JAKARTA - REPUBLIC OF INDONESIA RABI UL AWWAL 1440 H NOVEMBER 2018

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JAKARTA DECLARATION THE FIRST MEETING OF THE HEADS OF NATIONAL MEDICINES REGULATORY AUTHORITIES (NMRAs) OF OIC MEMBER COUNTRIES STRENGTHENING COLLABORATION AMONGST THE OIC NMRAS TOWARDS SELF-RELIANCE OF MEDICINES AND VACCINES JAKARTA - REPUBLIC OF INDONESIA 13 14 RABI UL AWWAL 1440 H 21 22 NOVEMBER 2018 We, the Heads of the National Medicines Regulatory Authorities (NMRAs) and official delegations, participating in the First Meeting of the Heads of National Medicines Regulatory Authorities of OIC Member States, held in Jakarta, Republic of Indonesia, from 13 14 Rabi ul Awwal 1440 H (21-22 November 2018) 1. Express our commitment to strengthen collaboration towards self-reliance in medicines and vaccine. 2. We reaffirm our commitment to the principles and objectives enshrined in the OIC Charter, particularly those pertaining to promoting cooperation to achieve sustainable and comprehensive human development and economic well-being in the Member States. 1

3. We refer to the OIC-2025 Programme of Action as a forwardlooking blueprint for cooperation and partnership in various priority areas and goals, especially Goal 2.12.2 to enhance cooperation in eradicating and containing major communicable and noncommunicable diseases, collaborate on vaccine production and, where necessary, utilize relevant centers of excellence. 4. We recognize the importance of the OIC Strategic Health Programme of Action 2014-2023, adopted by the 4th session of the Islamic Conference of Health Ministers (ICHM) held in Jakarta, Indonesia in October 2013, particularly its fourth thematic area on Medicines, Vaccines and Medical Technologies which envisages a number of actions at national, regional and international levels to achieve self-reliance in drugs and vaccines in OIC Member States. 5. We further recognize the adoption of OIC Science, Technology and Innovation (STI) Agenda 2026 by the First OIC Summit on Science & Technology held in Astana, Kazakhstan in September 2017 in particular Priority No, 4 about ensuring healthy lives for all citizens. 6. We reaffirm our commitment to the decisions of the successive sessions of the ICHM including the sixth ICHM held on 5 7 December 2017, in Jeddah, Kingdom of Saudi Arabia to carry out efforts for the promotion of self-reliance in the production and supply of vaccines and medicines in the OIC Member States and to improve access to essential medicine, including vaccines, especially in those OIC Member States which are still lacking the necessary resources to do so; 7. We recall the SDGs 2030 Goal 3 on Good Health and Well- Being, in particular, Goal 3.b to support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which 2

affirms the right of developing countries to use to the full provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all. 8. We recall the Global Vaccine Action Plan: 2011-2020, endorsed by the - World Health Assembly in May 2012, which serves as a roadmap to prevent millions of deaths by 2020 through more equitable access to vaccines for people in all communities. 9. We underline the importance of addressing the global shortage of medicines and vacciness, which is highlighted by the World Health Assembly Resolution (WHA) 69.25 adopted at the 69th of World Health Assembly in 2016. 10. We recall the WHA Resolution 67.22 adopted at the 67th WHA in 2014, which, inter alia, urged WHO Member States to recognize the importance of effective national medicine policies, and their impelementation under good governance, in order to ensure quality of access to affordable, safe, effective, and quality-assured essential medicines and their rational use in practice. 11. We emphasize the Global Strategy and Plan of Action on Public Health, Innovation and Intellectual Property adopted at the 61st WHA in 2008, which emphasizes the effective promotion and implementation of the global strategy and plan of action on public health, innovation and intellectual property. 12. We note, with concern, that many developing countries, including some OIC Member States, have insufficient or no manufacturing capacities in the pharmaceutical industry; and that local industry covers a small fraction of domestic pharmaceutical demand and that they rely heavily on imports and medicinal aid. 13. We recognize that efficient systems for quality assurance and surveillance do not exist in many OIC Member States 3

bringing about increasing public health risk, such as sale of counterfeit medicines, irrational medicine use, and lack of control for imported medical products. 14. We recognize the efforts of OIC in harmonization of standards on Pharmaceuticals and vaccines as well as the initiative of Islamic Development Bank (IsDB) to suppor selfreliance. 15. We acknowledge the need of providing halal medicines and encourage the exchange of experience and best practices among OIC Member States in provision of halal medicines; 16. We recognize that NMRAs play an important role in combatting substandard and falsified medicines and that they are key to ensuring access to quality, safe, and efficacious medicines and vaccines. 17. We affirm commitment to ensuring public health interest and to make every effort to promote access to medicines and to undertake necessary actions within the national medicine regulatory strategy for progressively achieving the highest attainable standard of health. 18. We further affirm commitment to promote domestic industry by strengthening constructive cooperation in pharmaceutical regulatory policies and practice; 19. We undertake to encourage innovation and the development of domestic industries in the area of medicines and vaccines, consistent with applicable international laws and standards. 20. We undertake to actively participate in effective and timely implementation of the OIC Action Plan to promote self-reliance in medicines and vaccines 2019-2021. 21. We commit to collaborate through technical cooperation and capacity building programs in cooperation with the OIC General Secretariat, relevant OIC institutions and international 4

partners in the production, supply and effective regulation of Vaccine and Medicines to support better health and welfare of the people of OIC Member States. 22. We appreciate the efforts of the NMRAs of OIC Member States, the OIC General Secretariat and relevant OIC institutions for their support in organizing this meeting. 23. We further appreciate the cooperation of international partners such as WHO UNICEF, GAVI and Global Fund, in the implementation of OIC programmes and activities in the health domain. 24. We express our sincere thanks and appreciation for Indonesia s National Regulatory Authority in charge of drug and food control (Badan POM RI) for hosting the First Meeting of the Heads of National Medicines Regulatory Authorities. 25. We agree to meet regularly every two years and mandate the OIC Secretary General to consult Member States about the venue for hosting the Second Meeting of Heads of NMRAs. 26. We request the Secretary General to take appropriate steps for the implementation of recommendations of this meeting and to submit a report thereon to the next Meeting of NMRAs. 27. We further request the Secretary General to bring the contents of the Declaration to the attention of the 7th session of the Islamic Conference of Health Ministers (ICHM). 5