• - WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTE REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL REGIONAL COMHITTEE Twenty-first Session Uani1a 1-8 September 1970 Provisional agenda item 17 WPR/RC21/10 26 August 1970 ORIGINAL: ENGLISH REPORTS BY GOVEmn1ENTS ON THE PROGRESS 1 OF CURRENT PROGRAMMES RECEIVING WHO ASSISTANCE (RESOLUTION WPR/RC20.R5) QUESTIONNAIRE SENT TO GOVERm!ENTS The Regional Committee at its twentieth session adopted resolution WPR/RC20.R5 which requested the Regional Director to include in the agenda for future meetings of the Committee reports by governments on the progress of current programmes receiving assistance. A questionnaire was sent to governments to obtain the information required. The questions were framed broadly in the context of this resolution, so that the completed questionnaires could serve as govern- ment reports on the progress and evaluation of WHO-assisted country projects currently in operation. The WHO-assisted country activities are referred to as projects rather than programmes, as the activities normally undertaken are con- cerned with achieving in particular areas specific objectives within a limited time-span. In content, the questionnaire included consideration of the place and priority of projects in the national health programmes, the aptness and attainability within a time constraint of their objectives, the local applicability and effectiveness of the methods (transferable technology) used, the availability of resources, the flexibility given Ito planning and •••
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•
-
WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
REGIONAL OFFICE FOR THE WESTERN PACIFIC
BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMHITTEE
Twenty-first Session Uani1a 1-8 September 1970
Provisional agenda item 17
WPR/RC21/10 26 August 1970
ORIGINAL: ENGLISH
REPORTS BY GOVEmn1ENTS ON THE PROGRESS
1
OF CURRENT PROGRAMMES RECEIVING WHO ASSISTANCE (RESOLUTION WPR/RC20.R5)
QUESTIONNAIRE SENT TO GOVERm!ENTS
The Regional Committee at its twentieth session adopted resolution
WPR/RC20.R5 which requested the Regional Director to include in the
agenda for future meetings of the Committee reports by governments on
the progress of current programmes receiving ~mo assistance. A
questionnaire was sent to governments to obtain the information
required. The questions were framed broadly in the context of this
resolution, so that the completed questionnaires could serve as govern
ment reports on the progress and evaluation of WHO-assisted country
projects currently in operation.
The WHO-assisted country activities are referred to as projects
rather than programmes, as the activities normally undertaken are con
cerned with achieving in particular areas specific objectives within
a limited time-span.
In content, the questionnaire included consideration of the place
and priority of projects in the national health programmes, the aptness
and attainability within a time constraint of their objectives, the
local applicability and effectiveness of the methods (transferable
technology) used, the availability of resources, the flexibility given
Ito planning and •••
WPR/RC2l/10 page 2
to planning and implementation, and their impact on the population.
WHO-assisted activities dealing with fellowships not connected
with projects were not included in the questionnaire because they are
periodically evaluated.
Copies of the questionnaire were sent to fourteen countries in
the Region which had WHO-assisted projects in operation. In these
countries there were currently a total of 130 projects re~eiving WHO
assistance.
2 SUMMARY OF THE REPORTS SUBI1ITTED BY GOVERNl1ENTS
Two of the fourteen countries did not return the questionnaires.
Reports were submitted on 92 of the 130 WHO-assisted projects currently
in operation. The questionnaire was not completed in respect of ten
projects because they were in too early a stage for assessment. The
response rate was therefore 12/14 or 85.7% for countries, and 92/120 or
76.7% for projects, excluding the ten projects recently initiated.
There were two boxes, yes and no, for each question so that either
one or the other could be ticked. The affirmative replies to the
questions are summarized in Table 1 by country and in Table 2 by subject.
The figures in these tables denote the number of projects on which
affirmative replies were received. The difference between 92 and the
totals given in the Tables denotes the number of projects on which
negative replies were received.
The questionnaire included three other points which are not
presented in the above two tables. They are (1) whether the country
has a national socio-economic development plan, (2) whether the country
has a national health plan, and, if so, (3) whether this national health
plan is incorporated as a sector of the national socio-economic develop
ment plan. The twelve countries which sent in completed questionnaires
replied to these three questions in the affirmative.
It will be noted from Tables 1 and 2 that 83.7% of the 92 projects
are based on or are related to national health plans. The ~ajority of
Ithe projects •••
•
-
s
I , . I
"
I I
~ -~
WPR/RC2l/l0 page 3
the projects (95.7%) have objectives clearly related to specific
problems intended to be solved.
The objectives of 56 of the projects can be translated into
quantifiable targets. Thirty-six are without such targets, but have
appropriate criteria \~hich provide a basis for determining if the
objectives have been met. In 62 of the projects it is believed that
the targets can be achieved or the criteria satisfied during their
life span.
In 78.3% of the projects, baseline data are available to measure
project progress. In 59.8% of the projects the results of the activities
are considered satisfactory.
Transferable technology had been introduced before the inception
of 65 projects. In all of these projects it was considered that WHO
assistance would promote the use of the technology in the country; this
expectation has been confirmed during the operation of 60 or 92.3%.
H~ever, in 26 of the remaining 27 projects (96.3%) in which transfer
able technology had not been introduced prior to their inception, it
is believed that the assistance provided by WHO will ensure the conti
nuous use of the technology after international assistance has been
completed.
The efficacy of the methods used has been assessed (a) by employing
performance standards on which to base estimates of target accomplish
ments, (b) by determining the cost-effectiveness of the results obtained,
(c) by using criteria on quality of the results, or (d) by two or all of
these measures. Among these measures, (a) was used in 9.8%, (b) in 1.1%,
(c) in 10.9% and (d) in 33.7% of the projects. Five of the 9 projects
employing (a), the only project using (b), 5 of the 10 projects utilizing
(c) and 23 of the 31 projects using (d) found the results of assessment
satisfactory.
Government commitments covering local resources are being fully
met in 53 of the 92 projects (57.6%). Local resources are being fully
land effectively
WPR/RC21/l0 page 4
and effectively utilized in 47. In 39 projects, government commit
ments are not being fully met. It is believed that this deficiency
may be solved by the more efficient use of the resources! available in
4 projects, by adding resources in 10, and by employing both of these
means in 23.
In the implementation of projects, non-resource constraints have
been encountered due to (a) political and social climate. (b) existing
Targets and 1 criteria to be achieved during life of project
--
13
1
6
7
2
14 !
8
5
2
3
1
62 __ -1 67.4 I
! -------j
>-
'g ~ CJ<I ::tI CD ....... \Q~
N .... ....... S
T ;tile 1. (continued)
Query No. of WHO No. of WHO- Baseline data Results of assisted assisted projects available to project activi-projects on which measure project ties satisfac-
replies were progress tory Country received
I
SHtish Solomon Islands I Protectorate 3
I 1 1 I
I China (Taiwan) 17 15 12 12
I G libert & Ellice Islands Z 2 2 2
Laos 14 11 7 8
Malaysia 17 16 12 7
New Hebrides 3 2
Philippines 17 15 14 9
Republlc of Korea 10 10 8 3
I Singapore 14 9 7 7
Tonga Z 2 2 2
Viet-Nam 15 6 4 2
Western Samoa 4 3 3 3
TOTAL 118 92 I 72 55 ,
Per cent. 100.0 78.3 69,8
• I -I -"
Transferable WHO assistance technology would promote introduced use of techno-previously logy In the
country
1 1
14 14
1 1
4 4
10 10
2 2
12 12
7 7
7 7
2 2
4 4
1 1
65 66
70.6 (lOO.W
-65/65
~
This expectatlol
confumed
during operation of project
1
14
1
4
7
2
11
6
7
2
4
1
60
92.S-
-60/65
--WHO assistance would ensure con-tinuous use of
technOlogy after end of project
1
1
7
6
3
3
1
2
2
26
92.9* "26/(92-64)
i
I
'2 ~ OQ ~ ~ .... .... ~ ON .... .... ....
o
~-, ('
Table 1. (continued)
Efficacy of the methods Query I No. of WHO- \ No. of WHO- 1 ________ ~~~:~~---
projects \ on which repli~ accomplish- ! effectiveness i of the I I were received ! ment i of the i results _ Countrv , 'i results t---~,,------ ----===1- t== -,-!-_____ - I I ".
British Solomon Islands \ 1 : Protectorate 3! I I
17 I 15 I China (Taiwan)
Gilbert & Ellice Islands
Laos
Malaysia
New Hebrides
philippines
Republic of Korea
Singapore
Tonga
Viet-Nam
Western Samoa
TOTAL
Per cent
2 \ 2 \
I 11 14
17
3
17
10
14
2
15
4
118
I I 16
! 1
I
I \ I j !
2
15
10
9
2
6
3
92
100.0
1
1
1
I 1 i I
I \
1
3
i
1
\ 9
I
! 9.8
2
1
4
1
1
1
1
1 10
1.1 10.9
• ... • Results of assessments satisfactory
as regards:
'"
2 Target Cost- Quality 2 :::1 ---- ~
or all accomplish-, effectiveness I of the or all of these ment I of the results of these'
iI~~= I . I I I I i I
5
5 I 3 1
10
2
4 1
1 I
) 2
1 1
31 5
33.7
2
1
1
1
1 5
_---L--_~ --r=--
5
3
2
7
2
2
1
1
23
'g ~ OQ I'Q III ......
I-'~ I-' N
I-' ...... b
J..., I I~ I;. .. , '....... ~ I, .... i , ~ Query No. of WHO- No. ci WHO- Government
C-, -~ assisted projects assisted projects commitments on
on which replies local resources
were received fully met
British Solomon Islands Protectorate 3 1
China (Taiwan) 17 15 10
Gilbert & Ellice Islands 2 2 2
Laos 14 11 5
Malaysia 17 16 10
New Hebrides 3 2 2
Phlllppines 17 15 9
Republic of Korea 10 10 2
Singapore 14 9 6 .
Tonga 2 2 2
Viet-Nam 15 6 . 4
Western Samoa 4 3 1
TOTAL 118 92 53
I Per cent. 100.0 57.6 I i \
~ Local resources
fully and effectively
utilized
10
2
5
9
2
7
1
6
2
3
47
51.1
•
Deficienc~ i\8over~ent commitments n met y:
Efficient use Adding Both of these
of resources more means
provided ~lOUICes
1
1 1 1
1 1 4
1 1 4
6
6 2
1 2
1 1
2
4 10 23
(l0.3)- (25.6)- (59.0)-
Decominator '" 92 - 53 = 39
'g~ 0<1 l:'d 1Il_
.... ~ "., N .... -.... o
'x." • ,~. Table 1. (continued)
--------TN'~ of Il!!!l of ~ Noo_ ._ .... """""" .... In Query' 0- country due to:
WHO- ass ted __ _ .. _._ . d groJegI~lt Po~tical ~xi'ting Pltlflcal l!JStitu-~PPlies I h asSlste n if an e§: a- n ron- tional Ot ers . reg, es ~ yCial tl ment structure system
Country prOjects ~lJived i mate
f Bri",' Solomon ''''''& ~
3 1 1 1 1 I Protectorate
I China (Taiwan) 17 15 3 4 1 4 1
I I I
: Gilbert & Ellice Islands 2 2 1 1
Laos 14 11 9 3 4 1 5 5
Malaysia 1'1 16 3 1 4 5 1 4
New, Hebrides 3 2 2 2 2 2
Phili ppines 17 15 'f 4 8 '1 9 1
Republic of Korea 10 10 '1 2 3 4 1 3
Singapore 14 9 1 1 1 2 1 2
Tonga 2 2 2
Viet-Nam 15 6 6 5 1 1 2 3
Western Samoa 4 3 1 2 1 1
TOT A L U8 92 3'1 23 28 28 25 19
Per cent. 100.0 40.2 25.0 30.4 30.4 27.2 20.'1
~ '!-'{ ,~
Non-resource c~trl!inU An country can be minimized or mIDate from:
Poatical Existing ~cal Institu- Supplies an ~~sla- ron- tlonal Others sYfal !ment structure system C mate
Non-resource constrainU on Non-resource COIIIUatlllS Cll'I I
No, of WHO- the pan of WHO due to: the pan of WHO can be mini-! Project plaa of action reviewed regularly to:
IIIiIted pro mlzed or eUm1nated as r~ds: I _---on whlch WHO Supplies Othen WHO i Supplies Othen 1 j,orm ~nd Introduce Incorporate 11 ~ replies were policies IY'tem policfes j.ystem I ~ relevant mod1ficatiollS III ;;
constraUlU I n received innovations , ~ N
1
15 1 1 1 1
2 1
11 2 3 1
16 2 1 2
2 2 2
15 3 1 3
10 6 5
9 1 1 1
2
6 1 3
3
92 I 10 I 9 I 10 I 9 I 7 I
100,0 10,9 9.8 10.9 (90.0)", (1'1.8)",
• linn - 'f /9 .,. • ~
1
12
1 2
1 9
1 11
2
1 13
'I
1 6
1
2 6
2
'I I 72 I
'10.0-1 78.3 I - 1flll. I I
1
10
2
9
13
2
13
9
'I
1
5
3
75
81.5
10
2
6
13
2
12
5
7
1
5
2
65
70,7
I-' ..... b
~ i ,\.' Table 1. (continued)
,f 1', " .
""---~-~~-rl No. of WHO"_' I No. ~f WHO-_.:;! Pro"'" bd""" ""'" ......... tioo· ....... ""oo;;-~ projects projecu on which
repUes were received
Accomplishment of l iu specific object! ves I lU contribution to
broader objecti vel of lu relation to the
national socia-economic
development plan , the programme to
which it is linked \- Caun~ =-~:.-=-'=""=' "====i=======jFr===== I _
British Solomon Islands
Protectorate
China (Taiwan)
Gilbert & Ellice Islands
Laos
Malaysia
New Hebrides
Phill ppines
Republic of Korea
Singapore
Tonga
Vier-Nam
Western Samoa
TOTAL
Pel cent,
3
17
2
14
17
3
17
10
14
2
15
4
U6
1 1 1
15 12 12
2 2 1
u 9 8
16 13 11
2 2
15 13 12
10 8 6
9 9 8
2 1 1
6 6 1
3 3 2
92 77 69
100,0 83.7 75.0
1
10
1
8
14
2
13
8
7
1
65
70.7
...
1~ OQ~ (1)_
f-'~ VI N _f-' f-'-"'E;
'1\ l , "
, ,\ 't(
TABLE 2. WHO-ASSISTED PROJECTS ACCORDING TO SUBJECT FURNISHING AFFIRMATIVE REPLIES
~~ No. of WHO- No. of WHO- I Project's ob-I
NHP Project Objectives No quantifiable Targets and assisted assisted projects related based on I jeeti ves rela- translated targets but with criteria to bE projects on which replies to project NHP ted to solutim into criteria for achieved
. "~ were received of specific quantifiable determining during life of ,Project problems targets accomplishments project
al Communicable Diseases- 12 9 9 9 9 6 3 7
Tuberculosis and Leprosy 8 8 8 8 8 6 2 8
Malaria and Filariasis 9 7 7 5 7 5 2 4
Environmental H~alth 17 9 7 7 9 7 2 7
bl Public Health Services- 42 34 29 28 31 16 18 19
I Per cent. 100.0 87.0 83.7 95.7 60.9 39.1 67.4 I t ._-_. --
!I Includes: Venereal Diseases, Tracheima and Epidemiological Surveill ance, International Quarantine
ty Includes: National Health Planning, Health Laboratory Servic~ Medical Care, Nursing, Health Education. Rehabilitation, and Vital and Health S tatlstles
Sl Includes : Occuptaional Health, Mental Health. Dental Health, Radiation Health, Cancer and Goitre
'g ~ O<I~ ~ ..... ..... ~ " N ..... ..... ..... o
Table 2. (continued)
--.--Query No. of WHO- No. of WHO- Baseline data Results of
assisted assisted projects available to project projects on which replies measure activities
were received project satisfactory Project progress
-
al Communicable Diseaser 12 9 '/ '/
Tuberculosis and Leprosy 8 8 8 5
Malaria and Filariasis 9 '/ 6 3
Environmentai Health 1,/ 9 6 6
Public Health Servicel-I 42 34 25 19
Maternal and Child, and Nutrition 10 8 5 3
Health Protection and Promotiog.1
11 10 9 6
Education and Training 9 '/ 6 6
TOT A L 118 92 ,/2 55
:
Per cent. 100.0 '/8.3 59.8
. --
• 1
Transferable WHO assistanc'!
technology would promote
introduced use of techno-
previously logy in the country
5 5
'/ '/
5 5
'/ '/
25 25
3 3
.
8 8
5 5
~5 65
'/0.6 100.0·
°65/65
•
This expectation
confirmed during operation
of project
5
'/
5
6
23
2
'1
5
60
(92.3)·
·60/65
WHO assistance would ensure continuous use
of technology after end of the Dlolect
4
1
2
2
9
5
2
1
26
92.9·
"26/(92-64)
'2 ~ 00 ~ 11>-
.... ~ OON .... -b
'~ • ~
No. of WHO-QUery
No. of WHO- assisted (11'0:'
assisted eets on wbid
pIo;ects epUee were
Project Ireceived
al Communicable Diseases- 12 9
Tuberculosis and Leprosy 8 8
Malaria and Filariasis 9 'I
Environmental Health 1'1 9
bl Public Health ServiCes- 42 34
Maternal and Child Health and
Nutrition 10 8
c Health Protection and PromotiOir 11 10
Education and Training 9 'I
TOT A L 118 92
I Per cent. 100.0
" Table 2. (continued)
Efficacy of the methods assessed by:
Target Cost- Quality 2
accomplishments effectiveness of the or all of
of the results results these
2 3
2 6
2 1 3
I 3
8 8
1 1 2
2 5 I ,
1 1
9 1 10 31
9.8 1.1 10.9 33.'1
,), 'r,
Results of assessment satisfactory as regards:
Target Cost- Quality 2 accomplish- effective- of the or all of