A. IDENTIFICATION

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* 1. Name of Individual or Civil Society Organization:

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* 4. In what region is your Organization’s headquarters country located?

B. ACHIEVEMENTS AND LESSONS LEARNED FROM THE HEALTH MDGS

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* 5. ACHIEVEMENTS

Please rank the importance of each of the achievements listed below as a key lesson from the MDG using a scale of 0 (Not important) to 3 (very important):

  0 1 2 3
Significant progress has been made in the reduction of maternal and child mortality
Global financial resources have been mobilized for health
Galvanized global attention and investments in development issues
Significant progress has been made in increasing access to life saving interventions for malaria, HIV/AIDS and Tuberculosis
MDGs have created awareness of investments in other social determinants of health with some progress made in education and access to clean water
Others (please specify and rank using the code above)

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* 6. In what way has civil society contributed to these achievements? (Please Send photographs, statements and testimonials of your organizations contribution to these achievement to communications@chestrad-ngo.org

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* 7. LESSONS LEARNT

Please rank the importance of each of the lessons learnt listed below as a key lesson from the MDGs using a scale of 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Financial resources need to be better linked to produce results
Weak health systems have constrained universal access to health inputs and other life-saving interventions
Alignment, harmonization and fragmentation still remain issues
Although progress has been made, universal coverage, access and equity still remain concerns
MDG targets were aspirational and did not adequately take on board operational realities in many lower and middle income countries
Health MDGs were vertically implemented and did not integrate into other social and economic determinants of health
Global Partnerships for health are still fragmented and uncoordinated
Others (Please specify and rank using the code above)

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* 8. In what ways can civil society contribute to reducing the negative impact of the lessons mentioned above in the post-2015 development agenda?

C. HEALTH PRIORITIES FOR THE POST-2015 DEVELOPMENT AGENDA

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* 9. UNIVERSAL HEALTH CARE

Universal Health Coverage has three dimensions: who is covered; with which services; and, at what cost to the household. Service and issue focused priorities are elaborated on in questions 11 and 13 below. In the context of the post-2015 health and development agenda, how important is each principle (coverage, access, equity) underlying who is to be covered (geographical areas, population proportion including minorities and gender and income groups)? And, how important is each type of protection against health costs (financial and social protection)? Please use a scale of 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Coverage (At least 80% of geographic area)
Access (At least 80% of all populations including minorities)
Equity (Gender and Income)
Financial Protection (Reduction in payment at point of service delivery)
Social Protection (Socially guaranteed access to care)

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* 10. A. DISEASE FOCUS PRIORITIES

Please rank how important it is to you to have each of the following included in the basic package of services offered as a part of Universal Health Coverage.

Please rank each of the listed health priorities in their order of importance to the post-2015 health and related development agenda using a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Malaria
Tuberculosis
HIV/AIDS and other sexually transmitted diseases
Non-communicable Diseases
Neglected Tropical Diseases
Immunization and other vaccine preventable diseases (not included in the list above)
Other (Please specify and rank using the scale above):

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* 11. B. HEALTH SYSTEMS STRENGTHENING PRIORITIES

Please rank the listed health priorities in their order of importance to the post-2015 health and related development agenda using a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Human Resources for Health
Medicines and medical supplies
Health Management Information Systems
Physical infrastructure (cold chain capacity, etc.)
Financing and Social Protection
Quality Management and Improvement
Leadership Development and Management
Accountability (supply, demand and remedial)
Integrated, comprehensive, costed national health plans that identify sectoral links and actions (One Plan, One Monitoring Framework, Joint Financing and Mutual Accountability)
Other (Please specify and rank using the scale above):

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* 12. C. ISSUE FOCUSED PRIORITIES

Please rank the listed health priorities in their order of importance to the post-2015 health and related development agenda using a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Sexual and Reproductive health (including services, sexuality education, rights and responsibilities)
Maternal and Newborn Health
Mental health and Violence
Child and Adolescent Health (including SRH, eating habits, tobacco use and alcohol abuse)
Nutrition
Application of technology (including mobile phones) to health
Primary Health Care
Other (Please specify and rank using the scale above):
D. INTEGRATING HEALTH INTO THE SUSTAINABLE DEVELOPMENT GOALS/AGENDA (FRAMING FUTURE HEALTH GOALS)

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* 13. UNDERSTANDING THE CONTEXT FOR INTEGRATION

In your opinion, please rank the importance of these statements to describe the context within which health should be integrated into the post-2015 development agenda, on a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
A more globalized and interconnected world
Economic realities of growth in developed and developing countries
Unfinished MDG agenda, neglected priorities and emerging challenges
Significant change in global architecture, leadership and partnerships
Other (Please specify and rank using the scale above):

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* 14. APPROACH, PRINCIPLE OR FRAMEWORK

Please rank the importance of each of the below listed approaches, principles or frameworks for integrating health into the global agenda for sustainable development in the post-2015 agenda, on a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Human Rights and Human Security
Life Expectancy and Social Determinants
Results and Sustainability
Accountability and Responsibility
Universality and Equity
Empowerment and Sustainable livelihood (incorporating education, employment, wealth creation, poverty reduction as critical for improving impact of live-saving health interventions and health outcomes)
E. MEASURING PROGRESS: WHAT ARE THE BEST INDICATORS?

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* 15. GOALS

There are ongoing discussions of goals and indicators for health in the post-2015 development agenda. Please indicate your recommendations of the following using a scale of 0 (Not recommended) to 3 (Highly recommended):

  0 1 2 3
One health goal (Universal Health Care) with targets that monitor progress on priority health burdens and issues
More than one health goal to include coverage, access and equity with targets covering priority diseases burdens, issues and health systems indicators
Global impact goals with country targets and indicators as is presented in the MDGs
A health goal that highlights the inter-sectorality of investment in health and the importance of social determinants of health in improvement of health outcomes
Other frameworks (Please specify and rank using the scale above):

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* 16. SUGGESTED CRITERIA FOR IDENTIFYING HEALTH INDICATORS

Please rank the importance of each of the below listed criteria for the identification of targets and goals for health priorities in the post-2015 development agenda, on a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Coverage (Geographic)
Access (General Population)
Equity (Income, Gender, Minorities, Socially Excluded)
Human Resources for Health
Financial Protection
Life Expectancy
Age or target group specific mortality indicator
Age or target group specific morbidity indicator
Others (Please specify and rank using the scale above):

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* 17. AGE FOR TARGET GROUP

When prioritizing these goals and indicators, how much importance should be placed on each of the following age groups? Please use a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Neonates (One month and below)
Infants (Above one month and below one year)
Under five (Above one year but below 5 years)
Young People (10-15, 15-19, 19-24 and 24 – 30 years)
Women in the reproductive age group (18- 64 years)
Men (18 – 64 years)
Aged (Above 65 years)
General Population

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* 18. How can we improve the collection, analysis and management of indicators including dissemination and their use by civil society organizations and civic populations?

F. GLOBAL PARTNERSHIP AND ACCOUNTABILITY

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* 19. PROMOTING COUNTRY OWNERSHIP AND RESULTS

Which of these principles, approaches and frameworks is best suited to promoting country ownership, resilience, results and accountability for the goals, targets and indicators? Please rank on a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Development Financing: Tracking, aligning and integrating domestic and international resources for development
Accountability: From aid to development cooperation (Country leadership and mutual cooperation as in the Busan Declaration)
Promoting multi-sector action for health development
A focus on sustainable development: integrated, multi-sector platforms in the health sector to that promote health as the center of sustainable development
Others (please specify below and rank using the above scale):

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* 20. GLOBAL AND COUNTRY INSTITUTIONAL ARRANGEMENTS FOR ACCOUNTABILITY AND RESPONSIBILITY

How important are the following for improving global and country institutional arrangements to ensure accountability, responsibility and solidarity for the post-2015 development agenda? Please rank on a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
A framework for international development that includes shared but differentiated accountability and responsibilities for national governments, development partners and citizens
Adaptive and responsive accountability framework specially designed and differentiated for global, regional and country use
Mutual accountability
Peer Accountability
Independent Accountability
All of the above
None of the above
Others (please specify below and rank using the above scale):

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* 21. Currently, there are plethora of organizations, programs and partnerships leading diseases and issues in global health. Overtime, the focus and mandate of these organizations have overlapped, often resulting in competition for resources, fragmentation of services and increasing response burden and limiting accountability of development partners, national governments, civil society and other stakeholders.
Do you agree with this statement?

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* 22. In your opinion, who should lead these interlinked priorities in health?
How should this leadership be structured and managed?

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* 23. CS CONTRIBUTION AND ROLE

Please rank in your own opinion the importance of civil society’s contribution and its role to this global partnership and the post-2015 health and development related agenda. Please rank using the following codes: 1 (Community); 2 (Local or Sub-National); 3 (National); 4 (Regional); 5 (Global):

  Community Local or Sub­ National National Regional Global
Service delivery
Policy advocacy and dialogue
Research, Evidence and Performance Management
Capacity enabling and leadership development
Development effectiveness and Accountability
Innovation
Knowledge management, brokering and learning
G. KEY CS MESSAGES FOR THE HEALTH THEMATIC CONSULTATION

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* 24. KEY MESSAGE

Please rank each of the following key CS messages for the health thematic consultation of the Post-2015 development agenda. Please rank on a scale from 0 (Not Important) to 3 (Very Important):

  0 1 2 3
Healthy People! Wealthy Nations! Investments in health are central to sustainable social and economic development
Inter-sectoral actions are required to improve health outcomes
Universal Health: access, coverage and equity
Unfinished Agenda, Neglected Priorities, New Challenges and Accountability: Our Progress must be sustained and Promises Kept!
Global Health Architecture: Ownership, Results and Accountability
Governance, Accountability and Responsibility: All must have a say; and all must commit to their roles
Others (please specify below and rank using the scale above):
H. KEY MESSAGES FOR THE HIGH LEVEL PANEL OF EMINENT PERSONS ON THE POST MDG AGENDA

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* 25. KEY MESSAGES

Please include 3 other messages you would like to share with the High-level Panel of Eminent Persons on the Post-2015 Development Agenda. Please rank each of your responses in order of importance using a scale from 1 (Least Important) to 3 (Most Important):

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* 26. Contact Information

Thank you for participating in this survey.

To complete the survey, please visit www.globalhealthsouth.org and complete the CS characterization formof Global Health South.

For additional information, please contact communications@chestrad-ngo.org
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