Presentation_Jurczynska - Catalyzing Investments in RMNCAH at the Community L...
Prevention of Prematurity and Stillbirth_
1. ADVOCACY AND CORE Group Advocates!
Prevention of Prematurity and Stillbirth
Aaron Emmel
Senior Policy Advisor
October 11, 2012
2. PATH’s Ten steps for developing a strategic
advocacy agenda
• Identify the population’s needs
• Identify policy changes that will address
those needs
• Identify decision-makers who can change
those policies
• Why have they not done so?
• What obstacles exist?
• Identify your organization’s strengths and
weakness
• Identify others who have an interest in
addressing the problem
• Identify resources, activities, and
messages
• Determine how to evaluate success
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3. The key players
The Global Landscape
The US Government
• The Administration
• Congress
Other NGOs and Coalitions
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4. US Administration: What’s Happening
• “A Promise Renewed”
• USAID Global Health Strategy 2012-16
• Presidential Elections
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7. US Administration: USAID Global Health Bureau
Reorganization
New Offices:
•Office of Health Systems (OHS): Karen Cavanaugh, KCavanaugh@USAID.gov
•Center for Accelerating Innovation and Impact (CAII): Wendy Taylor,
WeTaylor@USAID.gov
•Center of Excellence on Children in Adversity: Dr. Neil Boothby,
NBoothby@USAID.gov
•Office of Country Support (OCS): Dr. Janis Timberlake,
JTimberlake@usaid.gov
•Office of Policy, Programs and Planning (P3): Dr. Michael Zeilinger,
MZeilinger@USAID.gov
New Division:
•Malaria Division, within the Office of Health, Infectious Diseases and
Nutrition: Elizabeth Fox, EFox@USAID.gov
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9. U.S. Administration: How CORE members can
get involved
• “A Promise Renewed”
• Provide evidence
• Global Health Strategy, New Leadership
• Show impact
• Encourage USAID to fulfill its commitments
• Offer selves as expert resources
• Add relevant metrics
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10. Congress: What’s Happening
Champions
Potential global health legislation in next Congress
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11. Congress: What’s Happening
Budget
Account FY2011 CR FY2012 Continuing Proposed
Enacted Resolution Sequestrati
(+0.612% of on Cut
FY2012) (-8.2%)
Global Health and $2.625 billion $2.641 billion -$215
Child Survival million
(USAID)
Maternal and $549 $605.55 $609.256 -$49.655
Child Health million million million million
GAVI $100 million
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12. Advocacy Community: What’s happening
• Maternal, Newborn and Child Health Roundtable
• Contact: Annie Toro (atoro@psi.org) and Elizabeth Petoskey
(epetoskey@psi.org)
• InterAction International Health in Relief and Development
Working Group
• Contact: Danielle Heiberg (dheiberg@INTERACTION.ORG) and
Erin Jeffrey (ejeffery@INTERACTION.ORG)
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13. Advocacy Community: How CORE Group
members can get involved
• Join the Roundtable
• Contribute to letters, Hill visits, etc.
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We’ve seen from Jim and Courtney what the need and evidence are. So now we’ll look at where the decisions are being made, why they’re being made, and who to talk to to change them.
“ Promise Renewed” (UNICEF, US, India, Ethiopia) Doesn’t track prematurity and stillbirth USAID Global Health Strategy 2012-16 “ Pre-term birth complications” part of Child Survival), including “Thermal protection of pre-term and low birth-weight newborns” New State Department and USAID leadership Presidential Elections
We need to relate our issues to existing priorities, but also elevate them as new priorities. For example, we see here a focus on mortality, not morbidity.
Changing donor landscape: US role: encouraging partners, PPPs (Global Development Alliance), supporting in-country plans Endemic-country governments: Taking the reins, domestic funding BRICS: More international influence, domestic capacity INGOs: Technical expertise, reach, capacity-supporting Private sector: New roles as funders, partners, and priority-setters
“ Promise Renewed” Provide the USG and UNICEF with info about the impact of prematurity on the 20% of deaths that occur in the first month Global Health Strategy, New Leadership Hold USAID to account Support country plans Make and keep its own commitments Offer selves as expert resources Add relevant metrics Show impact
Champions: Cultivate existing, find new, including our organizations’ home state delegations Potential global health legislation in next Congress Newborn, Child, and Mother Survival Act of 2009 (H.R.1410), introduced by US Rep. Betty McCollum (D-MN) The Global Maternal and Newborn Health Outcomes while Maximizing Success Act (H.R.5268), introduced by US Rep Lois Capps (D-CA) SENATE : Barbara Boxer (D-CA) – Senate Foreign Relations Committee; MCH sign-on letter Mary Landrieu (D-LA) – Senate Appropriations Committee; Senate Foreign Ops Subcom; MCH sign-on letter Frank Lautenberg (D-NJ) – Senate Appropriations Committee; Senate Foreign Ops Subcom; MCH sign-on letter Barbara Mikulski (D-MD) – Senate Appropriations Committee; Senate Foreign Ops Subcom; MCH sign-on letter HOUSE : Betty McCollum (D-MN04) – House Approps Committee; Global Health Caucus (CH); MCH sign-on letter Dave Reichert (R-WA08) – Global Health Caucus (CH); MCH sign-on letter Karen Bass (D-CA33) – House Foreign Affairs Committee; House Global Health Subcom; MCH sign-on letter Lois Capps (D-CA23) – MCH sign-on letter Russ Carnahan (D-MO03) – House Foreign Affairs Committee; House Global Health Subcom; MCH sign-on letter Rosa DeLauro (D-CT03) – House Appropriations Committee; MCH sign-on letter Eliot Engel (D-NY17) – House Foreign Affairs Committee; MCH Sign-on letter Jim Moran (D-VA08) – House Appropriations Committee; MCH sign-on letter Chris Murphy (D-CT05) – House Foreign Affairs Committee; MCH sign-on letter Aaron Schock (R-IL18) – MCH sign-on letter Albio Sires (D-NJ13) – House Foreign Affairs Committee; MCH sign-on letter
INGOs such as: PATH Global Alliance to Prevent Prematurity and Stillbirth (GAPPS) Save the Children USA for UNICEF Etc.
Born Too Soon report has recommendations targeted for stakeholder audiences, including governments and policy-makers at local, national, regional and global levels GAPPS Advocacy Toolkit provides resources