Post 2015 Framework: Partnership for Maternal, Newborn and Child Health... Summary Statement

Post 2015 Framework: Partnership for Maternal, Newborn and Child Health (PMNCH)
Summary Statement
Ending preventable deaths and morbidity, especially amongst women and children
Everyone has a fundamental right to the highest attainable standard of health with physical, mental and social wellbeing. The foundation for sustainable social, economic and environmental development, and for peace and security, is
the health of populations (healthy people, healthy planet). But thousands die every day from preventable causes and
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the health MDGs are still an unfinished agenda . To ensure that people’s health remains a priority moving forward,
the following should be included in the Post 2015 framework:
 Goal: Include an explicit goal focused on the health of populations, such as healthy life: ending preventable deaths
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and morbidity, especially amongst women and children. This encompasses reproductive , maternal, newborn,
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child and adolescent health, the prevention , diagnosis and treatment of communicable (e.g. malaria, TB, HIV,
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pneumonia, diarrhoea etc) and non-communicable diseases, and addressing key social and environmental
determinants of health such as nutrition, education, clean water and sanitation, political stability, and gender
equality.
 Equity: Focus on the 40% of people who are at the bottom of the income pyramid so that they can have access to
quality essential goods and services. Women and children in remote and marginalised communities are especially
disadvantaged by poverty and ill-health. Child marriage and gender inequalities in social, economic and political
participation exacerbate these problems. Access to universal health care can help prevent the vicious cycle of
poverty, ill-health and unsustainable environments.
 Effective Investment: Recognise the importance of investing in health and strengthening health systems – An
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investment in health is an investment in social and economic growth (healthier is wealthier) and sustainable
development, and constitutes part of every country’s obligation to realise the human rights of its citizens. Delivering
quality health services requires many systems elements to be strengthened, particularly the health workforce,
information systems, supply chains and governance.
Background6
The health of populations, how equitably quality health services are distributed, and effective health investment all
contribute to the well-being of populations and to sustainable development. Today, despite widespread endorsement
of health as a human right and a growing recognition of the impact of health on economic growth and development,
far too many continue to die from preventable causes and experience debilitating, and sometimes life-long, illnesses.
There is political momentum and progress, but much more to do. The MDGs accelerated progress by focusing on
health goals and on key determinants of health. They galvanized political support and helped set global, regional and
national health agendas. The MDGs also stimulated increases in domestic resources for health and development
assistance and provided a platform for accountability. As we approach the 2015 deadline, we can celebrate substantial
progress, but much more is needed.
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Cross-sectoral approach. Improving health outcomes requires a joined up approach. Improving health systems and
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coverage of essential interventions needs to go alongside efforts on access to clean water and sanitation, education ,
gender equality, and improved nutritional status. Gender norms often do not allow access to comprehensive sexual
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and reproductive health information, supplies and services . Malnutrition in all forms is a major contributor to disease
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and early deaths. It is currently the underlying cause of over a third of child deaths . Climate change and
environmental degradation increase the number of extreme weather events, which in turn compromise food and
nutrition security.
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Health is closely linked to all of the Post 2015 consultation themes . The entire Post 2015 process requires an
approach that is rights based, population centric, gender sensitive, health sensitive, country owned and equity
focused. Only by working in this way will we improve health outcomes globally.
Partnership for Maternal, Newborn and Child Health (PMNCH): LIST OF SIGNATORIES
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34 Million Friends of the United Nations Population Fund
Abibimman Foundation
Africa Coalition on Maternal, Newborn and Child Health (Africa MNCH Coalition)
Africa Youth for Peace and Development
All India Institute of Medical Sciences (AIIMS)
Alliance for Reproductive Health Rights (ARHR)
Alpha O Centre For Malaria Prevention and Control
Averting Maternal Death and Disability (AMDD)
Azad India Foundation
Bill & Melinda Gates Foundation
Burnet Institute
Cameroon Christian Welfare Medical Foundation (CAMCWEMEF)
CARE USA
Caring & Living As Neighbours - CLAN
Carolina Breastfeeding Institute
CEDES, Centro de Estudios de Estado y Sociedad
Centre for Health and Population Studies (CHPS)
Centre for International Child Health
Centre for International Child Health
Centre for Pregnancy & Childbirth Education (CEPACE)
Centro Rosarino de Estudios Perinatales (CREP)
Chelma Advisory Institute
CHETNA
Children's Project International
Community and Family AID Foundation - CAFAF
Community and Family Foundation
Concept Foundation
CORE Group
Countdown 2015
Curamericas Global Inc.
Development Media International
Disease Management Association of India
Doris Duke Charitable Foundation
Doris Duke Charitable Foundation
Dr Maimbolwa, Assistant Dean School of Medicine , University of Zambia
Elizabeth Glaser Pediatric AIDs Foundation
Elizka Relief Foundation - formerly Elizka Relief International
Enfants du Monde
Environmental and Rural Mediation Centre (ENVIRUMEDIC),
Esperanza Maternal, Newborn & Child Health Centre
Family Care International
FAO
FIGO- International Federation of Gynecology and Obstetrics
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Future Generations
GAVI Alliance
Global Alliance to Prevent Prematurity and Stillbirth - (GAPPS)
Global Network for Perinatal and Reproductive Health
Global Organization for Maternal & Child Health (Go-MCH)
Gram Bharati Samiti (GBS)
Health Alliance International
Health and Development International (HDI)
Health Partners International
Healthright International
Healthright international
Helen Keller International
Horizon Youth Development (HYD)
individual consultatn retired from Asian Development bank
Initiative for Maternal Mortality ProgrammeAssessment - Immpact
Institute for Global Health of Barcelona - ISGLOBAL
Instituto de Cooperacion Social Integrare (ICSI)
Instituto de Efectividad Clínica y Sanitaria (IECS)
International BabyFood Action Network (IBFAN) AFRICA
International Child Health Group
International Confederation of Midwives
International Diabetes Federation
International Federation for Spina Bifida and Hydrocephalus (IF)
International Federation of Pharmaceutical Wholesalers (IFPW)
International Pediatric Association - IPA
International Planned Parenthood Federation (IPPF)
IntraHealth International, Inc.
John Snow Inc./ JSI Research & Training Institute, Inc
Kids & Teens Resource Centre
Korea Foundation for International Healthcare (KOFIH)
Krityanand UNESCO Club
Liverpool Women's Hospital
Local Development Agency on Reproductive and Maternal Health (LODARMAH)
MACHE Initiative
Mahatma Gandhi Institute of Medical Sciences
March of Dimes Foundation
MEDICAL STUDENT ASSOCIATION OF RWANDA (MEDSAR)
Medical Women’s International Association
Meera Foundation
MEMISA
Merck & Co. Inc.
Micronutrient Initiative
Mintaka Foundation for Medical Research
National Center for Child Health and Development
National Center for Child Health and Development (Japan)
National committee for maternal and neonatal health
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NCD Child
Novartis Foundation for sustainable development
Operation ASHA
Organization for Public Health Intervention and Development
Oslo University Hospital
Partners in Population & Development (PPD)
Pathfinders
Peace and Life Enhancement Initiative International (PLEII)
Population Council
Population Matters
Population Media Center
Population Services International
Population Services International - PSI
Population studies unit, Geography Departmetn, University of Lagos
Prince Leopold Institute of Tropical Medicine Antwerp
Program for Appropriate Technology in Health - PATH
Promundo
Redeem Community Health Consult
Rotarian Action Group for Population & Sustainable Development (RFPD)
Royal College of Obstetricians & Gynaecologists (RCOG)
SAHAYOG
Save the Children
Save the Mothers East Africa
Simavi
Social Development & Management Society
Society for Education, Action, and Research in Community Health (SEARCH)
The African Woman Alliance
The Akaa Project
The Children's Project International
The Great Lakes in Action for Peace and the Sustainable Development
The Hunger Project
The Mother and Child Health and Education Trust
The Programme for Global Paediatric Research (PGPR)
The Wellbeing Foundation
Treatment Advocacy and Literary Campaign (TALC)
University of the Witwatersrand & Charlotte Maxeke Johannesburg Academic Hospital, South Africa
WAHA - Women and Health Alliance International
WaterAid
White Ribbon Alliance , Zambia
Women and Children First
Women United for Economic Empowermet (WUEE)
Women's Health and Action research Centre (WHARC)
World Vision International
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Despite a decline of 47% and 41% of maternal and child deaths respectively since 1990, every year we still lose 6.9 million children under the age
of 5 and 287 000 pregnant women. For every woman who dies, approximately 20 more suffer injuries, infection and disabilities. In 2009 there
were 2.6 million stillbirths, of which 1.1million are intrapartum and potentially preventable. Progress related to health has been inequitable
within and between countries. For instance Sub Saharan Africa accounts for over half of all maternal and child deaths and the poor and less
educated remain more vulnerable to ill health. Trends are changing with newborn deaths accounting for higher proportions of child deaths and
preterm births. HIV/AIDS remains a challenge with 34 million people living with the disease in 2011; however the number of new infections has
decreased by 20% since 2001.
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This also includes the promotion and protection of rights of women and girls to have control over, and decide freely and responsibly, over
matters related to sexuality and reproductive rights.
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Including vaccination, and possible sub-targets, such as the ‘fully immunised child’.
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This would include issues that are currently neglected such as over-nutrition (obesity), diabetes, etc.
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One recent study by Victoria University, WHO and PMNCH (2012) estimated that for every US dollar spent on RMNCH interventions, almost 20
dollars in benefits would be generated through that investment’s effect on productivity and health care costs.
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Partnership for Maternal, Newborn and Child Health. Women and Children’s Health in the post-2015 Development Agenda. Geneva. January
2013. Available at:
http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CDQQFjAA&url=http%3A%2F%2Fwww.who.int%2Fpmnch
%2Fmedia%2Fnews%2F2012%2F20130103_pmnch_post_2015.pdf&ei=owQZUd6fBoOE4gSLyYCwCQ&usg=AFQjCNHX1uHZKMMVG9Jjh2wYzhoL
wfFcOQ&sig2=vTnyWXF1iLpowQdP1DggWQ&bvm=bv.42080656,d.bGE
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Usually called an integrated approach.
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For example, Of 8·2 million fewer deaths in children younger than 5 years between 1970 and 2009, 51·2% could be attributed to increased
educational attainment in women of reproductive age(15-44years). Gakidou E, Cowling K, Lozano R, Murray CJL. Increased educational
attainment and its effect on child mortality in 175 countries between 1970 and 2009: a systematic analysis. The Lancet. 2010; 376:959–974.
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Communiqué from the Meeting of the High-level Panel of Eminent Persons on the Post-2015 Development Agenda . Monrovia, Liberia. February
2013. Available at :
http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=4&cad=rja&ved=0CEsQFjAD&url=http%3A%2F%2Fwww.un.org%2
Fsg%2Fmanagement%2Fpdf%2FMonrovia_Communique_1_Feb_2013.pdf&ei=XFw_UczRK8KdtQbj2YGwAg&usg=AFQjCNG_0GyXMjBYc1pPwHXMoo3cR5rRg&sig2=H_uEXYzgp2toDfFZ-n2hOQ
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UNICEF, WHO, World Bank, UN. Levels and Trends in Child Mortality: Report 2012 – Estimates Developed by the UN Inter-Agency Group on Child
Mortality Estimation. New York. 2012.
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Health, Conflict and Fragility, Governance, Inequalities, Environmental Sustainability, Economic Growth and Employment, Population, Water,
Energy, Education, Food Security and Nutrition.