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Health and health services in Judaea, Samaria and Gaza 1983-1984: a report by the Ministry of Health of Israel to the Thirty-Seventh world Health Assembly, Geneva, May 1984.
Jerusalem, Israel, Ministry of Health, 1984 Mar. 195 p.Health conditions and health services in Judea, Samaria, and Gaza during the 1967-83 period are discussed. Health-related activities and changes in the social and economic environment are assessed and their impact on health is evaluated. Specific activities performed during the current year are outlined. The following are specific facets of the health care system that are the focus of many current projects in these districts; the development of a comprehensive network of primary care programs and centers for preventive and curative services has been given high priority and is continuing; renovation and expansion of hospital facilities, along with improved staffing, equipment, and supplies for basic and specialty health services increase local capabilities for increasingly sophisticated health care, and consequently there is a decreasing need to send patients requiring specialized care to supraregional referral hospitals, except for highly specialized services; inadequacies in the preexisting reporting system have necessitated a continuting process of development for the gathering and publication of general and specific statistical and demographic data; stress has been placed on provision of safe drinking water, development of sewage and solid waste collection and disposal systems, as well as food control and other environmental sanitation activities; major progress has been made in the establishment of a funding system that elicits the participation and financial support of the health care consumer through volunary health insurance, covering large proportions of the population in the few years since its inception; the continuing building room in residential housing along with the continuous development of essential community sanitation infrastructure services are important factors in improved living and health conditions for the people; and the health system's growth must continue to be accompanied by planning, evaluation, and research atall levels. Specific topics covered include: demography and vital statistics; socioeconomic conditions; morbidity and mortality; hospital services; maternal and child health; nutrition; health education; expanded program immunization; environmental health; mental health; problems of special groups; health insurance; community and voluntary agency participation; international agencies; manpower and training; and planning and evaluation. Over the past 17 years, Judea, Samaria, and Gaza have been areas of rapid population growth and atthe same time of rapid socioeconomic development. In addition there have been basic changes in the social and health environment. As measured by socioeconomic indicators, much progress has been achieved for and by the people. As measured by health status evaluation indicators, the people benefit from an incresing quantity and quality of primary care and specialty services. The expansion of the public health infrastructure, combined with growing access to and utilization of personal preventive services, has been a key contributor to this process.
New York, New York, UNICEF, . 42 p.In the last 12 months, world-wide support has been gathering behind the idea of a revolution which could save the lives of up to 7 million children each year, protect the health and growth of many millions more, and help to slow down world population growth. This document summarizes case studies which illustrate the techniques which make this revolution possible. These techniques are: oral rehydration therapy (ORT); growth monitoring; expanded immunization using newly improved vaccines to prevent the 6 main immunizable diseases which kill an esitmated 5 million children a year and disable 5 million more (measles, whooping cough, neonatal tetanus, polio, diphtheria and tuberculosis); and the promotion of scientific knowledge about the advantages of breastfeeding and about how and when an infant should be given supplementary foods. Results are summarized from Guatemala, Papua New Guinea, Brazil, Egypt, Indonesia, Barbados, the Philippines, Nicaragua and Honduras, Malawi, China, Nepal, Bangladesh, Colombia, and Ethiopia. The impact of economic recession and female education on childrens' health is discussed, and basic statistics for developed and underdeveloped countries are given.
New York, New York, UNFPA, 1982. 38 p. (Report No. 51)Tonga's annual population growth rate is 2.01% (1975-1980). There is a high birth rate, but emigration has eased population pressures somewhat. Tonga's development plans include population objectives and the nation has a family planning program; but there is no comprehensive national population policy. The Mission recommends that new posts be created within the planning structure for dealing with population concerns. The posts should be filled by trained nationals. A constraint to planning has been the lack of statistics. More survey data are needed. The Mission recommends that the censuses continue decennially. Registration of emigrants should be adopted, and that steps should be taken to help expand and strengthen the capacity of local institutions for social and economic research. Post-secondary courses should be developed to this end. The Mission also recommends assistance for filling vacant supervisory posts, strengthening the training capability of the Tonga Health Center, and recruiting more pulbic health nurses. Another recommendation is that health data collection and health education be strengthened. Curricula and materials on population concerns should be designed and teachers trained in their use. The Mission recommends expanding the use of radio for communication of population and health information. Women's activities and organizations need coordination. Extensive village-based training is recommended for women, youth, and rural residents.
New York, New York, UNFPA, 1982. 53 p. (Report No. 54)There is no comprehensive national population policy in Kiribati. Migration from the outer islands to urban South Tarawa is a problem. Overcrowding on the island will soon be severe. The National Development Plan aims at maintaining a balance between population and natural resources. The Mission proposes aid for population-related projects. The Central Planning Office coordinates the development activities. A National Population and Development Co-Ordinating Committee has been established. The government needs more staff to deal with overcrowding. The country's data base needs to be strengthened and upgraded. The Mission recommends that 1) another census be carried out in 1983; and 2) an inventory of research relating to Kiribati be maintained. The government has made efforts to provide an adequate health services network. The Mission recommends that a consultant be provided who specialized in health education and community participation. The family planning program has been diminishing in effectiveness. The Mission recommends support for: 1) a 3-year In-School Population Education Project; and 2) a project to focus on using communications programs to increase outer-island participation in population-related and development activites. The government has set up a Women's Interest Section to coordinate and develop policies and programs. The Mission recommends support for a 3-year project to aid the National Women's Federation. The United Nations Fund for Population Activities Youth Training Program should be supported. Protestants and Roman Catholics have promoted family life, health education and community-based activities.
New York, New York, UNFPA, 1982. 41 p. (Report No. 48)The population of the islands of the Comoros Federal Islamic Republic is extremely poor. An explicit demographic policy does not exist, however there is concern about high fertility, and the level of emigration. The government hopes to improve access to primary health care, and develop programs to combat major diseases. It gives special attention to maternal and child health care including child-spacing. The 1980 Census should help overcome the problem of a lack of basic demographic data. A demographic survey should take place after the census. A civil registration system should be created. Malaria and malnutrition are health problems. A study of home deliveries, a significant cause of maternal mortality, should be made. Methods of transporting people to hospitals should be improved. National epidemiological studies and research should be ongoing projects. Since women have not been integrated into the development effort, the Mission recommends that: 1) a study be taken on the roles and functions of the country's women; 2) a small grant to the Comorian Union of Women should be given; and 3) studies in the areas of population and health education should possibly be financed.