As of the 21st of July 2007, special consultative status was granted to MERCY Malaysia – an NGO with a special competence in, and concerned specifically with, only a few of the fields of activity covered by the Economic and Social Council (ECOSOC).

Serving as the central forum for discussing international economic and social issues, ECOSOC also formulates policy recommendations addressed to Member States and the United Nations system. It is responsible for promoting higher standards of living, full employment, and economic and social progress; identifying solutions to international economic, social and health problems; facilitating international cultural and educational cooperation; and encouraging universal respect for human rights and fundamental freedoms. It has the power to make or initiate studies and reports on these issues. It also has the power to assist the preparations and organization of major international conferences in the economic and social and related fields and to facilitate a coordinated follow-up to these conferences. With its broad mandate the Council's purview extends to over 70 per cent of the human and financial resources of the entire UN system.

The first avenue by which non-governmental organizations took a role in formal UN deliberations was through the Economic and Social Council (ECOSOC). 41 NGOs were granted consultative status by the council in 1946; by 1992 more that 700 NGOs had attained consultative status and the number has been steadily increasing ever since to 2,870 organizations today.

Consultative status is granted by ECOSOC upon recommendation of the ECOSOC Committee on NGOs, which is comprised of 19 Member States.

To be eligible for consultative status, an NGO must have been in existence (officially registered with the appropriate government authorities as an NGO/non-profit) for at least two years, must have an established headquarters, a democratically adopted constitution, authority to speak for its members, a representative structure, appropriate mechanisms of accountability and democratic and transparent decision-making processes. The basic resources of the organization must be derived in the main part from contributions of the national affiliates or other components or from individual members.