We, the Ministers responsible for Health in the EAC Partner States in collaboration with Investors, Development Partners, Private Sector and Civil Society Organizations’ Leaders, assembled here in Nairobi City, Republic of Kenya, today the 1st of November, 2019, for the 2nd EAC Joint Ministerial, Development Partners and Investors’ Roundtable on Investment in
Noting that the Treaty for the Establishment of the East African Community provides for the promotion of the management of health delivery systems and better planning mechanisms to enhance efficiency within the Partner States;
Further noting that significant strides have been made in the development of policies to enhance cooperation in health and observing that Sustainable Development Goals (SDGs) 3 target 3.8 on achieving Universal Health Coverage (UHC), especially access to quality essential health care services, equity and financial risk protection;
Acknowledging that Universal Health Coverage is only achievable if there is political commitment from the Partners States and accountable governance in the policy making and service delivery process;
Concerned that external funding in health especially vertical programs such as HIV, TB, Malaria and immunization, is expected to decline over the coming years and could affect the gains made in health for the EAC Partner states;
Appreciating the continued support and commitment from the health development partners, Investors, Civil Society Organizations and the Private Sector; Concerned about the high level of out of pocket expenditure for health services in the EAC region, for Partner States, compared to the recommended WHO threshold of 20%, and leading to catastrophic expenditures and later on to impoverishment of families, Recognising that health is wealth and that investing in health is the cornerstone for socioeconomic transformation;
We, the Ministers responsible for Health in the EAC Partner States, in collaboration with Investors, Development Partners, Private Sector and Civil Society Organizations’ Leaders, on this First day of November 2019 hereby resolve to:
1. Continue to provide leadership and support in the implementation of the Health Sector investment priorities especially the operationalisation of the EAC Regional Centers of Excellence in Partner States;
2. Explore and implement innovative financing mechanisms to increase domestic
resources for health in Partner States.
3.Continue to support the strengthening of EAC regional capacities for infrastructure and human resources development for the prevention, preparedness, response and recovery from epidemic prone infectious diseases
Communique – 2nd EAC Ministerial, Development Partners and Investors’ Roundtable on Investment in Health.
4. Support mechanisms geared towards strengthening health professional regulatory bodies to ensure availability and performance of qualified and skilled workforce for the delivery of quality health care services;
5. Strengthen the capacities of National Medicines Regulatory Authorities (NMRAs) to improve access to quality, efficacious and affordable medicines in Partner States in line with the EAC decision;
6.Oversee the conduct of regular performance review, the generation of evidence for knowledge management and evaluation of programs in the health sector to inform policies for better delivery of quality health care;
7. Support the implementation of the digital health initiatives in Partner States for efficient health care service delivery;
8. Enhance Investors, Private Sector, Civil Society Organisations and other stakeholders engagement through Public Private Partnership to support governments towards better health care service delivery and attainment of Universal Health Coverage;
9. Sustain efforts in advocating for increased domestic financing for the Health Sector;
10. Promote and coordinate the establishment of an accountability framework for all health sector stakeholders.