More on the Muskoka Initiative

As ONE’s Kimberley Hunter reported from Toronto this weekend, on Friday, Canadian Prime Minister and G8 host Stephen Harper announced that the G8 would be contributing an additional $5 billion towards maternal, newborn and child health in developing countries over the next five years. Other donors – like the Bill and Melinda Gates Foundation, Norway, New Zealand, the Republic of Korea, Spain and Switzerland – pledged $2.3 billion, bringing the total up to $7.3 billion.
More details on the so-called “Muskoka Initiative” were revealed with the release of the official G8 communiqué on Saturday, which included an annex outlining the initiative. Here at ONE, we were pleased to see that the initiative embraces some critical principles for long-term sustainability and effectiveness, like support for country-led national health plans and increased coherence through coordination and harmonization. Although there is a strong focus on outcomes (with an estimate from the World Health Organization and the World Bank that pledged funds will prevent the deaths of 1.3 million children and 64,000 mothers over the next five years), it stops short of setting out clear targets to meet these goals, such as supporting the training of an additional 3.5 million health care workers by 2015, a critical input to strengthening the health care that mothers and children need, especially during pregnancy, labor and the first five years of life, and an issue that 61,000 ONE members urged the G8 to agree to.
Moreover, in a year when G8 accountability was high on the summit agenda, the lack of clarity around individual country pledges is extremely disappointing. Although the communiqué states that the G8 will release the methodology used to define each country’s commitment and baselines, without this info it’s not clear which countries are truly delivering additional funding and which are using creative counting and hiding behind the G8’s collective commitment. It is critical that these details be made available, not only so advocates can chart the delivery of them, but also so governments and citizens in developing countries can start planning for them and make sure that the funds promised lead to lasting results for mother and children.