UNFPA Pacific 7th Multi-Country Programme (2023-2027) Overview

Overview of UNFPA Pacific s 7thMulti- Country Programme (2023-2027) Context and New Directions UNFPA

Contents UNFPA s Transformative Agenda for 2030 Status,Emerging trends and existing challenges in PICTS (Multi) Country Programme Document The roadmap to the development of MCP7 Preliminary proposed direction and high-level results Next steps UNFPA

UNFPA Strategic Planning and Programming in the Pacific UNFPA - UN sexual and reproductive health agency the Three Zero s in global Strategic Plan 2022-2025, guided by Agenda 2030/SDGs, ICPD Programme of Action Like other UN ExComs, UNFPA develops a multi-year Country Programme Document for each programme country (mostly 5 years in line with national development plan cycle) for Member States approval at Executive Board (CPD CP) The CPD is a concise document that provides a broad strategic framework (operationalization by national level annual workplans led by implementing partners) Pacific is unique as multi-country CP for 14 PICTs, guided by the 2050 Strategy for the Blue Pacific, with a view to differentiated approach addressing each country needs Country level consultations and annual work planning ensures national ownership Country/local needs and priorities inform annual activities and budgets MCP7 is UNFPA s contribution to the UN-wide Pacific SDCF 2023-2027 UNFPA Pacific Multi CPD requires all 14 MStates s endorsement ( All for One, One for All ) UNFPA 3

Status and trends of key ICPD indicators in the Pacific Multi-Country Programme for 14 Pacific Island Countries & Territories Varied 4 LDCs & 10 MICs PICTs ratified fewest Human Rights conventions in the world performances on ICPD indicators, but MMR & SBA generally improving Population 2.5 million ? increase by 40% by 2050 Unmet need for FP stagnating; Adolescent BR worsening > 60% GBV in lifetime 57% = Young population below 25 years UNFPA 4

Status and trends of key ICPD indicators in the Pacific (contd) Analyses done per 14 PITCs ready for tailored support for 3TRs/LNOB in line with UNSDCF UNFPA 5

Emerging trends in the Pacific UN Regional / Multi- Country development Impact of UN Reform 1 Plan with 3 RCs/UNCTs Enhanced UNFPA in-country presence in 8 PICTs with a hub in Fiji (Pacific Sub-Regional Office) Leveraging partnerships beyond borders for development and financing PIFs, CROPs, SPC. Humanitarian- Development-Peace Nexus Climate Change Five PICTs are within the top 20 countries at risk of extreme climate impacts. Fiji s previous leadership in COP processes Frequent climate-induced disasters Vulnerability to pandemics due to weak health systems, small populations Small, short-term investments in Fijian retired midwives deployment to ensure continuity of SRH amid health crises Financing ICPD & SDG Agendas Disparity, Diversity, and Demographic Dividend Increased interests Disparities of gender, income, access and outcomes Diversity and intersectionality of marginalization Two-thirds of the Pacific is under 30 years of age GDP s in the Pacific driven by tourism impact of COVID-19 will be long-term In 2018, health expenditure per capita for Pacific Island Small States was US$207 Proven return on investment on SRH & RR The rising political role of the SIDs and increased global attention on the Pacific Increased availability of funds through donor investments (Core, Australia & New Zealand, US). UNFPA 6

UNFPA Pacific 7thMulti-Country Programme 2023-2027 Document Pacific UNSDCF 2023-2027 People-Improving Equitable Access to Basic Social Services, violence prevention Planet- Gender-responsive, human rights-based climate change DRR, mitigation & adaptation. Peace-Gender equality & women s empowerment, women s decision-making, youth leadership, human rights, social norms Prosperity- Demographic dividend, economic development, youth employment & livelihoods, food security, digital divide Relevant Pacific Sub-Regional Frameworks 2050 Strategy the Blue Pacific Continent Framework for Resilient Development in the Pacific 2017-2030 Annual Pacific Health Ministers Outcome Documents 14thTriennial Conference Action Plan 2021 Pacific Youth Development Framework Regional Statistics Framework SAMOA Pathway SPC Strategic Plan 2022-2031 International Commitments Universal Periodic Reviews and SRH & RR-related commitments, CEDAW and Voluntary National review (VNR) processes FP2030 commitments, Universal Health Coverage and ICPD Programme of Action reinforced by the Nairobi Voluntary Summit Country Commitments Sustainable Development Goals 1, 3, 4, 5, 10, 13, 16 and 17 UNFPA 7

MCPD7 Alignment to PIFS 2050 Strategy for the Blue Pacific Continent and the Pacific UNSDCF 2023-2027 Pacific UNSDCF 2023-2027 Pacific Regional Pillar (From PIFS 2050 Strategy for the Blue Pacific Continent) People Access to quality essential services Prosperity Equal Opportunities for decent jobs and livelihoods Planet Resilience to shocks/CC and ecosystems restoration Peace Peace, human rights, gender equality and participation MCPD7 2023-2027 Political Leadership and Regionalism Resources and Economic Development Oceans and Natural Environment Technology and Connectivity Climate Change People Centered Development Peace and Security Output 1: Policy and Accountability Output 2: Quality of Care and Services Output 3: Gender and Social Norms Output 4: Population Change and Data Output 5: Humanitarian Context Output 6: Adolescents and Youth UNFPA

Good practices and lessons from MCP6 into MCP7 Favorable environment in the Pacific for advancing SRH, addressing GBV, adolescent pregnancies and unmet need for family planning. Strengthened national commitment to ICPD (ICPD+25 Nairobi Summit, 2019), as UNFPA s mandated areas are aligned with the national development priorities of PICTs Strong partnerships with CROP & CSOs contributed to effective delivery of CP6 & to be reinforced in CP7 UNFPA MCP6 significant success in Other Resources mobilization - $44 mil against $22m target the highest level of donor investments in SRH & RR in the Pacific the last 10 years Significant gains, yet varied averages call for nationally/locally-tailored approach The return on investments in SRH and GBV prevention, has become evident 1. If an additional $13.4 million is invested in Kiribati, Samoa, Solomon Islands, Tonga and Vanuatu in the last decade till 2030, then the FP and MH targets could be achieved. 2. The above investment could avert 38% more unintended pregnancies, 28% more stillbirths, and 29% more maternal deaths, compared to status quo. 3. The additional investment could also bring 11-fold economic benefit of $149.7 million. UNFPA 9

Major shifts in approach in Pacific MCP7 (a) Strengthening national accountability and sustainable financing for policy & programme implementation related to the ICPD agenda Hybrid of downstream and upstream, with innovative approach (b) Strengthening strategic alliances & partnerships, at both grassroots & policy levels as key to sustainability of interventions (c) Creating innovative service delivery models for reaching the last mile, as well as transforming inequitable social norms at grassroots (d) Expanding the use of new technologies, e.g. digital transformation for sexual reproductive health and reproductive rights and family planning Strengthening resilience against emerging trends of pandemics, climate change, and building back better Building resilience of health systems for the continuity of sexual and reproductive health, reproductive rights and GBV services during pandemics and disasters, and bridging the humanitarian-development nexus by integrating SRHiE, GBViE through gender-responsive, youth- friendly, disability-inclusive preparedness, mitigation and response. UNFPA 10

Overall Vision of the 7thPacific Multi-Country Programme Every woman and young person in the 14 Pacific Island Countries and Territories, including those Every woman and young person in the 14 Pacific Island Countries and Territories, including those furthest behind and the most vulnerable, enjoys gender equality, realizes sexual and reproductive furthest behind and the most vulnerable, enjoys gender equality, realizes sexual and reproductive health and reproductive rights, and lives in dignity free from violence, to contribute to sustainable health and reproductive rights, and lives in dignity free from violence, to contribute to sustainable development and resilience building towards the Blue Pacific Continent by 2050 development and resilience building towards the Blue Pacific Continent by 2050 Equity & Quality: by hybrid of upstream and downstream, with innovative approach Data Service Delivery Commodity & Logistics M&E QA/QC Financing Call for Accountability Human Resources Demand creation / Social Norm Governance (legal, policy, institutions) Resilience against health crises, disasters, climate change, building back better UNFPA

Key Focus, Priorities & Expected Results of Pacific MCP7 toward Three Zero's UNFPA SP Outcomes SP Outcome 1: Accelerated reduction of unmet need for family planning SP Outcome 2: Accelerated reduction of preventable maternal deaths SP Outcome 3: Accelerated reduction of gender-based violence and harmful practices Planet Pillar More resilient to shocks and climate variability impacts, protecting ecosystems and biodiversity; People Pillar - More equitable access to quality basic services, food security/nutrition and social protection systems; Prosperity Pillar More inclusive and human-centered socio-economic systems with decent work, reducing inequalities; Peace Pillar: More accountable governance systems for gender equality, justice and peace, and human rights UNSDCF Outcomes 1. Policies & financing for UHC integrated with SRH & GBV 2. Availability and quality of integrated SRH/RR and GBV info & services Midwifery, RMNACH workforce inc. EmONC MPDSR Rights-based FP services, commodities to prevent unintended pregnancies Logistics management, LMIS SRHRiE inc MISP, GBViE 3. Capacities to address gender equality and social norms 4. Data and use of evidence on population change, SRH/RR and GBV 5. Capacities for disaster and climate resilience for life-saving SRH and GBV services supply chain management Strengthen health workforce for SRH/RR and protection in emergencies Inclusion / integration of women, young people and persons with disabilities into DRR, climate plans/actions Strengthening national capacity on SRHIE and GBViE coordination Scale up MISP 6. Adolescents & youth to make informed choices about SRH, for DD MCP7 Outputs Prepositioning & Policy engagement and advocacy with governments, regional entities, IFIs Support to integrate SRH & GBV services into UHC & PHC Integrate SRH & GBV into DRR, pandemic recovery, climate change adaptation Support implementing HR, ICPD commitments Advocacy to religious leaders, gatekeepers National Human Rights Institutions Integration of SHR/RR & GBV into broader GEWE programmes Evidence for social and gender norms changes Male engagement women s rights- Quality data on population dynamics, e.g. housing census Data utilization for policy & programming Strengthen national understanding of the demographic transition to harness the demographic dividend Family Life Education (CSE) at international standard A&Y access to quality SRH services, info Innovations and digitalisation for youth empowerment Youth leadership Partnerships for DD Data on adolescents and youth needs and aspirations MCP7 areas of work UNFPA

Ensuring the national implementation of the MCPD7 supports national development in PICTs & Next Steps UNFPA 13

Next Steps for MCPD7, Annual Workplans and IP Agreements 1. Sept - October 2022 : Endorsement by all PICT s Governments of MCPD 5. February 2023 - Preparation of new Annual Work Plans and IP agreements with country implementing partners for activities spilling over from 2022. Completion of DFAT TA, Spotlight & MFAT current Phase 1 activities 2. November 2022 : Sharing of MCPD7 with all UNFPA Member States via the Executive Board 3. January 2023 : Appraisal of MCP7 Documents by Executive Board 6. February - June 2023: Selection of new IPs for MCPD7, AWP Consultations & Signing of Revised Annual Work Plans as per approved MCPD7 4. February 2023 : Approval by Executive Board UNFPA

UNFPA Pacific Sub-regional Office MCPD7 Intervention logic

Population Change & Data - Intervention Logic and Results UNSDCF OUTCOME. PEACE: By 2027, people enjoy and contribute to more accountable, inclusive, resilient and responsive governance systems that promote gender equality, climate security, justice and peace, ensure participation, and protect their human rights. UNSDCF OUTPUT: Strengthened multi-level governance, institutions and processes; SUB-OUTPUT: Improved data collection and utilisation systems By 2025, reduction of preventable maternal deaths has accelered By 2025, reduction in unmet need for family planning has accelered By 2025, reduction in gender-based violence and harmful practices accelerated SP Outputs Humanitarian Action Policy & Accountability Quality of Care & Services Gender & Social Norms Adolescents & Youth Population Change & Data MCPD7 Output 4: By 2027, strengthened national data systems and evidence on population change, SRHR and GBV for policies and programs across the development humanitarian nexus, taking into account digitalization and climate change Sub-output 2: Increased data utilization for evidence-based, people- centred policy, advocacy and programming in the development and humanitarian context and for shaping the linkages between population change/SRHR/GBV, and sustainable development and climate change Sub-output 1: Increased availability and analysis of high-quality and disaggregated, qualitative and quantitative data on population change, SRHR and GBV obtained through traditional and non-traditional data sources Sub-output 3: Improved understanding of the demographic transition to influence evidence-based decisions on population structures including policy, financing and planning approaches to harness the demographic dividend. Interventions Strengthen data governance and coordination to modernize the national statistical system, through legislation Strengthen SRH/GBV components of the HMIS systems, building on the gap analysis conducted during SRPD6 Strengthen administrative data systems in SRH/GBV data Strengthen Civil Registration and Vital Statistics Systems (CRVS) registration and reporting (Discuss with SPC/UNICEF). Support NSOs in advanced demographic analysis, population estimates and projections, to better understand and project future population trends and dynamics for advocacy, policy and scenario development Continued roll-out of 2020 round of Population and Housing Censuses in selected PICTS, to ensure adherence to international methodology and use of the latest technology available for census taking (2023 - 2024 countries) Collaboration on the MICS in selected PICS to support ethical collection of SRH/GBV data (Phase II countries) Interventions Generate user-producer dialogue and interest in advocating for data as a public good (Census and MICS countries). Roll-out of standardized tools and capacity building initiatives / programs for utilization of population, SRHR and GBV data and their interlinkages, to identify vulnerabilities Advocating for mainstreaming demographic intelligence to analyse correlations between demographic changes and socio-economic development processes to inform policies, plans and programmes and their monitoring (ICPD commitment countries). Pre-positioning data for humanitarian preparedness and response based on PHC, MICS/DHS and administrative data Establish leadership among relevant national agencies in advocacy and education related to population, SRH and GBV targeting the general population, women and young people paying close attention to Population and Housing Censuses Interventions Building and presenting the evidence for harnessing the demographic dividend and to enable youth to realize their full potential: Current, disaggregated demographic and socio-economic data, and data on preferences and risk factors collected and analysed Support provided to the development of youth policies (check with Brian) Building capacity to influence political actors, stakeholders and the population in linking population change and development and sustainability including climate change and climate forced migration Strengthened qualitative data collection and analysis on community attitudes, intersecting vulnerabilities and their impacts on SRHR and GBV Produce and disseminate human rights-based research agenda on emerging and on-going issues for policymakers influence and national policy debate Accelerators: Human rights based and gender transformative approaches; Innovation and digitalization; Partnerships and SouthSouth and triangular cooperation and financing; Data and evidence; Leaving no one behind and reaching the furthest behind first ; Resilience and adaptation, and complementarity among development, humanitarian action and peace-responsive efforts Modes of engagement: (1) advocacy and policy dialogue; (2) capacity development; (3) knowledge management; and (4) coordination, partnership and South-South and triangular cooperation

Population Change & Data - Intervention Logic and Results UNSDCF OUTCOME. PEACE: By 2027, people enjoy and contribute to more accountable, inclusive, resilient and responsive governance systems that promote gender equality, climate security, justice and peace, ensure participation, and protect their human rights. UNSDCF OUTPUT: Strengthened multi-level governance, institutions and processes; SUB-OUTPUT: Improved data collection and utilisation systems By 2025, reduction of preventable maternal deaths has accelered By 2025, reduction in unmet need for family planning has accelered By 2025, reduction in gender-based violence and harmful practices accelerated SP Outputs Humanitarian Action Policy & Accountability Quality of Care & Services Adolescents & Youth Population Change & Data Gender & Social Norms MCPD7 Output 4: By 2027, strengthened national data systems and evidence on population change, SRHR and GBV for policies and programs across the development humanitarian nexus, taking into account digitalization and climate change Risks, assumptions and partnerships Risks Assumptions Partnerships Increasingly challenging financial environment (domestic and development assistance) Resistance to strengthening of governance and accountability systems including for data as a monitoring and reporting mechanism Increasing humanitarian response situations Lack of sustained high level interest in population change and data Limited interest in coordination among data producing agencies at national and sub-national levels to address data gaps to reach furthest behind There are no significant political shifts in key government positions that impact policy and continuity of programming at the strategic level Political leadership remains willing and able to work on improving policy and data governance systems and structures including digital solutions to improve governance mechanisms Sociocultural and political environment is conducive to the development of policies around population change and data, SRHR and GBV Increased interest in people-centred policies and programs National Statistical Offices Gender Bureaus Departments on Ageing Ministries of Health Ministries of Economic Development and Planning Civil Society Organizations that advocate for and/or deliver SRH and GBV services SPC (Statistics for Development Division and Human Rights and Social Development Division) Academic and Research Institutions UNICEF, UNESCAP, UNW, RCO Potential indicators: Number of countries in which sexual and reproductive health indicators are routinely collected as part of the national health information system and made publicly available Number of countries that collect, map and report disaggregated data by relevant variable, on the incidence of gender-based violence and harmful practices Proportion of countries that combine population and health sector data to map geographic access to services related to sexual reproductive health and reproductive rights Proportion of countries that produce key population data outputs including sub-national population projections; routine vital statistics reports; census reports on youth, migrants, older persons, and populations living with disability; and population mega-trends, such as mobility, urbanization and climate vulnerability Proportion of countries that conduct vulnerability assessments, mapping or similar evidence gathering to mitigate the potential impact of natural disasters or humanitarian crises on the achievement of the transformative results

Thank you! UNFPA 18