Accountability for Women’s and Children’s Health

Progress on tracking resources

Tracking resources is critical for transparency, credibility and ensuring much needed funds are used for their intended purposes and reach those who need them most. Agreements, or compacts, between governments and all major development partners are necessary to ensure all partners provide governments with their budget and expenditure reports in an agreed format, thereby reinforcing mutual accountability and giving a clear picture of external health financing and the linkages with national health priorities. All countries should make annual reviews of health spending from all financing sources. Recommendations 4, 5 and 6 advise on how countries should strengthen their capacity to better manage resources for women's and children's health.

Recommendation 4: Resources tracking

By 2015, all 75 countries where 98% of maternal and child deaths take place are tracking and reporting, at a minimum, two aggregate resource indicators: (i) total health expenditure by financing source, per capita; and (ii) total reproductive, maternal, newborn and child health expenditure by financing source, per capita.

Recommendation 5: Country compacts

By 2012, in order to facilitate resource tracking, “compacts” between country governments and all major development partners are in place that require reporting, based on a format to be agreed in each country, on externally funded expenditures and predictable commitments.

Recommendation 6: Reaching women and children

By 2015, all governments have the capacity to regularly review health spending (including spending on reproductive, maternal, newborn and child health) and to relate spending to commitments, human rights, gender and other equity goals and results.

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