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Mise en œuvre

De l’engagement aux résultats

Huit piliers programmatiques regroupés sous trois objectifs stratégiques, et une trajectoire en quatre phases jusqu’en 2030. Tirés des chapitres 3, 4 et 5 de la Feuille de route.

Voir les piliers
8
piliers programmatiques, chacun avec ses interventions essentiellesRoadmap, Table 1
H.E. Dr. Samia Suluhu Hassan seated, holding a newborn wrapped in a white shawl

Piliers programmatiques

Comment le travail est organisé

Chaque pilier relève d’un objectif stratégique et porte ses propres interventions essentielles, afin que la responsabilité soit lisible de l’extérieur.

SO-1

Mobilise political leadership and partnerships for improved accountability

  1. 1.1

    High-Level Political Leadership & Advocacy

    FinalitéMobilise political leadership for RMNCAH and the Three Zeros

    Interventions essentielles

    1. 1Mobilise high-level commitment through Champion engagement with Heads of State, Ministers and key continental and global platforms.
    2. 2Strengthen political and peer accountability for RMNCAH and the Three Zeros at national and continental levels.
    3. 3Engage women, adolescents and young people, including youth- and community-led organisations, through advocacy, strategic communication and accountability, including on health, nutrition, wellbeing and harmful practices.
  2. 1.2

    Continental Accountability & Evidence for Action

    FinalitéMake performance visible and turn evidence into action

    Interventions essentielles

    1. 1Operationalise the Continental RMNCAH Scorecard and Dashboard using validated Member State data.
    2. 2Generate periodic continental report on the causes and drivers of mortality to inform political and programme decisions.
    3. 3Convene the Continental Forum of Directors of RMNCAH and PHC to review performance, strengthen scorecard use and identify best practices.

    Statut: Data collection for the Continental Report on the Causes and Drivers of Maternal Mortality has been completed across all 55 Member States. Following regional validation workshops in Kenya and Benin, further analysis is underway to finalise the report and disseminate it at Champion-led platforms.

  3. 1.3

    Recognition & African-Led Innovation

    FinalitéRecognise results and spread effective African solutions

    Interventions essentielles

    1. 1Recognise leadership and measurable results through the AU RMNCAH Prize and recognition of national, subnational, frontline and community achievements.
    2. 2Identify and validate promising African-led innovations for wider application.
    3. 3Promote replication through mentorship, peer learning and South–South exchange.
SO-2

Mobilise and align investment and delivery systems for RMNCAH

  1. 2.1

    Integrated RMNCAH Investment, Financing & Partner Alignment

    FinalitéTurn national priorities into implementation-ready, financed and accountable delivery commitments and align resources behind them

    Interventions essentielles

    1. 1Support Member States to strengthen implementation-ready Integrated RMNCAH Investment Cases linking priorities to costed national and subnational actions, service readiness and financing requirements.
    2. 2Use the RMNCAH Financing Accelerator to map resources, identify gaps and align domestic and external financing and technical assistance.
    3. 3Track commitments, allocations, releases, disbursements and expenditure against agreed results.
  2. 2.2

    RMNCAH Product Security, Procurement & African Manufacturing

    FinalitéEnsure reliable and sustainable access to priority medicines, vaccines and other lifesaving products

    Interventions essentielles

    1. 1Strengthen forecasting, quantification, procurement and supply chains for priority RMNCAH products, including essential nutrition commodities, with focus on availability at the point of care.
    2. 2Use pooled procurement, demand aggregation and price intelligence where appropriate to improve affordability and supply reliability.
    3. 3Advance sustainable African supply through quality assurance, regulatory convergence, market shaping and local manufacturing.
  3. 2.3

    Primary Health Care Digitalisation

    FinalitéUse digital solutions to improve RMNCAH delivery, continuity of care and decision-making

    Interventions essentielles

    1. 1Digitalise priority RMNCAH services, including pregnancy and child tracking, immunisation, referral and follow-up.
    2. 2Strengthen interoperable, nationally governed information systems and timely data use while protecting privacy, security and national ownership.
    3. 3Scale effective African digital solutions that are sustainable, interoperable and aligned with national digital strategies.
SO-3

Accelerate country implementation of high-impact RMNCAH interventions

  1. 3.1

    Country Scale-Up of High-Impact RMNCAH Interventions & Innovations

    FinalitéSupport countries to scale proven interventions across the continuum of care and advance the Three Zeros

    Interventions essentielles

    1. 1Scale integrated reproductive, maternal, adolescent and youth-responsive interventions, including SRH and family planning, prevention of early and unintended pregnancy, adolescent and maternal nutrition, quality ANC, malaria services, skilled childbirth and EmONC with functional referral.
    2. 2Scale essential and emergency newborn care, postnatal care, breastfeeding and appropriate complementary feeding, child nutrition, immunisation and zero-dose reach, and prevention and management of major childhood illnesses including pneumonia, diarrhoea and malaria.
    3. 3Strengthen community continuity of care through community midwives, CHWs, community- and youth-led organisations and other nationally recognised community platforms.
  2. 3.2

    RMNCAH Workforce, Retention, Learning & Implementation Capacity

    FinalitéBuild the people, skills and African learning systems required to implement and sustain high-impact RMNCAH interventions

    Interventions essentielles

    1. 1Identify and address priority RMNCAH workforce gaps in planning, availability, equitable deployment, motivation, retention, supportive supervision and performance, with particular attention to high-burden, underserved and hard-to-reach settings.
    2. 2Strengthen specialist, mid-level and community capacity through targeted training, mentorship, scholarships and fellowships in priority RMNCAH competencies.
    3. 3Institutionalise South–South learning through the proposed African RMNCAH Centre of Excellence in Tanzania, including leadership development, implementation research and country exchange.

Phasage de la mise en œuvre

Quatre phases jusqu’en 2030

Une trajectoire adaptative. Le plaidoyer continental, la redevabilité et l’apprentissage servent les 55 États membres, tandis que l’assistance technique intensifiée et l’appui catalytique sont ciblés selon la charge, le besoin, la performance et la demande des pays.

2026Inception and Launch
5 domaines prioritaires

Axe stratégiqueEstablish the political, institutional and operational foundations, prioritising countries furthest off track.

Political leadership & accountability
Launch the Roadmap and Three Zeros ambition at high-level events (AU Summit, UNGA, WHA, CPHIA). Develop the costed operational plan and the governance and continental monitoring mechanisms with baseline indicators and targets.
Evidence & country accountability
Finalise and disseminate the continental report on the causes and drivers of maternal and newborn mortality. Establish the Continental RMNCAH Scorecard and Dashboard and convene the Continental Forum of Directors of RMNCAH and PHC.
Investment & financing
Establish the RMNCAH Financing Accelerator; assess implementation readiness of existing RMNCAH planning and financing arrangements in priority countries; initiate differentiated support for strengthening, updating or harmonisation.
Country delivery & enabling systems
Initiate coordinated technical assistance and strengthen priority interventions, subnational delivery arrangements, workforce, products, digitalisation, referral and service readiness.
Capacity & learning
Establish country exchange and implementation-learning mechanisms. Advance the design and establishment, subject to agreed institutional arrangements, of the proposed African RMNCAH Centre of Excellence in Tanzania.
2027–2028Accelerate Delivery and Scale
5 domaines prioritaires

Axe stratégiqueTranslate political commitments, financing and country plans into measurable improvements in coverage, quality and outcomes.

Political leadership & accountability
Sustain Champion advocacy at high-level events and use performance evidence to drive commitments and corrective action.
Evidence & country accountability
Routinely update the Scorecard and Dashboard and mortality evidence, with the Forum of Directors reviewing performance, bottlenecks and country support needs.
Investment & financing
Strengthen implementation of Integrated RMNCAH Investment Cases, domestic financing and partner alignment behind country priorities.
Country delivery & enabling systems
Scale high-impact interventions and strengthen subnational delivery, workforce, CHWs, product security, digitalisation, functional referral networks, service readiness and quality of care.
Capacity & learning
Expand coordinated technical assistance and South–South learning through the proposed African RMNCAH Centre of Excellence in Tanzania.
2028Mid-Term Review and Course Correction
5 domaines prioritaires

Axe stratégiqueAssess performance and recalibrate implementation.

Political accountability
Review progress against the Three Zeros and Roadmap commitments and elevate persistent barriers requiring political action.
Evidence & country review
Use the Scorecard, Dashboard, mortality evidence and Forum of Directors to assess results, equity and implementation performance.
Financing & systems review
Assess financing, partner alignment, products, workforce, digital and service-readiness performance.
Reprioritise country support
Adjust country prioritisation, financing and coordinated technical assistance based on evidence and implementation gaps.
Learning & scale-up
Identify effective country approaches and African innovations for adaptation and wider scale-up.
2029–2030Consolidate, Institutionalise and Sustain
5 domaines prioritaires

Axe stratégiqueClose remaining gaps, consolidate results and embed successful approaches within national and continental systems.

Political leadership & accountability
Sustain high-level accountability at high-level events and intensify action where progress towards the Three Zeros remains off track.
Evidence & institutional accountability
Institutionalise the Scorecard and Dashboard, continental mortality evidence and Forum of Directors as mechanisms for sustained RMNCAH accountability.
Sustainable investment & financing
Embed Investment Cases, domestic financing and partner alignment within national planning and budgeting systems.
Country delivery & systems
Institutionalise proven interventions and enabling systems while intensifying support to underserved populations and geographies.
Capacity, evaluation & transition
Sustain African capacity and learning mechanisms, evaluate results and define post-2030 arrangements.

Financement

Trois flux, un plan chiffré

Les États membres restent responsables du financement et de la mise en œuvre des priorités nationales SRMNIA. Les ressources de la Feuille de route complètent le financement national plutôt que de s’y substituer.

A separate costed operational plan will define the five-year catalytic resource requirement, annual priorities, institutional responsibilities, implementation milestones and the monitoring and accountability framework. Roadmap resources complement — not replace — national financing.

National financing
Member State resources for national RMNCAH priorities and services. Political commitments generated through the Champion’s engagement are translated into country-owned implementation and financing actions, tracked through the Roadmap accountability framework.
Aligned partner financing
External resources aligned with country-owned priorities and documented financing gaps, with commitments and disbursements tracked through national and Roadmap accountability mechanisms.
Continental catalytic financing
Resources supporting the Champion and Secretariat’s political, coordination and accountability functions, and Africa CDC’s technical support to Member States.

Domaines d’investissement stratégiques

  1. 01Political leadership and accountability
  2. 02RMNCAH investment case development and financing readiness
  3. 03Continental RMNCAH Financing Accelerator
  4. 04Country and regional technical support
  5. 05Product security and African manufacturing
  6. 06Continental capacity and South–South learning
  7. 07Monitoring, evaluation and learning

Alignement

Pas un nouveau cadre — une manière de mettre en œuvre ceux qui existent

La Feuille de route est le pont politique et opérationnel entre les engagements que l’Afrique a déjà pris et les résultats au niveau des pays. Cela réduit la fragmentation et renforce les systèmes nationaux plutôt que de créer des structures parallèles.

Continental

Continental
ContinentalAxePertinence pour la Feuille de route
AU Agenda 2063Africa’s long-term development and transformation agendaProvides the overarching continental vision linking health, human capital, equity and sustainable development.
AU Health Roadmap to 2030 and BeyondContinental health priorities and accelerated progress towards 2030Provides AU policy alignment for RMNCAH, health systems, financing and accountability.
Africa Health Security and Sovereignty (AHSS) AgendaSovereignty, resilient systems, financing, workforce, products and dataStrengthens the enabling systems required to deliver the Three Zeros sustainably.
The Revised Maputo Plan of ActionSexual and reproductive health and rightsSupports reproductive, maternal and adolescent health and accelerated implementation of high-impact interventions.
CARMMA-PlusPolitical advocacy for maternal, newborn and child survivalProvides an established AU political platform for maternal and newborn survival and accountability.
Africa CDC Strategic PlanHealth security, resilient health systems, workforce, digital health, product access and Member State supportProvides the institutional and technical framework through which Africa CDC supports implementation.
Africa CDC Continental Immunisation Strategy (2026–2030)Immunisation, equity and zero-dose childrenDirectly supports Zero Unvaccinated Children.
Africa Health StrategyContinental health policy and health-system strengtheningProvides the broader policy foundation for integrated and equitable RMNCAH delivery.

Piloté par le Sud global

Piloté par le Sud global
Piloté par le Sud globalAxePertinence pour la Feuille de route
Global Leaders Network (GLN)High-level political leadership and advocacy for women’s, children’s and adolescents' healthComplements the Champion’s leadership by mobilising political attention, partnerships and investment across the Global South.
The Accra ResetCountry ownership, sovereignty, financing reform and rebalancing global health partnershipsReinforces African ownership, domestic financing, aligned partnerships and country-led implementation.

Mondial

Mondial
MondialAxePertinence pour la Feuille de route
Sustainable Development Goal 3Health, survival, UHC and broader determinants of healthProvides the global 2030 outcome framework, including targets for maternal mortality and newborn survival.
Every Woman Every Newborn Everywhere (EWENE)Maternal and newborn survival, stillbirths, coverage and quality of careProvides technical benchmarks relevant to Zero Home Delivery and Zero Preventable Maternal and Newborn Deaths.
Immunisation Agenda 2030 (IA2030)Equitable immunisation and zero-dose childrenSupports Zero Unvaccinated Children.
WHO Global Strategy for Women’s, Children’s and Adolescents' HealthSurvive, thrive and transformProvides overarching global alignment for RMNCAH outcomes and equity.
UNICEF Strategy for HealthMNCAH, PHC and health systemsSupports integrated country implementation, particularly child survival and immunisation.
UNFPA Start With Her StrategySRHR, maternal health, women and girlsReinforces reproductive, maternal and adolescent health priorities.
ICPD Programme of ActionSexual and reproductive health and rightsProvides the foundational rights-based framework for reproductive and maternal health.

Mis en œuvre via les régions

ECSA-HC
East, Central and Southern Africa Health Community
WAHO
West African Health Organisation
EAC
East African Community
SADC
Southern African Development Community
IGAD
Intergovernmental Authority on Development
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