The aim of the First WHO Global Ministerial Conference on Ending TB in the Sustainable Development Era: A Multisectoral Response is to accelerate the response to meet the targets agreed under the End TB Strategy and Sustainable Development Goals, through increased national and global commitments. It also aims to inform the first UN General Assembly High-Level Meeting on TB in 2018.

Over 120 national delegations participating in the Conference adopted the "Moscow Declaration to End TB" on 17 November.

The development of the ministerial declaration was led by the Russian Federation beginning in early 2017, and was guided in its framing by the Conference Steering Committee and Partners Group. It involved partner and public consultations followed by a series of consultations with Member States. The Declaration addresses the top four outcome areas of the Conference, and spells out, under each area, commitments from Member States and calls for action at global and regional levels on the part of WHO and a wide range of partners.
Statements made in support of the Declaration by Member States such as the United States, Canada and South Africa:
Consultations on the draft Declaration of the First WHO Global Ministerial Conference
Ending Tuberculosis in the Sustainable Development Era: A Multisectoral Response

Note from the Russian Federation
Preparation of the draft Declaration and its approval ad ref was carried out by the Conference Organizing Committee in cooperation with TB experts, representatives of the Russian Federation and WHO Member States.

Key events and timeline of development and approval ad ref of the draft Moscow


The first meeting of the Conference Steering Committee took place. The overall concept and main elements of the draft Declaration were presented and endorsed.

The Conference Partners Group Consultation took place. Key partners and stakeholders from different sectors reviewed the Conference policy briefs and provided recommendations which informed the three high-level themes of the Declaration.

The second meeting of the Conference Steering Committee took place. An early draft of the Declaration was reviewed and endorsed.

13.06.2017 – 15.06.2017
The WHO Strategic and Technical Advisory Group for Tuberculosis (STAG-TB) and the End TB Summit of 40 Highest-Burden Countries reviewed and contributed to draft Conference policy briefs, the contents of which informed the Declaration.

The "zero-draft" Declaration was posted on the WHO website for public comment from 14 to 30 June 2017.

The first consultation with UN missions in Geneva on the "zero-draft" Declaration took place. The consultation was organized by the Permanent Mission of the Russian Federation in Geneva.

Representatives of 26 missions took part in the consultation.

A special session dedicated to the upcoming Conference and drafts of its final documents took place in the framework of Global TB Caucus (UK, Wilton Park), with the participation of WHO, UNITAID, Stop TB Partnership, other organizations and partnerships, and heads of TB programmes from around the world.

By 30.06.2017 the proposals on the draft Declaration came from Brazil, Canada, the European Union, Japan, Thailand, the United States, more than 200 NGOs, civil society organizations, and partnerships, the WHO European Bureau and many experts. All of them were considered in detail and taken into account.

The text of the draft Declaration was revised according to the suggestions and comments received, and a first-draft declaration was shared with UN Missions for further review.

In the framework of the meeting of senior officials and the meeting of BRICS Ministers of Health, information on the preparation for the Conference, the Conference vision and the final documents were presented.

In the final communiqué, the Ministers of Health of the BRICS countries expressed full support and outlined the need for BRICS countries to cooperate on TB research and to present a cooperation plan at the Conference in Moscow.

The second consultation on the draft Declaration with UN missions took place. Representatives of 29 missions took part. The first-draft Declaration was reviewed and revised.

In the period from 07.08.2017 to 17.08.2017 the "second-draft" Declaration was prepared based on the consultation with missions and written comments received. The resulting third-draft was then circulated to missions.

The third consultation on the draft Declaration with UN missions took place. As a result of the round the text was successfully agreed to a large extent. Taking into account requests from countries, a fourth round of consultations on the Moscow Declaration was planned, for final agreement.

Thanks to the joint initiative of the Embassy of the Netherlands to the Russian Federation, the Ministry of Health of the Russian Federation, the KNCV Foundation and the World Health Organization, a seminar on MDR-TB in the context of the global AMR agenda was held in Moscow, to support the upcoming Conference.

The event was attended by representatives of foreign embassies in Russia, partner, patient and government organizations. Detailed information on the upcoming Conference and the draft Declaration was presented. A discussion during the seminar demonstrated unanimous support for the aims of Conference and for taking its concepts further, to the UN level.

The final consultation with UN missions was held and culminated in the achievement of consensus on key topics and in an ad ref agreement on the completion of the process of consultations on the Moscow Declaration with permanent missions to the UN Office in Geneva.

The process of formal consultations with UN missions in Geneva on the Declaration is completed.
Thus, more than 100 countries, more than 200 NGOs, civil society organizations and partnerships, WHO regional offices, and an array of experts provided proposals and took active part in the drafting process.

The forthcoming Conference, its aims, expected outcomes and draft Declaration were discussed for more than a year among interested parties and countries, and received support in more than 20 major international forums and around the world, including meetings of Heads of State and Ministers of Health of BRICS countries, APEC, G-20, and the upcoming Conference was acknowledged by the UN General Assembly, World Health Assembly, meetings of the WHO regional committees, STAG-TB, Stop TB Partnership Coordinating Board, and special meetings with partner organizations, Global TB Caucus, et al.

Uniting the efforts of all stakeholders, it is now possible, with more consensus and political
will than ever before, to address the problem of tuberculosis in the nearest future.