Foreign Policy and Global Health Initiative [fr]
Foreign Policy and Global Health (FPGH) Initiative
24 September 2019, New York
1. We, the Ministers of Foreign Affairs/International Relations and representatives of Brazil, France, Indonesia, Norway, Senegal, South Africa and Thailand, met in New York on 24 September 2019 on the margins of the General Debate of the seventy-fourth session of the United Nations General Assembly.
2. We reaffirmed our commitments to the Oslo Ministerial Declaration of 20 March 2007, the 2010 Oslo Ministerial Declaration “Three Years Later and Beyond”, and the 2017 FPGH Ministerial communiqué entitled“Renewing ten years of concerted efforts and preparing for new challenges” and noted the significant role of the initiative in promoting synergies between foreign policy and global health, by fostering bold political commitments to address global health challenges.
3. Reaffirming our commitment to fully and effectively implement the Sustainable Development goals, we commended the President of the General Assembly for convening the High-level Political Forum for Sustainable Development entitled “Accelerating the implementation of the 2030 Agenda for Sustainable Development”, and looked forward to adopting the resulting political declaration. We also commended the United Nations Secretary-General for his initiative and for convening the Climate Action Summit, which also addresses the impacts of the environmental risks on health.
4. Mindful that health is a precondition for and an outcome and indicator of all three dimensions of sustainable development, we are particularly committed to achieve the health-related SDGs, notably to achieve Universal Health Coverage (UHC) by 2030. We commended the President of the General Assembly for convening a high-level meeting on universal health coverage, as requested by the 2017 Global health and foreign policy resolution “addressing the health of the most vulnerable for an inclusive society”.
5. We reaffirmed that it is the primary responsibility of Member States to accelerate progress to achieve UHC, as stated in GA resolution 72/139 of 12 December 2017 entitled “Global health and foreign policy: addressing the health of the most vulnerable for an inclusive society”, we commended the UN Member states for endorsing the Political Declaration on UHC
6. We are committed to implement the Political Declaration on UHC and to meet the health needs of people and communities by providing equitable access to a comprehensive range of services and care, including universal access to sexual and reproductive health-care services that are people-centered, gender-sensitive, high-quality, safe, integrated, accessible, available and affordable and that contribute to the health and well-being of all.
7. We recognized that strengthening health systems, in order to achieve UHC and all health related SDGs would only be possible by building multi-stakeholder partnerships and by empowering and promoting the respective roles of all stakeholders including individuals, patients, health systems users, patient associations, civil society, communities, States, international organizations and the private sector. Recognizing this prerequisite to the achievement of UHC, we welcomed and promoted FPGH theme for 2019: “An inclusive approach to health system strengthening”.
8. We recalled our commitment to the Astana Declaration, supporting the empowerment of individuals and communities and promoting the alignment of stakeholder support to national policies, strategies and plans (as reflected in Chapters VI and VII of the Astana Declaration) and we stressed the need for all stakeholders to work together in a spirit of partnership, all of which require capacity building, innovative research and development, training and professionalizing health actors, as well as securing necessary resources to build and strengthen health systems as a whole.
9. We encouraged national multi-stakeholder participation and collaboration at all levels in the elaboration, implementation and monitoring of policies and plans that have an impact on health, including by fostering and enabling environment for their development and involvement.
10. We noted that multi-stakeholder participation and in particular communities’ empowerment has shown great results in the global fight against HIV/aids, tuberculosis and malaria. In this regard,we recalled the Political declaration endorsed at United Nations High-level meeting on the Fight against tuberculosis on 26 September 2018, and welcomed the resolution entitled “Consolidating gains and accelerating efforts to control and eliminate malaria in developing countries, particularly in Africa, by 2030” adopted at the 73th session of the UN General Assembly.
11. We also recognized the need to strengthen our efforts to address communicable diseases, including HIV/AIDS, tuberculosis and malaria as well as non-communicable diseases and mental health, and to strengthen our efforts to decrease antimicrobial resistance as part of universal health coverage and to ensure that the fragile gains are sustained and expanded by advancing comprehensive approaches and integrated service delivery and ensuring that no one is left behind. We therefore looked forward to the success of the 6th replenishment conference of the Global fund to fight aids, tuberculosis and malaria, to be held on 10 October 2019 in Lyon (France), which would contribute to saving 16 million lives and strengthen health systems.
12. We acknowledged that strengthening national health systems, at all levels, will improve global health security. We expressed our concern with the recent outbreak of the Ebola virus in the Democratic Republic of Congo which was declared a Public Health Emergency of International Concern by the World Health Organization (WHO). We called for reinforced coordination and involvement of civil society and communities in the response to contain the disease. We also called for the full implementation of the International Health Regulations (IHR, 2005), to increase national capacities for preventing, protecting against, detecting, controlling and providing a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks and responding to possible cases,.
13. In a broader perspective, we stressed that the most effective response to global health challenges rests with a strong cooperation and partnership at national, regional and international levels between all relevant stakeholders, including civil society and non-health actors, and that strong commitments and coherent efforts are needed to achieve all related national and international health goals.
14. We reaffirmed our commitment to continue working together, through the FPGH Initiative to create political momentum on global health challenges and to achieve concrete results for the advancement of global health agenda in the broader United Nations framework and beyond, in particular by maintaining and maximizing the benefit of the "Foreign Policy and Global Health (FPGH)" item on the annual agenda of the United Nations General Assembly.
15. We expressed our appreciation to France for their efforts during their Chairmanship in 2019, and warmly welcomed Indonesia’s role as the Initiative’s Chair in 2020.