATERAL

DOMESTIC

FUNDING

DOMESTIC

FUNDING

GAVI

GLOBAL

FUND

GFF

GAVI

GLOBAL

FUND

GFF

OTHER

SECTOR

FUNDS

OTHER

SECTOR

FUNDS

OTHER

HEALTH

FUNDS

OTHER

HEALTH

FUNDS

NATIONAL DEVELOPMENT PLAN

HEALTH

STRATEGIC

PLAN

EDUCATION

STRATEGIC

PLAN

NUTRITION

STRATEGIC

PLAN

WASH

STRATEGIC

PLAN

GENDER

STRATEGIC

PLAN

OTHER

SECTOR

PLANS

SYSTEMS STRENGTHENING AND IMPLEMENTATION

IN ALL SETTINGS (leave no one behind)

2. Aligning support for country-led plans

TECHNICAL

SUPPORT

• SDGS

• UHC 2030

• HEALTH DATA

COLLABORATIVE

• HEALTH IN ALL

POLICIES

• GLOBAL

STRATEGY -

H6, GFF, UAF

• OTHER HEALTH,

DEVELOPMENT

STRATEGIES

• STANDARDS,

TOOLS

• RESEARCH AND

INNOVATION

• BEST PRACTICES

• ENHANCED

TECHNICAL

COLLABORATION

• PARTNER

ALIGNMENT

• MULTI-

STAKEHOLDER

ENGAGEMENT

• REGIONAL AND

GLOBAL LINKS …..

Page 13: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

13

�Women, children and adolescents as agents of change

�Parliamentarians

– Fund national health plans; move towards UHC

– Allocate more funds for cross sector action to improve health

– Legislate in line with human rights and gender equality

�Communities

– Participate

– Demand creation

– Support positive changes to social norms

– Advocate and hold governments to account

�Civil society

– Advocate for investment

– Strengthen community capacity

– Track progress and forge multisector partnerships

– Support closing data gaps

– Citizen’s Hearings

Multistakeholder engagement - individual and

community action

Page 14: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

14

� Published in May 2016

� Survive, Thrive and Transform objectives

– Cover 9 SDGs and 20 SDG targets

� 16 key indicators

– A snapshot, a minimum set to track GS progress

� 60 indicators in the main framework

– 34 indicators included in the SDGs

– 26 additional indicators

– Most of the health indicators included in the “100 core

indicators” for health in the SDGs

� Set of recommendations:

– Invest CRVS, HIS and surveys

– Focus on disaggregated data

– Strengthen analysis and use

– Areas for further indicator and monitoring development

3. Contribute to SDG monitoring - Global Strategy

indicator and monitoring framework

Page 15: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

15

�Country level

– Strengthen national data collection, score cards, CRVS systems and link to National

Statistical offices, including through Health Data Collaborative,

– Support national or sub-national reviews to feed into SDG National Voluntary Reviews

– Citizen Hearings, parliamentary committees, national heath sector reviews

�Regional level

– Support regional intergovernmental bodies thematic or country peer reviews

– Regional commitment makers: AU, CARICOM, OIC

�HLPF

– IAP report, EWEC Progress Report, feed into annual SDG Progress Reports (SG’s

Progress Report, Global Sustainable Development Report)

– WHA resolution – regular reports from countries on women’s, children’s and

adolescent’s health

– Contribute to HLFP thematic reviews – health, leave no one behind, partnerships

Feed into SDG follow-up and review, including HLPF

Page 16: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

16

� UN Secretary-General appoints nine members to IAP

� Carry forward the work of COIA and the previous 9 member

independent Expert Review Group (iERG)

� Panelists empowered to command attention from the global

community across the accountability framework for the Global

Strategy

4. Independent review

Independent Accountability Panel (IAP)

� Independent in

function, with

‘firewall’, and

management

support from the

Partnership for

Maternal, Newborn

& Child Health

Page 17: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

17

“ The GFF approach is embedded within the monitoring framework of

the Global Strategy in an effort to ensure close correspondence with

the overall reporting process for the SDGs. This alignment is intended

to minimize the monitoring and reporting burden by countries and to

highlight the fact that reporting for the GFF should be closely

connected with national systems rather than treated as “project”

reporting.”

Results measurement paper, GFF Third Investors’ Group meeting, June 2016

5. Harmonization - related global initiatives

e.g. Global Financing Facility

Page 18: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

18

�Global Strategy progress reports support and draw on

national data and contribute to SDG and health monitoring

� September 2016 – readiness report on Global Strategy data

availability and monitoring capacities in countries

�April 2017 – First progress report, aligned with the Global

Strategy indicator and monitoring framework

�EWEC and PMNCH support country-led plans through

multistakeholder inputs and commitment tracking

�WHO technical leadership role with H6 agencies

� IAP can draw on the Global Strategy progress reports and

other sources to develop their independent review

Harmonization - Global Strategy progress reports,

mutlistakeholder contributions

Page 19: Dr Shyama Kuruvilla Senior Strategic Adviser WHO · Dr Shyama Kuruvilla Senior Strategic Adviser Family, Women’s and Children’s Health WHO. 2 1. Unified Accountability Framework

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