9 September 2010, 3 PM High Level Plenary Meeting on the MDG's 20-22 September 2010 Outcome Keeping the Promise ­ United to Achieve the Millennium Development Goals

1. We, heads of State and Government, gathered at the United Nations Headquarters in New York from 20 to 22 September 2010, welcoming the progress made since we last met here in 2005 while expressing deep concern that it falls far short of what is needed. We reaffirm our resolve to work together for the promotion of the economic and social advancement of all peoples, recalling the development goals and commitments emanating from the Millennium Declaration1 and the World Summit outcome2. AGREED AD REF 2. We reaffirm that we continue to be guided by the purposes and principles of the Charter of the United Nations and with full respect for international law and its principles. AGREED AD REF 2 bis. We also reaffirm the importance of freedom, peace and security, respect for all human rights, including the right to development, the rule of law, gender equality, and an overall commitment to just and democratic societies for development. AGREED AD REF 3. We underscore the continued relevance of the outcomes of all major United Nations conferences and Summits, in the economic, social and related fields and the commitments contained therein, including the Millennium Development Goals, which have raised awareness and continue to generate real and important development gains. Together these outcomes and commitments have played a vital role in shaping a broad development vision and constitute the overarching framework for the development activities of the United Nations. We strongly reiterate our determination to ensure the timely and full implementation of these outcomes and commitments. AGREED AD REF 4. We recognize that progress, including on poverty eradication, is being made despite setbacks, including due to the financial and economic crises. In this context, we recognize the deeply inspiring examples of progress made by countries in all regions of the world through cooperation, partnerships, actions and solidarity. We are deeply concerned, however, that the number of people living in extreme poverty and hunger surpasses one billion and that inequalities between and within countries remains a significant challenge. We are also deeply concerned about the alarming global levels of maternal and child mortality. We believe that eradication of poverty and hunger as well as combating inequality at all levels, is essential to create a more prosperous and sustainable future for all. AGREED AD REF 5. We reiterate our deep concern at the multiple and interrelated crises, including the financial and economic crisis, volatile energy and food prices and ongoing concerns over food security, as well as
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the increasing challenges posed by climate change and the loss of biodiversity, which have increased vulnerabilities and inequalities and adversely impacted development gains, in particular in developing countries. But they will not deter us in our efforts to make the MDGs a reality for all. AGREED AD REF 6. We are determined to collectively advance and strengthen the global partnership for development as the centerpiece of our cooperation, in the years ahead. This global partnership has been reaffirmed in the Millennium Declaration, the Monterrey Consensus, the Johannesburg Plan of Implementation, the World Summit Outcome and the Doha Declaration. AGREED AD REF 7. We are committed to making every effort to achieve the MDGs by 2015, including through actions, policies and strategies defined in this declaration in support of developing countries, in particular those countries lagging most behind and those goals most off track, thus improving the lives of the poorest people. AGREED AD REF 8. We are convinced that, the Millennium Development Goals can be achieved, including in the poorest countries, with renewed commitment, effective implementation, and intensified collective action by all Member States and other relevant stakeholders at both domestic and international levels, national development strategies and appropriate policies, approaches which have proven to be effective, strengthened institutions at all levels, and with increased mobilization of resources for development and increased effectiveness of development cooperation and an enhanced global partnership for development. AGREED AD REF 9. We reaffirm that national ownership and leadership are indispensable in the development process. There is no "one size fits all". We reiterate that each country has primary responsibility for its own economic and social development and that the role of national policies, domestic resources and development strategies cannot be overemphasized. At the same time, domestic economies are now interwoven with the global economic system and, therefore an effective use of trade and investment opportunities can help countries to fight poverty. Development efforts at the national level need to be supported by an enabling national and international environment that complements national actions and strategies. AGREED AD REF 10. We acknowledge that good governance and the rule of law at the national and international levels are essential for sustained, inclusive and equitable economic growth, sustainable development and the eradication of poverty and hunger. AGREED AD REF 11. We recognize that gender equality, the empowerment of women, women's full enjoyment of all human rights and the eradication of poverty are essential to economic and social development, including the achievement of all MDGs. We reaffirm the need for the full and effective implementation of the Beijing Declaration and Platform for Action. Gender equality and empowerment of women is both a key development goal and an important means for achieving all of the MDGs. We welcome the establishment of the United Nations Entity for Gender Equality and the Empowerment of Women (UN Women), and pledge our full support to its operationalization. AGREED AD REF 12. We acknowledge that peace and security, development and human rights are the pillars of the United Nations system and the foundations for collective security and well-being. We recognize that development, peace and security and human rights are inter linked and mutually reinforcing. We reaffirm that our common fundamental values, including freedom, equality, solidarity, tolerance,

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respect for all human rights, respect for nature and shared responsibility are essential to achieving the MDGs. AGREED AD REF 13. We are convinced that the United Nations, on the basis of its universal membership, legitimacy and unique mandate plays a vital role in the promotion of international cooperation for development and in supporting the acceleration of the implementation of the internationally agreed development goals, including the Millennium Development Goals. We reaffirm the need for a strong UN to meet the challenges of the changing global environment. AGREED AD REF 14. We recognize that all the Millennium Development Goals are interconnected and mutually reinforcing. We therefore underline the need to pursue these goals through a holistic and comprehensive approach. AGREED AD REF 15. We acknowledge the diversity of the world and recognize that all cultures and civilizations contribute to the enrichment of human kind. We emphasize the importance of culture for development and its contribution to the achievement of the MDGs. AGREED AD REF 16. We call on civil society, including non-governmental organizations, voluntary associations and foundations, the private sector, and other relevant stakeholders at the local, national, regional and global levels to enhance their role in national development efforts as well as their contribution to the achievement of the MDGs by 2015, and commit as national governments to inclusion of these stakeholders. AGREED AD REF 16 bis. We acknowledge the role of Parliaments in furthering the achievement of the MDGs by 2015. AGREED AD REF A MIXED STORY - successes, uneven progress, challenges and opportunities AGREED AD REF 17. We recognize that developing countries have made significant efforts towards the achievement of the Millennium Development Goals and achieved major successes in realizing some of the targets of the MDGs. Successes have been made in combating extreme poverty, improving school enrollment and child health, reducing child deaths, expanding access to clean water, improving prevention of mother-to-child-transmission of HIV, and expanding access to HIV/AIDS prevention, treatment and care, and controlling malaria, tuberculosis and neglected tropical diseases. AGREED AD REF 18. We acknowledge that much more needs to be done in achieving the Millennium Development Goals as progress has been uneven among regions and between and within countries. Hunger and malnutrition rose again from 2007 through 2009, partially reversing prior gains. There has been slow progress in reaching full and productive employment and decent work for all, advancing gender equality and the empowerment of women, achieving environmental sustainability and providing basic sanitation and new HIV infections still outpace the number of people initiating treatment. In particular, we express grave concern over the slow progress being made on reducing maternal mortality and improving maternal and reproductive health. Progress on other MDGs is fragile and must be sustained to avoid reversal. AGREED AD REF 18 bis We underline the central role of the global partnership for development and the importance of MDG-8 in achieving the Millennium Development Goals. We recognize that without substantial international support, several of the Millennium Development Goals will likely be missed in many developing countries by 2015. AGREED AD REF
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18 ter alt We are deeply concerned about the impact of the financial and economic crisis ­ the worst since the Great Depression. It has reversed development gains in many developing countries and threatened to seriously undermine the achievement of the Millennium Development Goals by 2015. AGREED AD REF 19. We take note of the lessons learned and successful policies and approaches in the implementation and achievement of the Millennium Development Goals and recognize that with increased political commitment these could be replicated and scaled-up for accelerating progress, including by: AGREED AD REF a. Strengthening national ownership and leadership of development strategies; AGREED AD REF c. Adopting forward-looking macro-economic policies that promote sustainable development and lead to sustained, inclusive and equitable economic growth, increases productive employment opportunities and promotes agricultural and industrial development; AGREED AD REF c bis Promoting national food security strategies that strengthen support for smallholder farmers and contribute to poverty eradication; AGREED AD REF d. Adopting policies and measures oriented toward benefiting the poor, and addressing social and economic inequalities AGREED AD REF e. Supporting participatory, community-led strategies aligned with national development priorities and strategies; AGREED AD REF f. Promoting universal access to public and social services and providing social protection floors; AGREED AD REF g. Improving capacity to deliver quality services equitably; AGREED AD REF h. Implementing social policies and programmes, including appropriate conditional cash transfer programmes, and investing in basic services ­ health, education, water and sanitation; AGREED AD REF i Ensuring full participation of all segments of society, including the poor and disadvantaged, in decision making processes; AGREED AD REF j Respecting, promoting and protecting all human rights including the right to development; AGREED AD REF k.Increasing efforts to reduce inequality, eliminate social exclusion and discrimination; AGREED AD REF l. Enhancing the opportunities for women and girls and advancing the economic, legal and political empowerment of women; AGREED AD REF m. Investing in women's and children's health to drastically reduce the number of women and children who die from preventable causes. AGREED AD REF n. Working towards transparent and accountable systems of governance at national and international level. AGREED AD REF o. Working towards greater transparency and accountability in international development cooperation, both in donor and developing countries, focusing on adequate and predictable financial resources as well as their improved quality and targeting. AGREED AD REF p. Promoting South-South and Triangular Cooperation which complement North-South cooperation; AGREED AD REF q. Promoting effective public-private partnerships; AGREED AD REF r. Expanding access to financial services for the poor, especially women, including through adequately funded micro-finance plans, programmes and initiatives supported by development partners. AGREED AD REF

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s.Strengthening statistical capacity to produce reliable disaggregated data for better programmes and policy evaluation and formulation. AGREED AD REF 20. We recognize that the scaling-up of these successful policies and approaches will need to be complemented by a strengthened global partnership for development, as set out in the Action Agenda. AGREED AD REF 21. We take note of the first formal debate organized by the President of the General Assembly in which different views on the notion of human security were presented by Member States as well as the ongoing efforts to define the notion of human security and recognize the need to continue the discussion and to achieve an agreement on the definition thereof in the General Assembly. AGREED AD REF 22 alt. We recognize that climate change poses serious risks and challenges to all countries, especially developing countries. We commit to address climate change in accordance with the principles and provisions of the UNFCCC including the principle of common but differentiated responsibilities and respective capabilities. We maintain the UNFCCC as the primary international, intergovernmental forum for negotiating the global response to climate change. Addressing climate change will be of key importance in safeguarding and advancing progress towards the Millennium Development Goals. AGREED AD REF 23. We recognize that attention must be focused on the particular needs of developing countries and on the large and increasing economic and social inequalities. Disparities between developed and developing countries and inequalities between the rich and the poor, and between rural and urban populations, inter alia, remain persistent and significant and need to be addressed. AGREED AD REF 23 bis. We also recognize that policies and actions must focus on the poor and those living in the most vulnerable situations, including persons with disabilities, so that they benefit from progress towards the Millennium Development Goals. In this respect there is a particular need to provide more equitable access to economic opportunities and social services. AGREED AD REF 24. We recognize the urgency of attention to the many developing countries with specific needs, and the unique challenges they confront in achieving the Millennium Development Goals. AGREED AD REF 25. We acknowledge that the Least Developed Countries face significant constraints and structural impediments in their development efforts. We express grave concern that the Least Developed Countries are lagging behind in meeting internationally agreed development goals, including the MDGs. In this context, we call for continued implementation of the Brussels Programme of Action for the Least Developed Countries and look forward to the Fourth United Nations Conference on the Least Developed Countries, to be held in Istanbul in 2011, which would further invigorate the international partnership to address the special needs of these countries. AGREED AD REF 26. We reiterate our recognition of the special needs of and challenges faced by the landlocked developing countries caused by their lack of territorial access to the sea, aggravated by remoteness from world markets and also the concern that the economic growth and social well-being of landlocked developing countries remain very vulnerable to external shocks. We stress the need to overcome these vulnerabilities and build resilience. We call for the full, timely and effective implementation of the Almaty Programme of Action, as contained in the Declaration on the midterm review of the Almaty Programme of Action. AGREED AD REF
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27. We recognize the unique and particular vulnerabilities of Small Island Developing States and reaffirm our commitment to take urgent and concrete action to address those vulnerabilities through the full and effective implementation of the Mauritius strategy. We also recognize that the adverse effects of climate change and sea level rise present significant risks to the sustainable development of SIDS. We note the uneven progress of SIDS in achieving the MDGs and express concern that progress in some areas has been lagging. In this regard, we welcome the five year high-level review of the Mauritius strategy to assess progress made in addressing the vulnerabilities of SIDS. AGREED AD REF 28 alt We recognize that more attention should be given to Africa, especially those countries most off track to achieve the MDGs by 2015. Progress has been made in some African countries but the situation in others remain a grave concern not least because the continent is among the hardest hit by the financial and economic crisis. We note that aid to Africa has increased in recent years; however, it still lags behind commitments made. We therefore strongly call for the delivery of these commitments. AGREED AD REF 29. We recognize also the specific development challenges of middle-income countries. These countries face unique challenges in their efforts to achieve their national development goals, including the Millennium Development Goals. We also reiterate that their efforts in that regard should be based on national development plans which integrate the MDGs and be adequately supported by the international community, through various forms, taking into account the needs and capacity to mobilize domestic resources of these countries. AGREED AD REF 32. We acknowledge that disaster risk reduction and increasing resilience to all types of natural hazards, including geological and hydro meteorological hazards, in developing countries, in line with the Hyogo Framework for Action 2010-2015, can have multiplier effects and accelerate achievement of the Millennium Development Goals. Reducing vulnerabilities to these hazards therefore is a high priority issue for developing countries. We recognize that Small Island Developing States continue to grapple with natural disasters, some with increased intensity, including due to the effects of climate change, impeding progress towards sustainable development. AGREED AD REF THE WAY FORWARD ­ AN ACTION AGENDA FOR ACHIEVING THE MDGs BY 2015 AGREED AD REF 33. We resolve to promote and strengthen national ownership and leadership of development as a key determinant of progress in achieving the MDGs, with each country taking the primary responsibility for its own development. We encourage all countries to continue to design, implement and monitor development strategies tailored to their specific situations and including through broad consultations and participation of all relevant stakeholders, as appropriate for each national context. We call on the UN system and other development actors to support the design and the implementation of these strategies, at the request of Member States. AGREED AD REF 34 alt. We recognize that the increasing interdependence of national economies in a globalizing world and the emergence of rules-based regimes for international economic relations have meant that the space for national economic policy, that is, the scope for domestic policies, especially in area of trade, investment and international development, is now often framed by international disciplines, commitments and global market considerations. It is for each Government to evaluate the trade-off between the benefits of accepting international rules and commitments and the constraints posed by the loss of policy space. AGREED AD REF
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35. We reaffirm the Monterrey Consensus and the Doha Declaration on financing for development in their entirety, integrity and holistic approach, and recognize that mobilizing financial resources for development and the effective use of all those resources are central to the global partnership for development, including in support of the achievement of the internationally agreed development goals, including the Millennium Development Goals. AGREED AD REF 35 bis We call for the expeditious delivery of commitments already made by developed countries in the context of the Monterrey Consensus and the Doha Declaration. Short term liquidity, long term development financing and grants, in accordance with these commitments, will be utilized to assist developing countries to adequately respond to their development priorities. In our common pursuit of growth, poverty eradication and sustainable development, a critical challenge is to ensure the necessary internal conditions for mobilizing domestic resources, both public and private, sustaining adequate levels of productive investment and increasing human capacity. Private international capital flows, particularly foreign direct investment, along with international financial stability, are vital complements to national and international development efforts. AGREED AD REF 36. We stress the need for further reform and modernization of the international financial institutions to better enable them to respond to and prevent financial and economic emergencies, effectively promote development and better serve the needs of Member States. We reaffirm the importance of enhancing the voice and representation of developing countries in the World Bank and the International Monetary Fund and note the reforms undertaken by the World Bank and the progress made by the International Monetary Fund in this direction. AGREED AD REF 37. We call for increased efforts at all levels to enhance policy coherence for development. We affirm that achievement of the MDGs requires mutually supportive and integrated policies across a wide range of economic, social and environmental issues for sustainable development. We call on all countries to formulate and implement policies consistent with the objectives of sustained, inclusive and equitable economic growth, poverty eradication and sustainable development. AGREED AD REF 38. We reiterate the important role of trade as an engine of growth and development and its contribution to the attainment of the Millennium Development Goals. We emphasize the need to resist protectionist tendencies and to rectify any trade distorting measures already taken that are inconsistent with WTO rules, recognising the right of countries, in particular developing countries, to fully utilize their flexibilities consistent with their WTO commitments and obligations. The early and successful conclusion of the Doha Round with a balanced and ambitious, comprehensive and development oriented outcome would provide much needed impetus to international trade and contribute to economic growth and development. AGREED AD REF 39. We stress that promoting sustained, inclusive and equitable economic growth is necessary for accelerating progress towards achieving the Millennium Development Goals as well as promoting sustainable development, but it is not sufficient: growth should enable everyone, in particular the poor, to participate in and benefit from economic opportunities and should lead to job creation and income opportunities and be complemented by effective social policies. AGREED AD REF 39 bis We commit to redoubling our efforts to reduce maternal and child mortality and improve the health of women and children, including through strengthened national health systems, efforts to combat HIV/AIDS, improved nutrition, and access to safe drinking water and basic sanitation, making
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use of enhanced global partnerships. We stress that accelerating progress on the health MDGs is essential for making headway also on the other Millennium Development Goals. AGREED AD REF 39 ter We reiterate our commitment to ensure by 2015, that children everywhere, boys and girls alike, will be able to complete a full course of primary education. AGREED AD REF 40. We emphasize the importance of addressing energy issues, including access to affordable energy, energy efficiency, as well as sustainability of energy sources and use, as part of global efforts for the achievement of the Millennium Development Goals and the promotion of sustainable development. AGREED AD REF 41. We recognize the importance of developing economic and social infrastructure and productive capacities for sustained, inclusive and equitable economic growth and sustainable development, particularly in developing countries, bearing in mind the need to enhance employment and income opportunities for all, with special focus on the poor. AGREED AD REF 42. We stress the need to create full and productive employment and decent work for all and further resolve to promote the Global Jobs Pact as a general framework within which each country can formulate policy packages specific to its situation and national priorities in order to promote a job intensive recovery and for sustainable development. We call on Member States to take effective measures for promoting social inclusion and integration and incorporate these into their national development strategies. AGREED AD REF 43. We resolve to take further effective measures and actions in conformity with international law to remove obstacles and constraints, strengthen support and meet the special needs of the regions and countries struggling to achieve economic and social development, including least developed countries, land-locked developing countries, small-island developing states, middle income countries, Africa, people living in areas affected by complex humanitarian emergencies, and in areas affected by terrorism. In addition, we acknowledge the need to take concerted actions in conformity with international law to remove the obstacles to the full realization of the rights of peoples living under foreign occupation to promote the achievement of the MDGs. AGREED AD REF 44. We recognize the specific development challenges related to peacebuilding and early recovery in countries affected by conflict and the effect of these challenges on their efforts to attain the MDGs. We request donor countries to provide adequate, timely and predictable development assistance in support of these efforts tailored to country specific needs and situations, at the request of the recipient country. We are determined to strengthen international partnerships to address these needs, demonstrate progress and enable improved international support. AGREED AD REF 45. We consider that promoting universal access to social services and providing social protection floors can make an important contribution to consolidate and achieve further development gains. Social protection systems that address and reduce inequality and social exclusion are an essential for protecting the gains towards the achievement of the Millennium Development Goals. AGREED AD REF 46. We stress that fighting corruption at both national and international levels is a priority and that corruption is a serious barrier to effective resource mobilization and allocation and diverts resources away from activities that are vital for poverty eradication, the fight against hunger, and sustainable development. We are determined to take urgent and decisive steps to continue to combat corruption in all of its manifestation, which requires strong institutions at all levels and urge all States that have not
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yet done so to consider ratifying or acceding to the UN Convention against Corruption and begin its implementation. AGREED AD REF 46 bis We recognize that the respect, promotion and protection of human rights is an integral part of effective work towards achieving the MDGs. AGREED AD REF 47 alt We acknowledge the importance of gender equality and empowerment of women to achieve the MDGs. Women are agents of development. We call for action to ensure the equal access of women and girls to education, basic services, health care, economic opportunities and decision-making at all levels. We stress that investing in women and girls has a multiplier effect on productivity, efficiency and sustained economic growth. We recognize the need for gender mainstreaming into the formulation and implementation of development policies. AGREED AD REF 47 ter We reaffirm that States should, in accordance with international law, take concerted positive steps to ensure respect for all human rights and fundamental freedoms of indigenous people, on the basis of equality and non-discrimination, and recognizing the value and diversity of their distinctive identities, cultures and social organization AGREED AD REF 49 We resolve to work with all stakeholders and strengthen partnerships in achieving the Millennium Development Goals. The private sector plays a vital role in development in many countries, including through public private partnerships, and in generating employment and investment, developing new technologies and enabling sustained, inclusive and equitable economic growth. We call upon the private sector to further contribute to poverty eradication, including, by adapting its business models to the needs and possibilities of the poor. Foreign direct investment and trade, as well as public-private partnerships are important for the scaling-up of initiatives. In this connection we note the work of the United Nations Global Compact, in which companies have committed to Corporate Social Responsibility and action in support of the Millennium Development Goals. AGREED AD REF 50. We stress the importance of strengthening regional and sub-regional cooperation for accelerating national development strategy implementation, including through regional and subregional development banks and initiatives. We also emphasize the importance of strengthening regional and sub-regional institutions to provide effective support to regional and national development strategies. AGREED AD REF 51. We reaffirm that United Nations funds and programmes, United Nations agencies and regional commissions, in accordance with their respective mandates, have an important role to play in advancing development and in protecting development gains, in accordance with national strategies and priorities, including progress towards achieving the Millennium Development Goals. We will continue to take steps for a strong, well coordinated, coherent and effective UN system in support of the MDGs. We emphasize the principle of national ownership and leadership, supports the initiatives of some countries to use, on a voluntary basis, common country programme documents, and emphasizes its support for all countries that wish to continue using the existing frameworks and processes for country-level programming; AGREED AD REF 52. We stress the need for adequate quantity and quality of funding for operational activities of the UN development system as well as to make funding more predictable, effective and efficient. We also reaffirm in this context the importance of accountability, transparency and improved results-based management and further harmonised results-based reporting on the work of the UN funds, programmes and specialized-agencies. AGREED AD REF
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53. We resolve to enhance efforts to mobilize adequate and predictable financial and quality technical support, as well as to promote the development and dissemination of appropriate, affordable and sustainable technology, as well as the transfer of such technologies on mutually agreed terms, which are crucial for the achievement of the Millennium Development Goals. AGREED AD REF 54. We further consider that innovative mechanisms of financing can make a positive contribution in assisting developing countries to mobilize additional resources for financing for development on a voluntary basis. Such financing should supplement and not be a substitute for traditional sources of financing. While recognizing the considerable progress in innovative sources of financing for development, we call for scaling up present initiatives, where appropriate. AGREED AD REF 55. We welcome the ongoing efforts to strengthen and support South-South Cooperation, as well as triangular cooperation. We stress that South-South Cooperation is not a substitute for, but rather a complement to North-South cooperation. We call for the effective implementation of the outcome document of the High-Level Conference on South-South Cooperation held in Nairobi in December 2009. AGREED AD REF 55 bis We recognize regional efforts in advancing the achievement of Millennium Development Goals by 2015. In this regard, we welcome the convening of the fifteenth ordinary session of the summit of the African Union in Kampala, Uganda, 19 -27 July 2010 with the theme of "Maternal, infant and child health and development in Africa" that launch the African Union campaign in accelerated reduction of maternal mortality in Africa (CARMMA) "Africa cares: no woman should die while giving life"; Special Ministerial Meeting on Millennium Development Goals in Asia and the Pacific: run up to 2015, in Jakarta, Indonesia, 3 - 4 August 2010, as well as the 2010 UN Inter agencies report on the Latin American and Caribbean region progress on Millennium Development Goals lead by the Economic Commission for Latin American and Caribbean region (ECLAC) as well as similar reports produced by other regional commissions; which all have contribute positively to the high-level plenary meeting of the General Assembly at its sixty-fifth session, as well as to the achievement of Millennium Development Goals by 2015. AGREED AD REF 56. We welcome the increasing efforts to improve the quality of official development assistance and to increase its development impact, and recognizing that the Economic and Social Council Development Cooperation Forum, along with recent initiatives, such as the high-level forums on aid effectiveness, which produced the 2005 Paris Declaration on Aid Effectiveness and the 2008 Accra Agenda for Action, make important contributions to the efforts of those countries which have committed to them, including through the adoption of the fundamental principles of national ownership, alignment, harmonization and managing for results; and also bearing in mind that there is no one-size-fits-all formula that will guarantee effective assistance and that the specific situation of each country needs to be fully considered. AGREED AD REF 56 bis. We encourage continued efforts of the Development Cooperation Forum of the Economic and Social Council as the focal point within the UN system for a holistic consideration of issues of international development cooperation, with the participation of all relevant stakeholders. AGREED AD REF 57. We consider that the cultural dimension is important for development. We encourage international cooperation in the cultural field with the aim to achieve the development objectives. AGREED AD REF

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58. We recognize that sport, as a tool for education, development, and peace, can promote cooperation and solidarity, tolerance, understanding, social inclusion, and health, at local, national, and international levels. AGREED AD REF 59. We recognise that all countries require adequate, timely, reliable and disaggregated data, including demographic data for designing better programmes and policies for sustainable development. We commit to strengthen our national statistical systems, including for effectively monitoring progress towards the Millennium Development Goals. We also reiterate the need to increase efforts in support of statistical capacity building in developing countries. AGREED AD REF 59 bis We take note of the Global Pulse-Initiative to develop more up-to-date and actionable data, together with all relevant stakeholders for rapid impact and vulnerability analysis. AGREED AD REF MDG 1 - ERADICATE EXTREME POVERTY AND HUNGER AGREED AD REF 60. We commit to accelerate progress in order to achieve MDG 1, including through: AGREED AD REF

a 0 1. Addressing the root causes of extreme poverty and hunger while noting that the eradication of extreme poverty and hunger has a direct impact on the achievement of all other MDGs. AGREED AD REF a. 0 Adopting forward-looking economic policies that lead to sustained, inclusive and equitable economic growth and sustainable development, and which increase employment opportunities, promote agricultural development and reduce poverty. AGREED AD REF a. Increasing efforts at all levels to mitigate the social and economic impacts, particularly on poverty and hunger, of the multiple crises through global responses, which are comprehensive, effective, inclusive and sustainable, taking into account the needs of developing countries. AGREED AD REF b. Pursuing job intensive and sustained, inclusive and equitable economic growth and sustainable development in order to promote full and productive employment and decent work for all, including women, indigenous peoples, youth, and people with disabilities and rural populations and promoting small- and medium-sized enterprises through initiatives such as skills enhancement and technical training programmes, vocational training and entrepreneurial skills development. Employers and workers' representatives should be closely associated with these initiatives. AGREED AD REF c. Improving opportunities for young people to gain access to productive employment and decent work through increased investment in youth employment, active labour market measures and public-private partnerships, as well as through the creation of enabling environments to facilitate their participation in labour markets, in accordance with international rules and commitments. AGREED AD REF c bis Taking appropriate steps to assist one another in the elimination of the worst forms of child labour, strengthening child protection systems and combating trafficking in children through, inter alia, enhanced international cooperation and assistance, including support for social and economic development, poverty eradication programmes and universal education; AGREED AD REF
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c bis Promoting comprehensive systems of social protection that provide universal access to essential social services, consistent with national priorities and circumstances, by establishing a minimum level of social security and health care for all. AGREED AD REF d. Promoting inclusive financial services, particularly microfinance, and including affordable and accessible credit, savings, insurance and payments products to all segments of the society, especially, women, people in vulnerable situations and those who would not normally be served, or are underserved, by traditional financial institutions as well as to micro, small and medium sized enterprises. AGREED AD REF e. bis Promoting the empowerment and participation of rural women as critical agents for enhancing agricultural and rural development and food security and ensuring their equal access to productive resources, land, financing, technologies, training and markets. AGREED AD REF f. Reaffirming the international commitment to eliminating hunger and to securing access to food for all and reiterate , in this regard, the important role of relevant organisations, particularly the United Nations organisations. AGREED AD REF g. Supporting in this context the Five Rome Principles for Sustainable Global Food Security contained in the Declaration of the Rome World Summit on Food Security. AGREED AD REF h. Strengthening international coordination and governance for food security, through the Global Partnership for Agriculture, Food Security and Nutrition, of which the Committee on World Food Security is a central component, and reiterate that it is essential to enhance global governance, building on existing institutions and fostering effective partnerships. AGREED AD REF h bis Promoting efforts to improve capacity-building in sustainable fisheries management, especially in developing countries, as fish is an important source of animal protein for millions of people and is an essential component in the fight against malnutrition and hunger. AGREED AD REF i Supporting a comprehensive and coordinated response to address the multiple and complex causes of the global food crisis, including the adoption of political, economic, social, financial and technical solutions in the short, medium and long term by national Governments and the international community, including mitigating the impact of the high volatility of food prices on developing countries. The relevant United Nations organizations have an important role to play in this regard. AGREED AD REF j. Promoting at all levels a strong enabling environment for enhancing agricultural production, productivity and sustainability in developing countries, including through public and private investment, land use planning, efficient water management, adequate rural infrastructure, including irrigation, and developing strong agricultural value chains and improving farmers' access to markets and land and supportive economic policies and institutions at the national and international level. AGREED AD REF j bis. Supporting small scale producers, including women, to increase production of a wide spectrum of traditional and other crops and livestock, and improving their access to markets, credits and inputs thereby increasing poor people's income earning opportunities, and their ability to purchase food and improve their livelihoods. AGREED AD REF
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k. Increasing the rate of agricultural productivity growth in developing countries through promotion of the development and dissemination of appropriate, affordable and sustainable agricultural technology, as well as the transfer of such technologies on mutually agreed terms, and support agricultural research and innovation, extension services and the agricultural education in developing countries. AGREED AD REF k. bis Increasing the sustainable production and augmenting the availability and quality of food including through: long term investment, access of smallholder farmers to markets, credit and inputs, improved land use planning, crop diversification, commercialization, and development of an adequate rural infrastructure and enhanced market access for developing countries. AGREED AD REF m. Delivering on the commitments made to achieve global food security, and providing adequate and predictable resources through bilateral and multilateral channels, including the commitments set out in the L'Aquila Food Security Initiative. AGREED AD REF n. Addressing environmental challenges to sustainable agriculture development such as water quality and availability, deforestation and desertification, land and soil degradation, dust, floods, drought and unpredictable weather patterns, and loss of biodiversity, promotion of the development and dissemination of appropriate, affordable and sustainable agricultural technology, as well as the transfer of such technologies on mutually agreed terms. AGREED AD REF p. bis 1 Reaffirming the right of everyone to have access to safe, sufficient and nutritious food, consistent with the right to adequate food and the fundamental right of everyone to be free from hunger, so as to be able to fully develop and maintain his or her physical and mental capacities. AGREED AD REF p ter Making special efforts to meet the nutritional needs of women, children and older persons, and persons with disabilities as well as those living in vulnerable situations through targeted and effective programming. AGREED AD REF p bis 2 Accelerating progress on the challenges faced by indigenous peoples in the context of food security, and in this regard taking special actions to combat the root causes of the disproportionately high level of hunger and malnutrition among indigenous peoples. AGREED AD REF MDG 2 ­ ACHIEVE UNIVERSAL PRIMARY EDUCATION AGREED AD REF 61. We commit to accelerate progress in order to achieve MDG 2, including through: AGREED AD REF a. (0) Realizing the right of everyone to education and re-emphasizing that education shall be directed to the full development of the human personality and the sense of its dignity, and shall strengthen the respect for human rights and fundamental freedoms. AGREED AD REF a. (00) alt Making further progress towards the goal of universal primary education by building on the gains made during the last decade. AGREED AD REF

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a. Removing barriers, outside and within education systems to provide equitable educational and learning opportunities for all children, as knowledge and education are key factors for sustained, inclusive and equitable economic growth and for the achievement of all MDGs, through continued political emphasis on education and by promoting, with the support of the international community, civil society and the private sector, appropriate and targeted, evidence-based measures such as abolishing school fees, providing school meals, ensuring that schools have separate sanitation facilities for boys and girls and in other ways making primary education for all children available, accessible and affordable. AGREED AD REF b. Addressing the root causes of the inequalities, disparities and diverse forms of exclusion and discrimination affecting children, particularly out-of-school children, including by enhancing childrens' enrolment, retention, participation and achievement, by developing and operationalizing an inclusive education and defining targeted, proactive strategies, policies and programmes including cross-sectoral approaches, to promote accessibility and inclusion. In this regard, additional efforts should be undertaken to work across sectors to reduce drop-out, repetition and failure rates, especially for the poor, and eliminate the gender gap in education. AGREED AD REF c. Ensuring quality education and progression through the school system. This requires establishing learner friendly schools and institutions; increasing the number of teachers and enhancing their quality through comprehensive teacher policies that address issues of recruitment, training, retention, professional development, evaluation, employment and teaching conditions and teachers' status through increased national capacity; and building more class rooms and improving the material conditions of school buildings and infrastructure, as well as the quality and content of the curriculum, pedagogy and learning and teaching materials, harnessing the capabilities of information and communication technologies and assessment of learning outcomes. AGREED AD REF d. Strengthening the sustainability and predictability of funding for national education systems by ensuring adequate national education budgets to, inter alia, address infrastructural, human resources, financial and administrative constraints. These systems should be supported by adequate and predictable development assistance and international cooperation for education, including through new, voluntary and innovative approaches for education financing that should supplement and not be a substitute for traditional sources of finance. AGREED AD REF e. Continuing to implement national programmes and measures to eliminate illiteracy world wide as part of the commitments made in the Dakar Framework for Action on Education for All, adopted at the 2000 World Education Forum, and in the MDGs. In this regard, we recognize the important contribution of South-South and triangular cooperation through, inter alia, innovative pedagogical methods in literacy. AGREED AD REF f. Supporting efforts of national governments to strengthen their capacity to plan and manage education programmes, by involving all education providers in line with national policies and educational systems. AGREED AD REF g. Giving greater focus to the transition from primary education and access to secondary education, vocational training as well as non-formal education and entry into the labour market. AGREED AD REF h. Strengthening efforts to ensure primary education as a fundamental element of the response to and preparedness for humanitarian emergencies, assuring that affected countries are supported, at
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their request, in their efforts to restore their education systems by the international community. AGREED AD REF MDG 3 - PROMOTING GENDER EQUALITY AND EMPOWERMENT OF WOMEN AGREED AD REF 62. We commit to accelerate progress in order to achieve MDG 3, including through: AGREED AD REF a o bis Taking action to achieve the goals of the Beijing Declaration and Platform for Action and its twelve critical areas of concern, our commitments in the Programme of Action of International Conference on Population and Development and States Parties obligations and commitments in the Convention for the Elimination of Discrimination against Women as well as in the Convention on the Rights of the Child. AGREED AD REF b. Ensuring access to education and successful schooling of girls by removing barriers and expanding support for girls' education through measures such as providing free primary education, safe environment for schooling, financial assistance such as scholarships and cash transfer programmes; promoting supportive policies to end discrimination against women and girls in education; and tracking completion and attendance rates with a view to retaining girls in schools through secondary levels. AGREED AD REF c. Empowering women, in particular women living in poverty, through, inter alia, social and economic policies that guarantee them full and equal access to all levels of quality education and training and vocational training, including technical, managerial and entrepreneurial training and to affordable and adequate public and social services. AGREED AD REF d. Ensuring that women benefit from policy measures to generate full and productive employment and decent work for all, in accordance with states' commitments to ILO conventions, including policy measures to promote inter alia, access of women and girls, including mothers and pregnant women, to formal and non-formal education, equal skills development and employment opportunities, and closing wage gaps between women and men, recognizing women's unpaid work, including care work. AGREED AD REF e. Investing in infrastructure and labour saving technologies, especially in rural areas, benefiting women and girls by reducing their burden of domestic activities, affording the opportunity for girls to attend schools and women to engage in self employment or to participating in the labour market. AGREED AD REF f. Taking action to improve the numbers and active participation of women in all political and economic decision-making processes including by investing in women's leadership in local decisionmaking structures and processes, encouraging appropriate legislative action and creating an even playing field for men and women in political and government institutions, and intensifying our efforts for the equal participation of women and men as key stakeholders at all levels in the prevention and resolution of conflicts and peacebuilding processes. AGREED AD REF h. Strengthening comprehensive national laws and policies as well as programmes to enhance accountability and raise awareness, prevent and combat all forms of violence against women and girls everywhere which undermine their full enjoyment of all human rights, and to ensure that
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women have access to justice and protection, and that all perpetrators of such violence are duly investigated, prosecuted and punished in order to end impunity, in conformity with national legislation, international humanitarian law and international human rights law. AGREED AD REF i. Improving national-level capacity to monitor and report on progress, gaps and opportunities through better generation and use of sex- and age-disaggregated data, including with the support of the international community, AGREED AD REF j. Enhancing the impact of development assistance in advancing gender equality and empowerment of women as well as girls through targeted activities including capacity-building as well as through, gender mainstreaming and through enhanced dialogue between donors and partners, involving, as appropriate, civil society and the private sector with a view to ensuring adequate funding. AGREED AD REF k alt Facilitating access by women to affordable microfinance, in particular microcredit, which can contribute to poverty eradication, gender equality and the empowerment of women. AGREED AD REF k bis Promoting and protecting women's equal access to adequate housing, property, and land, including rights to inheritance and enable them to secure access to credit, through appropriate constitutional, legislative and administrative measures. AGREED AD REF l. Promoting women's economic empowerment and ensuring women's access to productive resources. In this regard, strengthening gender responsive public management, in order to ensure gender equality in resource allocation, capacity development and benefit sharing in all the sectors and at central to local level governments. AGREED AD REF PROMOTING GLOBAL PUBLIC HEALTH FOR ALL TO ACHIEVE THE MDGS AGREED AD REF 63. We commit to accelerate progress in promoting global public health for all, including through: AGREED AD REF a. Realizing the values and principles of primary healthcare including equity, solidarity, social justice, universal access to services, multi-sectoral action, transparency, accountability community participation, and empowerment, as the basis for strengthening health systems, and recall in this regard the Declaration of Alma-Ata. AGREED AD REF b. Strengthening the capacity of national health systems to deliver equitable and quality healthcare services and promoting the widest possible access to healthcare services at the point of use, especially to those in vulnerable situations, through public policies that remove the barriers to the access to and use of healthcare services, complemented by the support of international programmes, measures and policies that align with national priorities. AGREED AD REF c. Providing and strengthening comprehensive and affordable community based primary healthcare services to ensure a continuum from health promotion and disease prevention to care and rehabilitation while paying particular attention to poor people and populations, especially in rural and remote areas, with a view to extending health protection to all those in need. AGREED AD REF

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d. Improving the quality and effectiveness of healthcare services delivery, by providing integrated healthcare services through coordinated approaches at the country level, the increased use of common platforms and by integrating relevant services of other sectors, including water and sanitation. AGREED AD REF e. Realizing the international commitment to support national efforts in strengthening health systems that deliver equitable health outcomes as a basis for a comprehensive approach, that includes health financing, the training and retention of the health workforce, procurement and distribution of medicines and vaccines, infrastructure, information systems and service delivery. AGREED AD REF f. Strengthening basic infrastructure, human and technical resources, and provision of health facilities so as to improve health systems and ensure the accessibility, affordability and quality, especially in rural and remote areas, of healthcare services, as well as sustainable access to safe drinking water and basic sanitation, bearing in mind the commitment to halving by 2015 the proportion of the population without sustainable access to safe drinking water and basic sanitation as a means of fighting waterborne diseases. AGREED AD REF h. Stressing the importance of multisectoral and inter-ministerial approaches in formulating and implementing national policies that are crucial for promoting and protecting health, and reiterating that Governments will play the central role, in collaboration with civil society organizations, including academia, and the private sector, in implementing national strategies and action plans on social service delivery, and in making progress towards ensuring more equitable health outcomes. AGREED AD REF i. Improving national health governance, including through the participation of
  civil society, the private sector and other relevant stakeholders, as well as strengthening international support,
   as
   appropriate,
  to ensure that national health system are sustainable, well prepared and able to respond to challenges, including crises and pandemics. AGREED AD REF j. Developing appropriate policies and actions to promote health education and literacy including amongst young people, in order to address the lack of awareness about health, and in some cases, harmful practices which notably inhibit women's and children's access to healthcare services and to ensure respect for human rights, promote gender equality and empowerment of women as essential for addressing the health of women and girls, as well as to address stigmatization of people living with and affected by HIV and AIDS. AGREED AD REF k. Supporting the use of national data collection, monitoring and evaluation systems that can track sex-disaggregated access to healthcare services and provide rapid feedback for improving the effectiveness and quality of health systems. AGREED AD REF l. Strengthening the effectiveness of health systems and proven interventions to address the evolving health challenges such as the increased incidence of non-communicable diseases, road traffic injuries and fatalities, and environmental and occupational health hazards. AGREED AD REF m. Reviewing national recruitment, training and retention policies and developing national health workforce plans, based on lessons learned, that address the lack of health workers as well as their uneven distribution within countries, including in remote and rural areas, and throughout the world, which undermines the health systems of developing countries, in particular the shortage in
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Africa and in this regard, recognize the importance of national and international actions to promote universal access to healthcare services that take into account the challenges facing developing countries in the retention of skilled health personnel, in light of the adoption of the WHO Code of practice on international recruitment of health personnel, which is voluntary. AGREED AD REF n. Further strengthening international cooperation, inter alia, through exchange of best practices in the area of health systems strengthening, access to medicines, encouraging development of technology, and transfer of technology on mutually agreed terms, production of affordable, safe, effective and good quality medicines, fostering production of innovative medicines, generics, vaccines and other health commodities, training and retaining of health personnel and work to ensure that international cooperation and assistance, in particular external funding, become more predictable, better harmonized and better aligned with national priorities for capacity building and channeled to recipient countries in ways that strengthen national health systems AGREED AD REF p. Further promoting research and development, knowledge-sharing and provision and use of information and communications technology for health, including through facilitating affordable access by all countries, especially developing countries. AGREED AD REF q. Enhancing public private partnership for healthcare service delivery, encouraging the development of new and affordable technologies and their innovative application and developing new and affordable vaccines and medicines needed, particularly in developing countries. AGREED AD REF r. Welcoming the Secretary-General's Global Strategy for Women's and Children's Health, undertaken by a broad coalition of partners, in support of national plans and strategies, in order to significantly reduce the number of maternal, newborn and under five child deaths as a matter of immediate concern, by scaling up a priority package of high impact interventions, and integrating efforts in sectors like health, education, gender equality, water and sanitation, poverty reduction, and nutrition. AGREED AD REF r bis. Welcoming also the various national, regional and international initiatives on all Millennium Development Goals, including those undertaken bilaterally and through South-South Cooperation, in support of national plans and strategies in sectors such as health, education, gender equality, energy, water and sanitation, poverty reduction and nutrition as a way to reduce the number of maternal, newborn and under five child deaths. AGREED AD REF MDG 4 ­ REDUCE CHILD MORTALITY AGREED AD REF 64. We commit to accelerate progress in order to achieve MDG 4, including through: AGREED AD REF a. Scaling-up efforts to achieve integrated management of childhood illness, particularly actions to address and prevent the main causes of child mortality, including newborn and infant mortality, these being, inter alia, pneumonia, diarrhoea, malaria and malnutrition. This can be achieved by developing, implementing and evaluating appropriate national strategies, policies and programmes for child survival, preventive pre-natal, para-natal and post-natal measures, vaccinations and immunization and working to ensure that medicines, medical products and technologies are affordable and available. In addition, this can be achieved by improved nutrition, including nutrition prior to birth, as well as strengthening specific health interventions, including emergency obstetric care and skilled attendance at birth to reduce maternal and child mortality. International support to
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national efforts, including financial resources, will continue to be key in this regard. AGREED AD REF b. Sustaining major successes of and scaling up prevention and vaccination programmes as one of the most efficient tools to reduce child mortality, including the measles, polio, tuberculosis and tetanus campaigns, by ensuring sufficient funding, political commitment and high quality implementation of control activities, especially in priority countries. AGREED AD REF c. Taking action to improve child nutrition through an integrated package of essential interventions and services, including, in particular, access to nutritious food, appropriate supplements, prevention and early management of diarrhoeal diseases, and information and support for exclusive breastfeeding and for the treatment of severe acute malnutrition. AGREED AD REF d. Maintaining progress with regard to combating malaria and the extension of the use of insecticide-treated bednets. AGREED AD REF e. Stepping up the fight against pneumonia and diarrhoea through the greater use of proven highly effective preventative and treatment measures as well as new tools, such as new vaccines, which are affordable even in the poorest countries. AGREED AD REF f. Scaling up efforts, including awareness raising, to address the critical impact of increasing access to safe drinking water, sanitation coverage and hygienic care, including hand washing with soap, on reducing child death due to diarrhoeal diseases. AGREED AD REF g. Working towards ensuring that the next generation is born HIV-free by providing, on an urgent basis, extended and sustainable coverage and improved quality of services to prevent motherto-child transmission as well as increasing access to paediatric HIV treatment services. AGREED AD REF MDG 5 ­ IMPROVE MATERNAL HEALTH AGREED AD REF 65. We commit to accelerate progress in order to achieve MDG 5, including through: AGREED AD REF a.o Taking steps to realize the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, including sexual and reproductive health. AGREED AD REF a. Addressing reproductive, maternal and child, including newborn, health in a comprehensive manner, inter alia through the provision of family planning prenatal care, skilled attendance at birth, emergency obstetric and newborn care, and the prevention and treatment of sexually-transmitted diseases and infections, such as HIV, in strengthened health systems that provide accessible and affordable integrated healthcare services and include community-based preventive and clinical care. AGREED AD REF b. Building on effective, multisectoral and integrated approaches, we emphasize the need for the provision of universal access to reproductive health by 2015, including, integrating family planning, sexual health and health-care services in national strategies and programmes. AGREED AD REF
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c. Taking action at all levels to address the interlinked root causes of maternal mortality and morbidity such as poverty, malnutrition, harmful practices, lack of accessible and appropriate healthcare services, information and education, gender inequality and paying particular attention to eliminating all forms of violence against women and girls. AGREED AD REF d. Ensuring that all women, men and young people have information about and access to the widest possible range of safe, effective, affordable, and acceptable methods of family planning of their choice. AGREED AD REF e. Expanding the provision of comprehensive obstetric care and strengthening the role of skilled health care providers, including midwives and nurses, through training and retaining so as to fully utilize their potential as trusted providers of maternal healthcare services as well as family planning within local communities and expanding and upgrading formal and informal training in sexual and reproductive health care and family planning for all healthcare providers, health educators and managers, including training inter-personal communications and counselling. AGREED AD REF MDG-6 COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES AGREED AD REF 66. We commit to accelerate progress in order to achieve MDG 6, including through: AGREED AD REF a 0) Redoubling efforts to achieve universal access to HIV/AIDS prevention, treatment, care and support as an essential step in achieving MDG-6 and as a contribution to reaching the other Millennium Development Goals; AGREED AD REF a. Significantly intensify prevention efforts and increase access to treatment by scaling up strategically aligned programmes, aimed at reducing vulnerability of persons more likely to be infected with HIV, combining biomedical, behavioural and social and structural interventions, and through the empowerment of women and adolescent girls so as to increase their capacity to protect themselves from the risk of HIV infection and through the promotion and protection of all human rights. Prevention programmes should take into account local circumstances, ethics and cultural values including information, education and communication, in languages most understood by local communities and respectful of cultures, aimed at reducing risk-taking behaviours and encouraging responsible sexual behaviour, including abstinence and fidelity; expanded access to essential commodities, including male and female condoms and sterile injecting equipment; harm-reduction efforts related to drug use; expanded access to voluntary and confidential counseling and testing; safe blood supplies; early and effective treatment of sexually transmitted infections and promote policies that ensure effective prevention, as well as accelerate further research and development into new tools for prevention, including microbicides and vaccines. AGREED AD REF b. Dealing with HIV/AIDS from a developmental perspective, which requires a national network of sound and workable institutions and multisectoral prevention, treatment, care and support strategies, addressing the stigmatization of and discrimination against people living with HIV and promoting their social integration, rehabilitation, and greater involvement in HIV response as well as strengthening national efforts at HIV/AIDS prevention, treatment, care and support and strengthening efforts to eliminate the mother-to-child transmission of HIV. AGREED AD REF

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c. Building new strategic partnerships to strengthen and leverage the linkages between HIV and other health and development initiatives, expanding to the greatest extent possible, and with the support of international cooperation and partnership, national capacity to deliver comprehensive HIV/AIDS programmes, as well as new and more effective anti retroviral treatments in ways that strengthen existing national health and social systems as well as using HIV platforms as a foundation for expansion of service delivery. In this regard, expediting action to integrate HIV information and services into programmes for primary healthcare, sexual and reproductive health, including voluntary family planning and mother and child health, treatment for tuberculosis, hepatitis C and sexually transmitted infections, care for children affected, orphaned or made vulnerable by HIV/AIDS, as well as nutrition and formal and informal education. AGREED AD REF d. Planning for long-term sustainability, including addressing the expected increase in demand for second and third line drug regimens to treat HIV, malaria and tuberculosis. AGREED AD REF e. Strengthening support to the affected countries to respond to HIV co-infection with tuberculosis as well as multi drug resistant and extensively drug resistant tuberculosis, including through earlier detection of all forms of tuberculosis. AGREED AD REF f. Sustaining national efforts and programmes, with the support of the international community, to address the challenges posed by malaria by strengthening effective prevention, diagnosis and treatment strategies, including through ensuring the accessibility to and availability of affordable, quality and effective medicines, generics, including artemisinin-combination therapy, as well as the progress in the use of long lasting, safe insecticide treated bednets to combat malaria also strengthening ongoing research for the prompt development of malaria vaccines. AGREED AD REF g. Renewing efforts to prevent and treat neglected tropical diseases, prevention and treatment services for malaria and tuberculosis, including by improving national health information systems, strengthening international cooperation, accelerating further research and development, developing innovative vaccines and medicines and adopting comprehensive prevention strategies. AGREED AD REF g. bis Undertaking concerted action and a coordinated response at the national, regional and global levels in order to adequately address the developmental and other challenges posed by noncommunicable diseases, namely cardiovascular diseases, cancers, chronic respiratory diseases and diabetes, and working towards a successful high-level meeting of the General Assembly in 2011. AGREED AD REF h. Increasing efforts to achieve universal access to HIV prevention, treatment, care and support, and strengthening the fight against malaria, tuberculosis and other diseases, including through providing adequate funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria and through UN agencies, funds and programmes and other multilateral and bilateral channels. Strengthening innovative financing mechanisms, as appropriate, and contributing to the long-term sustainability of the response. AGREED AD REF MDG 7- ENSURE ENVIRONMENTAL SUSTAINABILITY AGREED AD REF

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67. We commit to accelerate progress in order to achieve MDG 7, including through: AGREED AD REF a. Pursuing sustainable development, in accordance with the principles contained in the Rio Declaration on Environment and Development, including, inter alia, the principle of common but differentiated responsibilities, and taking into account the respective capabilities of countries, with a view to effectively implement the outcomes of the major summits on sustainable development, as well as addressing new and emerging challenges. AGREED AD REF b. Pursuing environmental sustainability, through nationally owned comprehensive and coherent planning frameworks, as well as the adoption of national legislation, in accordance with national circumstances, and the appropriate implementation capacity; Supporting developing countries in this regard in building capacity and providing financial resources, and by promoting the development and dissemination of appropriate, affordable and sustainable technology, as well as the transfer of such technologies on mutually agreed terms. AGREED AD REF c. Supporting the implementation of the United Nations Convention to Combat Desertification in Those Countries Experiencing Serious Drought and/or Desertification, Particularly in Africa, through joint action of the international community by addressing the causes and poverty impacts of desertification and land degradation, in arid, semi-arid, and dry sub-humid areas, consistent with article 1, 2 and 3 of the Convention taking into account the ten year Strategic Plan and Framework to enhance the implementation of the Convention (2008-2018), supporting the exchange of best practices and lessons learned, including from regional cooperation, and the mobilization of adequate and predictable financial resources. AGREED AD REF d. Strengthening political commitment and action at all levels to effectively implement the global objectives on forest and sustainable forest management of all types of forests in order to reduce the loss of forest cover and improve the livelihoods of those that depend on forests through the development of a comprehensive and more effective approach to financing activities, 3 involvement of local and indigenous communities and other relevant stakeholders, promoting good governance at national and international level, and enhancing international cooperation to address the threats posed by illicit activities. AGREED AD REF e. Continuing to pursue more efficient and coherent implementation of the three objectives of the Convention on Biological Diversity, and addressing implementation gaps, where appropriate, including through the fulfillment of commitments significantly reducing the rate of loss of biodiversity, including through preserving and maintaining knowledge, innovations and practices of indigenous and local communities; and continuing ongoing efforts towards elaborating and negotiating an international regime on access and benefit sharing. We look forward to the successful outcome of the Convention on Biological Diversity COP 10 in Nagoya. AGREED AD REF f. Supporting the implementation of national policies and strategies to combine as appropriate the increased use of new and renewable energy sources and low emission technologies, more efficient use of energy, greater reliance on advanced energy technologies, including cleaner fossil fuel technologies and the sustainable use of traditional energy resources, as well as promoting access to modern, reliable, affordable and sustainable energy services; and enhancing national capacities to meet the growing energy demand, as appropriate, supported by international cooperation in this
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3

in accordance with the mandate of resolution E-2009/118- E/CN.18/ SS /2009/ 2

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field, and by promoting the development and dissemination of appropriate, affordable and sustainable energy technology, as well as the transfer of such technologies on mutually agreed terms. AGREED AD REF f bis 1 Maintaining that the UNFCCC is the primary international, intergovernmental forum for negotiating the global response to climate change. Calling upon States to take urgent global action to address climate change in accordance with the principles identified in the Convention, including the principle of common but differentiated responsibilities and respective capabilities and looking forward to a successful and ambitious outcome at the 16th Conference of the Parties of the United Nations Framework Convention on Climate Change (COP-16) and the 6th Meeting of the Parties of the Kyoto Protocol (CMP-6) to be held from 29 November to 10 December 2010 in Cancun. AGREED AD REF g. Continuing to increase sustainable access to safe drinking water and basic sanitation through prioritizing integrated water and sanitation strategies which include the restoration, upgrading and maintenance of infrastructure, including water pipelines and sewage networks, as well as promoting integrated water management in national planning, and by exploring innovative ways of improving the tracking and monitoring of water quality. AGREED AD REF h. Promoting integrated waste management systems, in partnership with all relevant stakeholders and with international financial and technological support, as appropriate. AGREED AD REF i. Redoubling efforts to close the sanitation gap through scaled-up ground-level action, supported by strong political will and increased community participation, in accordance with national development strategies, promoting the mobilization and provision of adequate financial and technological resources, technical know-how and capacity building for developing countries, to increase the coverage of basic sanitation, especially for the poor, noting the global effort to realize "Sustainable Sanitation ­ the 5 Year Drive to 2015". AGREED AD REF j. Working towards cities without slums, beyond current targets, through reducing the slum populations and improving the lives of slum dwellers, with adequate support of the international community, by prioritizing national, urban planning strategies with the participation of all stakeholders, promoting equal access for people living in slums to public services, including health, education, energy, water and sanitation, and adequate shelter, and promoting sustainable urban and rural development. AGREED AD REF k. Taking measures to ensure the sustainable management of marine biodiversity and ecosystems, including fish stocks which contribute to food security, hunger and poverty eradication efforts, including through ecosystem approaches to ocean management, and to address the adverse effects of climate change on the marine environment and marine biodiversity. AGREED AD REF l. Supporting countries to preserve fragile mountain ecosystem, as an important source of fresh water and as repositories of rich biological diversity, with a view to achieving sustainable development and eradicating poverty. AGREED AD REF m. Promoting sustainable consumption and production patterns, in accordance with the Johannesburg Plan of Implementation. AGREED AD REF

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n. Fostering a greater level of coordination among national and local institutions responsible for economic and social development and environmental protection, including with respect to the promotion of investments relevant for sustainable development. AGREED AD REF o. Working towards a successful United Nations Conference on Sustainable Development in 2012. AGREED AD REF MDG 8 - DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT AGREED AD REF 68. We commit to accelerate progress in order to achieve MDG 8, including through: AGREED AD REF a.0 Accelerating efforts to deliver and fully implement existing MDG 8 commitments, by enhancing the global partnership for development to ensure the achievement of the MDGs by 2015. AGREED AD REF a. Supporting developing countries' implementation of national development strategies to meet the MDGs by 2015, including through external financial and technical support, to further promote economic growth and respond to the increased challenges posed by the impact of the multiple crises, as well as long term structural obstacles. AGREED AD REF b. Recognizing that the commitments made by developed and developing countries in relation to the MDGs require mutual accountability. AGREED AD REF b. bis Strengthening the central role of the United Nations in enhancing global partnership for development with a view to creating a supportive global environment for the attainment of the Millennium Development Goals. AGREED AD REF c. Enhancing financing for development in the areas of domestic resource mobilization, foreign direct investment, international trade, international financial and technical cooperation for development, debt and systemic issues by meeting our commitments made in the Monterrey Consensus and reaffirmed in the Doha Declaration on Financing for Development and all other relevant outcomes of major United Nations conferences and summits in the economic, social and related fields, thus expanding fiscal capacity for financing the attainment of the Millennium Development Goals. AGREED AD REF d. The fulfilment of all ODA commitments is crucial, including the commitments by many developed countries to achieve the target of 0.7 per cent of GNP for ODA to developing countries by 2015 and to reach the level of at least 0.5 per cent of GNP for ODA by 2010, as well as a target of 0.15 to 0.20 per cent of GNP for ODA to least developed countries. To reach their agreed timetables, donor countries should take all necessary and appropriate measures to raise the rate of aid disbursements to meet their existing commitments. We urge those developed countries that have not yet done so to make additional concrete efforts towards the target of 0.7 per cent of GNP for ODA to developing countries, including the specific target of 0.15 to 0.20 per cent of GNP for ODA to least developed countries in line with the Brussels Programme of Action for the Least Developed Countries for the Decade 2001-2010, in accordance with their commitments. To build on progress achieved in ensuring that ODA is used effectively, we stress the importance of democratic governance, improved transparency and accountability, and managing for results. We strongly encourage all donors to establish, as soon as possible, rolling indicative timetables that illustrate how
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they aim to reach their goals, in accordance with their respective budget allocation process. We stress the importance of mobilizing greater domestic support in developed countries towards the fulfilment of their commitments, including through raising public awareness, and by providing data on aid effectiveness and demonstrating tangible results. AGREED AD REF e. Making rapid progress to fulfil the Gleneagles and other donors' substantial commitments to increase aid through a variety of means. We are concerned that at the current rate the commitment of doubling aid to Africa by 2010 will not be reached. AGREE AD REF g. Exploring new innovative finance mechanisms and strengthening and scaling-up existing ones, where appropriate, given their potential to contribute to the achievement of the MDGs. Such voluntary mechanisms should be effective and aim to mobilize resources that are stable and predictable, which should supplement and not be a substitute of traditional sources of finance and be disbursed in accordance with the priorities of developing countries and not unduly burden them. We note the ongoing work in this regard, including by the Leading Group as well as by the Task Force on International Financial Transactions for Development and of the Task Force on Innovative financing for Education. AGREED AD REF h. Enhancing and strengthening domestic resource mobilization and fiscal space, including, where appropriate, through modernized tax systems, more efficient tax collection, broadening the tax base, and effectively combating tax evasion and capital flight. While each country is responsible for its tax system, it is important to support national efforts in these areas by strengthening technical assistance and enhancing international cooperation and participation in addressing international tax matters. We look forward to the upcoming report by the Secretary-General examining the strengthening of institutional arrangements to promote international cooperation in tax matters. AGREED AD REF i. Implementing measures to curtail illicit financial flows at all levels, enhancing disclosure practices and promoting transparency in financial information. In this regard, strengthening national and multinational efforts to address this issue is crucial, including support to developing countries and technical assistance to enhance their capacities. Additional measures should be implemented to prevent the transfer abroad of stolen assets and to assist in the recovery and return of such assets, in particular to their countries of origin, consistent with the United Nations Convention against Corruption. AGREED AD REF j. Fully supporting and further developing a universal, rules-based, open, non-discriminatory, equitable and transparent multilateral trading system, inter alia, by working expeditiously towards a balanced and ambitious, comprehensive and development oriented outcome of the Doha Development Agenda of multilateral trade negotiations, in order to bring benefits to all and contribute to enhancing the integration of developing countries in the system, while recognizing the importance of making progress in key areas of the Doha Development Agenda of special interest to developing countries, reaffirming the importance of special and differential treatment referred. AGREED AD REF k. Emphasizing the critical importance of rejecting protectionism and not turning inward in times of financial uncertainty, mindful of the importance of trade for economic growth and development, and for the achievement of the MDGs by 2015. AGREED AD REF l. Implementing duty-free and quota-free market access for all Least Developed Countries in conformity with the 2005 WTO Hong Kong Ministerial Declaration. AGREED AD REF

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m. Further implementing Aid for Trade, including through the Enhanced Integrated Framework for Trade Related Technical Assistance for Least Developed Countries, to help strengthen and enhance the trade capacity and international competitiveness of developing countries to ensure equitable benefits from increased trading opportunities and to foster economic growth. AGREED AD REF n. Strengthening regional integration and trade as it is crucial for significant development benefits, growth and jobs and generating resources to sustain progress towards the MDGs. AGREED AD REF o. Fulfilling in the Doha Development Agenda the 2005 pledge of WTO members to ensure the parallel elimination in agriculture of all forms of export subsidies, and disciplines on all export measures with equivalent effect to be completed by the end of 2013. AGREED AD REF p. alt Assisting developing countries in ensuring long term debt sustainability through coordinated policies aimed at fostering debt financing, debt relief and debt restructuring, as appropriate, noting also that developing countries can seek to negotiate, as a last resort, on a case by case basis and through existing frameworks, agreements on temporary debt standstills between debtors and creditors, in order to help mitigate the adverse impacts of the crisis, and stabilize negative macroeconomic developments. AGREED AD REF q. Considering enhanced approaches to sovereign debt restructuring mechanisms based on existing frameworks and principles, broad participation of creditors and debtors, the comparable treatment of all creditors and an important role for the Bretton Wood institutions, and in this regard welcoming and calling upon all countries to contribute to the ongoing discussion in the International Monetary Fund and the World Bank and other forums on the need for, and feasibility of, a more structured framework for international cooperation in this area. AGREED AD REF r. Increasing partnerships with businesses to achieve positive development outcomes by mobilising private sector resources that contributes to the achievement of the Millennium Development Goals. AGREED AD REF s. Reaffirming the right to use, to the full, the provisions contained in the Agreement on Trade-related Aspects of Intellectual Property Rights (TRIPS Agreement), the Doha Declaration on the TRIPS Agreement and Public Health, the decision of the World Trade Organization General Council of 30 August 2003 on the implementation of paragraph 6 of the Doha Declaration on the TRIPS Agreement and Public Health, and, when formal acceptance procedures are completed, the amendment to article 31 of the Agreement, which provide flexibilities for the protection of public health, and, in particular, to promote access to medicines for all, and encourage the provision of assistance to developing countries in this regard. We also call for a broad and timely acceptance of the amendment to article 31 of the Agreement on Trade-related Aspects of Intellectual Property Rights, as proposed by the World Trade Organization General Council in its decision of 6 December 2005. AGREED AD REF 
   t. Promoting the strategic role of science and technology, including information technology and innovation in areas relevant for the achievement of the MDGs, in particular agricultural productivity, water management and sanitation, energy security and public health. The capacity for technological innovation needs to be greatly enhanced in developing countries, and there is an urgent need for the international community to facilitate the availability of environmentally sound technologies and corresponding know-how by promoting the development and dissemination of
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appropriate, affordable and sustainable technology, as well as the transfer of such technologies on mutually agreed terms, in order to strengthen national innovation and R&D capacity. AGREED AD REF u. Strengthening public-private partnerships in order to close the large gaps that remain in access to and affordability of information and communications technologies across countries and income groups, including by upgrading the quality and quantity of existing telecommunication infrastructure, particularly in the least developed countries, to support more modern ICT applications and greatly increase connectivity, access and investment in innovation and development and the effective use of innovative ICT applications and e-governance tools; in this regard encouraging further operationalizing the voluntary Digital Solidarity Fund. AGREED AD REF w. Strengthening cooperation between originating and receiving countries to lower the transaction costs of remittances, especially promoting conditions for cheaper, faster and safer transfers of remittances, which can contribute to national efforts for development. AGREED AD REF STAYING ENGAGED TO ACHIEVE THE MILLENNIUM DEVELOPMENT GOALS AGREED AD REF 69. We request the General Assembly to continue to review on an annual basis the progress made towards the achievement of the Millennium Development Goals, including in the implementation of this outcome document. We request the President of the Sixty Eight Session of the General Assembly to organize a Special Event in 2013 to follow-up efforts made towards achieving the Millennium Development Goals. AGREED AD REF 70. We reaffirm the role that the Charter and the General Assembly have vested in the Economic and Social Council as a principal body for coordination, policy review, policy dialogue and recommendations on issues of economic and social development and for the MDG follow-up, particularly through the Annual Ministerial Review and the Development Cooperation Forum. We look forward to the upcoming review of the strengthening of the Economic and Social Council during the current session of the General Assembly. AGREED AD REF 71. We request the Secretary-General to report annually on the progress in the implementation of the Millennium Development Goals until 2015 and to make recommendations in his annual reports, as appropriate, for further steps to advance the United Nations development agenda beyond 2015. AGREED AD REF

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