The Movement of Non-aligned and other Developing Countries

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The Movement of Non-aligned and other Developing Countries
¡
I
(^Ш) World Health Organization
^^^^ Organisation mondiale de la Santé
FIFTIETH WORLD HEALTH ASSEMBLY
Agenda item 17.1
^Ûfi- R f i j Ü
A50/A/Conf.Paper No.2
8 May 1997
The Movement of Non-aligned and
other Developing Countries
Draft resolution proposed by the delegation of Colombia
representing the Non-aligned Movement
The Fiftieth World Health Assembly,
Mindful of the principles of, and obvious need for, technical cooperation among developing countries
( T C D C ) and of the interest shown by the Health Assembly in its resolutions WHA31.41, WHA31.51,
WHA32.27, WHA35.24, WHA36.34, WHA37.15, WHA37.16, WHA38.23, WHA39.23, WHA40.17, and
WHA40.30 in strengthening this type of cooperation with a view to improving the health situation in the
developing countries;
Reaffirming resolutions WHA42.37, WHA43.9, and WHA46.17 with regard to the importance of technical
cooperation among developing countries as a fundamental element of health development;
Recognizing the equality of all people and the need to promote sustainable human development as a means
of eradicating poverty and as a means of reducing the increasing numbers of marginalized people;
Underlining respect for the sovereignty of all nations, and the principle of equal rights and
self-determination of peoples;
Expressing particular concern for the health of peoples living under exceptional conditions, especially
foreign occupation, including in the occupied Arab territories, with special reference to the Palestinian people;
Noting with satisfaction the decisions taken by the non-aligned and other developing countries concerning
the adoption of principles related to health development of their people and particularly, those related to health
sector reform as is currently under way in many countries;
Welcoming in this regard the recommendations made at the technical consultations on health sector
reform, held in Cartagena, Colombia on 19-21 February 1997;
Proclaiming that health sector reforms should facilitate the provision of health care, and that must be
governed by respect for human dignity, equity, solidarity and ethics;
Noting with concern that health sector reforms, while intended to rectify failures of the health system, are
often imposed by forces and constraints outside the purview of the health sector, e.g. high indebtedness, fiscal
stringencies and structural adjustments;
A50/A/Conf. Paper No. 2Rev.1Corr.1
Recognizing
cooperation a m o n g
only the nurturing
implementation o f
the importance o f T C D C a s an e f f e c t i v e vehicle f o r health d e v e l o p m e n t and realizing that
the non-aligned and other developing countries is not an option, but an imperative, and that
o f a spirit o f collective self-reliance and adoption o f j o i n t strategies will a l l o w e f f e c t i v e
people-centred s o c i o - e c o n o m i c development,
1.
C O N G R A T U L A T E S the non-aligned and other d e v e l o p i n g countries on their continuing political
c o m m i t m e n t to facilitate the e n j o y m e n t o f g o o d health by all their p e o p l e without hindrance, and to provide
a c c e s s to proper health care for all;
2.
R E Q U E S T S the M e m b e r States to:
(1 )
promote the improvement o f the health conditions o f their peoples through strengthening their health
sector within the context o f comprehensive and sustainable h u m a n d e v e l o p m e n t ;
(2)
identify appropriate policies and p r o g r a m m e s to p r o m o t e equitable health in accordance with the
s p e c i f i c needs o f e a c h country;
(3)
strengthen the a d v o c a c y and negotiating capabilities o f the health sector in order to ensure greater
resources f o r health development;
(4)
strengthen the leadership role o f the Ministries o f Health for reducing inequity, p e r f o r m i n g
regulatory functions, monitoring health financing mechanisms, relocating financial and human resources
and coordinating
internal and external cooperation f o r health, thus preventing f r a g m e n t e d
and
dysfunctional health p r o g r a m m e s ;
(5)
foster the reorientation o f human resources in light o f the needs o f each health care s y s t e m , and
(6)
support activities oriented towards harmonizing the multiple actors - public and private - to m a k e
them consistent with national health policies;
3.
R E Q U E S T S the non-aligned and other developing countries to:
(1)
a c c o r d the highest priority to health development;
(2)
foster the identification o f critical factors impeding health d e v e l o p m e n t and the systematization,
documentation and dissemination o f health sector r e f o r m s e x p e r i e n c e s within an international network
o f cooperation;
(3)
p r o m o t e and support T C D C actions, activities and p r o g r a m m e s , in the health sector reform area,
a m o n g M e m b e r countries and their institutions;
4.
C A L L S U P O N the d e v e l o p e d countries:
(1)
to facilitate the transfer o f materials, equipment, technology and resources to developing countries
for health development p r o g r a m m e s that correspond to the a s s e s s e d needs and priorities o f those countries,
including through removal o f existing restrictions, and further support the application o f the principles o f
TCDC;
(2)
to provide W H O with the n e c e s s a r y financial resources to implement p r o g r a m m e s which support
effectively the e f f o r t s o f d e v e l o p i n g countries in accelerating the attainment o f health for all through
primary health care;
A50/A/Conf. Paper No. 2Rev.1C
5.
R E Q U E S T S the international and multilateral institutions and a g e n c i e s to:
(1)
provide greater support and resources to facilitate the health sector reforms o f developing countries
undertaken to achieve equity in the a c c e s s to health care for their populations, and
(2)
desist from attaching any conditionality to the support provided and to uphold the self-reliance o f
these countries to chart their own path to health and human d e v e l o p m e n t ;
6.
R E Q U E S T S the Director-General to:
(1)
provide full support to the non-aligned and other d e v e l o p i n g countries to pursue their own health
sector reform efforts, and to improve the quality o f health for all their people, with the firm understanding
that such e f f o r t s should respond to the s p e c i f i c needs o f each country, and to s e e k extrabudgetary
resources in addition to the regular budget resources already a s s i g n e d for s u c h e f f o r t s ;
(2)
p r o v i d e an analytical capability to distil the different e x p e r i e n c e s o f health care reform b a s e d on
firm evidence;
(3)
p r o m o t e and support countries, especially in the context o f T C D C , in the area o f health sector
reform by establishing a network o f relevant institutions to identify critical factors impeding health
d e v e l o p m e n t and the systematization, documentation, and dissemination o f health sector reform
a p p r o a c h e s and to enable countries to e x c h a n g e mutual experiences on a continuing b a s i s ;
(4)
ensure that health sector reform supporting activities are closely linked to those a i m e d at renewing
the health-for-all strategy;
(5)
p r o m o t e m e a s u r e s for joint action, in agreement with the United N a t i o n s and other related
international agencies, to accelerate health d e v e l o p m e n t in the developing, and especially the least
d e v e l o p e d countries;
(6)
report on the progress achieved to the Fifty-first World Health A s s e m b l y .
(^Ш) World Health Organization
^^^^
Organisation mondiale de la Santé
FIFTIETH WORLD HEALTH ASSEMBLY
A
A50/A/Conf.Paper No.2 Rev.1
9 May 1997
Agenda item 17.1
Strengthening health systems
in developing countries
Draft resolution contained in A50/A/Conf.Paper No.2
as amended by a drafting group
The Fiftieth World Health Assembly,
Mindful of the principles of, and obvious need for, technical cooperation among developing countries
( T C D C ) and of the interest shown by the Health Assembly by virtue of its resolutions WHA31.41, WHA31.51,
WHA32.27, WHA35.24, WHA36.34, WHA37.15, WHA37.16, WHA38.23, WHA39.23, WHA40.17 and
WHA40.30, in strengthening this type of cooperation with a view to improving the health situation in the
developing countries;
Reaffirming resolutions WHA42.37, WHA43.9, and WHA46.17 with regard to the importance of technical
cooperation among developing countries as a fundamental element of health development;
Recognizing the equality of all people and the need to promote sustained economic and social
development as a means of eradicating poverty and reducing the increasing numbers of marginalized people;
Underlining the purposes and principles of the United Nations, as set out in the United Nations Charter,
including the sovereign equality of States, and the purposes of developing friendly relations among nations based
on respect for the principle of equal rights and self-determination of people;
Expressing particular concern for the health of people living under exceptional conditions, especially
during natural disasters or armed conflict and under foreign occupation;
Noting with satisfaction the decisions taken by the non-aligned and other developing countries concerning
the adoption of principles related to health development of their people and particularly those related to health
sector reform as is currently under way in many countries;
Welcoming in this regard the recommendations made at the Technical Consultations Meeting on Health
Sector Reform, held in Cartagena, Colombia on 19-21 February 1997;
Proclaiming that health sector reforms should facilitate the provision of health care to meet human needs,
and that these must be governed by respect for human dignity, equity, solidarity and ethics;
A50/A/Conf.Paper No. 2 Rev. 1
R e c o g n i z i n g that health sector r e f o r m s , while intended to rectify failures o f the health system, can be
adversely affected by forces and constraints outside the purview o f the health sector, such as high indebtedness,
fiscal stringencies and structural adjustments and other undue restrictions;
Recognizing
cooperation a m o n g
only the nurturing
implementation o f
1.
the importance o f T C D C a s an e f f e c t i v e vehicle for health d e v e l o p m e n t and realizing that
the non-aligned and other developing countries is not an option, but an imperative, and that
o f a spirit o f collective self-reliance and adoption o f joint strategies will a l l o w e f f e c t i v e
people-centred s o c i o e c o n o m i c development,
W E L C O M E S the continuing political commitment o f the non-aligned and other d e v e l o p i n g countries to
facilitating the enjoyment o f g o o d health by all their people without hindrance, and to providing a c c e s s to proper
health care for all;
2.
R E M I N D S M e m b e r States that everyone has the right to the enjoyment o f the highest attainable standard
o f social well-being and physical and mental health;
3.
C A L L S U P O N M e m b e r States:
(1)
to promote the i m p r o v e m e n t o f the health conditions o f their people by strengthening the health
sector within the context o f c o m p r e h e n s i v e and sustained e c o n o m i c and social development;
(2)
to identify appropriate p o l i c i e s and p r o g r a m m e s for the promotion o f health for all in a c c o r d a n c e
with the s p e c i f i c needs o f e a c h country;
(3)
to strengthen the a d v o c a c y and negotiating capabilities o f the health sector in order to ensure greater
resources for health d e v e l o p m e n t ;
(4)
to strengthen the leadership role o f ministries o f health in reducing inequity, performing regulatory
functions, monitoring health financing m e c h a n i s m s , reallocating financial and human resources and
coordinating internal and external cooperation for health in order to prevent fragmentation and dysfunction
o f health p r o g r a m m e s ;
(5)
to foster the reorientation o f human resources in the light o f the needs o f each health care s y s t e m ;
(6)
to support activities oriented towards harmonizing many actors - public and private - to m a k e them
consistent with national health policies;
(7)
to accord the highest priority to health development;
(8)
to foster the identification o f critical factors impeding health development and the systematization,
documentation and dissemination o f experience with health sector reforms within an international network
o f cooperation;
(9)
p r o m o t e and support T C D C actions, activities and p r o g r a m m e s for reform in the health sector in
M e m b e r countries and their institutions;
4.
C A L L S U P O N the d e v e l o p e d countries:
(1)
to facilitate the transfer o f materials, equipment, technology and resources to developing countries
for health development p r o g r a m m e s that correspond to the a s s e s s e d needs and priorities o f those countries,
including through removal o f existing restrictions, and further to support the application o f the principles
of TCDC;
A50/A/Conf.Paper No. 2 Rev. 1
(2)
to provide W H O with the n e c e s s a r y financial resources to implement p r o g r a m m e s which support
e f f e c t i v e l y the e f f o r t s o f d e v e l o p i n g countries in accelerating the attainment o f health for all through
primary health care;
5.
R E Q U E S T S the international and multilateral institutions and a g e n c i e s ;
(1)
to provide, within their mandate, greater support and resources to facilitate health sector r e f o r m s
in d e v e l o p i n g countries that is d e s i g n e d to achieve equity in a c c e s s to health care for their populations;
(2)
to identify obstacles to health for all and to support and uphold the self-reliance o f these countries
in charting their own path to health and human development;
(3)
to i m p l e m e n t the relevant conclusions o f the s u m m i t s and c o n f e r e n c e s o f organizations o f the
United N a t i o n s s y s t e m that a d d r e s s health p r o b l e m s and m a k e r e c o m m e n d a t i o n s in this field;
6.
R E Q U E S T S the Director-General :
(1)
to provide full support to all countries, especially the non-aligned and other d e v e l o p i n g countries,
to pursue their own health sector reform efforts, and to improve the quality o f health for all their people,
with the firm understanding that such efforts should respond to the specific needs o f e a c h country, and to
seek extrabudgetary resources in addition to the regular budget resources already assigned for such efforts;
(2)
to provide an analytical capability to distil the different e x p e r i e n c e s o f health sector reform based
on firm e v i d e n c e ;
(3)
to p r o m o t e and support countries, especially in the context o f T C D C , in the area o f health sector
reform by establishing a network o f relevant institutions to identify critical factors impeding health
d e v e l o p m e n t and the systematization, documentation, and dissemination o f health sector reform
approaches and to enable countries to e x c h a n g e experiences continually;
(4)
to ensure that activities supporting health sector reform are closely linked to those a i m e d at
renewing the health-for-all strategy;
(5)
to promote measures for joint action, in agreement with the United N a t i o n s and other international
agencies concerned, in order to accelerate health development in the d e v e l o p i n g , and especially the least
d e v e l o p e d countries;
(6)
to report on the p r o g r e s s achieved to the Fifty-first World Health A s s e m b l y .
(^Ш)
^^^^
World Health Organization
Organisation mondiale de la Santé
FIFTIETH WORLD HEALTH ASSEMBLY
A50/A/Conf.Paper No.2 Rev.1 Corr.1
10 May 1997
Agenda item 17.1
Strengthening health systems
in developing countries
Draft resolution contained in A50/A/Conf.Paper No.2
as amended by a drafting group
The Fiftieth World Health Assembly,
Mindful of the principles of, and obvious need for, technical cooperation among developing countries
( T C D C ) and of the interest shown by the Health Assembly by virtue of its resolutions WHA31.41, WHA31.51,
WHA32.27, WHA35.24, WHA36.34, WHA37.15, WHA37.16, WHA38.23, WHA39.23, WHA40.17 and
WHA40.30, in strengthening this type of cooperation with a view to improving the health situation in the
developing countries;
Reaffirming resolutions WHA42.37, WHA43.9, and WHA46.17 with regard to the importance of technical
cooperation among developing countries as a fundamental element of health development;
Recognizing the equality of all people and the need to promote sustained economic and social
development as a means of eradicating poverty and reducing the increasing numbers of marginalized people;
Underlining the purposes and principles of the United Nations, as set out in the United Nations Charter,
including the sovereign equality of States, and the purposes of developing friendly relations among nations based
on respect for the principle of equal rights and self-determination of people;
Expressing particular concern for the health of people living under exceptional conditions, especially
during natural disasters or armed conflict and under foreign occupation;
Noting with satisfaction the decisions taken by the non-aligned and other developing countries concerning
the adoption of principles related to health development of their people and particularly those related to health
sector reform as is currently under way in many countries;
Welcoming in this regard the recommendations made at the Technical Consultation Meeting on Health
Sector Reform, held in Cartagena, Colombia on 19-21 February 1997;
Proclaiming that health sector reforms should facilitate the provision of health care to meet human needs,
and that these must be governed by respect for human dignity, equity, solidarity and ethics;
A50/A/Conf. Paper No. 2 Rev. 1 Corr. 1
R e c o g n i z i n g that health sector reforms, while intended to rectify failures o f the health system, can be
adversely affected by forces and constraints outside the purview o f the health sector, such a s high indebtedness,
fiscal stringencies, structural adjustments and undue restrictions;
R e c o g n i z i n g the importance o f T C D C a s an e f f e c t i v e vehicle for health d e v e l o p m e n t and realizing that
cooperation a m o n g the non-aligned and other developing countries is not an option, but an imperative, and that
only the nurturing o f a spirit o f collective self-reliance and adoption o f j o i n t strategies will a l l o w e f f e c t i v e
implementation o f people-centred s o c i o e c o n o m i c development,
1.
W E L C O M E S the continuing political commitment o f the non-aligned and other d e v e l o p i n g countries to
facilitating the enjoyment o f g o o d health by all their people without hindrance, and to providing a c c e s s to proper
health care for all;
2.
R E M I N D S M e m b e r States that everyone has the right to the enjoyment o f the highest attainable standard
o f social well-being and physical and mental health;
3.
C A L L S U P O N M e m b e r States:
(1)
to promote the improvement o f the health conditions o f their p e o p l e by strengthening the health
sector within the context o f comprehensive and sustained e c o n o m i c and social development;
(2)
to identify appropriate policies and p r o g r a m m e s for the promotion o f health for all in a c c o r d a n c e
with the s p e c i f i c needs o f each country;
(3)
to strengthen the a d v o c a c y and negotiating capabilities o f the health sector in order to ensure greater
resources for health d e v e l o p m e n t ;
(4)
to strengthen the leadership role o f ministries o f health in reducing inequity, performing regulatory
functions, monitoring health financing m e c h a n i s m s , reallocating financial and human resources and
coordinating internal and external cooperation for health in order to prevent fragmentation and dysfunction
o f health p r o g r a m m e s ;
(5)
to foster the reorientation o f human resources in the light o f the needs o f each health care s y s t e m ;
(6)
to support activities oriented towards harmonizing the multiple actors - public and private - to m a k e
them consistent with national health p o l i c i e s ;
(7)
to a c c o r d the highest priority to health development;
(8)
to foster the identification o f critical factors impeding health development and the systematization,
d o c u m e n t a t i o n and dissemination o f experiences with health sector r e f o r m s within an international
network o f cooperation;
(9)
p r o m o t e and support T C D C actions, activities and p r o g r a m m e s for r e f o r m s in the health sector
a m o n g M e m b e r countries and their institutions;
4.
C A L L S U P O N the d e v e l o p e d countries:
(1)
to facilitate the transfer o f materials, equipment, technology and resources to d e v e l o p i n g countries
for health development p r o g r a m m e s that correspond to the priority n e e d s o f those countries, and further
to support the application o f the principles o f T C D C ;
A50/A/Conf.Paper No.2 Rev. 1 Corr. 1
(2)
to provide W H O with the necessary financial resources to implement agreed priority p r o g r a m m e s
which support effectively the efforts o f d e v e l o p i n g countries in accelerating the attainment o f health for
all through primary health care;
5.
R E Q U E S T S the international and multilateral institutions and a g e n c i e s :
(1)
to provide, within their mandate, greater support and resources to facilitate health sector r e f o r m s
in d e v e l o p i n g countries that is designed to achieve equity in a c c e s s to health care for their populations;
(2)
to identify obstacles to health for all and to support and uphold the self-reliance o f these countries
in charting their own path to health and human d e v e l o p m e n t ;
(3)
to i m p l e m e n t the relevant conclusions o f the s u m m i t s and conferences o f organizations o f the
United N a t i o n s system that a d d r e s s health p r o b l e m s and m a k e r e c o m m e n d a t i o n s in this field;
6.
R E Q U E S T S the Director-General:
(1)
to provide full support to all countries, especially the non-aligned and other d e v e l o p i n g countries,
to pursue their own health sector reform efforts, and to improve the quality o f health for all their people,
with the firm understanding that such efforts should respond to the s p e c i f i c needs o f each country, and to
seek extrabudgetary resources in addition to the regular budget resources already assigned for such efforts;
(2)
to provide an analytical capability to distil the different e x p e r i e n c e s o f health sector reform b a s e d
on firm evidence;
(3)
to p r o m o t e and support countries, especially in the context o f T C D C , in the area o f health sector
reform by establishing a network o f relevant institutions to identify critical factors impeding health
d e v e l o p m e n t and the systematization, documentation, and dissemination o f health sector reform
a p p r o a c h e s and to enable countries to e x c h a n g e experiences on a continuing b a s i s ;
(4)
to ensure that activities supporting health sector reform are closely linked to those a i m e d at
renewing the health-for-all strategy;
(5)
to p r o m o t e m e a s u r e s for joint action, in agreement with the United N a t i o n s and other relevant
international agencies, in order to accelerate health development in the developing, and especially the least
d e v e l o p e d countries;
(6)
to report on the progress achieved to the Fifty-first World Health A s s e m b l y .

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