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This report presents the current status and progress of MPDSR policy, resources and functionality in ESA from 2016 to 2021. Policies and guidelines required to set up MPDSR systems are now in place in most countries, and more governments are contributing resources for implementing MPDSR. Improvements to the functionality of MPDSR was demonstrated through the establishment and management of the national and subnational MPDSR committees, and improved reporting and notification of deaths, as well as analysis and feedback loops. Countries identified consistent barriers inhibiting MPDSR implementation at all levels, notably challenges of human and material resources, lack of feedback mechanisms and a lack of a system of accountability. The impact of the COVID-19 pandemic on MPDSR implementation since 2020 was reported with countries identifying both challenges and innovative approaches to continue implementation. The monitoring of MPDSR implementation through the UNFPA programme indicator shows most countries in ESA have policies and systems in place, yet follow up and regular reporting continues to be a challenge.

Sustainable Development Goals:
/content/books/9789210026192c009
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