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WORLD HEALTH FORUM. 1998; 19(2):174-81.Until the late 1960s, health professionals most often recommended that people with diarrheal disease take antidiarrheal drugs and refrain from eating for at least 24 hours. At the same time, work was underway on the development of oral rehydration therapy (ORT), which was subsequently adopted in 1971 to complement the limited supply of intravenous treatment for thousands of patients in West Bengal. The success of ORT in treating diarrheal disease led to the establishment of the World Health Organization's (WHO) Program for the Control of Diarrheal Diseases in 1980, and the subsequent broader access to packets of oral rehydration salts in health facilities. WHO was also involved in efforts to control acute respiratory infections, establishing the Acute Respiratory Infections Program to validate the use of clinical signs for diagnosis and evaluate the impact of the approach. Since WHO's maintenance of these two parallel single-disease programs resulted in some duplication of effort, they were merged in 1990 to form the Division of Diarrheal and Acute Respiratory Disease Control. The division's mandate was later modified and expanded in 1996 in the creation of the Division of Child Health and Development responsible for the control of diarrheal diseases, acute respiratory infections, and other childhood killers like measles, malaria, and malnutrition.
[Unpublished] 1989 Nov. 126 p. (A/E/BD/4/Sec. II)UNFPA has published a comprehensive document on the state of the art of maternal and child health and family planning (MCH/FP) worldwide. This paper mostly focuses on family planning because that is UNFPA's mandate, but since MCH/FP services are often delivered in an integrated fashion the recommendations and strategies for the management and administration of FP in this paper can also apply to MCH services. This document is a practical and useful historical analysis that traces past, current and future trends in family planning. It discusses issues and strategies, controversies, conflicts, advantages and disadvantages of population/FP issues by region and between developed and developing countries. The reader gets a comprehensive overview in MCH/FP during the past 3 decades. Major conferences, policies and events focusing on MCH/FP issues are interwoven into the multiple factors involved in FP practice and future needs. There are 9 chapters and 14 tables of valuable data. The chapters include: 1) Introduction; 2) Current FP practice and future needs in developed and developing countries; 3) Macro-environmental factors affecting provision of services; 4) Approaches to service delivery in the public and private sectors; 5) Current and future contraceptive technology; 6) Strategic issues; 7) Administrative issues; 8) Special challenges; and 9) Future priorities.