Republic of Liberia Investment Case for Reproductive, Maternal, Newborn, Child, and Adolescent Health (2016-2020)
The Government of Liberia has prioritized the Reproductive, Maternal, New-Born, Child, and Adolescent Health (RMNCAH) agenda, while concomitantly recovering from 14 years of civil war and the largest Ebola Viral Disease outbreak recorded to date. The Republic of Liberia is a signatory to the Every Woman, Every Child initiative with a commitment to spend at least 10% of the health sector allotment on RMNCAH. In addition, Liberia is a signatory to the United Nations’ Sustainable Development Goals 2030 (SDGs), Family Planning 2020, African Health Strategy, Paris Declaration, Maputo Call to Action, and the UN Secretary General’s Global Strategy for RMNCH Accountability and Results.
This Investment Case is an integral part of Liberia’s policies and plans to achieve the SDGs related to RMNCAH by 2030. It further outlines Liberia’s efforts under the UN Every Woman, Every Child initiative to end maternal and new-born mortality from preventable causes, as highlighted in the country’s policy and regulatory framework. Given the huge resources required to improve RMNCAH outcomes, and the limited fiscal space, strategic choices are necessary to select relevant best buys based on, but not limited to, resource gap and bottleneck analysis. The preferred mode of operation is cascaded through three tiers: facility-based, outreach, and community-based services. The cascade was specifically chosen to provide mechanisms to track progress holistically.
The RMNCAH investment framework focuses on translating commitment into sustainable results based on the guiding principles of respecting human and reproductive health rights, promoting equity and gender equality, ensuring a responsive health system to client needs, and leadership and ownership at national and county levels, and cognizant of the fact that business as usual won’t yield the required progress. Emphasis will be on achieving results by enhancing accountability through effectively leveraging performance incentives, optimizing efficiency through improved productivity, and integrating RMNCAH service delivery with other vertical programs, e.g., HIV, tuberculosis, malaria, etc., while ensuring continuum of care.