ACCOUNTABLE INSTITUTIONS: 40 governments and global actors make policy, legal, system or public investment (towards 5% of GDP) changes to meet children's right to health and nutrition

We will continue to prioritise the following areas that require sustained attention and have become even more important due to the pandemic, climate change and conflict:

• Equitable health and nutrition systems and universal health coverage: Strengthening resilient and equitable health and nutrition systems and access to high-quality essential services; prioritising primary healthcare and community systems, with a focus on health system gaps and services that must be strengthened and/or integrated into national health systems (eg, nutrition); and tackling financial and non-financial barriers to accessing services.

• Sufficient and sustainable financing to deliver health and nutrition for all: Increased public investment in health and nutrition (traditional and innovative approaches); budget advocacy; removal of user fees; and bilateral and multilateral aid and support.

• Improved health and nutrition within humanitarian contexts: Improved access to priority interventions essential in these settings and for excluded groups, including donor support with long-term financing for health system strengthening, flexible funding and action to treat and prevent acute malnutrition.

• Stronger accountability, civic space and child participation: Ensuring governments, multilaterals and the private sector are held accountable for commitments and obligations, leveraging mechanisms at all levels; advocating for safe spaces for civil society; and supporting and empowering civil society organisations, communities and, in particular, children and youth, to meaningfully engage in health and nutrition governance, decision-making and monitoring.

We will increase our work in the following areas which are important to delivering on the above priorities:

• Equity, gender equality and social and political determinants of health and nutrition: Prioritising equity and the most deprived and marginalised children and their communities; calling for action to address these underlying determinants; and focusing on gender equality and improving the health and nutrition of women and girls – especially adolescents.

• Private-sector engagement and influencing, including to tackle commercial determinants of health and nutrition: Increasing efforts to ensure the private sector becomes a real force for social progress and accountable for contributing to the Sustainable Development Goals, including by engaging our corporate partners.

• Vulnerabilities and impacts of climate change on the health and nutrition of poor and vulnerable communities: Ensuring the impacts of climate change on children’s health and nutrition are understood and acted upon.

• Addressing determinants of malnutrition and food insecurity holistically: Prioritising efforts to protect and support food security, famine prevention, livelihoods and access to nutritious food in an integrated way.

• Integration of health, nutrition and other sectors: Linking our health and nutrition advocacy with other priority areas, including safe water, sanitation and hygiene; social protection; education; and child protection.