Pa. Arican Sanitary ureau (laC.) Regional Office of the 15 August 1951 World Health Organization ' ORIGINALs _GLIS_ 14th MEETING OF THE EXECUTIVE COMMITTEE Washington, D. C. 20-22 September 1951 Topic 6: PROPOSED PR_ ANDBUDGET'OFTHE REGION OF THE _ICAS, ALT. " ATiON, 953 ............. Background The Executive Committee at its 13th Meeting adopted Resolution III, which reads in part, "1. To instruct the Director of the Pan American Sanitary Bureau, in his capacity as Regional Director, to submit to the consideration of the Executive Committee, at the earliest possible date, the Proposed Program andBudget of the _;orld Health Organization for the year 1953. "2. To review in detail the Proposed Program and Budgetof the World Health Organization for the Region of the Americas to the end that the Executive Committee shall make specific recommendationsto the V Meeting of the Directing Council." In accordance with this decision the Director has placed the Proposed Program and Budget of the Region of the Americas of the World Health Organizationfor1953 (Document 0D5/14) in the agenda of the Executive Committee as well as that of the Directing Council. Proposed Re_lution The Executive Committee, after considering the proposed program and budget, may wish to adopt a resolution along the following lines: _EREAS: The Proposed Program and Budget of the Region of the Americas of the World Health Organizationfor1953, has been reviewed indetail, THE EXECUTIVE O0__ RESOLVES: To recommend that the Directing Council, acting in its capacity as Regional Committee, approve the program and budget as submitted by the Regional Director, 51-685
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Pa. Arican Sanitary ureau (laC.)Regional Office of the 15 August 1951
World Health Organization ' ORIGINALs _GLIS_
14th MEETING OF THE EXECUTIVE COMMITTEEWashington, D. C.
20-22 September 1951
Topic 6: PROPOSED PR_ ANDBUDGET' OFTHE REGION OF THE _ICAS, ALT. " ATiON, 953.............
Background
The Executive Committee at its 13th Meeting adopted ResolutionIII, which reads in part,
"1. To instruct the Director of the Pan American SanitaryBureau, in his capacity as Regional Director, to submit to theconsideration of the Executive Committee, at the earliestpossible date, the Proposed Program and Budget of the _;orldHealth Organization for the year 1953.
"2. To review in detail the Proposed Program and Budget ofthe World Health Organization for the Region of the Americasto the end that the Executive Committee shall make specificrecommendations to the V Meeting of the Directing Council."
In accordance with this decision the Director has placed theProposed Program and Budget of the Region of the Americas of the WorldHealth Organization for 1953 (Document 0D5/14) in the agenda of theExecutive Committee as well as that of the Directing Council.
Proposed Re_lution
The Executive Committee, after considering the proposed programand budget, may wish to adopt a resolution along the following lines:
_EREAS:
The Proposed Program and Budget of the Region of the Americas ofthe World Health Organization for 1953, has been reviewed in detail,
THE EXECUTIVE O0__
RESOLVES:
To recommend that the Directing Council, acting in its capacityas Regional Committee, approve the program and budget as submitted bythe Regional Director,
51-685
Pan American Sanitary Bureau CD_/1/_ (Rev. 1) (Eng,)Regional Office of the 11 August 1951World Health Organization ' ORIGINALI ENGLISH
V METING OF THE DIRECTING COUNCILOF THE FAN AMERICAN SANITARY (RGANIZATION
III NfgETING OF THE REGIONAL CO_[ITTEEOF THE WORLD HEALTH ORGANIZATION
Washington, D. C.24 September- 2 October 1951
Fi_OPOSED PROGRAM AND BUDGET
OF %_E
REGION OF THE AI,f_ICaS,
b_ORLDHEALTH 0RG.%_IZATION,
FOR 1953
NOTEt
Corrections hsve been inserted in the following pagesof the original document CD5/14 (Enge)_
Summary of the Proposed Program and Budget for 1953 6
The Regional Office 7
RegionalAdvisors 19
AreaSupervisors 23
Argentina 26
Bolivia 28
Brazil 30
Chile 36
Colombia 43
CostaRica 49
Cuba 52
Domtnican lepubIic 55
Ecuador 58
E1Salvador 67
Guatemala 73
Haiti 84
Jamaica 90
Mexico 95
Nicaragua lO1
Panama 103
Page ii
': Page
Paraguay 105
Peru 11_
Trinidad 128
Uruguay· 130
Venezuela 133
CeuntriesUndesignated 136
AnnexI 143
' (rog:), Page t
. .
comments of .the Re_ce,.e_ /Omunit_ee._ be far,arden,' _th the _r_l_als,to the _Director-Oener_ for coordination into the 19_ program and
':budget "_s_imatmecc_ t_ Wc_rld _h .Or_anil&tio_, ' _e:p_have beendeveloped in the light..c_ decisiens of_t_ Fourt_.W_ld. He_t_ Aes_lyand of the Executiv_ Boa_ at its ,Eighth Scanlon. _
reaolutions of the World Health Assembly, pe.rticularly A_3_, .Form ofPresentation of Progra_ne and Budget"; A_/37, "Concentration of Y_ffortand _esources"; A2/[_/79,"Coordination of Technical Assistance Pro_grammes"; A4/_/87, "Coordination of Planning of Programmes with UNICEF."Reference is made to the decisions of the Executive Board, EB8/_/28,Rev. 1, "Form of Presentation of the Programme and Budget for 1953."
At the request of the Executive Board, it will be necessary toinclude information regarding the local funds that may be expected to becontributed by each country in respect to specific programs being car-tied on within their territory. In those cases _where agreements havebeen signed, the information already has been compiled from agreements.In those cases where the proo_ramsare being proposed, the informationwill be compiled during discussions with the members of the _egionalCommittee. It should be clearly understood that information regardingthe possible contribution of a cooperating government toward a newlyproposed program is, in no way, binding upon the government. 2sther, itrepresents the extent to which the m_nbers of the _egional Committee be-lieve that their government might participate should the agreement ma-terialize. In order to expedite the compilation of the material regard-ing governmental contributions, the f,egional Director has conmmicatedvritheach government on this question.
In developing the program for 195_, the Regional _irector has hadin mind that one of the major roles of WHO is to help governments in thelong-term orderly development of health services, including educationand training services. Therefore, the emphasis in the program proposedto be carried on under the regular budget of _'HOin 195_ has been placedon activities developed with the long-range objective of assisting govern-ments in strengthening the national health administration. In accordance_ith the decisions of the Assembly an_ the Executive Board, a coordinated
program of internationally-assisted health work is presented for eachcountry. As in the program and budget presentation for 1952, infor_tion is included concerning proposed activites under the United NationsF_nded Program of Technical Assistance.
i o" ·
Page 2
The column "Required Import_ Equipment and Supplies for 1953"embraces material which will have to be imported to fulfill the foreseenprograms. UNI_ has informed us that, if the economic position of thecountr7 _o indicate_ and to the extent of availability of_its resources andto the_ that proKeamm fall within the pr_ri_ies establishedits Board, it is ready t_.cooperate in the _shing of supplies amdequipem_, with the ur_te_atamd_g that each allc_at_en and the plan of
.operations for each allocation be approvedby its Executive Bc_rd.
The Pan Ameri_n Sanitary Bur.eau is in the process of decentrali-° zatioh..The deOision to _ecentralize is in accordance with the policyof I,HO,and _0 will _aup,pOrtth_ n_ve to strengthen the field officeorganization of the PASB/WHO. It is Believed that the effectiveness of.bOth organizations will be greatly 'increased _en decentralization isfully operative.
o
i
t
'Page 3
'' NOTES ONTHE ..m.,._._T!,,ON'OF THE BUDGET
Generally speaking, the format followed in the presentation ofthe Proposed Program and Budget of the Region of the mmericas, WorldHeaith Organization, for 1953, follows the format presented in OfficialRecords _e_ 31, "Proposed Programme and Budget Estimates for the Finan-cial Year i January- 31 December 1952."
The budget of the Regdon of the Americas appears in .sUmmaryandwith supporting schedules as follows:
The Regional OfficeRegionaI AdvisorsArea SupervisorsCountry Programs
Explanation has been provided for all act2_lties.,.
It will be noted that figures for the years 1951 and 1952 havebeen provided for comparison with 1953, and that the sources of fundsfor projects have been indicated.
It should be noted that costs of activities for the years 1951and 1952 are based largely on the figures presented in Official RecordsNo. 31. _en the material is finally presented to the Health Assemblyby the Director-General, changes to the operational develo_ents andstaff regulations may result in variations between detailed amounts.However, funds made available to the Region for 1951 and 1952 have beenaltered on the basis of present activities and plans for operations andare, therefore, difYerent than appear in Official Records No. 31.
For 1953, costs of Personal Services and Allowances have beenbased on projection of salaries and allowances paid to the incumbentsof listed positions. In those instances where posts are presentlyvacant, averages based on the total experience of the World HealthOrganization have been used. a table shoving the average is includedin this document.
A detailed Justification has been provided for duty travel.Duty travel has been based on the actual costs of anticipated trips.Travel costs resulting from application of the staff rules for initialrecruitment, travel on home leave, and repatriation have not been Jus-tified because it is mandatory for the organization to cover such costs.
Common Services are Justified in the explanation of the costs ofoperating the "Regional Office",
CDS/_(_g.)..... ' Page
Costs of Supplies and _mterials for projects are based on es-timatedneeds. ..
TABLE OF AVERAGE_.ALLO_IANCESul J . . , - ' J--:
, Installation Children 's Education Repatriation ,
Group TravelonHeadquarters Initialand Regional Recruitment Travel on Transportationof0ffices.... Grade and RepatriatioA Home.Leave_ Per.s_,na___,Ef,fects
'TI_ costs of a_tivitteB 'and s_ces ah'own under %he 'i_formationschedule entitled "Regional Office of the Americas" arise'm_il_lyfr_m theoperation of a central office in Washington, D. C.
Pe_sonmel listed therein WO_L_d, if classified in tbs ,samemanner asthe ccmpIementar7 staff of the Pan American Sanitar7 Bureau, appee_' asfollows: ' ,. "· ; _ ' ",
, _ ·
Regular ?echnicml Assistance
Posts
' 1. 'Office of the Regional Director - 2 , ':,'2. EpidemiolOgy and Statistics _' "_ ' ' '3. Library 12. Public Information Office 2
b. BudgetOffice 1'c. Finance'andAccounts Office' ' 7 _' 6d, _evsor/nel Off ioe 3 2 "e,SupplyOffice 8f. Office Services
Travel Un/[_ '_ 2 2Recordsamd Gommunications 7 2
· -Printing a_d Reproduction 1
g. A_m_mi_trative end clerical person-nel.assigned to the Fellowships_f.fice ·,':' _ ' - ,
h= Seuret_rial help for R_gional Ad-.,. visors 6_ 2' :' '"' ' '' .... - 54 20
=l=I=l=
The staffing of the Regional Offioe 'diff6rsf_ma :_a_ _f.o%h_ 'officesbecause:
" I_' 'thecloseness' to the nmJo_,_u_ces oF s_ppIy requi_e .a' _o_" sex. rice fuucti_ 'to be .performed for-Headqvaj_ers ar_ othei _ RegiOnal ,,Offices.
aa_o_s A_eoem_ttates _, o_oe:'lla_ng l_ge_*ma__ _ _e_Xb_' _al! ag
¥ _ CDS/1A (Eng.)Page 8
the World Health Org ie_; an_ :
3- the existence of the Pan American Sanitary Bureau_ a major inter-nJtiOn_ _mblic _ealth org_izati_ perfiLt_s _ cg£ice to be _t_ffed ona ccxnplelaerttary basis. ' _
The l_rpome and functions of the Pa_ American 8a_'_,,J__au,Regional 0ffi_e_.ef_he ?World He_h Organiza_ie_ for the ;A_IGG_, _a¥#'been delineated in Official Records No. 33, Annex 12, of the Wo_.lA._hOrganization, entitled, "Organization of the Regional Office for theAmericas."
As /the'_pu_ses ar_'_3netions of the units of the Regional Officehave been Bet forth in CDS/_, "Proposed Program and Budget of the Pan
for 1952 of the Regional Offi e of the World Health 0rganiM_/1c_'! ;Lne7have been emitted from this text. _ ?
In _espect of the re_lar budget, it Will be not_ th_ '_ _''_ *the L_mst ofthe Regional Office is $_9,675 more than in 1952. __'
.
The additional cost does not result from an increase in staff'member s,the same number and type of posts being provided in 1953 as _n _9_2.
For clarity, a table indicating, the lncr_&se.s_tm th_ r_gu_ar budgetbetween the two years by type of expenditure has been pre_arGd.:
Increase
Personal Services $ 181zt_5 $ 219_196 $ 38,0_1Personal Allowances ' ' 55,836 3_,358 (21,/478)Travel and Transportation 17,O_6 . 19,536 2,_90Space and EquipmentServices 18,175 12,625 (5,550)Other Services 2/+;096 32,390 8,29/+Supplies and _aterials .10,8_0 32,885 22,0_5Fixed Chargesand Claims 1A,625 21_28_ 6,660
Acquisition of Capital Asset's 2,_27i _: 1_.500 _.! :(82_)
The inet.ease to Personal Services and Allowances amounts to _16_563 n_t.. AlL _coetaha?0 been.d_ve!oped on the basis of individual posts and aredetailed in the fol!owir_ _e, "Th_ Regio_ Office.,' The ' JJ_ee_eof1953 over 19_2 is due largely to the increase resultiag from the adoptionof __e tQ_:._.c_I_ _ ___ reeruited personnel that' ie in c_Q_nity with
and cemme_-cialenterprises,
#:_8:_a_ o_ WHO Official Records No. 31, pages 2_7 and 2_.
,., Page 9l)
_Travel and TransPo_tat_n
Travel _and Transportation has increased _2_$90. Detailed Justifica-tion for all duty travel is provided, ........
Common Services
Common Services' costs fall into two broad classifications: thosecosts of housing, servicing, and supplying staff located in the WashingtonOffice, and those costs arising from the operation of an extensive publicinformation schedule. For that reason, separate analysis has been made ofeach classification.
- j
' Space and E'_pme_nt_Servic_
Space and Equipment ServiceB paid by WHOtoward the operation ofbuildings owned by the Pan American Sanitary Bureau is based upon thepercentage of WHOstaff, members to the total of the Regional Office andPASB staffs at Washington. The amount chargeable on the Regular Budgetfor 19_3 is $11,033. An amount of $300 has been provided for the repairand maintenance of office furniture and equipment. The savings of _5,550indicated in the table above result from lessened costs of operations tothe PASB due to the elimination of rent as a component of total costs ofoperations,
.OtherServices_
Poste_e - Postage costs have been estimated on the basis of experi-ence in i951. An increase of _100 per month has been provided to covercosts in 1953.
Total postage, $_,220.
Telephone - Telephone and equipment rental and local messages arebased on 1951 experience to date. Total charges estimated at $4OO nmnthly.
Toll charges $ _,800 ,.Equipment rental - local messages 2.592
Cables _nd Telegrams - Cable costs are based on 1951 fi_:_res.Totei c_bl-es _nd :telegrsm_-'-$3,6oo.
Hos_y -CSsts of hospitality are esti_w:tedat $1,4OO, anarbitrary amount ]oased on the provision in the 1952 regional budget.
Iilscellaneous - Physicol ex_minations for new employees i_ $1OOannu_lly-_-_s__)52 co_ts.
Page l0(corr. i)
An arbitrary figure of '200 has been ectablished to cover miscel-1,_neous e_peliciture_. These.items are aq_ed together, and appear on, Page13 under "Miscelianeous Contractual Services"j to, al - $300.
' Fret:r'ht' _d Traae._.rt. '_[on '00s._._ An" a_0_nt :of $500 i_as been providedto cover the'COS$-Of qpersting ar_ maintainihg the sthtion wagoD usedbythe Regional Office for pick-up and mail delivery.
Supplies ant Materials . "
Pr...r.Lg_- An arbitrary sum of $200 has been provided to cover theCost of printing forms and special stationary required by _he RegionalOffice,
_$u_- Supplies cover the cost of stationery and expendable officeequipment such as paper and envelopes, ink, paper clips, etc, The amountprovided has been based on Der capita expenditure of _162 annually. Thetotal cost for supolies is $10,368, This approximates the amount providedfor similar material by Headquartors, Geneva (Official Records No. 31).
The total for Supplics and M_terials is $10_568.
Charges and C!qtms
Under this classification is grouped the costs of reimbursing staffmembers for state and federal income taxes, Calculations have been made onan individual basis and arc b_sed on 1951 ratos, St_t_.· income taxes havebeen computed to be 3% of the total a_ount reimbursod for government incometax, The total for Fixed r.h_,_........_s and Claims is $21,285.
Acquisition cf Capitol Assets
An arbitrary mount has been established for the replacement oftypewriters and other non-expendable equipment.
.Public Informe_tion- J ! L_._UJ : . Il , Illl I ill. I ' I ·
For clarity, public information activities are discussed on a "projectbasis,"
Press Releases" ' 1951 1952 1953
Number _:fcopies distributed 8_,000 8_,000 120,000"" _'.' ' t ' !"75 _; L'! ";-" ' i{"' J,l;7",,-, J'-j-' --
average monthly number of press releases for 1951 is seven. It is riotanticipated that this hUm.bet will be increased_during 1952. However,expanded activities of the !_O duo $o the activation of two new regionaloffices during 1952 is expected to increase the average number of pressreleases in 1953 to ten. Distribution figures have been prepared on thtsbasis.
The Region of the Americas reproduces the WHO Newsletter by th_ photo-offset m_thod. Also, the Newsletter is translated into Spanish andPortugue se ·
It will be noted that the costs of mailing the Newsletter is sub-stqntially less than the cost of nailing the press releases. The reasonfor this is that approximately 17,000 copies of the Newsletter ere mailedin bulk thereby reducing costs considerably. For em'_ple, 8jO00 copiesof the En_,lish version of the }'ewsletter are provided to the, U. S. PublicHealth Service and that organization attends to the distribution of thismaterial without cost to WHO.
Celebration of World Health Day (Production of Kit)
The information Kits usually distributed in the Western Hemispherein celebration of [_orld Health Day are produced and _rinted in the Americas.It is assumed that 9,000 Kits can be distributed because there were requestsfor this number in 1951. Costs of producing the Kits ares
An amount of $785 has been provided to cover the cost of printingthe _O Information Folder.
Exhibitionsi i i i i HI ·
· The Regiongl Office produces, maintains, and shows information con-cerning the activities c_ the.PAS_ and_'_HOat medical ar_ scientificmeetings throughout the hemisphere. It is estimated that six exhibits
__ted durir_1953. The attendant costs are:- e
" "' ' age al'of ce, ' '"$ ' ''" Average t_anSportation costs 150
' ,. _andlir_g,ihstalt_ion_packing, and prepar :ing' space __0o'
400 x 6 = :','_2,_00
As one-half the cost of these exhibitions is usually borne by the Bureau,
an amount of _1,200 is requested.
Visual _ateria _
Mater_l exhibited at'scientific and medic-1 meetings must be broughtun to date and kept in a state of repair. Doubtlessly, new material willbe added or ?_plaeements_made to th_ eXhibition material already on hand.An amount of _1,500 is required for t_purpose. In addition, .ii500isrequeste_ _ ceve_ the eost of phetography.
Other Requirements T public Information
Subscription to newspapers .$ 85 ,Clippingservice 500Teletype 360
Tt is essential that the Regional Director or his delegate visitSouth and.central American countries and those located in the Caribbean inorder to confer with ministers of health on matters pertaining to programevaluation, The amount requested under the regular budget, $6,960, is thesame as for 19_1 and 1952. .
Public Information_ III1 _ I . I I 111 IL . . . 11_ I
As in prior yearsj the Public Information Officer will be r_quiredto maintain close contact with the information officer in the New YorkLiaison Office and with the information office of the United Nations. It
is also expected that he will be required to visit the field offices ofPASB/WHO to develop methods of disseminating news locally and obtain firsthand information on programs. Also, one trip to attend a medical healthconvention has been included. Total cost - $2,683.
Aa_ministration and Finance
Administrative ,andFinance _Officer
An amount of $2j660 has been provided to coves one trip to fieldo offices for inspection, liaison and orientation of local administrative
officers. Included in this total is a trip to Preadquarters,WHO, for the. discussion of current policy and procedures.
P,e,rsonne! ,,Officer
For the _urpose of briefing local administrative officers on staffrules and regulations, one trip to each field office is required. Cost -
Budget Officer
In order to obtain information that will facilitate the work of the
budget office, it is proposed that the Budget Officer visit Headquartersduring the last two weeks of May and the first week of June. Two tripsto United Nations in order to obtain information on changes in administra-tive policy. Cost - ,1,060.
In order to determine effectiveness of internal controls and to audit
,Pages
local accounts, one trip should be made to each field office. Cost -_2,633.
Special Services Officer - Supply
An emount of $908 is requested to cover trip made in connection withinspection, market investigation, etc.
Legal Officer
An amount of $1,139 is requested to cover the travel of the LegalOfficer to Headquarters, WHO, for briefing and discussion of legal mattersrelated to agreements with govermments,
Regional Advisers will be required to travel as indiceted belowin order to advise snd assist governments in program development andto strengthen e_isting health services. They will be required to pro-vide general aupervision of projects and activities under wa_and tocontinuously evaluate the results of such programs. _tegionalAdviserswill confer with governments as to the advisability of init_ating newprojects in future years.
, ,, ,. ,e e.
The Regional Advisers on education training and fellowships arerequired to visit medical schools and laboratories in order to Obtaininformation as to existing facilities and curricula and to provide helpand advice to those ¥:HOfellows presently studying. Fast experience hasalso indicated the need to follow up the activities of fellows on apersonal basis.
Amount provid ed........... 1953
Adviser on: Countries to be visited US
Malaria All South and Central American coun-
tries; principal non-self-governingterritories in the Caribbean . , _ . . 6,087
Tuberculosis Ali Latin i_erican 2epublics; principalnon-self-governing t erritorie s in theCaribbean...... , . . . . . . ... &,955
Veneral Disease Ail South and Central American countries;Mexico; Haiti , . . . . . . . . , . , 6,972
Public Hsalth Ail core,tries in which healbh demonstra-Administration tlon areas and public h_lth adminis-
traction programs are in operation... 5,082
Environmental Santio_o; _rgemtina; Lima; i_e_co;Sanitation Guatemala; Panama; short trips in U.O.. 5,288
Page 20
Amount provided1953
Adviseron: Countriesto be visted US _ ....
Health Education Ail South and Central Americanof the Public countries in which there are
projects that will require theservices of a health education ex-
, pert;Paraguayand Ecuadorto su-pervise health education projects . 5,000
_ternal and 'Ail Latin Ame_'icancountries; prin- 'Child Health cipal non-self-governing territories
in the Caribbean , , . . . . . , . 6,088
Nursing Three trips of three months durationeach for the purpose of surveying thefacilities and curricula of schools
· of nursingin LatinAmerica. . . . 5,000
F_ucation and Ail South and Central American coun-
Training (including tries; medical schools located in theFellowships) U,S. . . , . . . . . , . . . . . . _,890
Duty travel provided for Regional Advisers whose personnel costsare financed through the Expanded Program of Technical Assistance havebeen calculated on the same basis as those _%egional Advisers fallingunder the Regular Budget of _HO,
f
· · · $
The IJ_OUL.. *m_ou C05/_
Pm_
imrL.qo_ sn_vic_ AID FXSLO_OJSC_ _WSm_o_SaWZCIOSr_ _sssofamnTo z _u_cIos _
Area Supervisors whose function is to provide the advice of aspecialist to limited nu_ers of countries within a region are requiredto spend a substantial amount of time travelling. For example, an areasupervisor conducting a Diptheria and Pertussis Campaign in severalcountries would be required to travel between the c,untries in order toconfer with appropriate members of the several Ministriesof Health. Suchvisits permit close supervision of prnJects and the compilation andevaluation of data in respect thereto.
Amour_Provided
1953
Advisoron Countriesto beVisited _ US _
BOG To all Latin American countries and non-
self-governing territories in the Carib-bean, in which c_npaigns are in operation 4,589
Tuberculosis Peru, Guatemala, Chile, Bolivia, Colombia,(2) Venezuela,Brazil,Uruguay 6,_31
Typhus Five trips between Bolivia and Peru 3,271
EnvironmentalSanitation _) Ail Latin American countries and non-self-
governing territories in the Caribbean 16,612
Maternal andChild Health Guatemala, E1 Salvador, Haiti_ Mexico,
(2) Peru, Colombia, Argentizm, Paraguay,Uruguay 10,687
Duty travel previded for Area Supervisors whose persmnnel costs arefinanced through the Expanded Program of Technical Assistance have beencalculated en the same basis as those Regional Advisers falling under theRegular Budget of WHO.
Ve_reA1 DiseeseControlSeminarIllJ ' w-- _ ---. _ , _ .... ; , I I _ ,, [I,
Fellowshipsare providedfor the purpose of technicaltrain-ing in VenerealDiseaseControlto be carried out in conjunctionwiththe seminar held at SKo Paulo, Brazil.
A.._...,__' ,iRl usl _1 usf, .st _li mi ma .BI ma mt .. ,
o
Tmmel_Ll _ C_trol ''
bmb.,rto . 8b Peub,_II_oU, ,,,
Nl._mmJ.lm 680 ,
,
&
1: I
Page 28
BOLIVIAL
Re_lar Budmet
Educa%ion and Trai.,r_n_
Venereal Disease Control· . . i , J, ii , ,,,,, . _.
Fellowships have been provided for the post-graduate train-ing of medical officers in venereal disease control through an intra-regional venereal disease training center to be established at Callao,Peru, in 1953.
Required Imported Equipm_$nt ap d,,supplies
Mater2al and. Child Heal t__
Childrents Hospital in La Paz
UNICEF has approved $75,000 toward the equipment of thischildren's hospital. It is anticipated that additional funds may bereceived to fully equip this institution. Such funds will hereto befurnished from sources other than the regular or technical assistancebudgets of WHO.
callao Z%et ar_mte Itra_u_ c4m4rCentro de adEutam_e_o par_ Gra_
* · ___ - C._o., - ___ll_a__ecaemeca_ - 1?n_3
.- _ ._,o0o. l,o,_ · _o,eoo _o,ooo 6o,_ re,ax)
Fondoe aprobadompar UNICEF
ccos/lPage 30
BRAZIL
Environmen. tal. S.ani%ati.on
Garbage Disposal Project
Because of the relative lack of u_eable experience inmunicipal garbage disposal as simpler methods of garbage disposal havebeen largely neglected, a field pilot plant d_,onstration study projectis proposed in Brazil. This plant will study especially the sanitaryland fill with domestic garbage in small densely populsted areas. Theestimated duration of this Project is three years during which timetechnical personnel and supplies will be provided. An appropriatenumber of fellowships have also been included to assure the continua-tion of this Project after the withdrawal of international personnel.
Education and Trsinin_
V_ereal Disease. ,Control. SemSn.ar
To complement the training activities of the serologicalprogram at the Faculty of Hygiene and Public Health of the Universityof Sgo Paulo and in view of the apparent _earth of trained venerealdisease control persozmel in the Americas, it is proposed to organizeand conduct in 1953 in that educational institution sm intensive train-
ing course, following the workshop approach, on the modern techniquesof veneresl disease control, with special emphasis on the epidemiolo-gical methods, correct use of antibiotics, and acLm_nistrationof pro-grams dealing with venereal disease problems. It is expected thatseveral neighboring countries will be very interested in tnis courseand will cooperate by se_ding trainees. The duration of the seminarwill be one month,
Technic _ Assist .anco
_terna ! and Ch.ild, Health
This project which began in 1951 will contribute to the healthneeds among mothers and children in the four northwestern states ofParaiba, Piaui, Ceara and Rio Grande. The re-evaluated program is ex-pected to develop in 1952 and continue in 1953, in accordance withestablished principles of public health _ith regard to maternal andchild health services with technical personnel and fellowsl_ipspro-vialed by the Organization through Technical Assistance Plmds,
t
, (mm.)
Technical As,sista_,,ce
_enerea! Disease Contro!. oero!o_ic_ Train'_ng_Pro.leCt-,S_o Paulo
This project, which began on 1 August 1951 will continue tocontribute substantially to the adequate sero-diagnosis of syphilis.The University of SEo Paulo has appointea the necessary professionaland auxiliary personnel to carry out the project during the existenceand after withdrawal of the Organizationts technical advisor.
Ln AnA'L_
_ SIgL'VI_S lmm IPXi_.D _ _,_rw.l_ DragA-qiSO]M!flBJ_ ! URVICTr_ mm
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CDS/I_ (Eng.) (Corr. 1)Page 3b
CHItw.
Venereal Disease _Control,.,,. Cardioli_in Pr_o_uction Center
It has been demonstrated that cardiolipin antigen is advan-tageously replacing the lipoidal antigens; and since no cardio-lipin is being manufactured in Latin American countries and inview of the recommendations made by the Subcommittee on Serolo-gical and Laboratory Aspects of the Expert Committee on VenerealInfections and Treponematosis, "that cardiolipin production beencouraged in a few laboratory centers", it is proposed to setup a cardiolipin production center of a regional nature at the"Bacteriological Institute of Chile", which _.rlllproduce the an-tigen for distribution to several countries in that area. Thelong-range character of this project is emphasized and it isexpected that the Organization should assist this center for aperiod of not less than three years.
EnviroDmental Sanl tatio_
Comnostin_ Pro !ecs
Because of the relative lack of useable experience in muni-cipal garbage disposal as simpler methods of garbage disposalhave been largely neglected, a field pilot plant demonstrationstudy project is proposed in Chile. This plant _rlll study espe-cially composting with domestic garbage in small densely popula-ted areas. The estimated duration of this Project is three yearsduring which time technical personnel and supplies x,lll be provi-ded. An appropriate number of fellox_shipshave also been inclu-ded to assure the continuation of this Project after the with-dra_ml of international personnel.
Technical Assistance
Public Health Administration . Health DemoDst_ation Are_
The Government requested the assistance of _[H0 in the orga-nization of a Health Demonstration Area in a rural section ofthe Province of Concepcion. The area is both agricultural andindustrial.
The major health problems in the area seem to be: infantmortality, tuberculosis, diseases connected with poor environmen-tal sanitation, malnutrition, industrial health hazards.
, (SAS.)Page 37
The preliminary survey of the area _ill be c _ompteted in 19_1,
. The project will star_ in.19§2 with the organimtion bf a.H_althUnit, which will be in'.charge of all the health ag.tivltiem in the ar, ca,Special emphasis will be put on environmental sanit_i_,n, u_ernai .and.child health services,-nutrition, tuberculosis and i.ndust_.ial'h_iene,
i9 3 it.is propose 'to maintain the .five be asS edto the project in 1952, Budgetary, provision for equipmen_ ..and..fuppl_..esare included in order to complete the _quipment of the unit: Fellowshipsare necessary for training local personnel to replace the experts appointedby WHO, when time comes for withdrawal of the internatior_l assistance,
_nvironm. ent_a!..S.. ;anit.ation. T,..'_ater_o. rks Operators, Short .Course
In an effort to improve the health of communities, the LatinAmerican countries have been constructil_ water systems with a view ofensuring a clean and reliable supply of potable water. However, thelack of personnel with adequate training in the operation of such watersystems has made it impossible to obtain the optimum results necessaryto Justify the large investment in this type of work and to meet thepublic health needs. It is proposed to have in 1953 one short coursefor pls_t operators in South America. During this course, instruct[onwould be given in public health subjects and in the maintenance of watersupply, so as to train technicians who will later take charge of opera-tions of the water supply systems in the principal cities of their coun-tries. This course will last two months, during which period thoseattending will devote 100% of the time to _ater problems.
Budgetary provisions are msde for two consultants, fellowships,supplies and equipment.
The WHO has been givingtechnical approval to Supplies fUrnishedby UNICEF for a maternal and child health program, with technical super-vision being provided by the zone office.
Present needs indicate that supplies and materials may also berequired in 1952 and 1953 for extending this program. Funds will beobtained from sources other than the regular or technical assistancebudgets of _d{O.
e
_ Page38
' ;' .A,r _'..quek_ h_ s been received in connection with the eonstruc_nof _ Antij_et_e Plant. Funds for the equipment of this plant will _befur_iehed frem s_rces other than the regular budget of WHOor TechnicalAss_$'anee.: Th_ werid Health O_anization Will give technical appr6valfor the Supplies and equipment. Should it be necessary to grant fellow-
e_pe:for the %raini_ of persennel in regard to this project, provisionwil_ _be _ade-from the amount established for fellowships under "C,,un-
-%_tes Undesignated."
..
i
SEP,VICI06Dm ASEMO_M.IE_O! S21_CIOS _
Chile
"__b_. ef _ete F,etL_ted Expemiltur_
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Edac,ation a_, Trai/__n_ _ , , · -
Ve_rea! Disease C0nt__l
Fellowships have been provided for the pest graduate train-ing of medical officers in venereal diseases crntrol through an intra-regional venereal disease/training'C_hter:to be established at Callao,Peru, in 1953. ' _' ' ' ,_
Tec_ce!_ As_is,_ance _ , .
'F_al_'g :and Inse_ Contx*ol ,..... ,-: _. , mi II _1111 i -_ -
An Insect Control Program with special emphasis on A_deeadgypti eradication and control of Malaria_in comjunetion with a yeliowFever Program was started in 1951 and is proposed for continuation dur-ing 1952 and 1953. This project will have the cooperation of the CarlosFinlay Institute of Colombia in the production and distribution of YellowFever vaccines to other countries of the hemisphere.
It is proposed to provide technical advice, supplies andequipment.
Public Health Admi strat on
Health Demonstration Area
The Goverranentof Colombia requested the assistance of WHOin establishing a Health Demonstration Area around a Proposed "modelcity" (Fusagasuga) with an estimated population of 25,000 of which18,0OO live under rural conditions.
The health problems of the area are considered tc be con-nected with p_or environmental sanitation.
The preliminary survey will be crmpleted in 1951 and theproject will start in 1952 with the establishment of a Health Unit
,. ::: CDS/I· :, ': Page /d+
which will be in charge of all the health activities in the area. Special
emphasis will be put on environmental :_a_itatien.
It is proposed to maintain in 1953 the three experts assignedto the project in 1952. Budgetary provision for equipment and suppliesare included in order to complete the equipment of the unit. fellowships
are necessary to train local personnel to replace the experts appointedby _ffiO. ...........
Mater!_a 1 and _ ,h!_ld ,Health.- Field Team
Startir_: lnltilelatter .partof !9_ and continuir_ flu-ouch195_',a field team will demonstrate'modePn techniques of maternaA carethus extending to the rural areas adequate maternal services carried outby the public health department.
Training of mid-wives in cenJunction with %he :_Ch_l _f. 'Hygiene is contemplated. In addition, fellrwships ___. be awaked sethat the work of WHO technicians can be carried'o11aft_ the preje_ 'scenclusion.
_p_er_ and supplies win be prov£aed from other so=cee,
t
L
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9 _
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COSTA RiCA..... 7-
Tec ._cai_Assistee
Edueation ar___TraininR
School of Nursin_ - San Josg
' The main objective of the reorganization of the School ofNursing in San Josg is to make possible preparation of Public Healthnurses for first level positions since at present public health nursingis not a part of the curriculum. The preJect is planned te cover a fouryear period for the preparation of national instructors through a fel-lowship program, In addition to international personncl, provision ismade for teaching equipment and supplies, including books, Fellowshipsare also provided for the purpose of training Costa Rican nurses to re-place the international personnel after the termination of the project.The project was ix_itiatedin July 1951 and will continue as indicated.
Reauir_4 Im_por,,,ed E_ipme nt=andSupplie s
Malaria and Insect Control_ : z- _.L_ _ , i mll, ll._
It is anticipated that supplies and equipment provided in1951 will have to be supplemented in 1953. Provision has been made asindicated and WHO will be responsible for giving technical approval tothe list of material.
BCG' Pro gram
It is anticipated that a BCG program may be carried on in1953. This program would be generally supervised by the BCG advisor andfunds for supplies would be furnished from sources other than the regularor technical assistmlce budgets of WHO.
Aa,4c&s _150 j
Las btd_ELcas
,tl_OISOi! SF,IWIC:,'SAID FIELD ]PROJECTSSr,'Hlrlczos !Z LS_[I_iITO ! S]tiYICI06 DBC,_4FO __'_
It is anticipated that an intensive nation-wide Insect ContrelProgram will start during the latter part of 195l and continue through1953. This program will emphasize A_des ae_ypti eradication, controlof malaria and combat of the insect vectors of haman diseases.
Provision is made for technical persnnnel as well as suppliesand equipment te carry on the supervision of this work in 1953.
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cDs/_ (Eng.)Page 55
[X)MI_OA,N REP._=C
Tec ,,h_t,cal AssistanceL
Insect C_ntrol Pmaram
It is anticipatedthat in 1951 an insect controlproject, inwlv-lng the eradicationof A_des ae_$ and includingmalaria control,willbe implemented. It is expectedthat this projectwill continuein 1952and in 1953 without furtherassistance fromTechnicalAssistancefunds.
Tho Amm-icu
Lu im_Xau _SS&ZW'3_QRrYS!_TI_ laid _S._i_IC20S IZ _ ! r41VXCX05Il C_NlPG
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ECUADORJ ,
_d.ucation,and Training
Technical Training on the Bacteriology of Tuberculosis
It is proposed to set up in 1953 a program for the purposeof training national technicians on the bacteriology of tuberculosis. Inaddition to technical services of a consultant, provision of teachingequipment is contemplated in order to facilitate the objectives mentionedabove.
Venereal Disease Control: _ i , Ill I Il Ifil Il I mil..1 , 1!
Fellowships have been provided for the postgraduate train-ing of medical officers in venereal disease control through an intra-regional Venereal Diseases Training Center to be established at Callao,Peru in 1953.
Technical Assistance. i
Tuberculosis Teaching Center
During the latter quarter of 1951 a Tuberculosis Center will beestablished.' This project will continue for a period of eighteen monthsand cease during the first quarter of 1953. In addition to the workcarried on by the technical person;_elsupplied by the World Health Orga-nization, qualified nationals of Ecuador and other countries will betrained in Tuberculosis Control techniques and the government is providingtwenty-five fellowship, years for the training, board and lodging forfellows to this end. This will insure the continuation of a tuberculosis
control program after the withdrawal of international personnel.
Vensreal Disease Control
A relatively high incidence and prevalence of venereal diseaseshave been reported in selected surveys of rural and urban areas, and thisproject, which began in 1951, will help to bring the venereal infectionsunder control. The operations will emphasize the epidemiological approachin the control methods of the venereal diseases used in rural areas. TheGovernment has taken steps to provide the professional and auxiliarypersonnel for the continuation of the program after the Organization'swithdrawal.
' CDSIPage 59
_1111 I · IIII -- I I -_T- _ _ _ _ _ ,
The Governmmt' ;.of Ecuador r_tue'sted the assistance of "V.._/Otn'the e_stabliohm._nt ora Heatth_Demonst_ation_area in 'th$_Provfitceof Los Rios. The province is '_lo_att_l ink, he most 'ag_icmltuFal.re'_n '_Of the ¢omitry. ;
The.main health problems of the area are malaria, intes-tinal perasitosis and enteric infections.
The preliminary survey will be completed in 1951 and theproject will start in 1952 with the establishment of a Health Unit whichwill serve the area. Special emphasis _dll be put on environmentalsanitation.
Although no provision has been made 1,_the 1952 budgetfor this project, funds assigned to countries undesignated - HealthDemonstration Areas - will be used.
It is proposed to maintain in 1953 the three expertsassigned to the project in 1952. Budgetary provisions for equipment andsupplies are necessary in order to complete the equipment of the unit.
_t_nal and Child H.ealth
Rura_l_ Demonstration Pr0_ram
High maternal mortality in both town and country due tolack of hygiene and adequate help during pregnancy and childbi:_th,andhigh mortality rate a_aongne_-born children for the same reason, withthe three main causes of death being infant mortality, malaria andtuberculosis, has pointed up the need for a program for development ofmaternsl and child health services, and for the development of trainingfacilities for technical and auxiliary personnel. This program, to bestarted by 1952 will continue in 1953. A field team consisting of a
l_edicalOfficer, Nurse-Mi_Afe and Public Health Nurse provided by theOrganization will be complemented by local personnel provided by theGovernment. Fello_mhips will provide training for the local personnelwho will eventually take over the responsibilities of the program. Fundsfor supplies, equipment will be made available from other sources.
CDS/l (nng.)_. _, Page 60
Health Educat'i0n Project_
It is proposed to begin this project in 1953 with the_objectof assisting the Oovernme_t in organizing a_f developing a mm%ion-_idehealth education program in order to i nqrease and strengthen the publichealth services related to health educa%ioh through'deveI0pment ofcourses and in-service training for local personae !. It is expected top_oviae from .technical assistance fun2a a health educati,on-consultantfor. one _year, two' fellowships for. personnel who _ill assume the contfim-ation of the work when international pers_mel are withdrawn and equip-,,me_t necessary for demonstration and teaching ptu,poses.
lid lm/ricas 61
ADVI]01_ S_ICES AND_ I'BO_CI'Jm_vivlO8 gl ASZSOIt_flZI_O ! _:RVICIOS DE CIYO
It is proposed in 1952 to initiate a program to /inproveand increase the preventive maternal and child c_re facilities in thelocalities where there are health services; to extend these services tothe places where there are none; to improve the type of assistance andcare given; to increase the number of hospital deliveries; to increase
the number of home aeliveries attended by docto_.sand !'urt_r t- trainmidwives, International fellowships have been provided in order totrain national medical officeIs to assure program continuation,
P_Ublic He e lth Administration
Healt.h Demonstration_Area
The Government of E1 Salvador requested the assistanceof k_0 in organizing a Health Demonstration Area in the Valley of 5anAndr_s with a population of 167.000, and an area of 1200 sq.km, FAO,UNESCO and ILO declared their interest in the program.
The major health problems in the area are: dysenteriesand other gastro-intestinal infections, pulmonary tuberculosis, malaria,malnutrition, infections of the resFiratory tract and intestinal infes-tations. The following problems are considered significant: cardio-vascular diseases, accidents, syphilis and gonorrhoea, problems of preg-nancy and childbirth, whooping cough and dental caries.
The supplementary Agreement was signed on _y 1, 1951 andthe program started immediately with the recruitment of personnel, TheChief }[edical Advisor arrived in E1 Salvador on July 6, 1951.
The program will include health, agricultural, educationaland labor activities. As far as health activities are concerned, environ-mental sanitation, maternal and child health, control of communicablediseases, vital statistics, health education, nutrition as well as medi-cal care are contemplated.
It is expected that in 1953 the central services inQuezaltepeque and the eleven field stations, covering the whole area,will be fully developed. According to the philosophy of the HealthDemonstration kress, the training program will benefit not onl_ Satvade-ream personnel but also persomuel of other countries. ProvisiQn forfellowships is necessary to train local personnel to take over the re-sponsibilities of the international experts.
.. 5/z4' Page68
There is good indication that the program will be con-tinued for five years. The Government is at present taking the neces-sary steps to appoint the local personnel which will take over theproject after the withdrawal of international assistance.
To complementother VeterinaryP._lie Health activitiesinthe Western Hemisphere,it is proposed to cona_icta seminar_hat.wtilemphasizethe epizootiologyand immunologyof brucellosis, The durationof this seminarwill be three weeks and twenty traineeswill be acceptedfrom the countriesand territoriesof the CentralAmericanCaribbean ,.area8,
Education .a_.. ,Tra_._me "
· _T_for massX-ray serve, es
It is proposedto set up in 1953 a programfor the purposeof trainingnational personnelon mass X-ray techniquesto be used intuberculosiscontrolprograms. In addition to technicalservice_f aconsultant,provisionof teachingequipmentis cnntemplated'inorder tofacilitatethe objectivesmentionedabove.
Technical Assistance
'.Malaria and Insect Control , '
In 1950 an intensivenation-wideInsectcontrol-PPogramstartedthatwill continuethrough1953. This program_iI1 empasize'_des ae_ypti eradication,controlof malaria and combatof the insect'vectors of human diseases.
''Provision is made for techai.'c,al' perso"nel ,, ,sUppliU and'equipment to carry on the supervision of :this' _ork in' 19_3, .' ,'"" ,"
l_is project classified under 6uatemsla is for the_e,'_ ,_conducting-a progrs_ in _11 Oentrsl American countries ond Panamaswith't_e SupS[ ision Of PASB_O:Z6ne Office, '
_ _ , _ ,
· . CD5/ (Eng.)Pag _. 71_
yes-real :Disease Control
Serological Laboratory
This project, which will begin in 1952, aims at the con-tinuous support and promotion of standard methods in the sere diagnosisof syphilis used in the Central American cmuntries and Panama. It isproposed to continue this project in 1953;
Maternal and C_0i_dHealth . '
The infant mortality rate of 117._ and a high maternalmortality rate indicate the need for additional preventive public healthmeasures in Guatemala in this particular field. In order to provide thesennlchneeded health services for mothers and children, a progra_ to developthe maternal ciz[ldservice is to be formulated in 1952 through health serv-ice demonstrations and provision for training of technical and auxiliarypersonnel. The development of the project is expected to continue in 199.Fe][lowshipswill be provided in 1953 in order to train national personnelto replace the international experts assigned to the Program. Funds forsupplies and equipment will be made available from other sources.
Public Health,, _nistration
Model Heal,t,h Uni}_
The Government of Guatemala requested the assistance ofWHO in the establishment of a multiple project of insect control, assist-anee to Nursing Schools, Public Health and Development ora Model HealthUnit. It is indicated by the Government that this Medal Health Ur_tshould be located in Antigua and that it should cover the entire depart-meritof $acatep_quez.
The complete plan of operations for the Health Unit willbe developed in 1951 with the assistance of the experts from the Guate-mala Field Office and the project can be started in 1952 with fundsallocated to countries undesignated - Health Demonstration Areas - inthe" u et.
Although no. further details can be given at present, itis estimated the project wi'_l be helpful to the country since it will
CDS/ (m,g.)Page 75(Corr. 1)
consist of a health unit which could be considered a model for duplicationby the Government in other departments of the country. Furthermore, theproject will serve as a field trainin_ unit for local personnel to beassigned to similar health units in Guatemala.
It is proposed to continue this project in 1953, maintainingthe two experts assigned to the project in 1952. Equipment and suppliesare included in 1953 since it is expected to complete then the equipmentof the unit,
Education and Training
Nurs_
It is expected the project will begin in 1952 for the purposeof strengthening nursing educational techniques in the National School ofNursing. This will be accomplished by providing an international team ofnurse instructors and the granting of four fellowships. Teaching materialand equipment will be provided as required.
Reqt_red Imoorted Eauinment and Sunnlie_
Bm Pmgr.
It is anticipated that a BCG program may be carried on in 1953.This program would be generally supervised by the BOG advisor and funds forsupplies would be furnished from sources other than the regular or technicalassistance budgets of WHO.
The prevalence of yaws an Haiti has been reported as beingvery high, especially in the rural areas; and since the actual beginningof the project operations on July 20, 1950, appro:cimately/+50,000per-sons have been treated with peuicillin in several extensive areas of thecountry. The Goverr_ent has taken active steps toward the trainin_ ofpersonnel and the eventual development of a yaws service. The Organiza-tion proposes to continue with its technical support of the project,aiming at, in 1953, the control of the work carried out, the surveillanceof foLlow-up units, and guidance in the development of a yaws service.
Technics& Assist.ance
Insect Contrgl and _Mlari a
It is expected to start in the latter part of 1951 an In-sect Control Program aimed at the eradication of A§des ae_yoti, thecontrol of malaria and the control of other insect vectors ofhuman
diseases on a national scale. It is proposed to continue this projectan 1953 and provide personnel for adequate supervision and necessarysupplies.
?u.blicHealth Administration
Health Demgnstration Area' ' -: I i ill _ I .... - . IJI II
The Government of Haiti requested the assistance of ',iH.O-in the establishment of a Health Demonstration i_ea in a section of the
district of Petit-Goave, with a population of about 100,OO0.
The major public health problems of the area are listed as:malaria, pian and ankylostomiasis. Syphilis, tuberculosis, tropicalulcers are also considered important prob]ems.
The preliminary survey will be completed in 1951 and theproject will start in 1952 with the establishment of a health unit in
the city of Petit-Goave. This unit will develop a well-bal_ced publichealth program, with due emphasis on environmental sanit_.tionand con-trol of communicable diseases, particularly yaws, syphilis and tubercu-losis.
Page 85s
It is proposed to maintain in 1953 the four e_sassigned to the project in 1952 in order to present a full develop-ment of the program.
Budgetary provision for equipment and supplies are nec-essary in 1953 to complete the equipment of the health unit, Fellow-ships have been included in order to train personnel to replace theWHO experts upon withdrawal of international assistance,
Requ-iredIm_orte.d ,Equi_nt and SUpp!_,_
BCO o ram
It is anticipated that a BCG program may be carried onin 1953. This program would be generally supervised by the BCG advisorand funds for supplies would be furnished from sources other than theregular or technical assistance budgets of V//O.
?echnical.Tr_nin_ On the Bacteriology of Tuberculosis
It is proposed to set up in 1953 a program for the purposeof training aational technicians on the bacteriology of tuberculosis. Inaddition to technical services of a consultant, provision of teachingequipment is contemplated in order to facilitate the objectives mentionedabove.
' for, mass,x-tm7 services
It is proposed to set up in 1953 a program for the purposeof trainirgnational personnel on mass X-ray techniques to be used intuberculosis control programs. In addition to technical service efa eon-sultant, provision of teaching equipment is contemplated in order to facil-itate the objectives mentioned above.
Technical Assistance
and !n.,e?.tControl
In 1951 an intensive nation-wide Insect Control Program start-ed that will continue through 1953. This program will emphasise Aedes
_n eradication, control of malaria and combat of the insect'vectorsdiseases,
This project classified under Jamaica is for the purpose ofconducting a program in all countries and non-self governing territories inthe Carribbean Area. The program will be carried on under the supervisionof the PASB/WHO zone office.
Provision is made for technical personnel, supplies andequipmnt to carry on the supervision of this work ih 1953.
Tuberculosis c0.,ntrgl._.an d BCG Program
It is anticipated that an island-wide Tuberculosis ControlProgram will begin in 1952 and be continued after 1953 by local personneltrained during the operation of this Project. WHOwill provide technical
i -'_ 8 T _.al_ _,ooo _z,oco 5.ooo 21,oo6 _._7 ._,.._a_ _j.,co6 86,OOT 7L_6,:_
". CDS/_Page 95
(Corr. 1)
1_.._CO -" ':
Regular, Budget
Education and Trainir_
Oomunity O_a_ieattcn
Because of the pressing need for more a_equately trainedpersonnel in health education services, it is proposed in 1953, to
· assist the School of Public Health in lle_ico to organize a three-monthscourse in Community Health Education for post _rsdaate students ofpublic health. Courses _dll be given in those sciences which enablethe students to deal more effective]_¥with people and carry out com-munity education for health. T_aching equipment, literature and other'health education materials will be required in aadition to the serv-ices of consultants.
. ·
Technical Assistance
!nsect..Controland _ialaria
Starting in 1951 and continuing through 1953, a nation-wide- Insect Control Project a_ing for the eradication of A_des a_,the control of malaria and the combating against other insect vectorsof human disease, will be carried on. It is proposed that technicalsupervisory personnel and limited amounts of supplies an_ equipment willbe furnished during the operation of this Project.
Health Educatio n of the. Public
.F.und..ame_tal, Educationand Training_ Center in..Latin ,,,America
The activities of the health education program in theregional office have been increased during 1951 anU 1952. Cooperationwith UNESCO and the Organization of American States is being carr_edout in the field of FurMamental Education. An expert of :HO has beenconducting health training and conununityorganization activities as amember of the staff of the Fundamental YMucation and Training Center inPatzcuaro, Mexico and will continue giving his services as a member ofthe staff of CREFAL. Experts of ',HOand U_ESCO haws visited Jointlyseveral Latin American countries and lmve assisted Governments in plan-ning and request_lg projects for Fundamental and Health Education (CostaRica, Bolivia). Consultants have been adv-s_g health authorities inseveral countries in operating and developlng nation-wide programs ofHealth Education (Haiti, Nicaragua, Honduras). In addition, limitedamounts of supplies and equipment will be made available. A limitednumber of international fellowships have been provided.
:' Page96
Cmrba_e Disposal Project
Because of the relative lack of useable expePience inmunicipal garbage disposal as simpler methods of garbage disposal havebeen largely neglected, a field pilot plant demonstration study projectis proposed in _£exico City. This plant _.1i s_dy especially thesanitary land fill with domestic garbage in small densely populatedareas. The estimated duration of this Project is three years duringw_ch time technical personnel and supplies will be p_ovided. An appro-priate number of fellowships has also _been included tO assure the con-tinuation of this*Project after the withdrawal of international personnel.
Professional and administrativefellowships are being pr.o-vided for the purpose of developing trained personnel for the operation,maintenance and administration of the clinical and training facilitiesat the Oaxaca Hospital.
The _r_¢as C05/_,
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_r eg _ _t_l Er,mndituresN_sro do _ _ Costo8 Calcul3doe
Recruitment _,d repatriation 2,__u_tratsci_,n y repatriacl_n
Trlm_portstlcdm of personal effects ·._raru;porte de cf ecrus {_rsonaiea _)O
Ho._e leave
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_uppltes ard B_uipm_nt
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_eipuurse_ent of _come
{let-t oleo cc lmpuestos $c_r_ ia renta ]52 _;_
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1 1 1 9,2_0 1_,_8 23,680 9,_0 Lt,2_8 _3_80
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CDS/U.Page 101
NZC C A
Tec_cal Assistance
Na%ernal an _ Ch_ld Health
It is proposed to promote the development of maternal andchild health services as well as the other basic public health servicesin Nicaragua through the organization of maternal and child health dem-onstrations and provision for training of technical and auxiliary per-sonnel. It is envisaged that supplies and materials will be providedfrom oUler sources at the initiation of the project, that the Organiza-tion will, through Technical Assistance Funds, provide internationalpersonnel and fellowships, and the Government will provide local per-sonnel and operational costs to assure continuity of the program afterinternational personnel are withdrawn. It is expected that the projectwill continue for at least 2 years with the Organization providingtechnical assi,_ance for that length of time.
RequL_ed Imported Ecuipment and Supplies
BCD Pro,ram
It is anticipated that a BCG program may be carried on in1953, This program would be generally supervised by the BCG advisorand funds for supplies would bo furnished from sources other than theregular or technical assistance budgets of WHO;
_OVISOE_S]/1_IC_ ANDFIELD PR/_/_C_ _Corr, 1) .
/_rICIDS DE )$ESORAYIE_TOY $E_g'EZO6DF CAKFO _._ .__liearagaa
In an effort to improve the health of communities, theLatin American countries have been constructing water systems with aview of ensuring a clean and reliable supply of potable water. However,the lack of personnel with adequate training in the operation of suchwater systems has made it impossible to obtain the optimum results necessaryto Justify the large investment in this type of work and to meet the publichealth needs. It is proposed to have in 1953 one short course for plantoperators in Central America. During this course, instruction would begiven in public health subjects and in the maintenance of water supply, soas to train technicians who will later take charge of operations of thewater supply systems in the principal cities of their countries. This coursewill last two months, during which period those attendin] will devote 100%of the time to water problems.
Budgetary provisions are made for consultants, fellowships,supplies and equipment.
?r_nlportation of personal _ffectlT_x'to de o,fee_,oo IMZ'OOntld_
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Pa_e 105
'
Regular . . . : .. ;.....
Venereal Disease Control Seminar
Fellowships are provided for the purpose of technicaltraining in Venereal Diaease Control to be carried out 'i n conjunctionwith the seminar held at S_o Paulo, Brazil,
Technica! :ASSistance
Tu.ber.culosis'Demons%ration Project
This project whic4 began in 1952 and will continue through 1953envisages the amplification of'the Tuberculosis Control procedures inAsunci6n and the extension of the scheme into a number of larger ruralcommunities, The services of technical personnel, and minimum suppliesfor the continuation of the project _dll be provided, Fellowships havebeen provided for the continuation of this program after the withdrawalof international personnel,
.V..enerea_ Diseases C0ntrol
[!rban-R.ur..al.,Control Pr_oJect
Th_s project, which began in mid-1951, will copewith aconsiderable venereal disease problem in an urÙan-rural area with anestimated population of 400,OOO inhabit,stats, The operation will payattention to the adequate diagnosis, treatment, epidemiological andh_alth education efforts in the control of venereal disease, in closerelationship with other preventive health n_as_res being put into effectin the Asmlci6n-Villa Rica Area,
' Technical personnel and minimum of supplies ahd equipmentare to be provided. In addition it is requested provision be maae forone or two felloWships to insure that the project will continue in Oper-ation after the withdrawal of international personnel.
Other Commun.i..cab!eDiseases:
Hookworm Control
Hookworm constitutes an important public health problemin Paraguay with an estimated 80_ of the rural populst/ionbeing infested.
.,Thus, this.disease criates a serious economic and social probl_m./_'_': -reducing tee individuals working capacity,' .Therefore,a"c_i_oI;:_r6_
. 'il_cl_ld_g education of the public, treatment' of the sl"_k' and p_. __,/for demonstration _f .proper rural'.excreta disposal Will begin: _-_Xg_'. :and.......... ,., , , :_ ?. _ _ _,_ '_:_,:,:,.
,,_'' " CD5/14 (Eng,)· _ Page 106
.... ;_ .o .
continue through 1952 and 1953 in the rill&-Rica-Asunci6n Aro_, It isproposed to provide Technical personnel and..m_lim_l,supplies _nd equip-melt for carrying out this project from techmical Assistant funds,
,. . Field Team . -. "
According to' the available information on vital statis-tics, the area selected for this program has high maternal aeath ratesdue to obstetrical causes and stillbirths; high chil.dmortality rakes,mainly in the newborn and high incidence of communicable diseases.
,,
This project to begin in i951 and to continue through1953i proposes to organize,and develop pre_mtal and post-natal serv-ices as well as adequate services to mothers d_ring deliveries and thepuerperium; end to promote the health Of and control preventable dis-eases and deaths in children from birth to the age of l&, $hroughorganization and development of neonatal, infant,pre-school an_ _choolchild services. . °
In order to implement this program, the Organization isproviding international personnel. Fellowships are $1so being providedin order to train local persomlel who will carry on the project wheninternational personnel are withdrawn.
.. Health F_uca_ion .of%h e _blic
· Hea!th,,Ed_uc,ation,_,,Projeco
It iS proposed to begin this project in 1953 'with the.object of assisting bhe Government in organizing and developing anotion-wide health education program in.order to increase and strengthenthe public health services r elated to health education through develop-ment of courses and in-service training for.local personnel. It is ex-pected to provide lycra technical assibtance funds a health educationconsultant for one year, two fellowships for personnel who will assumethe continuation of the work when international personnel are withdra_and equipment necessary for dmionstration and teaching purposes.
Education.,andrrainin,_
Nation_ School of Nursin_
It is anticipated that a team of specialists in nursing' education will be sent to the School of Nursing, Asunci6n, to help in
its reorganization and to estfolish ade.iuatenursing educatio_ techp/questherein.. ¥g_nimumquantities of supplies and equipment willbe pgovided.
_.F._,0_. ps !areprovided for the trainin_ of nationals in .order % hat" ./_they may continue this program under the auspices of the government,subsequent to the withdrawal of international personnel,
_,,,_,, c_/_
er.nm xu{ADFISOI_5_rlC]_ AND FIELD PROJ_T5
$E]_ICIOSDE AS_ORAMIENTOy $EI_VICIO$DE CAI_O
ParaCua_
II Costce Calculadee_de Required I_orted Eqgll_ent and Tec_cal _a_stamee,ado l_&ular
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Prop
Ed_ucationand Trainin_
Tuberculosis
Trainin_ for Eass.X-ray Services
It is proposed to set up in 1953 a program forthe purpose of training national personnel on mass X-ray techniquesto be used in tuberculosis control programs. In addition to thetechnical services of a consultant, provision of teaching equip-ment is contemplated in order to facilitate the objectives mentionedabove.
Venereal Disease Controli, _ :_ . ii i ill ii _ i i i
Intra-Regional Post ,Gr.a.duate '_"rainin_Center - Callao
In line with one of the main aims of the Callao
Health Unit -- to train public health personnel -- and broadeningthe objectives of the Callao venereal disease seaport demonstration,it is envisaged to establish, in cooperation with the National HealthAdministration, an intra-regional post graduate training center forvenereal disease control medical officers and allied personnel. Sev-eral countries in this area are vitally concerned with the develop-ment of venereal disease services at the national level, but cannotsatisfactorily promote this activity in view of the lack of trainedprofessionals. It is expected that the center will help considerablyin the meeting of this need, It is proposed to engage in trainingactivities of an international type only three months in the year butthe project should last at least three years.
Other Communicable Diseases
R,a_bies Conro!: Trsinin_ Cour...se
Rabies has reached epizootic proportions in sev-eral American Republics during the past four years. Not only isthere the problem of the canine-transmitted disease, but vampirebats are also becoming an increasingly important factor in its per-petuation.
$
.o
Page 115
. [his disease:in Mexico and on.th e ,_ed st_ter_c_b<_ _e_,e_ '-_.._,_Training'courses in .diagnosis, canine immunization programs am4, ..'.wildlife control _emonstrat_ons have already been carried outwith' considerable _ceas, - ' :,,"_ . .,. ;.
'_' ' V_xpert C on salt ant s will be provided to conducttraining courses for twenty trainees from several'countries _n all.'phases of rabies control including diagnoais, canine imnuniza$tonand wildlife aspects. _ ._, t
,.
Technical Ass_stance . · .:. . .
Venereal Disease Control -D_ nstratton Project . .
· This project, established.late in 1951, is ex-pected to demonstrate techniques of approach in cont_elling vene- ,real disease in a major seaport. Special emphasis will be ,giv_en.,to case-finding and contact-tracing work, besides adequate diagno-sis and early treatment of these infections. Technical personneland a limited amount of supplies 'and equipment will be furnished.
. Fellowships are provided for the training of local personnel inorder that they may continue the project after'the withdPa_i 'ofinternation_l staff member.s,
This project is schedu_'ed to commence late in1951 and Will continue .through 1,95_ with technical advisory serv-
. ices beingprovided throughout this period in c_der to ass_et ,inthe development and coordination of national veterinary,publi_.health programs, l¥ovision is made for a fellc_ship and for other .post-graduate training of local personnel in order to continue thework when international asSisto._cein wiShdrawn, _ limtte,d amount
of supplies and equipment is requested in order to..imRlementtheprogram, i' / .
Public Health Administration ?
HealthDemonstrationarea ..
,., .... · ..... ' The'Goverrenent ,of Peru re.quested, the assistance_;..'. o_,:t,HO i..,_. ,bl. lShing, a Health Demonstra_!_ '_._'._ in & Sec$_.,f_ .:
the'Pro_ific$ 'of _htcl_o. The area covers ten distri_t.s:_,,_,.',.;,,,_ 'c
'"':';·" Page 116
1,?_O,s.q._n. and a ?e[p_.ationof 107,000; There is a large city in thearea _d thelrttralsection is almcst entirely used for'agricultural 'ac-tivities. ' ', ,
· ..
The major health problems of'the area are malaria,plague, tuberculosis, intestinal diseases and high infant'mortality.
' ' 'The preliminary health survey will be complet'edin1951 and the project will'start in 1952 with the establishment of ahealth unit in the city of Chiclayo,
This unit will develop a well-balanced public healthprogram with due emphasis in environmental sanitation, control of com-municable diseases and maternal and child health activities as well asmedical care. "' '-
Budgetary .provisionwas made for equipment and suppliesin 19_3 .tocomplete,the equij_nentof the health unit, Fellowships wereconsidered necessary to train local personnel to replace _he _0 expertsafter'withdrawal of international assistance.
Public Health Demonstration Pro,ram in.Ca!_a_
The Government of Peru'requested a Public ltealthDemon-stration Program in the Constitutional r_ovince of Callao, near Lima. Theplan of operation calls for a comprehensive public health program to bedeveloped in the province. Although special emphasis, is put on maternaland child health services, control of communicable diseases (includingvenereal diseases and tuberculosis), environmental 'sanitation, schoolhygiene and health education are contemplated.
The pro.Ject started in 1951 and it is expected to con-tinue through 19_3. During this period the' services'of technical 'person-nel will be provided._ Equipment and supplies will be imported fromothersources. ,
l_ 1953 provision has bee.nnmde for the training ofnationals in c_der to replace the _40 experts'after ,_thdrawat_cf inter-national assistanc·.
Public Health Administration
Countr.v Advisor._, · .
'_,"_" _ Rs.quest was received in 1951 f'_r_mt.hegov_mt ,.forthe'se'_ceb of a mescal 'records librarian.to assist In t_ .organizationof the MSd[Cal Records Libra_, of the "5egttro05_._o" Ln i_' ami _o trainmedical records librarians for the hospitals of the country, This workwill continue through 1953.
Page117
} terna! andChild He,th
The problem of protection of the mother and caiXd hasbeen of particular concern to the Government of Petal. Lack of transpor-tation and proper equipment has impeded the reaching of these _wo groupsin the rural zones. _le infant mortality reaches a high inde_ in therural areas and contagious diseases are frequent. Mothers received verylittle assistance during pregnancy and childbirth is left in the handsof unskilled personnel and midwives without adequate training in thefundamentals of hygiene. Predominant among the preventable diseasescarrying high morbidity in children are malaria, typhus, plague, smallpox,diphtheria and whooping cough.
This project, which is expected to begin in 1951, aimsto develop in the Lima-Pativilca-Huaraz area the maternal and child healthservices within an integrated public health program including communicabledisease control services, health education, nutrition and tuberculosiscontrol services. ID order to assure the proper support and implementa-tion cf this program, the Organization will provide technical personnel andfellowships. The project will continue into 1953.
.Education and Trainin2
Nursing Fellowships
Provision is made for four fellowships to nationalnurses to prepare them for teaching positions in the new school ofnursing to be opened in 195&.
=Required Importe d EquiPment and S,,upR,lies
DDT Plant
A request has been received in connection with theconstruction of a DDT Plant. Funds f_ the equipment of this plant willbe furnished from sources other than the regular budget cf _t0 or Techni-cai Assistance. The ;_orld Health Organization will give technical ap-proval for the supplies and equipment. Should it be necessary to grantfellowships for the training of personnel in regard to this preJeer,provision will be made from the amount established for fellowships under"Countries Unclesignated".
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CE .)Page 128
TRINIDAD (Corr.1)
RequiredImportedEqui_ent and Supplies.
B_ Pr0gr.a_
It is anticipatedthat a BOG programmay be carriedon in 1953.This programwould be generallysupervisedby the BOG advisorand fundsfor supplieswould be furnishedfrom sourcesother than the regularortechnicalassistancebudgets of WHO.
(Co_. 1)_J_vICES E_D FIEID PI_J_TS
': 'm_wit;]_S DE ASESO_I_rI'_ · SERV_I_ DE C.WPO
'_- T'_.nf_a d
: ' _ _ _ Estimated E_Je_d.l_a,_ ·
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CDS/14Pag_ 130
Rem_lar Budge%_
Teo_=hnica! Tra!_=_mi;n_on the Bacterio!o_Y of Tuberculosis
It is proposed to set up in 1953 a program for the purposeof training national technicians on the bacteriology of tuberculosis.In addition to technical services of a consultant, provision of teachingequipment is contemplated in order to facilitate the objective mentionedabove ·
Fellowships are provided for the purpose of technical train-ing in Venereal Disease Control to be carried out in conjunction with theseminar held at S_o Paulo, Brazil.
Tech__nic,al _,Assistance
_ter_a_ .and.Ch$1d Heal%h
,Field,, Te_am
In 1953, it is prmposed to organize health services to
mothers and children in rural areas of Uruguay through establishing fivehealth centers in the Departments of Rivera, Paysandd, Salto and San Josg,in which will be developed maternal and child health services within theframework of general public health services.
It is expected that supplies and materials will be importedfrom other sources. A field team of the one MCH medical officer, a nurse-midwife, and public health nurse and fellowships will be provided fromTechnical Assistance Funds in order to assure proper support and develop-ment of the program and to provide means for training of local personnelwho will take over the responsibilities when international personnel arewithdrawn.
Pap(COFF, [)
Required Imported Equipment and Supplies
BOO_ogr_
The sum of money indicated has been provided by UNICEFt_furnish materials and supplies tca Ba3 production laboratory, Thislaboratory should go into the production of B0G vaccine for internationalpurposes by the end of 1951 or early 1952 and will continue thereafterto serve the Americas,
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It is proposed to set up in 1953 a program for thepurpose of training national persorznelon _ss X-ray techniques to beused in tuberculosis control progre_ns. In addition to technical serv-ices of a consultant, provision of teaching equipment is contemplatedin order to facilitate the objectives mentioned above.
Technical Assist_ce
Public Healt h AdmSnistrati0 n
Health Demonstration Area
The 6over_ent of Venezuela requested the assistanceof _O in the establis_aent of a Health D_nonstration Area in the Tuy
Valley. The Valley is primarily agricultural, has an est_ted popula-tion of 80,000 and an area of 3,O39 sq. _s.
The _Jor health proble_ of the area are diarrhea andenteritis below the age of two, intestinal parasitesis, water-bornediseases and nutritional deficiencies. Schistosomiasis is also an im-portant problem in the area.
The preliminary stLrveywill be completed in 1951 andthe project will start in 1952 with the establishment of a health unitwhich will develop a comprehensive public health progr_ _ith special_phasis on enviro_ntal sanitation, nmterrml and child health, nutri-tional as well as field research on schistosomiasis in the area.
It is proposed to n_aintainthre_ cf the five expertsassigned to the project in 1952. Budgetary provision for equilxaentandsupplies are included in order to complete the equipment of the unit.Fello_hips are necessary to train local personnel to replace the expertsappointed by :,NO.
The experience obtained in the past few years indicatedthat very often it is not feasible for the Regional Advisor to stay fora sufficient length of time to make an adequate survey in a country re-questing technical assistance. Furthermore, in certain highly technicalaspects of the field of venereal diseaseand humm_ treponematosis, it isdesirable to have a certain number of consultant-months available forspecial investigations.
Edu_tio_ and TratnL_g
,,public Hea!__h Adm_nistration
Seminar on Small Commuqit!es Health Services
It is proposed to organize a seminar in 1953 to take placein a conveniently located country for approximately two weeks in ordAr todiscuss a variety of debatable points regarding the organization and ad-ministration of health services in rural areas. Funds are requested forexpenses of approximately ten experts with experience in development ofrural health units who will be brou&ht together for this seminar, and forprinting and distribution of papers presented.
Se_nar on Alcoholism
It is anticipated in 1953 to ho]_ a seminar on alcoholism
and its relationship to physical and mental health in a conveniently lo-cated country. It is proposed to bring together ten ez_eyts in psychiatry,mental hygiene and social sciences to exchange po]n%s of view and makere-commendations regarding aaequate techniques to combat and prevent alcohol-ism and its related effects. Provision is made for the expenses for print-ing and distributing the proceedings in addition to the travel expensesof the participants.
Veterinar.y Public Health Fellowships
Provision has been made to grant three fellowships tospecialists in veterinary medicine for course of study leading to the de-gree of _mstere of Public Heqlth.
cDs/ (Eng.)' Page 137
Cther Communicable D!,,_e,_ _ _ _ _,1 ,, :
, To ,Br_vtde f_,r*.fe_w.b.%l_ granted in connectionwith the Bruce_o'sis Training __S_-{=._ar ,pm_posed to b__!given' i_ _hJa_lm.
%
Rabies Control TrainingCours e - Lima
rabies control course proposed to b e ,given in,L!ma_ PemAi
Envi_nmental Sa__Aga _
' I"rovision has been made for thB, 8ranting,of t'ea_ ,..feliowship awards to sanitary engineers and six to sanitary inspecters,
· Provision has been made for ten nursing fellowshipsin order that candidates from five Latin American countries may have theopportunity to study at the Center for Trainim8 Instructors in Nursingin CommunicableDiseaseat SantiagQ_Chile. _'
.... , · ,
' aid .to E_ucational_Instit_utio_s _,,;__ ,. '.
Eyalgat,,ion of' I_[odical Sc,.hool.,s f.o r _LonRTerm Aid
rrovisionhas been made for sixteen consultm3%-=months in order that the facilities and curricula Of medical schoolsin Latin American countries may at the request of these institutions bereviewed. As a result of such surveys long-teton plans to aid andstrengthen the teaching facilities of these institutions will be made.
Technica! Assistance
F_ucatSon,,_and ,,?rai' ni,,nf
Envirgnmental Sanit,at:ion
Provision has been made for the granting of fellowshipsin connection with the :;aterworksOperators _ Traiaing Course to beheld in Panama and Chile. These fellowships will permit suitable candi-dates from neighboring and other interested countries to obtain trainingin the operation of water treatment plants.
CD5/14 (Eng.)Psge 138
aid to Educational Institu_io_J
A,U{_t_oe tQ M__a of Pu_lic:]{_alt__ Latin A_erica
Or_ of the moss Valuable types of assistance that can
_e given to National Health Organizations is itHat for the improvementin the preparation of public health personnel, especially public healthadministrators, sanitary engineers and public health nurses.
Although there are at present four public health teachingcenters inLatin AmeriCa, a large percentage of fellows are assigned toSchools of Public Healthin the United States in spite of language dif-ficulties and differences of approach to the Solution of public healthproblems; By strengthening the Schools of Pablic Healthin existence in Latin America a larger number of well-trained personnelcan be prepared and consequently a far better chance given to healthorganizations to improve the quality and quantity of services providedby them. It is expected furthermore that the utilization of the_ecenters will better serve the Latin American countries, since their com-
mon problems are numerous, their stage of develo¥_nentvery similar andthe adequate solution for their problems very much alike.
The teaching conditions in these schools will be verymuch improved by this program in which provision is made for exchangingprofessors, for equipping laboratories, and for _roviding teaching ma-terial. Fellowships will also be provided in order to train heads ofsome of the department of these schools.
The project will start in 1953 and is expected to con-tinue for three years.
t
&ddo 1Social and occupational He_th............. _ -- - _ ii iii j .
RehabilitatiO-..of..th.ep.h !oa dioap dIn order to familiarize experts in this field with the
latest techniques, it is proposed to award four international fellc_shipeto senior medical officers with previous experience in this specialty.These awards will permit the fellows to stay at hospitals and epeOializedcenters, observe and evaluate new techniques. Upon return to theircountries, these fellows will be in the position to make available thebenefits of their training.
Nutrition SYmpo_sium
The Second Conference on Nutrition Problems of LatinAmerica recommended "among the means of encouraging the development ofnutrition research and practical nutrition program_uesis the periodicholding _f symposia, attended by experts from a group of countries withinthe region, at which these subjects are discussed in their technicalaspects. The experts may appropriately belong to a group of countriesin which common and similar problems of ntrition exist because ofsimilarity in geographical and other conditions."
It is, therefore, proposed to conduct in 1953 a nutritionworkshop in Guatemala at INCAP. A group of consultants will be broughtto Guatemala and a number of fellowships will be provided for qualifiedpersons to attend the symposium. Also, it will be possible for thoseenjoying fellowship awards to obtain additional training at INCAP. Thesymposium will last for one month. Fellowships will be awarded forthree month periods in order to permit training at INOAP.
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:. RESOLUTION OF THE E_UTIVE BOARD,
'" WORLD'-I_H (I_G'_ZATION 'I . Il Il. 111 I ] _ _1 Il I I... LI II . - I _ II I III I ]J'' 't
m_hth_Session " EBS/R/28,/Rev il7 June 1951
J
O_ZGI_, '_LISH
_ORM AND PRESENTATION,OF T.HE PROGRAMME AND BUDGET FOR 1953,
"The Executive Board
Having noted the resolution adopted by the Fourth World Health 1AsSembly concerning the form of presentation of the programme _ budget,and
Having studied the resolutions adopted by the Fourth World HealthAssembly concerning "Concentration of Effort and Res.urces", "The
Rehabilitation of the Physically _andicapped" and "Co-ordination of Plan-ming of Programmes with UNICEF',
REQUESTS the Director'General, in planning his progrsmme and budgetestimates for 1953:
(1) to bear in nd.nd the resolution of the Fourth World Health Assemb_concerning cmzentration of effort and resources, and to co-ordinateproposed intexmat_onally assi_ed health projects for countries intoregional health pIogranmles,ai_ such regional health programmes into anappropriately balanced world tmalth programme, giving consideration tothe recommendations and comments of the Regional Committees;
(2) to contiIme to co-operate with the A_ministrative Committee onCo-ordination for the purpose of co-ordinating international healthprogrammes such as relief to the ci_illan population of Korea and alsothe rehabilitation of the physically handicapped;
_ -- . _ _ - . · · J JI. qll JI -- I
1 Resolution A4/R/33
2 Resolutions A_/R/37, A_/_5, A_/87 respectively.
x CDS/_,tr._.)· '_i Pagel_,
(3) to continue'to ce.'opereteat the planninglevel with UNICEF and thegovernmentsconcezmed,._o developapp_opr[e%$internationalhealth prorgrammesfor _ich suchgcverrmentshave placed 0r prepeseto place re-questswith.UNICEF for requiredsupplies,and to indicatetentative
s for'such supplies;
(_) to reviewrequestssubmittedby governmer_sin order to ascertainwhetherthe proposed projectscan be implementedin co-operationwiththe governmentsand continuedby them after the withdrawalof interna-tional assistance;
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(5) to includefellowsktpsas a ccmpcnentpart of apprepriateprojects,or, where the Organization's participation in a proJe_t consists inprovidingfellowshipsonly, to indicatethis in the programmePropesedfor the countryconcerned; and
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' (6) to indicatelocal .fundsexpectedt_ be contributedto each'countryactivityby the governmentconcerned.
· (aix_hmeeti/_,·6 June 1951,mS/mn/6)
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WORLDHEALTH A_L2_
OaO IZATXON
FOURTH_RLU HEALTH '_._S]_IBL_ A___ -- :=:
25 May 1951
ORIGINAL: ENGLISH
CO-ORDINATION OF PLANNING OF PROGRAMMES WITH UNICEF
The Fourth World Health Assembly,
Having noted the report of the Exeou_ive Boara at its _vmnthN_m_ooncernin8 the increasing Co-ordination at the planning level ofWHO/UNICEF programmes,
1, EXPRESSES its appreciation to U_CEF for thi_ further evidence of
co-operation in Co'ordinating international health pre,rases; ,_:_ ..
2. REQU_T_ the Director-General_in planning his prograumm and bu_estimates for 1953 to bear in mind constantly that ih accordance withits Charber, UNICEF's rele inhealth programmes is to furnish,at therequest of governments the required _uppl£es for approve d _rUgram_ee.eligible for assistance from UNICEF; and
3,: INSTRUC2B the Direoto_]eaeral fha%' i_ titi, ee_c_,g ami co_rdi_mtir_ u'internatimYml health p=,grama_S he should oor__ %0 co_operate Witk :UNICEF, ,.' .' , .,_, , ...... _'.
2_ May 1951, A__iO).
Amaxx CDS/ (Sns,)L.', '_ Page 146 ,_
I_011_I0_of': t,h_:',.
..... _'" ' - " 25 May 195.1.i
ORIGINAL: ENGLISH
CO-ORDINATION OF TECHNICAL ASSISTA_CE PROGRA_.,_S
The Fourth _rld Health Assembly,
Noting that assistance in the field of health is furnished in manyoour_rtes_by _re'than one agency and in some eases,by several agencies;
Recognizing that the highest degree of co-ordination of the vari0_sassistance programmes is desirable;
Recogni$ir_ that such co-ordinatinn must be act_eved,both by co-ordination between the different agencies in their planning and particularlyby c_-ardinaticm of planning _r_ operatiOn in the host countries;
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RecOgnizing that a major function of WHO is ,toact as co-ordinating 'authority cn international health work; ,
Recognizing that in some host-cnuntries a high degree of co-ordination!n _he field of international health prograane_ has b_en achieved throughthe oreation of_national co-ordinatt,_goommit_tees,traderthe Hlnister orDirector-General of Health;
1. URQFS upon Members the desirability of promoting such co-ordination
(1) by encouraging agencies furnishing technical assistance toob_rate _tth WHOwhen planning their activities;
(2) by establishing within their own governments single points ofcontact for outside agencies furnishing assistance in health matters;
(3) by establishing appropriate arrangements for consultation betweentheir own governments and such outside agencies with respect to suchassistance;
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2. EMPHASIZ_
(1) that, if no _verall ao-ord_at_ng arrangements already exist,a national co-ordinating committee in the field of he'_lth may bedesirable and this Or.. some similar arrangement should be activelyconsidered and promoted, and
(2) .tha%, if _verall co-ordinating arrangemer_8 do P-Tis.t,ar_./:2._:special arrangements in the field of health should be 'brought'wi%himthe framework of such overall arrangements; and
3. REQUESTS the Director'General to use appropriate means and occasionsto bring to the attention of members these and other suitable methods ofco-ordinating technical assistance progrmmaes.
, · (EleventhplenarY, mee$im_,
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, ... RF_OIFrlOI_' ,. of the
' tm' TH
!fOUrTH _'I,D HEALTH AS$_LY. . A_/I_/37...... ........ ........ 2_ May 1951
'' .. ORIGINAL:E_LISH
CONCEh_RATION OF EFFORT AND RESOURCES
The Fourth World Health Assembly,
1. NOTES_that the resolutions of the General Assembly and the Economicans Soaial Council of the United Nations on the subject of the concen-tration of effort a_d resources _d the suggested criteria for prioritiesbetween programmes Aare in general acc_d with the policy of theOrganizaiton;
2. POINTS OUT, however, that quantitatively demonstrable results arenot always obtainable in any public-health pr_grcmme;
3. REQUESTS the Director-General to be _uided by the resolutions onthe subject of concentration ol effort and resources in preparing theprogramme and budget estimates of _:IOfor 1953 and the y,_rs following,end in the execution o_ bhe p_'ogA'a_ne;
_. REQUESTS the Executive Bcerd, in co._mentingon the proposed programmem_ budget estimates of WHO for 1953 and the following years, to be guidedby the same resolutions; and
5. REQUESTS the Director-General to send Official i_ec_rdsNos. 30 to 3_to the Economic and Social Council together'wi_h dec_s-_ affectingthese documents as taken by the Fourth World Health Assembly.
(Tenth plenary meeting. .,
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ANNEX I CDS/14 (_ng.)Page lll.9
RESOLUTI0_Bof the
_)RLD HEALTH ASSEMBLY,
,.WOr_LDI'D_i_TH, ,ORGANIZATION
,FOURTHWORLDHEALTH ASS,E},BLY A4/R/332& May 1951
ORIGINAL: ENGLISH
FOP_MOF PRESENTATION OF PROGRAMME AND BUDGET
The Fourth World Health Assembly,
Recalling the instructions of the Third Uorld Health Assembly to theExecutive Board and the Director-General comcerning the form ofpresentation of the Director-General's programme and budget estimates;
Having noted the action taken by the Executive Board on this matter,and
Having noted a resolution by the General Assembly of the United Nationsrequesting specialized agencies, inter alia, to provide in their regularbudget document s information concerning the estimates for expenditure oftechnical assistance funds, as well as other extra-budgetary funds,
1. COI_[ER!k5the Director-General for havil_ csrried out theinstructions of the Third World Health Assembly so effectively;
2. COM_IDEES the form of presentation of the Progr_me andBudget Estimates for 1952 as contained in Official gecords No. 31as an adequate basis for the discu,_sionof the Director-General'sannual programme and budget estimates by the Health Assembly;
3. _%EQUESTSthe Director-Oenoral to continue this form of
presentation of his armual Progra_ne and Budget Estimates, and,further
&. REQUP_TS the Executive Board and the Director-_enersl t o
study ways and means of providing the Health Assembly withadditional information which shouldenable it to exercise tothe fullest extent possible its functions under the Constitution
to act as the directing and co-crdinating authority on interna-tional healt h work.