Monaco

Monaco

Partner in global health

This content was last updated on 25 April 2022

The strategic partnership with Monaco

The principality of Monaco has been a steadfast partner of WHO since 1948, allocating almost one third of its development assistance to global public health. Monaco works side by side with the Organization on global public health priorities ranging from polio eradication, to elimination of measles, to strengthening health systems in countries with limited resources. 

Monaco's goals in the area of health are to:

  • fight against pandemics and neglected diseases
  • improve maternal and child health
  • support national health systems strengthening
  • improve access to medical care
  • environment, climate change and health

All development assistance programmes of the Principality of Monaco target the most vulnerable populations: children, women, people with disabilities, and refugees.

 
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From left to right: Kristel Malgherini (Secretary-General of the Ministry of Health and Social Affairs), Dr Hervé Raps (Physician delegate of the Scientific Centre of Monaco), Didier Gamerdinger (Minister of Health and Social Affairs), Laure Chevallier (Environment Directorate), H.E. Ms Carole Lanteri (Ambassador, Permanent Representative of the Principality of Monaco to the UNOG), Maxime Trapani (Attaché). ©WHO/Chris Black

 
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From left to right: Christian Brechot (President of the Global Virus Network), H.E. Mr Pierre Dartout (Minister of State), H.S.H Prince Albert II, Didier Gamerdinger (Minister of health and social affairs), Dr Patrick Rampal (President of the Scientific Centre of Monaco), and Patrice Cellario (Minister of the Interior). ©Principality of Monaco

Monaco's Strategy for Official Development Assistance 2018-2020 commits to help over one million beneficiaries directly in countries, including seven least developed countries (LDCs) in Africa. These are Burkina Faso, Burundi, Lebanon, Madagascar, Mali, Mauritania, Morocco, Niger, Senegal, South Africa and Tunisia.

In addition to its support to WHO's technical activities, the Principality of Monaco demonstrates its trust in WHO as the credible and accountable leader in global health by investing in the WHO transformation process to better enable the Organization to deliver its ambitious Thirteenth General Programme of Work (GWP13) in an effective, efficient, transparent and accountable manner.

Monaco: A top WHO donor

The Principality of Monaco has been a regular core voluntary contributor to WHO's work. In 2007, Monaco and WHO signed their first framework agreement, which has been renewed on a regular basis. The current agreement covers the period 2019-2023, in support of the Organization's ambitious Thirteenth General Programme of Work (GPW13).

Over the years, Monaco has moved towards providing flexible funding to enable WHO to provide timely support to emergency response operations, and to other priorities that emerge in the complex and fast-moving public health landscape of the 21st century.

Priority health programmes covered by the current agreement include response to health emergencies; polio eradication and transition; health systems strengthening in priority countries (Madagascar and Niger in particular); noncommunicable diseases; environment and health; malaria pre-elimination.

At the time of writing, Monaco remains the number 1 per capita donor for assessed contributions, core voluntary contributions, and the Global Polio Eradication Initiative.

Read more about the strategic support of Monaco to WHO's work

 

Top priorities

  • Polio eradication and transition
  • Supporting the elimination of malaria
  • Health systems strengthening:
    • Small countries initiative (global level)
    • Ile Sainte-Marie, Madagascar (country level)
  • Strengthening preparedness and response to health emergencies
  • Governance: Building a stronger, agile, results-oriented WHO

Technical Highlights

Polio eradication and transition

The Principality of Monaco is a longtime partner of WHO's efforts towards polio eradication and is the number 1 per capita donor to the Global Polio Eradication Initiative with contributions totalling $US 2.2 million to date. Monaco supports polio operations worldwide, with an emphasis on Niger.

Monaco's contribution helped the African Region defeat polio, and be declared polio free in August 2020. In addition to financial contributions, Monaco chaired the Polio Partners Group (an international forum for polio partners) and sponsored key decisions on polio eradication with WHO governing bodies. Ambassador Lanteri is a Polio Gender Champion, driving the conversation on gender equity and health in the Geneva UN community.

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H.E. Ms Carole Lanteri, Ambassador, Permanent Representative of the Principality of Monaco to the UNOG.

With the end of polio in sight, countries are developing transition plans so that functions previously supported by the polio initiative are integrated into national health programmes. WHO works to embed polio activities within the broader immunization and comprehensive surveillance functions, and outbreak and emergency response. Sustainable transition strategies are included in the ''Immunization Agenda 2030'' for the next decade. Monaco's engagement in polio transition is part of Monaco's legacy as a global public health champion.

 

Supporting the elimination of Malaria

Since 2005, the Principality of Monaco has collaborated with Madagascar and WHO on the pre-elimination of malaria in Madagascar. The work contributes to a wider effort to intensify the fight against this preventable disease that kills more than 400 000 people a year, mostly small children. The programme was extended in 2011 to cover southern and eastern Africa, and in 2018 added eight countries in the Sahel region–Burkina Faso, Cabo Verde, Chad, Gambia, Mali, Mauritania, Niger and Senegal–by working closely with local communities. The Sahel Malaria Elimination Initiative was launched in Dakar in August 2018 by the ministries of health of the eight Sahel countries. Dr Awa Coll Seck, former Senegal minister of health, was appointed goodwill ambassador of this initiative.

Read more about the partnership 

 
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Monaco and WHO alongside the Sahel countries together, to eliminate malaria. ©Direction de la communication, Principality of Monaco

With 93% of all malaria deaths worldwide occurring in the African region, in 2018 the Principality of Monaco and the WHO Regional Office for Africa launched a new partnership to bring the continent a step closer to becoming malaria free. The partnership will distribute €2 million over five years (2019-2024) to support WHO's drive toward eliminating malaria in the Sahel region. This programme includes information and education campaigns, behavioural change initiatives, as well as strengthening coordination at national level, case finding and operational research. "Only with the generous support of our donors and partners will WHO achieve our shared goal of a malaria-free future in Africa. The contribution from the Principality of Monaco is instrumental in ensuring that we continue to make progress, particularly in those countries which bear the highest malaria burden." Dr Matshidiso Moeti, WHO Regional Director for Africa.

Health systems strengthening

Small Countries Initiative (global)

The Small Countries Initiative was set up in 2013 to leverage existing opportunities in small countries at regional and international levels; share best practice in implementing relevant policies, strategies and interventions; build capacity in high-priority thematic areas, such as health workforce and digital health; produce technical, practice-based evidence on ways to address different public health challenges; and identify joint health and development priorities. The initiative has since grown into a network of 11 Member States in the WHO European Region with populations of two million or less. Countries participating in the initiative are Andorra, Cyprus, Estonia, Iceland, Latvia, Luxembourg, Malta, Monaco, Montenegro, San Marino and Slovenia.

In 2016 during the 3rd high level meeting of the WHO Small States Initiative, Europe, Stéphane Valeri, Government Councillor-Minister of Health and Social Affairs of the Principality of Monaco, and Dr Zsuzsanna Jakab, former WHO regional director for Europe, announced the adoption of the Monaco Declaration on Climate Change and its Impact on Health by the eight delegations present.

Entitled, "Health in all policies - Health in all the SDGs: a call to action on climate change", the Monaco Declaration is in line with both the 2030 Agenda for Sustainable Development and the Paris Agreement adopted in December 2015 by COP21.

The initiative focuses on the most immediate needs in small countries, including―in the context of the COVID-19 pandemic―developing equitable recovery policies, identifying and acting on common priorities, and sharing good practices.

Read more

 

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©Direction de la communication, Principality of Monaco

Ile-Sainte-Marie, Madagascar (country level)

In Sainte Marie, malaria transmission is higher than any other district in Madagascar. Since 2005, Monaco and Madagascar have been working together to significantly reduce cases of malaria, improve the overall health of all their citizens and reduce the socioeconomic impacts of disease on the population. Lymphatic filariasis and intestinal diseases, also prevalent in the district, are targeted by the Monaco-Madagascar cooperation project. The objective is to reduce the prevalence of these diseases by 80%.

The Principality of Monaco signed a framework agreement with WHO in 2007 that has since been renewed, and a framework agreement in the field of health with the Government of the Republic of Madagascar in 2016. The Principality has been supporting health systems on the island of Sainte Marie since 2004. This support has contributed to the decrease in the incidence of malaria from 78% in 2010 to 8.3% in 2019 and an end to the transmission of lymphatic filariasis. The health system is therefore better able to work towards universal health coverage.

The project began in September 2020 and runs until March 31, 2023.

 

Strengthening preparedness and response to health emergencies

Over the years, the Principality of Monaco has proven its commitment to serve the most vulnerable, including during health emergencies. In this regard, Monaco ensures that its annual core contribution to WHO includes support to preparedness and response to health emergencies.

 

The Principality of Monaco is providing support to the global cooperation platform Access to COVID-19 Tools - Accelerator (ACT-A) and has contributed €350 000 to ensure equitable global access to safe, quality, effective, and affordable COVID-19 diagnostics, therapeutics and vaccines, so that no one is left behind.

Governance: Building a stronger, agile, results-oriented WHO

In addition to supporting priority global public health initiatives, Monaco is committed to helping WHO to deliver results and have an impact in countries. By investing in the WHO transformation, Monaco demonstrates its trust in WHO as the trustworthy, credible and accountable leader in global health that is able to deliver the ambitious Thirteenth General Programme of Work (GPW13) in an effective, efficient, transparent and accountable manner.

 

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