Global health and foreign policy: an inclusive
approach to strengthening health systems
A/RES/74/20
Recognizing further that women and girls play a vital role as agents of
development, acknowledging that achieving gender equality and the empowerment of
all women and girls and the elimination of all forms of violence against women and
girls are crucial to the full implementation of the 2030 Agenda for Sustainable
Development, and recognizing also that nutrition and other related policies should be
sensitive to the needs of women and empower women and girls, thereby contributing
to women’s equal access to social protection and resources, including income, land,
water, finance, education, training, science and technology, and health services, thus
promoting food security and health,
Recognizing that adequate quality antenatal care reduces the risks of maternal
mortality and morbidity, premature births and other complications of pregnancy and
delivery that can result in poor health outcomes for mothers and neonates, and also
that universal access to cost-effective perinatal and neonatal health interventions,
including through the application of outreach, family, community and facility -based
prevention, promotion and treatment services, significantly reduces a huge proportion
of perinatal and neonatal deaths worldwide,
Acknowledging that the promotion of health equity and the elimination of stigma
and discrimination in health-care settings are important for achieving the Sustainable
Development Goals and building a more inclusive society whereby those who are
vulnerable or in vulnerable situations, especially women and girls, children, youth,
older persons, indigenous peoples, refugees, internally displaced persons and
migrants, persons with disabilities, persons living with mental health conditions or
psychological disabilities, and those living with, at risk of or affected by
communicable diseases, including HIV/AIDS, tuberculosis and cholera, and
non-communicable and other diseases, will have a better quality of life and well being, and in this regard taking note of the joint United N ations statement on ending
discrimination in health-care settings,
Promoting increased access to affordable, safe, effective and quality medicines,
including generics, vaccines, diagnostics and health technologies, reaffirming the
World Trade Organization Agreement on Trade-Related Aspects of Intellectual
Property Rights (TRIPS Agreement) as amended, and also reaffirming the 2001 World
Trade Organization Doha Declaration on the TRIPS Agreement and Public Health,
which recognizes that intellectual property rights should be interpreted and
implemented in a manner supportive of the right of Member States to protect public
health and, in particular, to promote access to medicines for all, and notes the need
for appropriate incentives in the development of new health products,
Recalling the World Health Organization Global Strategy and Plan of Action on
Public Health, Innovation and Intellectual Property, 12 designed to promote medicinal
innovation, build capacity and improve access to medicines, encouraging further
discussions on access to medicines, and reiterating that health research and
development should be needs-driven, evidence-based, guided by the core principles
of affordability, effectiveness, efficiency and equity and considered a shared
responsibility, recalling the report of the High-level Panel on Access to Medicines,
including its recommendations,
Recognizing that effective and financially sustainable implementation of
universal health coverage is based on a resilient and responsive health system with
capacities for broad public health measures, disease prevention, health protection,
health promotion and addressing of determinants of health through coherent policies
across sectors, including the promotion of the health literacy of the population,
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See World Health Organization, document WHA61/2008/REC/1.
19-21394