A/HRC/21/44 and Caribbean (LAC) region. It is known as the LAC-Brazil Agricultural Innovation Marketplace. 45. A programme to provide support to the development of the cotton industry in C4 Countries (Benin, Burkina Faso, Chad and Mali), also known as the Cotton 4 Project, was set up in 2008 with the official support of the Brazilian Government for the WTO Cotton Initiative, brought forward by C4 countries as a result of their losses due to subsidy policies used in the international cotton market. The objectives of the project are: to contribute to enhancing the development of the cotton industry in C4 countries; to transfer Brazilian technology to increase the profitability of the cotton supply chain and to improve the quality of life and food security and nutrition levels in beneficiary countries. 46. Brazilian policies, experiences, and focus on social programmes provide an important element of linkage between goals set by the Caribbean, South and CentralAmerican countries with regard to development. Working with the Food and Agriculture Organization (FAO), the Brazilian Government is already implementing South-South Cooperation programmes in Latin America and the Caribbean, sharing its experiences and policies to promote food security in the region. 47. Of particular relevance are Brazilian programmes such as Fome Zero (Zero Hunger), now discontinued but covered by the Brasil sem Miséria (Brazil without Extreme Poverty) programme,and activities supported by the Ministry of Agrarian Development (MDA), the Ministry of Social Development (MDS) and the National Fund for Education Development (FNDE), inter alia, targeting social protection networks and agricultural development which have a clear research-based, pro-development focus on the poor and hungry. 48. Fome Zero has inspired a similar programme in Nicaragua and in other LAC countries. There are other similar programmes with similar ideas being implemented all over Latin America by the World Food Programme (WFP). Another important programme is the Purchase from Africans for Africa (PAA Africa Programme). The project draws on the expertise accumulated by Brazil in its own food purchasing programme and carried out by Brazil, FAO and WFP, the project extends financing for food purchases to five African countries (Ethiopia, Niger, Malawi, Mozambique and Senegal), aiming to benefit local small farmers and vulnerable populations. Health and the social determinants of health: towards realizing the right to health 49. Health is a priority both on the Brazilian domestic agenda and for international cooperation, where it applies its structural approach, characterized by efforts to develop individual and institutional capacity in partner countries, with sustainable results. 50. The main Brazilian cooperation projects in Africa and South America therefore focus on human resource training, capacity-building in research, teaching or services, and on strengthening or setting up health system institutions including ministries of health, schools of public health, national health institutes, faculties for higher professional training, polytechnic health colleges, technological development and production institutes and factories. The public health system of Brazil and its international health cooperation are based on the principle of universal access to the public health system. (a) A trilateral agreement between Haiti, Cuba and Brazil is focused on the implementation of Haitian health structures, the establishment of a national outpatient system, the training of health workers, especially middle-level staff that the system urgently needs, and the control of infectious diseases. It involves the complete rebuilding of the health system to make it more capable of meeting the health needs of the Haitian people. The day after the earthquake, parameters were established to guide the reconstruction of the Haitian health system. One of the aims of the agreement is the provision of universal access 10