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Accountability for Women’s and Children’s Health: 2015 Progress Report

This World Health Organization (WHO) report reviews progress on the implementation of the 10 recommendations made by the Commission for Information and Accountability (CoIA).  CoIA was established in 2011 to provide oversight for global reporting and accountability for women’s and children’s health.  This year’s report highlights successes and lessons in implementing accountability frameworks, which will be used to inform the revised Global Strategy for Women’s, Children’s and Adolescents’ Health, 2016-2030

Key findings

  • Reports from over 30 countries show strong examples of strengthening accountability, including in Malawi, Nigeria, and Tanzania
  • 68 countries received funding to build their accountability frameworks, of which 17 received a second round of targeted CoIA funding
  • Over 50% of this funding was used by countries to strengthen maternal death surveillance and response (MDSR) and civil registration and vital statistics (CRVS)
  • Countries continue to improve data collection on the 11 recommended CoIA indicators
  • Significant progress has been made in tracking budgets, resources and resource flows for reproductive, maternal, newborn, and child health (RMNCH) at both a country level and a global level
  • For the first time, policy markers for RMNCH were reported by the Development Co-operation Directorate of the Organization for Economic Cooperation and Development (OECD-DAC)
  • Civil society engagement has contributed to better transparency, advocacy and action
  • Parliaments in 30 countries have taken legislative action for women and children, including increased budget allocations and improved oversight of health budgets 

Progress from four MamaYe countries is highlighted:

  • Tanzania has made impressive improvements in CRVS, e-Health, and advocacy for women and children’s health
  • During the Ebola outbreak, civil society in Sierra Leone used skills gained during a RMNCH budget advocacy workshop to understand and track public and donor allocations and spending on the Ebola response
  • The Government of Malawi  has created a National Registration Bureau in the Office of the President and Cabinet to improve maternal death data collection and contribute to CRVS development
  • In Nigeria, civil society has worked to implement the newly adopted National Health Act, which provides coverage to pregnant women and children 

Lessons learned from CoIA will be important as we move towards the Sustainable Development Goals.  The report concludes that independent accountability remains essential for the post-2015 period and that this is a priority in the development of the new Global Strategy on Women’s, Children’s and Adolescents’ Health

To read the report for free, click here

World Health Organization. (2015). Accountability for Women’s and Children's Health: 2015 Progress Report. Geneva: WHO.

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