Global health and foreign policy: accelerating the fight against
diseases driven by social determinants of health
A/RES/80/265
challenges, while noting the great progress in global health indicators and outcomes
achieved by multilateral initiatives and international cooperation,
Underlining that in the Oslo Ministerial Declaration it is acknowledged that
investment in health is fundamental to economic growth and development, and in this
regard recalling that health inequities arise, as stated in the Rio Political Declaration
on Social Determinants of Health, of 2011, from the societal conditions in which
people are born, grow, live, work and age, referred to as social determinants of health,
Stressing that stigma and negative stereotyping and attitudes can affect health,
including by creating and enhancing health disparities between persons,
Recognizing the interconnectedness between social determinants of health and
the persistent burden of some preventable diseases and that diseases driven by social
determinants of health also disproportionately impact vulnerable populations,
especially those living in conditions of poverty and entrenched inequalities,
Concerned that poverty reduction has continued to stagnate in developing
countries, with a disproportionate impact on women and girls, persons with
disabilities, people of African descent, Indigenous Peoples and local communities, as
well as on low-income households, and about the interrelatedness between poverty
and other social and economic determinants of health and the realization of the right
of everyone to the enjoyment of the highest attainable standard of physical and mental
health, in particular the fact that ill health can be both a cause and a consequence of
poverty,
Recognizing the need for Member States to strengthen policies, human and
financial resources and institutional capacities for sustainable and effective health
promotion that addresses the determinants of health and their related risk factors, as
outlined in the outcomes of international health promotion conferences, from the
Ottawa Charter for Health Promotion to the Bangkok Charter for Health Promotion
in a Globalized World, the Rio Political Declaration on Social Determinants of Health
and the Geneva Charter for Well-being, making the promotion of health central to the
global development agenda and as a core responsibility of all Governments, while
noting the three overarching recommendations of the World Health Organization
Commission on Social Determinants of Health, namely, improving daily living
conditions, tackling the inequitable distribution of power, money and resources, and
measuring and understanding the problem to assess the impact of actions,
Recognizing also that universal health coverage is fundamental for achieving
the Sustainable Development Goals related not only to health and well -being, but also
to eradicating poverty and inequality in all its forms and dimensions, ensuring quality
education, providing decent work and promoting economic growth, achieving gender
equality and the empowerment of all women and girls, as well as the elimination of
all forms of violence against women and girls, reducing inequalities and ensuring just,
peaceful and inclusive societies with healthy lives and well-being for all, and that
unequal development in different countries in the promotion of health and control of
disease, especially communicable disease, is a common danger,
Recognizing further that universal health coverage implies that all people have
access, without discrimination, to nationally determined sets of the needed promotive,
preventive, curative, rehabilitative and palliative essential health services and
essential, safe, affordable, effective and quality medicines and vaccines, diagnostics
and health technologies, including assistive technologies, while ensuring that the use
of these services does not expose the users to financial hardship, with a special
emphasis on the poor and vulnerable and marginalized segments of the population,
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