Impact-2025_Update-Oct-3.pdf - Canadian Network for Maternal

WELCOME Helen Scott, Director, Canadian Network for Maternal, Newborn and Child Health

4.4 million more lives were saved in 2010 than 1990

Maternal mortality declining faster since 2000

Annual under-5 child deaths (millions)

Annual maternal death (thousands) 408

12.0

398

9.6 287

7.6

6.6 in 2012

1990

2000

2010

1990

2000

2010

Risk of mortality peaks around childbirth

Stillbirths

Newborn deaths

Maternal deaths

Pre-pregnancy

Pregnancy

Child Deaths

Birth

Newborn/postnatal

Donnay, F. Bill and Melinda Gates Foundation

Childhood

Accelerating progress

• Still not reaching the most vulnerable • Risk of maternal death 100x higher in Sub Saharan Africa • Neonatal period = 40% of child mortality • 222 million women with unmet need for voluntary, modern family planning

Economic Benefits of Investing in Maternal, Newborn and Child Health

• Annual productivity loss of $15 billion due to maternal and newborn deaths • US$20 generated in benefits for every $1 invested in RMNCH key interventions • Lowering fertility in China and India increases GDP per capita by 0.7-1.0% per year

http://www.who.int/pmnch/media/news/2013/pmnchhealthpost2015.pdf http://www.who.int/pmnch/topics/part_publications/ks24_rev_20130403_high.pdf http://www.cddep.org/projects/lancet_commission_investing_health

Key Opportunities for IMPACT

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Gender equity

•

Improved nutrition and food security – key focus on girls and women

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Prevent and treat neonatal morbidity and mortality

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Integrated care for pneumonia and diarrhea prevention and treatment (including vaccinations)

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Improved access to emergency obstetric care and family planning

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HIV: eliminate transmission to newborns and focus on maternal survival

Canada’s Leadership

2012 Creation of CAN-MNCH 2010/11 Muskoka Initiative • Commission on Information and Accountability

• NGOs, researchers & clinicians • Supported by DFATD • Enhanced effectiveness

2013 Working Together • • • • •

70 Partners 96 countries 100+ initiatives 1,000+ regions 1,000,000+ Canadians

2 0 1 5

2 0 1 2

Sharing insights, experiences and evidence • •

Connecting Canadian experts around the globe Innovation and research is key for scaling up

Common metrics and reporting to improve accountability •

Pilot projects Tanzania and Bangladesh

Informing and advising Canadian stakeholders • •

Working closely with important stakeholders Exploring synergies with private sector

Partner Organizations

MEASURING RESULTS

KNOWLEDGE EXCHANGE

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STAKEHOLDER ENGAGMENT

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70 Canadian NGO, Healthcare Professional Associations and Academic Institutions are working in over 1,000 regions around the world 7 Resource Partners Complete online mapping exercise Approved by Steering Committee

CAN-MNCH

MEASURING RESULTS

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KNOWLEDGE EXCHANGE

STAKEHOLDER ENGAGEMENT

Steering Committee: Elected at 2011 Annual Meeting Secretariat: Director, Program Officer Working Groups: Knowledge Exchange, Metrics, Stakeholder Engagement (Policy)

CIDA -

MEASURING RESULTS

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KNOWLEDGE EXCHANGE

STAKEHOLDER ENGAGEMENT

Funding – $1.8 million to 2015 (75%) Active involvement in Working Groups Supportive

Improve MNCH Working together to maximize each sectors valuable contributions

MEASURING RESULTS

KNOWLEDGE EXCHANGE

STAKEHOLDER ENGAGEMENT

Metrics Working Group Update Dorothy Shaw, Helen Scott

Organization

Member

CARE Canada

Ambrose, Kaia

SickKids/ Dalla Lana U of T

Bassani, Diego

Healthy Children Uganda

Brenner, Jenn

SickKids/ iERG

Bhutta, Zulfiquar

Can. Soc for Int’l Health

Hatcher Roberts, Janet

DFATD

Lajtonyi, Judith

DFATD

Bhattarai, Sudeep

Plan Canada

Mirza, Tanjina

DFATD Canadian Red Cross CAN-MNCH

Romaniuc, Lara Salim Sohani Scott, Helen

CAN-MNCH

Shaw, Dorothy

Save the Children

Vijayaraghavan, Janani

DFATD

Ahluwalia, Rashim

Mandate • Clarify CoIA definitions and determine what is possible for Canadian partners to measure and contribute to national level reporting. • To create a platform for sharing comparable metrics across and between CAN-MNCH Network organizations and CIDA. • Share and socialize selected common metrics and measurement tools. • To liaise with DFATD as a reference group on feasible and sustainable reporting requirements. • Strengthen or develop Network partners’ capacity to contribute to district- or national-level surveillance in focus countries.

Landscape Analysis - Tanzania Meetings held prior to Tanzania: - Canadian partners (in Toronto) - iERG - WHO MDSR working group - Jennifer Bryce - Countdown to 2015 - Canadian Coalition for Global Health Research

Arusha: - Save the Mothers (Unable to attend partners meeting) - Jhpiego - Integrare - Merck for Mothers - Comprehensive Community Based Rehabilitation

Landscape Analysis - Dar Es Salaam • • • • • • • • • • •

AKF TZ AMREF TZ CARE Canada CPAR CNIS Grand Challenges Canada PLAN Canada PWRDF Cuso International World Vision Canada World Vision TZ

• NOTE: Missing some Partners

• CIDA - Nadia Hamel, Judith Lajtonyi, Gilles de Margerie

• Missing direct or collaborating partners include CPHA, Save the Mothers; CISH; SOGC; SickKids Global Child Health program • CDC: Sriyanjit Perera • Ministry of Health and Social Welfare: Dr. Neema Rusibamayila and Mr. Kihinga

Landscape Analysis - Summary • • • •

Canada’s contribution is significant (training) # of data elements is unrealistic (> 300) Family planning measures not integrated CHW are responsible for data collection, limited validity, reliability • Our Partners rely on MoH and DHS data (poor quality/ slow) • 11 indicators are gathered through MoH and DHS, not reliable, regional, timely

MNCH Indicator Portal

Stakeholder Engagement Working Group

Member

Organization

Carmichael, Todd Dendys, Chris French, Meg Lynch, Bridget McWilliams, Cicely Shaw, Dorothy Scott, Helen Therrien, Wendy Tardiff, Jean Francois

AMREF Canada Micronutrient Initiative UNICEF Canada Can Association of Midwives Save the Children Canada SOGC CAN-MNCH CAN-MNCH RESULTS

Mandate

• To strengthen, accelerate, and amplify Canada’s global leadership in securing results for the health of the world’s most vulnerable women, newborns and children. • Strengthen - Increased use of an integrated, multi-sectorial approach (best practices) to improve MNCH programming. • Accelerate - Canada’s MNCH efforts. • Amplify - Public engagement with a purpose, communicating for results.

Key Activities

• Supported Mom-mentum Mother’s Day Tea on Parliament Hill, May 7, 2013 (co-hosted by Save the Children/ CAN-MNCH) • Prepared and disseminated the MNCH Strategy Note – The Final Push: Working Together for Global Maternal, Newborn and Child Health • Oversee meeting preparations for high level meetings with key government staff and elected representatives

Other outreach (examples) • • • • • • • • • • • •

Canadian Global Health Conference Grand Challenges, Rising Stars Luncheon - Laureen Harper Meetings with various MPs and Senators Dignitas Mother’s Day Campaign Inaugural meeting - Coalition of Global Child Health Centres Canadian Launch of the Global Action Plan for Prevention and Treatment of Diarrhea and Pneumonia, SickKids Hospital United Nations General Assembly, Every Woman Every Child Reception United Nations General Assembly, Every Woman Every Child event, co-hosted by Prime Minister Harper Canadian Launch of the Lancet Maternal and Child Series Partnership for Maternal, Newborn and Child Health GAVI ONE.org

Knowledge Exchange Working Group

Member

Organization

Barwick, Melanie

Hospital for Sick Children / University of Toronto

Corluka, Adrijan

Global Health Research Initiative

Davidson, Marnie

CARE Canada

Emary, Colleen

World Vision

Gold, Emily

Micronutrient Initiative

MacDonnell, Heather Canadian Pediatric Society Neufeld, Vic

Canadian Coalition for Global Health Research

Moerkerken, Ericka

CCISD

Salewski, Tanya

Aga Khan Foundation

Silver, Karlee

Grand Challenges Canada

Scott, Helen

CAN-MNCH

Mandate

• Identify & share evidence based interventions and indicators in MNCH (science and lessons learned) • Identify best practices in the implementation of MNCH programs/ interventions (the HOW-TO). Share the evidencebased evidence about the implementation so as to inform better implementation of MNCH PROGRAMS/INTERVENTONS • Build awareness of/ facilitate and showcase examples of good collaboration • Facilitate sharing successes and challenges problem solving/sharing for MNCH issues problems/issues ( i.e.: Rapid Response Forum)

Key Activities

• Knowledge Portal • Report template/ casebook that captures the single most important thing (SMIT) or main messages • MNCH Seminar Series: Nurturing Maternal Health, AKF Canada • October 3/4 – IMPACT 2025: Working Together for Global, Maternal, Newborn and Child Health • Regular blog, Facebook post and “News & Events” eblast highlighting key reports and documents • Linking with domestic and international partners across sectors to cross-populate latest research, activities and opportunities

Linking with the research community

• Consultative process to guide government’s investments (Gates Foundation; GCC models) • Linking with NGOs for mutual sharing (empirical and scientific evidence) • Questions: – What is the value add for the research community? The NGO community? – What are the wins for the network? Reverse innovation; examples where research is driving program change

Private Sector Survey • 65% work with private sector; most have positive experience • Vast majority worked with PS for two years or less • Main types of engagement • PS provides funding for programming • PS provides funding for research • PS provides in kind materials (drugs, equipment) • Key challenge - high level of effort to generate a low level of funds • Concerns with drug quality (expiration date etc.)

Building a network • Stay focused; set clear, measurable goals • Keep it small (suggest 5 or 6 key members) • The first mile – Invest heavily, build trust • Journey – Complimentary leadership, discipline, flexible management • The last mile – don’t stop with the end in sight