G8 Watch 2010

G8 Communique 2010

26 JUNE 2010 | Muskoka, Canada - The host of the 2010 meeting, Canadian Prime Minister Stephen Harper, announced his initiative on maternal, newborn and child health (MNCH) in January 2010. The G8 Communique, released on 26 June 2010, outlines the details of this MNCH initiative, named the Mukoka Initiative for the region of Canada where the G8 was held. The complete official G8 Communique for 2010 is to be found on the official G8 website: www.g8.gc.ca. Excerpts relevant to the Muskoka Initiative are found below: The following excerpts highlight the maternal, newborn and child health (MNCH) initiative of the G8, named the Muskoka Initiative, as well as the Annex referring to the Muskoka Intiative:

The G8 Communique excerpts on the Muskoka Initiative

7. The global community is now at the two-thirds point between adoption of the Millennium Development Goals (MDGs) and the target date of 2015. To achieve the MDGs the effort needs to be truly global, encompassing a comprehensive, whole-of-country approach, including actions not only from all governments, but also from the private sector, foundations, non-governmental organizations and civil society, as well as international organizations, focussing more on the protection and empowerment of individuals and communities to improve human security. In this regard, we welcome the UN Secretary General’s report “Keeping the Promise” and the UNDP International Assessment on meeting the MDGs. The G8 supports the priorities outlined in the Assessment, and reaffirms the view that progress must be driven by domestic strategies, policies and interventions and national ownership. We call on all development partners, at the September 2010 UN High-Level Plenary Meeting on the MDGs, to strengthen the collective resolve to accelerate progress towards these targets and call for an action-oriented outcome. Consequently, all public and private financial resources should be mobilized efficiently, and enabling conditions created for private and financial sector development and investment and resource flows.

8. Progress towards MDG 5, improving maternal health, has been unacceptably slow. Although recent data suggests maternal mortality has been declining, hundreds of thousands of women still lose their lives every year, or suffer injury, from causes related to pregnancy and childbirth. Much of this could be prevented with better access to strengthened health systems, and sexual and reproductive health care and services, including voluntary family planning. Progress on MDG 4, reducing child mortality, is also too slow. Nearly 9 million children die each year before their fifth birthday. These deaths profoundly concern us and underscore the need for urgent collective action. We reaffirm our strong support to significantly reduce the number of maternal, newborn and under five child deaths as a matter of immediate humanitarian and development concern. Action is required on all factors that affect the health of women and children. This includes addressing gender inequality, ensuring women’s and children’s rights and improving education for women and girls.

9. G8 members already contribute over US$4.1 billion annually in international development assistance for maternal, newborn and under-five child health (MNCH). Today, we, the Leaders of the G8, working with other Governments, several Foundations and other entities engaged in promoting maternal and child health internationally[1][1] endorse and launch the Muskoka Initiative, a comprehensive and integrated approach to accelerate progress towards MDGs 4 and 5 that will significantly reduce the number of maternal, newborn and under five child deaths in developing countries. The scope of the Muskoka Initiative is specified in Annex I. Our collective undertaking will support strengthened country-led national health systems in developing countries, in order to enable delivery on key interventions along the continuum of care, i.e., pre-pregnancy, pregnancy, childbirth, infancy and early childhood,

10. To this end, the G8 undertake to mobilize as of today $5.0 billion of additional funding for disbursement over the next five years[2][2]. Support from the G8 is catalytic. We make our commitments with the objective of generating a greater collective effort by bilateral and multilateral donors, developing countries and other stakeholders to accelerate progress on MDGs 4 and 5. We therefore welcome the decisions by other governments and foundations to join the Muskoka Initiative. The Governments of the Netherlands, New Zealand, Norway, Republic of Korea, Spain and Switzerland, subject to their respective budgetary processes, and the Bill and Melinda Gates and UN Foundations have now or have recently committed to additional funding of $2.3 billion to be disbursed over the same period.

11. We fully anticipate that, over the period 2010-2015, subject to our respective budgetary processes, the Muskoka Initiative will mobilize significantly greater than $10 billion. 12. As a consequence of the commitments made today towards the Muskoka Initiative, this support, according to World Health Organization and World Bank estimates, will assist developing countries to: i) prevent 1.3 million deaths of children under five years of age; ii) prevent 64,000 maternal deaths; and iii) enable access to modern methods of family planning by an additional 12 million couples. These results will be achieved cumulatively between 2010-2015. We will track progress on delivering commitments through our accountability reporting, which, in 2011, will focus on health and food security. In line with the principle of mutual accountability, we expect these joint commitments will encourage developing countries to intensify their own efforts with regard to maternal and child health, leading to the saving of many more millions of lives of women, newborn and young children.

13. It is possible to build a broad coalition of the committed. We the partners to the Muskoka Initiative trust today’s launch will give added momentum to the UN-led process to develop a Joint Action Plan to Improve the Health of Women and Children, and make a key contribution towards the September 2010 UN High-Level Plenary Meeting on the MDGs. Given the interconnected nature of the Goals, we expect that our commitments will have positive impacts on the other MDGs.

14. We will also focus efforts on training of medical personnel and on establishing stronger health innovation networks in Africa and other regions.

Annex I:The G8 Muskoka Initiative:Maternal, Newborn and Under-Five Child Health

1. Principles: The Initiative is based on a set of core principles for long-lasting results: · ensuring sustainability of results; · building on proven, cost-effective, evidence-based interventions; · focussing in the countries with the greatest needs while continuing to support those making progress; · supporting country-led national health policies and plans that are locally supported; · increasing coherence of development efforts through better coordination and harmonization; · improving accountability; and · strengthening monitoring, reporting and evaluation.

2. Scope: The Initiative is related to MDGs 4 and 5, as well as elements of MDGs 1 (nutrition) and 6 (HIV/AIDS, malaria). The Initiative is focused on achieving significant progress on health system strengthening in developing countries facing high burdens of maternal and under-five child mortality and an unmet need for family planning. Improving maternal and under-five child health requires comprehensive, high impact and integrated interventions at the community level, across the continuum of care, i.e., pre-pregnancy, pregnancy, childbirth, infancy, and early childhood.

3. This Initiative includes elements such as: antenatal care; attended childbirth; post-partum care; sexual and reproductive health care and services, including voluntary family planning; health education; treatment and prevention of diseases including infectious diseases; prevention of mother-to-child transmission of HIV; immunizations; basic nutrition and relevant actions in the field of safe drinking water and sanitation. 4. Information: Efforts to strengthen health systems must also include improved health information systems, inter alia vital statistics registration, regular household surveys and applied research to monitor and evaluate implementation. More and better implementation and evaluation of research will identify options to achieve results faster and more efficiently.

5. Innovation: Better synthesis and sharing of innovations can help to overcome delivery bottlenecks more quickly and accelerate results. Existing innovations include novel uses of mobile phones, means of civic registration to improve vital statistics, and task shifting to make better use of scarce health workers. 6. Effectiveness: It is critical to maximize the impact of all investments in development through improved coherence, coordination and harmonization of development efforts, and increasing the effectiveness of existing mechanisms and approaches. We are also supportive of efforts by World Bank, Global Fund and GAVI to establish, in close coordination with the WHO, a joint platform for health systems strengthening. 7. Mechanisms: We are not creating new funding mechanisms. Each donor is free to choose the mechanisms they consider most effective, including multilateral agencies, civil society partners, and direct bilateral support to developing country partners.

a) Between 2010 and 2015, the G8 will work with multiple partners throughout the global community with the objective of achieving the targets set in 2001 for Millennium Development Goals 4 and 5: i) reduce by two-thirds between 1990 and 2015, the under-five mortality rate; ii) reduce by three-quarters, also between 1990 and 2015, the maternal mortality ratio; and iii) achieve, by 2015, universal access to reproductive health. b) Reaching these overall targets requires a major, sustained global effort including developed, emerging and developing countries, foundations, international agencies, non-governmental organizations, the private sector, and other constituencies.

9. Indicators: We are pleased that the WHO is working with relevant partners to identify a set of core indicators to measure progress in developing countries. These efforts should aim at harmonizing indicators and reporting requirements in order to reduce the burden of reporting on developing countries. As donors, we will work within these commonly agreed indicators. We will also support country reporting capacities and health information systems.

10. Methodology and Accountability: Recognizing the importance of transparency and accountability, we will track progress on delivering commitments through our accountability reporting which, in 2011, will focus on health and food security. We have also made public the methodology used to define our baseline and commitments.