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New Delhi, India, WHO, SEARO, 1991 Dec. , 35 p. (Regional Health Paper, SEARO, No. 20)The Joint WHO/UNICEF Nutrition Support Programme (JNSP) began operations in Myanmar in 1984 and expanded nationwide in three phases. A detailed situation analysis of nutrition conditions and nutrition programs in primary health care (PHC) were conducted prior to JNSP activities. They served as the rationale for the decision to implement JNSP activities nationally. These activities are almost entirely administered through the Ministry of Health. JNSP redesigned nutrition training for village workers, their supervisors, and district health personnel. It has strengthened nutrition units at the central and regional levels. All JNSP-technical activities revolve around nutrition monitoring and counseling. JNSP participated in the establishment and operations of a food and nutrition surveillance system. It facilitated implementation of the nutrition and nutrition-related aspects of the People's Health Plan. The JNSP was evaluated in 1989. During the JNSP period, mortality among children less than 3 years old fell. 3-year-old children grew at a faster rate than prior to JNSP. Improvements were also noted in young child feeding practices, health seeking behavior of mothers, counseling by voluntary workers, and health staff performance. The evaluators concluded that JNSP directly benefitted the health and nutrition of children less than 3 years old. External costs of JNSP added up to US$5.63 million. The government put in another US$5.43 million. The communities contributed US$2.9 million. JNSP covers 30% of the total population. Per capita annual costs were US$1.67. These low per capita costs suggest that JNSP is sustainable and replicable. JNSP's further expansion depends on expansion of the health delivery system. All levels regularly provide support and supervision. Planned evaluation and feedback is the norm.
Global medium-term programme. Programme 13.11: Sexually transmitted diseases (venereal diseases and treponematoses).
[Unpublished] 1991. Presented at the 1st International Course on Planning and Managing STD Control Activities in Developing Countries, Antwerp, Belgium, September 9-21, 1991. 12 p.This paper outlines the World Health Organization's global medium-term program to prevent and control sexually transmitted diseases (STDs) during 1990-95, in an effort to reduce the impact of their complications and sequelae, such as infertility, congenital and perinatal infections, and genital cancers. The program has progressed considerably during the 7th General Program of Work, with the control of STDs enjoying higher priority in many countries because of the HIV/AIDS pandemic. The program will be promoted in accordance with the general principles outlined in the 8th General Program of Work, with specific emphasis upon the implementation of intervention strategies within primary health care. Priorities during the current period will include support of the application of practical and simple technologies to assess the extent and impact of STD morbidity; support of planning and implementing practical and low-cost STD control technologies at the primary health care level; better understanding of the behavioral patterns associated with STD transmission; development and application of cost-effective standard treatment regimens; transfer of simple diagnostic and therapeutic techniques to the peripheral level; refinement of technical skills for STD control workers; and support for research, including the cost-effectiveness evaluation of STD control strategies in different settings.