2.Pledges in Toya-ko Summit

• (G8) also agreed to establish a follow-up mechanism to monitor our progress on meeting our commitments.
• (G8 leaders) welcome the report submitted by our health experts along with its attached matrices… to ensure accountability. ("Toya-ko Framework of Action") includes the principles for action, and actions to be taken on health, drawing on the expertise of international institutions.

• We reiterate our commitment to continue efforts, to work towards the goals of providing at least a projected US$ 60billion over 5 years, to fight infectious diseases and strengthen health. Some countries will provide additional resources for health systems including water.

• The G8 members will work towards increasing health workforce coverage towards the WHO threshold of 2.3 health workers per 1000 people
• We will also supports efforts by partner countries and relevant stakeholders, such as GHWA, in developing robust health workforceplans and establishing specific, country-led milestones as well as for enhanced monitoring and evaluation, especially for formulating effective health policies. (...) We take note of the Kampala Declaration and agenda...

• G8 members are determined to honor in full their specific commitments to fight infectious diseases, namely malaria, TB, polio and working towards the goal of universal access to HIV/AIDS prevention, treatment and care by 2010.

• G8 members are determined to honor in full their specific commitments to fight infectious diseases, namely malaria, tuberculosis, polio and working towards the goal of universal access to HIV/AIDS prevention, treatment and care by 2010.
• review travel restrictions for HIV positive people with a view to facilitating travel and we are committed to follow this issue.

• expand access to LLITNs, with a view to providing 100 million nets through bilateral and multilateral assistance… by the end of 2010.

• we will meet our previous commitments to maintain or increase financial contributions to support the Global Polio Eradication Initiative.
• we will be able to reach at least 75% of the people affected by certain major NTDs… With sustained action for 3-5 years, this would enable a very significant reduction of the current burden with the elimination of some of these diseases.

the G8 Experts have produced this report, which outlines the current situation, the principles for action, and actions to be taken on health.

• G8 also recognizes that for progress to be made on maternal, reproductive and child health, and emerging and neglected health priorities, additional resources -from both domestic and international sources-are needed if the health MDGs are to be achieved.
• Polio eradication has urgend funding requirement for the next five years of at least 980 million USD.

• measures such as "Treat, Train and Retain (TTR)" of health workers and task-shifting between health workers should be encouraged.
• The G8 encourages the WHO work on a voluntary code of practice regarding international ethical recruitment of health workers.
• …using maternal health indicators to help track and asses health systems performance. G8 encourages further collaboration among stakeholders with the aim of standardizing health metrices to collect, analyse and evaluate health data for policy planning and evaluation.

• (G8 Health Experts) recommend… increasing access to SBA bearing in the mind the target agreed at the ICPD+5 in 1999, 90% of all births should be assisted by skilled attendants by 2015.

• The international community needs to continue to strengthen its efforst in scaling up towards the goal of (UAby2010), including by meeting our pledges at Heiligendamm to supprot life-saving ART through bilateral and multilateral efforts for approximately 5 millino people, to prevent 24 million new infections, and to care for 24 million people, scale up coverage of programs for the PMTCT in Africa.
• addressing sexual exploitation and gender-based violence remain critical. Support for sexual and reproductive health should be made available and accessible to adlescents and to other highly vulnerable groups. Barriers of discrimination, stigma and exclusion... should be eliminated.
• The G8 supports ongoing work to review travel restrictions for HIV positive people with a view to facilitating travel and we are commited to follow this issue.

• The expansion of the Stop TB Strategy..is essential.
• The G8 must also strengthen surveillance and diagnostic systems for MDR/XDR-TB as well as integrated collaborative approaches to address co-infection of HIV and TB as recommended by WHO.

• The G8 should continue to expand access to LLITN…IRS… ACT… IPT. G8 will continue to expand access to LLITN with a view to providing 100 million nets… Continous vigilance and pre-emptive action should be supported to help manage and prevent resistance to ACT...

• The incidence of polio is at its most geographically focused in history and we have the opportunity to eradicate the disease if we intensify our efforts. The G8 will meet its previous commitments to maintain or increase financial contributions to support the Global Polio Eradication Initiative, and encourage other public and private donors to do the same. The G8 supports a strong commitment by polio-endemic countries, and will work with them in the efforts to eradicate polio, bearing in mind the World Health Assembly resolution urging poliomyelitis-affected countries to engage all levels of political and civil society in these efforts.
• The G8 will work to support the control or elimination of (neglected tropical) diseases listed by the WHO through such measures as research, diagnostics and treatment, prevention, awareness-raising and enhancing access to safe water and sanitation. In this regard, by expanding health system coverage, alleviating poverty and social exclusion as well as promoting adequate integrated public health approaches, including through the mass administration of drugs, we will be able to reach at least 75% of the people affected by certain major neglected tropical diseases in the most affected countries in Africa, Asia and Latin America, bearing in mind the WHO Plan. With sustained action for 3-5 years, this would enable a very significant reduction of the current burden with the elimination of some of these diseases.