Political declaration of the high-level meeting of the General Assembly
on the fight against tuberculosis
A/RES/73/3
44. Further commit to advancing that new research and innovation
environment through global collaboration, including through existing World Health
Organization mechanisms and initiatives; strengthening research capacity and
collaboration through improving tuberculosis research platforms and networks across
the public and private sectors, noting such platfor ms and networks as the Brazil,
Russian Federation, India, China and South Africa (BRICS) Tuberculosis Research
Network and the Life Prize; in basic science, clinical research and development,
including pre-clinical and clinical trials, as well as operational, qualitative and
applied research, to advance effective tuberculosis prevention, diagnosis, treatment,
and care and actions on the economic and social determinants and impacts of the
disease;
45. Promote tuberculosis research and development efforts a iming to be
needs-driven, evidence-based and guided by the principles of affordability,
effectiveness, efficiency and equity and which should be considered as a shared
responsibility. In this regard, we encourage the development of new product
development partnership models and, for multidrug-resistant tuberculosis, continue
to support existing voluntary initiatives and incentive mechanisms that separate the
cost of investment in research and development from the price and volume of sales,
to facilitate equitable and affordable access to new tools and other results to be gained
through research and development, and we acknowledge the need to establish
additional incentives for the research and development of new products to treat
multidrug-resistant tuberculosis and to encourage stewardship, conservation, and
global access to such products in addition to rewarding innovation, welcome
innovation and research and development models that deliver effective, safe and
equitable solutions to the challenges presented by tuberculosis, including those that
promote investment by all relevant stakeholders, including Governments, industry,
non-governmental organizations and academics, and continue to support existing
voluntary initiatives and incentive mechanisms that avoi d reliance on high price or
high sales combinations and explore ways to support innovation models that address
the unique set of challenges presented by tuberculosis, including the importance of
the optimal use of medicines and diagnostic tools, while promoting access to
affordable medicines and other health technologies;
46. Commit to mobilize sufficient and sustainable financing for universal
access to quality prevention, diagnosis, treatment and care of tuberculosis, from all
sources, with the aim of increasing overall global investments for ending tuberculosis
and reaching at least 13 billion United States dollars a year by 2022, as estimated by
the Stop TB Partnership and the World Health Organization, according to each
country’s capacity and strengthened solidarity, including through contributions to the
World Health Organization as well as voluntary mechanisms such as the Global Fund
to Fight AIDS, Tuberculosis and Malaria, including its replenishment, which provides
65 per cent of all international financing for tuberculosis; and to align within overall
national health financing strategies, including by helping developing countries to
raise domestic revenues and providing financial support bilaterally, at regional and
global levels, towards achieving universal health coverage and social protection
strategies, in the lead-up to 2030;
47. Commit to mobilize sufficient and sustainable financing, with the aim of
increasing overall global investments to 2 billion dollars, in order to close the
estimated 1.3 billion dollar gap in funding annually for tuberculosis research,
ensuring that all countries contribute appropriately to research and development, to
support quality research and development of new and the effective implementation of
recently approved health technologies, and to strengthen the academic, scientific,
public health and laboratory capacity needed to support research and development for
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