1 “Simplicity is the ultimate sophistication." Leonardo da Vinci
What does South-South mean? Value Added Expeditious Action No Tied Assistance Demonstrated Need Based on Commitment to Act Becoming a voice for the South in the Global context 2
Advocacy Posture • UN Reform: Where is the South? • MDG – national reports, global discussions on indicators • Other policy discussions e.g. WHA • Resist bifurcation of RH and HIV/Aids • Show that conservatism and RH are compatible • South must insist on both North and its own budgets increased investment in RH 3
Operational Challenges to meet the MDG Targets Challenge I: Setting priorities Challenge II: Choosing interventions Challenge III: Monitoring & Evaluation of interventions Challenge IV: Did you make a difference ? 4
Goal: Group all possible interventions Starting Point: MDG 3: MDG 4: MDG 5: MDG 6: MDG 7: MDG 8: MDG 3: MDG 4: MDG 5: MDG 6: MDG 7: MDG 8: MDG 1: MDG 2: MDG 1: MDG 2: Gender Child Maternal Combat Environ Partner- Gender Child Maternal Combat Environ Partner- Poverty Education Poverty Education Equality Mortality Health Diseases ment ship Equality Mortality Health Diseases ment ship 5
Example MDG 3: MDG 4: MDG 5: MDG 6: MDG 7: MDG 7: MDG 3: MDG 4: MDG 5: MDG 6: MDG 7: MDG 7: MDG 1: MDG 2: MDG 1: MDG 2: Gender Child Maternal Combat Environ Partner- Gender Child Maternal Combat Environ Partner- Poverty Education Poverty Education Equality Mortality Health Diseases ment ship Equality Mortality Health Diseases ment ship Family Assisted Pre-Postnatal Family Assisted Pre-Postnatal EmOC Nutrition Governance EmOC Nutrition Governance Planning Delivery Care Planning Delivery Care Step 1: Group all possible interventions 6
MDG 5: MDG 5: Maternal Maternal Health Health Example Family Assisted Pre-Postnatal Family Assisted Pre-Postnatal EmOC Nutrition Governance EmOC Nutrition Governance Planning Delivery Care Planning Delivery Care Supply Demand Supply Demand Availability & Availability & Socio-cultural Economic Quality Socio-cultural Economic Quality Access Access issues factors issues factors Women’s Women’s Early Son Early Son Awareness reproductive Awareness reproductive Marriage Preference Marriage Preference choices choices … down to the lowest meaningful level 7
Example Early Marriage Early Marriage � Promote laws to raise the age of marriage � Functional marriage registration and data collection systems - Mobilizing community based organizations, women's groups, local governing bodies and youth groups to act as 'watchdogs/action groups' against early marriage � Retraining girls in schools through policy advocacy and community-based awareness building � Life Skills Education in formal and non-formal settings for equipping young people with health/SRH education and skills, such as negotiation skills for postponing early marriage/delaying pregnancy Step 2: Add possible actions under lowest level 8
MDG 5: MDG 5: • MMR Maternal Maternal • Rate of Fistula Health Health Example • CPR Family Family • TFR Planning Planning • Unmet Needs Supply Demand Supply Demand Economic Economic • Gini Index Cultural& Cultural& Quality Availability Quality Availability factors factors • GDP Social Social Failure Variety of Rate Contraceptives Women’s Women’s Early Son Early Son Awareness Reproductive Awareness Reproductive Marriage Preference Marriage Preference Choices Choices Spacing of Pregnancies Step 3: Place Indicators in the appropriate echelon 9
MDG 5: MDG 5: • MMR Maternal Maternal • Rate of Fistula Health Health Example • CPR Family Family • TFR Planning Planning • Unmet Needs Indicator Supply Demand Supply Demand Tracking Tool, e.g. Economic DevInfo Economic Cultural& Cultural& Quality Availability Quality Availability factors factors Social Social Failure Variety of Rate Contraceptives Women’s Women’s Early Son Early Son Awareness Reproductive Awareness Reproductive Marriage Preference Marriage Preference Specific Choices Choices Interventions: •Intervention I •Intervention II M&E Tool •Intervention III Step 4: Track indicators at different levels AND monitor specific interventions (through M&E systems) 10
Challenge I: Setting priorities MDG 5: MDG 5: Maternal Maternal Health Health Family Family Planning Planning Supply Demand Supply Demand Cultural& Cultural& Quality Economic Availability Quality Economic Availability Social Social Early Son Women’s Role Early Son Women’s Role Awareness Awareness Marriage Preference to Reproduce Marriage Preference to Reproduce 11
Challenge II: Choosing interventions Early Marriage Early Marriage � Promote laws to raise the age of marriage � Retraining girls in schools through policy advocacy and community-based awareness building � Provide Life Skills Education in formal and non-formal settings for equipping young people with health/SRH education and skills, such as negotiation skills for postponing early marriage/delaying pregnancy 12
Challenge III: M&E of interventions Early Marriage Early Marriage � Promote laws to raise the age of marriage � Retraining girls in schools through policy advocacy and community-based awareness building M&E � Provide Life Skills Education in formal and non- formal settings for equipping young people with health/SRH education and skills, such as negotiation skills for postponing early marriage/delaying pregnancy 13
Challenge IV: Did you make a difference ? MDG 5: MDG 5: MMR Maternal Maternal Health Health Family Family Planning Planning Supply Demand Supply Demand Cultural& Cultural& Quality Economic Availability Quality Economic Availability Social Social Early Son Women’s Role Early Son Women’s Role Awareness Awareness Marriage Preference to Reproduce Marriage Preference to Reproduce 14
“ Everything should be as simple as possible, but not simpler.” Einstein 15
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