UN Summit: Millennium Development Goals High Level Plenary Meeting of the General Assembly 65th Session: outcome document, New York, 17 September 2010

Sectors : General health and health funding, Health systems, medicines and regulation, HIV/AIDS, Maternal health, reproductive health and infant mortality, Water and Sanitation, Other Preventable Diseases, Political governance, Education capacity, Women's rights, Health and technology, Malaria, Gender and social development, TB, Social protection
Organisation : UN
Date made: 
2010
Level: 
Heads Of State
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Commitments in: Health - General health and health funding

 “73. We commit ourselves to accelerating progress in promoting global public health for all, including through:

(a) Realizing the values and principles of primary health care, including equity, solidarity, social justice, universal access to services, multisectoral action, transparency, accountability, community participation and empowerment, as the basis for strengthening health systems, and recall in this regard the Declaration of Alma-Ata;”

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

 ...(j) Increasing efforts to achieve universal access to HIV prevention, treatment, care and support, strengthening the fight against malaria, tuberculosis and other diseases, including through providing adequate funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria and through United Nations agencies, funds and programmes and other multilateral and bilateral channels, strengthening innovative financing mechanisms, as appropriate, and contributing to the long-term sustainability of the response.”

 
Scope: 
International

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

 “44. We commit to redoubling our efforts to reduce maternal and child mortality and improve the health of women and children, including through strengthened national health systems, efforts to combat HIV/AIDS, improved nutrition, and access to safe drinking water and basic sanitation, making use of enhanced global partnerships.”

Scope: 
International

 “74. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 4, including through:

a)Scaling up efforts to achieve integrated management of childhood illnesses, particularly actions to address and prevent the main causes of child mortality, including newborn and infant mortality, these being, inter alia, pneumonia, diarrhoea, malaria and malnutrition, which can be achieved by developing, implementing and evaluating appropriate national strategies, policies and programmes for child survival, preventive pre-natal, para-natal and post-natal measures, vaccinations and immunization and by working to ensure that medicines, medical products and technologies are affordable and available.” 

 
Scope: 
International

 “74. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 4, including through:

... (b) Sustaining and scaling up successful prevention and vaccination programmes as one of the most efficient ways to reduce child mortality, including the measles, polio, tuberculosis and tetanus campaigns, by ensuring sufficient funding, political commitment and conscientious implementation of control activities, especially in priority countries;”

 
Scope: 
International

 “75. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 5, including through:

(a) Taking steps to realize the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, including sexual and reproductive health;

(b) Addressing reproductive, maternal and child health, including newborn health, in a comprehensive manner, inter alia, through the provision of family planning, prenatal care, skilled attendance at birth, emergency obstetric and newborn care and methods for the prevention and treatment of sexually transmitted diseases and infections, such as HIV, within strengthened health systems that provide accessible and affordable integrated health-care services and include community-based preventive and clinical care;

(c) Building on effective, multisectoral and integrated approaches, we emphasize the need for the provision of universal access to reproductive health by 2015, including integrating family planning, sexual health and health-care services in national strategies and programmes;

(d) Taking action at all levels to address the interlinked root causes of maternal mortality and morbidity, such as poverty, malnutrition, harmful practices, lack of accessible and appropriate health-care services, information and education and gender inequality, and paying particular attention to eliminating all forms of violence against women and girls;

(e) Ensuring that all women, men and young people have information about, access to and choice of the widest possible range of safe, effective, affordable and acceptable methods of family planning;

(f) Expanding the provision of comprehensive obstetric care and strengthening the role of skilled health-care providers, including midwives and nurses, through their training and retention in order to fully utilize their potential as trusted providers of maternal health-care services, as well as expanding family planning within local communities and expanding and upgrading formal and informal training in sexual and reproductive health care and family planning for all health-care providers, health educators and managers, including training in interpersonal communications and counselling.”

 
Scope: 
International

Commitments in: Health - Health systems, medicines and regulation

 “73. We commit ourselves to accelerating progress in promoting global public health for all, including through:

...(b) Strengthening the capacity of national health systems to deliver equitable and quality health-care services and promoting the widest possible access to health-care services at the point of use, especially to those in vulnerable situations, through public policies that remove barriers to access and use of health-care services, complemented by the support of international programmes, measures and policies that align with national priorities;

(c) Providing and strengthening comprehensive and affordable community-based primary health-care services so as to ensure a continuum from health promotion and disease prevention through to care and rehabilitation, while paying particular attention to poor people and populations, especially in rural and remote areas, with a view to extending health protection to all those in need;

...(e) Realizing the international commitment to supporting national efforts in strengthening health systems that deliver equitable health outcomes as a basis for a comprehensive approach that includes health financing, the training and retention of the health workforce, procurement and distribution of medicines and vaccines, infrastructure, information systems and service delivery;”

 
Scope: 
International

 “73. We commit ourselves to accelerating progress in promoting global public health for all, including through:

...(d) Improving the quality and effectiveness of health-care services delivery by providing integrated health-care services through coordinated approaches at the country level, the increased use of common platforms and the integration of relevant services of other sectors, including water and sanitation;

...(f) Strengthening basic infrastructure, human and technical resources and the provision of health facilities so as to improve health systems and ensure the accessibility, affordability and quality, especially in rural and remote areas, of health-care services, as well as sustainable access to safe drinking water and basic sanitation, bearing in mind the commitment to halving, by 2015, the proportion of the population without sustainable access to safe drinking water and basic sanitation as a means of fighting waterborne diseases;”

 
Scope: 
International

 “73. We commit ourselves to accelerating progress in promoting global public health for all, including through:

 ...(h) Improving national health governance, including through the participation of civil society, the private sector and other relevant stakeholders, as well as strengthening international support, as appropriate, in order to ensure that national health systems are sustainable, well prepared and capable of responding to challenges, including crises and pandemics;”

 
Scope: 
International

 “73. We commit ourselves to accelerating progress in promoting global public health for all, including through:

 ...(i) Developing appropriate policies and actions to promote health education and literacy, including among young people, in order to address the lack of awareness about health and, in some cases, harmful practices which significantly inhibit women’s and children’s access to health-care services, and to ensure respect for human rights, promote gender equality and the empowerment of women as essential means of addressing the health of women and girls, and to address the stigmatization of people living with and affected by HIV and AIDS;”

 
Scope: 
International

 “73. We commit ourselves to accelerating progress in promoting global public health for all, including through:

...(k) Strengthening the effectiveness of health systems and proven interventions to address evolving health challenges, including the increased incidence of non-communicable diseases, road traffic injuries and fatalities and environmental and occupational health hazards;”

 
Scope: 
International

 “73. We commit ourselves to accelerating progress in promoting global public health for all, including through:

... (m) Further strengthening international cooperation, inter alia, through exchange of best practices in strengthening health systems, improving access to medicines, encouraging the development of technology and the transfer of technology on mutually agreed terms, the production of affordable, safe, effective and good quality medicines, fostering the production of innovative medicines, generics, vaccines and other health commodities, the training and retaining of health personnel and work to ensure that international cooperation and assistance, in particular external funding, become more predictable, better harmonized and better aligned with national priorities for capacity-building and channelled to recipient countries in ways that strengthen national health systems;

...(n) Further promoting research and development, knowledge-sharing and the provision and use of ICT for health, including through facilitating affordable access by all countries, especially developing countries;

(o) Enhancing public-private partnerships for health-care service delivery, encouraging the development of new and affordable technologies and their innovative application and developing new and affordable vaccines and medicines needed, in particular, in developing countries;”

 
Scope: 
International

 “74. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 4, including through:

... (f) Scaling up efforts, including awareness raising, to address the critical impact of increasing access to safe drinking water, sanitation coverage and hygienic care, including hand washing with soap, on reducing the death rate among children as a result of diarrhoeal diseases;”

 
Scope: 
International

Commitments in: Health - Other Preventable Diseases

 “74. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 4, including through:

... (e) Stepping up the fight against pneumonia and diarrhoea through the greater use of proven highly effective preventive and treatment measures, as well as new tools, such as new vaccines, which are affordable even in the poorest countries;”

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

 ...(h) Renewing efforts to prevent and treat neglected tropical diseases, prevention and treatment services for malaria and tuberculosis, including by improving national health information systems, strengthening international cooperation, accelerating further research and development, developing innovative vaccines and medicines and adopting comprehensive prevention strategies;

(i) Undertaking concerted action and a coordinated response at the national, regional and global levels in order to adequately address the developmental and other challenges posed by non-communicable diseases, namely cardiovascular diseases, cancers, chronic respiratory diseases and diabetes, working towards a successful high-level meeting of the General Assembly in 2011;”

 
Scope: 
International

Commitments in: Health - Malaria

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

...(g) Sustaining national efforts and programmes, with the support of the international community, to address the challenges posed by malaria by strengthening effective prevention, diagnosis and treatment strategies, including through ensuring the accessibility to and availability of affordable, quality and effective medicines and generics, including artemisinin combination therapy, as well as progress in the use of long-lasting, safe insecticide-treated bed nets to combat malaria and ongoing research for the prompt development of malaria vaccines;”

 
Scope: 
International

Commitments in: Health - HIV/AIDS

 “74. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 4, including through:

....(g) Working to ensure that the next generation is born HIV-free by providing, on an urgent basis, extended and sustainable coverage and improved quality of services to prevent mother-to-child transmission as well as increasing access to paediatric HIV treatment services.”

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

(a) Redoubling efforts to achieve universal access to HIV/AIDS prevention, treatment, care and support services as an essential step in achieving Millennium Development Goal 6 and as a contribution to reaching the other Millennium Development Goals;”

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

 ...(b) Significantly intensifying prevention efforts and increasing access to treatment by scaling up strategically aligned programmes aimed at reducing the vulnerability of persons more likely to be infected with HIV, combining biomedical, behavioural and social and structural interventions and through the empowerment of women and adolescent girls so as to increase their capacity to protect themselves from the risk of HIV infection and the promotion and protection of all human rights.” 

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

...(c) Dealing with HIV/AIDS from a developmental perspective, which requires a national network of sound and workable institutions and multisectoral prevention, treatment, care and support strategies, addressing the stigmatization of and discrimination against people living with HIV and promoting their social integration, rehabilitation and greater involvement in HIV response, as well as strengthening national efforts at HIV/AIDS prevention, treatment, care and support and strengthening efforts to eliminate the mother-to-child transmission of HIV;”

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

...(d) Building new strategic partnerships to strengthen and leverage the linkages between HIV and other health- and development-related initiatives, expanding, to the greatest extent possible and with the support of international cooperation and partnerships, national capacity to deliver comprehensive

HIV/AIDS programmes, as well as new and more effective antiretroviral treatments, in ways that strengthen existing national health and social systems, including using HIV platforms as a foundation for the expansion of service delivery. In this regard, expediting action to integrate HIV information and services into programmes for primary health care, sexual and reproductive health, including voluntary family planning and mother and child health, treatment for tuberculosis, hepatitis C and sexually transmitted infections and care for children affected, orphaned or made vulnerable by HIV/AIDS, as well as nutrition and formal and informal education;”

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

 ...(e) Planning for long-term sustainability, including addressing the expected increase in demand for second and third line drug regimens to treat HIV, malaria and tuberculosis;”

 
Scope: 
International

 “76. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 6, including through:

 ...(f) Strengthening support to affected countries in order to respond to HIV co infection with tuberculosis, as well as multi-drug resistant and extensively drug resistant tuberculosis, including through earlier detection of all forms of tuberculosis;”

 
Scope: 
International

Commitments in: Private Sector development and financial services for the poor - Social protection

 “70. We commit ourselves to accelerating progress in order to achieve Millennium Development Goal 1, including through:

...(g) Promoting comprehensive systems of social protection that provide universal access to essential social services, consistent with national priorities and circumstances, by establishing a minimum level of social security and health care for all;”

 
Scope: 
International