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New York, New York, United Nations Fund for Population Activities, 1985. viii, 41 p. (Report Number 71.)This report contains the findings of the United Nations Fund for Population Activities' 2nd Basic Needs Assessment Mission to Pakistan (March 24-April 9, 1984). Pakistan, the world's 8th most populous country is projected to have over 200 million people by 2020. The current growth rate is 3.1%, total fertility is 5.84/woman, and urban growth is 4.4%. Governmental efforts emphasize and fund education, manpower, and health improvements, but much research on 1) family planning program cost effectiveness, 2) expected demographic effects of the 6th Plan, 3) relationships of nuptiality, fertility, and mortality rates and trends, 4) population projections, and 5) internal and international migration is needed. Population programs suffer from lack of trained manpower. The Government's 6th 5 Year Plan (1983-1988) strives to 1) raise the current family planning practice level from 9.5% to 18.6%; 2) raise the continuous family planning practice level from 6.8% to 13%, and 3) provide reproductive care and child health services. Mission recommendations include expanding outreach services, studying the use of traditional medical practioners (hakeems), and motivating younger couples to seek sterilization. Mission recommendations for improving population education include 1) greater primary school teacher training, 2) adding population education to only 2 or 3 subjects at each grade level, 3) introducing population education into the non-formal sector and into literacy programs, and 4) introducing a population component into projects for women and youth. The report also describes programs in Pakistan and external, multilateral assistance.
Geneva, Switzerland, WHO, 1982. 153 p. (Health for All Series, No. 8)This document contains the World Health Organization's (WHO's) 7th General Programme of Work for the period 1984-89 as approved by the World Health Assembly in May, 1982. WHO's major task between 1984-89 will be to provide coordination and technical support for the development, implementation, monitoring, and evaluation of strategies for attaining the world's goal of health for all by 2000. WHO will seek to strengthen primary health care (PHC) systems in member states by promoting the use of appropriate technology, by assisting in the development of health systems for the delivery of integrated services, and by encouraging a high level of community participation in health care systems. The 4 major components of the program are 1) the direction, coordination, and management of the overall program; 2) the development of health system infrastructures; 3) the collection and dissemination of information on health technology and science and support for research to develop new health technologies; and 4) program support. In reference to the 1st component, WHO, through its governing bodies, i.e., the World Health Assembly, the 6 regional committees, and the executive board, will seek to maintain a unity of purpose and direction for the program as it is implemented in each country and region. In regard to the 2nd component, WHO will provide assistance for 1) collecting the information required for effective health planning 2) conducting research aimed at determining optimal organizational structures for PHC systems, 3) determining if legislation is needed to facilitate the development of effective and efficient health systems, 4) ensuring the efficient management of health systems, 5) mobilizing the required health manpower, 6) engendering support for the program among health personnel and policy makers, and 7) monitoring and evaluating the program. The health sciences and technology component will deal with the content of health care. Existing technologies for diagnosing, treating, preventing, and controlling specific disease must be evaluated in reference to their appropriateness for inclusion in health systems. Research to develop new technologies will also be encouraged. Specific programs will focus on nutrition, oral health, accident prevention, maternal and child health, family planning, reproductive health, worker safety, the elderly, mental health, environmental health, diagnostic technology, therapeutic and rehabilitation technology, and the prevention and control of numerous communicable, infectious, and noncommunicable diseases. WHO's support component will provide primarily health information and administrative support.
[Geneva, Switzerland], WHO, 1982. 17 p. (HRG/CRU.1/Rev.1/Mtg.1)In 1979, a WHO team collaborated with national personnel in The Gambia in developing a comprehensive primary health care (PHC) plan of action for the period 1980/81 - 1985/86. In his address to the legislature in August, 1980, the president declared that the plan involved the active participation of local communities and emphasized programs for health promotion and disease prevention. This monograph reports on a meeting of the Gambian Ministries of Economic Planning and Industrial Development and of Health, Labor and Social Welfare in June 1982. Improvements in rural health are a basic need. In order to provide PHC, it was fully realized that a strong supportive infrastructure was essential. The village sensitization program was considered as vital for success. Not 1 village has rejected PHC or its responsibilities. The training program for community health nurses, village health workers and traditional birth attendants was proceeding according to plan for the various levels. Recognizaing that an efficient drug supply was essential, concomitant action had been taken to reorganize the central store. Another essential element without which success could not be achieved related to provision of transport and facilities for their maintenance, so that communications could be assured with rural areas. The need for a radio network to link 6 staions and 26 sub-stations was stresses. The list of participants and the agenda are attached as are the requirements for external support for the planned provision of PHC which were considered by the participants of the meeting.