G8 Muskoka Declaration: Recovery and New Beginnings, Canada, 26 June 2010

Sectors : General health and health funding, Maternal health, reproductive health and infant mortality, HIV/AIDS, Polio
Organisation : G8
Date made: 
Heads Of State
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Commitments in: Health - General health and health funding

“14. We will also focus efforts on training of medical personnel and on establishing stronger health innovation networks in Africa and other regions.”


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

“9. G8 members already contribute over US$4.1 billion annually in international development assistance for maternal, newborn and under-five child health (MNCH). Today, we, the Leaders of the G8, working with other Governments, several Foundations and other entities engaged in promoting maternal and child health internationally [1] endorse and launch the Muskoka Initiative, a comprehensive and integrated approach to accelerate progress towards MDGs 4 and 5 that will significantly reduce the number of maternal, newborn and under five child deaths in developing countries. The scope of the Muskoka Initiative is specified in Annex I. Our collective undertaking will support strengthened country-led national health systems in developing countries, in order to enable delivery on key interventions along the continuum of care, i.e., pre-pregnancy, pregnancy, childbirth, infancy and early childhood.

10. To this end, the G8 undertake to mobilize as of today $5.0 billion of additional funding for disbursement over the next five years [2]. Support from the G8 is catalytic. We make our commitments with the objective of generating a greater collective effort by bilateral and multilateral donors, developing countries and other stakeholders to accelerate progress on MDGs 4 and 5. We therefore welcome the decisions by other governments and foundations to join the Muskoka Initiative. The Governments of the Netherlands, New Zealand, Norway, Republic of Korea, Spain and Switzerland, subject to their respective budgetary processes, and the Bill and Melinda Gates and UN Foundations have now or have recently committed to additional funding of $2.3 billion to be disbursed over the same period.

11. We fully anticipate that, over the period 2010-2015, subject to our respective budgetary processes, the Muskoka Initiative will mobilize significantly greater than $10 billion.

12. As a consequence of the commitments made today towards the Muskoka Initiative, this support, according to World Health Organization and World Bank estimates, will assist developing countries to: i) prevent 1.3 million deaths of children under five years of age; ii) prevent 64,000 maternal deaths; and iii) enable access to modern methods of family planning by an additional 12 million couples. These results will be achieved cumulatively between 2010-2015. We will track progress on delivering commitments through our accountability reporting, which, in 2011, will focus on health and food security. In line with the principle of mutual accountability, we expect these joint commitments will encourage developing countries to intensify their own efforts with regard to maternal and child health, leading to the saving of many more millions of lives of women, newborn and young children.

13. It is possible to build a broad coalition of the committed. We the partners to the Muskoka Initiative trust today’s launch will give added momentum to the UN-led process to develop a Joint Action Plan to Improve the Health of Women and Children, and make a key contribution towards the September 2010 UN High-Level Plenary Meeting on the MDGs. Given the interconnected nature of the Goals, we expect that our commitments will have positive impacts on the other MDGs.”


“Annex I

The G8 Muskoka Initiative: Maternal, Newborn and Under-Five Child Health[3]

Muskoka, Canada, June 26, 2010

...8. Global Targets:

a) Between 2010 and 2015, the G8 will work with multiple partners throughout the global community with the objective of achieving the targets set in 2001 for Millennium Development Goals 4 and 5:

i) reduce by two-thirds between 1990 and 2015, the under-five mortality rate;

ii) reduce by three-quarters, also between 1990 and 2015, the maternal mortality ratio; and

iii) achieve, by 2015, universal access to reproductive health.

b) Reaching these overall targets requires a major, sustained global effort including developed, emerging and developing countries, foundations, international agencies, non-governmental organizations, the private sector, and other constituencies.

9. Indicators: We are pleased that the WHO is working with relevant partners to identify a set of core indicators to measure progress in developing countries. These efforts should aim at harmonizing indicators and reporting requirements in order to reduce the burden of reporting on developing countries. As donors, we will work within these commonly agreed indicators. We will also support country reporting capacities and health information systems.

10. Methodology and Accountability: Recognizing the importance of transparency and accountability, we will track progress on delivering commitments through our accountability reporting which, in 2011, will focus on health and food security. We have also made public the methodology used to define our baseline and commitments.”


Commitments in: Health - HIV/AIDS

“15. We reaffirm our commitment to come as close as possible to universal access to prevention, treatment, care and support with respect to HIV/AIDS. We will support country-led efforts to achieve this objective by making the third voluntary replenishment conference of the Global Fund to Fight AIDS, TB and Malaria in October 2010 a success. We encourage other national and private sector donors to provide financial support for the Global Fund. We commit to promote integration of HIV and sexual and reproductive health, rights and services within the broader context of strengthening health systems. G8 donors also remain steadfast in their support for polio eradication and remain committed to a polio-free world. We continue to support the control or elimination of high-burden Neglected Tropical Diseases (NTDs).”