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Geneva, Switzerland, World Health Organization [WHO], 2007.  p. (WHO Discussion Papers on Adolescence; Issues in Adolescent Health and Development)The World Health Organization (WHO) has been contributing to meeting the Millennium Development Goals (MDGs) by according priority attention to issues pertaining to the management of adolescent pregnancy. Three of the aims of the MDGs - empowerment of women, promotion of maternal health, and reduction of child mortality - embody WHO's key priorities and its policy framework for poverty reduction. The UN Special Session on Children has focused on some of the key issues affecting adolescents' rights, including early marriage, access to sexual and reproductive health services, and care for pregnant adolescents. This review of the literature was conducted to identify (1) the major factors affecting the pregnancy outcome among adolescents, related to their physical immaturity and inappropriate or inadequate healthcare-seeking behaviour, and (2) the socioeconomic and political barriers that influence their access to health-care services and information. The review also presents programmatic evidence of feasible measures that can be taken at the household, community and national levels to improve pregnancy outcomes among adolescents. (excerpt)
Health service delivery in early recovery fragile states: lessons from Afghanistan, Cambodia, Mozambique and Timor Leste.
Arlington, Virginia, Partnership for Child Health Care, Basic Support for Institutionalizing Child Survival [BASICS], 2006 May.  p. (USAID Contract No. GHA-I-00-04-00002-00)This case study explores some key themes in the emerging literature on service delivery in fragile states in light of the health sector experience in four early recovery countries - Afghanistan, Cambodia, Mozambique, and Timor Leste. The analysis considers the various impacts of foreign assistance on state stewardship of the health sector and the programming implications. The investigation starts with state effectiveness and legitimacy. Findings point to the importance of and structural impediments to donor harmonization in reestablishing health services in a post-conflict context. United Nations (UN) coordination in all four countries was constrained by state avoidance strategies, a spike in aid flows that were out of sync with emerging government capacity, and-in Cambodia and Mozambique-an emphasis on highly visible but largely unsustainable infrastructure projects that were limited by the absence of a planning framework. Harmonization and alignment of aid systems and accountability requirements-current pillars of fragile states programming-were enabled through joint frameworks, common approaches, and trust funds that offered direct budget support that strengthened government systems, accountability, and a common policy framework in Afghanistan and Timor Leste. (excerpt)
Reproductive health strategy to accelerate progress towards the attainment of international development goals and targets.
Geneva, Switzerland, WHO, Department of Reproductive Health and Research, 2004.  p. (WHO/RHR/04.8)Reproductive and sexual health is fundamental to individuals, couples and families, and the social and economic development of communities and nations. Concerned about the slow progress made in improving reproductive and sexual health over the past decade, and knowing that the international development goals would not be achieved without renewed commitment by the international community, the Fifty-fifth World Health Assembly adopted resolution WHA55.19 requesting WHO to develop a strategy for accelerating progress towards attainment of international development goals and targets related to reproductive health. The resolution recalled and recognized the programmes and plans of action agreed by governments at the International Conference on Population and Development (Cairo, 1994) and the United Nations Fourth World Conference on Women (Beijing, 1995), and at their respective five-year follow-up review conferences. (excerpt)
Strengthening the provision of adolescent-friendly health services to meet the health and development needs of adolescents in Africa. A consensus statement emanating from a regional consultation on strengthening the provision of adolescent-friendly health services to meet the health and development needs of adolescents in Africa, Harare, Zimbabwe, 17-21 October 2000.
Geneva, Switzerland, WHO, Department of Child and Adolescent Health and Development, 2001.  p. (WHO/FCH/CAH/01.16; AFR/ADH/01.3)Health ministers in the WHO African Region at the 45th regional Committee for Africa (1995) requested WHO to assist Member States in their efforts to address the health problems of adolescents in an integrated manner. In addition, the WHO reproductive-health strategy for the African Region includes a framework which provides for equitable access to quality health services through the establishment of youth-friendly services and counselling for all adolescents. There have been many initiatives, largely donor-driven, in many African countries to provide health services to adolescents. On the other hand, there is ample evidence that even when health services are available adolescents do not utilize them for various reasons, ranging from the organization of services; the attitude of health workers, and community acceptance of services for adolescents. (excerpt)
Washington, D.C., National Academies Press, 2003. xii, 57 p.The present monograph--on rebuilding the health sector in East Timor following the nation's struggle for independence--is the second in this series. It provides an overview of the state of the health system before, during, and after reconstruction and discusses achievements and failures in the rebuilding process, using an informative case study to draw conclusions for potential improvements to the process in other post-conflict settings. Other topics under consideration in the series include reviews of current knowledge on psychosocial issues, reproductive health, malnutrition, and diarrheal diseases, as well as other case studies. (excerpt)
Report: Second Conference of Asian Forum of Parliamentarians on Population and Development, 23-25 September 1987, Beijing, China.
New York, New York, United Nations Population Fund [UNFPA], 1987. , 72 p.The formal proceedings of the 1987 Asian (AFPPD) Conference of Parliamentarians on Population and Development (FPPD) are provided in some detail. 23 countries participated. The Asian Forum Beijing Declaration preamble, program of action, call to action, and rededication are presented. Background information indicates that these conferences have been ongoing since 1984 to exchange information and experience, to promote cooperation, and to sustain involvement of Parliamentarians in population and development issues. Official delegations represented Australia, Bangladesh, China, Korea, India, Iraq, Japan, Malaysia, Maldives, Mongolia, Nepal, Pakistan, Philippines, north and south Korea, Sri Lanka, Syria, Thailand, and Vietnam. Observers were from Bhutan, Cyprus, Indonesia, Kiribati, and Tonga. The UN Fund for Population Activities (UNFPA) was involved as Conference Secretariat as well as the Preparatory Committee of China. Other UN and nongovernmental organizations and Parliamentary Councils of the World, Africa, and Europe were involved. Summaries were made of opening conference addresses of Mr. Takashi Sato, Mr. Zhou Gucheng, Chinese Premier Zhao Zivang, Japanese Prime Minister Takeo Fukuda, Dr. Nafis Sadik from the UNFPA, Mrs. Rahman Othman for Mr. Sat Paul Mittal of AFPPD, Australian Prime Minister R.J.L. Hawke, India Prime Minister Rajiv Ghandi, Sri Lankan Prime Minister R. Premedasa, Philippine President Corazon Aquino, Pakistan President Mohammad Zia-ul-Hag, and Bangladesh President Hussain Muhammad Ershad. Election of officers was discussed. The plenary sessions reported on the present situation and prospects for Asian population and development, basic health services and family planning (FP), urbanization, population and food, and aging. Reports were also provided of an exchange among Parliamentarians, the adoption of conference documents and the AFPPD constitution, election of officers, and the closing speakers. Appendices provide a complete list of participants, the constitution which was adopted, and the addresses of Mr. Zhou Gucheng from China's National People's Congress; Mr. Zhao Ziyang, Premier of the State Council of the People's Republic of China; Mr. Takeo Fukuda of the Global Committee of FPPD, Dr. Nafis Sadik, Executive Director, UNFPA; and Mr. Sat Paul Mittal, Secretary General, AFPPD.
[Republic of Zaire: report of mission on needs assessment for population assistance] Republique du Zaire: rapport de mission sur l'evaluation des besoins d'aide en matiere de population.
New York, New York, Fonds des Nations Unies pour les activities en matiere de population, 1985. ix, 63,  p. (Rapport No. 72)The UN Fund for Population Activities sent a needs assessment mission to Zaire in 1983. The mission recommends that the 1st priority be given to analyzing and exploiting the results of the 1984 census, Zaire's 1st census. It is recommended that the Institut National de la Statistique participate in data collection and analysis for the census. The lack of trained demographers is noted, and teaching statistics and demography should be made a priority. 3 areas of research in population matters are priorities: 1) the detailed analysis of the results of the census, 2) modern contraceptive usage, and 3) malnutrition in mothers and children. The creation of a national commission on human resources and population is recommended. Zaire has a rather large medical-health infrastructure that is badly adapted to the actual needs of the population. The problem is not only the lack of resources but also the absence of clear health policies. Population education does not currently exist in Zaire, but formal population education could be placed at all levels of the educational system. As regards population information and communication, radio coverage is very important in a country that is largely rural. Women are still undervalued in Zaire society. They participate actively in the country's economy, but they remain on the margins of the modern sector. The new department on female conditions and social affairs has 2 priorities: 1) improving the quality of life of rural women with income-generating projects and 2) creating adult female education centers in urban areas.
[Mali: report of mission on needs assessment for population assistance] Mali: rapport de mission sur l'evaluation des besoins d'aide en matiere de population.
New York, New York, Fonds des Nations Unies pour la Population, 1988. x, 67 p. (Rapport No. 95)The UN Fund for Population Activities sent a 2nd needs assessment to Mali in September 1985. Mali is a vast Sahelian country, characterized by vast deserts. Only 16.8% of the population is urbanized. Mali is essentially agricultural. The 3rd 5-year development plan covered the years 1981-1985. Population factors do not occupy the place they deserve in development planning in Mali. Recommendations for population and development planning include forming an organization to promote population policy and territorial resource management. Recommendations on data collection include creating a national coordinating committee for demographic statistics, analyzing census data from 1976 and planning for the census of 1987, and reorganizing the vital statistics system. The mission recommends the creation of a national organization to coordinate research activities in the country. Recommendations on health and family planning services include examining bottlenecks in the national health system, redistributing health personnel, and improving planning and administration. The mission recommends extending the educational system in Mali. Materials on population must be included in educational materials. Facts on the condition of women and their participation in economic life are insufficient. The mission recommends the creation of a section for women in the Ministry of State to gather social, economic, and demographic information on women.
[Cape Verde: report of mission on needs assessment for population assistance] Cap-Vert: rapport de mission sur l'evaluation des besoins d'aide en matiere de population.
New York, New York, Fonds des Nations Unies pour la Population, 1988. ix, 66 p. (Rapport No. 93)The Un Fund for Population Activities sent a mission to Cape Verde in 1986 to evaluate their need for population assistance. Small and densely populated, Cape Verde is a poor country which counts on large amounts of international assistance for economic and social development. Demographic data has been collected in Cape Verde for a long time, but it is necessary to improve data collection so that the results can be better used by the government to plan demographic policy. The census of 1990 will be the 2nd one since independence. The big problems of Cape Verde constitute fertility and migration. Institutional support for the Direction Generale de la Statistique will help them take charge of a national system of data collection. In development planning, the mission recommended 2 projects; 1) the support of the organization Unity for analyzing existing data, and 2) a scheme of national territorial resource management. The mission recommends financing a research program to promote national development. The health situation in Cape Verde is better than that of many African countries. However, there are still many public health problems, such as infectious diseases, malnutrition, high fertility, a lack of health education programs, and insufficient health personnel and training for them. Therefore, the mission recommends decentralization of health services, health education, taking advantage of popular organizations, prenatal care, training for traditional midwives, preventive health measures for children, oral rehydration therapy for diarrhea, and family and sex education. Information, education, and communication activities are extremely limited. To extend the integration of women in the process of development, the mission recommends collecting statistics on women, especially in work and employment, and developing productive activities for women.
Updated guidelines for UNFPA policies and support to special programmes in the field of women, population and development.
[Unpublished] 1988 Apr. , 8 p.The United Nations Fund for Population Activities (UNFPA) has been mandated to integrate women's concerns into all population and development activities. Women's status affects and is affected by demographic variables such as fertility, maternal mortality, and infant mortality. Women require special attention to their needs as both mothers and productive workers. In addition to integrating women's concerns into all aspects of its work, the Fund supports special projects targeted specifically at women. These projects have offered a good starting point for developing more comprehensive projects that can include education, employment, income generation, child care, nutrition, health, and family planning. UNFPA will continue to support activities aimed at promoting education and training, health and child care, and economic activities for women as well as for strengthening awareness of women's issues and their relationship to national goals. Essential to the goal of incorporating women's interests into all facets of UNFPA programs and projects are training for all levels of staff, participation of all UNFPA organizational units, increased cooperation and joint activities with other UN agencies, and more dialogue with governmental and nongovernmental organizations concerned with the advancement of women. Specific types of projects to be supported by UNFPA in the period ahead are in the following categories: education and training, maternal health and child care, economic activities, awareness creation and information exchange, institution building, data collection and analysis, and research.
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.
Report of the second advisory group meeting held in Kuala Lumpur at the Hotel Majestic on the 18-19 September 1972.
[Unpublished] 1972. 67 p.This report of the proceedings of the 2nd Advisory Group Meeting covers the following: the workshop sessions; the progress report; the role and functions of the Intergovernmental Coordinating Committee (IGCC); and the speech of Encik Mohd. Khir Johardi. The progress report reviews all the projects and programs that will be initially implemented by the Secretariat IGCC: the regional program for observation and exchange of information; the regional program for exchange of experience through workshop in the various activities of family and population planning; clearinghouse activity; regional research project on thromboembolic disease; the special project to assist member countries without a national family planning program (Laotian Seminar, consultants for Khmer Republic, training 12 Khmers in the Philippines, the contraceptive supplies for the Khmer Republic); population and development planning workshop; joint ECAFE/IGCC/Government of Malaysia Training Course for Statisticians and Demographers; workshop on adult education and family planning; regional incentive program; Second Ministerial Conference and Third IGCC Meeting; and first obstetrician and gynecological meeting within the IGCC Member Countries. Member of the senior government officials who met at the 1st and 2nd Meeting were keen on the idea of exchange of professional staff among member countries for a short period of time. Some of the participants particularly at the 2nd Senior Government Officials Meeting felt that it is necessary to set up IGCC Regional Training Center to be utilized for the training of all facets of family planning program within the IGCC Region. Appendixes review backgrounds and objectives of the visits to Singapore, Indonesia, and the Philippines; report on the 1st Regional Training Workshop in Jakarta during December 1972, progress to date on clearinghouse activities, the ECAFE trip during August 1972, and the First National Seminar on Population and Family Well Being during August 1972; and discuss the population and development planning workshop proposal, the proposed workshop by IGCC on adult education and family life planning, and the proposed meeting of panel of regional advisers on sexual sterilization.
The role of the health sector in the development of national and international food and nutrition policies and plans, with special reference to combating malnutrition, 13th Plenary Meeting, 24 May 1978.
Geneva, WHA, 1978 May 24. 10 p. (WHA31.47/WHA34.22)The 31st World Health Assembly (WHA) has considered the Director General's report on the role of the health sector in the development of national and international food and nutrition policies and plans and endorses the functions of the health sector in this field. The WHA is convinced that malnutrition is 1 of the major impediments to realizing the goal of health for all by the year 2000, and that new approaches based on clearly defined priorities and maximum utilization of local resources are needed for a more effective action to combat malnutrition. The WHA recommends that Member States give the highest priority to stimulating permanent multisector coordination of nutrition policies and programs and to preventing malnutrition in pregnant women, lactating women, infants, and children by doing the following: 1) supporting and promoting breast feeding with educational activities to the general public, 2) legislative and social actions to facilitate breastfeeding by working mothers, 3) implementing the necessary promotional and facilitating measures in the health services and regulating inappropriate sales promotion of infant foods that can be used to replace breast milk, 5) ensuring timely supplementation and appropriate weaning practices and the feeding of young children with the maximum utilization of locally available and acceptable foods, and 6) conducting, if necessary, action oriented research to support this approach and the training of personnel for its promotion. Governments and multilateral and bilateral organizations and agencies are urged to support the proposed programs of research and development in nutrition through their technical and scientific institutions and workers and by financial contributions. A copy of the international code of marketing of breastmilk substitutes is included. The 11 articles of the code cover the following: aim and scope of the code, definitions, information and education, the general public and mothers, health care systems, health workers, persons employed by manufacturers and distributors, labelling, quality, and implementation and monitoring.
New York, New York, United Nations, 2000. x, 95 p.During the 1990s, the UN held a series of global conferences addressing a number of economic and social issues of international concern. These conferences succeeded in forging a consensus on the development issues confronting the international community. This publication grew out of the participation of the Population Division, Department of Economic and Social Affairs, in activities aimed at ensuring a coordinated and system-wide implementation of the goals and commitments adopted by the conferences. Divided into 12 chapters, it provides basic statistical information and sources for 12 key indicators relevant to goals agreed upon by governments. The indicators are selected for their relevance to six of the main themes of the various global conferences: population; primary health care; nutrition; basic education; drinking water and sanitation; and shelter. The 12 indicators include: total population; access to health services; contraceptive prevalence; underweight prevalence among preschool children; maternal mortality; infant and child mortality; life expectancy at birth; school enrollment; adult illiteracy; access to safe water; access to sanitation; and floor area per person.
[Resolution No.] 47/95. Implementation of the Nairobi Forward-looking Strategies for the Advancement of Women [16 December 1992].
RESOLUTIONS AND DECISIONS ADOPTED BY THE GENERAL ASSEMBLY DURING ITS FORTY-SEVENTH SESSION. 1993; 1:176-8.This document contains the text of a 1992 resolution of the UN General Assembly on implementation of the Nairobi Forward-looking Strategies for the Advancement of Women. The resolution calls for an improved pace in the implementation of the Strategies because the cost of failing to implement the Strategies would include slowed economic and social development, inadequate use of human resources, and reduced progress. Thus, governments, international organizations, and nongovernmental organizations are urged to implement the recommendations, and member states are asked to give priority to programs which improve women's employment, health, and education (especially literacy). The central role of the Commission on the Status of Women is reaffirmed, and the Commission is asked to pay particular attention to women in the least developed countries. Other issues which require urgent attention include promoting the total integration of women in the development process and redressing socioeconomic inequities at the national and international levels. The Secretary-General is asked to perform specific tasks including the continued updating of the "World Survey on the Role of Women in Development."
WORLD HEALTH FORUM. 1992; 13(4):356-62.The article examines the rationale for establishing national health technology assessment programs, offers a structure for such programs, discusses the phases of assessment, and outlines how they might be conducted. The transfer of health technologies from developed to developing countries has often been disappointing, mostly because of failure to recognize factors or other deficiencies in advance. In one country in the Americas it was discovered that 44% of the technological research institutions did not have a maintenance engineer or technician. In North America, Western Europe, and Japan, noncommunicable diseases are more prevalent than communicable diseases as causes of mortality, whereas in the developing world the reverse is true. In the developing world more emphasis on disease control is desirable and could prove economically beneficial in the long run. For many illnesses, life- saving treatment costs twice as much per patient as do individual preventive measures. In developing countries there are seldom adequate funds for the creation of a separate entity for health technology. However, by relying on personnel and material resources already present in government and private institutions, a national program for health technology can be established. The creation of a clearing-house is also essential for information on both the state of the national health system and the use of technology. The data collected by the technology planning group is compiled. A procedure is needed for obtaining information from care sites and research institutions. Information is shared with other governments through the setting up of a regional clearing-house. Once the structure and mechanism for health technology assessment are in place, and basic information on the status of the national health system has been gathered, individual health technologies can be assessed. The cost of operating and maintaining equipment is often much higher in developing countries than in the industrialized world.
New York, New York, UNFPA, 1991. 44 p.When discussing issues of population and the environment, 2 factors stand out: 1) poverty is continuing to grow, rather than shrink. Worldwide over 1 billion people live in absolute poverty and the total international debt of low-income countries is over $1,000 billion and growing; 2) social sector programs designed to maintain health, family planning services, housing, and education are constantly underfunded and do not receive the priority that they merit in national and international development programs. This report from the UNFPA contains discussions of sustainable development, the problem of growing urban populations, the balance between population and resources, land degradation, tropical forest destruction, loss of biodiversity, water shortages, population impacts on quality of life, and policy considerations.
New York, New York, United Nations Population Fund, 1989. 34 p.Women are at the heart of development. They control most of the non- money economy (subsistence agriculture, bearing and raising children, domestic labor) and take an important part in the money economy (trading, the informal sector, wage employment). Women always have 2 jobs--inside the home and outside it. Much os this work is unrecognized and those who do it can expect no support. Their health suffers, their work suffers, their children suffer. Development itself is held back as a result. This report demonstrates some of the costs of ignoring the needs of women: 1) uncontrolled population growth, 2) high infant and child mortality, 3) weaker economies and agriculture, 4) a degraded environment, and 5) a poorer quality of life. This report also demonstrates that social investments in women--family planning, health services, education--help women do a much better job of what they are already doing. A change in any aspect of a women's life produces change in every other aspect. Recommendations to endure the full participation of women in development include 1) documenting and publicizing women's vital contribution to development, 2) increasing the productivity of women and lessening the double burden of women, 3) providing family planning, 4) improving the health of women, 5) expanding education, 6) increasing equality of opportunity, and 7) some specific goals for the year 2000, such as increasing international assistance for family planning programs.
In: AIDS and associated cancers in Africa, edited by G. Giraldo, E. Beth-Giraldo, N. Clumeck, Md-R. Gharbi, S.K. Kyalwazi, G. de The. Basel, Switzerland, Karger, 1988. 6-10.The global acquired immunodeficiency syndrome (AIDS) epidemic has, in fact, been comprised of 3 successive epidemics. The 1st of these epidemics is infection with human immunodeficiency virus (HIV), which has already affected 5-10 million people worldwide. The 2nd epidemic, following the 1st but with a delay of several years, is the epidemic of AIDS and other related conditions. By September 1987, a total of 59,563 cases of AIDS had been reported to the World Health Organization (WHO) from 123 countries. However, given the reluctance of some countries to report AIDS and underrecognition of the syndrome, WHO believes the actual number of global AIDS cases is closer to 100,000. 10-30% of HIV-infected persons appear to develop AIDS within a 5-year period, suggesting that 500,000-3 million new cases of AIDS will emerge during the next 5 years. The 3rd epidemic is the wave of economic, social, and political reaction to the 1st 2 epidemics. Since AIDS most often affects individuals in the most economically and socially productive age groups, it can be expected to have a devastating effect on social and economic development in Third World countries. In areas where 10% or more of pregnant women are infected with HIV, projected gains in infant and child health anticipated through child survival initiatives will be cancelled out. AIDS is also having a devastating effect on the health care system in Third World countries as AIDS patients consume limited supplies of drugs, require costly diagnostic tests, and occupy limited numbers of hospital beds. Fear and ignorance about AIDS has threatened free travel between countries and open international exchange and communication. WHO believes the spread of AIDS can be stopped, but only through a sustained, longterm commitment that extends beyond the boundaries of individual countries. AIDS control will require both committed national AIDS programs and strong international leadership, coordination, and cooperation.
Washington, D.C., PAHO, 1988 Jul. v, 117 p. (Official Document No. 221)The global economy continued to adversely affect member countries' health programs and activities in 1987. For example, Latin American and Caribbean countries lost >$US28 billion in 1987 and from 1982-1987 they lost $US130 billion. At the same time, the percentage of adolescents and elderly in the total population increased tremendously, the numbers of people experiencing chronic and disabling diseases also increased while infectious and parasitic diseases still posed challenges for the health community, and the number of urban poor continued to grow. In 1987, to help member countries deal with the everchanging health needs of their populations, PAHO focused on population groups and geographic regions and within these defined areas concentrated on specific diseases. For example, PAHO worked with member governments to formulate, implement, and evaluate policies and programs on the health of adults. Specifically, diseases and conditions emphasized in adult health included cardiovascular diseases, cancer, diabetes mellitus, accident prevention, and the prevention, treatment, and rehabilitation of alcoholism and drug abuse. Other emphases were maternal and child health and family planning and those diseases and conditions associated with the population. Additionally, PAHO continued with special programs and initiatives to maximize its role as a catalyst and to mobilize national and international resources in support of activities aimed at selected health priorities. Some of these initiatives included the Expanded Program on Immunization, the Emergency Preparedness and Disaster Relief Coordination, and the Caribbean Cooperation in Health. In addition, each country's PAHO activities have been summarized.
1987 report by the Executive Director of the United Nations Population Fund. State of world population 1988. UNFPA in 1987.
New York, New York, UNFPA, 1988. 189 p.Of major significance to the United Nations Fund for Population Activities (UNFPA) in 1987 was the fact that the world's population passed the 5 billion mark in that year. Although population growth rates are now slowing, the momentum of population growth ensures that at least another 3 billion people will be added to the world between 1985-2025. This increasing population pressure dictates a need for development policies that sustain and expand the earth's resource base rather than deplete it. Successful adaptation will require political commitment and significant investments of national resources, both human and financial. It is especially important to extend the reach of family planning programs so that women can delay the 1st birth and extend the intervals between subsequent births. Nearly all developing countries now have family planning programs, but the degree of political and economic support, and their effective reach, vary widely. In 1987, UNFPA assistance in this area totalled US$73.3 million, or 55% of total program allocations. During this year, UNFPA supported nearly 500 country and intercountry family planning projects, with particular attention to improving maternal-child health/family planning services in sub-Saharan Africa. As more governments in Africa became involved in Family planning programs, there was a concomitant need for all types of training programs. Other special program interests during 1987 included women and development, youth, aging, and acquired immunodeficiency syndrome (AIDS). This Annual Report includes detailed accounts of UNFPA program activities in 1987 in sub-Saharan Africa, Arab States and Europe, Asia and the Pacific, and Latin America and the Caribbean. Also included are reports on policy and program coordination, staff training and development, evaluation, technical cooperation among developing countries, procurement of supplies and equipment, multibilateral financing for population activities, and income and expenditures.
ISSUES IN SCIENCE AND TECHNOLOGY. 1988 Winter; 4(2):43-8.Without a medical miracle, it seems inevitable that the Acquired Immune Deficiency Syndrome (AIDS) pandemic will become not only the most serious public health problem of this generation but a dominating issue in 3rd world development. As a present-day killer, AIDS in developing countries is insignificant compared to malaria, tuberculosis, or infant diarrhea, but this number is misleading in 3 ways. First, it fails to reflect the per capita rate of AIDS cases. On this basis, Bermuda, French Guyana, and the Bahamas have much higher rates than the US. Second, there is extensive underreporting of AIDS cases in most developing nations. Finally, the number of AIDS cases indicates where the epidemic was 5-7 years ago, when these people became infected. Any such projections of the growth of 3rd world AIDS epidemics are at this time based on epidemiologic data from the industrialized rations of the north and on the assumption that the virus acts similarly in the south as it does in the US and Europe. Yet, 3rd world conditions differ. Sexually transmitted diseases usually are more prevalent, and people have a different burden of other diseases and of other stresses to the immune system. In Africa, AIDS already is heavily affecting the mainstream population in some nations. Some regions will approach net population declines over the next decade. How far their populations eventually could decline because of AIDS is unclear and will depend crucially on countermeasures taken or not taken over the next 1-2 years. In purely economic terms, AIDS will affect the direct costs of health care, expenses which are unrealistic for most 3rd world countries. Further, the vast majority of deaths from AIDS in developing countries will occur among those in the sexually active age groups -- the wage earners and food producers. Deaths in this age group also will reduce the labor available for farming and industry. AIDS epidemics also may have significant effects on foreign investment in the 3rd world as well as negative effects on tourism. The global underclass will be disproportionately affected by AIDS as the blacks and Hispanics already are in New York and Miami. Thus far, the reaction of donor countries to the World Health Organization's (WHO) appeal for funds to fight the battle against AIDS has been excellent. The global strategy of WHO places priority on national campaigns, but none of the national campaigns will be effective unless linked to similar actions in other nations to form a vigorous international program. The US has a special responsibility to provide international leadership on AIDS. The US is the world leader in AIDS research and has the bulk of the virus research capacity. Further, no country can come close to matching US experience in dealing with AIDS through "safe sex" education campaigns.
New York, New York, United Nations Fund for Population Activities, 1984. viii, 60 p. (Report No. 79)This report presents the findings of a mission from the UN Fund for Population Activities to ascertain the needs for population assistance for the Republic of Botswana. Botswana's population is growing at a rate of 3.46% (1980-1985), a consequence of continuing high fertility and decreasing death rates. While there is an awareness of the implications of he high growth rate for development, the government appears to have relaxed its emphasis on controlling population growth, limiting its role to maternal and child health, and concentrating on the family welfare aspects of fertility control. The Mission expressed concern about the absence of a clearly articulated policy on population. However, it is hoped that the creation of the Botswana Population Council will result in the inclusion of such a policy in future national development plans. Migration is a major problem facing planners. The high rate of rural to urban migration and the reduction of migration to the Republic of South Africa for employment, have resulted in high unemployment rates within Botswana, particularly among unskilled workers. Critical gaps have been identified in the collection, analysis, and dissemination of population data, which are essential for the formulation of appropriate development strategies in this area. The Mission recommends that support in the form of training and technical assistance be provided to both the Central Statistics Office and the Registry of Births and Deaths, in the case of the latter to promote the establishment of a nation-wide civil registration system. Present health policy focuses on the concept of primary health care, with an emphasis on preventive health and community participation. Due to the shortage of health manpower and heavy dependence on expatriate personnel, the Mission's recommendations in this area stress support for the training of health workers at all levels and the inclusion of population components in this training. A high proportion of households, particularly in rural areas, are headed by women, and many of these households are poor. The Mission's recommendations seek to enhance women's economic status and improve their access to resources such as vocational training and agricultural extension services.
Mortality and health issues in Asia and the Pacific: report of a seminar held at Beijing in collaboration with the Institute of Population Research, People's University of China from 22 to 27 October 1986.
New York, New York, United Nations, 1987. vi, 169 p. (Asian Population Studies Series No. 78.; ST/ESCAP/485.)The Seminar on Mortality and Health Issues was held at Beijing from 22 to 27 October 1986 as a cooperative venture between the UN Economic and Social Commission for Asia and the Pacific (ESCAP) and the Institute of Population Research, People's University of China, as part of the project, "Analysis of Trends and Patterns of Mortality in the ESCAP Region." Part 1 of the report includes a summary of the Beijing recommendations on health and mortality and the report of the seminar. Part 2 contains papers on a comparative analysis on trends and patterns of mortality in the ESCAP region, an overview of the epidemiological situation in the region, health for all by the year 2000, and inequalities in health.
Washington, D.C., World Bank, Population, Health and Nutrition Dept., 1986 Dec 31. 124 p.In the current environment of general budget stringency in developing countries, it is unrealistic to push for more public spending for health services. The answer to this health crisis is to relieve government of much of the responsibility for financing those kinds of health services for which the benefits to society as a whole (as opposed to direct benefits to the users of the service) are low, freeing public resources to finance those services for which benefits are high. The intent is to relieve government of the burden of spending on health care for the rich, freeing public resources for more spending for the poor. Individuals with sufficient income should pay for their curative care. The financing and provision of these "private" health services should be shifted to a combination of the nongovernment sector and a public sector reorganized to be more financially self-sufficient. A shift such as this would increase the public resources available for those types of health services which are "public goods" and currently are underfunded "public" health programs, such as immunization, vector control, some prenatal and maternal care, sanitary waste disposal, and health education. Also such a shift would increase the public resources available for simple curative care and referral for the poor who now only have limited access to low quality services of this nature. Government efforts to cover the full costs of health care for everyone from general public revenues have contributed to 3 sets of problems in the health systems of many countries: an allocation problem -- insufficient spending on cost-effective health activities; an internal efficiency problem -- inefficient public programs; and an equity problem -- inequitable distribution of benefits from health services. 4 policies for health financing are proposed to raise revenues for important health programs, increase the efficiency of public health services, and make the system better serve the poor. These are: charging users of public health facilities; providing insurance or other risk coverage; strengthening nongovernmental health activities; and decentralizing government health services. A table summarizes the effects of each of the 4 options for reform in alleviating health sector problems.