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[Unpublished] 1990. , 12,  p. (USAID Contract No. DPE-5982-Z-00-9034-00)A visit by Dr. Mary A. Carnell, Senior Technical Officer, Resources for Child Health Project or REACH/Washington, was made at the termination of the REACH I contact to finalize activities in cooperation with the Department of Pediatrics at the University of Nairobi and KEPI (Kenya Expanded Program on Immunization). A Memorandum of Understanding was signed on September 29, 1989 by the Department of Pediatrics and the REACH Project concerning activities to be carried out during the 1989-90 academic year. The first component involved an introductory lecture on expanded program on immunization (EPI) given to third-year medical students. Then, 7 lectures on EPI were given to fourth-year medical students during the 1989-90 academic year. The second component was the production of a teaching manual on immunization for medial students. The third component was the provision of intensive experiences in immunization for Child Survival Scouts, who were fourth year medical students selected for a special 2-3 month elective in child survival. The students designed and carried out their own community-based survey along with data collection, analysis, report writing, and feedback to the community. Surveys over the 3 years have included EPI coverage, missed opportunities, and a knowledge, attitude, and practice (KAP) on nutrition and growth monitoring. The Department Chairman stated that REACH had significantly improved the effectiveness of their program by increasing the attention paid to immunization in the preceding 2 years. Discussions with the KEPI Manager established upcoming REACH II plan dates for several activities. A cost-benefit analysis was planned for late February, 1991 to mobilize district health care funds for EPI. Both the Department of Pediatrics and KEPI wished to have ongoing communication with REACH, as REACH's technical assistance had enriched the Kenyan immunization efforts with new ideas from their experience in immunization in countries world-wide.
Arlington, Virginia, Management Sciences for Health, Technologies for Primary Health Care [PRITECH], 1991.  p. (USAID Contract No. DPE-5969-Z-00-7064-00)Representatives from several nongovernmental organizations visited Uganda in February-March 1991 to help the Control of Diarrheal Disease (CCD) program bolster its ability to advance case management, training, and supervision of health care professionals. Specifically, the team focussed its activities on determining a strategy to create a national level diarrhea training unit (DTU) centered around case management for medical officers, interns and residents, medical students, and nurses. Similarly, it participated in developing a strategy for training traditional healers in diarrhea case management and for inservice training for health inspectors (preventive health workers). The team presented a generic model for a training/support system to the DTU faculty and CDD program manager. The model centered on what needs to be done to ensure that the local clinic health worker manages diarrhea cases properly and instructs mothers effectively to manage diarrhea. Further, in addition to comprehensive case management, content included interpersonal communication at all levels supplemented by supervision and training skills. It encouraged a participatory approach for training. In addition, it strongly encouraged the DTU faculty and CDD program staff to follow up on training activities such as supporting trainees and reinforcing skills learned in the training course. The team met with relevant government, university, and donor representatives to learn more about existing or proposed CDD activities. Further, the CDD program asked team members to assist informally in the surveyor training session for the WHO/CDD Health Facilities Survey. The team also spoke to WHO/CDD staff about its plans and future activities. WHO/CDD was concerned that training in interpersonal skills not weaken the quality of training in diarrhea case management.
Bulletin of the Medical Library Association. 1978 Jul; 66(3):290-295.Following a 1969/70 survey of 114 medical libraries in Burma, India, Indonesia, Mongolia, Sri Lanka and Thailand, the WHO Regional Office for Southeast Asia helped upgrade library service with several programs; establishment of "student loan libraries," provision of free MEDLARS/MEDLINE bibliographies and photocopies of articles, coordination of the International Exchange of Duplicate Medical Literature (IEDML) and funding of fellowships for continuing education for medical librarians. A follow-up survey was conducted in 1975/76 covering 267 health sciences libraries in Bangladesh and Nepal in addition to the previously-surveyed countries. 69% of the libraries responded to the questionnaire which asked about their clientele, budget, personnel, collections and services offered. Results are tabulated by country. There was an increase in the number of trained librarians although few attend professional meetings or refresher courses. Collections are relatively small because of the high cost of health science publications. The production of paperback editions of textbooks by the English Language Book Society and the Indo-American Textbook Programme are alleviating this problem somewhat. However, the availibity of periodicals and indexing and abstracting journals has deteriorated and there exists no indexing periodical for general medical literature originating in developing countries, although abstracting of material on population and family planning has begun. More library services such as acquisitions lists, literature-searching and photocopying are now provided, but the percentages are still small. Lending to students has greatly increased. About 1/3 of the libraries are aware of WHO MEDLARS/MEDLINE services and 1/6 of IEDML. The most important suggestions made for improvement included the establishment of more "student loan libraries," provision of reference services and photocopies at nominal cost, creation of an index to health sciences literature published in Southeast Asia, publication of more low-priced textbooks and more continuing education opportunities for librarians.