The G8 summit final declaration did not meet expectations from civil society activist and did not address the crucial question of financing the gaps globally nor specifically the 3 billion gap for the GFATM.

Find here the full declaration of the G8 (PDF 343 Kb) titled :”RESPONSIBLE LEADERSHIP FOR A SUSTAINABLE FUTURE”.

See §120 onwards for global health declaration reproduced here below.

The Global Health council envoy to the G8 blogged from L’Aquila and you can read his posts here The last one on july 10 is particularly lucid.

Promoting Global Health

120. Since the Okinawa and Genoa Summits, with the launching of the Global Fund to Fight AIDS, Tuberculosis and Malaria, we have played a critical role in supporting progress towards health-related MDGs. We have made progress towards universal access to HIV/AIDS prevention, treatment, care and support; Malaria; Tuberculosis; Polio and child mortality rates. Despite these efforts, progress towards health-related MDGs, especially for child mortality and maternal health is still off-track particularly in Sub-Saharan Africa. In addition, the health situation is further aggravated by the burden of non-communicable diseases.

121. In the current global financial crisis we reaffirm our commitment to address the health needs of the most vulnerable, especially women and children. In this regard,

we encourage the WHO, World Bank and other partners to monitor the impact of the crisis on health and advise on actions to be taken at country and global level. In order to advance the goal of universal access to health services, especially primary health care, it is essential to strengthen health systems through health workforce improvements, encompassing both health professionals and community health workers, information and health financing systems including social health protection, paying particular attention to the most vulnerable. We reaffirm our commitment to address the scarcity of health workers in developing countries, especially in Africa and we note the 2008 Kampala Declaration and the Agenda for Global Actions launched by the Global Health Workforce Alliance. We encourage the WHO to develop by 2010 the Code of Practice on the International Recruitment of Health Personnel. We will also begin to address substantial gaps in knowledge about how to manage, organize and deliver health care in Sub-Saharan Africa through a variety of strategies, including by developing networks of researchers and by working with our African partners to establish a consortium of interdisciplinary centres of health innovation. As an enabling first step in developing the consortium, we will convene a planning meeting in late 2009 with African partners to establish a roadmap. We will work with partner countries and international institutions to promote well-functioning information systems. We also encourage multilateral institutions – including WHO, World Bank, GFATM, GAVI, UNITAID and UN Organizations – to continue to support health system strengthening. We encourage them to further improve coordination with plans and processes in partner countries and international health partnerships.

122. We promote a comprehensive and integrated approach to the achievement of the health-related MDGs, also maximizing synergies between global health initiatives and health systems. We will accelerate progress on combating child mortality, including through intensifying support for immunization and micronutrient supplementation, and on maternal health, including through sexual and reproductive health care and services and voluntary family planning . We warmly support building a global consensus on maternal, newborn and child health as a way to accelerate progress on the Millennium Development Goals for both maternal and child health, through (i) political and community leadership and engagement; (ii) a quality package of evidence-based interventions through effective health systems; (iii) the removal of barriers to access for all women and children, free at the point of use where countries chose to provide it; (iv) skilled health workers; (v) accountability for results. We encourage the work of the WHO, WB, UNICEF and UNFPA are doing to renew international efforts on maternal and child health. We will implement further efforts towards universal access to HIV/AIDS prevention, treatment, care and support by 2010, with particular focus on prevention and integration of services for HIV/TB. We will combine this with actions to: combat TB and Malaria; address the spread of Neglected Tropical Diseases and work towards completing the task of polio eradication; improve monitoring of emerging infectious diseases. In this regard, we

stress the importance of addressing gender inequality. We commend the strong African leadership in addressing health challenges and welcome the launch of the African Leaders Malaria Alliance on the occasion of the 64th UNGA in September 2009.

123. We also recognize the need to strengthen the link between health sector and other policies by promoting the strategic approach of “health as an outcome of all policies”. We aim at addressing the key determinants of health through mutually reinforcing policies across sectors such as poverty reduction, food and nutrition, water supply and sanitation, education, gender equality, employment, housing, justice, environment and science and technology. We commit to counter any form of stigma, discrimination and human rights violation and to promote the rights of persons with disabilities and the elimination of travel restrictions on people living with HIV/AIDS.

124. We invite partner countries to increase and effectively use their domestic financing for health in line with the principles of the Rome, Paris and Accra Declarations. We recognize the critical role and contribution of the Global Fund, WHO and the World Bank. We encourage them to assist, together with other relevant actors in the design of comprehensive, robust and well-costed country-led strategies and plans, building on experience such as the International Health Partnership (IHP+) and other initiatives including Providing for Health. We acknowledge the work of the Leading Group on Innovative Financing for Development and the report of the High Level Taskforce on Innovative International Financing for Health Systems, which present a set of options from which countries and stakeholders can choose on a voluntary basis to mobilize resources to strengthen health systems. A number of G8 countries are considering and taking forward specific Leading Group and Task Force recommendations.

125. We reaffirm our existing commitments, including the US$ 60 billion investment to fight infectious diseases and strengthen health system by 2012. Building on the decisions taken at St. Petersburg, Heiligendamm and Toyako, we have established a follow-up mechanism to monitor the progress of health commitments. We welcome the report submitted by our experts, highlighting progress and proposing further actions, and we commit to further improvements.

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