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[Unpublished] 1981 Jun 19. 46 p. (A/36/215)The Advisory Committee for the International Youth Year, established by the General Assembly of the UN in 1979, met in Vienna, Austria, from March 30-April 7, 1981 to develop a program of activities to be undertaken prior to and during the UN designated 1985 International Youth Year; this report contains the draft program of activities adopted by the committee at the 1981 meeting. The activities of the International Youth Year will be undertaken at the national, regional, and international level; however, the major focus of the program will be at the national level. Program themes are development, peace, and participation. The objectives of the program are to 1) increase awareness of the many problems relevant to today's youth, (e.g., the rapid increase in the proportion of young people in the population; high youth unemployment; inadequate education and training opportunities; limited educational and job opportunities for rural youth, poor youth, and female youth; and infringements on the rights of young people); 2) ensure that social and economic development programs address the needs of young people; 3) promote the ideals of peace and understanding among young people; and 4) encourage the participation of young people in the development and peace process. Program guidelines at the national level suggest that each country should identify the needs of their young people and then develop and implement programs to address these needs. A national coordinating committee to integrate all local programs should be established. Specifically each nation should 1) review and update legislation to conform with international standards on youth matters, 2) develop appropriate educational and training programs, 3) initiate action programs to expand nonexploitive employment opportunities for young people, 4) assess the health needs of youth and develop programs to address the special health needs of young people, 6) transfer money from defense programs to programs which address the needs of young people, 7) expanding social services for youths, and 8) help young people assume an active role in developing environmental and housing programs. Activities at the regional and international level should be supportive of those at the national level. At the regional level, efforts to deal with youth problems common to the whole region will be stressed. International efforts will focus on 1) conducting research to identify the needs of young people, 2) providing technical assistance to help governments develop and institute appropriate policies and programs, 3) monitoring the program at the international level, 4) promoting international youth cultural events, and 5) improving the dissemination of information on youth. Young people and youth organizations will be encouraged to participate in the development and implementation of the program at all levels. Nongovernment agencies should help educate young people about development and peace issues and promote the active participation of youth in development programs. The success of the program will depend in large measure on the effective world wide dissemination of information on program objectives and activities. A 2nd meeting of the advisory committee will convene in Vienna in 1982 to assess progress toward implementing the adopted program. A 3rd and final meeting in 1985 will evaluate the entire program. This report contains a list of all the countries and organizations which participated in the meeting as well as information on program funding.
[Columbia Maryland], Westinghouse Electric Corporation, Public Applied Systems, 1984 Sep. 26,  p. (Contract No. PDC-1406-I-02-4062-00, W.0.2; Project No. 936-5939-12)Westinghouse Health Systems, under a US Agency for International Development (USAID) contract, ass ssed the global supply and demand of oral rehydration salts (ORS) and developed a set of recommendations concerning USAID's future role as a supplier of ORS. 1.5 billion ORS packets (assuming each packet is equivalent to 1 liter of ORS solution) would be required to treat all ORS treatable cases of diarrhea which occur annually among the world's children under 5 years of age. Currently, about 200 million packets are manufactured/year. In 1983, international sources supplied slightly less than 37 million packets, and the remaining packets were produced by local or in-country manufacturers. UN Children's Fund (UNICEF), which currently provides 81% of the international supply, contracts with private firms to manufacture ORS and then distributes the packets to developing countries, either at cost or free of charge. UNICEF purchases the packets for about US$.04-US$.05. USAID provides about 12.3% of the international supply. Prior to 1981, USAID distributed UNICEF packets. Since 1981, USAID has distributed ORS packets manufactured by the US firm of Jianas Brothers. USAID must pay a relatively high price for the packets (US$.08-US$.09) since the manufacturer is required to produce the packets on an as needed basis. Other international suppliers of ORS include the International Dispensary Association, the Swedish International Development Authority, the International Red Cross, and the World Health Organization. Currently, 38 developing countries manufacture and distrubute their own ORS products. These findings indicate that there is a need to increase the supply of ORS; however, the supply and demand in the future is unpredictable. Factors which may alter the supply and demand in the future include 1) the development of superior alternative formulations and different type of ORS products, 2) a reduction in the incidence of diarrhea due to improved environmental conditions or the development of a vaccine for diarrhea, 3) increased production of ORS in developing countries, 4) increased commercial sector involvement in the production and sale of ORS products, and 5) the use of more effective marketing techniques and more efficient distribution systems for ORS products. USAID options as a future supplier of ORS include 1) purchasing and distributing UNICEF packets; 2) contracting with a US firm to develop a central procurement system, similar to USAID's current contraceptive procurement system; 3) contracting with the a US firm to establish a ORS stockpile of a specified amount; 4) promoting private and public sector production of ORS within developing countries; 5) including ORS as 1 of the commodities available to all USAID assisted countries. The investigators recommended that USAID should contribute toward increasing the global supply of ORS; however, given the unpredictability of the ORS demand and supply, USAID should adopt a short-term and flexible strategy. This strategy precludes the establishment of a central procurement system; instead, USAID should contract a private firm to establish an ORS stockpile and to fill orders from the stockpile. Consideration should be given to altering the ORS packets size and to alternative ORS presentations. USAID should also promote the production of quality ORS products within developing countries and continue to support research on other diarrhea intervention strategies. This report also discusses some of the problems involved in manufacturing and packaging ORS. The appendices contain 1) a WHO and UNICEF statement on the ORS formulation made with citrate instead of bicarbonate, 2) a list of developing countries which manufacture ORS, and 3) statistical information on distribution of ORS by international sources.