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mechanism is established by others, the company should establish an effective,
transparent, accessible and independent monitoring and accountability
mechanism that:
(a) Assesses the impact of the company’s strategies, policies,
programmes, projects and activities on access to medicines, especially for
disadvantaged individuals, communities and populations;
(b) Monitors and holds the company to account in relation to the present
Guidelines.
Commentary: All human rights, including the right to the highest attainable standard
of health, require effective, transparent and accessible monitoring and accountability
mechanisms. The mechanisms have a variety of forms; usually a mix of mechanisms
is required. While some mechanisms are internal, others are external and
independent; both types are needed. Guidelines 9-13 address the issue of internal
corporate monitoring and accountability regarding access to medicines. Guideline
14 addresses the issue of an external, independent monitoring and accountability
mechanism regarding access to medicines.
Corruption
15. A company should publicly adopt effective anti-corruption policies and
measures, and comply with relevant national law implementing the United
Nations Convention against Corruption.
16. In collaboration with States, the company should take all reasonable
measures to address counterfeiting.
Commentary: Corruption is a major obstacle to the enjoyment of the right to the
highest attainable standard of health, including access to medicines. Those living in
poverty, for example, are disproportionately harmed by corruption because they are
less able to pay for private alternatives where corruption has depleted public health
services. Numerous features of the right to the highest attainable standard of health,
such as transparency, monitoring and accountability, help to establish an
environment in which corruption can neither thrive nor survive. In short, a right-tohealth policy is also an anti-corruption policy. As emphasized in the Preamble,
improving access to medicines is a responsibility shared by numerous national and
international actors; Guideline 16 provides one specific example of this shared
responsibility in relation to counterfeiting. 12
Public policy influence, advocacy and lobbying
17. The company should disclose all current advocacy and lobbying positions,
and related activities, at the regional, national and international levels that
impact or may impact upon access to medicines.
18. The company should annually disclose its financial and other support to
key opinion leaders, patient associations, political parties and candidates, trade
associations, academic departments, research centres and others, through
which it seeks to influence public policy and national, regional and
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Counterfeit drugs (medicines) are defined by WHO in FAQ’s on Counterfeit Drugs, 2008.
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