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Selected provisions from the Draft Ministerial Declaration

3 July 2009
2:00 a.m.

Paragraph 9: We emphasize the importance of the promotion and protection of all human rights for all and their important interrelation with global public health, development, poverty eradication, education, gender equality and empowerment of women AGREED

9bis While noting some progress made in the past decade in advancing global health, we express concern at the lack of overall progress in improving global health, with across the board inequities persisting among and within countries. In particular, we are deeply concerned that maternal health remains one of the largest inequities in the world and by the slow progress in achieving MDGs 4 and 5 on improving maternal and child health. In this context, we call on all states to renew their commitment to prevent and eliminate maternal and child mortality and morbidity, at all levels, which is occurring globally at an unacceptably high rate. We call for health system strengthening as a key component of an integrated approach to achieving rapid and substantial reduction in maternal morbidity and mortality, including through: AGREED

  1. Increased political will, commitment and engagement at national level supported by international cooperation and assistance to ensure accessibility, availability, acceptability and affordability of health care services, skilled health workers, facilities, infrastructure and nutritional support for all women and children, with special attention for Sub-Saharan Africa; AGREED
  2. Achieving universal access to reproductive health by 2015, through increased political leadership at all levels, allocation of domestic and donor resources and emerging innovative financing and by strengthening basic infrastructure, and specific health interventions, including voluntary family planning, emergency obstetric care and skilled birth attendance; AGREED
  3. Scaling up efforts for integrated management and care of child health, including actions to address the main causes of [child and newborn deaths / child mortality, including infant mortality / death in childhood) (amended G77)] inter alia, pneumonia, diarhhoea, malaria and malnutrition and by developing and/or implementing appropriate national strategies, policies and programmes for child survival, including prevention measures, vaccinations, medicine, improved nutrition, drinking water and sanitation;
  4. Integrating HIV/AIDS interventions into programmes for primary health care, sexual and reproductive health, and mother and child health, including strengthening efforst to eliminate the mother-to-child transmission of HIV. AGREED

Paragraph 10: alt We stress the importance of addressing stereotypes and eliminating all harmful traditional and customary practices which constrain the achievement of gender equality and empowerment of women, including concerted efforts to counteract violence against women and girls, which constitutes a severe threat to physical and mental health. We further stress the importance of integrating women in the decision-making process and development of gender-sensitive multisectoral health policies and programmes in order to address their needs. (facilitator)

G77 restructuring proposal

xxx. We also recognize that non-communicable diseases are emerging as a heavy burden on society with serious social and economic consequences and the need to respond to cardiovascular diseases, cancers, diabetes and chronic respiratory diseases which represent a leading threat to human health and development. In this regard, we:

  1. Call for urgent action to implement the WHO Global Strategy for the Prevention and Control of NCDs and its related action plan; AGREED
  2. Recognize that diabetes is a chronic, debilitating and costly disease associated with severe complications; AGREED
  3. Stress the need to scale up care for mental health conditions, including prevention, treatment and rehabilitation; AGREED
  4. Reaffirm the importance of the Framework Convention on Tobacco Control within the global public health and call upon States Parties to the Convention to fully implement it. AGREED
  5. We recognize the scope of injuries caused by road traffic crashes and draw the attention to the need to improve and implement legislation to prevent such accidents. We call on the implementation of existing UN GA Resolutions and acknowledge the initiatives taken in this regard. (facilitator)

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