Kochi
Declaration on Accelerating Essential
Health Commodity Security through South-South
Collaboration
14 June 2001, India
| Essential
Health Commodities
- satisfy
the priority health needs
of a significant proportion
of the population,
- are
safe, effective and of high
quality, supported by valid,
scientific evidence
|
We,
the Partners in Population and Development
(PPD), having consulted with other
developing countries, NGOs, international
agencies, and pharmaceutical entrepreneurs:
Noting
that
our countries comprise more than half
of the world’s population and bear
the largest proportion of reproductive
health morbidity and mortality including
those affecting maternal and childhood
conditions and preventable diseases
including HIV/AIDS, Malaria and TB;
Deeply
concerned
that
a majority of these deaths though
preventable, occur due to the lack
of access to essential health commodities
which are safe and low cost;
Recognizing
that
the health of people living in developing
countries is further aggravated by
the growing need for essential health
commodities, and that research
and development capacity and investment
is inaccessible for many health conditions
faced by the poor;
Being
aware
of
the limited capacities of some of
our member countries in matters related
to production of essential health
commodities;
Recalling
and reaffirming
our
previous commitments on essential
health commodity security,
as reflected in the Partners
Beijing Declaration of the 6th
Annual Board Meeting held in November
2000, the Alma Ata declaration of
1978, the revised drug strategy adopted
by the World Health Assembly in 1986,
the ICPD+5 key actions in 1999, the
concerns expressed in the reports
of the UNFPA call to action 2001,
the conclusions at the UNLDC Conference
in Brussels in May 2001, the Abuja
Declaration in April 2001, the Istanbul
Declaration of May 2001;
Underscoring
the
importance of appropriate Southern
representation in the governance of
global health funds and initiatives,
paying due attention to sustainable
solutions to strengthen health systems
and human resources within developing
countries;
Acclaiming
the
forthcoming 26th Special
Session of the United Nations General
Assembly, on the HIV/AIDS pandemic
from 25 to 27 June 2001, as critical
opportunity to strengthen co-operation
between governments, multilateral
and bilateral donors, financial organizations
and civil society;
Affirming
Partners
proposition to contribute to collaborative
and interdependent efforts, that increase
self reliance among developing countries
on an equitable basis, with respect
to availability, production, affordability,
accessibility, use of essential health
commodities, research and development
as intrinsic components of human right
to health;
Further
affirming
that
the TRIPS Agreement can and should
be interpreted and utilized in a manner
that allows countries to protect and
promote policies for ensuring adequate
availability of essential medicines
at affordable prices and that nothing
in the said Agreement should prevent
countries from taking measures to
protect and promote public health;
Commit
ourselves
to
work collaboratively with other developing
countries to:
- adopt
and implement policies to ensure
collective self-sufficiency in
availability and affordability
of essential health commodities
required for the basic needs of
our people,
- promote
the use of national essential
drug lists which largely contain
generic products by using effective
means to motivate health providers
in the public and private sectors
to prescribe generic medicines
and drugs rationally,
- support
the growing concerns in the international
community to introduce amendments
in international patents and trade
agreements to enable developing
countries to produce and import
high quality medicines at affordable
prices,
- actively
support South-South trade and
development policies aimed at
achieving an affordable and sustained
supply of essential health commodities,
- strengthen
collaborative mechanisms between
members and other states within
the sphere of influence to harmonize
standards of good manufacturing
practices, quality assurance and
regulations for fast track review
and registration of commodities,
- support
demand generation to ensure informed
choices to clients,
- engage
in strategies to reduce costs
for developing countries, wherever
practicable, include pooled and
or bulk procurement and compulsory
licensing,
- focus
and increase resource allocation
for research, technology transfer
and development of affordable,
safe and easy-to-use essential
commodities,
- assist
each other and relevant stakeholders
in the development of data bases
which are regularly updated, on
supply and demand and cost of
essential health commodities so
as to facilitate trade among member
countries,
- establish
a core group within the Secretariat
to monitor the developments in
WTO and the related GATS negotiations;
Call
upon
- the
international community to increase
its support for the development
of sustainable health system and
integrated health service delivery
facilitating the appropriate distribution
and use of commodities,
- the
international community to ensure
appropriate southern representation
in the governance of global health
funds and initiatives,
- donors,
the global financial institutions
and other international agencies
to ensure increased investment
in the procurement and use of
developing country commodities
- including generic medicines
and related products,
- other
developing countries, NGOs, pharmaceutical
entrepreneurs, international agencies,
donors and all relevant stakeholders
to work together for the implementation
of the Agenda for Action
emanating from the Kochi
meeting;
Express
our
thanks and gratitude to the Government
of India and particularly to the Ministry
of Health and Family Welfare and the
State Government of Kerala for hosting
this technical consultation.
End
of Declaration
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