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  1. 1
    070129

    Maternal and child health and catastrophe.

    Drake JW

    [Unpublished] 1991. Presented at the 119th Annual Meeting of the American Public Health Association [APHA], Atlanta, Georgia, November 11-14, 1991. 46, [1] p.

    The effects of the aftermath of the August 2nd, 1990 Iraqi invasion of Kuwait, the UN Security Council imposed sanctions, and the UN military offensive against Iraq on Iraq's maternal and child health sector and its public health infrastructure are examined. A review of the UN sanctions and dates of implementation are provided. A series of international responses ensued and are described. By February 1991, Baghdad had <5% of a normal water supply and the system was in collapse. Families, particularly women and children, suffered food shortages including infant formula, burns from makeshift cooking devices, e.g., epidemiologic and disease reporting ceased, drugs and vaccines were in short supply or absent, and sanitation and sewage systems were dysfunctional. It is concluded that OAS and US action against Haiti in the form of sanctions and military action would place a tremendous burden on the poor, and it is suggested that careful consideration be given before steps are taken. Also, discussed is the modern method of conflict resolution which is fueled by weapons technology and the profit incentive. There is a called to action for developing a realistic conception framework for the study and conduct of relationships with nations. There is a need to guide change peacefully and to resolve conflict without threat to life and the public's health, human environment, and ecosystem. The modern weapons technology and the protocols allowable under the UN Charter did not accomplish this in Iraq.
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  2. 2
    075782

    India Population Projects in Karnataka.

    Reddy PH; Badari VS

    POPULATION RESEARCH ABSTRACT. 1991 Dec; 2(2):3-11.

    An overview, objectives, implementation, and research and evaluation studies of 2 India Population Projects in Karnataka are presented. The India Population Project I (IPP-I) was conducted in Karnataka and Uttar Pradesh. India Population Project III (IPP-III) took place between 1984-92 in 6 districts of Karnataka: Belgaum, Bijapur, Dharwad, Bidar, Gulbarga, and Raichur, and 4 districts in Kerala. The 6 districts in Karnataka accounted for 36% (13.2 million) of the total national population. The project cost was Rs. 713.1 million which was shared by the World Bank, and the Indian national and regional government. Due to poor past performance, these projects were undertaken to improve health and family welfare status. Specific project objectives are outlined. IPP-I included an urban component, and optimal Government of India program, and an intensive rural initiative. The urban program aimed to improved pre- and postnatal services and facilities, and the family planning (FP) in Bangalore city. The rural program was primarily to provide auxiliary nurse-midwives and hospitals and clinics, and also supplemental feeding program for pregnant and nursing mothers and children up to 2 years. The government program provided FP staff and facilities. IPP-I had 3 units to oversee building construction, to recruit staff and provide supplies and equipment, and to establish a Population Center. IPP-III was concerned with service delivery; information, education, and communication efforts (IEC) and population education; research and evaluation; and project management. Both projects contributed significantly to improving the infrastructure. A brief account of the types and kinds of studies undertaken is given. Studies were grouped into longitudinal studies of fertility, mortality, and FP; management information and evaluation systems for health and family welfare programs; experimental strategies; and other studies. Research and evaluation studies in IPP-III encompassed studies in gaps in knowledge, skills, and practice of health and FP personnel; baseline and endline surveys; and operational evaluation of the management information and evaluation system; factors affecting primary health care in Gulbarga district; evaluation of radio health lessons and the impact of the Kalyana Matha Program; and studies of vaccination and child survival and maternal mortality. Training programs were also undertaken.
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