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Estimates of aid for reproductive, maternal, newborn, and child health: findings from application of the Muskoka2 method, 2002–17

Dingle, A.; Schäferhoff, M.; Borghi, J. et al. The Lancet (2020) CC

Background Four methods have previously been used to track aid for reproductive, maternal, newborn, and child health (RMNCH). At a meeting of donors and stakeholders in May, 2018, a single, agreed method was requested to produce accurate, predictable, transparent, and up-to-date estimates that coul...d be used for analyses from both donor and recipient perspectives. Muskoka2 was developed to meet these needs. We describe Muskoka2 and present estimates of levels and trends in aid for RMNCH in 2002–17, with a focus on the latest estimates for 2017. Methods Muskoka2 is an automated algorithm that generates disaggregated estimates of aid for reproductive health, maternal and newborn health, and child health at the global, donor, and recipient-country levels. We applied Muskoka2 to the Organisation for Economic Co-operation and Development's Creditor Reporting System (CRS) aid activities database to generate estimates of RMNCH disbursements in 2002–17. The percentage of disbursements that benefit RMNCH was determined using CRS purpose codes for all donors except Gavi, the Vaccine Alliance; the UN Population Fund; and UNICEF; for which fixed percentages of aid were considered to benefit RMNCH. We analysed funding by donor for the 20 largest donors, by recipient-country income group, and by recipient for the 16 countries with the greatest RMNCH need, defined as the countries with the worst levels in 2015 on each of seven health indicators. Findings After 3 years of stagnation, reported aid for RMNCH reached $15·9 billion in 2017, the highest amount ever reported. Among donors reporting in both 2016 and 2017, aid increased by 10% ($1·4 billion) to $15·4 billion between 2016 and 2017. Child health received almost half of RMNCH disbursements in 2017 (46%, $7·4 billion), followed by reproductive health (34%, $5·4 billion), and maternal and newborn health (19%, $3·1 billion). The USA ($5·8 billion) and the UK ($1·6 billion) were the largest bilateral donors, disbursing 46% of all RMNCH funding in 2017 (including shares of their core contributions to multilaterals). The Global Fund and Gavi were the largest multilateral donors, disbursing $1·7 billion and $1·5 billion, respectively, for RMNCH from their core budgets. The proportion of aid for RMNCH received by low-income countries increased from 31% in 2002 to 52% in 2017. Nigeria received 7% ($1·1 billion) of all aid for RMNCH in 2017, followed by Ethiopia (6%, $876 million), Kenya (5%, $754 million), and Tanzania (5%, $751 million). Interpretation Muskoka2 retains the speed, transparency, and donor buy-in of the G8's previous Muskoka approach and incorporates eight innovations to improve precision. Although aid for RMNCH increased in 2017, low-income and middle-income countries still experience substantial funding gaps and threats to future funding. Maternal and newborn health receives considerably less funding than reproductive health or child health, which is a persistent issue requiring urgent attention. Funding Bill & Melinda Gates Foundation; Partnership for Maternal, Newborn & Child Health. more

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Assistance to Victims of Landmines and Explosive Remnants of War: Guidance on Child-focused Victim Assistance. Chapter 5.6.: Laws and policies

UN Children's Fund UNICEF (2014)

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Integrating HIV, hepatitis B and syphilis screening and treatment through the Reproductive, Maternal, Newborn and Child Health platform to reach global elimination targets

J. Woodring; H.d Sobel; Y. Takashima; et al. World Health Organization (Western Pacific Region) (2017) C_WHO

WPSAR Vol 8, No 4, 2017 | doi: 10.5365/wpsar.2017.8.3.005 DOI: http://dx.doi.org/10.5365/wpsar.v8i4.564

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Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study

Roberton, T.; et al. (2020) CC

The Lancet Global Health Published:May 12, 2020DOI:https://doi.org/10.1016/S2214-109X(20)30229-1

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Quality, Equity, Dignity. The network to improve quality of care for maternal, newborn and child health

World Health Organization WHO; UNICEF; et al. (2018) C_WHO

Strategic Objectives

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Stigma and discrimination: Key Barriers to achieving global for maternal health and eliminating of new child HIV infections

J. Turan; L. Nyblade; P. Monfiston PEPFAR; USAID; Health Policy Project (2012) C2

Working Paper No. 4

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Quantification of Health Commodities: RMNCH Supplement - Forecasting Consumption of Select Reproductive, Maternal, Newborn, and Child Health Commodities

JSI Research & Training Institute, Inc., and Management Sciences for Health (2016) C1

Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health. Submitted to the United Nations Children’s Fund by JSI, Arlington, VA: JSI Research & Training Institute, Inc.... more

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The impact of the war in Ukraine and subsequent economic downturn on child poverty in Eastern Europe and Central Asia

Richardson, D., Otchere, F., Musatti, A. UNICEF (2022) C_UNICEF

Data from 22 countries across the region featured in the study shows children are bearing the heaviest burden of the economic crisis caused by the war in Ukraine. While children make up 25 per cent of the population, they account for nearly 40 per cent of the additional 10.4 million people experienc... more

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Assistance to Victims of Landmines and Explosive Remnants of War: Guidance on Child-focused Victim Assistance. Chapter 5.2 Emergency and continuing medical care

UN Children's Fund UNICEF (2014)

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Walking into the Eye of the Storm: How the climate crisis is driving child migration and displacement

Clarey, T.; Jiwanji, A.; Selby, S. (2021) CC

Discussions about climate change often focus on the future, but millions of children are experiencing its devastating impacts now. The scale of the crisis is huge, and growing fast. It is children that will bear the brunt of climate change, yet its impact on them is understudied, their voices are no... more

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First Colombian consensus on congenital Chagas and clinical approach for women of child-bearing age diagnosed with Chagas

Cucunubá Z.M., Valencia-Hernándeza C.A. , Puerta C.J. et al (2017) C2

Congenital transmission of Chagas disease has not been extensively studied in Colombia, and there are no standardized processes in the health system regarding the specific diagnosis, treatment and follow-up of this disease. To generate recommendations on congenital Chagas disease and Chagas in wom... more

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Assistance to Victims of Landmines and Explosive Remnants of War: Guidance on Child-focused Victim Assistance. Chapter 5.3.: Rehabilitation

UN Children's Fund UNICEF (2014)

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Children and young people’s voices in the time of the COVID-19 pandemic: Child-friendly report

World Vision (2020) C2

This research was conducted in March and April 2020 to explore children and young people’s reflections and perceptions on the COVID-19 outbreak. This study was organised in response to the young people’s continued child activism in the face of personal challenges.

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Assistance to Victims of Landmines and Explosive Remnants of War: Guidance on Child-focused Victim Assistance.Chapter 5.5.: Social and economic inclusion

UN Children's Fund UNICEF (2014)

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Integrated Management of Neonatal and Childhood Illness - Identify Treatment for the Sick Child (Module 6/9)

World Health Organization WHO; UNICEF (2009) C_WHO

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Beyond a Snapshot: Learning lessons from the Terre des Hommes International Campaign against Child Trafficking (2001-2011)

Terre des Hommes; OAK foundation Terre Des Hommes International Foundation (2012) C2

The United Nations (UN) adopted a new international legal instrument in November 2000, the UN Protocol to Prevent, Suppress and Punish Trafficking in Persons, especially Women and Children, supplementing the UN Convention against Transnational Organized Crime. This contained a new definition of traf... more