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Assessment of laws and policies for promoting rights of children. Dr Bernadette Daelmans Department of Maternal, Newborn, Child and Adolescent Health World Health Organization. Why assessment of laws and policies?. Rationale

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Assessment of laws and policies for promoting rights of children

Dr Bernadette Daelmans

Department of Maternal, Newborn, Child and Adolescent Health

World Health Organization

why assessment of laws and policies

Why assessment of laws and policies?

Rationale

Legal, regulatory and policy frameworks may contain barriers which limit coverage and use of MNCH interventions and services

Using human rights obligations of countries as a foundation for legal, regulatory and policy frameworks strengthens:

accountability for MNCH

multi-sectoral collaboration for MNCH

child rights situation analysis for strategic planning

Child rights situation analysis for strategic planning

What does it do?

Applies CRC principles and provisions for data collection

Analyzes law and policy data, combined with existing child survival data

Synthesizes and integrates findings into national/district strategic planning processes

child rights situation analysis for strategic planning1

Child rights situation analysis for strategic planning

What does it add to strategic planning for child survival?

Holistic approach to child survival: emphasis on health outcomes, goods and services, and underlying determinants of health, e.g. budgeting and insurance

Comprehensive examination of the health-related legal and policy environment and its implications for maternal, newborn and child health

Systematic disaggregation of data to identify child health inequities and disparities, including underlying causes of differences among sub-groups

Supportive legal impetus for improving child survival programs

Government accountability to international commitments

Opportunity to involve wider range of government sectors in data analysis and in the synthesis of findings into strategic next steps

child rights situation analysis in practice

Child rights situation analysis in practice

  • Conduct Child Rights-Based Situation Analysis
    • Formation of Core and Stakeholder Groups
    • Data Collection and SWOT
    • Summarize Findings and Hold Consensus Meeting
    • Agree on next steps for integrating findings into strategic planning
  • Develop strategic plan
  • (5-10 yearly)
    • Standard situation analysis
    • Integrate findings or sections from the CRSA tool
    • Prioritize and package interventions
    • Decide how to deliver interventions
    • Select indicators and targets for evaluation
    • Write and disseminate plan
  • Evaluate health impact and intervention coverage
  • (5-10 yearly)
  • Eg. DHS, MICS
  • Integrate sections from the CRSA tool to evaluate the legal and policy environment for child health
  • Develop operational plan
  • (1-2 yearly)
    • Review program status
    • Develop operational plans using rights-based strategic planning recommendations
    • Develop approaches to delivering interventions
    • Select activities and tasks
    • Plan monitoring and evaluation
    • Write a workplan and budget
  • CRC Reporting Process
    • Apply the CRSA tool to collect information for the CRC Reporting Process
    • Support the role of MOH and WHO in the reporting process
  • Manage implementation
  • (Ongoing)
    • Advocacy
    • Resource mobilization
    • Manage supervision
    • Manage human, material and financial resources
    • Monitor progress – using data
    • Integrate sections of the CRSA tool to support monitoring activities
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Some examples

Goals/outcomes

Access

Coverage

of proven effective MCH interventions

Service Delivery

Packaging of MCH interv.

Improved health

MMR & U5 mortality

Improved nutrition

  • Multiple, dynamic interactions
  • Priorities in each

Health Workforce

Midwifes available

Health workers trained

Responsiveness

Information

Vital registration

Social & financial risk protection

Medical products, Technologies

Essential medicines for MCH

Quality

Safety

Health Financing

Out of pocket payment

Improved efficiency

Leadership / Governance

Policies for MCH, ie pneumonia

treatment at community level

available tools

Available tools

ASRH law and policy assessments:

Sri Lanka (report and roadmap for action to be launched in Jan/Feb 2012)

Bangladesh (ongoing)

India (ongoing)

Tajikistan (finalized; legislative reform initiated)

Child rights situation analysis for child survival planning:

Proposed for Indonesia in 2012 (focus on legal barriers for CCM for pneumonia)

More pilot countries required

child rights situation analysis tool for strategic planning

Child rights situation analysis tool for strategic planning

Structure and Content

Chapter A: Introduction and User’s Guide

Chapter B: Data Collection

Section 1: Summary Of Core Child Survival Indicators

Section 2: Birth And Death Registration

Section 3: Health Worker Competence And MOH Supervision

Section 4: Budgeting And Costing

Section 5: Supporting And Protecting Caretakers

Part C: Data Analysis and Strategic Planning

Analyzing Findings Using Swot

Translating Findings Into Strategic Planning Recommendations