Your search found 14 Results
HYGIE. 1991; 10(2):3-4.A strategic plan for objectives and operations of the International Union for Health Education (IUHE) in the 1990s is presented. The IUHE's principal aims are to strengthen the position of education as a major means of protecting and promoting health, to support members of the IUHE, and to advise other agencies. Core functions will include advocacy/information services/networking, conferences/seminars, liaison/consultancy/technical services, training, and research. The objectives of the IUHE are to promote and strengthen the scientific and technical development of health education, to enhance the skills and knowledge of people engaged in health education, to create a greater awareness of the global leadership role of the IUHE in protecting and promoting health, and to secure a stronger organizational and resource base. These objectives will be achieved by developing an disseminating annual policy papers on key global issues, developing new procedural guidelines for the IUHE's world and regional conferences, clarifying the roles of the headquarters and regional offices, and developing recruitment incentives to boost membership. The corporate identify of the IUHE will be revised, formal U.N. accreditation will be sought, and mutually beneficial relationships will be fostered with selected U.N. and non-governmental organizations. Additionally, the scientific and technical strengths of the IUHE will be boosted, a resources referral service developed, a fund raising office created, worker achievements recognized, and a bursary fund established.
In: Earth summit. Conversations with architects of an ecologically sustainable future, by Steve Lerner. Bolinas, California, Commonweal, 1991. 157-73.Brent Blackwelder is acting president of Friends of the Earth, an international network of nongovernmental organizations working on environmental and development issues in 42 countries. He responds to questions on the following: the role of the World Bank in international environmental issues; the World Bank's bid for the Green Fund; the World Resources Institute's role in shaping the Tropical forestry Action Plan; his view on who should administer the Green Fund; whether the president of the World Bank is empowered to change its lending practices; US say in World Bank decisions; the difficulties encountered in getting international organizations to do the right thing on tropical deforestation and other international environmental issues; the loan policies of global banks; the IMF and the role of other agencies in the UN; the potential for and nature of a global economy; the potential for the creation of a global environmental protection agency; North-South relations and comparative negotiating power among countries; the scale of the environmental effort; grassroots organizations; poverty in developing countries; the continuance of regime-building around single issues or the evolution of some form of World Government; sustainable development and the general public; sustainable development and the US Democrats; US policy and leadership; and US President George Bush's mixed stance and policy record on the environment.
In: Tradition and transition: NGOs respond to AIDS in Africa, edited by Mary Anne Mercer, Sally J. Scott. Baltimore, Maryland, Johns Hopkins School of Public Health, Institute for International Programs, 1991 Jun. 59-63.In January 1990 Experiment in International Living founded the AIDS Information Center (AIC) with a consortium of 10 groups: WHO, Experiment in International Living, The AIDS Support Organization, the main blood bank in Kampala, InterAid, USAID, and Red Cross. The AIC incorporates pretesting for HIV and post-test counseling. In post test counseling clients discuss safer sex, watch videos, or talk individually with a doctor about symptoms of the disease. The commercial condom promotion of SOMARC, the social marketing group, was welcome. Case Western Reserve University is tracking people who have been tested in the AIC to ascertain if their sexual behavior is altered radically. The key to sustainability is the local nongovernmental organization (NGO) status and the commitment from the consortium. Current plans call for opening 4 more centers throughout the country within 3 years. Issues in Ministry of Health (MOH) collaboration with an NGO were raised by a district medical officer. The World Vision HIV/AIDS prevention project started in 1989 in the Marondera district. Attempts were made not to restrict the project to AIDS activities alone and to set up a monitoring system in agreement with the host government policy. Both MOH and World Vision staff were trained in health education, and counselors on the MOH staff also underwent training. A World Vision representative responded to these concerns stating that Zimbabwe has a sophisticated system and substantial numbers of trained personnel. Sustainability is influenced by tensions between the government and NGOs, finances and technical capacity. World Vision will collaborate with the MOH to ensure that the expertise of social scientists brought into the medical field in Marondera will remain over the long term. In some countries community-based condom distribution systems are already in places. However, a condom distribution should be awarded to the most qualified parties.
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 1991 Sep; 20(3):589-94.Epidemiology is considered under 4 aspects: its contribution to world health; its future role in solving health problems; application of advances in epidemiology; and its social and ethical implications. Epidemiology now encompasses all ill health as affected by development, not just infectious diseases. The WHO uses epidemiologic tools to understand the incidence, prevalence, natural history, causes, effects, and control of disease, as exemplified by the eradication of smallpox and the AIDS prevention program. Now WHO is applying epidemiologic methods of monitoring and evaluation to set goals for health for all by 2000. The major contributions that epidemiologists can make are to warn decision makers about the many world problems before it is too late. This should be done with human rights and social justice in mind, rather than by commercial marketing of health products. Future health care systems must continue to increase efficiency and efficacy of interventions, compatible with political and social reality, and respectful of human rights, freedom, and integrity. WHO is preparing a plan of action to strengthen epidemiologic capabilities of the countries with the greatest need in the next 5 years, to be extended to other needy countries in the future.
Report of the Seminar on Programme Sustainability through Cost Recovery, Kuala Lumpur, Malaysia, 21-25 October, 1991.
London, England, IPPF, 1991. 15,  p.In the face of widespread user acceptance, rapidly growing demand, and developing country financial constraints, family planning associations must learn how to operate more efficiently and mobilize new resources with a view to ensuring greater long-term sustainability. Cost recovery was therefore identified as a means of maximizing the use of limited resources, improving program quality, strengthening management, and making service providers more accountable to clients. This document reports results from seminar participants organized to share the benefits of cost recovery with the international community, and to review policy and management issues. Reviewed in the seminar were country experiences with cost recovery, working group discussions on the definition of sustainability, the cost framework of family planning, determining user fees and clients' willingness to pay, preconditions for setting user fees, prerequisites for social marketing, models for cost sharing with the government and private sector, and country case studies from the Gambia, India, and Kenya. Those programs attaining highest self-sufficiency were aided by strong government commitment to either support family planning or to not impede program progress. Also helpful were a businesslike approach to service provision, a strong promotional campaign, organizational structure conductive to effective resource management, and resolve to try diverse approaches. In concluding, the importance of placing the customer first, cost-effectiveness, cost analysis, strategic planning, inter-FPA cooperation, and business plans are mentioned.
ASIA-PACIFIC POPIN BULLETIN. 1991 Jun; 3(2):7-11.George Walmsley, UNFPA country director for the Philippines, discusses demographic and economic conditions in the Philippines, and present plans to revitalize the national population program after 20 years of only modest achievements. The Philippines is a rapidly growing country with much poverty, unemployment and underemployment, uneven population distribution, and a large, highly dependent segment of children and youths under age 15. Initial thrusts of the population program were in favor of fertility reduction, ultimately changing to adopt a perspective more attuned to promoting overall family welfare. Concurrent with this change also came a shift from a clinic-based to community-based approach. Fertility declines have nonetheless grown weaker over the past 8-10 years. A large gap exists between family planning knowledge and practice, with contraceptive prevalence rates declining from 45% in 1986 to 36% in 1988. Behind this lackluster performance are a lack of consistent political support, discontinuities in program implementation, a lack of coordination among participating agencies, and obstacles to program implementation at the field level. The present government considers the revitalization of this program a priority concern. Mr. Walmsley discusses UNFPA's definition of a priority country, and what that means for the Philippines in terms of resources nd future activities. He further responds to questions about the expected effect of the Catholic church upon program implementation and success, non-governmental organization involvement, the role of information and information systems in the program, the relationship between population, environment and sustainable development, and the status of women and its effect on population.
AIDS CARE. 1991; 3(4):395-8.While scientists demonstrated that they have pushed ahead in developing treatment and a vaccine for AIDS, comparatively little was voiced regarding AIDS as a development issue at the 7th Conference on AIDS. In the context of socioeconomic development, President Museveni of Uganda and others spoke on AIDS, recognizing the need for behavioral change in preventing HIV infection. The family was also recognized as a basic unit of caring, important in fostering global solidarity. Topics discussed included the fusion of technology and human response in the fight against AIDS, NGO-government integration, community home care, and the need for an difficulty of measuring behavior change. In research, evidence was presented attesting to the cost-effectiveness of home care, while other types of research interventions, the effectiveness of audiovisual media in message dissemination, evaluation methods, and ethnographic methods for program design and evaluation were also explored. Where participants addressed psychosocial factors in development, little was presented on training. Informal discussions were robust, and covered the need for academic research, the process of an international conference, program principle transferability, and counseling. There was, however, an overall realization at the conference that progress is slow, AIDS challenges human nature, and coordinated international efforts may be incapable of effecting more rapid positive change. Even though sweeping solutions to AIDS did not emerge from this conference, more appropriate programs and conferences may develop in the future, with this conference opening AIDS in the arenas of community, development, hope and science.
HEALTH POLICY AND PLANNING. 1991 Dec; 6(4):327-35.Many non-governmental organizations (NGO) remained in the Wollo region of Ethiopia following famine relief and emergency medical service efforts of 1984-85. Since then, these organizations have helped identify strategies and processes needed to implement Ministry of Health (MOH) policies, especially in the area of integrated maternal-child/curative health services. This paper discusses the strengths and weaknesses of 4 broad approaches to health development adopted by the NGOs over the post-famine relief period of 1986-88, and considers further strategic adaptation in later years. Under the themes of direct management, clinic adoption, impact area, and air-drop resources, earlier NGO approaches largely suffered poor sustainability, non-replicability, and inefficient use of resources. Moreover, these approaches distracted the MOH from pursuing its own viable approaches, effectively stymieing the development of district and regional health systems. Later NGO approaches support improvements in the MOH's priority health programs through the provision of technical and material assistance for analyzing, developing, and implementing improved systems of district health management and care. NGOs wishing to adapt their existing programs into a comparable health systems approach should build upon existing relationships with the MOH in support of district and regional health services, foster skill development among indigenous health personnel, seek avenues to improve efficiency, and promote activity-based training and regional and district health team management.
New York, New York, UNFPA, . vii, 96 p.Working to balance population growth with socioeconomic development, the Government of India has had a population policy in place since 1951. Net reproduction rate of 1 is targeted to be met by the year 2000. This paper present India's population policy, and analyzes overall strategy for achieving population goals. While strategy is basically sound, there are, however, serious problems with program implementation. Information, education, and communication activities, as well as population education are reviewed. Non-governmental organizations and organized labor are then examined in the context of their roles in overall population strategy. Programmatic review continues and concludes with discussion of integrated maternal and child health/family planning components, improving the status and roles of women, and consideration of institutional framework, coordination, and management. Specific observations and recommendations are presented for each of these issues and topics, as well as for data collection and policy analysis, and the coordination of population assistance. Future UNFPA country programs should expand already initiated projects, and develop new ones aimed at providing a wider array of locally available contraceptives. While past assistance has focused upon health and family planning, future programs may encourage other areas of population activities. Examples of such activities include demographic research and training, research and action programs in women and development, and experimental approaches to population education.
INTEGRATION. 1991 Sep; (29):4-5.The work of the Soviet Family Health Association (SFHA) is described. Created in January, 1989, the organization boasts 25 state-paid workers, and as of June 1991, membership of 15,000 corporate and individual members. Individual annual membership fee is 5 rubles, and entitles members to counseling and family planning (FP) services. The SFHA works in cooperation with the Commission on Family Planning Problems of the USSR's Academy of Sciences, and has been a member of the International Planned Parenthood Federation (IPPF) since 1990. Association activities include lectures for students, newly-weds, adolescents, and working women on modern contraceptive methods; research on attitude regarding sex, sex behaviors, and the perceived need for effective contraception; clinical trials of contraceptive suitability for women; and the training of doctors in FP and contraceptives. Problems central to the SFHA's operations include insufficient service and examination equipment, a shortage of hard currency, and the small number of FP specialists in the country. Solutions to these obstacles are sought through collaboration with the government, non-governmental organizations in the Soviet Union, and international groups. The SFHA has a series of activities planned for 1991 designed to foster wider acceptance of FP. Increased FP services at industrial enterprises, establishing more FP centers throughout the Soviet Union, and studying FP programs in other countries are among Association targets for the year. Research on and promotion of contraceptives has been virtually stagnant since abortion was declared illegal in 1936. Catching up on these lost decades and remaining self-reliant are challenges to the SPHA.
USAID HIGHLIGHTS. 1991 Fall; 8(3):1-4.This article considers the epidemic proportion of AIDS in developing countries, and discusses the U.S. Agency for International Development's (USAID) reworked and intensified strategy for HIV infection and AIDS prevention and control over the next 5 years. Developing and launching over 650 HIV and AIDS activities in 74 developing countries since 1986, USAID is the world's largest supporter of anti-AIDS programs. Over $91 million in bilateral assistance for HIV and AIDS prevention and control have been committed. USAID has also been the largest supporter of the World Health Organization's Global Program on AIDS since 1986. Interventions have included training peer educators, working to change the norms of sex behavior, and condom promotion. Recognizing that the developing world will increasingly account for an ever larger share of the world's HIV-infected population, USAID announced an intensified program of estimated investment increasing to approximately $400 million over a 5-year period. Strategy include funding for long-term, intensive interventions in 10-15 priority countries, emphasizing the treatment of other sexually transmitted diseases which facilitate the spread of HIV, making AIDS-related policy dialogue an explicit component of the Agency's AIDS program, and augmenting funding to community-based programs aimed at reducing high-risk sexual behaviors. The effect of AIDS upon child survival, adult mortality, urban populations, and socioeconomic development in developing countries is discussed. Program examples are also presented.
HEALTH FOR THE MILLIONS. 1991 Aug; 17(4):20-3.Until recently, the only sustained AIDS activity in India has been alarmist media attention complemented by occasional messages calling for comfort and dignity. Public perception of the AIDS epidemic in India has been effectively shaped by mass media. Press reports have, however, bolstered awareness of the problem among literate elements of urban populations. In the absence of sustained guidance in the campaign against AIDS, responsibility has fallen to voluntary health activists who have become catalysts for community awareness and participation. This voluntary initiative, in effect, seems to be the only immediate avenue for constructive public action, and signals the gradual development of an AIDS network in India. Proceedings from a seminar in Ahmedabad are discussed, and include plans for an information and education program targeting sex workers, health and communication programs for 150 commercial blood donors and their agents, surveillance and awareness programs for safer blood and blood products, and dialogue with the business community and trade unions. Despite the lack of coordination among volunteers and activists, every major city in India now has an AIDS group. A controversial bill on AIDS has ben circulating through government ministries and committees since mid-1989, a national AIDS committee exists with the Secretary of Health as its director, and a 3-year medium-term national plan exists for the reduction of AIDS and HIV infection and morbidity. UNICEF programs target mothers and children for AIDS awareness, and blood testing facilities are expected to be expanded. The article considers the present chaos effectively productive in forcing the Indian population to face up to previously taboo issued of sexuality, sex education, and sexually transmitted disease.
IN TOUCH 1991 Jun; 10(99):21-2.Despite obstacles to expanding immunization coverage (EPI) in developing countries, progress has been made in Bangladesh and is described. A February, 1991, World Health Organization cluster evaluation survey indicates that government efforts during the 1980s, with the cooperation and assistance of non-governmental organizations (NGO), have increased the degree of immunization coverage in Bangladesh. 80% coverage for BCG, measles, and DPT-3 antigens is realized in the Rajshahi division, 1 of 4 divisions sampled in the survey. Use of existing FWAs and HA as vaccinators; DC, UNO, and upazila chairmen involvement; partner recruitment for mobilization efforts; steam sterilization of needles; maintenance of an effective cold chain; and monthly vaccination sessions at more than 108,000 sites throughout the country worked together to successfully yield greater immunization coverage. Sustained efforts are, however, required to ensure vaccine protection of the 4 million children born into the population each year. 80% or greater universal coverage in Bangladesh is the focus of continued efforts. Eradication of polio, measles, and neonatal tetanus is possible in the 1990s, while Vitamin A distribution and more effective promotion of family planning services are also objectives. Government and NGO workers must promote awareness of EPI, monitor EPI service delivery, and encourage HAs, FWAs, UHFO Civil Surgeons, UNOs, DCs, and upazila chairmen to provide regular EPI services.
EARTHWATCH. 1991; (41):15.The National Audubon Society began a population program in 1979, set up a 5-year plan of public education, advocacy and coalition-building in 1985, and joined a broad-based coalition of the Sierra Club, the National Wildlife Federation, the Population Crisis Committee and the Planned Parenthood Federation of America in 1990. The 1985 impetus resulted in production of teaching materials and staging of focus groups across the U.S. The 1990 coalition has directed funds to the USAID Office of Population. Another project is the International Environment/Population Network, which organizes letter-writing, media programs and town meetings for ordinary citizens to press for sustainable development. Many of the Audubon's 510 local chapters have partnerships with similar groups in other countries, as do 8 wildlife sanctuaries have links to sanctuaries abroad. An example is the Indus River in Pakistan visited by the manager of Audubon's Platte River Sanctuary in Nebraska. The 2 rivers share the problem of reduced flow and vegetation overgrowth as a result of engineering projects upstream.