Promoting health through the life-course

Commission on Information and Accountability (CoIA) and the independent Expert Review Group (iERG

CoIA and iERG


In September 2010, in an effort to accelerate progress on Millennium Development Goals 4 and 5 – to improve maternal health and reduce child mortality -- the United Nations Secretary-General, Ban Ki-moon launched the Global Strategy for Women’s and Children’s Health. The Secretary-General asked the Director-General of the World Health Organization to coordinate a process to determine the most effective international institutional arrangements for global reporting, oversight and accountability on women’s and children’s health. In response, the Commission on Information and Accountability for Women's and Children's Health (Accountability Commission) was created. The Commission was co-chaired by President Jakaya Mrisho Kikwete of Tanzania and Prime Minister Stephen Harper of Canada, with WHO (Dr Margaret Chan) and ITU (Hamadoun Toure) as vice-chairs.

Link on the right to download the Commission report, Recommendations and Annual reports.

About the Accountability Commission and framework

The Accountability Commission proposed a framework for global reporting, oversight and accountability for women's and children's health. Through ten recommendations presented in its report - Keeping Promises, Measuring Results - the Commission created a system to track whether publicly made commitments for women's and children's health were translated into real resources, tracking the transparency of the process and appropriateness of allocations, and whether the desired results are achieved. The accountability framework’s three interconnected processes – monitor, review and act – are aimed at learning and continuous improvement. The framework links accountability for resources to the results, outcomes and impacts they produce.

About the independent Expert Review Group (iERG)

One of the Commission’s 10 recommendations was the creation of an independent Expert Review Group (iERG) to report regularly to the UN Secretary-General on the results and resources related to the Global Strategy, and on progress in implementing the Commission’s recommendations.

This Group was established in September 2011 and provided an annual report with an analysis on progress, results and resources related to the UN Global Strategy and on progress related in implementing the first nine recommendations of the Accountability Commission.

WHO's work

The World Health Organization worked with countries towards the implementation of the Commission’s Ten recommendations. Country Accountability Frameworks defined priority actions for countries to take, based on the ten CoIA recommendations. The process for developing Country Accountability Frameworks was an innovative approach to strengthening accountability, transparency and improving data quality. Accountability and transparency are now critical concepts for donors and countries alike. The implementation process has been an excellent platform for bringing together donors and country stakeholders, and for strengthening International Health Partnership (IHP+) processes. WHO also hosted a small secretariat to support the work of the iERG.


WHO reported on an annual basis to countries and partners on the progress towards the recommendations made by the Commission on Information and Accountability (CoIA).The reports were shared at the World Health Assembly. The independent Expert Review Group (iERG) also published an annual report with reflections on progress achieved, challenges remaining and a set of recommendations to address them for consideration. The iERG shared their reports with WHO’s Director Margaret Chan and countries representatives and partners engaged in the implementation of hte Global STrategy at the time of the UN General Assembly in September in New York.