Part of the mission of the International Council of Multiple Birth Organisations (ICOMBO) is to promote awareness of the unique needs of multiple birth infants, children and adults. This declaration has been developed as a benchmark by which to evaluate and stimulate the development of resources to meet their unique needs. 

The work on this document began in 1992 and was formally adopted by COMBO (later known as ICOMBO) in 1995.  Since that time, there have been several updates to keep in line with advances in medicine and technology.