6

IMPLEMENTATION:
WE ALL HAVE A
ROLE TO PLAY

OPERATIONAL FRAMEWORK

The Global Strategy will be accompanied by a five-year Operational Framework, to be updated regularly until 2030. Building on ongoing efforts and existing structures, it will guide countries as they develop and refine their plans for women’s, children’s and adolescents’ health based on country-identified needs and priorities. All stakeholders—including multi-stakeholder partnerships at all levels—should use it as a guide to tangible action. The Operational Framework will be developed in consultation with governments, civil society, the private sector, international agencies and other constituencies and partners.


EVERY WOMAN EVERY CHILD ARCHITECTURE

The Every Woman Every Child architecture for the Global Strategy will support countries to implement their unique national priorities and plans for improving women’s, children’s and adolescents’ health by 2030 (see Figure 5).
Governments and national leaders will own and drive the process to achieve national targets by developing investment and implementation plans, establishing one coherent system for monitoring and evaluation and ensuring accountability, and harnessing existing country-level multi-stakeholder engagement platforms. Regional bodies and mechanisms, especially those that foster south-south collaboration, should bolster and align with national policy and country efforts (e.g. cross-border cooperation issues and knowledge and technology transfer).

Globally, the United Nations Secretary-General leads the Every Woman Every Child movement, supported by a High-Level Advisory Group. The Advisory Group will be informed by the work in the three pillars of the global architecture (see below) and will provide political steering and advice on realizing the vision of Every Woman Every Child and achieving the Global Strategy objectives. The movement is co-ordinated by the Executive Office of the Secretary-General and serves as the multi-stakeholder platform to support the implementation of the Global Strategy.

Three interconnected pillars of the global architecture underpin the delivery of the Global Strategy.

  1. Country planning and implementation efforts drive the delivery of the Global Strategy, supplemented by regional and global technical inputs. A key source of technical support for the Global Strategy iis the H4+ partnership (WHO, UNFPA, UNICEF, UNAIDS, UN Women and the World Bank). The H4+ partnership at the global level interfaces closely with the Executive Office of the Secretary-General and provides support at country level. Bilateral development agencies, civil society groups and the private sector also contribute vital technical support to complement and enhance capacities at the country level. South-south cooperation and academic and research collaboration will also play important roles.
  1. This support should be delivered through the existing country-level multi-stakeholder engagement platforms in a coordinated and coherent way and ensure coordination among the various supportive initiatives under the Every Woman Every Child movement, such as A Promise Renewed, Family Planning 2020, Every Newborn Action Plan and Eliminating Preventable Maternal Mortality. National health strategies and investment plans will be the basis for financing decisions in the second pillar.
  2. Financing for country plans and implementation is primarily driven by domestic resources from governments, the private sector and civil society. The Global Financing Facility in support of Every Woman Every Child is a new effort to better leverage financing for women’s, children’s and adolescents’ health and enhance domestic resources. To scale up financing of national health strategies and investment plans, it is essential to ensure collaboration between existing global financing mechanisms such as Gavi, the Vaccine Alliance; the Global Fund to Fight AIDS, Tuberculosis and Malaria; the World Bank’s International Development Association and International Bank for Reconstruction and Development; multilateral institutions; regional banks; and the private sector. The Global Financing Facility Investors Group has been established to facilitate this.
  3. Engagement and alignment of global stakeholders is critical to ensure more effective and coherent support to countries, as well as strengthened accountability, and will be supported by The Partnership for Maternal, Newborn & Child Health. Country leadership will seek to align advocacy across all stakeholders operating at country level, while tapping into regional and global resources.

Figure 5:

Every Woman Every Child Architecture Framework

“By investing in women, children and adolescents today, and over the next 15 years, we can save a generation, within a generation — while benefiting many more to come. But the opportunity and responsibility to act belongs to us, now.”

AMINA MOHAMMED United Nations Secretary-General’s Special Adviser on Post-2015 Development Planning

COMMITTING TO ACTION

Concrete commitments and collective action are needed to harness the power of partnership and achieve the objectives of the Global Strategy for the health and wellbeing of every woman, child and adolescent. The following list highlights some key commitments required from different stakeholder groups. Please note this list is not comprehensive.

Governments, parliamentarians, decision makers and policymakers at all levels will:

  • Make the health of women, children and adolescents a political priority
  • Fund and implement comprehensive, evidence- and human rights-based national health plans, with a focus on strengthening health systems and reaching marginalized people
  • Protect women, children and adolescents from the effects of catastrophic out-ofpocket health expenditures
  • Allocate more funds for the cross-sector action and research and innovation needed to improve health outcomes
  • Ensure the meaningful participation of all constituencies, including health-care professionals, the private sector, civil society, communities most affected by health inequities, adolescents and young people
  • Create transparent monitoring and accountability mechanisms for resources, results and rights
  • Ensure donor funding targets country priorities and track commitments, disbursement and impact
  • Introduce or amend legislation and policies in line with human rights principles, including gender equality for all
  • Strengthen the capacity of parliament to move towards universal health coverage and uphold the right of all women, children and adolescents to the highest attainable standard of health and well-being


Regional organizations, south-south partnerships and economic alliances will:

  • Share knowledge and communicate best practices rapidly to ensure that the latest evidence is used for effective national planning and implementation
  • Encourage collaboration around priority issues such as cross-border cooperation and regulations, knowledge and technology transfer
  • Create transparency and mutual accountability among member countries for results, resources and rights


The United Nations and other multilateral organizations at all levels and global health initiatives will:
  • Mobilize resources to fill funding gaps at country level, including through innovative financing mechanisms, and invest in global public goods that improve women’s, children’s and adolescents’ health
  • As requested, provide technical support for countries to develop and cost their national plans and to implement them by working with a full range of stakeholders in the spirit of trust, accountability and integrity
  • Define evidence-based norms, regulations and guidelines to underpin efforts to improve the health of women, children and adolescents and encourage their use by partners
  • Create a dedicated space where the voices of women, children and adolescents can be heard at global level, e.g. through citizens’ hearings
  • Support and participate in systems that track progress and identify gaps to strengthen action and accountability for women’s, children’s and adolescents’ health


Bilateral development partners and philanthropic institutions will work with others to:
  • Mobilize additional resources for health, including through innovative financing, to complement domestic investments, and align these resources with country plans and priorities
  • Deliver effective technical support for country-identified priorities, while enhancing local capacities to develop, finance, implement and monitor evidence-based national plans and programmes
  • Invest in innovation and research, including implementation research, to better meet country needs through effective health interventions, tools and delivery mechanisms
  • Enhance cross-sector collaboration in line with best practice; integrate health, nutrition, water and sanitation interventions and strengthen links with sectors such as education and gender equity


Communities will:
  • Participate meaningfully in health-related decision-making
  • Generate demand for health programmes and support their implementation
  • Actively support positive changes to social norms and attitudes that impede progress
  • Advocate for women’s, children’s and adolescents’ health and hold governments and duty-bearers to account
Health-care workers, managers and professional associations at all levels will:
  • Provide the highest possible quality of care and treat all women, children and adolescents with confidentiality and respect, without exception
  • Audit clinical practice, provide information to track progress and ensure effective remedy and redress at facility and community levels
  • Advocate for better training, deployment and retention of health workers
  • Integrate human rights standards and principles into the design and delivery of health services and interventions and into training and education
  • Develop, test and evaluate innovative ways of delivering community health-care services, focusing on the most pressing needs of the most underserved populations


Civil society at all levels will:
  • Advocate for increased attention to, and investment in, women’s, children’s and adolescents’ health
  • Strengthen community capabilities to implement the most appropriate and affordable interventions and to participate meaningfully in the governance of services
  • Ensure all people and communities have an equal voice in shaping high-quality health-care services
  • Track progress and hold itself and all other stakeholders accountable for commitments
  • Forge multisector partnerships for women’s, children’s and adolescents’ health
  • Support efforts to close gaps in data about marginalized populations and in humanitarian and fragile settings
  • Lobby governments to exempt essential drugs and health commodities from taxation


Academic and research institutions at all levels will:
  • Advocate for targeted in-country research and increased budgets for research and innovation
  • Build institutional research capacity in low- and middle-income countries
  • Generate, translate and disseminate evidence and best practices to shape effective and equity-oriented policies and programmes
  • Strengthen networks of academics and researchers to promote knowledge exchange


The business community at all levels will:
  • Support government policies aimed at universal health coverage, better nutrition, healthier foods and cleaner energy
  • Identify and address with partners the external consequences of business actions that might harm the health of women, children and adolescents
  • Protect and promote the health and well-being of employees and their families
  • Support efforts to improve access to good-quality health services and life-saving commodities
  • Explore new drugs, technologies and interventions to improve health in resourcelimited settings, address emerging global challenges, such as antimicrobial resistance, and bring the most promising innovations to market
  • Use business expertise to create and scale up interventions that promote health, such as essential interventions and education on sanitation and hygiene and access to improved nutrition


The media at all levels will:
  • Position the health of women, children and adolescents as a priority item on the news agenda
  • Give women, children and adolescents a voice by developing social media and digital platforms
  • Publish more evidence-based stories about the health of women, children and adolescents, human rights abuses, coverage gaps and people who miss out on needed services
  • Communicate responsibly and accurately on public health issues, particularly in emergencies, using information received from academia and the government in a careful and considered way

New, ambitious and concrete commitments will be required by all stakeholders, embodying the energy and action needed to fully implement the Global Strategy by 2030 and to guarantee measureable results.

THE WAY FORWARD

This updated Global Strategy serves as an important guide and step forward to reaching our vision of ensuring that all women, children and adolescents not only avoid deaths from preventable causes but also thrive and transform societies. Women, children and adolescents all over the world look to us, the global community, to deliver on this agenda. They will not wait for us to act—because they themselves are the most important agents for transforming the health and development landscape—but they do require our active partnership to ensure that we achieve our shared goals for survival, health and well-being and a prosperous and sustainable future.

Governments should maintain their leading role, but also collaborate with stakeholders across societies and sectors to create an enabling environment for health and well-being, taking a cue from the holistic spirit and scope of the SDGs. In addition to providing the financial, technical and human resources needed to strengthen health systems, stakeholders should develop additional resources and infrastructure in other areas known to improve health outcomes, such as interventions on nutrition, education, water, clean air and sanitation.

And actions should be taken to enable women, children and adolescents to realize their human rights and their full potential for health and well-being. In this way, a “grand convergence” in health can be achieved, ensuring that every woman, child and adolescent, in every setting, has an equal chance to survive, thrive and contribute to the transformative change envisioned by the SDGs.

Survive, Thrive, Transform: these three objectives must guide our actions in the years to 2030. The time for action is now and action by everyone—each making their own contribution—is needed to realize our vision.