2013年11月5日-7日，第三屆金磚國家衛生部長會議在南非開普敦舉行。中國、南非、印度、巴西、俄羅斯等金磚5國衛生部長、以及聯合國艾滋病規劃署和世界衛生組織國家組織的代表參加了會議。衛生計生委副主任馬曉偉率團出席。
馬曉偉在發言中表示，金磚國家在全球衛生事務中發揮著越來越重要的作用，在衛生領域的合作前景廣闊，在國際事務中的聯絡日益加強，對全球衛生的影響不斷增強。過去三年間，金磚國家衛生部長定期會晤機制已經形成，為有關各國分享經驗、形成共識、開拓合作提供了制度平臺。他指出，全民健康覆蓋是金磚國家衛生合作的重要議題，全面健康覆蓋的目標與中國醫改的目標是高度一致的。中國願繼續與金磚各國加強交流合作，開展研究，更好地實現全民健康覆蓋，共同提高人民健康水平。
本屆會議是根據2013年3月金磚國家領導人會晤《德班宣言》以及2013年1月在印度召開的第二屆金磚國家衛生部長會議有關倡議舉辦的，由南非主辦。會議發佈了《開普敦公報》，並決定於2014年在巴西舉辦第四次金磚國家衛生部長會議。
公報中英文全文如下：
第三屆金磚國家衛生部長會議開普敦公報
南非 2013年11月7日
1. 按照金磚國家領導人《三亞宣言》、《德里宣言》和《德班宣言》要求，金磚國家衛生部長于2013年11月7日在開普敦共同出席第三屆金磚國家衛生部長會議。部長們：
2. 憶及承諾為促進金磚國家人民健康而加強內部合作的金磚國家衛生部長會議2011年《北京宣言》、2013年《德里公報》，以及2013年5月20日于第66屆世界衛生大會期間在日內瓦發佈的《聯合公報》，重申公眾健康是社會和經濟發展的基本要素，並承諾將對影響健康的經濟、社會和環境決定因素採取行動。
3. 重申致力於在以下重點專題領域合作，加強衛生監測體系、通過預防和健康促進降低非傳染性疾病危險因素、全民健康覆蓋、重點關注傳染病和非傳染病的戰略性衛生技術、醫療技術和藥品研發。
4. 重申就與世界衛生組織議程相關的關鍵問題進行協調、合作和磋商的承諾。
5. 重申在以下領域開展合作以有效控制傳染性和非傳染性疾病的承諾，包括分享現有資源信息、開發風險評估工具、風險緩解措施、轉診系統、生命全過程健康管理、提高社區能力，以及在國家、區域和國際各級監測公共政策對健康的影響等。
6. 認識到非傳染性疾病已成為影響不同經濟收入水平國家的全球重點。承認非傳染性疾病可預防並影響發展，金磚國家可通過與非傳染性疾病高發病率相關的社會經濟決定因素研究等多種合作活動攜手降低疾病負擔。
7. 認識到金磚國家面臨著艾滋病、結核等傳染性疾病的挑戰。決心在開發能力和基礎設施方面進行協作與合作，降低結核病的患病率、發病率，抗擊艾滋病。措施可包括監測系統，創新藥物、疫苗、診斷技術，促進結核病研究人員在藥品、疫苗的臨床試驗方面開展合作，加強可負擔、高質量、有效和安全藥品的可及性，以及提供高質量的衛生服務。
8. 認識到千年發展目標的重要性和相關性，特別是與衛生相關的千年發展目標。呼籲聯合國會員國在2015年後發展議程的討論中，將健康作為一個重要問題予以充分考慮。
9. 強調婦幼健康作為優先領域的重要性，旨在實現千年發展目標，應逐步降低孕産婦死亡率，新生兒、嬰兒和5歲以下兒童死亡率。重申承諾致力於進一步提高服務和能力建設，以確保改善婦幼安全和健康，並通過交流最佳實踐加強合作。
10. 認識到有效的衛生監測體系是實現控制傳染性和非傳染性疾病的關鍵，對實施《國際衛生條例（2005）》至關重要。進一步認識到，各國根據實際情況和最佳實踐採用不同監測模式，承諾將在疾病防控活動的規劃、監測和評估機制以及衛生監測體系能力建設方面加強合作。
11. 認識並且讚賞實現全民健康覆蓋的勢頭，支持世衛組織行動計劃的領導作用和大方向，進一步強調為全民提供優質的初級衛生保健服務和監測全民健康覆蓋進展的重要性。為此，部長們聯合製定了監測框架，用於幫助各國跟蹤在實現全民健康覆蓋方面的進展。部長們認識到在衛生人力資源的政策、戰略和國際合作方面加強合作的重要性，以促進實現全民健康覆蓋。
12. 認識到循證衛生政策的價值與重要性，進一步認識到金磚國家需要長期合作，通過交流信息而分享知識和最佳實踐，以便加強衛生體系的績效。
13. 回顧2011年首屆金磚國家衛生部長會議《北京宣言》，強調通過技術轉讓加強發展中國家能力的重要性和必要性。為此，部長們強調確保可負擔、高質量、有效、安全的通用名藥、生物産品和診斷試劑等醫療産品之可及在實現健康權中的重要作用。重申加強衛生國際合作的承諾，特別是南南合作，支持發展中國家努力促進人人享有健康，並決心建立金磚國家技術合作網絡。
14. 重申支持全面實施世衛組織《公共衛生、創新和知識産權全球戰略和行動計劃》，及依此成立的研究與開發籌資和協調問題磋商性專家工作小組，並提請注意世界衛生大會66.22號決議和65.24號決議關於設立示範項目的內容。認識到經驗和知識分享的重要性。敦促金磚國家通過建立網絡和專家委員會的形式全面參與示範項目的實施。
15. 關注金磚國家的獨特優勢，例如可負擔衛生産品的研發和生産、開展臨床試驗的能力等。呼籲在生物技術應用領域加強合作，為金磚國家人民和其他發展中國家人民帶來更多健康效益。
16. 承認世衛組織在推動全球衛生議程中的獨特作用，重申支持關於世衛組織改革的持續討論，以更好地應對世衛組織未來籌資等全球層面規劃、組織和執行方面的挑戰。歡迎開展籌資對話，對話以世衛組織會員國通過有條理且透明的進程共同設定的重點為基礎。
17. 注意到在落實北京和德里衛生部長會議決定方面的進展，通過了“金磚國家衛生領域戰略項目合作框架”。
開普敦
2013年11月7日
3rd Health Ministers MeetingSouth Africa 7th November 2013
Cape Town Communiqué
1. Consistent with the mandate of the BRICS Leaders as stated in the Sanya, Delhi and eThekwini Declarations , the BRICS Health Ministers met in Cape Town on 7th November 2013 at the 3rd BRICS Health Ministers’ Meeting. The Ministers:
2. Recalled the Beijing Declaration and Delhi Communiqué of the BRICS Health Ministers Meetings in 2011 and 2013 and Joint Communiqué of the BRICS Health Ministers in Geneva on 20th of May 2013 on the sidelines of the 66th session of the World Health Assembly respectively, where they committed to strengthen intra-BRICS cooperation for promoting health of the BRICS populations. They reiterated that public health is an essential element for social and economic development and committed to act on economic, social and environmental determinants of health.
3. Reiterated their commitment to collaborate on key thematic areas focusing on strengthening health surveillance systems; reducing Non-Communicable Disease (NCD) risk factors through prevention and health promotion; Universal Health Coverage (UHC); strategic health technologies, with a focus on communicable and non-communicable diseases; medical technologies; and drug discovery and development.
4. Reaffirmed their commitment to coordinate, cooperate and consult on key issues pertaining to the agenda of the World Health Organisation (WHO).
5. Renewed their commitment to the effective control of both communicable and non-communicable diseases through cooperation in sharing of existing resource information, development of risk assessment tools, risk mitigation methods, referral systems, life course approaches, community empowerment, monitoring health impact assessments of all public policies at national, regional and international levels.
6. Recognised that NCDs are now a global priority that affects low, middle and high income countries. They acknowledged that as NCDs are preventable and impact on development, BRICS countries can partner in reducing the burden of diseases through various collaborative initiatives including research on social and economic determinants that contribute to a high incidence of NCDs.
7. Recognised that BRICS countries face challenges of communicable diseases including HIV and Tuberculosis. They resolved to collaborate and cooperate in the development of capacity and infrastructure to reduce the prevalence and incidence of TB and combating HIV/AIDS. This can be improved through a surveillance system and innovation for new drugs/vaccines, diagnostics and promotion of consortia of researchers to collaborate on clinical trials of drugs and vaccines as well as strengthening access to affordable, quality, efficacious and safe medicines and delivery of quality health care.
8. Noted the significance and relevance of the Millennium Development Goals (MDGs), in particular health-related MDGs. They called upon the Member States of the United Nations to give due consideration to health as an important issue in the discussions of the post-2015 development agenda.
9. Emphasized the importance of maternal and child health as a priority with the aim of achieving the MDGs, through progressive reduction in maternal mortality, neo-natal, infant and under-5 mortality. They reiterated their commitment to further enhance services and capacity building so as to ensure improved maternal and child safety and outcomes, and to strengthen collaboration through exchange of best practices.
10. Recognised that effective health surveillance is key to controlling both communicable and non-communicable diseases and also central to the implementation of the International Health Regulations (2005). Further recognising that the countries use different models for surveillance based on their realities and best practices, they committed to strengthen cooperation in the mechanisms for planning, monitoring and evaluating disease prevention and control activities and capacity-building for effective health surveillance systems.
11. Recognised and expressed appreciation for the momentum built with regard to Universal Health Coverage and expressed support for the leadership role and broad direction of WHO’s Action Plan and further emphasized the importance of providing access to, in particular, quality Primary Health Care services for all. They emphasized the importance of monitoring progress towards Universal Health Coverage. To this end, they jointly developed a monitoring framework that would help countries track their progress towards achieving Universal Health Coverage. In this regard, the Ministers recognized the importance of strengthening policies and strategies, as well as international cooperation on human resources for health in order to achieve UHC.
12. Recognised the value and importance of evidence-based health policy. They further recognized the need for long term collaboration amongst the BRICS Countries to share the knowledge and best practices through information exchange in order to strengthen the performance of the health systems.
13. Recalled the Beijing Declaration of the 1st BRICS Health Ministers’ Meeting in 2011 emphasizing the importance and need of technology transfer as a means to empower developing countries. In this context, they underlined the importance of ensuring access to affordable, quality, efficacious and safe medical products, including generic medicines, biological products, and diagnostics for the realization of the right to health. They renewed their commitment to strengthening international cooperation in health, South-South cooperation in particular, with a view to supporting efforts in developing countries to promote health for all and resolved to establish the BRICS network of technological cooperation.
14. Reiterated their support for the full implementation of WHO Global Strategy and Plan of Action on Public Health, Innovation and Intellectual Property, which gave rise to the Consultative Expert Working Group on Research and Development, and, in this context, drew attention to WHA Resolutions WHA66.22 and WHA65.24 with specific reference on demonstration projects. Acknowledged the value and need for experience and knowledge sharing. Urged BRICS countries to fully participate in the process of implementation of the identified projects through the establishment of networks and expert committees.
15. Focussed on the unique strength of BRICS countries such as capacity for R & D and manufacturing of affordable health products and capability to conduct clinical trials. Called for enhanced cooperation in application of bio technology for health benefits for the population of BRICS and other developing countries.
16. Acknowledging the unique role of WHO in advancing the global health agenda, they reiterated their support to the continued discussions on the process of reform of WHO to better respond to global challenges in programmatic, organizational and operational terms, including the future financing of WHO. They welcomed the initiation of the financing dialogue based on priorities collectively set by WHO Member States in a structured and transparent process.
17. Taking note of the progress made on the implementation of the decisions taken at the Health Ministers’ Meeting in Beijing and Delhi, adopted the “BRICS Framework for Collaboration on Strategic Projects in Health”.
Cape Town
November 7th, 2013
