The Inter-Ministerial Conference on Health and Environment in Africa (IMCHE) is a policy forum to facilitate intersectional dialogue and provide opportunities to take decisions that may lead to a better alignment of resolutions adopted by meetings of the WHO Regional Committee with those of the African Ministerial Conference on Environment, African Union Heads of State Summits and other relevant forums, on matters concerning health and environment linkages in Africa. The IMCHE takes place every two years and is preceded by the Meeting of Experts. Experts on health and environment should also organise meetings at subregional levels in collaboration with and with the support of Regional Economic Communities (RECs) and relevant regional groupings to address specific health- and environment-related issues.

The Country Coordination Committees (CCCs) will act as the Secretariat of the HESA at the national level. They will be responsible, inter alia, for the preparation, monitoring and evaluation of the National Joint Plans of Action (NPJAs). Governments, therefore, need to establish CCCs that are multi-sectoral and multidisciplinary. The CCCs have to reflect representation from all relevant ministries and will be coordinated at supra-ministerial level. The CCCs will steer the implementation of the Libreville Declaration. They will be overseen at the political level by interagency committees that will include government representatives, development partners and the civil society, and should convene meetings regularly. The exact form of the above arrangements will be decided by governments themselves, according to their specific situations.

The Meeting of Partners will bring together WHO, UNEP, other UN agencies, regional economic groupings, development banks, and donor countries on an annual basis with African countries to review progress in the implementation of the Libreville Declaration. These meetings with partners will provide guidance on the implementation of resolutions adopted by the Interministerial Conference and endorse international-level plans of joint action prepared by the Secretariat.