SEA-CHD-7 Distribution: General High-level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs) and in South-East Asia Ahmedabad, India, 14-17 October 2008 © World Health Organization 2009 All rights reserved Requests for publications, or for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – can be obtained from Publishing and Sales, World Health Organization, Regional Office for South-East Asia, Indraprastha Estate, Mahatma Gandhi Marg, New Delhi 110 002, India (fax: +91 11 23370197; e-mail: publications@searo.who.int) The designations employed and the presentation of the material in this publication not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries Dotted lines on maps represent approximate border lines for which there may not yet be full agreement The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication However, the published material is being distributed without warranty of any kind, either expressed or implied The responsibility for the interpretation and use of the material lies with the reader In no event shall the World Health Organization be liable for damages arising from its use This publication does not necessarily represent the decisions or policies of the World Health Organization Printed in India Contents Acronyms and abbreviations v Background Objectives .3 Inaugural session Technical Sessions 4.1 Setting the stage .9 4.1.1 What should we be doing? The evidence for effective public health interventions for continuum of MNCH care 4.1.2 Progress and challenges in MDGs and in the SEAR — Revitalizing PHC: a window of opportunity for MNCH strengthening 11 4.1.3 Making an investment case in maternal, newborn and child health 16 4.2 Theme 1: Social determinants – implications for MNCH programming 20 4.2.1 Case studies 21 4.2.1.1 The basic minimum needs programme and MNCH: Thailand 21 4.2.1.2 Health-promoting schools: A case study on school health in the Maldives 23 4.2.1.3 National Commission for Women and Children: Bhutan 24 4.2.1.4 Empowerment of women and its impact on women and children’s health: the SEWA model 24 High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia iii 4.3 Overview of MNCH innovations in Gujarat 26 4.4 Field visits .28 4.4.1 Objective 28 4.4.2 Observations from field visits .29 4.5 Theme 2: Improving equitable access .30 4.5.1 Session A: Improving equitable access to quality MNCH interventions .30 4.5.1.1 Case studies 31 4.5.2 Session B: The challenges of going to scale with quality .36 4.5.2.1 Case studies 38 The way forward 43 5.1 A framework for accelerated action for MNCH in South-East Asia 43 5.2 Group work 43 Concluding session 45 6.1 Conclusions and recommendations 45 6.2 Closing remarks .47 6.3 Vote of thanks 47 Annexures .49 Annex-1: List of Participants .51 Annex-2: Programme 59 iv High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia Acronyms and abbreviations ADB Asian Development Bank EBF exclusive breastfeeding AIDS acquired immune deficiency syndrome FCHV female community health volunteer ANC antenatal care FOGSI ANM auxiliary nurse–midwife Federation of Obstetricians and Gynaecologists of India ARI acute respiratory infection FP family planning ARV antiretroviral (drug) FRU first referral unit ASHA accredited social health activist GAVI BCC behaviour change communication Global Alliance for Vaccines and Immunization BMGF Bill and Melinda Gates Foundation GFATM BMN Basic Minimum Needs Global Fund to fight AIDS, Tuberculosis and Malaria BPL below poverty line HHS health and household survey CAH (Department of) Child and Adolescent Health HIV human immunodeficiency virus HMIS CEDPA Center for Development and Population Activities health management information systems CEmOC comprehensive emergency and obstetric care CHC Community Health Centre CM community midwife DFID ICDDR,B International Centre for Diarrhoeal Diseases Research, Bangladesh ICDS Integrated Child Development Scheme IEC information, education and communication Department for International Development IFA iron and folic acid (supplementation) DH District Hospital IIHMR DHS demographic and health survey Indian Institute of Health Management Research DOTS directly observed treatment, shortcourse IIMA Indian Institute of Management, Ahmedabad DPT diphtheria, pertussis and tetanus (vaccine) IMCI Integrated Management of Childhood Illnesses High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia v IMNCI Integrated Management of Neonatal and Childhood Illnesses Pap Papanicolaou IMR infant mortality rate PHC primary health care IYCF Infant and Young Child Feeding PHFI Public Health Foundation of India JSY Janani Suraksha Yojana PHM public health midwife MCH maternal and child health PHS public health standards MDG Millennium Development Goal PMTCT prevention of mother-to-child transmission (of HIV) MHPSI Maldives Health Promoting Schools Initiative PNC postnatal care MICA Mudra Institute of Communications, Ahmedabad PPP public–private partnership RCH-II Reproductive and Child Health-II MMR maternal mortality ratio RIMS MNCH maternal, newborn and child health routine immunization monitoring system RTI reproductive tract infection MNH maternal and neonatal health SBA skilled birth attendant MOH Ministry of Health SEAR South-East Asia Region SEARO Regional Office for South-East Asia SEWA Self Employed Women’s Association MOHFW Ministry of Health and Family Welfare NABH STI sexually transmitted infection NABL National Board of Accreditation of Laboratories TB tuberculosis TBA trained birth assistant NCWC National Commission for Women and Children TFR total fertility rate NESDP National Economic and Social Development Plan UN United Nations UNFPA United Nations Population Fund NGO nongovernmental organization UNICEF Un ited Nations Children’s Fund NMR neonatal mortality rate USAID NRHM National Rural Health Mission United States Agency for International Development OOP out-of-pocket (expenditure) WB (the) World Bank ORS vi National Board of Accreditation of Hospitals oral rehydration solution WHO World Health Organization High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia one Background The South-East Asia (SEA) Region accounts for more than 174 000 maternal and 1.3 million neonatal deaths every year, which is approximately a third of the global burden The Region also accounts for one million stillbirths and 3.1 million deaths of children under five years of age annually Thus, the SEA Region faces a great challenge in reducing maternal, newborn and child mortality as targeted in the Millennium Development Goals (MDGs) and MILLENIUM DEVELOPMENT GOALS (MDGs) and MDG Goal: Target: MDG Goal: Target: Reduce Child Mortality Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate Improve Maternal Health (a) Reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio (b) Achieve by 2015, universal access to reproductive health Maternal, newborn and child health (MNCH) outcomes are the results of a number of social, cultural, economic, environmental determinants and other factors The aim of this high-level consultation was to address the above issues and come up with a regional consensus on a set of well-defined actions that would make a significant impact on countries’ efforts to achieve MDGs and The consultation was attended by participants from all Member States of the Region except DPR Korea, and brought together policy-makers and programme managers from health and health-related sectors, health providers, academia, professional organizations and donors The consultation provided a forum for discussions and exchange of information on MNCH, focusing on the current situation, progress made and challenges towards achieving MDGs and 5, and exploring avenues for accelerating progress in the South-East Asia Region High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia two Objectives The general objective was to facilitate Member countries of the South-East Asia (SEA) Region in accelerating progress towards the achievement of Millennium Development Goals (MDGs) and in a sustainable manner through strengthening health systems using the primary health care (PHC) approach The specific objectives were: • To review progress and identify barriers to achieving MDGs and in SEA Region countries • To share evidence-based interventions and best practices on maternal, newborn and child health (MNCH) from the health and other sectors • To agree on a multisectoral framework for accelerating and sustaining the achievement of MDGs and High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia Annexures annex-1 List of Participants BANGLADESH BHUTAN Ms Lekema Dorji Dzongkhag Planning Officer Dzongkhag Administration Wangduephodrang Dzongkhag Bhutan Mr Pema Dorji District Health Officer Damphu General Hospital Tsirang District Thimphu Bhutan Mr Ugyen Tenzin Planning Officer and Head, Health Programmes and Projects Policy and Planning Division Ministry of Health Thimphu Bhutan Dr Morseda Chowdhury Senior Medical Officer, MNCH Programme BRAC Centre 75 Mohakhali Dhaka 1212, Bangladesh Dr Md Abdul Halim Senior Consultant OGSB Hospital & IRCH Mirpur Dhaka Bangladesh Mr Abdur Razzak Division Chief 18/7, Sobhanbagh Officers’ Quarters Dhaka Bangladesh Dr Quomaran Nessa Khanam Director-General Directorate of Family Planning Ministry of Health & Family Welfare Dhaka Bangladesh Mr Chimmi Rinzin Human Resource Officer Human Resource Division Ministry of Health Thimphu Bhutan Dr AKM Manzurul Haque Joint Secretary Ministry of Health and Family Welfare Bangladesh Secretariat Dhaka Bangladesh 10 Ms Tashi Dema Reporter Kuensel Corporation Ltd Thimphu Bhutan High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 51 11 12 Dr Chencho Dorjee Director Royal Institute of Health Sciences P Box No 298 O Thimphu Bhutan Ms Sonam Palden Assistant Programme Officer National Commission for Women and Children P Box No 556 O Thimphu INDONESIA 18 Prof Dr Laksono Trisnantoro Director of Centre for Health Service Managemant Gajah Mada University Gd IKM Sekip Utara 2nd Floor Jln Farmako Yogyakarta, Indonesia 19 Dr Sri Hermiyanti Junizarman Director of Mother’s Health Ministry of Health Building 8th floor, Room 806 Jl H Rasuna Said Kav X5 No 4-9 Jakarta 12950, Indonesia 20 Dr Hj Fatni Sulani Director of Child Health Ministry of Health Building 7th floor, Room 722 Jl H Rasuna Said Kav X5 No 4-9 Jakarta 12950, Indonesia 21 Dr Suryono Slamet Iman Santoso President of Obstetri Gynecolog Associaty Jl RadenSaleh No 49 Jakarta Pusat 10330, Indonesia 22 Dr Badriul Hegar, SpA (K) President of Indonesia Pediatric Society Divivsi Gastroentorologi Departement of Pediatric Medical Faculty, Cipto Mangunkusumo Hospital Jl Salemba Jakarta Pusat, Indonesia 23 Dr Ina Hernawati, MPH Director of Community Nutrition Ministry of Health Building 8nd floor, Room 817 Jl H Rasuna Said Kav X5 No 4-9 Jakarta 12950, Indonesia 24 Dr Sri Endah Kiswijayati, MSi Deputy Director Family Empowerment and Welfare Jl Raya Pasar Minggu KM 19 Jakarata, Indonesia INDIA 13 Ms Aradhna Johri Joint Secretary Ministry of Health & Family Welfare Nirman Bhawan New Delhi 14 Dr Himanshu Bhushan Assistant Commissioner (MH) Directorate-General of Health Services Ministry of Health & Family Welfare 505, A-Wing, Nirman Bhavan New Delhi 110 011 15 Dr B Kishore Assistant Commissioner (Child Health-I) Ministry of Health and Family Welfare Nirman Bhavan Maulana Azad Road New Delhi 110011 16 Dr Vikas Ben Desai Additional Director (FW) Medical Services and Medical Education Government of Gujarat Dr Jivraj Mehta Bhavan Block No 5, Sector-10 Gandhinagar, Gujarat 17 52 Dr N.K Sethi Senior Adviser (Health) Planning Commission Yojna Bhawan, R.No 214 New Delhi High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 25 Dr Sudibyo Markus President of Central Board Muhammadiyah Jl Menteng Raya No 62 Jakarta 10340, Indonesia 26 Dr Effi Murbayati President of Family Empowerment and Welfare Jl Pasar Minggu KM 19 Jakarta Selatan, Indonesia 27 Dr Evy Rachmawati Media – KOMPAS Jl Palmerah Selatan No 26-28 3rd Floor Yakarta, Indonesia 28 Yudiyatinngsih Dpb Ministry of Internal Affair Jl Merdaka Utara No Jakarta, Indonesia 29 Dr Kirana Pritasari Head of Sub-Directorate of Infant Health Directorate of Child Health Directorate General of Dr G.K Shreshtha Community Health Ministry of Health Jakarta, Indonesia 30 Dr Rita Kemalawati Head, Sub-Directorate of Micro Nutrition Directorate of Community Nutrition Directorate General of Community Health Ministry of Health Jakarta, Indonesia MALDVIES 31 Ms Aminath Rasheeda Executive Director Department of Public Health Male, Maldives 32 Ms Asfau Hassan Planning Officer Ministry of Planning and National Development Male, Maldives 33 Ms Suhana Adam Senior Staff Nurse Department of Medical Services Male, Maldives 34 Mr Ahmed Shafeeu Director General Ministry of Education Male, Maldives 35 Ms Nazeera Najeeb Deputy Director Department of Public Health Male, Maldives MYANMAR 36 Dr Nwe Nwe Oo Professor Department of Preventive and Social Medicine University of Medicine Magwe Myanmar 37 Dr Khin Myat Tun Director (Research) Department of Medical Research Lower Myanmar Yangon 38 Daw Khin Myo Myint Kyu Director Department of Myanmar Education Research Bureau Ministry of Education Nay Pi Taw 39 Dr Tin Tun Deputy Director (Post-graduate Training Section) Department of Medical Science Nay Pyi Taw 40 Dr Khin Wai Deputy Director Health System Research Division Department of Medical Research Upper Myanmar 41 Daw Khin Khin Shwe Deputy Director Planning Deparment Ministry of National Planning and Economic Development Nay Pi Taw High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 53 42 Daw Mya Mya Aye Divisional Maternal and Child Health Officer Divisional Health Department Sagaing Division 51 Dr Shiba Kumar Rai Chairman Nepal Health Professional Council Bansbari, Kathmandu Nepal 43 Dr Chan Nyein Maung Research Officer Department of Medical Research Central Myanmar 52 44 Dr Hnin Hnin Lwin Medical Officer Maternal and Child Health MCH Section Department of Health Ministry of Health Nay Pi Taw Mr Bhakta Bahadur Singh Chairperson Community Development Forum Nepal Project Office Dipayal Silgadhi, Doti, Nepal 53 Mr Janardan Pokharel Journalist Havion VDC Ward No 1, Sarlahi Nepal 54 Dr Shyam Raj Upreti Child Health Division Ministry of Health & Population Kathmandu Nepal 55 Mr Lila Raj Poudyal Section Officer Policy, Planning & International Cooperation Division Ministry of Health & Population Ramshahpath Kathmandu Nepal 56 Mr Surendra Thapa Section Officer Ministry of Health & Population Kathmandu Nepal 45 Dr Khin Mar Aye Treasurer Myanmar Medical Association Yangon 46 Dr Nang Keing Phong Tip Joint Secretary State Maternal & Child Welfare Association Supervisory Committee Northern Shan State Lashio NEPAL 47 Mr Ram Prabesh Yadav Regional Director Regional Education Directorate Biratnagar, Nepal 48 Mr Gyanendra Kumar Shrestha Director, Health and Population Programme National Planning Commission Singh Durbar Kathmandu Nepal 49 50 54 Mrs Daya Laxmi Vaidya (Joshi) President of NNC Nepal Nursing Council Bansbari, Kathmandu Nepal Dr Som Nath Arjyal Chairman, Nepal Medical Council Kathmandu Nepal SRI LANKA 57 Dr P Maheepala G Deputy Director General (PHS I) Ministry of Healthcare & Nutrition Colombo 58 Dr Chitramalee de Silva Ag Director Family Health Bureau Colombo 59 Mrs Lalani S Perera Additional Secretary Ministry of Plan and Implementation Tower - Level 12, Central Bank Building, Colombo 01 High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 60 Dr WMTB Wijekoon Director Health Information Ministry of Healthcare & Nutrition Colombo 69 Ms Sutatip Chantaraksa Health Officer Primary Health Care Division Department of Health Service Support Ministry of Public Health 61 Dr Roy Perera Director De Soya Maternity Hospital Colombo 70 62 Dr A Ketheswaran Regional Director RDHS Office Jaffna Ms Amornrat Sricham International Affairs Officer Bureau of Policy and Strategy Office of the Permanent Secretary Ministry of Social Development and Human Security 71 Ms Nipha Kittiruengcharn Policy and Plan Analyst Social Data-based and Indicator Development Office Office of the National Economic and Social Development Board 72 Ms Kanchana Chaisatitwanit Senior Programme Producer NBT TV, The Government Public Relations Department 73 Asst Prof Dr Chokchai Munsawaengsub Department of Family Health Faculty of Public Health Mahidol University 74 Prof Dr Pensri Phijaisanit Secretary-General Association for the Promotion of the Status of Women 75 Dr Yupayong Hangchaovanich Secretary-General Thai Breastfeeding Center 76 Mr Supachai Pitikultang Department of Family Health Faculty of Public Health Mahidol University 63 Mrs Ajantha Kumarihamy President Uva Vanitha Foundation Colombo 64 Mr Sarath Kumara Perera Independent Television Network Colombo 65 Dr T.B Dissanayake Consultant Gynaecologist and Obstetrician Castle Street Hospital for Women Colombo THAILAND 66 67 68 Ms Worasarp Chitprasert Policy and Plan Analyst Bureau of Health Promotion Department of Health Ministry of Public Health Dr Nipunporn Voramongkol Head of Maternal and Child Health Group Bureau of Health Promotion Department of Health Ministry of Public Health Ms Orasa Kovindha Policy and Plan Analyst Bureau of Policy and Strategy Office of the Permanent Secretary Ministry of Public Health TIMOR-LESTE 77 Mr Agapito da Silva Soares Director-General Ministry of Health Dili Timor-Leste 78 Mr Jose dos Reis Magno National Director Community Health Dili Timor-Leste High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 55 79 Ms Judith Imaculada MCH Coordination Covalima District Ministry of Health Dili Timor-Leste 80 Ms Marisa Miharani Babo Head Director-General’s Office Dili Timor-Leste OBSERVERS 88 Mr Alexandre Victor Manager Clinica Café Timor (CCT) Dili Timor-Leste Dr Kannika Bangsainoi Thai Breastfeeding Center Committee Assistant Director Health Promotion Center, Chiang Mai 89 Associate Prof Dr Kusuma Chusilp Thai Breastfeeding Center Committee Department of Paediatrics Faculty of Medicine Khon Kaen University 81 82 Mr Antonio Depadua TVTL Journalist Dili Timor-Leste TEMPORARY ADVISERS 83 Dr K.R Nayar Professor Centre for Social Medicine and Community Health Jawaharlal Nehru University New Delhi, India 84 Dr Mirai Chatterjee Coordinator Self Employed Women’s Association SEWA Opp Victoria Garden, Bhadra Ahmedabad 380001, India 85 86 56 Dr Shams El Arifeen Senior Scientist and Head Child Health Unit Public Health Sciences Division International Centre for Diarrhoeal Diseases Research, Bangladesh (ICDDR,B) Mohakhali Dhaka 1212, Bangladesh Dr Amarjit Singh Commissioner Health and Ex-officio Secretary (Family Welfare) Government of Gujarat Gandhinagar Gujarat, India 87 Dr (Mrs) Nanta Auamkul Director Bureau of Technical Advisors Department of Health Ministry of Public Health Tiwanond Road Nonthaburi 11000, Thailand UN AGENCIES AND PARTNERS UNFPA 90 Dr Vinit Sharma Technical Adviser on Maternal Health UNFPA Sub-Regional Office UN House Pulchowk, P No.107 O Kathmandu Federal Democratic Republic of Nepal CEDPA 91 Dr Bulbul Sood Country Director The Center for Development and Population Activities (CEDPA) C 1, Hauz Khaz New Delhi 110016 UNICEF 92 Dr Rafah Aziz OIC Chief Health UNICEF India Country Office 93 Ms Kimberly Allen Health Specialist, MNH UNICEF India Country Office High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia WHO SECRETARIAT Regional Office Headquarters 106 Dr Dini Latief Director, Department of Family and Community Health New Delhi, India 94 95 Dr Elizabeth Mason Director Child and Adolescent Health and Development Geneva, Switzerland Dr Monir Islam Director, Making Pregnancy Safer Geneva, Switzerland Country Offices 96 Dr Yuwono Sidharta Epidemiologist WCO Timor-Leste Dili, Timor-Leste 97 Dr Paramita Sudharto Public Health Administrator New Delhi, India 98 Dr Rajesh Mehta National Programme Officer New Delhi, India 99 Ms Natasha Dawa New Delhi, India 100 Mr Meghendra Banerjee National Programme Officer, New Delhi, India 101 Dr Shariqua Yunus New Delhi, India 102 107 Dr N Kumara Rai Ag Director, Department of Health Systems Development New Delhi, India 108 Dr Pem Namgyal Team Leader Immunization & Vaccine Development New Delhi, India 109 Dr Ardi Kaptiningsih Regional Adviser Making Pregnancy Safer and Reproductive Health & Research New Delhi, India 110 Dr Neena Raina Regional Adviser Adolescent Health and Development New Delhi, India 111 Dr Sunil Senanayake Regional Adviser Health Situation and Trend Assessment New Delhi, India 112 Dr Ilsa Nelwan Regional Adviser Health Systems New Delhi, India 113 Ms Laksami Suebsaeng Ag.Regional Adviser-AIDS New Delhi, India Dr Kiran Sharma New Delhi, India 103 Dr V.K Anand New Delhi, India 104 Ms Shamila Sharma New Delhi, India 114 Ms Payden Regional Adviser Water, Sanitation and Health New Delhi, India 105 Dr Vijaya Manandhar National Programme Officer, Family and Community Health Kathmandu, Nepal 115 Dr Sudhansh Malhotra Regional Adviser Child Health and Development New Delhi, India 116 Dr Oratai Rauyajin TIP (RPC) New Delhi, India High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 57 117 Dr Bandana Malhotra Contractual Partner New Delhi, India WHO ADMINISTRATIVE STAFF 118 Ms Priya Kapur WHO Country Office India New Delhi, India 119 Mr Arvind Singh Negi WHO Country Office India New Delhi, India 121 Mr N Mitroo Senior Administrative Secretary Child Health and Development WHO South-East Asia Regional Office New Delhi, India 122 Ms Deepali Lohumi Secretary Department of Family and Community Health WHO South-East Asia Regional Office New Delhi, India 120 Ms Prema Ranganathan Administrative Assistant Department of Family and Community Health WHO South-East Asia Regional Office New Delhi, India 58 High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia annex-2 Programme Day/Date/Time TOPIC RESPONSIBLE PERSONS DAY 1: Tuesday, 14 October 2008 Opening 08:00 - 09:00 Registration 09:00 -10:00 Setting the Stage • What should we be doing? The evidence Monir Islam/ for effective public health interventions for E Mason continuum of MNCH care 10:00 – 11:00 Inaugural Session 11:00 -12:30 Setting the Stage (contd…) • Progress and challenges in MDGs & Dini Latief/ in SEAR - revitalizing PHC: a window of N Kumara Rai E Mason opportunity for MNCH strengthening • Making an investment case for MNCH • Discussion 13:30 - 15:30 Theme 1: Social Determinants – Implications for MNCH Programming Social determinants and MNCH K.R Nayar Session Case Studies • The Basic Minimum Needs Programme, Thailand • School Health in Maldives • National Commission for Women and Children (NCWC), Bhutan • Empowering women – the SEWA model, India • Discussion Nanta Auamkul Ahmed Shafeeu Sonam Palden Mirai Chatterjee 16:00 - 17:00 Overview of MNCH innovations in Gujarat Amarjeet Singh 17:00 - 17:30 Briefing for field visit M Banerjee High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 59 Day/Date/Time TOPIC RESPONSIBLE PERSONS DAY 2: Wednesday, 15 October 2008 08:30 - 15:00 Field visit – 10 sites 15:30 - 17:00 Feedback from Field Visits – Plenary Amarjeet Singh DAY 3: Thursday, 16 October 2008 08:30 - 10:30 Theme 2: Improving equitable access Session A Improving equitable access to quality MNCH Vinod Paul interventions Case Studies • Ensuring continuum of MNCH care – the Sri Lanka experience • Reaching out to the community – FCHVs in Nepal • Demand-side financing makes a difference – voucher scheme from Bangladesh • Discussant – CEDPA 11:00 - 13:00 Session B The challenges of going to scale with quality Case Studies • Improving Reproductive and Child Health Services – National Rural Health Mission, India • The challenges of making safe motherhood a reality – community midwives in Indonesia • IMCI scale-up in Bangladesh • Discussant – UNFPA Chitramalee de Silva G.K Shrestha Bangladesh Bulbul Sood Shams El Arifeen Aradhana Johri Sri Hermiyanti Bangladesh Vinit Sharma 14:00 - 15:00 15:00 - 15:15 Briefing on Group Work: The Way Forward 15:45 - 17:30 Group Work (5 groups) Group I – Stewardship, policy and financing Group II – Service delivery and management Group III – Community participation and demand side interventions Group IV – HR & infrastructure and supplies Group V – Monitoring , Evaluation and Operational Research 19:30 60 The Way Forward – A framework for accelerated Ardi Kaptiningsih action for MNCH in South-East Asia RECEPTION – hosted by Government of Gujarat High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia S Malhotra Day/Date/Time TOPIC RESPONSIBLE PERSONS DAY 4: Friday, 17 October 2008 08:30 - 10:30 Group Work (contd…) 11:00 - 12:30 Group Work Presentations 13:30 - 14:30 Group Work Presentations (contd…) 15:00 - 16:00 Concluding Session • Framework for Accelerated Action for MNCH in South-East Asia Recommendations for Member countries Recommendations WHO • Closing Remarks by Chief Guest (H.E Health Minister, Government of Gujarat) • Vote of Thanks by N Kumara Rai, Ag.Director HSD Presided over by H.E Mr Jay Narayan Vyas, Health Minister, Government of Gujarat High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia 61 ... 24 High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia iii 4. 3 Overview of MNCH innovations in. .. 70 96 90 97 69 95 43 ** 69** 64 56 46 59 86 47 56 51 61 61 76 75 40 72 83 66 60 81 - - - 85 10 97 94 84 39 91 - - 95 66 15 78 87 57 37 66 41 34 96 75 53 85 83 19 48 29 DPR India Indonesia Maldives... approach to health development in the Region High-Level consultation to accelerate progress towards achieving maternal and child health Millenium Development Goals (MDGs and 5) in South-East Asia