The International MeTA Secretariat (IMS) supports national programmes by reviewing their workplans, identifying trends in the global market, making recommendations, analysing lessons learned and suggested directions for MeTA’s second phase. Two organisations with global medicines policy expertise form the IMS: World health Organization (WHO) and Health Action International (HAI Global).

The IMS also coordinates, organises, promotes and supports national secretariats, channels technical and financial support to the seven countries participating in the pilot phase of MeTA. It maintains contact with them, organises meetings of MeTA working groups groups working through regional and national staff of WHO and HAI. It is responsible for ensuring that information generated through MeTA is shared by all participants: through this website, dialogue and exchange between participants, and through development of tools and materials.