EU — Council conclusions on the EU role in Global Health

3011th FOREIGN AFFAIRS Coun­cil meet­ing — Brus­sels, 10 May 2010
The Coun­cil adopt­ed the fol­low­ing con­clu­sions:
1. The Coun­cil wel­comes the Com­mis­sion Com­mu­ni­ca­tion on the EU Role in Glob­al Health which high­lights the need to take action to improve health, reduce inequal­i­ties and increase pro­tec­tion against glob­al health threats. Health is cen­tral in people’s lives, includ­ing as a human right, and a key ele­ment for equi­table and sus­tain­able growth and devel­op­ment, includ­ing pover­ty reduc­tion.

2. Eco­nom­ic and social con­di­tions are cru­cial deter­mi­nants of health. Efforts to address social exclu­sion, pow­er struc­tures that impede equi­ty, and gen­der equal­i­ty are of key impor­tance, as well as a strong focus on pol­i­cy coher­ence for devel­op­ment in par­tic­u­lar the “Equi­ty and Health in All Poli­cies” approach.

3. The Coun­cil con­sid­ers these con­clu­sions also as part of the over­all process of estab­lish­ing the EU posi­tion for the MDG High Lev­el Ple­nary Meet­ing to be held in New York, which will fur­ther define the EU response to the most off-track sit­u­a­tions. Progress towards achiev­ing the health-relat­ed MDGs has been uneven and insuf­fi­cient, par­tic­u­lar­ly for MDGs 4 and 5 and espe­cial­ly in Sub-Saha­ran Africa.

4. The EU has a cen­tral role to play in accel­er­at­ing progress on glob­al health chal­lenges, includ­ing the health MDGs and non-com­mu­ni­ca­ble dis­eases, through its com­mit­ment to pro­tect and pro­mote the right of every­one to enjoy the high­est attain­able stan­dard of phys­i­cal and men­tal health. The Coun­cil empha­sis­es the com­mon agreed EU val­ues of sol­i­dar­i­ty towards equi­table and uni­ver­sal cov­er­age of qual­i­ty health ser­vices as a basis for the EU poli­cies in this area.

5. The Coun­cil calls on the EU and its Mem­ber States to act togeth­er in all rel­e­vant inter­nal and exter­nal poli­cies and actions by pri­or­i­tiz­ing their sup­port on strength­en­ing com­pre­hen­sive health sys­tems in part­ner coun­tries, which are cen­tral to all glob­al health chal­lenges. Since part­ner coun­tries and their gov­ern­ments hold pri­ma­ry respon­si­bil­i­ty in this regard, this would require strength­en­ing their capac­i­ties to devel­op, reg­u­late, imple­ment and mon­i­tor effec­tive nation­al health poli­cies and strate­gies. This process should ensure full par­tic­i­pa­tion of the rep­re­sen­ta­tives of civ­il soci­ety and oth­er rel­e­vant stake­hold­ers, includ­ing the pri­vate sec­tor.

6. This sup­port shall ensure that the main com­po­nents of health sys­tems – health work­force, access to med­i­cines, infra­struc­ture and logis­tics, financ­ing and man­age­ment — are effec­tive enough to deliv­er uni­ver­sal cov­er­age of basic qual­i­ty care, through a holis­tic and rights based approach. In this regard, par­tic­u­lar atten­tion will be devot­ed to the four main health chal­lenges (sex­u­al and repro­duc­tive health, child health, com­mu­ni­ca­ble and non­com­mu­ni­ca­ble dis­eases) and to the mul­ti­di­men­sion­al nature of health, with close links to gen­der, food secu­ri­ty and nutri­tion, water and san­i­ta­tion, edu­ca­tion, and pover­ty.

7. The EU remains con­cerned with slow progress in MDG 5, par­tic­u­lar­ly in Sub-Saha­ran Africa. Health sys­tems should pay spe­cial atten­tion to gen­der equal­i­ty, women’s needs and rights, includ­ing com­bat­ing gen­der-based vio­lence. Recall­ing rel­e­vant inter­na­tion­al instru­ments, the Coun­cil rec­og­nizes women’s rights to have con­trol over, and decide freely and respon­si­bly on mat­ters relat­ed to their sex­u­al and repro­duc­tive health. The Coun­cil, while strong­ly reaf­firm­ing the link­age between HIV/AIDS poli­cies and pro­grammes and sex­u­al and repro­duc­tive health and rights (SRHR) poli­cies and ser­vices, under­lines that full imple­men­ta­tion of and access to these poli­cies and ser­vices as set out in the ICPD/Cairo Dec­la­ra­tion and Pro­gramme for Action, the Bei­jing Dec­la­ra­tion and Plat­form for Action and oth­er rel­e­vant inter­na­tion­al instru­ments as well as inter­na­tion­al­ly-agreed devel­op­ment goals, includ­ing the MDGs, is cru­cial for women’s rights, gen­der equal­i­ty and women’s empow­er­ment.1

—————-
1 Cf. Coun­cil Con­clu­sions of May 2007 on “Gen­der Equal­i­ty and Women’s Empow­er­ment in Devel­op­ment”, para­graph 21.

8. In order to effec­tive­ly sup­port com­pre­hen­sive health sys­tems, atten­tion must be giv­en to the mobi­liza­tion of devel­op­ing coun­tries’ domes­tic resources, in par­tic­u­lar through enhanced tax gov­er­nance and ade­quate and effi­cient nation­al bud­get allo­ca­tion to health. The EU should sup­port coun­tries to put in place fair financ­ing health schemes with­in social health pro­tec­tion mod­els and mech­a­nisms which pool resources, avoid direct pay­ments at the point of ser­vice deliv­ery, par­tic­u­lar­ly for vul­ner­a­ble groups, such as chil­dren and preg­nant women, and aim at achiev­ing uni­ver­sal and equi­table cov­er­age of essen­tial health ser­vices.

9. In line with the Paris and Accra com­mit­ments on aid effec­tive­ness, the EU and its Mem­ber States should, where cir­cum­stances per­mit, endeav­our to chan­nel two thirds of health CPA through pro­gramme based approach­es, at least 50% using coun­try sys­tems, includ­ing through bud­get sup­port. They will strive to achieve the nec­es­sary medi­um-term pre­dictabil­i­ty to enable the design and imple­men­ta­tion of nation­al health strate­gies.

10. The Coun­cil insists on the need to fore­cast and mon­i­tor the EU dis­tri­b­u­tion of direct and indi­rect (includ­ing through bud­get sup­port) health aid, in order to bet­ter sup­port coun­tries in great­est need. Using exist­ing data col­lec­tion mech­a­nisms as much as pos­si­ble, the EU will reg­u­lar­ly map planned three year sup­port in health pol­i­cy by the EU and its Mem­ber States, to accel­er­ate progress on aid effec­tive­ness com­mit­ments and on the EU divi­sion of labour.

11. The EU stress­es the impor­tance of fur­ther devel­op­ing, includ­ing through broad­er par­tic­i­pa­tion, and imple­ment­ing inno­v­a­tive mech­a­nisms for mobil­is­ing addi­tion­al resources in the health sec­tor, and of their poten­tial to con­tribute to the achieve­ment of the health MDGs, tak­ing into account the aid effec­tive­ness prin­ci­ples2.

12. The Coun­cil calls on EU Mem­ber States and the Com­mis­sion to sup­port an increased lead­er­ship of the WHO at glob­al, region­al and coun­try lev­el, in its nor­ma­tive and guid­ance func­tions address­ing glob­al health chal­lenges as well as in tech­ni­cal sup­port to health sys­tems gov­er­nance and health pol­i­cy, giv­en its glob­al man­date. Accord­ing­ly, the Coun­cil requests Mem­ber States to grad­u­al­ly move away from ear­marked WHO fund­ing towards fund­ing its gen­er­al bud­get. With­out prej­u­dice to respec­tive com­pe­ten­cies, the EU and its Mem­ber States will endeav­our to speak with a stronger and coher­ent voice at the glob­al lev­el and in dia­logue with third coun­tries and glob­al health ini­tia­tives.

—————-
2 Cf. Coun­cil Con­clu­sions of May 2009.

13. The Coun­cil acknowl­edges the Inter­na­tion­al Health Part­ner­ship (IHP+) prin­ci­ples (sup­port one nation­al health strat­e­gy, through one bud­get process and fol­low up through one mon­i­tor­ing frame­work) as the pre­ferred frame­work to apply the aid effec­tive­ness com­mit­ments to health and strength­en health sys­tems.

14. The EU also recog­nis­es results achieved so far by glob­al health ini­tia­tives and funds (notably the Glob­al fund to fight HIV/AIDS, tuber­cu­lo­sis and malar­ia and the GAVI) in the health sec­tor as well as their role in broad fund­ing mobi­liza­tion. The EU should active­ly sup­port them to enhance their focus on strength­en­ing com­pre­hen­sive health sys­tems, on meet­ing the chal­lenges of glob­al health3 through cost-effec­tive inter­ven­tions and stress­ing their com­pli­ance with aid effec­tive­ness prin­ci­ples.

15. In line with the com­mit­ments made on pol­i­cy coher­ence for devel­op­ment (PCD) and in the frame­work of the PCD Work Pro­gramme, the Coun­cil calls on the Com­mis­sion and the Mem­ber States to address the major aspects that influ­ence glob­al health in the five pri­or­i­ty areas of trade and financ­ing, migra­tion, secu­ri­ty, food secu­ri­ty and cli­mate change.

16. In this regard the EU should :

  • sup­port third coun­tries, in par­tic­u­lar LDCs, in the effec­tive imple­men­ta­tion of flex­i­bil­i­ties for the pro­tec­tion of pub­lic health pro­vid­ed for in TRIPs agree­ments, in order to pro­mote access to med­i­cines for all, and ensure that EU bilat­er­al trade agree­ments are ful­ly sup­port­ive of this objec­tive;

  • on migra­tion; encour­age progress towards com­pli­ance with the agreed com­mit­ments of the EU Strat­e­gy for Action on the Cri­sis in Human Resources for Health in Devel­op­ing Coun­tries, and con­tribute to the WHA Code of prac­tice on the inter­na­tion­al recruit­ment of health per­son­nel;

  • seek to ensure opti­mal access to health ser­vices for pop­u­la­tions in frag­ile con­texts, emer­gency and/or human­i­tar­i­an sit­u­a­tions and in peace and sta­bi­liza­tion process­es;

  • . strength­en the links between food secu­ri­ty, nutri­tion and health, with par­tic­u­lar sup­port to the most vul­ner­a­ble groups, inter alia chil­dren under five and women in preg­nan­cy and lac­tat­ing peri­od;

  • include con­sid­er­a­tion of health issues in the adap­ta­tion and mit­i­ga­tion strate­gies in devel­op­ing coun­tries in envi­ron­men­tal and cli­mate change poli­cies and actions.

17. The Coun­cil under­lines the impor­tance of build­ing EU and its Mem­ber States col­lec­tive exper­tise on glob­al health and strength­en­ing its capac­i­ty to engage in health analy­sis and pol­i­cy dia­logue with devel­op­ing coun­tries. The map­ping of exist­ing EU exper­tise should be the foun­da­tion for action in this area.

————-
3 2009 EU Coun­cil Con­clu­sions on the Progress Review of the Pro­gramme for Action on HIV/AIDS, malar­ia and tuber­cu­lo­sis through the exter­nal action (2007–2011).

18. As regards to research and evi­dence based dia­logue and action, the Coun­cil calls on the EU and its Mem­ber States to pro­mote effec­tive and fair financ­ing of research that ben­e­fits the health of all. Towards that aim the EU will ensure that inno­va­tions and inter­ven­tions pro­duce prod­ucts and ser­vices that are acces­si­ble and afford­able. This should be achieved by the EU and its Mem­ber States through:

  • work­ing towards a glob­al frame­work for research and devel­op­ment that address­es the pri­or­i­ty health needs of devel­op­ing coun­tries and pri­ori­tis­es per­ti­nent research actions to tack­le glob­al health chal­lenges in accor­dance with the WHO Glob­al Research Strat­e­gy.

  • increas­ing research capac­i­ties in pub­lic health and health sys­tems in part­ner coun­tries and strength­en­ing coop­er­a­tion between the EU and part­ner coun­tries in this respect.

  • explor­ing mod­els that dis­so­ci­ate the cost of Research and Devel­op­ment and the prices of med­i­cines in rela­tion to the Glob­al Strat­e­gy and Plan of Action on Pub­lic Health, inno­va­tion and intel­lec­tu­al prop­er­ty, includ­ing the oppor­tu­ni­ties for EU tech­nol­o­gy trans­fer to devel­op­ing coun­tries.

  • ensur­ing that EU pub­lic invest­ments in health research secure access to the knowl­edge and tools gen­er­at­ed as a glob­al pub­lic good and help gen­er­ate social­ly essen­tial med­ical prod­ucts at afford­able prices, to be used through ratio­nal use.

  • strength­en­ing and bal­anc­ing the com­plete health research process of inno­va­tion, imple­men­ta­tion, access, mon­i­tor­ing and eval­u­a­tion. Inter­na­tion­al coop­er­a­tion, com­mon plat­forms of knowl­edge shar­ing and exchange of good prac­tices are essen­tial in this field.

  • improv­ing health infor­ma­tion sys­tems of part­ner coun­tries and the col­lec­tion of qual­i­ty and com­pa­ra­ble data and sta­tis­tics to enable bench­mark­ing and inform on the impacts of glob­al and nation­al poli­cies on social deter­mi­nants in health includ­ing the adop­tion of equi­ty indi­ca­tors.

  • respect­ing the prin­ci­ple of evi­dence-based approach when set­ting nor­ma­tive action of food, feed, prod­ucts, phar­ma­ceu­ti­cals and med­ical devices, while tak­ing into account the pre­cau­tion­ary prin­ci­ple con­sid­ered on a case by case basis.

19. The EU shall pro­mote dia­logue and joint action with key glob­al play­ers and stake­hold­ers, includ­ing UN agen­cies con­cerned with glob­al health, Inter­na­tion­al Financ­ing Insti­tu­tions, region­al organ­i­sa­tions, region­al health net­works, and coun­tries, in order to iden­ti­fy syn­er­gies, coor­di­nate actions, advance in the achieve­ment of com­mit­ments, and avoid dupli­ca­tion and frag­men­ta­tion to increase effec­tive­ness.”

Source:
Coun­cil of the Euro­pean Union

Team GlobDef

Team GlobDef

Seit 2001 ist GlobalDefence.net im Internet unterwegs, um mit eigenen Analysen, interessanten Kooperationen und umfassenden Informationen für einen spannenden Überblick der Weltlage zu sorgen. GlobalDefenc.net war dabei die erste deutschsprachige Internetseite, die mit dem Schwerpunkt Sicherheitspolitik außerhalb von Hochschulen oder Instituten aufgetreten ist.

Alle Beiträge ansehen von Team GlobDef →