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  1. 1

    [Descriptive report of the support delivered by the Institute of Nutrition of Central America and Panama (INCAP) to the Ministry of Health, within the National Plan of Child Survival during the period 1985-1989] Informe descriptivo del apoyo proporcionado por el Instituto de Nutricion de Centro America y Panama (INCAP) al Ministerio de Salud, dentro del Plan Nacional de Supervivencia Infantil, durante el periodo 1985 - 1989.

    Ramos Estrada LE

    San Salvador, El Salvador, Instituto de Nutricion de Centro America y Panama [INCAP], 1991 Aug. 15 p.

    The Nutrition Institute of Central America and Panama (INCAP) conducted a retrospective analysis of assistance rendered to different agencies of El Salvador s Ministry of Public Health and Social Assistance during 1985-89 to evaluate its support of the Child Survival Action Plan, identify shortcomings and successes that could guide future planning, and identify future areas of cooperation. Information was obtained from 11 representatives of the different departments. The report describes assistance in training, research, advisory services, and educational materials chronologically by single years during 1985-89 for the agencies of the Ministry: the Maternal-Child Health Department, Nutrition Department, School of Health Training, Epidemiology Unit, and Education Unit, and for 14 nongovernmental organizations (NGOs) belonging to the Intersectorial Committee for Child Survival. The principal achievements were considered to be providing baseline research for planning of educational activities, distribution of 360,000 doses of vitamin A to children aged 1-6 years, providing oral rehydration training centers in two hospitals, training 80% of health personnel in the Eastern region in oral rehydration, introducing the methodology of distance education to local personnel, operationalizing the Diarrhea Control and Oral Rehydration Project in 350 rural and semiurban communities attended by 14 NGOs, and integrating training in oral rehydration into the Social Pediatrics Area of the Bloom Hospital. Since 1987, an average of 280 students in the sixth year of medicine have received training. One of the major limitations was the lack of participation of program coordinators and INCAP consultants in planning. Lack of financing was a problem in some activities.
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  2. 2

    Contraceptives and cancer: looking for the evidence.

    World Health Organization [WHO]. Regional Office for the Western Pacific


    The WHO has published partial results of an epidemiological study of the safety with respect to breast cancer of the injectable contraceptive depomedroxyprogesterone acetate, known as DMPA or Depo-Provera. The WHO Special Program of Research, Development and Research Training in Human Reproduction has been conducting a collaborative retrospective study of cancer and DMPA in 3 developed and 8 developing countries. Results from Kenya, Mexico and Thailand are published in Lancet on October 5, 1991. Comparing 869 women with breast cancer <64 years old and 11,890 matched hospital-based controls, the relative risk was 1.21, not statistically significant. 12.5% of the cases and 12.2% of the controls had used DMPA. Fine analysis pointed to a possibility of increased risk over the 1st 4 years of use. The data were not compatible with the hypothesis that DMPA. Fine analysis pointed to a possibility of increased risk over the 1st 4 years of use. The data were not compatible with the hypothesis that DMPA causes cancer, but only that it may speed the growth of early pre-existing cancer. When contemplating the choice of DMPA, people should evaluate their risks relative to the excellence of DMPA as a highly effective, convenient, long-acting, but reversible method.
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