2013年11月5日-7日，第三届金砖国家卫生部长会议在南非开普敦举行。中国、南非、印度、巴西、俄罗斯等金砖5国卫生部长、以及联合国艾滋病规划署和世界卫生组织国家组织的代表参加了会议。卫生计生委副主任马晓伟率团出席。
马晓伟在发言中表示，金砖国家在全球卫生事务中发挥着越来越重要的作用，在卫生领域的合作前景广阔，在国际事务中的联系日益加强，对全球卫生的影响不断增强。过去三年间，金砖国家卫生部长定期会晤机制已经形成，为有关各国分享经验、形成共识、开拓合作提供了制度平台。他指出，全民健康覆盖是金砖国家卫生合作的重要议题，全面健康覆盖的目标与中国医改的目标是高度一致的。中国愿继续与金砖各国加强交流合作，开展研究，更好地实现全民健康覆盖，共同提高人民健康水平。
本届会议是根据2013年3月金砖国家领导人会晤《德班宣言》以及2013年1月在印度召开的第二届金砖国家卫生部长会议有关倡议举办的，由南非主办。会议发布了《开普敦公报》，并决定于2014年在巴西举办第四次金砖国家卫生部长会议。
公报中英文全文如下：
第三届金砖国家卫生部长会议开普敦公报
南非 2013年11月7日
1. 按照金砖国家领导人《三亚宣言》、《德里宣言》和《德班宣言》要求，金砖国家卫生部长于2013年11月7日在开普敦共同出席第三届金砖国家卫生部长会议。部长们：
2. 忆及承诺为促进金砖国家人民健康而加强内部合作的金砖国家卫生部长会议2011年《北京宣言》、2013年《德里公报》，以及2013年5月20日于第66届世界卫生大会期间在日内瓦发布的《联合公报》，重申公众健康是社会和经济发展的基本要素，并承诺将对影响健康的经济、社会和环境决定因素采取行动。
3. 重申致力于在以下重点专题领域合作，加强卫生监测体系、通过预防和健康促进降低非传染性疾病危险因素、全民健康覆盖、重点关注传染病和非传染病的战略性卫生技术、医疗技术和药品研发。
4. 重申就与世界卫生组织议程相关的关键问题进行协调、合作和磋商的承诺。
5. 重申在以下领域开展合作以有效控制传染性和非传染性疾病的承诺，包括分享现有资源信息、开发风险评估工具、风险缓解措施、转诊系统、生命全过程健康管理、提高社区能力，以及在国家、区域和国际各级监测公共政策对健康的影响等。
6. 认识到非传染性疾病已成为影响不同经济收入水平国家的全球重点。承认非传染性疾病可预防并影响发展，金砖国家可通过与非传染性疾病高发病率相关的社会经济决定因素研究等多种合作活动携手降低疾病负担。
7. 认识到金砖国家面临着艾滋病、结核等传染性疾病的挑战。决心在开发能力和基础设施方面进行协作与合作，降低结核病的患病率、发病率，抗击艾滋病。措施可包括监测系统，创新药物、疫苗、诊断技术，促进结核病研究人员在药品、疫苗的临床试验方面开展合作，加强可负担、高质量、有效和安全药品的可及性，以及提供高质量的卫生服务。
8. 认识到千年发展目标的重要性和相关性，特别是与卫生相关的千年发展目标。呼吁联合国会员国在2015年后发展议程的讨论中，将健康作为一个重要问题予以充分考虑。
9. 强调妇幼健康作为优先领域的重要性，旨在实现千年发展目标，应逐步降低孕产妇死亡率，新生儿、婴儿和5岁以下儿童死亡率。重申承诺致力于进一步提高服务和能力建设，以确保改善妇幼安全和健康，并通过交流最佳实践加强合作。
10. 认识到有效的卫生监测体系是实现控制传染性和非传染性疾病的关键，对实施《国际卫生条例（2005）》至关重要。进一步认识到，各国根据实际情况和最佳实践采用不同监测模式，承诺将在疾病防控活动的规划、监测和评估机制以及卫生监测体系能力建设方面加强合作。
11. 认识并且赞赏实现全民健康覆盖的势头，支持世卫组织行动计划的领导作用和大方向，进一步强调为全民提供优质的初级卫生保健服务和监测全民健康覆盖进展的重要性。为此，部长们联合制定了监测框架，用于帮助各国跟踪在实现全民健康覆盖方面的进展。部长们认识到在卫生人力资源的政策、战略和国际合作方面加强合作的重要性，以促进实现全民健康覆盖。
12. 认识到循证卫生政策的价值与重要性，进一步认识到金砖国家需要长期合作，通过交流信息而分享知识和最佳实践，以便加强卫生体系的绩效。
13. 回顾2011年首届金砖国家卫生部长会议《北京宣言》，强调通过技术转让加强发展中国家能力的重要性和必要性。为此，部长们强调确保可负担、高质量、有效、安全的通用名药、生物产品和诊断试剂等医疗产品之可及在实现健康权中的重要作用。重申加强卫生国际合作的承诺，特别是南南合作，支持发展中国家努力促进人人享有健康，并决心建立金砖国家技术合作网络。
14. 重申支持全面实施世卫组织《公共卫生、创新和知识产权全球战略和行动计划》，及依此成立的研究与开发筹资和协调问题磋商性专家工作小组，并提请注意世界卫生大会66.22号决议和65.24号决议关于设立示范项目的内容。认识到经验和知识分享的重要性。敦促金砖国家通过建立网络和专家委员会的形式全面参与示范项目的实施。
15. 关注金砖国家的独特优势，例如可负担卫生产品的研发和生产、开展临床试验的能力等。呼吁在生物技术应用领域加强合作，为金砖国家人民和其他发展中国家人民带来更多健康效益。
16. 承认世卫组织在推动全球卫生议程中的独特作用，重申支持关于世卫组织改革的持续讨论，以更好地应对世卫组织未来筹资等全球层面规划、组织和执行方面的挑战。欢迎开展筹资对话，对话以世卫组织会员国通过有条理且透明的进程共同设定的重点为基础。
17. 注意到在落实北京和德里卫生部长会议决定方面的进展，通过了“金砖国家卫生领域战略项目合作框架”。
开普敦
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
