UNCoLSC Recommendations to increase access to, and use of Life-saving commodities

EVERY WOMAN EVERY CHILD
EVERY WOMAN EVERY CHILD

Every Woman Every Child. This focus is long overdue. With the launch of the Global Strategy for Women’s and Children’s Health, we have an opportunity to improve the health of hundreds of millions of women and children around the world, and in so doing, to improve the lives of all people.” — United Nations Secretary-General Ban Ki-moon

The United Nations Commission on Life-Saving Commodities (UNCoLSC) for Women’s and Children’s Health made ten, specific, time bound recommendations in three main areas to increase access to, and use of, these commodities.

The following are lists of areas and recommendations by UNCoLSC:(Adopted from Early Woman Every Child website)

Area 1. Improved markets:

  1. Shaping global markets: By 2013, effective global mechanisms such as pooled procurement and aggregated demand are in place to increase the availability of quality, life-saving commodities at an optimal price and volume.

  2. Shaping local delivery markets: By 2014, local health providers and private sector actors in all Every Woman Every Child countries are incentivized to increase production, distribution and appropriate promotion of the 13 commodities.

  3. Innovative financing: By the end of 2013, innovative, results-based financing is in place to rapidly increase access to the 13 commodities by those most in need and foster innovations.

  4. Quality strengthening: By 2015, at least three manufacturers per commodity are manufacturing and marketing quality-certified and affordable products.

  5. Regulatory efficiency: By 2015, all Every Woman Every Child countries have standardized and streamlined their registration requirements and assessment processes for the 13 live-saving commodities with support from stringent regulatory authorities, the World Health Organization and regional collaboration.

Area 2. Improved national delivery:

  1. Supply and awareness: By 2015, all Every Woman Every Child countries have improved the supply of life-saving commodities and build on information and communication technology (ICT) best practices for making these improvements.

  2. Demand and utilization: By 2014, all Every Woman Every Child countries in conjunction with the private sector and civil society have developed plans to implement at scale appropriate interventions to increase demand for and utilization of health services and products, particularly among under-served populations.

  3. Reaching women and children: By 2014, all Every Woman Every Child countries are addressing financial barriers to ensure the poorest members of society have access to the life-saving commodities.

  4. Performance and accountability: By the end of 2013, all Every Woman Every Child countries have proven mechanisms such as checklists in place to ensure that health-care providers are knowledgeable about the latest national guidelines.

Area 3. Improved integration of private sector and consumer needs.

  1. Product innovation: By 2014, research and development for improved life-saving commodities has been prioritized, funded and commenced.

Reference:

Every Woman Every Child, 2014. Retrieved on 1 April 2014 from http://www.everywomaneverychild.org/resources/un-commission-on-life-saving-commodities/recommendations.

Partnership for Maternal Newborn & Child Health (PMNCH) Policy Brief

PMNCH
PMNCH

The Partnership for Maternal Newborn & Child Health (PMNCH), which The Hunger Project (THP) is part of, disclosed a policy brief on “Placing Healthy Women and Children at the Heart of the Post 2015 Sustainable Development Framework” on 31 March 2014. PMNCH through its Post 2015 Working Group is advocating for a Post 2015 framework that addresses women’s and children’s health issues and is rights-based, people-centered, equity focused, gender sensitive, participatory and adopts a cross-sectoral approach to health.

The full PMNCH policy briefing can be downloaded here.

Specifically PMNCH calls for the Post 2015 Framework to:

  • Include a stand-alone health goal that maximizes health and well-being, specifying an end to preventable mortality and morbidity and fulfillment of sexual and reproductive health and rights; achieving this through universal health coverage, with targets that guide countries to leave no one behind

  • Focus on the most critical population groups for maximizing progress towards improving health and development outcomes, particularly newborns and adolescents

  • Integrate health-related targets into all relevant sectors such as nutrition, education, gender, and infrastructure such as water, sanitation and energy to address the underlying determinants of health

  • Include differentiated targets for countries based on their levels of development.

    (Adopted from PMNCH)

For a related blog on Post 2015 agendas, search Post-2015 on our advocacy page.

About Partnership for Maternal Newborn & Child Health (PMNCH).

PMNCH joins the reproductive, maternal, newborn and child health (RMNCH) communities into an alliance of more than 500 members, across seven constituencies: academic, research and teaching institutions; donors and foundations; health-care professionals; multilateral agencies; non-governmental organizations; partner countries; and the private sector (PMNCH, 2014).

References:

PMNCH, 2014. Retrieved on 1 April 2014 from  http://www.who.int/pmnch/about/en/

Care for Child Development: Improving the care of young children (UNICEF and WHO)

“We may not be able to prepare the future for our children, but we can at least prepare our children for the future.”   Frederick D. Roosevelt

care_child_development
Photo Credit: UNICEF, WHO

The World Health Organization (WHO) and the United Nations International Emergency Children’s Fund (UNICEF), together with a wide range of partners, have recently developed a package material entitled Care for Child Development to support families in promoting the development of young children through health services, health workers, community providers and others working with families and young children. (UNICEF, WHO, 2012). According to the (WHO, UNICEF), “ 7.6 million children under the age of 5 worldwide die each year, and more than 25 times that number –  over 200 million children survive, but do not reach full human potential.”  Poor nutrition and fewer opportunities to learn are the main reasons for children not reaching their full human potential especially among families living in poverty. The Care for Child Development (CCD) package among others contains: participant manual, counseling cards, facilitator notes, guide for clinical practice, framework for monitoring and evaluation, a poster recommendation for CCD,  a CD-Rom with technical, advocacy and training resources, and CCD guide for monitoring and evaluation course materials.

Looking at the summary of the Pakistan Early Child Development Scale-up (PEDS) Trial report produced by Aga Khan University in Karachi, Pakistan and the UNICEF helps understand the significance of  providing care for child development in order to optimize outcomes for young children and to maximize their  their full potential. The PEDS Trial Care for Child Development was implemented in partnership with the Lady Health Worker Programme. The PEDS Trial tested the effects on child development and growth of two intervention packages : Care for Child Development (CCD) and Enhanced Nutrition (EN) along with a third package that combined both the CCD and EN.

To learn more about scales of measurements, intervention types, sampling and location of the study, click here.

Summary of Outcomes of the study shows the following:

– At 12 months old, children in all three interventions groups had significantly greater cognitive, language motor and social-emotional development scores.

– The combined intervention group obtained significantly better cognitive and language development scores than either group delivering the CCD alone or the EN alone.

– At 24 months old, children in all three intervention groups had significantly greater cognitive, language and motor development than those in the control group, but there were no significant differences between groups in social-emotional development.

– The CCD group and the combined CCD and EN group had significantly better cognitive scores compared to the EN group alone , and the CCD group had significantly better language scores compared to the EN group alone

Summary of the Intervention:

– The combined Care for Child Development and Enhance Nutrition Intervention proved to be effective in the greatest range of outcomes.

– The combined intervention was effective at improving children’s development and improving early linear growth of young children.

– The combined intervention had also resulted lower maternal distress , benefited home environment and the quality of mother-child interaction as compared to the NE only, the CCD only and control group (those who received baseline Lady Health Worker Service).

To read more about the outcomes and the interventions, click here

The Annals of the New York Academy of Sciences Volume 1308 has a detailed information on integrating nutrition and early childhood development, and the volume (1308) is dedicated to integrated interventions representing six areas: review of integrated interventions; methods and topics in designing integrated interventions; economic considerations related to integrated interventions; capacity-building considerations; examples of integrated interventions; and policy implications of integrated interventions.

To access the free online version of Annals of the New York Academy of Sciences Volume 1308, click here.

Sources: WHO, UNICEF, THE and The Aga Khan University