2nd Ordinary Session of the Conference of African Ministers of Health, Gaborone Declaration, Gaborone, Botswana, 10-14 October 2005

Sectors : General health and health funding, International trade: market access, subsidies and aid for trade, Health systems, medicines and regulation, Gender and social development, HIV/AIDS, Malaria, Other Preventable Diseases, TB, Maternal health, reproductive health and infant mortality, Polio
Organisation : AU
Date made: 
2005
Level: 
Ministerial

Commitments in: Trade - International trade: market access, subsidies and aid for trade

“4. CALL UPON our Ministers of Trade to seek a more appropriate permanent solution at the WTO that revises the TRIPS agreement and removes all constraints, including procedural requirements, relating to the export and import of generic medicines.
5. CALL UPON member states and regional economic communities to ensure that TRIPS plus provisions which go beyond TRIPS obligations are not introduced in bilateral / regional trade agreements or in economic partnership agreements.
6. UNDERTAKE to implement the revised Africa Regional Nutrition Strategy.”

Scope: 
Africa

Commitments in: Gender - Gender and social development

“10. CALL for the harmonization of gender disaggregated databases for the monitoring of progress towards the Millennium Development Goals, particularly 4, 5, and 6, on an annual basis;”

Scope: 
Africa

Commitments in: Health - General health and health funding

“WE HEREBY:
1. REAFFIRM our commitment to the development of Sustainable Access to Prevention, Treatment and Care for the Achievement of the Millennium Development Goals (MDGs) and for the realization of the ICPD Goals and Objectives;
2. COMMIT ourselves to the achievement of Universal Access to Prevention, Treatment and Care by 2015 through the development of an integrated health care delivery system based on essential health package delivery close-to client through the following:
(i) Promotion of a pro-poor health care system through strengthening of primary health care;
(ii) Scaling up of the treatment of AIDS, Tuberculosis and Malaria through proven effective drug combinations;
(iii) Distribution of free insecticide-treated bed-nets to pregnant women and all under 5 children in malaria-endemic zones and the use of indoor residual spraying where applicable;
(iv) Strengthen Health Systems to promote universal access by implementing the Abuja Recommendation of allocating at least 15% of the national budget o health;
(v) Prepare and implement costed human resources for health development plans;
(vi) Strengthen partnerships, including through the 3 ones strategy, for improving access to treatment and care with communities, local government, youth networks, civil society, Regional Economic Communities (RECs), development partners and other stakeholders.”

Scope: 
Africa

“14. URGE the International Community to honour their pledges to ensure availability of resources for sustainable access to treatment and care for the achievement of the millennium development goals and the G8 and other donor countries to fulfil their commitment for an additional US$50 billion in global aid by 2010;”

Scope: 
Africa

“15. REQUEST the African Union Commission to: (i) develop mechanisms for advocating for and sharing of best practices in the delivery of pro-poor treatment and care for the achievement of the Millennium Development Goals (MDGs); (ii) accelerate the development and facilitation of implementation of a Pharmaceutical Manufacturing Plan for Africa; (iii) come up with a Roadmap for Sustainable Universal Access to Prevention, Treatment and Care for the Achievement of the Millennium Development Goals (MDGs) within one year; (iv) report on progress made on Sustainable Universal Access to Prevention, Treatment and Care for the Achievement of the Millennium Development Goals (MDGs) at the next Ordinary Session of the Conference of African Ministers of Health and other relevant organs of the African Union.”

Scope: 
Africa

Commitments in: Health - Maternal health, reproductive health and infant mortality

“9. RESOLVE to recommit ourselves to the implementation of the ICPD Goals and Objectives by adopting the Sexual and Reproductive Health Policy Framework (SRH);”

Scope: 
Africa

Commitments in: Health - Health systems, medicines and regulation

“3. UNDERTAKE to pursue, with the support of our partners, the local production of generic medicines on the continent and to making full use of the flexibilities in the Agreement on Trade Related Aspects of Intellectual Property Rights (TRIPs) and the Doha Declaration on TRIPS and Public Health;...”

Scope: 
Africa

“7. RECOMMIT ourselves to the Bamako Initiative on access to Primary Health Care for the reduction of disease-burden in our countries and the development of functional and equitable health systems;
8. RESOLVE to recommit ourselves to the implementation of the 2001 Lusaka Decision on the African Union Decade for African Traditional Medicine (AHD/DEC.164 (XXXVII) and its plan of action;”

Scope: 
Africa

Commitments in: Health - Other Preventable Diseases

“13. MANDATE the AU Commission to alert the Heads of State of the imminent threat of an avian influenza pandemic and to seek technical guidance and assistance for member states on strengthening their integrated disease surveillance and response strategies, community education, and procurement and stockpiling of antiviral agents and vaccines.”

Scope: 
Africa

Commitments in: Health - Polio

“12. EXPRESS OUR DETERMINATION to eradicate polio and ensure that every child is protected from Polio and urge Regional Economic Communities to initiate and intensify synchronized polio vaccination campaigns;”

Scope: 
Africa

Commitments in: Health - TB

“11. ALSO CALL UPON Member States to expand DOTS with a view to achieving Universal coverage of TB treatment by 2015;”

Scope: 
Africa