Global health and foreign policy: an inclusive approach to strengthening health systems A/RES/74/20 Recognizing also the need for health systems that are strong, resilient, functional, well governed, responsive, accountable, integrated, community -based, people-centred and capable of quality service delivery, supported by a competent health workforce, adequate health infrastructure, enabling legislative and regulatory frameworks as well as sufficient and sustainable funding, Recognizing further that primary health care brings people into first contact with the health system and is the most inclusive, effective and efficient appro ach to enhance people’s physical and mental health, as well as social well-being, and that primary health care is the cornerstone of a sustainable health system for universal health coverage and health-related Sustainable Development Goals, as was declared in the Declaration of Alma-Ata and reaffirmed in the Declaration of Astana, Recalling the adoption of the Rome Declaration on Nutrition, 13 which reaffirmed that national health systems should integrate nutrition while providing access for all to integrated health services, a continuum of care approach and a set of voluntary policy options and strategies for Governments, as well as its Framework for Action, 14 Recalling also the importance of taking multisectoral action to promote active and healthy lifestyles, including physical activity for the benefit of all people throughout their life course, and to ensure a world free from malnutrition in all its forms, where all people are empowered to take responsibility for their own health supported by public regulatory measures, and have access to safe drinking water and sanitation and safe, sufficient and nutritious food and enjoy diversified, balanced and healthy diets throughout their life course, and taking note of the Nutrition for Growth initiative, and in this regard looking forward to its upcoming summit in Tokyo in 2020, Recognizing the consequence of the adverse impact of climate change, natural disasters, extreme weather events as well as other environmental determinants of health, such as clean air, safe drinking water, sanitation, safe, sufficient and nutritious food and secure shelter, for health, and in this regard underscoring the need to foster health in climate change adaptation efforts, underlining that resilient and people centred health systems are necessary to protect the health of all people, in particular those who are vulnerable or in vulnerable situations, particularly those living in small island developing States, Noting that the increasing number of complex emergencies is hindering the achievement of universal health coverage and that coherent and inclusive approaches to safeguard universal health coverage in emergencies are essential, including through international cooperation, ensuring the continuum and provision of essential health services and public health functions, in line with humanitarian principles, Expressing the importance of respecting and protecting, in accordance with international humanitarian law, in situations of armed conflict, medical personnel and humanitarian personnel exclusively engaged in medical duties, their means of transport and equipment, and hospitals and other medical facilities, which must not be unlawfully attacked, and ensuring that the wounded and sick receive, to the fullest extent practicable and with the least possible delay, the medical care and attention required, Expressing concern at the global shortfall of 18 million health workers, primarily in low- and middle-income countries, and recognizing the need to train, build and retain a skilled and health workforce, including nurses, midwives and __________________ 13 14 19-21394 World Health Organization, document EB136/8, annex I. Ibid., annex II. 5/12