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The Partnership for Maternal,

Newborn & Child Health


in support of
Every Woman Every Child

2016
Annual Report
Coming of age in a time of transition
Acronyms and
abbreviations

AA-HA! NGOs SDGs


Accelerated Action for Health of Nongovernmental organizations Sustainable Development Goals
Adolescents
MDGs UAF
Agenda 2030 Millennium Development Goals Unified Accountability Framework
2030 Agenda for Sustainable
IAP UHC
Development
Independent Accountability Panel Universal Health Coverage
AY IPPF
Adolescents & Youth UN
International Planned Parenthood United Nations
FCI Federation
Family Care International UNAIDS
IPU
The Joint United Nations Programme
GFF Inter-Parliamentary Union
on HIV/AIDS
Global Financing Facility PMNCH
Partnership for Maternal, Newborn & UNICEF
Global Fund United Nations International Children’s
The Global Fund to Fight AIDS, Child Health
Emergency Fund
Tuberculosis and Malaria QED
Quality, Equity and Dignity UNFPA
Global Strategy United Nations Population Fund
Global Strategy for Women’s, SRMNCAH
Children’s and Adolescents’ Health Sexual, reproductive, maternal, WHO
(2016-2030) newborn, child and adolescent health World Health Organization

The Partnership for Maternal, Newborn & Child Health 2016 Annual Report: Coming of age in a time of transition

WHO/FWC/NMC/17.1

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Contents

Message from the Chair of the Board ...................................................................................... 4

Message from the Executive Director ...................................................................................... 5

Key moments for the Partnership in 2016 .............................................................................. 6


2016 by numbers ...................................................................................................................................................... 6

1. New beginnings: on the road to 2030 ................................................................................. 8

2. Adolescent & Youth constituency: the beginning of a social movement ............ 11

3. Gearing up for country engagement .................................................................................. 14

4. Driving accountability for results, resources and rights ............................................ 16


Spotlight: Citizen-led accountability ................................................................................................................. 20

5. Focusing on strategic action for results ............................................................................ 21


Spotlight: Working with parliamentarians ...................................................................................................... 25

6. Deepening partnerships .......................................................................................................... 26


Spotlight: Engaging civil society in the Global Financing Facility ......................................................... 29

7. Resource mobilization .............................................................................................................. 30

The Partnership Board Members ................................................................................................... 31

Annex 1. The Partnership’s value-add at country level: five areas of work ................... 32

Further reading ..................................................................................................................................... 33


Message from the
Achieving the SDGs is
Chair of the Board heavily dependent on
our partners working
In terms of our accountability work, together in stronger
the Partnership led the development alignment within the
of the Global Strategy’s Unified Every Woman Every
Accountability Framework. We also Child architecture,
facilitated the establishment of the
and throughout the
Independent Accountability Panel,
set up a secretariat to support its
continuum of care, for
work, and provided inputs into its the good of the most
first report, which was launched vulnerable among us.
during the UN General Assembly
at our annual accountability
breakfast event.
social justice will be vital in helping
2016 was a pivotal year for our us realize the SDGs. Now more than
2016 was a successful year Adolescent and Youth constituency: ever his leadership is crucial to
for the Partnership as it it took centre stage and is now ensuring that the rights of women,
embarked on implementing leading the charge in advocacy, children and adolescents to health
its 2016-2020 Strategic accountability and meaningful and well-being are protected. Helga
engagement of young people in the Fogstad, a champion of SRMNCAH,
Plan. The Partnership
Global Strategy. The response of joined the Partnership as Executive
grew globally, reaching a Director at the end of 2016, and
our country partners in support of
membership of 800 brings to the organization a wealth
the adolescent agenda has
and adding three emboldened us. In October, the of SRMNCAH experience. Under her
new constituencies. Government of Mozambique hosted guidance and ability to inspire and
a public event within our 19th Board build consensus, I am confident that
meeting, focusing on adolescent we will make significant strides in
We are thrilled by this growth, as girls and underlining the country’s fulfilling our mandate for 2030.
we believe that achieving the SDGs commitment to listening to them
is heavily dependent on our partners and addressing their needs. We continue to work collectively for
working together in stronger Bringing the Partnership family to a world where every woman, child
alignment, within the Every Woman Maputo was a proud homecoming and adolescent matters and enjoys
Every Child architecture, and for me, made more poignant by the their fundamental rights to good
throughout the continuum of care, example this event set of what we health and well-being. PMNCH is
for the good of the most vulnerable can achieve when we engage pleased to do this in concert with
among us. In addition, we set about young people and let countries our partners and is deeply
strengthening our governance lead. Our work must continue in committed to this common agenda.
structure to ensure inclusive this regard so that we are optimally In our important efforts to ensure
governance and decision-making, positioned to achieve the SDGs. the well-being and empowerment
and coordinated action among of women, children and adolescents
partners. We also explored new I am particularly excited by new everywhere so that they can thrive
ways to publicize evidence for action leadership at both the UN and the and realize their full potential,
at each life stage, launching a new Partnership to help us carry our onwards and upwards!
knowledge summary on adolescent important work forward. The new
health and hosting several events UN Secretary-General António Graça Machel,
and webinars presenting key Guterres places great importance Chair of the Board
findings from various Lancet series on human rights and gender The Partnership for Maternal,
launched in 2016. equality, and as a proponent of Newborn & Child Health

4
Message from the
Executive Director
our work progressed with the We are excited that United Nations
steady guidance of our partners. Secretary-General António Guterres
The accomplishments has accepted an invitation to join
documented in this report are a the Every Woman Every Child High-
tribute to them and a testament to Level Steering Group as a senior
the power of partnership. co-Chair. This will ensure the
continuation of high-level political
2017 offers an opportunity not only championship for and a staunch ally
to do new things but also to do the in our work in support of the Every
old things better. However, the Woman Every Child movement.
need for even stronger partnerships
has never been greater. Our work The Partnership looks forward to
must continue to complement the playing its part in this ensemble of
Every Woman Every Child extraordinary constituencies and
Implementation of the movement’s efforts to put the partners, where each member is
Sustainable Development Global Strategy into action. To special and critical to achieving the
Goals (SDGs) began in 2016, achieve the Global Strategy’s results we want in 2030.
setting the world on a firm Survive, Thrive and Transform
path towards 2030. objectives and leave no one behind Helga Fogstad,
we need to work together, Executive Director
Reflecting on this report,
especially on areas that need extra The Partnership for Maternal,
it is interesting to note how
attention. Some areas need extra Newborn & Child Health
this has also been a year attention because they have
of significant “firsts” for received too little in the past and
the Partnership. are part of the unfinished agenda,
including: quality and equity
improvements to ensure women,
It was the first year of children and adolescents survive
implementing our new Strategic and thrive; early childhood There is a part for
Plan 2016-2020. Our Adolescent & development; adolescents’ health;
everyone in this
Youth constituency progressed work in humanitarian and fragile
rapidly from small steps at its settings; and empowerment of
grand orchestra, and
inception in 2015 to giant strides women and communities. Other if we act in concert
by the end of 2016, developing a areas need extra attention because there is beautiful
common agenda for advocacy and they have lately come under fresh music to be made.
accountability on adolescent health attack, notably sexual and
and becoming a priority go-to reproductive health and rights.
platform for youth engagement in Leaving no one behind on the way
the Global Strategy for Women’s, towards 2030 calls for accelerated
Children’s and Adolescents’ Health action, stronger alignment and
(Global Strategy) and the SDGs. streamlining in an architecture that
We turned our attention to country is unnecessarily complex, crowded
work. For the first time, we and duplicative—in a word
focused more deliberately on a cacophonous. There is a part for
specific set of countries. While it everyone in this grand orchestra,
takes time to understand the and if we act in concert there is
needs of different constituencies, beautiful music to be made.

PMNCH Annual Report 2016 | 5


May
¾¾ PMNCH joins over 5,000
advocates, experts and
Key moments for young people at the 4th
Women Deliver

the Partnership in 2016 conference and along


with The Lancet and the
Gates Foundation
showcases key findings
and evidence from
several Lancet series
¾¾ PMNCH launches a new adolescent health knowledge summary
and brief on adolescent-led accountability, to facilitate
meaningful youth engagement in improving health outcomes
January ¾¾ The Partnership’s 18th Board meeting agrees a set of
governance recommendations, strengthening inclusive
¾¾ PMNCH and partners begin year-long governance, decision-making and coordinated action among
advocacy around key findings from partners on the Board
The Lancet, starting with series on
ending stillbirths & breastfeeding ¾¾ NGO constituency members—International Planned
(January), followed by Lancet March Parenthood Federation, Save the Children, World Vision and
Commission on Adolescent Health and ¾¾ 190+ organizations from White Ribbon Alliance—hold a Global Dialogue for Citizen-led
Wellbeing (May), maternal health series 51 countries sign up to a Accountability at the World Health Assembly
(September) and early childhood PMNCH-sponsored joint
development series (October) ¾¾ A Common Cause, a
letter campaign calling for report co-authored by
G7 commitment to PMNCH and Save the
Universal Health Coverage Children, outlines the
¾¾ Parliamentarians at the rationale for placing
IPU Assembly address women, children and
early and forced marriage adolescents at the
at an event co-sponsored centre of Universal
by IPU, PMNCH and WHO Health Coverage

¾¾ Mrs Graça Machel, PMNCH Board


Chair, is appointed SDG advocate and
member of the High-level Advisory
Group for Every Woman Every Child
by the UN Secretary-General

February April
¾¾ The Partnership’s NGO constituency-led ¾¾ PMNCH joins the Global Fund Partner
meeting in Dakar leads to the creation constituency with a commitment to advocate
of 6 civil society seats on the national for action on women’s, children’s and
RMNCAH platform in Senegal adolescents’ well-being through the fight
against TB, HIV/AIDS and malaria
¾¾ PMNCH co-leads a commitment
drive for the Global Strategy ahead
of its presentation at the 69th
World Health Assembly
¾¾ PMNCH holds multistakeholder
consultations to help develop the
Indicator And Monitoring
Framework for the Global Strategy,
published in September 2016

2016 by numbers

US$ 5 billion 3 new constituencies 2,600+ webinar views


(Global Financing Mechanisms,
from 40 commitments Inter-Governmental and
to the Global Strategy Organizations and United
Nations Agencies)
1,150+ event attendees
800 members 400,000+ website visitors

6
October
July ¾¾ A partner-led effort yields PMNCH’s
first ever advocacy and December
¾¾ Every Woman Every Child
partners at the High-level communications strategy, outlining ¾¾ A series of webinars co-hosted
Political Forum in New York priorities for the next three years, with the American Public Health
commit to greater collaboration with quality, equity and dignity, Association and other partners
and alignment with national-led adolescents and youth, and share evidence across the
plans and coordination across humanitarian settings identified as continuum of care, bringing
sectors to achieve the Global key focus areas frontier issues such as adolescent
Strategy objectives and the SDGs ¾¾ The Government of Mozambique health, humanitarian settings and
reinforces its commitment to stillbirths to the fore
adolescent girls at a public event
during PMNCH’s 19th Board meeting

¾¾ At the 21st International AIDS


conference Adolescent & Youth
constituency members call for
youth-led advocacy,
accountability and meaningful
engagement in the
implementation of the Global
Strategy at country level

September
¾¾ Stakeholders at PMNCH’s 5th November
Accountability breakfast call for
June improved accountability for women’s, ¾¾ PMNCH-led advocacy group
children’s and adolescents’ health contributes to World Prematurity
¾¾ PMNCH and partners collaborate on an
Day, aligning action by more than
operational approach to the Unified
50 partners, across 130 events in
Accountability Framework, which sets out
60 countries, and highlighting
a clear structure and system to strengthen
prematurity as the largest
accountability at all levels
contributor to under-5 mortality

¾¾ The Independent Accountability Panel


launches its first report, Old
challenges, new hopes.
¾¾ Every Newborn Action Plan, launched by a ¾¾ 40 new commitments, worth US$ 5
broad group of partners including PMNCH, billion, are pledged to the Global
marks its second anniversary Strategy at a high-level event during
¾¾ Every Newborn Action Plan partners the UN General Assembly
release a country progress tracking tool to
assist countries in mapping needs and
successes in pursuit of national milestones

33 million+ users 12 e-blasts 9 high-level advocacy events


reached on Twitter
(up 85% from 2015) 10 video blogs and

100 citizens’ hearings supported 3 publication launches


Twitter followers up 15% by PMNCH board members in more
from 2015
than 10 countries
PMNCH
PMNCHAnnual
AnnualReport
Report2016
2016|| 7
1. New beginnings:
on the road to 2030

Alignment, analysis, accountability relating to child, reproductive and


and advocacy have been core maternal health widened to
The Partnership for functions since the Partnership embrace the Survive, Thrive and
Maternal, Newborn & Child was created in 2005. Through its Transform targets of the Global
Health (PMNCH, the collaborative work, much has Strategy for Women’s, Children’s
Partnership) brings been learned about how to and Adolescents’ Health (2016-
together 800 partners maximize partners’ impact on the 2030).1 Given that these are also
health and well-being of women, SDG targets, the Global Strategy
across 10 constituencies.
children and adolescents. offers countries and other
Working together enables stakeholders a guide to
them to achieve more than As with all stakeholders engaged implementing the 2030 Agenda
any individual partner in health and development, 2016 for Sustainable Development. 2
could do alone. was a transition year for the
Membership increased by Partnership following the launch of Every Woman Every Child is the
15% in 2016, including strong the Sustainable Development global movement that puts the
Goals (SDGs). Specifically, Global Strategy into action. 3 It
growth in the Adolescents
PMNCH’s original focus on the defines the Partnership’s role as
& Youth and the Private Millennium Development Goals driving stakeholder engagement,
Sector constituencies.

Academic, Research and Inter-Governmental


Training Institutes 1 6 Organizations

Non-Governmental
Adolescents & Youth 2 7 Organizations

Donors and TEN Partner


Foundations 3 Constituencies 8 Governments

Global Financing
Mechanisms 4 9 Private Sector

Healthcare Professional
Associations 5 10 United Nations Agencies

8
Box 1

The Partnership's vision and mission for the SDG era

Vision: Mission:
A world in which every To increase the engagement, alignment
woman, child and and accountability of partners, by
adolescent in every creating a multistakeholder platform
setting realizes their rights to physical and that will support the successful
mental health and well-being, has social and implementation of the Global Strategy for Women’s,
economic opportunities, and is able to Children’s and Adolescents’ Health, enabling
participate fully in shaping prosperous and partners to achieve more together than any
sustainable societies. individual Partner could do alone.

alignment and accountability, one of Strategic Plan began in 2016—a together towards overcoming
three pillars that support country-led year of new beginnings. country challenges that are best
implementation (Figure 1). addressed through multipartner
The Partnership’s Business Plan and multisectoral action. The
In 2015, in order to ensure full 2016-20185 was adopted by the development of the 2016 Workplan6
alignment with the Global Strategy Board in February 2016. The and its activities was overseen and
and the SDGs, the Partnership Business Plan provides an driven forward by partners
revised its vision and mission operational blueprint for the themselves, in line with the Board’s
(Box 1) and developed a Strategic Secretariat to support the intention to implement the
Plan for 2016-20204 (Box 2). The Partnership’s constituencies and Strategic Plan through a partner-
process of operationalizing the individual partners in working centric approach.

Figure 1
Every Woman Every Child architecture

PMNCH Annual Report 2016 | 9


Box 2

Strategic Plan for 2016-2020: focus areas and strategic objectives

Three
focus areas

Accelerate action on the Accelerate action and gather the learning and Build knowledge and
unfinished business of the MDGs, evidence needed to tackle “frontier” and other experience with
with a focus on equity, to sustain critical challenges, including stillbirths, fulfilling intersectoral collaboration
efforts in countries that have fallen the sexual and reproductive health needs and between partners and
behind and to address the most rights of all, meeting adolescents’ unique and related sectors to address
marginalized, excluded and high- varied needs, and inspiring action everywhere, the drivers of ill health
burden populations and settings. particularly in humanitarian and fragile settings. and inequity.

Prioritize engagement in countries: at the service of


countries, and focusing on populations and places with
the highest burden, greatest need and most inequity.

Drive accountability: nurture a culture of open accountability to drive


purposeful engagement with and sustained commitment to the Global
Strategy, tracking progress and holding all partners to account.
Four
strategic
objectives Focus action for results: drive advocacy and share
learning to focus and accelerate action and financing
to achieve the objectives of the Global Strategy.

Deepen partnerships: engage and align a broad and


inclusive range of partners to realize the full ambition
of the Partnership for action and accountability.

This report sets out the key throughout the report highlight key activities so as to increase
achievements in 2016 towards each moments, including the work of the effectiveness and efficiency, and
of the Strategic Plan’s four Adolescent & Youth constituency, encourages and promotes mutual
interdependent strategic objectives and illustrate the interconnections accountability through
(Box 2). “Spotlight” sections between the objectives. inclusiveness and transparency.

Across all achievements the In this context the added value of


partner-centric approach is evident: the Partnership is its ability to
the Partnership’s objectives are set broker and forge partnerships not
by its partners and are achieved only within the sexual, reproductive,
It is the partners through their work. It is the maternal, newborn, child and
who have both partners who have both the adolescent health (SRMNCAH)
capacity and the responsibility to continuum of care but also across
the capacity and
implement policies and plans. The sectors, and to align the partners’
the responsibility partner-centric approach mobilizes, relationship towards consensus
to implement engages and empowers the building, common goals, and
policies and plans. different implementing partners to collective and accelerated action.
that end. It allows them to PMNCH believes in the power of
coordinate their actions and partnership and puts it into practice.

10
2. Adolescent & Youth constituency:
the beginning of a social movement

Growing membership, The investment into the


expanding reach constituency structure and
A highlight of 2016 was the full operations in 2016 will enable
In 2016 the AY constituency chose
establishment of the future membership expansion,
to focus its efforts on securing the
Adolescent & Youth (AY) membership of and engagement by and greater diversity in terms of
constituency, and the global, regional and national age, region and other criteria.
mainstreaming of issues youth-led organizations. The
affecting young people's International Federation of Medical As with the other nine
Students’ Associations, with over a constituencies, members work
health across the Partnership.
million members, is one example. through their organizations and
Created in October 2015, the
networks to increase and
AY constituency has two
At the establishment of the AY strengthen the Partnership's reach,
Board seats and two alternate constituency 19 youth-led and therefore its ability to influence
seats, giving it equal footing organizations were registered as relevant debates, policies and
with the other constituencies. PMNCH members, and 20 more resource commitments. The AY
Members are youth-led youth-led organizations were being constituency benefits from strong
organizations and/or networks processed to become new members. support and engagement by
that have been leading and/or Their operations are more or less partners based in other
equally split between global, regional constituencies. As a result, by the
implementing SRMNCAH work
and country levels (Figure 2). end of 2016 the constituency,
at national, regional or global
level for at least two years.

Figure 2 Adolescents & Youths


Geographic Level of Reach
Adolescent & Youth (AY) constituency geographic distribution

Adolescents & Youths Representation

European
Region
(9) Eastern
Mediterranean South East
Region Asia Region
Region (1) (3)
of the African
Americas Region Western
(5) (18) Pacific Region
(0)

Global (40%)
National (31%)
Regional (29%)

PMNCH Annual Report 2016 | 11


•• Advocating for the inclusion of
young people on global
multistakeholder platforms,
including, for example, the
Global Financing Facility and
Partners in Population and
Development.

Throughout 2016 the AY


constituency provided members
with access to presentations,
background materials, training and
through its members, had secured leaders to work on influencing and
learning opportunities including
representation in more than 180 shaping global, regional and
webinars, which the AY constituency
countries, with millions of young national decision-making on issues
played a critical role in developing
people in its combined networks— associated with young people’s
with partners. Initial feedback from
an impressive achievement for a health and well-being.
members suggests that this capacity
constituency that only came into
building programme has been
being at the end of 2015. Examples of collective partner
useful and empowering, and will
activities in 2016 include:
feed into an induction programme
A constituency focused on •• Initiating the development of a to be launched in 2017 to
results in countries, youth-led advocacy toolkit for systematically orient new members
regionally and globally action at national level, reviewed in the technical and political
AY members quickly got to work in by members in seven countries landscape of adolescent health and
early 2016, formalizing a and the broader AY well-being. It also creates
governance structure, membership constituency platform opportunities for constituency
criteria and other operational
•• Exploiting opportunities to members to share knowledge
guidelines, and developing an
advocate for the visibility of through their own networks.
18-month workplan aligned with the
adolescent health at high-level
Partnership's Business Plan. In
events at regional and global As part of its efforts to reach out to
addition, a strategy was developed
levels using the Adolescent stakeholders, including ministers
to drive youth-led advocacy,
Health Knowledge Summary, and heads of state, the AY
meaningful youth engagement and
which was produced by PMNCH constituency was involved in
accountability. An institutional
in 20167 showcasing work concerning
platform was established for youth
advocacy, accountability and
•• Developing an adolescent-
meaningful engagement of young
friendly package on the
people in the Global Strategy and
Accelerated Action for Health of
AA-HA! at the following events,
Adolescents (AA-HA!)
among others:
Implementation Guidance, a
Throughout 2016 the AY •• The staging of the “Moving from
comic book targeted at 10-14
constituency provided year olds, tested among dialogue to action! Citizen-led
members with access to adolescents and young people accountability for women’s,
presentations, background in several countries, with plans children’s and adolescents’
materials, training, and to launch it at the World Health health” event at the World Health
learning opportunities Assembly in May 2017 Assembly in Geneva in May
including webinars, which •• Contributing to accountability •• At Women Deliver,
the AY constituency efforts to monitor progress on “Implementing the SDGs: A Dive
played a critical role in adolescent-specific health into the Global Strategy for
indicators and advocating for Women's, Children's and
developing with partners.
disaggregation of data for a Adolescents' Health” in
broader set of health indicators Copenhagen in May

12
Box 3
•• Youth pre-conference under
the theme "Access Equity
Rights Now" at the 21st Nothing about us without us
International AIDS Conference,
in Durban, South Africa, in July One of the highlights of the bilateral partners and several
Partnership’s Board meeting in United Nations agencies. The
•• Partnership event at the UN
Maputo in October was a public Minister of Health invited the young
General Assembly in New York
event organized by the people present to “tell us what you
in September entitled “Young
Government of Mozambique need”. Their responses reinforced
voices for young lives: How
focusing on adolescent girls. the slogan "Nothing about us
young people and
Sixty-five per cent of without us". They demanded to be
governments are partnering to
Mozambique's population is included in decisions that concern
improve adolescent health”.
under 25 years of age—almost them, such as child marriage,
Ministers and young leaders
17 million young people. education and family planning, and
shared their experiences on
Reflecting the fact that they emphasized the vital role
improving young people’s
addressing their needs requires adolescents must play if there is to
health and well-being
comprehensive multisectoral be accelerated development.
outcomes. Advocates called
and multistakeholder
for more adolescent health-
approaches, the meeting was
related commitments to the
attended by the Ministers of
Global Strategy and issued
Health, Education and Human
recommendations for tracking
Development, Youth and
adolescent outcomes 8
Sports, and Gender, Children
•• At a high-level breakfast on and Social Action, as well as
the sidelines of the UN General representatives of civil society,
Assembly, the AY constituency
participated in an event
entitled “Prioritizing the
leadership of adolescents and
young people at the UN
General Assembly”.9 The event
enabled an interactive
Looking forward Priorities for 2017 include:
exchange of ideas between
The inclusion of adolescents in •• Mobilizing structured youth
young leaders and world
the updated Global Strategy has engagement in the roll-out of AA-HA!
leaders spearheading progress
resulted in a large and growing in priority countries, including rolling
on the SDGs
number of governments and out the youth-led advocacy toolkit in
•• A public event organized by other stakeholders making India, Malawi and others
the Government of investments and policy changes •• Launching the induction programme to
Mozambique at the in the areas of young people’s support new members’ engagement in
Partnership’s Board meeting in health and well-being. The the Partnership
Maputo in October entitled Partnership is emerging as the
"Experiences, Opportunities •• Launching a mentorship programme to
"go-to" platform, providing the
and Prospects of Mozambique build capacity of young people, and to
institutional context for
to Accelerate Health Outcomes create strategic partnerships with
engaging youth-led
and Adolescent Development" other constituencies
organizations within the
(Box 3). broader health and •• Developing targeted campaigns to
development community, in a reach underrepresented communities
structured and organized within the AY constituency, and to
manner. The AY constituency is strengthen engagement in
expected to accomplish much implementing the work plan and
more in the years to come. collaborating with other constituencies.

PMNCH Annual Report 2016 | 13


Selection of countries
3. Gearing up for Although the Partnership has a
country engagement mandate to serve all countries, a
decision was taken to focus on four
to eight countries at any one time.
This will allow a balance between
ambition for breadth and realistic
capacity to engage in a meaningful
way. As a first step the Partnership
agreed a set of principles to guide
the selection of countries.

These criteria facilitated the


selection of the countries with
Significant foundational work was whom the Partnership will
done by the Partnership in 2016 in collaborate in the first instance. The
With the Global Strategy articulating the overall approach, selected "focus countries" are
and Agenda 2030 both process, principles and Afghanistan, Malawi, Mozambique,
emphasizing the need for procedures for country Nigeria and Sierra Leone. Malawi,
country leadership and action engagement. The aim is to support for example, has a high burden of
countries’ efforts to better harness maternal, newborn and child
at national and subnational
and align the contributions of the mortality and high unmet demand
levels, the Partnership has wide array of players engaged in for modern contraceptives; and
made prioritizing country SRMNCAH by strengthening their national health and SRMNCAH plans
engagement one of its four country-led multistakeholder are in place. Although not a member
strategic objectives for platforms and promoting of PMNCH, Malawi has made
2016-2020. This means using transparent and unified commitments to the Every Woman
its partner-centric approach accountability processes for Every Child movement and its
meeting the health and related SDG Minister of Health expressed
with a focus on
targets set out in the Global interest in working closely with the
mutistakeholder engagement Strategy. Ultimately, the Partnership, particularly to
to reach out to and better Partnership's contribution at the strengthen coordination through the
coalesce with its existing and country level will be demand-driven national multistakeholder platform,
other in-country partners in and will vary according to the strengthen social accountability
relation to SRMNCAH issues. specific contexts and priorities of mechanisms and improve
It also means facilitating a individual countries. adolescent health and well-being.
broader conversation at the
country level, and including
Partnership constituencies
that are not traditionally
involved in government health
policy-making processes,
strategic planning,
implementation and evaluation
(e.g. Adolescents & Youth,
Academic, Research and
Training Institutes, Healthcare
Professional Associations,
Non-Governmental
Organizations).

14
The building blocks of country engagement
The three documents briefly described below, which were developed and published in 2016, set the stage for
the Partnership’s country-based work in 2017 and beyond.

The Guidance note on the Partnership’s universal approach to country


engagement11 broadly outlines how PMNCH will have an impact in all 75
Countdown countries that are classified as low-income or lower-middle-income
and that are also prioritized by the Global Financing Facility.

The Guidance note on engagement with focus countries12 sets out the ways in
which the Partnership will deepen its knowledge of and relationships with
governments and country-based partners. At the global level PMNCH will work
with partners on analysis and advocacy issues that bring the concerns of the
countries to global platforms, and vice versa. At the country level the
Partnership will work with multistakeholder platforms to ensure accountability
and alignment.

Finally, a process paper13 identifies the key principles and standards to which the
Partnership will adhere and outlines the step-by-step process that will enable a
systematic and inclusive partner-centric approach to country engagement.

The Partnership's value Children’s and Adolescents’ Health.”10


proposition at country level This statement reinforces the
Given that country engagement is a Partnership’s working principle of
new strategic objective for the aligning, supporting and Looking forward
Partnership in what is already a strengthening existing processes
The Partnership remains
crowded and complex SRMNCAH and national platforms (for example,
committed to placing countries
landscape in many low- and lower- the RMNCH Trust Platform and the
at the centre of its work, with a
middle-income countries, it was an Global Financing Facility).
focus on strengthening national
urgent imperative to articulate and build multistakeholder platforms for
consensus around the Partnership’s Partners agreed on five areas of
SRMNCAH, supporting and
value proposition at country level and work where the Partnership can
building on existing structures,
to explain how synergies would be add value, always in the context of
shaped by country context and
achieved with other relevant initiatives. each country's needs, ambitions
in-country partner guidance.
Agreement was reached through a and SRMNCAH strategy (Annex 1).
Such platforms are needed to
series of consultations with partners, take accountability, advocacy
including the H6 (UNAIDS, UNFPA, and partner engagement
UNICEF, UN Women, WHO and the activities forward, and to focus
World Bank Group).
Although the and maintain attention on
women’s, children’s and
The consensus is that: "By leveraging
Partnership has a
adolescents’ health, at
the constituency-based linkages of its mandate to serve all community, district and national
global partnership, PMNCH will countries, a decision levels. In addition to pursuing
support efforts to strengthen existing was taken to focus on opportunities for engagement in
country-led multistakeholder four to eight countries current focus countries, partners
platforms for SRMNCAH in order to at any one time. will be mobilized to respond to
better harness the contributions of specific requests from other
diverse partners in delivering on the countries as they arise.
Global Strategy for Women’s,

PMNCH Annual Report 2016 | 15


4. Driving accountability for
results, resources and rights

The UAF aims to “establish a clear all partners to account for results,
structure and system to strengthen resources and rights, with ultimate
When it was launched in accountability at the country, accountability to all women, children
September 2015 the Global regional and global levels and and adolescents as rights holders.
Strategy included a new between different sectors”14 and
approach to accountability. provides a way of organizing and This section describes the
bringing together diverse Partnership’s role in operationalizing
The Unified Accountability
stakeholders and critical elements the UAF in 2016, mostly at the global
Framework (UAF) was to streamline accountability at all level. The Spotlight highlights
designed to address new levels (Figure 3). PMNCH's achievements in
challenges and opportunities advancing accountability at country
in the SDG era, such as the The Every Woman Every Child level through citizens' hearings.
need to improve equity, architecture mandates that the
Partnership works with other A major milestone was reached in
multistakeholder engagement
stakeholders towards establishing March when partners, supported by
and multisector action. and/or strengthening and PMNCH, agreed on five priority
coordinating the processes and areas that will guide the
platforms that are needed to hold implementation of the UAF15 (Box 4).

 Box 4

Key functions of the Unified Accountability Framework


•• Facilitate tracking of resources, •• Contribute to national and SDG Adolescents’ Health” report
results and rights, including monitoring through the Global which will identify areas needing
through multistakeholder Strategy indicator and monitoring increased progress and
commitments and multisector framework that covers 9 SDGs and accelerated action.
action, to achieve the Global prioritizes 60 indicators: 34 from
•• Harmonize with other
Strategy objectives and the SDGs. the SDGs and an additional 26
accountability initiatives, such as
drawn from established global
•• Promote alignment of national, the Health Data Collaborative,
initiatives to help avoid duplication.
regional and global investments Countdown to 2030 and others,
and initiatives in support of the •• Support the critical independent including to strengthen country
country accountability system review function through the information systems and to
and plans, and improve Independent Accountability support reporting for national
multistakeholder engagement at Panel (IAP). The IAP will produce planning and on progress
all levels, including through an annual “State of the World’s towards the Global Strategy
citizens’ hearings. Women’s, Children’s and objectives and SDGs.

16
Figure 3
The Global Strategy's Unified Accountability Framework

• Health sector reviews • Country plans


• Human rights monitoring • Government
• Gender assessments • Civil society organizations
• Parliamentary committees • Private sector
• Citizens’ hearings • Development partners
• Financial and performance COUNTRY
audits ACCOUNTABILITY
• Mortality and health audits • Data collection
• Special studies
• Social accountability reports
Regional peer review • Score cards

Global report/ Country and regional


report cards reports/report cards

• United Nations monitoring reports


• Expenditure reports • Independent Accountability Panel (IAP)
• OECD-DAC reporting • Data hub/s
• Social accountability reports • State of Women’s, Children’s and
• Civil society organization reports Adolescents’ Health report
• Academic reports
GLOBAL
ACCOUNTABILITY
• Global initiatives
• Stakeholder
commitments • High-level Political Forum for the
• Advocacy Sustainable Development Goals
• Alignment • World Health Assembly

The Global Strategy's Indicator and monitoring


accountability mandate was framework for the Global
further strengthened in May Strategy
2016 when Member States of
The Partnership worked with WHO to
the World Health Assembly
provide critical inputs into the Indicator
adopted a resolution
and Monitoring Framework for the Global
committing to implement the
Strategy for Women’s, Children’s and
Global Strategy. The
Adolescents’ Health (2016-2030).17 This
resolution includes
report outlines how the Global Strategy’s
invitations to Member States
Survive, Thrive and Transform objectives
and others to “strengthen
accountability and follow-up and targets will be monitored, and
at all levels” and requests the highlights key challenges in
WHO’s Director-General to strengthening the collection and use of
“report regularly on progress strategic information to ensure “data for
towards women’s, children’s action” and accountability at all levels.
and adolescents’ health”.16 Significantly, there is an indicator on
The Partnership played an stillbirths, which is missing from the SDG
important facilitating and indicators and for which many PMNCH
coordinating role in enabling members advocated strongly. Data
countries to agree on this systems will need to be strengthened to
significant resolution. monitor progress on reducing stillbirths.

PMNCH Annual Report 2016 | 17


the indicators included in the to support the IAP. The 10
Identifying critical monitoring framework. Monitoring members include legal, human
priorities for the Global Strategy for rights and health specialists,
gaps in accountability
Women's, Children's and government representatives,
and intensifying Adolescents' Health (2016-2030)18 statisticians, academics, and
policy attention and was launched in September 2016 advocates for gender equality and
investments are at on the sidelines of the UN General young people.
least as important Assembly (Box 5).
as showcasing The IAP does not have a direct
promising models. The Independent monitoring function: its objectives
Accountability Panel are to provide a snapshot of
The Independent Accountability progress, in part using the Global
Panel (IAP) is another vital part of Strategy Progress Report, to help
the UAF. It is mandated by the UN harmonize reporting, and to make
Secretary-General to provide recommendations to accelerate
The monitoring framework ensures independent and transparent progress towards the Global
that Global Strategy indicators are analysis and review of progress Strategy's targets. Importantly, the
harmonized with the SDG indicators, towards and challenges to the IAP has added "remedy" to the
thereby reducing the reporting implementation of the Global UAF's monitor, review and act
burden on countries for the most Strategy. The IAP is the leading functions. This addition has
important indicators of progress. independent accountability contributed to a wider awareness
PMNCH supported the extensive mechanism established by the of the need for both preventative
consultative process underpinning United Nations under the rubric of and reparative measures at all
this report, including working with Agenda 2030. levels in order to establish
stakeholders to organize post-2015 meaningful accountability.
working group consultations. In 2016 the Partnership facilitated Identifying critical gaps in
the establishment of the IAP, accountability and intensifying
PMNCH also supported partners in assisting the UN Secretary-General’s policy attention and investments
an assessment of monitoring Office to identify and select are at least as important as
readiness for global reporting on members, and set up a Secretariat showcasing promising models.

Box 5
RITY
IO
PR
Global Strategy monitoring priorities
The monitoring priorities report18 the data that are required to
highlights the worldwide state of inform programmes at all levels on
readiness to use the Global how to target interventions better
Strategy's Indicator and Monitoring and accelerate progress.
Framework. It identifies key areas Strengthening national routine
of health information systems that data collection systems (which in
need strengthening to ensure that turn strengthens estimates) is an
the monitoring of progress is as urgent priority. This includes
accurate, timely, representative improving data collection and
and ultimately as useful for monitoring in humanitarian and other equity stratifiers to
countries as possible. Currently, fragile settings. Health information identify who is not being
health information systems in systems must also be able to reached and to monitor
many countries are weak and do provide data that can be progress among the most
not systematically collect some of disaggregated by sex, age and vulnerable populations.

18
Box 6

The Independent Accountability Panel's first year highlights

The IAP report19 was launched at a disseminated a survey to hundreds


side event during the UN General of stakeholders to garner
Assembly convened in collaboration assessments and views on its first
with PMNCH and Countdown to report, as well as recommendations
2030. World experts addressed key for developing its 2017 report. As
issues of IAP concern, including part of its outreach efforts, the IAP
inequalities, citizen- and youth-led made strong calls to the new UN
accountability, data improvements Secretary-General and the next
and strategies for unified WHO Director-General to uphold
accountability initiatives under the and continue high-level
SDGs. The IAP also pointed to the commitments to the Global Strategy
need for transparency in financing and to improved accountability at
and expanding fiscal space for all levels for its realization.
investments in health, improved dissemination and circulated a
donor coordination, and funding for The Partnership, which hosts this survey to all 10 PMNCH
national capacity development for important initiative, contributed constituencies to solicit structured
enhanced accountability systems. critical inputs into the development feedback from members on the IAP's
of the IAP's first report, including recommendations. Based on the
In line with its mandate and the commitment tracking analysis. feedback, the PMNCH workplan was
principles of inclusive accountability After publication, the Partnership revised to take on board some of the
and transparency, the IAP provided a platform for the report’s recommendations from the IAP.

In September 2016 the IAP submitted placed emphasis on addressing


its inaugural report, Old Challenges, inequities, going beyond the usual
New Hopes, to the UN Secretary- analysis of wealth inequalities to Looking forward
General.19 The report paid particular include those based on age, and The Partnership will continue to
attention to humanitarian and calling for expanded disaggregation track partner commitments to the
fragile settings, adolescents and across other variables (see Box 6 Global Strategy. It will coordinate—
human resources for health. It for more highlights from 2016). with the support of partners,
including WHO, the H6 and the
Health Data Collaborative—the
development of the first Global
Strategy Progress Report, which
will be launched during the World
Health Assembly in May 2017. In
addition to reporting to Member
States, the report will also serve
as a harmonized monitoring input
to the IAP's second annual report.
The Partnership will continue to
host and support the IAP, and to
promote its independent review
function and role in ensuring
progress towards implementing
the Global Strategy.

PMNCH Annual Report 2016 | 19


Spotlight

Citizen-led accountability

Both the UAF and the IAP's report


identify social or citizen-led
accountability as being central to
the Global Strategy and vital to the
achievement of the SDGs. A
fundamental element of human
rights-based accountability is that
beneficiaries are active agents of
change. The Global Strategy calls for
a world in which women, children offered freely in all public health members, the Partnership helped
and adolescents are able to fully facilities. A third priority was to to convene a Global Dialogue for
participate in shaping sustainable clamp down on service providers Citizen-led Accountability for
and prosperous societies, and charging a fee for free services. To Women’s, Children’s and
community engagement is one of this end they requested the Adolescents’ Health during the
its nine areas of action. placement of a notice at the World Health Assembly. Richard
entrance of all public hospitals Horton, editor-In-chief of The Lancet,
To make progress in this area, the indicating which services are offered in his opening remarks at the event
Partnership's NGO board members for a fee and which ones are free. co-hosted by Bangladesh, Sweden
organized over 100 citizens' and Zambia, described the
hearings in more than 10 countries In Mauritania, citizens' hearings in movement as an “explosion in
to build citizens’ capacities to claim three districts in May 2016 gave citizen-led accountability … which
their rights. Citizens' hearings give citizens from marginalized feels like not just a transformation
marginalized and vulnerable populations an opportunity to make but something of a revolution
communities a voice in government their needs known to key decision- taking place in the dialogue around
priority setting, policy-making and makers, including members of health and well-being in countries”.
programmatic planning at local, parliament, mayors, municipality
national, regional and global levels. counsellors and religious and other The NGO board members, with
They can lead to more effective community leaders. Participants support from the Secretariat, also
services and policies in health and included women living with HIV and led a workshop in Mozambique to
many other sectors, and they can sex workers, who said they are build the capacity of civil society
help to close the gap between stigmatized and rejected by service representatives to implement
commitments made and the providers and usually denied access social accountability. This followed
realities of citizens’ lives. 20 to services. Young people were also a strategy workshop aimed at
included because as a group they developing a joint strategy to
For example, a county (district) are denied access to sexual and institutionalize social
citizens' hearing in Kenya was held reproductive health services. accountability efforts.
to give women and young adults a Participants in all three citizens'
say in decisions concerning the hearings called for greater efforts to In future the Partnership will
county health budget, in which they combat stigma and discrimination at continue to support key
have traditionally not been included. all levels. At the end of each hearing, constituencies' activities to
Citizens' priorities included a coalition was formed to follow up strengthen social accountability
strengthening community health the realization of commitments mechanisms and human rights-
volunteers’ capacities and providing made by government officials in related forums (from the Universal
them with comprehensive kits to attendance in regard to these and Periodic Review, UN treaty bodies,
enable them to diagnose and treat other issues that were raised. regional courts, etc.) as vital
a wider array of ailments. Another elements of accountability for
priority was the need to ensure that At the global level, under the women's, children's and
family planning commodities are leadership of the NGO board adolescents' health.

20
5. Focusing on strategic
action for results

In 2016 the Partnership focused its Notable 2016 pledges included


advocacy on adolescent health the creation of the BabyWASH
Action for results, the and continued to strengthen Coalition, a multistakeholder
third objective of the constituency-specific engagement platform to intensify the focus
Strategic Plan 2016– in improving health outcomes, on integrating programmes for
2020, enables working with civil society and children and their caretakers in
programmes, policies parliaments to strengthen the first 1,000 days of life. This
advocacy for improved SRMNCAH coalition, launched by World
and financing to deliver
planning and implementation and Vision International, WaterAid,
health and well-being accountability for results and FHI360, WHO, UNICEF and
outcomes for women, resources. Achievements in these Action Against Hunger, is
newborns, children and and other areas are described committed to action, bringing
adolescents, especially below. (see also section 2 and together nearly 30 partners
the poorest and most Spotlights). from different PMNCH
excluded, sustaining their constituencies in a common
Securing new commitments effort to advocate for and
needs and rights at the
to the Global Strategy and facilitate integration through
centre of the to SRMNCAH programme guidance.
development agenda.
Through concerted, multifaceted
Specifically, the aim is to advocacy efforts at global, regional
maximize the and national levels, the Partnership
Partnership's strengths actively contributed to securing
in: galvanizing over US$ 5 billion through 40
commitments to the additional commitments to the
Global Strategy in 2016. PMNCH
Global Strategy and
organized seven high-level events
SRMNCAH; curating and
in support of Every Woman Every
disseminating evidence Child, bringing together over 850
across the continuum of people. Its associated
care in user-friendly communications efforts reached
traditional and newer 9.5 million social media accounts,
formats; and leading had over 1,380 mentions and
gained over 350 new followers.
advocacy campaigns on
The Partnership also coordinated,
priority SRMNCAH
and through its constituencies
issues, both neglected implemented, partner
and emerging. commitment outreach.

PMNCH Annual Report 2016 | 21


The Partnership also acted to raise Save the Children and PMNCH in
the profile of SRMNCAH in broader 2016, which outlines the evidence-
global health and development based rationale for a shared agenda
agendas. For example, PMNCH between women's, children's and
aligned and coordinated a major adolescents' health and UHC. 21
advocacy effort across partners,
including a letter to Japan's Prime Advocacy highlights
Minister Shinzō Abe with 192 As co-chairs of the Every Newborn
signatories, that helped to convince Action Plan and Ending
the G7 to include a section on Preventable Maternal Mortality
prioritizing women’s, children’s and joint subcommittee on advocacy,
adolescents' health in its final PMNCH, the FCI Programme at
communiqué in 2016. Management Sciences for Health,
Save the Children and White
Because of continuing interest in Ribbon Alliance developed a
universal health coverage (UHC) framework for Quality, Equity and
the G7 working group was Dignity (QED) for maternal and stakeholders, in order to support
converted into a UHC and newborn health. Its purpose is to and guide advocacy planning and
SRMNCAH working group, which promote the roles of civil society action at the national and
advocated to both the SRMNCAH and nongovernmental subnational levels. The framework
and UHC communities on the organizations, women and health attempts to integrate advocacy
interlinkages between these workers in planning and efforts across the newborn health,
movements. This involved webinars accountability for efforts to maternal health, stillbirth,
and joint statements, among other improve the quality, equity and breastfeeding and midwifery
activities. The advocacy messages dignity of care. This is a starting communities. Additional examples
were derived from A Common point for a conversation with of advocacy efforts and their
Cause, a report co-published by broader global and national impacts are described in Box 7.

Box 7

PMNCH's advocacy in 2016, selected examples

Efforts by the A side event co-hosted by the The World


stillbirths advocacy Partnership and its members Prematurity Day
working group at the Global Fund’s 5th advocacy group's
resulted in the Replenishment Conference efforts aligned
inclusion of stillbirth as an addressed the challenges to improving action by over 50 partners that
indicator in the Global Strategy women’s, children’s and adolescents’ health led to 224 buildings being lit
monitoring framework and in a and survival in fragile contexts and with messages and 130 events
recommendation concerning humanitarian crises. At a side event of the in 60 countries, Facebook
stillbirths in the IAP's report. 135th Inter-Parliamentary Union (IPU) reach of 2.3 million engaging
The Partnership ensured that Assembly, co-hosted by the Partnership, 131,600 users, 38,683 thousand
voices of parents who have IPU and WHO, parliamentarians discussed Twitter tweets—including from
experienced a stillbirth were how they could leverage their core functions 6 celebrities—with 247,333,400
heard at its events during the to ensure effective emergency responses impressions, 62,000 profile
UN General Assembly, the and continuity of care for women, children pictures changed to include
World Health Assembly and and adolescents in humanitarian and fragile Twibbons and 2,100
Women Deliver, among others. settings, including migration crises. thunderclap users.

22
Sharing evidence for action
across the continuum of care
Ensuring that policy-makers, donors,
implementers and advocates have
access to the latest evidence about
what needs to be done to improve
the health of women, newborns,
children and adolescents has been a
critical role for the Partnership since
its creation. It presents research
findings in user-friendly forms
(adapting material from partners,
as required) and disseminates them
as widely as possible to support
policy and programme changes.
In addition to printed materials,
face-to-face meetings and
webinars, the Partnership reaches
constituencies, stakeholders, the
public and the media through its
website and social media channels.

Examples from 2016 include the


publication of PMNCH's 35th
Knowledge Summary, “Act now for
adolescents”,22 which was developed
under the guidance of an advisory In addition, the Partnership hosted a The Partnership complemented
group of 14 organizations and number of events presenting key its continuum of care-focused
launched at Women Deliver. This findings from the various Lancet events with thematic webinar
short, user-friendly summary sets series launched in 2016 concerning series including sessions on
out why action on adolescents’ the SRMNCAH continuum of care, in humanitarian settings, UHC,
health is important, and why it is order to inform and equip advocates, adolescents and stillbirths,
needed as a matter of urgency. programme managers and policy- which provided the latest
The Knowledge Summary was makers to accelerate their work in evidence to thousands of
accompanied by a brief on support of the Global Strategy and advocates, academics, policy-
adolescent-led accountability, the Every Woman Every Child makers and implementers.
seeking to facilitate meaningful movement. The purpose was to
youth engagement in improving present findings from the Lancet
adolescent health. series on stillbirths (launched in
January), breastfeeding (January),
maternal health (September) and
early childhood development
In addition to printed
(October), and the Lancet materials, face-to-face
Commission on Adolescent Health meetings and webinars,
and Well-being (May). 23-27 Examples the Partnership reaches
included a session for advocates and constituencies,
planners at Women Deliver, a side stakeholders, the public
event at the World Health Assembly
and the media through
for policy-makers, and an event at
the American Public Health
its website and social
Association's annual meeting for media channels.
health professionals.

PMNCH Annual Report 2016 | 23


Developing its first
multi-year advocacy and •• Promoting awareness of and
communications strategy consensus around the latest
Looking forward
PMNCH led a partner-centric effort evidence on the continuum of care,
The Partnership's first advocacy
to develop the multi-year strategy curating information and serving as
and communications strategy28 will
under the guidance of a 20-person a centralized repository, and
form the bedrock of advocacy and
steering group, which identified advocating for research to remedy
communications activities in 2017
how the Partnership can maintain SRMNCAH knowledge gaps
and 2018. It will focus on four areas:
momentum for women’s, children’s
•• Providing a "one-stop shop" for
and adolescents’ health and incite •• Advocating at all levels for
SRMNCAH advocacy and
effective action by all stakeholders. quality, equity and dignity
knowledge and increasing use of
The strategy was informed by 141 throughout the continuum of
social media and other effective
responses to a survey asking care and increasing attention
communication tools and formats
partners about their advocacy on neglected populations
priorities and communications such as adolescents and all •• Continuing and increasing the
channels (Box 8) and by a partner women, newborns, children discussion of women’s, children’s
perception survey carried out in and adolescents in and adolescents’ health in the
2015 to identify gaps in PMNCH humanitarian settings media, including online social media.
communications and advocacy.

Box 8

Results from the PMNCH survey on partners’ advocacy


and communications priorities

The most common theme raised by Among non-health issues, gender Although PMNCH's partners
respondents was the lack of attention equality and women’s work fairly evenly across global,
to quality, equity and dignity (QED) empowerment were the most regional and national levels,
in health care by policy-makers and important issues identified (56% of their advocacy efforts are
service providers and the need for respondents). 52% placed nutrition directed more towards NGOs,
these to run through all parts of the next, followed by education (42%), training institutions and donors/
health system, at all levels. poverty (34%) and water, sanitation foundations. National policy-
Adolescents were also identified as and hygiene (32%). This highlights makers are the target of only
needing more attention. Both QED the importance of working across one quarter of advocacy efforts,
and adolescents are priorities in the sectors, in line with the highlighting the need to step up
new 3-year strategy. multisectoral SDG approach. national-level advocacy
significantly, either by coalitions
of national partners or through
gender equality and women’s empowerment 56% case studies of lessons learned
in priority countries. Finally, the
nutrition 52%
survey confirmed the
education 42% importance of engaging on
Twitter and Facebook, and
poverty 34% identified YouTube as offering
potential for expanded
water, sanitation and hygiene 32%
engagement in future.

24
Spotlight

Working with parliamentarians

The Partnership has helped some form of discrimination. The focusing on seven priority areas where
various constituencies to workshop also provided key MPs could make a difference:
participate in improving health information on tackling violence providing incentives for women to
outcomes. For example, it has against women and girls, and give birth in hospitals, as well as
collaborated for some years with improving their health outcomes by access to antenatal and postnatal
the Inter-Parliamentary Union (IPU) increasing access to health services. care; ensuring that government
in advocating to parliaments for The MPs then disseminated the funding to increase access to family
increased action on SRMNCAH. In messages on Ebola and violence at planning and counselling services is
2016 PMNCH supported two-day outreach events in put to best use; countering local bans
parliamentary seminars in Sierra Freetown and the eastern town of on sexuality education in schools;
Leone, Uganda and Rwanda, Kenema. More than 80 people took setting targets for increased access to
allowing citizens to voice their part in each event, including local and uptake of family planning;
priorities and concerns related to leaders, police and legal officials, overseeing implementation of the
SRMNCAH and to urge their health, education and social health worker retention strategy and
members of parliament (MPs) to workers, civil society organizations advocating for increased recruitment
elevate women’s, children’s and and groups representing women and training of midwives; increasing
adolescents’ health to the top of and youth. interaction with local partners to
legislative agendas. facilitate sharing of information; and
On 21 November 2016 an inception seeking intersectoral partnerships to
Forty MPs in Sierra Leone received seminar on women’s, children’s and coordinate the implementation and
in-depth training at a workshop in adolescents’ health for the 10th oversight of government programmes,
Freetown on ending the Parliament of Uganda was plans and strategies.
discrimination and stigmatization attended by 42 MPs (26 women)
experienced by some survivors of and representatives of On 26 November 2016 47 Rwandan
the deadly Ebola outbreak in West government, academia, civil MPs (31 women) met with their
Africa. Many survivors are society and NGOs. As a result MPs constituencies to learn about the
marginalized by their communities: from across party lines agreed to challenges involved in accessing family
a survey suggests that 96% of draft a new MNCH advocacy planning services and modern
Ebola survivors have experienced strategy for the current parliament, contraceptives. During these
interactive discussions local leaders
and health service providers gave
detailed information about the
availability of sexual and reproductive
health services. Issues which need
increased advocacy from MPs, and
interventions that need to be scaled
up, were documented and included in
the recommendations which will be
submitted to Rwanda’s parliament in
2017 for increased oversight activities.
Citizens took this opportunity to
address MPs on other issues, such as
health insurance, access to roads and
access to clean water, which also affect
SRMNCAH. This has sparked a number
of initiatives by the Rwandan
parliament on women’s, children’s and
adolescents’ health in 2017. 29

PMNCH
PMNCHAnnual
AnnualReport
Report2016
2016|| 25
6. Deepening partnerships

To foster participation in the The dynamic, ongoing process


different work streams over the of deepening partnership is both
A key objective of the five years of the Strategic Plan, inward- and outward-looking.
Partnership is to engage and communities of practice, steering In 2016 the Partnership made
groups and co-convener groups significant progress in three
align a broad range of
have been established for the four areas: strengthening governance;
partners, driving collective establishing and operationalizing
strategic objectives (Figure 4).
action towards more effective Partners lead each group in close new constituencies; and increasing
policies, programmes, finance collaboration with the Secretariat. partner engagement.
and accountability. The aim is This partner-centric approach
to build strong, diverse, proved very successful in 2016: Strengthening governance
inclusive and balanced 800 partners engaged in PMNCH In 2014 the Partnership’s overall
work through the different groups, performance and the achievement
coalitions of partners who are
and 49 meetings were held for of its goals and strategic objectives
committed to the Every for 2009–2013 were externally
this purpose.
Woman Every Child
movement and are actively
involved in implementing the
Figure 4
Global Strategy.
Partner-centric approach

Community
of Practice

Steering Group
Up to 16

Co-Conveners
2-3
(incl. 1 Board Member/Alternative)

Strategic Objective
Manager
Cross-coordination

26
evaluated. 30 In the area of
governance, the evaluation
acknowledged the importance of
the Board’s diversity, the successful
leveraging of Board meetings for
advocacy purposes and the
Partners’ Forum as a flagship
project. However, the evaluation
recommended a review of the
Board’s composition and its
decision-making processes,
including a review of the Board
committees, and particularly of the
Executive Committee. The Board
agreed, 31 and in 2016 the
Partnership completed its
comprehensive governance
strengthening process. The process
was overseen by the Ad Hoc
Governance Group, which later
became the Governance and
Nominations Committee.

In total, 15 governance elements


were reviewed and strengthened,
including the Partnership's The Global Financing Mechanisms
governance structure, Board and (GFM) constituency includes the
Executive Committee mandates, Global Fund to Fight AIDS, In 2016 the Partnership
Board composition and ways of Tuberculosis and Malaria, GAVI, the made significant
working, among other issues. Vaccine Alliance and the Global progress in three areas:
The result: more inclusive Financing Facility. GFM members
governance and decision-making
strengthening
play a crucial role in advancing the
processes and better aligned governance; establishing
SRMNCAH agenda towards the
priorities and coordinated actions Global Strategy and the SDGs
and operationalizing new
among the constituencies through their influence and ability constituencies; and
represented on the Board. to drive prioritization of funding, increasing partner
deliverables and accountability, engagement.
Establishing and particularly at country level. The
operationalizing new Board approved establishing this
constituencies constituency with the aim of
As noted in section 2, the increasing alignment and
Partnership fully operationalized coordination among key partners
the Adolescents & Youth and of increasing financing for the engagement at regional level and
constituency in 2016, the first of its SRMNCAH agenda, including to amplify impact at country level.
kind among the global health domestic financing. The IGO constituency adds value to
platforms aimed at supporting the the Partnership by providing
delivery of the Global Strategy. In The Inter-Governmental insights into regional needs and
addition, two new constituencies Organizations (IGO) constituency, expectations in order to shape
were established, further led by the Inter-Parliamentary strategies, and to drive
expanding and strengthening the Union and Partners in Population accountability and advocacy,
Partnership's membership base. and Development, aims to increase particularly at country level.

PMNCH Annual Report 2016 | 27


•• having the right partners/ To facilitate the process illustrated
By joining the
members to catalyse the impact in Figure 5, entry criteria for
Partnership, members sought at global, regional and participation in the Partnership
pledge commitment country levels were developed. In addition to
to its vision, mission constituency-specific criteria,
•• fully engaging the current base
and strategy. of partners (through PMNCH's
members are required to sign a
pledge to advance SRMNCAH. By
constituencies, strategic
joining the Partnership, members
objectives, and members’ own
pledge commitment to its vision,
actions)
mission and strategy. Members
Increasing and improving •• addressing the challenges some also commit to the Every Woman
partner engagement constituencies face in engaging Every Child movement to help
The Partnership’s strength lies in its their members meaningfully fulfil the aims of the Global
broad, diverse and inclusive range of •• engaging and coordinating Strategy and achieve better health
partners, which is vital for implementing with other partnerships for women, children and
the Global Strategy and Agenda 2030. influencing SRMNCAH (for adolescents around the world.
However, the 2014 external evaluation example, in nutrition, education, Members commit to regularly
identified low partner engagement as water and sanitation). contributing to the work of the
a key area for improvement. The need Partnership and of their
to review its partners' base and their The first phase of implementing the constituency, as laid out in the
engagement also stemmed from the Partner Engagement Strategy workplans, and to engage with
beginning of the SDG era, and the involves carrying out a stakeholders’ other constituencies and partners.
repositioning of PMNCH as "The mapping exercise, followed by a gap
Partnership in support of Every analysis, to facilitate developing an Both the Partner Engagement
Woman Every Child". engagement improvement plan. Strategy and the entry criteria
This will ultimately help to recruit were informed by consultations in
In response, PMNCH developed a new members purposefully, ensure 2016 with all PMNCH members. As
Partner Engagement Strategy as a first inclusivity and alignment, and part of this process all members'
step in the endeavour to fully leverage encourage active participation in profiles were reviewed, resulting
the strength of its platform by: the Partnership's work. in 200 profiles being updated.

Figure 5 Illustrative Partner Activities


at Different Levels of Engagement
The partner engagement journey
1 Potential member not aware/interested or low
awareness/interest
Influencer 9
8 2 Member is aware of the Partnership, makes decision to join,
OWNERSHIP and goes through the application process successfully

3 Read communications/publications; limited engagement


CONNECTION
4 Adopt and apply knowledge products
7
Level of Engagement

5 6
5 Participate in constituency consultations on strategy,
Active Member decision-making and other work-related matters
Inactive
Inactive 6 Attend Partners' Forum and other events
Member
4 Member

INTEREST
7 Enrolled in one or more of 50 Communities of Practice and
other working groups
3
2 8 Contribute financial or in-kind resources to the Partnership,
New Member
and/or become a member of a Strategic Objective (SO)
UNAWARE Steering Group
Outsider
1 9 Active role in internal Partnership activities
(e.g., SO Co-Conveners, board, committees, etc.)
Time as Member

28
Looking forward Satisfaction Survey will be launched In addition, the Partner Engagement
The Partnership strives to to provide baseline information on Strategy will be applied in the focus
enable its members to achieve the quantity and quality of partner countries, including carrying out
more together than any engagement. Engagement stakeholders’ mapping and developing
individual partner can do alone. improvement plans will be recommendations for partner
To that end, the process of developed for all 10 constituencies engagement at country level. Closer
increasing the frequency, depth and implemented in four: alignment with the Every Woman Every
and breadth of interactions Academic, Research and Training Child movement will be a priority in
between partners around the Institutes, Adolescents & Youth, 2017, as well as engaging other sectors
world will continue in 2017. Non-Governmental Organizations and strengthening engagement at
The first PMNCH Partner and the Private Sector. regional level.

Spotlight

Engaging civil society in the Global Financing Facility

The Partnership's Global Financing •• Act as a pool of experts to


Facility (GFF) civil society work on various GFF-related
coordinating group brings working groups
together over 30 organizations in
•• Disseminate to and consult
joint planning and advocacy
broader networks on questions
around the GFF. The group was
related to the GFF.
formed in November 2015
following concern from civil
The coordinating group is an
society about suboptimal
example of the Partnership's
engagement in GFF-related
greater focus on aligning partner
processes in countries. The aims
efforts for more effective action.
of the group are to:
Its achievements in 2016 (some of
•• Advocate for civil society which are listed below) are a
priorities and interests, in testament to how partners can •• Produced a civil society guide
particular to create achieve more by working together about the GFF33
opportunities for meaningful than by acting alone: •• Supported civil society
civil society engagement in
•• Sent bi-monthly newsletter consultations in Cameroon and
country-level GFF processes
co-branded by group members Senegal34 which resulted in
•• Coordinate GFF-related civil to the Africa Health Budget increased civil society
society efforts to ensure Network listserve of about representation on national
efficient use of limited civil 100,000 recipients platforms in both countries
society resources
•• Held webinars before and after •• Organized a regional meeting of
•• Promote access to information each GFF Investors Group civil society organizations
by civil society for optimal meeting so that over 100 civil ahead of the GFF Investors
engagement in the GFF society organizations could Group meeting
processes at all levels
contribute to the positions of •• Started developing a civil
•• Act as a resource group for the the GFF Investors Group society engagement strategy to
GFF civil society Investors representatives and hear be presented for endorsement
Group representatives outcomes of the meetings32 by the Investors Group in 2017. 35

PMNCH
PMNCHAnnual
AnnualReport
Report2016
2016|| 29
7. Resource mobilization

In a difficult and uncertain global increase the integration of the


funding climate, the support workplan. Some donors provided
The Partnership’s ability to provided by the donor community multi-year funding at the start of
deliver an extensive body of reflects their recognition of the this strategic planning period, while
value of the Partnership’s work. others, whose operational modalities
work was made possible by
do not allow for multi-year grants,
financial support from 10 The vast majority of these resources pledged to continue funding the
bilateral and private were provided as un-earmarked Partnership in the future. Table 1
foundation donors, who funds, enabling the Partnership to below summarizes the grant
made available more than effectively manage resources and funding made available in 2016.
US$ 9 million in grant
funding. In addition, the
partner-centric model of
Table 1
operations has translated
Grant funding made available in 2016
into ongoing in-kind
contributions in time and
Donor 2016 (US$)
effort from PMNCH
Bill & Melinda Gates Foundation 2,430,800
members in delivering its
2016 workplan. Government of Canada 787,591
Children’s Investment Fund Foundation 200,010
Government of Germany 93,990
Government of India 1,000,000
MacArthur Foundation 500,000
Government of the Netherlands 800,000
Government of Norway 1,048,644
Government of Sweden 339,125
Government of the USA 650,000

Balances brought forward 408,322

Total 8,258,482

30
The Partnership Board Members As of January 2017

Zulfiqar Bhutta
Kishwar Azad Núria Casamitjana Badia Robert Harding Inaugural Chair in Global John Borrazzo
Isaac Adewole Child Health, Hospital for Sick Children,
BIRDEM and Ibrahim Medical College, Barcelona Institute for Global Health U.S. Agency for International
Government of Nigeria
Diabetic Association of Bangladesh (ISGlobal) Canada Development (USAID)

Frances Day-Stirk
Flavia Bustreo Ted Chaiban Mariam Claeson Timothy G Evans
International Confederation of
World Health Organization (WHO) UNICEF Global Financing Facility (GFF) World Bank
Midwives (ICM)

Lars Grønseth Lennarth Hjelmåker Tikhala Itaye Farouk Shamas Jiwa (Mato) Natalia Kanem
The Norwegian Agency for Development Swedish International Development African Youth and Adolescent Network
Merck/MSD International GmbH United Nations Population Fund (UNFPA)
Cooperation (NORAD) Cooperation Agency (SIDA) on Population & Development (AfriYAN)

Peter Kazembe Betsy McCallon


Thiago Luchesi Chandra Kishore Mishra Nila Moeloek
Baylor College of Medicine Children's White Ribbon Alliance for Safe
Save the Children International Government of India Government of Indonesia
Foundation Malawi Motherhood

Gogontlejang Phaladi C. N. Purandare


Ummy Mwalimu David Nabarro Nosa Orobaton Gogontlejang Phaladi Pillar of Hope International Federation of
Government of Tanzania United Nations Secretary-General Office Bill & Melinda Gates Foundation
Project (GPPHP) Gynaecology and Obstetrics (FIGO)

Syed Kamal Shah Susan Tolton Gillian Turner


Jan-Willem Scheijgrond Ann Starrs
International Planned Parenthood Foreign Affairs, Trade and Development Department for International
Royal Philips Guttmacher Institute
Federation (IPPF) Canada (DFATD) Development (DFID)

PMNCH Annual Report 2016 | 31


Annex 1.

The Partnership's value-add at country level: five areas of work

1. Promote ••Facilitate multistakeholder consultations to review the SRMNCAH partner landscape:


inclusive and Drawing on existing documentation, tools, and/or recent reviews, support in-country
meaningful partners to assess existing multistakeholder platforms, jointly take stock of the country
multistakeholder SRMNCAH partners’ landscape, and identify:
engagement a) under-represented stakeholder groups (e.g. civil society, private sector and youth
groups, health-care professional associations, academic and research institutions)
and ways to facilitate their engagement; and
b) opportunities to strengthen existing partner coordination mechanisms, promoting
alignment and streamlining accountability processes; and priorities for joint
advocacy.
••Catalyse constituency-building and strengthen existing partner networks: including
by convening and linking under-represented stakeholder groups with their respective
PMNCH constituency networks, facilitating exchange and mobilizing support for
building those groups’ organizational, coordination and/or advocacy capacities to
increase their inclusion and engagement in country-led multistakeholder platforms.
••Reinforce coordination mechanisms to facilitate multistakeholder engagement and
cross-sectoral linkages, as appropriate: focusing, in particular, on strengthening the
effectiveness and sustainability of convening/coordination capacities and functions
within the Ministry of Health (MOH) in alignment with existing governance structures
and processes, building on the capacities of designated SRMNCAH-related coordinating
focal points within the MOH (e.g. those coordinating GFF processes).

2. Strengthen ••Review existing accountability mechanisms at national, subnational and local levels
and align to identify opportunities for:
accountability a) promoting broader engagement in existing processes for tracking progress on the
processes Global Strategy; and
b) supporting efforts to streamline and unify accountability processes including through
joint monitoring of agreed milestones and results; harmonizing data gathering
and management, reporting, review and oversight processes; and linking social
accountability initiatives and citizens’ hearings with national/subnational SRMNCAH
accountability frameworks.

3. Strengthen ••Facilitate dialogue between health sector SRMNCAH partners, health ministries
cross-sectoral and those in health-allied sectors: identify specific priorities and opportunities
linkages for collaborative action, and strengthen existing mechanisms for cross-sectoral
coordination and exchange.

4. Support joint ••Foster a concerted approach to advocacy for women’s, children’s and adolescents’
advocacy health: strengthen and sustain commitments to SRMNCAH priorities by leveraging
PMNCH’s global SRMNCAH advocacy strategy and the collective expertise and
resources of its vast network of partners to:
a) support consultations among in-country partners to identify key SRMNCAH priorities
for joint advocacy and build local advocacy capacities; and
b) amplify country-identified SRMNCAH priority advocacy messages through broader
advocacy efforts in regional and global forums.

5. Facilitate ••Support and facilitate learning through regular consultations among country
learning and representatives, including between GFF-supported and other countries, to share
exchange across experiences in strengthening country-led multistakeholder platforms, accountability
countries processes and joint advocacy efforts, including by synthesizing evidence and best
practices across countries for global dissemination to foster multistakeholder action for
enhanced impact in other countries.

32
Further reading

1. The Global Strategy for Women’s, Children and Adolescents’ Health (2016-2030). New York: United Nations, 2015.
www.everywomaneverychild.org/wp-content/uploads/2016/12/EWEC_Global_Strategy_EN_inside_LogoOK_web.pdf
2. The 2030 Agenda for Sustainable Development. New York: United Nations, 2015. https://sustainabledevelopment.un.org/
content/documents/21252030 Agenda for Sustainable Development web.pdf
3. Every Woman Every Child website. www.everywomaneverychild.org
4. PMNCH Strategic Plan 2016-2030. Geneva: WHO, 2015.
www.who.int/pmnch/knowledge/publications/pmnch_strategic_plan_2016_2020.pdf
5. PMNCH Business Plan 2016-2018. Geneva: WHO, 2015.
www.who.int/pmnch/about/strategy/pmnch_business_plan_2016_2018.pdf
6. PMNCH Workplans and Budget. Geneva: WHO, 2016. www.who.int/pmnch/about/strategy/pmnch_workplans/en/
7. Act Now for Adolescents. PMNCH Knowledge Summary #35. Geneva: WHO, 2016.
http://www.who.int/pmnch/knowledge/publications/summaries/ks35/en/
8. Ministers and young leaders share their experience improving adolescent health outcomes, 2016.
http://www.who.int/pmnch/media/events/2016/unga/en/index3.html
9. Prioritizing the leadership of adolescents and young people at the UN General Assembly, 2016.
http://www.who.int/pmnch/media/events/2016/unga/en/index6.html
10. PMNCH value proposition. Geneva: WHO, 2016.
http://www.who.int/pmnch/activities/countries/partnership_value_add.pdf
11. Guidance note on the Partnership’s universal approach to country engagement. Geneva: WHO, 2016.
http://www.who.int/pmnch/activities/countries/pmnch_universal_guidance.pdf
12. Guidance note on engagement with focus countries. Geneva: WHO, 2016.
http://www.who.int/pmnch/activities/countries/pmnch_country_guidance.pdf
13. Process paper. Geneva: WHO, 2016.
http://www.who.int/pmnch/activities/countries/process_engagement_countries.pdf
14. The Unified Accountability Framework. Geneva: WHO, 2016.
http://www.who.int/pmnch/activities/accountability/framework.pdf

15. The Unified Accountability Framework. Geneva: WHO, 2016. http://www.who.int/pmnch/activities/accountability/framework/en/
16. World Health Assembly 69.2. Committing to implementation of the Global Strategy for Women’s, Children’s and Adolescents’
Health. Eighth plenary meeting, 28 May 2016.
17. Indicator and monitoring framework for the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030).
Geneva: WHO, 2016. http://www.who.int/life-course/about/coia/indicator-and-monitoring-framework/en/ 

18. Monitoring priorities for the Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030). Geneva: WHO, 2016.
http://www.who.int/life-course/partners/global-strategy/gs-monitoring-readiness-report/en/ 

19. 2016: Old Challenges, New Hopes: Accountability for the Global Strategy for Women’s, Children’s and Adolescents’ Health.
Geneva: WHO, 2016. http://www.iapreport.org/ 

20. Citizen-led accountability website. http://www.citizens-post.org/
21. Save the Children and PMNCH. A Common Cause. London: Save the Children Fund, 2016.
http://www.savethechildren.org.uk/resources/online-library/common-cause 

22. Act Now for Adolescents. PMNCH Knowledge Summary #35. Geneva: WHO, 2016.
http://www.who.int/pmnch/knowledge/publications/summaries/ks35/en/ 

23. http://www.thelancet.com/series/ending-preventable-stillbirths
24. http://www.thelancet.com/series/breastfeeding
25. http://www.thelancet.com/series/maternal-health-2016
26. http://www.thelancet.com/series/ECD2016
27. Patton GC. Our future: a Lancet commission on adolescent health and wellbeing. The Lancet 2016, 387: 2423-2478.
28. PMNCH Advocacy and Communications Strategy 2016-2018. Geneva: WHO, 2016.
http://www.who.int/pmnch/about/strategy/communications_16_18/en/ 

29. Rwanda Parliament. Twitter. https://twitter.com/RwandaParliamnt
30. External Evaluation of the Partnership for Maternal, Newborn and Child Health, Final report: 22 July 2014.
http://www.who.int/pmnch/about/strategy/evaluation.pdf
31. PMNCH Board Response to the External Evaluation. http://www.who.int/pmnch/about/strategy/board_response.pdf
32. YouTube: Global Financing Facility (GFF) June Investors Group (IG) Meeting Debrief, 2016.
https://www.youtube.com/watch?v=LCBA9X15MMo&feature=youtu.be

33. Civil Society Guide to the GFF. Washington DC: PAI, 2016. http://pai.org/reports/civil-society-guide-gff/
34. CSOs outline steps for greater engagement ahead of Global Financing Facility learning meeting, 2016.
http://www.who.int/pmnch/media/events/2016/cso/en/ 

35. GFF Civil Society Engagement Strategy Public Consultation, 2016. http://www.who.int/pmnch/media/events/2017/cso/en/

PMNCH Annual Report 2016 | 33


34
Photos: cover, Flickr Creative Commons License/Feed My Starving Children (FMSC)/ReachHaiti; page 9, Flickr Creative
Commons License/Marisol Grandon/Department for International Development; page 12, Flickr Creative Commons License/UN
Women/Deepak Malik; page 14, Flickr Creative Commons License/Asian Development Bank/Luis Enrique Ascui; page 19, Flickr
Creative Commons License/Marisol Grandon/Department for International Development; page 20, Flickr Creative Commons
License/The White Ribbon Alliance; page 21, Flickr Creative Commons License/©UNICEF Ethiopia/2013/Tsegaye; page 25,
Rwanda Parliament; page 34, Flickr Creative Commons License/UN Women/Ryan Brown.
Design: Roberta Annovi.
Writing and editing: Joanne McManus and Anna Rayne.
The Partnership for Maternal,
Newborn & Child Health 

c/o World Health Organization

20 Avenue Appia, CH-1211 Geneva 27,
Switzerland

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WHO/FWC/NMC/17.1

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