TENTATIVE Agenda A Promise Renewed in the Americas

Reducing inequities in reproductive, maternal and child health 10-12 September 2013 - Panama City, Panama
Hotel Westin Playa Bonita Background A year ago, on June 14 and 15, 2012, more than 80 governments and numerous partners from civil society, faith-based organizations, and the private sector gathered in Washington, D.C., at the Child Survival Call to Action to launch a re-energized and sustained global effort to save childrens lives. The high-level forum was convened by UNICEF and the government of the United States, together with the governments of Ethiopia and India. Since the launch, UNICEF has spearheaded a new global movement for child health and survival called, A Promised Renewed (APR). As of June 2013, 165 countries in the world have signed the APR pledge to advance child health and 32 of these are in the Region of the Americas. Regional and country-based follow-up meetings are being held to share evidence, build commitment, and plan for implementation. A follow-up meeting for the Region of the Americas will be held September 10-12 in Panama City, Panama. The meeting will focus on issues pertinent to child health in the regional context, including the range of social and economic inequities in child health indicators and the critical roles of perinatal, maternal and reproductive health. The meeting is co-hosted by the Government of Panama. It is being planned and sponsored by the following partners: The Inter-American Development Bank (IDB), the Pan American Health Organization/World Health Organization (PAHO/WHO), the Salud Mesoamrica 2015 Initiative (SM2015), the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United Nations Population Fund (UNFPA), the United Nations Childrens Fund Regional Office for Latin America and the Caribbean (UNICEF/TACRO), the United States Agency for International Development (USAID), and the World Bank. In Latin America and the Caribbean, diminishing funding from development agencies and other donors makes it critical to mobilize the regions own significant capacity to improve infant, child, maternal and reproductive health. Strategic approaches presented at this meeting will address inequities affecting disadvantaged populations, improving monitoring and analysis, and strengthening public-private sector collaboration. Purpose To provide a forum to review regional and country successes in reproductive, maternal, neonatal and child health; identify remaining major challenges; share models and approaches; and galvanize efforts mobilizing resources to accelerate achievement of the Millennium Development Goals (MDGs) 4 (Reduce child mortality) and 5 (Improve maternal health) and the anticipated post-2015 health development agenda. Objectives 1. Review regional successes and gaps in reproductive, maternal, neonatal, and child health. 2. Identify key scalable interventions, strategic shifts, and partnerships needed to reduce inequities.

3. Galvanize efforts to accelerate achievement of Millennium Development Goals 4 and 5 in the Americas, discuss the post-2015 health development agenda, and plan regional engagement in A Promise Renewed, a global movement striving to end preventable maternal and child deaths. Expected results 1. A renewed region-wide commitment: Signing of the Panama Declaration by participating countries, international organizations, the private sector, civil society, and other organizations who commit to work within and across agencies to reduce the equity gaps for maternal and child health in the region and to eliminate preventable maternal and child mortality. 2. A framework for action and accountability: Discussing of a Regional Roadmap to inform national strategies and to strengthen coordination, exchange, advocacy, and resource mobilization in order to achieve significant reductions in equity gaps and eliminate preventable maternal and child deaths. 3. A network for ongoing exchange and collaboration: Formation of a continuing Partnership among the international sponsors of the conference to support follow-up measures and communication after the conference. 6:00-8:00 pm Early Registration Monday 9 September Hotel Westin Fast-track Main Foyer

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Purpose: Defining the Landscape, Challenges and Opportunities

Location: Seascape Ballroom

DAY 1 Tuesday 10 September

Time 7:00-8:20 am 8:30-8:45 am 8:45-9:45 am

Event Day-of Registration Hotel Westin Fast-track Main Foyer

Moderator: Ministry of Health Panama Protocol Representative

Welcome and Opening Remarks

Moderator: Elizabeth Mason, Director WHO/MCA, Geneva, Switzerland

Session 1: Panel Discussion

Setting the Tone to Strengthen International Cooperation

UNICEF/TACRO Reaching the fifth child

Bernt Aasen, Regional Director, Panama

USAID USAID in LAC: Evolving partnerships to address inequalities

Ariel Pablos-Mendez, Assistant Administrator, Global Health Bureau, Washington DC

IDB IDBs support to countries to accelerate achievements of MDG 4 & 5 in the Americas and the strategy moving forward
Ferdinando Regalia, Social Protection & Health Division Chief, Washington DC

UNFPA A Promise Renewed and the Cairo+2014 Agenda

Marcela Suazo, Regional Director, Panama

UNAIDS HIV, inequalities and the post-2015 development agenda in Latin America
Cesar Nez, Regional Director, Latin America, Panama Ernest Massiah, Regional Director, Caribbean, Trinidad & Tobago

World Bank The World Banks Reproductive Health Action Plan and the Strategy moving forward
Joana Godinho, Health Sector Manager, Washington DC

PAHO Universal health coverage to reduce inequities in reproductive, maternal and child health
Carissa F. Etienne, Regional Director, Washington DC

9:45-10:30 am

Session 2: Signing the Declaration of Panama

Participating international agencies, Ministers of Health, other agencies and organizations

Host: Javier Diaz, Minister of Health, Ministry of Health, Panama

A renewed promise among Western Hemisphere countries to commit their own resources and collaborate across borders to promote reproductive, maternal and child health to decrease inequities.

10:30-11:15 am 11:15-11:45 am

Break

Keynote Address 1
Barriers to health equity - What the evidence shows and regional challenges
Felicia Knaul, Director, Harvard Equity Institute, Boston, Massachusetts Questions and answers in plenary Lunch (Pacifica Room)

11:45-12:00 pm 12:00-1:30 pm Moderator: Carissa F. Etienne, Regional Director, PAHO/Washington 1:30-3:00 pm

Session 3: Panel Country Presentations

Defining the problems and challenges - Identifying the key inequities that impact on reproductive, maternal, adolescent, neonatal, child and youth health

Universal health coverage Challenges in achieving universal coverage to health services in Panama
Javier Diaz, Minister of Health, Ministry of Health, Panama

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Categories of socio-economic inequalities Challenges in reducing socio-economic inequalities implementing the Stork Network program
Helvecio Miranda Magalhaes Jr., Vice-Minister of Health, Ministry of Health, Brazil

Challenges in data generation and analysis for informed decision-making Country data generation and analysis for maternal mortality
Karen Lewis-Bell, Director, Family Health Services, Ministry of Health, Jamaica

Improving participation in health systems and inclusion in national policy design Universal maternal and child insurance, continuum of care, and life-course in Bolivia
Ruben Coloque, Director General of Health, Ministry of Health and Sports, Bolivia

Identifying strategic shifts needed to decrease inequities Identifying shifts to decrease inequities: Mexicos experiences

3:00-3:30 pm 3:30-5:00 pm

Ignacio Villaseor Ruiz, Director General, National Center for Infant and Adolescent Health (CENSIA), Mexico Break
Moderator: Christopher Drasbek, Regional Advisor, Integrated Child Health, PAHO/Washington

Session 4: Panel Structured Conversation

Looking towards the future: Ensuring regional partnerships to reduce inequalities

Hosted by Claudia Palacios, CNN/Colombia

Partnership for Maternal, Newborn and Child Health

Andres De Francisco, Deputy Director, Geneva, Switzerland

Regional Inter-agency Task Force on Maternal Mortality Reduction

Martha Murdock, Vice-President for Regional Programs, Family Care International, New York

Prioritizing partnerships for universal health coverage

Irene Klinger, Director, External Relations, Partnerships & Governing Bodies, PAHO/Washington

Getting products to people: Alliance for health logistics

Nora Quesada, Regional Director for Latin America, John Snow, Inc., Colombia

LAC Regional Neonatal Alliance

Goldy Mazia, Technical Advisor Newborn Health, Maternal and Child Health Integrated Program (MCHIP), Washington DC

Building on existing platforms and networks (A Promise Renewed)

Michael Moffo, A Promise Renewed Secretariat, New York

5:00-5:15 pm 7:30 pm

Moderator: Susan Thollaug, Team Leader, LAC/RSD/Health & Education Group, USAID/Washington

Session 5: Inauguration of the Active Wall

Video: LAC's legacy in the use of broadcast media in development Reception

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Purpose: Identify Technical and Policy Innovations to Closing Gaps

Location: Seascape Ballroom

DAY 2 Wednesday 11 September

Time 8:30-9:00 am

Event
Welcome to Day 2 Moderator: Hon. John Boyce, Minister of Health, Ministry of Health, Barbados

Keynote Address 2
Evidence and innovative approaches to reaching poor and marginalized populations with quality health services 9:00-9:15 am 9:15-9:45 am
Davidson Gwatkin, Senior Fellow at the Results for Development Institute and Senior Associate at the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland Questions and answers in plenary

Session 6: More Evidence

Health systems and behavioral change for child survival and thriving
Luis Velez, Director, Program Development, Evaluation and Quality Improvement, DePelchin Childrens Center, Houston, Texas

9:45-10:45 am

Moderator: Ramon Soto, Regional Health and HIV Advisor, World Vision, Latin America and the Caribbean Regional Office

Session 7: Concurrent Breakout Sessions (Rooms will be assigned)

South-to South sharing: scaling up high-impact interventions to decrease inequities

7.1 Universal health coverage (English & Spanish simultaneous translation)

Moderator: Vicky Camacho, Sexual and Reproductive Health Regional Technical Adviser, UNFPA/Panama Rapporteur: Amparo Gordillo-Tobar, Senior Health Economist, World Bank/Washington The development of integrated child health and working with key family practices in Colombia, Ana Maria Penuela, Child and Adolescent Health Advisor, Ministry of Health and Social Protection, Colombia Scaling-up Helping Babys Breathe, Yanira Burgos, Neonatologist, Ministry of Health, El Salvador Stork Network - an effective strategy to reduce neonatal mortality in Brazil, Paulo Bonilla, Technical Child and Maternal Health and Breastfeeding Coordinator, Program and Strategic Action Department (DAPES), Ministry of Health, Brazil

7.2 Challenges in data generation and analysis for informed decision-making (English
& Spanish simultaneous translation)

Moderator: Julio Valdez, Executive Secretary of the Committee of Ministers of Health in Central America (COMISCA), El Salvador Rapporteur: Peg Marshall, Senior Technical Adviser, Maternal & Child Health, USAID/Washington Ways to unify criteria and approaches for the collection and interpretation of MNCH data Peru case studies, Hector Benavides, Executive Director of Demography, National Institute of Statistics and Information, Peru Inequity data for maternal, newborn and child health, Ignez Tristao, Senior Social Protection and Health Specialist, IDB-SM2015/Mexico Web-based maternal mortality surveillance in Colombia, Sarah Garcia, Institute of Public Health, Ministry of Health and Social Protection, Colombia

7.3 Improving participation in health systems and inclusion in national policy design
Moderator: Rafael Salazar Portugues, Consultant, Reproductive and Maternal Child Health,

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Ministry of Health, Costa Rica Rapporteur: Gustau Alegret, Senior Communication Officer, Salud Mesoamrica 2015 Initiative (SM2015-IDB), Washington DC Mother-to-child transmission of HIV, Ralph Midy, Regional Advisor HIV/AIDS, UNICEF/TACRO, Dominican Republic Womens and childrens rights based on regional frameworks, Laura Ferguson, Assistant Professor, Keck School of Medicine, Program on Global Health and Human Rights, Institute for Global Health, University of Southern California, Los Angeles, California Andean regional policy on adolescent pregnancy prevention, Gloria Lagos, Manager, International Cooperation Strategies, Peru

7.4 Identifying strategic shifts needed to decrease inequities

Moderator: Luz Herrera, Director General, Maternal and Child Health, Dominican Republic Rapporteur: Una McCauley, UNICEF Country Representative, Panama Empowering women, families, and communities in maternal, newborn & child health, Joel Duron, Health Coordinator, National Red Cross, Honduras & Richard McCabe, Senior Program Manager Americas, Canadian Red Cross, Ottawa Poverty and adolescent fertility in LAC: the role played by inequality, Luis F. LopezCalva, Lead Economist, World Bank/Washington DC Incentive schemes among midwives, community health workers, and pregnant women to decrease maternal and neonatal deaths - Experience in three Central American countries, Emma Sanchez-Monin, Senior Social Protection and Health Specialist, IDB-SM2015/Nicaragua Break (Optional)

10:45-11:15 am 11:15-12:00 pm 12:00-12:30 pm 12:30-2:00 pm 2:00-3:30 pm

Session 7: Breakout sessions continued

Seascape Ballroom: Group presentations and plenary discussion Lunch (Pacifica Room)
Moderator: Felix Bonilla, Secretary General of Health for the Minister of Health in Panama, Ministry of Health, Panama

Session 8: Concurrent Breakout Sessions (Rooms will be assigned)

Operationalizing innovative approaches to close the gaps and accelerate progress

8.1 Universal health coverage

Moderator: Reina Turcios, Centers for Disease Control and Prevention, Guatemala Rapporteur: Meilyn Gem, Operations Analyst, World Bank/Panama Access to contraceptives and new technologies in family planning, Juan Diaz, Associate Researcher, Reprolatina, Brazil Kangaroo care, Juan Gabriel Ruiz, Kangaroo Foundation and Professor Department of Pediatrics, School of Medicine, University of Javeriana, Colombia New vaccines and decade of vaccines, Gina Tambini, Director, Family, Gender and Life Course Department, PAHO/Washington

8.2 Challenges in data generation and analysis for informed decision-making

Moderator: Rosa Elcarte, UNICEF Country Representative, Paraguay Rapporteur: Claudia Llanten, Country Director, Catholic Medical Mission Board, Peru HIV Investment Framework, Christian Aran, Regional Investment and Efficiency Advisor, UNAIDS/Panama Global Burden of Diseases: Better Data for Better Health. Ali Mokdad. Director, Middle Eastern Initiatives and Professor, Global Health Institute for Health Metrics and Evaluation (IHME), University of Washington. Seattle, Washington

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The new wave of maternal and child health in Paraguay, Maria Teresa Baran, ViceMinister of Health, Ministry of Health, Paraguay

8.3 Improving participation in health systems and inclusion in national policy

design (English & Spanish simultaneous translation)
Moderator: Steve Berman, Director, Center for Global Health, University of Colorado, Denver, Colorado Rapporteur: Donna Da Costa-Martinez, Executive Director, Family Planning Association, Trinidad & Tobago Country experiences in gender equity in maternal, newborn, and child health and violence against women and children, Marquelda Montenegro de Herrera, Director, National Institute of Women and Temporary President of the Council of Womens Equality Ministers/COMMCA, Panama Country experience implementing long-distance training for the Integrated Management of Childhood Illness (IMCI): the perspective of the University San Marcos, Peru, Andres Moran, Professor, Universidad de San Marcos, Peru Overcoming barriers to access continuing education, Debrah Lewis, Vice-President, International Federation of Midwives, Caribbean Regional Midwives Association, Trinidad & Tobago

8.4 Identifying strategic shifts needed to decrease inequities (English & Spanish
simultaneous translation)

3:30-4:00 pm 4:00-4:30 pm 4:30-5:30 pm

Moderator: Christopher Howson, Vice-President Global Programs, March of Dimes, Washington DC Rapporteur: Maureen Wijngaarde-van Dijk, Deputy Director, Program Development, Bureau of Public Health, Suriname Nutrition and equity, Stefano Fedele, Nutrition Specialist, UNICEF/Panama E & mHealth educational messages going to mothers and health workers, Pamela Riley, Abt Associates, Washington DC Reducing infant mortality through prevention of neonatal infections Dominicas experience, Binta Lambert, Princess Margaret Hospital, Dominica Break (Optional) Seascape Ballroom: Group presentations and plenary discussion
Moderator: Amparo Gordillo-Tobar, Senior Health Economist, World Bank/Washington

Session 9: Panel Structured Conversation

Ensuring the inclusion of all!

6:30 pm 7|Page

Hosted by Claudia Palacios, CNN/Colombia Red Argentina de Mujeres Viviendo con VIH Mariana Iacono, Executive Director, Argentinean Network of Women Living with HIV, Panama Movimiento Comunal Nicaraguense Enrique Picado lvarez, Nicaragua Anlisis de redes sociales en las decisiones que influencian la salud materna en poblacin indgena en los pases de SM2015 Susan Kolodin, Lead Social Development Specialist, IDB/Washington Latin-American Network of Indigenous and Afro-descendent Youth Urenna Best, Specialist in Youth and Afro-descent Communities, Coordinator Afrodescendant, Network of Women and Afro-descent, Panama Catholic Relief Services in the Region Elena McEwan, Senior Technical Advisor, Maternal and Child Health, Baltimore, Maryland Proposed trip to town or Canal

Purpose: Mapping and Tailoring Integrated Paths Forward

Location: Seascape Ballroom

DAY 3 Thursday 12 September

Time 8:30-9:00 am

Event
Welcome to Day 3 Moderator: Esteban Caballero, Deputy Regional Director, UNFPA/Panama

Keynote Address 3
Commitments and accountability Wielding them for success in reproductive, maternal, neonatal and child health
Carmen Barroso, Regional Director of International Planned Parenthood Federation, Western Hemisphere Region (IPPF/WHR), New York, and Member of the Independent Expert Review Group (iERG) of the Global Strategy for Womens and Childrens Health Questions and answers in plenary

9:00-9:15 am 9:15-9:30 am

Session 10: Technical Address

Tools that work, The example of LIST (Lives Saved Tool) setting priorities to get the most impact from limited resources
Anbal Velazquez, Director General, Monitoring and Evaluation, Ministry of Social Inclusion, Peru

9:30-10:30 am

Moderator: Emma Iriarte, Executive Secretary, Salud Mesoamrica 2015 Initiative (SM2015-IDB), Panama

Session 11: Panel Discussion

Ensuring accountability and political will to bore down on inequities

Member Country Perspective Simplifying and using the best inequity indicators - Perus Integrated Health Services Policy and Legislation
Ariel Frisancho, National Coordinator, Foro Salud, Peru

Designing an integrated matrix of process and outcome indicators for surveillance, monitoring and evaluation
Elba Violeta Menjivar, Vice Minister of Health, Ministry of Health, El Salvador

Ecuador National Development Plan: An example of the Health-in-all Sectors Approach

Marysol Ruilova, Vice Minister of Health, Ministry of Health, Ecuador

How CoIA and other indicators inform resource and policy shifts
Bolivia, Ruben Coloque, Director General of Health, Ministry of Health and Sports Brazil, Dario Pasche, Director, Program and Strategic Action Department (DAPES), Ministry of Health Guatemala, Tamara Obispo, Vice-Minister, Primary Health Care, Ministry of Health

Break

10:30-11:00 am 11:00-12:30 pm Moderator: Veronica Valdivieso, Deputy Health Team Leader, USAID/LAC/Washington DC

Session 12: Panel Discussion

Evolving partnership roles in the region

Partner Perspective Funding gaps and innovative funding mechanisms

Amparo Gordillo-Topaz, Senior Health Economist, World Bank/Washington

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Practical cooperation strategies, MDGs and post-2015 health development agenda

Elizabeth Mason, Director, WHO/MCA, Geneva, Switzerland

International organization strategies and plans of action

Vicky Camacho, Regional Advisor, UNFPA/Panama

The role of public-private partnerships in the success of the Results-Based Financing Models
Emma Iriarte, Executive Secretary, SM2015-IDB/Panama

The roles national red cross societies can play in the countries

12:30-1:00 pm 1:00-2:30 pm 2:30-3:30 pm

Stefan Seebacher, Head of Health Department, International Federation of Red Cross and Red Crescent Societies, Switzerland Questions and answers in plenary Lunch (Pacifica Room)
Moderator: Florence Duperval Guillaume, Minister of Health, Ministry of Health, Haiti

Session 13: Panel Structured Conversation

How to strengthen public/private partnerships

Hosted by Claudia Palacios, CNN/Colombia

RedEAmerica
Luz Mariana Velasquez, Director, South America Foundation

Children International
Jack McCanna, Vice-President, Program Services, Kansas City MO

Red de Salud de las Mujeres

Sandra Castaeda, General Coordinator, Ecuador

Bi-lateral South-to-South cooperation prospects Brazils experience

Helvecio Miranda Magalhaes Jr., Vice-Minister of Health, Ministry of Health, Brazil

Civil society

Bons Secours Health Systems Camille Grippon, Director, Ecology and Global Ministries, Maryland Consejo Latinoamericano de Iglesias Rev. Carlos Tamez, Costa Rica

Hosted by Claudia Palacios, CNN/Colombia

Session 14: Conference Highlights and the Way Forward!

4:30- 5:00 pm 7:00-8:00 pm
Javier Diaz, Minister of Health, Ministry of Health, Panama Representatives from Country Ministries of Health and other organizations Break Hotel sponsored reception

Version 4 September 2013

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