USAID Assistant Administrator for Latin America and the Caribbean Mark Feierstein joins youth from San Martin in sports activities organized in their municipalities as part of their crime prevention projects. USAID/El Salvador recently launched a $42 million public-private alliance called “SolucionES” (“Solutions”) to help local governments and citizens to prevent crime at the municipal level.
Archives for Youth
This week we feature USAID Kenya as Mission of the Week. USAID Kenya’s “Yes Youth Can” program is a youth-owned, youth-led, and youth-managed effort to empower Kenya’s young people to create a greater voice in their communities and government. Created in response to the 2007/08 post-election violence, Yes Youth Can works to combat some of the causes of conflict, including feelings of alienation and lost of trust in elected leaders. In the last 15 months, Yes Youth Can has mobilized over one million youth to join “bunges” or informal parliaments, which plan peace-building activities, promote democracy and governance, and inspire the next generation of Kenya’s leaders.
Read more about the Kenyan bunges in a past FrontLines article.
I just returned from India‘s “Call to Action Summit for Child Survival and Development“, which took place in Mahabalipuram, Tamil Nadu.
India accounts for the largest number of deaths of children under five: nearly 1.5 million per year. This number is staggering, but there is good news. There has been a steady rate of decline in child mortality — even ahead of the global rate of reduction. As I told DevEx during the Summit, “success in India is paramount to see the global success and vision of ending preventable child deaths in this generation.”
Led by India’s Ministry of Health and Family Welfare, the Summit called for an accelerated response to decrease child mortality across the country. This event was a direct outcome of the Call to Action held in Washington, DC last year — where India joined Ethiopia and the United States with UNICEF to launch a global roadmap to end preventable child deaths globally. About 300 policymakers, public health practitioners, private sector, civil society and media representatives attended India’s Summit, including 27 international and 35 national experts. Notably 20 State delegations were present. U.S. Ambassador Nancy Powell, a stalwart advocate for child survival, addressed the opening plenary on behalf of the United States.
The Summit had several main themes related to child survival and development: quality of newborn care, interventions for preventing diarrhea and pneumonia, social determinants of child survival, nutrition, strengthening health systems, improving accountability, communication for child survival, partnerships for improved maternal and child health, and leadership dialogue. The complete agenda and speakers can be found on the Summit’s website.
There was a rich discussion at the Summit along with solid deliverables. The Government of India launched the Reproductive Maternal Neonatal Child Health Adolescent health strategy (RMNCH+A), which serves as a roadmap for the States. Also released were several guidance documents including implementation of newborn care as well as management of pneumonia and diarrhea. A National Child Survival Scorecard was showcased, and States were encouraged to develop their own scorecards and to monitor progress.
India’s Call to Action is the beginning of a national movement. Attendees demonstrated a passionate commitment to mobilize on behalf of India’s children — and to hold each other to account. India’s leadership and programmatic success will help galvanize the global response. USAID will continue to be a steadfast partner of “A Promise Renewed”, the sustained effort led by UNICEF to reach our global goal. Working together, ending preventable child deaths will be one of the greatest moral victories of our time.
At the forefront of the fight against child mortality and morbidity, India is leading the global community in placing a renewed emphasis on this important mission. India’s Call to Action demonstrates leadership and commitment to both the global community and the children of India. India has an opportunity to make great gains on child survival with increased commitment and funding for the most effective life-saving practices. Moreover, India’s unique culture of social entrepreneurship, innovation, and technological advances present a historic opportunity to accelerate progress in reducing childhood illness and death.
India is a regional leader and can guide and support other countries in several ways. We commend the progress India is making in tackling child survival and strengthening India’s health sector. India is one of the countries to have significantly reduced the incidence of HIV – from 0.41 percent in 2002 to 0.27 percent in 2011. India has reduced its maternal mortality by more than 50 percent – from 570 in 1990 to 212 in 2009 per hundred thousand live births – and child mortality by 45 percent from 119 in 1992 to 59 per thousand live births in 2012.
The United States has been a longstanding partner of the Government of India, and our relationship dates back more than six decades. The U.S. Government through its agencies including the United States Agency for International Development, and the Centers for Disease Control and Prevention has been actively engaged in working alongside the Government of India as it endeavors towards ending preventable child deaths within a generation. In recent years, USAID has made significant investments in the area of reproductive, maternal, newborn, and child health, nationally and in key Empowered Action Group States.
USAID is currently developing its five-year Country Development Cooperation Strategy, while continuing to provide targeted assistance to support flagship national health programs, it will increasingly adopt methods focused on innovation and partnerships: more directly engaging local partners; leveraging co-financing instead of fully funding agreements; and developing platforms and alliances to generate development outcomes that encompass multiple organizations.
The U.S. Government is proud to be a part of this initiative and to give our unwavering support to India’s Call to Action. In the coming months, USAID will look at opportunities for newer partnerships with multi-stakeholder engagement including the government, private sector, entrepreneurs, and civil society to identify, and scale up solutions to address the challenges in accelerating child survival efforts.
As USAID Administrator Raj Shah said in his welcome letter to Summit participants: “An investment in India’s children is an investment in India’s future.” We stand ready to be part of India’s tomorrow.
Did you know that almost 7 million children under five died in 2011 from largely preventable diseases? In India, 1.7 million children under five died in 2011. February 7 marks the start of the the National Summit on “Call to Action for Child Survival and Development“, to be held in Mahabalipuram, Tamil Nadu.
Organized in partnership with UNICEF and USAID, the Summit is a critical platform that will strategically engage over 200 delegates including 27 international and 35 national experts, key policy makers, planners and implementers from the health sector representing all states of India, representatives and heads of UN and development agencies, global health experts and practitioners, civil society members and private sector, to discuss and debate on child survival and development in India. The Summit will be an opportunity for sharing experiences and challenges; celebrate successes in maternal, newborn, child survival & development programmes; and pledge to meet India’s child survival and development goals. Photo is from UNICEF.
Last Friday, it was a real honor for me to take part in the closing ceremony of the African Leadership on Child Survival – A Promise Renewed (ALCS/APR), together with H. E. Kesetebirhan Admasu, Minister of Health in Ethiopia, my esteemed colleague Dennis Weller, USAID mission director to Ethiopia, and my African colleagues in health and development.
In June 2012, during the first Call to Action – Promise Renewed meeting in Washington D.C., Dr. Tedros had committed that Ethiopia would host an African Leadership for Child Survival Conference that was linked to the AU summit. That promise is now fulfilled and I wish to thank Dr. Tedros and Dr. Kesete and all of the colleagues at the Ministry of Health for making this all African meeting a reality and a success.
The pledge signed by the African countries present and the consensus reached by the conference are both significant and historic. The event has marked a new era for the African continent in which it is no longer acceptable for any child to die an untimely and preventable death.
As we have seen at this meeting, in many ways the progress made in the health sector in Ethiopia, as well as many other African countries, has become a powerful global symbol of what can be achieved in resource-constrained environments and has given many international partners renewed faith in the development enterprise.
To accelerate progress we need to do some things differently. Dramatic reductions in preventable child deaths can be achieved through concerted action in five critical areas, outlined in the global roadmap: geographical focus, high burden populations, high impact solutions, gender equality, and mutual accountability and financing.
The theme of equity, in all its dimensions, has come out very strongly through the conference conclusions on geography, gender equality and high burden populations. We know that as much as we have made global progress on child survival in recent decades so too have we seen an increasing concentration of child deaths in Africa which now accounts for around half of all the world’s child mortality.
During the three days, we have also seen that the highest rates of death are now overwhelming in fragile states and conflict-affected countries and regions. This demands that our attention also be placed on governance issues and on human security. There is a major role here, not only for the United Nations but also for regional institutions, and is why the role of the AU will be even more paramount as we move forward on this initiative. Indeed we are very hopeful that with the Ethiopia government taking over the chair of the AU in 2013, maternal and child survival will be seen as not only a health and development issue but as a peace and security issue. It seems auspicious that the African Leadership on Child Survival has taken place right before the AU heads of state meeting next week. I sincerely hope that the recommendations of this conference are shared with the AU leadership and head of states for their endorsement.
We have seen the strong leadership of African governments in this process. This is not an initiative led by UNICEF or USAID or any other partner, and it is very refreshing to see that this initiative and the commitments being made are home-grown. All countries have existing strategies and plans for improving maternal, newborn and child health. Integration of the ALSC/APR initiative with local processes, rather than setting up vertical mechanisms, will be important. Government should also coordinate efforts of various partners and the different initiatives and synthesize them into a coherent whole at the country level.
One of the most exciting aspects of the meeting and the overall process for me is to have seen the peer to peer dynamic in action. I know the lesson learning and sharing of good practices from country to country will continue over the coming months and that many countries are planning study visits to other African countries. We should nurture this dynamic at all costs. I believe the seeds of success and of sustainability for us in African have been planted by all at this meeting. By working hand in hand, we can and we will end all preventable maternal, newborn and child deaths, and thus complete the work begun under the child survival revolution.
USAID’s Youth in Development Policy: Investing in Young People’s Sexual and Reproductive Rights and Health
Disclaimer: The views expressed are those of the Youth Health and Rights Coalition. They do not necessarily represent the views of the U.S. Agency for International Development nor of the U.S. federal government.
It is often said that young people are our future. But young people aren’t just assets for development tomorrow – they are agents of change today. The first-ever USAID Youth in Development Policy (PDF) clearly recognizes this reality and provides important opportunities to involve global youth in shaping our development agenda and advancing their health and rights.
Today’s generation of young people is the largest in history; nearly half of the world’s population—some three billion people—is under the age of 25. Given that this large demographic of young people presents the world with an unprecedented opportunity to accelerate economic development and reduce poverty, the policy is particularly timely and critical. It rightly acknowledges that in order for young people to realize their potential and contribute to the development of countries, they must be able to access information and services that protect their rights and promote their sexual and reproductive health throughout their life span. Advocates, implementers, young people and government partners can help achieve that vision by ensuring that the following important policy provisions are translated into action:
Start early in life
Young people bear a significant burden of poor sexual and reproductive health outcomes, including unmet need for family planning, early marriage and childbearing, maternal death, gender-based violence and HIV. However, when families, communities and nations protect and advance adolescent and youth reproductive rights, young people are empowered to stay healthy and take advantage of education and economic opportunities throughout their lives. We know when these investments happen early in life as well as throughout the life course, they help foster more gender equitable and healthier attitudes and behaviors. So why wait? Let’s embrace the tenets of the policy and invest in young people’s health and rights today.
More money, more tracking
The Youth in Development policy clearly calls for the implementation of evidence-based programs and interventions. The Youth Health and Rights Coalition (PDF) looks forward to supporting this effort with the range of tools and resources developed to effectively implement evidence-based sexual and reproductive health interventions. But we need more than guidance to truly protect and promote the well-being of young people. Advancing youth development will require more funding, better data collection to track investments and outcomes, robust partnerships across sectors, and strong commitment across the agency. It’s a challenge, but one worth taking.
“Nothing about us, without us!”
Many of the young people who are members and partners of the Youth Health and Rights Coalition often call upon this phrase to express the importance of meaningful and ongoing youth engagement, something which is still too often missing in development today. The policy puts the importance of youth participation and engagement front and center of the USAID programming process and emphasizes the need to support more meaningful and equal partnerships with young people while building capacity of local youth-led and youth-serving organizations. USAID’s dedication to civil society consultations to inform the development of the policy was an important first step to put words into action. So let’s keep it up and continue to engage young people as we move forward with the implementation of the policy.
We applaud USAID for recognizing how critical it is to meaningfully engage youth across the diverse countries where the Agency works and look forward to future collaborations. Only together can we succeed in meeting the sexual and reproductive rights and health of all young people and work with them to fulfill their full potential.
The Youth Health and Rights Coalition (PDF) is comprised of advocacy and implementing organizations who, in collaboration with young people and adult allies, are working to advance the sexual and reproductive rights and health of adolescents and youth around the world. The YHRC advocates with key decision makers to prioritize funding and support for comprehensive adolescent and youth sexual and reproductive rights and health policies and practices. Their goal is to ensure young people in the developing world have the sexual and reproductive rights and health information, tools, commodities, and quality services necessary to make healthy and informed choices about their own lives.
Member organizations of the coalition include: Advocates for Youth, American Jewish World Service, Americans for Informed Democracy, CARE, Center for Health and Gender Equity (CHANGE), Family Care International, FHI 360, Georgetown University-Institute for Reproductive Health, Global Youth Coalition on HIV/AIDS, Guttmacher Institute, International Center for Research on Women, International Planned Parenthood Federation/Western Hemisphere Region, International Women’s Health Coalition, Ipas, John Snow, Inc., Marie Stopes International-US, PATH, Pathfinder International, Plan International USA, Planned Parenthood Federation of America, Population Action International, Population Reference Bureau, Population Services International, Public Health Institute, Save the Children, and Women Deliver.
Today it was an honor for me to join African colleagues in health and development at the opening of the African Leadership for Child Survival – A Promise Renewed. Minister of Foreign Affairs Tedros Adhanom, Minister of Health Kesetebirhan Admasu, and the rest of the Ethiopian Government should be congratulated for hosting this meeting to accelerate the reduction of Africa’s child mortality rates.
Ethiopia has made great progress in tackling child survival and strengthening their health sector. Since the development of Ethiopia’s first national health policy in the mid-1990s, Ethiopia and the United States Government have partnered to increase and expand access of quality health services to Ethiopians nationwide. The United States is proud to have a long-standing health program in Ethiopia with many of our agencies working in the health sector: CDC, DOD, Peace Corps and my agency, USAID.
Last June, Ethiopia joined India and the United States in cooperation with UNICEF to host a Child Survival Call to Action in Washington. More than 700 global leaders came together and challenged each other to reduce child mortality to 20 deaths per 1,000 births, or lower, in every country around the world by 2035. Assuming countries already making progress continue at their current trends, achieving this rate will save an additional 5.6 million children’s lives every year.
In the last two decades, Sub-Saharan Africa has experienced a 39 percent decline in the under-five mortality rate, a tremendous achievement that has been called part of the “the best story in development.” But despite this progress, we know that some countries are doing better than others. By joining together to share best practices, we can create a strong coalition to help each other’s children live to see their fifth birthdays.
An investment in Africa’s children is an investment in Africa’s future. I am pleased USAID is supporting the African Leadership on Child Survival meeting – and we are committed to being Africa’s partner in this effort for years to come.