Monthly Archives: September 2013

Achieving the MDGs in Africa: should we accelerate?

By Charles Abugre Akelyira

After four years of intensive engagement on the Millennium Development Goals (MDGs) across Africa, one thing is clear to me: the African elite by and large support the MDGs and wish to see them achieved. This is in spite of the shift in the public discourse from poverty reduction to ‘structural transformation’ – a vision that emphasises investment in infrastructure, value addition in agriculture, and maximising the benefits of extractives and industrialisation.

The goal is to eradicate poverty and restore the dignity of the African. African policy makers therefore do not necessarily see a contradiction between achieving the MDGs and advancing structural transformation. They realise that, as a minimum, they need their populations to be literate, healthy, properly nourished, with the potentials of both men and women fulfilled. However they do not want their development ambitions locked into the MDGs, and they seek to achieve the MDGs on their own strengths and not on the back of aid-dependency.

But is acceleration the right focus in the remaining period – now less than 900 days to 31 December 2015? What are we to accelerate? When the United Nations (led by the United Nations Development Programme) rolled out the MDGs Acceleration Framework (MAF) after the 2010 High Level Summit on the MDGs, the idea was for countries to identify the MDGs that are most off-track, and lend focused and coordinated efforts to remove the bottlenecks impeding progress. As an interventions-driven approach, MAF sought to align national policy priorities, budget allocation and aid harmonisation.

The MDGs most lagging in African countries are: income poverty, hunger/malnutrition, maternal and child health, gender inequalities, inadequate access to anti-retroviral drugs (ARVs) in HIV-ravaged areas, and the MDG 8 targets, in particular those addressing international trading and the financial systems that continue to be unfair and unstable.

As with optimal aid-delivery scenarios, interventions-driven approaches work best in simple, direct, output-oriented activities such as the supply and construction of required items – from mosquito nets to school buildings – where tangible results are visible in a short period of time. To achieve sustained benefits, healthy domestic resources must be accompanied by much bigger, less visible and longer-term changes in the economy and society. Interventions-based approaches are good for quick-fixes but less suitable for achieving those MDGs that can only result from structural and systemic changes.

Income poverty – in many ways a determinant of other MDGs – is illustrative. Countries registering the greatest progress (reducing relative poverty by at least 30% between 2000-2010 according to the World Bank) – Burkina Faso, Ethiopia, Senegal, South Africa, Swaziland, Uganda – also realised sustained GDP per-capita growth, driven largely by performance in agriculture or sustained social protection. Apart from South Africa, the others also witnessed a reduction in income inequalities. Poverty did not reduce, or did so marginally, in countries including Angola, Ghana, Morocco, Mozambique, Namibia, Nigeria, South Africa and Tanzania, where both income per capita and inequalities (measured by the ratio of incomes of the top 10% and bottom 40%) grew in tandem.

Incomes emanate from productive, properly remunerated work and social transfers. Capable economies (which by definition are structurally balanced, fairly equitable and dominated by increasing returns and value-added economic activities) generate productive work – which cannot be realised through quick fixes.

Regarding maternal mortality (MMR), the countries registering appalling progress include the Central African Republic, Chad, Eritrea, Guinea, Guinea Bissau, Malawi and Sierra Leone. Although Sierra Leone and Kenya have taken drastic measures to reduce MMR by declaring free maternal services, they have adopted a largely limited reproductive healthcare approach to the problem.

The globally preferred health-sector approach is narrow because the root causes of maternal mortality arguably lie in structural poverty (what ODI calls chronic poverty – an unfortunate choice of terminology given that, in my view, all poverty is curable) and the lack of effective freedoms for women. After all, it is largely poor and rural women who are worst affected. Health services help, but don’t cure. To ensure adequate reach and sustenance of health services (including reproductive healthcare) requires a capable economy, healthy revenues, good infrastructure and systems, and girls’ enhanced access to post-primary education etc.

It is not accidental that the countries exhibiting low maternal deaths have high Human Development Index indices: Cape Verde, the Comoros, Gabon, Mauritius, the North African countries, Seychelles, the North African countries, and South Africa. Many of them have also significantly narrowed gender inequalities. Try as we may, we cannot quick-fix maternal or child mortality or income poverty. They have to be addressed structurally. For children to survive and thrive they don’t only need mosquito nets, vaccination or medicines, they also need nutrition, education, and for their mothers to be healthy, educated and non-poor. We cannot side step under-development and structural inequalities.

I am saying that the right interventions make the most difference only when they can be broad-based and sustained, and in the African context this requires addressing structural inequalities and underdevelopment. My argument is that in the remaining time, we cannot make the desired difference through discreet interventions. Moreover, the fixation on accelerated interventions presents the risk of perpetuating wrong-headed status-quo policies, and the loss of valuable time to think and act differently, and prepare the ground for a bigger ambition: the eradication of poverty and moving out of under-development.

So what should we be concentrating on in the remaining time?

1. Supporting the steady implementation of existing national plans and actions whilst at the same time reviewing existing policies to ensure they align with the transformation agenda.

2. Engendering political consensus at the national and global levels to address systemic bottlenecks that impede development. These include economic inequalities, tax dodging, regulation of systemically important financial institutions to secure stability, reform of multilateral trading and investment rules that undermine industrialisation potentials, and global environmental governance, to mention a few.

3. Investing in the data systems necessary for accountability in the renewed/revamped agenda.

Africa cannot eradicate poverty without development. The current MDGs should not be misconstrued as Africa’s development agenda. Why lose valuable time on the status quo when we can use the time to transit into a more ambitious and appropriate development agenda?

Source

Global effort means we have the power to stop AIDS, tuberculosis and malaria

By John Lechleiter

While visiting the Fort Grey Hospital in East London, South Africa, several of my Lilly colleagues recently spoke with a brave young woman named Phumla as she was undergoing treatment for drug-resistant TB. She contracted the deadly disease from her sister, who had passed away just a few days prior. Phumla was devastated, but she refused to give up hope. “I want to be cured. I want to go home,” she said. Her resolve was deeply moving and underscored the urgency of the fight against drug-resistant TB.

 Sadly, Phumla’s story is becoming more common as new cases of deadly drug-resistant TB are reported – and not only in the developing world. Earlier this year, one of the most severe cases of drug-resistant TB in U.S. history emerged in Texas. The World Health Organization projects that as many as two million people may develop drug-resistant strains of TB worldwide by 2015 – despite everyone’s efforts to achieve the 2015 Millennium Development Goals related to TB. The fact is, every time we fail to treat TB completely – everywhere we find it – drug resistance can take hold, dramatically increasing the threat to patient health and the cost of controlling the disease.

 Neither governments nor market forces alone can solve this urgent global health problem, but working together in partnership, progress is indeed possible. Strong investments today – starting with the Global Fund to Fight AIDS, Tuberculosis and Malaria – will diminish the threat posed by drug-resistant TB, and enable us to stop the scourge of all three of these diseases.

 The Global Fund’s powerful impact

 Around the turn of the century, HIV/AIDS, TB and malaria killed more than six million people each year. Virtually no one in low- and middle-income countries had access to the life-saving antiretroviral therapies that have proven effective in treating HIV. Public health budgets for TB and malaria control were practically non-existent. The Global Fund was founded in 2002 to change all that. This public-private partnership set out to dramatically increase the resources available to control these diseases by moving them to the top of the world’s agenda.

 Few organizations have had such a tremendous impact in such a short time. To date, the Global Fund has raised and committed more than $23 billion dollars in more than 150 countries. And it has set the standard for development financing by operating in a transparent, demand-driven, and results-oriented way, with robust monitoring and evaluation.

 As of December 2012, with financing from the Global Fund:

 -9.7 million cases of TB have been detected and treated;

-4.2 million people are receiving antiretroviral therapies – nearly half of the total patients now on treatment in low- and middle-income countries; and

-310 million mosquito nets and 181 million cutting-edge anti-malarial treatments have been distributed.

These efforts have helped effectively change the trajectory of HIV/AIDS, TB and malaria, capping – and now shrinking – the total number of cases worldwide for each of the diseases.

The Global Fund just announced its fourth major fundraising effort, targeting $15 billion over the next three years to satisfy proposals and projections from Ministries of Health and technical partners in disease-burdened countries around the world. That level of funding would pave the way to covering up to 85 percent of people in need with key interventions, and save as many as 5.8 million lives through access to treatment alone. It is absolutely critical to ensure that the Global Fund is fully funded in order to prevent drug resistance from undermining the gains we’ve made against TB, and to keep us on track to get all three of these diseases under control. Taking our eye off the ball now would imperil future generations and result in significantly higher health care costs for governments around the world.

Public-Private Partnerships a key to progress

 Even with full funding, the Global Fund can’t tackle these diseases alone – and fortunately it won’t have to. A wave of public-partnerships have been launched since the UN established the Millennium Development Goals in 2000, creating specific targets for improving social and economic conditions in the world’s poorest countries by 2015. A special focus was placed on controlling HIV/AIDS, TB and malaria, and the response has been historic.

 Today, the pharmaceutical industry is engaged in 40 partnerships targeting TB – including the Lilly MDR-TB Partnership, which is focused on training healthcare professionals to identify and treat drug-resistant TB, and increasing access to quality assured second-line TB drugs. Ground-breaking open-source research initiatives like the TB Drug Accelerator Program, funded by the Gates Foundation, could soon yield more effective, faster-acting TB treatments, which we urgently need to outflank resistant strains of the disease. Another 43 public-partnerships target HIV/AIDS, and 37 more focus on malaria.

 These initiatives are fueling collaboration at all levels, from R&D to testing, treatment and prevention. Indeed, many of them are working in conjunction with the Global Fund to fight against diseases of poverty in diverse ways that create value, efficiency and results.

 Her story reminds us that pressing public health challenges demand our collective best. We must fully fund the Global Fund, find new and better treatments, and seek creative solutions through innovative public-private partnerships. Together, we can stop drug-resistant TB – and even see the end of AIDS, TB and malaria once and for all.

 Source

The Global Fund has shown what aid can achieve – let’s keep it that way

The Global Fund has shown what aid can achieve – let’s keep it that way 

Sustained funding is vital to an initiative that has saved 9 million lives and helped to put TB, malaria and HIV on the back foot

There is a widespread view that international summits are all window dressing with no real results. In my role as Nigeria’s finance minister, and during my time with the World Bank, I have attended plenty of these gatherings. I can understand the criticism, but I can also think of 9 million good reasons why we should not be too quick to write off such conferences as pointless.

At the G8 summit in Okinawa 13 years ago, the world’s largest economies agreed to a bold initiative designed to reduce the deaths and misery caused by HIV and Aids, tuberculosis and malaria. It was the first time the G8 had made a collective commitment to improve global health.

The results of this intervention – which became the Global Fund to Fight Aids, Tuberculosis and Malaria – have been remarkable. Over the past decade, the resources provided through the fund have saved an estimated 9 million lives and turned the tide against these terrible diseases in Africa and across the developing world.

New HIV infections have been cut by more than 20%. Malaria deaths in Africa, where the disease remains a huge health problem, are down by a third. Tuberculosis deaths worldwide have fallen by more than 40%.

The Global Fund’s contribution to this progress cannot be overestimated. It has provided the overwhelming majority of international funding for tackling TB, more than half of international funding for malaria, and is the second largest supporter of the global Aids effort. HIV treatment for more than 4.2 million people, TB treatment for 9.7 million people, and 310m bednets to prevent malaria have been funded.

Here in Nigeria, the Global Fund has supported the distribution of more than 45m bednets to halt the transmission of malaria and the delivery of more than 8.1m courses of artemisinin-based combination therapy to treat the disease.

Importantly, all this has been achieved in a way that has strengthened the health systems of individual countries in Africa and the developing world, while proving very cost-effective. The Global Fund has regularly and independently been ranked among the most transparent of international aid organisations.

It is a success in which the UK can take enormous pride. From the very beginning, Britain has been one of the fund’s strongest and most steadfast financial supporters. The Global Fund shows what well-targeted aid can deliver, achieving results that go beyond the altruism of helping the sick and weak, important as these human qualities are.

Reducing the burden of disease in the developing world also benefits countries elsewhere for more hard-headed reasons. Poor health is the greatest barrier to economic and social development. Helping to improve the health of citizens in less developed areas of Asia and Africa creates prosperity, in turn opening up new opportunities for business and trade.

It is for these reasons that richer countries help to fund improvements in the hard infrastructure of developing countries. Investment in improving health, however, can bring even greater rewards, as well as demonstrating compassion for our fellow human beings.

Despite great progress, there is no room for complacency. The battle against these diseases has reached a critical moment, which makes the Global Fund as important as ever.

Scientific advances combined with our growing knowledge of what works offer a golden opportunity to save millions more lives and improve health, thereby removing the greatest barrier to increased global prosperity and stability. If this opportunity is wasted, there is a real danger that the hard-won gains of the past decade will be reversed.

Diseases do not stand still. Already, drug-resistance and other challenges are threatening the progress made so far.

We know that governments will probably continue to provide the vast majority of these funds. But the Global Fund is also encouraging more businesses and foundations to contribute. Indeed, one of its greatest successes has been bringing together new partnerships between government, business and philanthropy to bolster the battle against global disease.

The Global Fund has proved one of the smartest and most effective investments in improving public health and development. Africa is healthier; countries like Nigeria are closer to the point where they will be able to fund most of their own health needs and become donors, helping others reach the same stage.

Thanks to the vision and commitment shown at Okinawa 13 years ago, TB, malaria and HIV are in retreat, and 9 millions lives have been saved. By ensuring the Global Fund has the resources to step up its work, we can lift the shadow from millions more people and move our world decisively to a healthier, more stable and prosperous future.

• Read a new report on the potential implications of inadequate investment in the Global Fund (pdf)

Source

SADC leaders discuss progress and future directions for AIDS, TB and malaria

SADC Heads of State and Government met on 18 August 2013 for a regional AIDS Watch Africa Breakfast meeting on the sidelines of the 33rd Summit of SADC Heads of State and Government in Malawi. The regional leaders reviewed  the progress made and the challenges that the region continues to engage with to address AIDS, tuberculosis and malaria. Key issues that were deliberated on include the following:

-Endorsed the WHO treatment guidelines and actively deliberated on universal access to testing and treatment for the SADC region;

-Took note of diminishing external resources and the urgent need to mobilise domestic resources.

-Committed to exploring innovative financing options such as the “pay-as-you earn” levy (modelled on the AIDS levy in Zimbabwe), airline taxes and fizzy drink levies;

-Acknowledged that while scaling up investments may appear expensive now, the costs of not investing would be higher in the future.

-Noted the need for continued global solidarity and shared responsibility and committed to rendering support in lobbying for increased funding for the Global Fund to Fight AIDS, TB and Malaria;

-Took note of the link between nutrition and AIDS and committed to ensuring food security and nutrition integration in the management of AIDS, TB and Malaria;

-Committed to lobbying the World Trade Organisation to be responsive to the needs of the region and review intellectual property rights while at the same time pushing ahead with pooled procurement (to capitalise on economies of scale) and local/regional drug production.

-Took note of the tremendous progress that the region has made in reducing mother-to-child transmission of HIV

-Agreed that eliminating transmission of HIV from mother to child and the goal of an HIV-free generation are possible.

-Committed to making every effort to ensure that the region achieves the elimination goal.

-Took note of the SADC Declaration on TB in the mining sector and the efforts being made to address TB.

-Noted with concern the lack of modern TB diagnosis equipment and the need newer drugs to address drug resistance.

Beijing Declaration of the Ministerial Forum of China-Africa Health Development

1. The Ministers in charge of health affairs in China and African countries, as well as Representatives from African Union, World Health Organization (WHO), UNAIDS, UNFPA, UNICEF, World Bank, Global Fund to Fight HIV / AIDS, TB and Malaria, and GAVI Alliance, in order to Fulfill the commitment of the Beijing Action Plan (2013-2015) All which was formulated and ADOPTED by the Fifth Ministerial Forum of the Forum on China-Africa Cooperation (FOCAC) in 2012, puts it, on the occasion of the 50th Anniversary of the China Medical Team feels to the People’s Democratic Republic of Algeria, in Beijing in August 2013 for the Ministerial Forum of China-Africa Health Development.

2. Under the theme of “Priorities of China-Africa Cooperation Health in the New Era”, We Have reconnu health as a central element of China-Africa cooperation, and Its important role in Developing China-Africa relationship and friendship in Promoting Among our peoples. We acknowledge the spirit of partnership, principal of mutual benefit and the shared values ​​of the South-South cooperation. We also Reviewed previous health cooperation betweens China and Africa, Noted rapid development in recent years, and Held discussions and reached consensus on the Priorities and ways of health cooperation.

3. We express our appreciation for the significant contributions to the people’s health made ​​by China Medical Teams in Africa over the past 50 years, for China’s support to health infrastructure development and health human resources training. All efforts thesis Have Contributed to Promote overall health development in Africa.

4. We welcome the important role of the China-Africa Cooperation Forum in Facilitating health cooperation betweens China and Africa as a critical platform for collective dialogue and have effective mechanism for practical cooperation year. We are willing to make efforts to further Top Promote focus on health development issues under the framework of the Forum and Establish a monitoring and assessment mechanism, to Enhance the role of health cooperation in the new China-Africa strategic partnership All which shoulds be based on a sense of shared responsibility and solidarity in Responding global health challenges. to

5. We acknowledge the important role of health in social development. Health is the foundation for comprehensive development of humanity, and shoulds be Placed at the center of global social development. We Recognize the importance of domestic Increasing investment in health from national budgets to Promote sustainable health development. We call for the Increase of investment from international community to Actively Support and help African countries to accomplish achieve Their health-related Millennium Development Goals (MDGs).

6. We call for the prominent positioning of health and health-related issues in the post-2015 sustainable development agenda, Including Strengthening health systems. We shall continue to supporting the achievement of health-related targets in the MDGs, fully Recognizing the heavy burden on Developing Countries Caused by communicable and non-communicable diseases, and Promote universal coverage of health services delivery. We call for an urgent care to maternal and child health, and other health DEMANDS related to the development of Africa, and of promoting reproductive health services universally available. We call for the focus of international community to the quality, accessibility and affordability of health commodities in developing countries, and joined Measures to lower prices.

7. We call for cooperation to be Mobilized and tailored to supporting African Countries’ National Plans and Priorities, and to be guided by African continental Existing strategies and frameworks Including the Africa Health Strategy (2007 – 2015), the Pharmaceutical Manufacturing Plan for Africa (PMPA) and Its Business Plan (2012), the African Union Road Map on Shared Responsibility and Global Solidarity for HIV / AIDS, TB and Malaria Response in Africa, the Campaign for Accelerated Reduction of Maternal, New Born and Child Mortality in Africa (CARMMA) Statement on the Addis African leadership for Child Survival-a Promise Renewed, to End Childhood Preventable Deaths in a Generation, and the Maputo Plan of Action on Sexual & Reproductive Health and Rights.

8. We support the Reforms Conducted by WHO to Strengthen icts role in global health governance.

9. We reaffirm That Will China and Africa continues to Strengthen cooperation in the health sector. To this end, we will:

I.Make concerted efforts to Implement health-related issues in The Beijing Action Plan (2013-2015) ADOPTED by the Fifth Ministerial Conference of the Forum on China-Africa Cooperation.

Ⅱ Develop human resources for health. . Promote communication and cooperation betweens medical institutions in China and Africa, continues to offer scholarships from China to Africa and Establish Cooperation in key clinical disciplines. Promote cooperation betweens Establish medical schools and health cooperation in education and training and Strengthen institutions for management and regulation.

Ⅲ. Promote communication and cooperation betweens academic and research institutions in China and Africa, joined Establish research laboratories and ethical conduite in the medical field, and invites young scientists from Africa to China to carry out academic research and vice versa.

Ⅳ. Support African countries’ health policies, programs and research on universal health coverage, in Achieving sustainable, long-term health solutions, Including traditional medicine and Support Strengthening of health information systems.

Ⅴ. Support the prevention and control of communicable and non-communicable diseases. Strengthen the expanded program on immunization (EPI) and the fight against vaccine preventable diseases.

VI. Discuss and carry out pilot projects attached Gradually, through international co-operation with Developing partners, in public health Including schistosomiasis and malaria prevention and control as well as on universal access to reproductive health care and universal access to HIV and TB prevention, care, treatment and Support .

Ⅶ. support health infrastructure development donating modulated Including easy-to-install General Practice clinics to Africa, Adapted to local conditions.

Ⅷ. Promote cooperation in standard setting and inspection of medical products through capacity building of human resources and use of appropriate technology and Increase access to quality health commodities.

Ⅸ. Support corporate cooperation betweens China and Africa, promotes health technology transfer to Reduce the price of health commodities Including pharmaceuticals, diagnostics, vaccines and equipment, and Increase Their affordability.

Ⅹ. Further Strengthen coordination and mutual learning in supporting Including joined global health issues.

XI.Facilitate communication and cooperation betweens non-government organisms in the health sector. Through the platform of China-Africa Cooperation Forum, we will make efforts to seal Implement the “China-Africa friendly civil partnership level” including Non-Governmental health organisms.

10. We appreciate the meticulous preparation and thoughtful arrangements for the Forum by China, and anticipate more fruitful achievements and bigger Successes health in China-Africa cooperation. Declaration of Sino-African Ministerial Forum in Beijing on Health Development

1. The ministers of health of the People’s Republic of China and African countries as well as representatives of the African Union, the World Health Organization, UNAIDS, UNFPA, UNICEF, the World Bank, the Global Fund to fight against HIV / AIDS Fund, Tuberculosis and Malaria and GAVI, met in Beijing in August 2013 to implement the Beijing Action Plan (2013-2015 ), adopted by the 5th China-Africa Cooperation Forum Ministerial in 2012, on the occasion of the fiftieth anniversary of sending the first Chinese medical team was chosen as the first destination the Democratic and Popular Republic of Algeria.

2. Under the theme “key Sino-African cooperation in health in a new era domain,” we recognized that health is key to Sino-African cooperation element, and plays an important role in the development of relations and strengthening ties friendship between the Chinese and African peoples. We recognize the spirit of partnership, the principle of common and the value of South-South cooperation interest. We reviewed the medical cooperation between China and Africa has grown rapidly in recent years, and have had discussions and have reached a consensus on the priorities and means of health cooperation.

3. We are grateful for the significant contributions made ​​in Africa by Chinese medical teams over the last fifty years to improve the health of populations. We appreciate the development of medical and health facilities, training of health professionals in China who have ensured the development of health in Africa.

4. We firmly believe that the Forum of China-Africa cooperation is an important platform and effective mechanism for dialogue between China and Africa. It plays an important role in promoting health cooperation. We are committed to make more efforts to promote health development as a forum to develop a monitoring and evaluation of actions to strengthen the role of health partnership in the new strategic relationship. Finally, we are committed to jointly address the health challenges and promote international solidarity.

5. We recognize that health plays an important role in social development. It is also the basis of integral human development. As such, it should be considered a priority for global social development. We recognize the importance of increasing domestic investment in the health of the national budget to promote sustainable health development. To do this, we invite the international community to increase its investments in the health sector to actively support African countries in achieving the Millennium Development Goals (MDGs).

6. We urge governments to give prominence to health issues in their programs beyond the year 2015, including the strengthening of the health system. We will continue to support the implementation of the health-related MDGs in the standards. We recognize that communicable diseases and chronic non-communicable diseases are a heavy burden on health in developing countries. So, will we ensure equitable universal health coverage. We ask the international community to pay special attention to maternal and child health and promote reproductive health. We urge the international community for more efforts to promote the accessibility and acceptability of pharmaceuticals in developing countries and to take measures to reduce costs.

7. We hope that the Sino-African cooperation in health is integrated into existing national strategies and planning health of African countries including African Health Planning (2007 – 2018), manufacturing planning and African Drug Action and its business plan ( 2012), shared responsibility and overall situation of African countries against HIV / AIDS, Tuberculosis and Malaria, efforts to accelerate the reduction of maternal and neonatal mortality in Africa, Addis statement for a renewed commitment to the survival and the prevention of infant mortality and Maputo Plan of Action for the Sexual and Reproductive Health and Rights.

8. We support the reforms undertaken by the World Health Organization (WHO) to strengthen its key role in health governance in the world.

9. We reaffirm that China and Africa will continue to deepen cooperation in the field of health. To do this, we will:

I. To jointly run the contents of the “Beijing Action Plan (2013-2015)” at the Fifth Ministerial Conference of the Forum on China-Africa Cooperation.

II. Develop health human resources. Promote exchange and cooperation between academic institutions and institutions of Sino-African research continue to provide scholarships to Africa and to establish cooperation programs in key clinical areas. Promote cooperation between medical schools and establish cooperation in training and education, and strengthen the institutions of management and regulation.

III. Promote exchange and cooperation, including traditional medicine, between academic and research institutions in Africa and China, create joint research laboratories and ethical conduct in the field of health and invite young African scientists to engage in research in China and vice versa.

IV. Support policies, programs and research to universal health coverage in order to achieve sustainable health and long-term development, and support the development of health information systems, especially for births and deaths.

V . Support prevention and the fight against communicable and noncommunicable diseases. Strengthen the Expanded Immunization Program and the fight against preventable diseases through vaccination.

VI. Discuss and gradually conduct pilot projects and joint through international cooperation with partners in developing public health, including the prevention and control of schistosomiasis and malaria, as well as universal access to care of reproductive health and universal access to prevention, care, treatment and support of HIV / AIDS and tuberculosis.

VII. China will provide Africa Health modular structures, adapted to African realities.

VIII. Promote cooperation between China and Africa in the field of standards and pharmaceutical control by building the capacity of human resources and the use of appropriate technologies and increase the accessibility of high quality pharmaceutical products.

IX. Support cooperation between Chinese and African enterprises, encourage the transfer of health technologies to lower price of health products, including pharmaceuticals, medicines, vaccines and equipment to increase their availability.

X. Further strengthen harmonization and bilateral support, including joint learning in the health fields.

XI. Promote exchange and cooperation between non-governmental organizations in the health sector. Both parties in the forum of Sino African cooperation will jointly practice common non-governmental draft Sino-African partnership, including cooperative projects nongovernmental health.

10. We, the Ministers and officials in charge of the health of African countries, express our gratitude to the People’s Republic of China for the excellent organization of this forum, and wish the most fruitful achievements and greater success in health cooperation Sino-African.

Source http://www.moh.gov.cn/

Civil society and experts pledge to accelerate efforts to end AIDS, TB and malaria epidemics

African civil society organisations (4-5 July 2013) and experts (8-9 July 2013) met ahead of the Special Summit of Heads of State and Government of the African Union and committed to providing sustained, well-coordinated and harmonised support for evidence-informed and rights based HIV and AIDS, TB and Malaria prevention, treatment, care and support policy and investment. They urged all stakeholders to ensure the implementation of the African Union Road Map on shared responsibility and global solidarity for AIDS, TB, and malaria response in Africa as well as strengthen accountability platforms already existing such as AIDS Watch Africa (AWA), the African Peer Review Mechanism (APRM) and African Leaders Malaria Alliance (ALMA) to facilitate monitoring and timely reporting on progress made in responding to the three diseases.

They pledged to accelerate efforts to end AIDS, TB and malaria epidemics and strive to achieve the Abuja, United Nations High Level Meeting (2011) and the MDG targets by 2015 and ensure that health is at the core of the post 2015 development agenda. Civil society and experts agreed to put prevention and treatment at the centre of the response to HIV and AIDS, TB and Malaria and other related infectious diseases, promote elimination and strengthen national prevention programs including leadership, coordination and evaluation.

The meetings noted the importance of improving the overall domestic resource base for health, by introducing innovative financing mechanisms such as health and development dedicated taxes, endowments, private sector engagement, social protection mechanisms and applying existing investment tools to improve the efficiency of health expenditure. In addition they pledged support in ensuring that various stakeholders including African governments contribute to the Global Fund replenishment efforts towards the $15 billion target.

AIDS Watch Africa (AWA) champions to intensify advocacy efforts on AIDS, tuberculosis and malaria

The AIDS Watch Africa Champions met on 16 July 2013, at the sidelines of the Abuja Special Summit on AIDS, TB and Malaria and mapped out action to accelerate advocacy, accountability and resource mobilisation efforts towards ending AIDS, TB and Malaria in Africa. The meeting of Heads of State who are the AIDS Watch Champions hosted by the President of Federal Republic of Nigeria, H.E Dr. Goodluck Ebele Jonathan adopted a schedule of initiatives to be implemented in the last 900 days before the deadline for achieving the Millennium Development Goals.

To leverage and consolidate on the work that AWA Champions are already doing at the continental level Gabon will lead efforts to champion the getting to Zero campaign in Africa- Zero new HIV infections, Zero discrimination and Zero AIDS-related deaths. Côte d’Ivoire will champion strengthened partnerships for AIDS, TB while Malawi will champion the elimination of mother to child transmission of HIV. Tunisia will champion the Pharmaceutical Manufacturing Plan for Africa to ensure access to affordable and quality assured drugs. Tanzania will champion malaria control and build on the role that the president has played in the African Leaders Malaria Alliance.

The action plan sets out clear activities for the Champions to utilise Regional Economic Communities as the fundamental pillars for the implementation of the AU Roadmap, galvanise strong linkages with various continental initiatives including the Elders, Champions for an HIV Free Generation, Organization of African First Ladies against HIV/AIDS (OAFLA), African Leaders Malaria Alliance (ALMA), Regional Health Organisations (RHOs) and support the speedy implementation of the African Medicines Regulatory Harmonization Programme (AMRH) and the Pharmaceutical Manufacturing Plan for Africa (PMPA) initiatives.

The AWA Champions are H.E Hailemariam Desalegn, Prime Minister of Ethiopia, Chairperson of the African Union and AIDS Watch Africa, H.E Armando Guebuza, President of the Republic of Mozambique, Vice-Chairperson of AIDS Watch Africa, H.E Armando Guebuza, President of the Republic of Mozambique, Vice-Chairperson of AIDS Watch Africa, H.E Alassane Ouattara, President of the Republic of Côte d’Ivoire, AWA Champion for West Africa, H.E Ali Bongo Ondimba, President of the Republic of Gabon, AWA Champion for Central Africa, H.E Jakaya Kikwete, President of the United Republic of Tanzania, AWA Champion for East Africa, H.E Joyce Banda, President the Republic of Malawi, AWA Champion for Southern Africa, H.E Moncef Marzouki, President of the Democratic Republic of Tunisia, AWA Champion for North Africa.