Abuja Call for Accelerated Action Towards Universal Access to HIV/Aids, Tuberculosis and Malaria Services in Africa, Abuja, Nigeria, 2-4 May 2006

Sectors : Domestic resource mobilisation, HIV/AIDS, Malaria, Quality of aid, TB, International partnerships and support for Pan-African institutions, Regional cooperation and integration, Economic governance and public finance management, Institutional development, Human Rights, Women's rights, Agricultural investment and production, General health and health funding, Health systems, medicines and regulation
Organisation : AU
Date made: 
2006
Level: 
Heads Of State

Commitments in: Financing for Development - Domestic resource mobilisation

“To mobilize local resources for sustainable and predictable financing, including the implementation of the Abuja Declaration Call for 15% of the National Budget to health and strengthen our collaboration with national and international partners to mobilize adequate financial resources to fight the epidemics; and ensure that financial resources mobilized to fight all the three epidemics can actually be spent by the removal of the mediumterm expenditure ceilings on public spending imposed on African countries by the International Financing Institutions; To negotiate for debt cancellation and the availability of grants at national and regional levels that would specifically be targeted at financing prevention, treatment, care and support of the three diseases; To undertake collective advocacy with multi-lateral and bilateral donors to end all conditionalities except normal fiduciary requirements;”

Scope: 
Africa

Commitments in: Financing for Development - Quality of aid

“19. Recognizing and commending the lead role played by the Federal Government of Nigeria for the Abuja 2000, 2001 and 2006 commitments; We mandate H.E President Olusegun Obasanjo, Head of State of the Federal Republic of Nigeria to report the outcome of this Special Summit on HIV and AIDS, TB and Malaria to the next Ordinary AU Assembly, and to continue to lead in the follow up on implementation of the Abuja Call ... Finally, We request consultative reviews at two years (2008) and five years (2010) on the status of implementation of the 2006 Abuja Call for Accelerated Action Towards Universal Access to HIV and AIDS, Tuberculosis and Malaria Services by 2010; and of the MDGs.”

Scope: 
Africa

Commitments in: Development partnerships - International partnerships and support for Pan-African institutions

“ We solemnly call upon: Development partners to continue to work closely with Member Sates, the AU Commission and the RECs to ensure long term, predictable financing commensurate with the burden of these diseases and to provide financial and technical support to our efforts in a coordinated, efficient and country and AU led manner; The UN Agencies and other Development Partners to provide technical, material and financial support and to facilitate follow up on the implementation of this Call; The Development partners to mobilize additional and adequate resources on long-term basis for the fight against HIV and AIDS, Tuberculosis and Malaria; The international community to reaffirm its commitment to strengthening the partnership with Africa for the fight against HIV and AIDS, Tuberculosis and malaria, other major causes of morbidity and mortality.”

Scope: 
Africa

Commitments in: Development partnerships - Regional cooperation and integration

“To further develop and support comprehensive frameworks and mechanisms of well-coordinated partnerships, particularly public, private, civil society, regional and international including donors, to promote universal access to prevention, treatment, care and support for HIV and AIDS, TB and Malaria;”

Scope: 
Africa

Commitments in: Governance - Economic governance and public finance management

“To strengthen in collaboration with all relevant stakeholders particularly Civil Society partners affected by the three diseases, planning, monitoring and evaluation and generation of information for quality, sustainability and accountability of programmes, and for advocacy; To ensure networking and sharing of best practices and submit progress reports regularly to appropriate Organs of the AU; To undertake to strengthen implementation of NEPAD Health Strategy to fight poverty and under development ... We request Ministries of Health, National AIDS Councils or equivalent and Ministries of Finance and Economic Planning to coordinate the realization of a multi-sectoral and integrated approach to disease control, in collaboration with other Sectors, including the involvement of the community in the planning and implementation ... Finally, We commit ourselves to the implementation of the recommendations and action points enshrined in the in “Brazzaville Commitment on Scaling up Universal Access to HIV and AIDS Prevention, Treatment, Care and Support”; and to extend these to TB, Malaria and other prevailing diseases ... Recognizing and commending the progress made by Member States, the efforts and achievements of the Civil Society and Private Sector; We call upon the respective national, regional, continental and international partners including NGOs, and civil society, (including, youth, women, people with disability, religious organizations, trade unions, employers organizations, traditional health practitioners, traditional rulers, people living with HIV and AIDS and other Groups) to: Intensify their efforts more than ever before for the fight against HIV and AIDS, Tuberculosis and malaria; In this connection, they should develop and implement wellcoordinated and harmonized frameworks which will provide concrete results; Support the mobilization of additional resources for prevention, care and support and treatment related activities; Facilitate through enhancing their monitoring role, the operationalization of commitments at all levels.”

Scope: 
Africa

“14. We call upon Regional Economic Communities (RECs) and other Regional Groupings to: Intensify the implementation of inter-country and cross-border health initiatives; Coordinate inter country efforts and provide support to Member States; Mobilize resources for HIV and AIDS, Tuberculosis and Malaria programmes in their respective regions; Report back to us through the AU Commission on the progress made in the implementation of this Call; accelerate the prevention and control of malaria, learning from best practices on the continent with the aim of eliminating malaria in Africa using all available control strategies including indoor residual spraying, use of insecticide treated nets, ACT combination therapy and intermittent preventive therapy”

Scope: 
Africa

Commitments in: Governance - Human Rights

“To continue promoting an enabling policy, legal and social environment that promotes human rights particularly for women, youth and children and ensure the protection of people infected and affected by HIV and AIDS, TB and Malaria and to reduce vulnerability and marginalization including conflict-affected and displaced persons, refugees and returnees; Adapting national legislation to take cognizance of HIV and AIDS and TB issues specifically discrimination and stigmatization and encourage Member States to ratify relevant International Conventions such as the Convention on Discrimination and Employment; To enact or repeal laws and policies related to gender and human rights in order to align them with AU frameworks including the Solemn Declaration on Gender Equality in Africa and the AU Protocol on Women.”

Scope: 
Africa

Commitments in: Agriculture - Agricultural investment and production

“To ensure the integration of HIV and AIDS, TB and Malaria programmes into Poverty Reduction Strategies and Programmes and country programmes; and thus ensure access to adequate nutrition and food security by pursuing the realization of an integrated African food production, storage and distribution plan and other social protection measures including adequate social security schemes to address sustainability of treatment as well as treatment, care and support; ensuring community involvement and participation.”

Scope: 
Africa

Commitments in: Health - General health and health funding

“We reaffirm the commitments contained in the 2000 and 2001 Abuja Declaration and Plans of Action, the MDGs and subsequent commitments ... we resolve to intensify the fight against HIV and AIDS, TB and malaria and to achieve the targets adopted by the Summit and other internationally agreed goals on health ... We therefore, individually and collectively rededicate ourselves and our countries to the following: To intensify our practical leadership role at national, regional, and continental levels to mobilize society as a whole to fight HIV and AIDS, TB, and Malaria more effectively;”

Scope: 
Africa

“To invest heavily in evidence-based prevention as the most cost-effective intervention with focus on young people, women, girls and other vulnerable groups; To ensure access to a comprehensive package of prevention interventions for the prevention of primary and secondary infections with HIV and AIDS, and sexually transmitted infections (STIs) (including post-exposure prophylaxis following sexual violence), TB and malaria, reduction of vulnerability to HIV and AIDS, TB and malaria; To ensure the promotion and integration of access to prevention treatment, care and support in primary health care services, and in education institutions; To improve information, education and communication; To disseminate, correct, reader-friendly information on prevention, treatment, care and support on HIV and AIDS, malaria and tuberculosis; To ensure universal access to male and female condoms for all sexually active persons; To integrate HIV and AIDS issues into ongoing immunization programmes and sexual and reproductive health programmes, and conversely sexually and reproductive health issues into HIV and AIDS programmes; Awaken traditional values on abstinence but continually increase condom use.”

Scope: 
Africa

Commitments in: Health - Health systems, medicines and regulation

“To strengthen health systems and building on existing structures (infrastructure, human resource, financing, supplies etc.) for scaling up and accelerating Universal Access to prevention, treatment, care and support for HIV and AIDS, TB and Malaria; To strengthen data management and surveillance; To meet WHO standards for doctors and nurses”

Scope: 
Africa

“To enact and utilize appropriate legislation and international trade regulations and flexibilities, to ensure the availability of medicines and commodities at affordable prices as well as technologies for the treatment, care and prevention of HIV and AIDS, TB and malaria including vaccines, medicines and Anti-retrovirus Therapy (ART); To promote regional bulk purchase and local production of generic medicines and other commodities; Support work on regional local production of generic ARV drugs ... To promote and support research and development of microbicides, vaccines, diagnostics and treatment for HIV and AIDS, TB and malaria, including traditional medicine; Monitoring of drug resistance in the treatment of HIV and AIDS, Tuberculosis and Malaria; Demographic and Health Surveys every five years; Research ethics including for HIV and AIDS; Conduct regular incidence surveys on HIV ... Enhance and support implementation of comprehensive strategic programmes at country and regional levels against HIV and AIDS, TB and malaria; Prevention of multi-drug resistant TB; Accelerate Malaria control programmes with a goal to eliminate malariausing all effective strategies such as indoor residual spraying, insecticide treated bed nets, Artemisenin Combination Therapy (ACTs) and Intermittent Presumptive Therapy (IPT); Implement the Three-Ones (one executing authority, one Plan of Action and one Monitoring and Evaluation Plan (for HIV and AIDS, Tuberculosis and Malaria).”

Scope: 
Africa

Commitments in: Health - HIV/AIDS

“...We take regional level actions and cooperation as vital to the fight against the HIV and AIDS epidemic in the continent. Accordingly, Regional Economic Communities (RECs) have integrated health and social issues in their development programmes. Some RECs are implementing HIV and AIDS strategies. With the coordination of RECs, cross border cooperation and delivery of services is enhanced.”

Scope: 
Africa