Powerful G20 nations are pushing back on efforts to promote global access for health at this month's summit in South Africa, medical charity Doctors Without Borders (MSF) warned Friday, calling the move disappointing.

South Africa chose "Solidarity, Equality, Sustainability" as the theme for its presidency of the group of leading economies but has faced some resistance, including from the G20's wealthiest member, the United States.

There has been a "significant watering down of key elements" in the health ministers' draft declaration to be presented to the November 22-23 summit, newly elected MSF president Javid Abdelmoneim said.

Changes affect areas like global pandemic preparedness and the role of the World Health Organization, the Sudanese-Iranian doctor told reporters in Johannesbur

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