WELCOME

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

Maternal mortality declining faster since 2000

Annual maternal death (thousands)

4.4 million more lives were saved in 2010 than 1990

Annual under-5 child deaths (millions)

6.6 in 2012

ChildhoodNewborn/postnatalPre-pregnancy Pregnancy

Risk of mortality peaks around childbirth

Birth

Maternal deaths

StillbirthsNewborn deaths

Child Deaths

Donnay, F. Bill and Melinda Gates Foundation

• Still not reaching the most vulnerable

• Risk of maternal death 100x higher in Sub Saharan Africa

• Neonatal period = 40% of child mortality

• 222 million women with unmet need for voluntary, modern family planning

Accelerating progress

Economic Benefits of Investing in Maternal, Newborn and Child Health

• Annual productivity loss of $15 billion due to maternal and newborn deaths

• US$20 generated in benefits for every $1 invested in RMNCH key interventions

• Lowering fertility in China and India increases GDP per capita by 0.7-1.0% per year

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

• Gender equity

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

• Prevent and treat neonatal morbidity and mortality

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

• Improved access to emergency obstetric care and family planning

• HIV: eliminate transmission to newborns and focus on maternal survival

Key Opportunities for IMPACT

Canada’s Leadership

2010/11

Muskoka Initiative

• Commission on Information and Accountability

2012

Creation of CAN-MNCH

• NGOs, researchers & clinicians

• Supported by DFATD

• Enhanced effectiveness

2013

Working Together

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

Sharing insights, experiences and

evidence

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

Common metrics and reporting to improve

accountability

•Pilot projects - Tanzania and Bangladesh

Informing and advising Canadian

stakeholders

•Working closely with important stakeholders •Exploring synergies with private sector

2012

2015

Partner Organizations-70 Canadian NGO,

Healthcare Professional

Associations and Academic

Institutions are working in

over 1,000 regions around

the world -7 Resource Partners-Complete online mapping

exercise-Approved by Steering

Committee

MEASURINGRESULTS

KNOWLEDGE EXCHANGE STAKEHOLDER

ENGAGMENT

CAN-MNCH-Steering Committee:

Elected at 2011 Annual

Meeting -Secretariat: Director,

Program Officer-Working Groups:

Knowledge Exchange,

Metrics, Stakeholder

Engagement (Policy)

MEASURING RESULTS

KNOWLEDGE EXCHANGE STAKEHOLDER

ENGAGEMENT

CIDA-Funding – $1.8 million to

2015 (75%)-Active involvement in

Working Groups-Supportive

MEASURINGRESULTS

KNOWLEDGE EXCHANGE

STAKEHOLDERENGAGEMENT

Improve MNCHWorking together to

maximize each sectors

valuable contributions

MEASURING RESULTS

KNOWLEDGEEXCHANGE

STAKEHOLDER ENGAGEMENT

Metrics Working Group UpdateDorothy Shaw, Helen Scott

Organization Member

CARE Canada Ambrose, Kaia

SickKids/ Dalla Lana U of T Bassani, Diego

Healthy Children Uganda Brenner, Jenn

SickKids/ iERG Bhutta, Zulfiquar

Can. Soc for Int’l Health Hatcher Roberts, Janet

DFATD Lajtonyi, Judith

DFATD Bhattarai, Sudeep

Plan Canada Mirza, Tanjina

DFATD Romaniuc, Lara Canadian Red Cross Salim Sohani CAN-MNCH Scott, Helen

CAN-MNCH Shaw, Dorothy

Save the Children Vijayaraghavan, Janani

DFATD Ahluwalia, Rashim

• Clarify CoIA definitions and determine what is possible for Canadian partners to measure and contribute to national level reporting.

• To create a platform for sharing comparable metrics across and between CAN-MNCH Network organizations and CIDA.

• Share and socialize selected common metrics and measurement tools.

• To liaise with DFATD as a reference group on feasible and sustainable reporting requirements.

• Strengthen or develop Network partners’ capacity to contribute to district- or national-level surveillance in focus countries.

Mandate

Meetings held prior to Tanzania:-Canadian partners (in Toronto)-iERG-WHO MDSR working group-Jennifer Bryce-Countdown to 2015 - Canadian Coalition for Global Health Research Arusha: -Save the Mothers (Unable to attend partners meeting)-Jhpiego -Integrare-Merck for Mothers-Comprehensive Community Based Rehabilitation 

Landscape Analysis - Tanzania

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

•NOTE: Missing some Partners

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

• Missing direct or collaborating partners include CPHA, Save the Mothers; CISH; SOGC; SickKids Global Child Health program

• CDC: Sriyanjit Perera• Ministry of Health and Social Welfare:

Dr. Neema Rusibamayila and Mr. Kihinga

Landscape Analysis - Dar Es Salaam

Landscape Analysis - Summary

• Canada’s contribution is significant (training)• # of data elements is unrealistic (> 300)• Family planning measures not integrated• CHW are responsible for data collection, limited validity,

reliability• Our Partners rely on MoH and DHS data (poor quality/

slow)• 11 indicators are gathered through MoH and DHS, not

reliable, regional, timely

MNCH Indicator Portal

Stakeholder Engagement Working Group

Member Organization

Carmichael, Todd AMREF CanadaDendys, Chris Micronutrient InitiativeFrench, Meg UNICEF CanadaLynch, Bridget Can Association of MidwivesMcWilliams, Cicely Save the Children CanadaShaw, Dorothy SOGCScott, Helen CAN-MNCHTherrien, Wendy CAN-MNCHTardiff, Jean Francois RESULTS

Mandate

• To strengthen, accelerate, and amplify Canada’s global leadership in securing results for the health of the world’s most vulnerable women, newborns and children.

• Strengthen - Increased use of an integrated, multi-sectorial approach (best practices) to improve MNCH programming.

• Accelerate - Canada’s MNCH efforts.• Amplify - Public engagement with a purpose, communicating

for results.

• Supported Mom-mentum Mother’s Day Tea on Parliament Hill, May 7, 2013 (co-hosted by Save the Children/ CAN-MNCH)

• Prepared and disseminated the MNCH Strategy Note – The Final Push: Working Together for Global Maternal, Newborn and Child Health

• Oversee meeting preparations for high level meetings with key government staff and elected representatives

Key Activities

Other outreach (examples)

• Canadian Global Health Conference• Grand Challenges, Rising Stars Luncheon - Laureen Harper• Meetings with various MPs and Senators• Dignitas Mother’s Day Campaign• Inaugural meeting - Coalition of Global Child Health Centres• Canadian Launch of the Global Action Plan for Prevention and

Treatment of Diarrhea and Pneumonia, SickKids Hospital• United Nations General Assembly, Every Woman Every Child

Reception• United Nations General Assembly, Every Woman Every Child

event, co-hosted by Prime Minister Harper• Canadian Launch of the Lancet Maternal and Child Series• Partnership for Maternal, Newborn and Child Health• GAVI• ONE.org

Knowledge Exchange Working Group

Member Organization

Barwick, Melanie Hospital for Sick Children / University of Toronto

Corluka, Adrijan Global Health Research Initiative

Davidson, Marnie CARE Canada

Emary, Colleen World Vision

Gold, Emily Micronutrient Initiative

MacDonnell, Heather Canadian Pediatric Society

Neufeld, Vic Canadian Coalition for Global Health Research

Moerkerken, Ericka CCISD

Salewski, Tanya Aga Khan Foundation

Silver, Karlee Grand Challenges Canada

Scott, Helen CAN-MNCH

Mandate

• Identify & share evidence based interventions and indicators in MNCH (science and lessons learned)

• Identify best practices in the implementation of MNCH programs/ interventions (the HOW-TO). Share the evidence-based evidence about the implementation so as to inform better implementation of MNCH PROGRAMS/INTERVENTONS

• Build awareness of/ facilitate and showcase examples of good collaboration

• Facilitate sharing successes and challenges problem solving/sharing for MNCH issues problems/issues ( i.e.: Rapid Response Forum)

• Knowledge Portal• Report template/ casebook that captures the single

most important thing (SMIT) or main messages• MNCH Seminar Series: Nurturing Maternal Health,

AKF Canada• October 3/4 – IMPACT 2025: Working Together for

Global, Maternal, Newborn and Child Health• Regular blog, Facebook post and “News & Events” e-

blast highlighting key reports and documents• Linking with domestic and international partners

across sectors to cross-populate latest research, activities and opportunities

Key Activities

Linking with the research community

• Consultative process to guide government’s investments (Gates Foundation; GCC models)

• Linking with NGOs for mutual sharing (empirical and scientific evidence)

• Questions:– What is the value add for the research community? The

NGO community? – What are the wins for the network? Reverse

innovation; examples where research is driving program change

Private Sector Survey• 65% work with private sector; most have positive

experience• Vast majority worked with PS for two years or less• Main types of engagement

• PS provides funding for programming• PS provides funding for research• PS provides in kind materials (drugs, equipment)

• Key challenge - high level of effort to generate a low level of funds

• Concerns with drug quality (expiration date etc.)

Building a network

• Stay focused; set clear, measurable goals• Keep it small (suggest 5 or 6 key members)

• The first mile – Invest heavily, build trust• Journey – Complimentary leadership,

discipline, flexible management• The last mile – don’t stop with the end in sight