World Health Organization (WHO) · Technical Documents

Resolutions of regional interest adopted by the twenty-ninth World Health Assembly and the Executive Board at its fifty-seventh and fifty-eighth sessions

December 31, 1976 World Health Organization

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WORLD HEALTH ORGANIZATION

ORGANISATION MONDIALE DE LA SANTE

REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL

REGIONAL COMMITl'EE Twenty-seventh session Manila 6-11 September 1976 Provisional agenda item 12

WPR/RC27/6 Add.l 16 August 1976 ORIGINAL: ENGLISH

RESOLUTIONS OF REGIONAL INTEREST ADOPTED BY THE TWENTY -NINTH WORLD HEALTH ASSEMBLY AND THE EXEClJrIVE BOARD AT ITS FIFTY-SEVENTH AND FIFTY-EIGHTH SESSIONS Addendum Promotion of national health services relating to primary health care (resolutions WHA29.74 and EB57.R27: resolution WHA29.l9) (Items 27 and 1 of document WPR/RC27/6) To assist the Committee in formulating its comments in relation to the above-mentioned resolutions, a short resume is given below of the action taken and future plans for the promotion of national health services relating to primary health care in the Western Pacific Region. (1) With the establishment of two posts, of medical officer and of sociologist, utilizing funds provided by WHO Headquarters, it is proposed that the intercountry project "promotion of primary health care" (ICP PHC 001), which is shown on page 314 of the proposed programme budget estimates for 1978 and 1979 (document WPR/RC27/2), will commence to operate in September 1976 when the medical officer takes up his position. The terms of reference of the two staff members will be to plan in detail proposed national and regional activities (see (2) and (3) below). Experience from these activities will form the basis of discussion at the International Conference on Primary Health Care to be held in the USSR in August/September 1978 (see resolution WHA29.19). (2) Suggestions will be made for the organization, at the end of 1976 and in 1977, of national seminars, workshops or conferences on primary health care in countries or areas of the Region; WHO staff of health services development projects, where they exist, will cooperate. Among the countries it is thought might be intereste~ in organizing such seminars or workshops are Fiji, Malaysia, Papua New Guinea, Philippines, Republic of Korea and Western Samoa. Suggested critical topiCS for discussion are listed in Annex 1.

WPRjRC27/6 Add.l page 2

(3) A regional conference on primary health care will be held in Manila in September 1977. its main objective being to prepare a regional report which will be the mechanism for reporting to the International Conference in 1978 the different experiences and approaches already examined at national level (see (2) above). The report will be a summary of the most important and critical issues met at national level and representatives of countries where national seminars or workshops have taken place will be among those invited to take part.

WPR/Rc27/6 Add.l page 3

ANNEX 1

SUGGESTED CRITICAL TOPICS FOR DISCUSSION 1. 2. Concept of primary health care as an integral part of the national health services. Basic conditions for the planning and establishment of primary health care. Primary health care within the national health service. Primary health care as part of the socio-economic development of the community. Community participation. Other health services at intermediate level. Alternative organizational schemes of primary health care (countries' experiences) . Primary health care personnel as a part of a health team: selection and training. Activi ties: (a) vital statistics information preventive measures promotion of health curative measures rehabilitation reference of cases

3. 4.

5. 6.

7. 8. 9.

10. 11. 12. 13. 14.

(b) (c) (d)

(e) (f)

Specific manuals for routine daily work. Activities in fields other than health. Periodic information on primary health care activities. Evaluation of the services. Supervision.

WPRjRc27/6 Add.l Annex 1 page 4 15. 16. 17. Progressive improvement of the primary health care personnel. Use of traditional medicine in primary health care (opportunities and constraints). International aspects of health care.

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WORLD HEALTH ORGAN I ZATION

ORGANISATION MONDIALE DE LA SANTa

REGIONAL OFFICE fOil THE WESTERN PACifiC BUREAU ReGIONAL DU PACIfiQUE OCCIDENTAL

REGIONAL COMMITTEE Twenty-seventh session Manila 6-11 September 1976 Provisional agenda item 12

WPR/RC27/6 28 June 1976 ORIGINAL: ENGLISH

RESOLUTIONS OF REGIONAL INTEREST ADOPTED BY THE TWENTY-NINTH WORLD HEALTH ASSEMBLY AND THE EXECUTIVE BOARD AT ITS FIFTY-SEVENTH AND FIFTY-EIGHTH SESSIONS The following resolutions of the World Health Assembly and the Executive Board are submitted for the attention of the Committee: 1. Review and approval of the reports of the Executive Board at its fifty-sixth and fifty-seventh sessions (Article l8(d» resolution WHA29.l9) Attention is drawn to operative paragraph one. WHA29.74 and EB57.R27, Item 27 below.) 2. 3. (See also resolutions

Sixth General Programme of Work covering a specific period (resolution WHA29.20) Psychosocial factors and health (resolution WHA29.2l) Report on the world health situation (resolutions WHA29.22 and EB57.R46) Attention is drawn to operative paragraphs one and two of resolution WHA29.22.

5. 6.

Real Estate Fund (resolution WHA29.28) Voluntary Fund for Health Promotion (resolutions WHA29.31 and EB58.R10) Attention is drawn to operative paragraphs two and three of resolution WHA29.31 and operative parag!aph.two of resolution EBS8.RlO.

Organizational study on the planning for and impact of extrabudgetary resources on WHO's programmes and policy (resolution WHA29.32) Attention is drawn to operative paragraph three.

WPR/RC27/6 page 2

Coordination with the United Nations system - general matters: UNDP-supported activities - financial situation (resolutions WHA29~42 and EB57.R49) Attention is drawn to operative paragraph two of resolution WHA29.42.

9. 10.

Coordination with the United Nations system: (resolution EB57.R4B)

general matters

Coordination with the United Nations system (general matters): technical cooperation among developing countries (resolution EB57.R50) Attention is drawn to operative paragraphs one and three.

11.

International Women's Year (resolution WHA29.43) Attention is drawn to operative paragraph one.

12.

WHO's human health and environment programme (resolution WHA29.45) Attention is drawn to operative paragraph three.

13.

Health aspects of human settlements (resolution WHA29.46) Attention is drawn to operative paragraph two.

14.

Community water supply and excreta disposal (resolution WHA29.47) Attention is drawn to operative paragraph four.

15. 16.

Programme budget policy (resolution WHA29.4B) Cardiovascular diseases (resolution WHA29.49) Attention is drawn to operative paragraph two.

17.

Occupational health programme (resolution WHA29.57) Attention is drawn to operative paragraphs one and three.

lB.

Schistosomiasis (resolution WHA29.5B) Attention is drawn to operative paragraphs one and two.

19.

Mycotic infections (resolution WHA29.59) Attention is drawn to operative paragraph one.

20.

Expanded programme on immunization (resolution WHA29.63) Attention is drawn to operative paragraph four.

21.

Rheumatic diseases (resolution WHA29. 66) Attention is drawn to operative paragraph one.

WPR/RC27/6 page 3

22.

The need for laboratory animals for the control of biological products and the establishment of breeding colonies (nonhuman primates) (resolution WHA29.67) Attention is drawn to operative paragraph one.

23.

Disability prevention and rehabilitation (resolution WHA29.68) Attention is drawn to operative paragraph three.

24. 25. 26. ~

Leprosy control (resolution WHA29.70) Health manpower development (resolution WHA29.72) Development of the antimalaria programme (resolutions WHA29.73 and EB57.R26) Attention is drawn to operative paragraph one of resolution EB57.R26.

27.

Promotion of national health services and health technology relatipg to primary health care and rural development (resolutions WHA29.74 and EB57.R27) Attention is drawn to operative paragraphs two and three of resolution WHA29.74 and operative paragraph twe of resolution EB57.R27.

28.

Development of programme evaluation in WHO (resolution EB57.Rl7) Attention is drawn to operative paragraph three.

29.

Report by the representatives of the Executive Board at the Twenty-ninth World Health Assembly: Method of work of the Executive Board in relation to programme development (resolution EB58.R1I) Attention is drawn to operative paragraph five.

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TWENTY-NINTH WORLD HEALTH ASSEMBLY

WI'.A29.19 13 May 1976

REVIEW AND APPROVAL OF THE REPORTS OF THE EXECUTIVE BOARD AT ITS FIFTY-SIXTH AND FIFTY-SEVENTH SESSIONS (ARTICLE 18 Cd))

The Twenty-ninth World Health Assembly, Having listened with interest to the report of the representative of the Executive Board on the steps taken to implement the decision of the Twenty-eighth World Health Assemblyl regarding the holding under WHO auspices of an international conference on the development of primary health care as part of national health services; Having heard with equal interest the statement made by the representative of UNICEF, 1. NOTES with appreciation the arrangements made for the International Conference on Primary Health Care which will be held in the Union of Soviet Socialist Republics during the second half of 1978;

2. WELCOMES the possibility of UNICEF co-sponsoring the International Conference on Primary Health Care.

Ninth plenary meeting, 13 May 1976 A29/VR/9

1 Resolution WHA28.88, WHO Official Records, No. 226, 1975, pp. 53-54.

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TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.20 13 May 1976

SIXTH GENERAL PROGRAMME OF WORK COVERING A SPECIFIC PERIOD The Twenty-ninth World Health Assembly, Having reviewed, in accordance with Article 28(g) of the Constitution, the draft of the Sixth General Programme of Work covering the specific period 1978-1983 inclusive submitted by the Executive Board; Believing that the Programme provides an appropriate policy framework for the formulation of medium-term programmes and programme budgets within the period covered; and Recognizing that there is a continuous evolution of the Organization's programme; 1.

APPROVES the Sixth General Programme of Work; REQUESTS the Executive Board:

(a) to carry out annual reviews of the Sixth Programme, taking into consideration events that occur subsequent to its adoption; (b) to carry out in-depth studies and evaluation of particular programmes, as necessary, to ensure that the overall work of the Organization is proceeding in conformity with the Sixth General Programme of Work; (c) to continue the study of long-term trends as reflected in the Sixth General Programme of Work for a specific period and their implication for the Organization's future programmes.

Ninth plenary meeting, 13 May 1976 A29/VR/9

1 Document A29/6 and Corr.l & 2.

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.21 13 May 1976

PSYCHOSOCIAL FACTORS AND HEALTH The Twenty-ninth World Health Assembly, Noting with satisfaction the report of the Director-General on psychosocial factors and health;l Considering the proposals made in the report to be of direct relevance to health needs at country level; Confirming the importance of the relationship between psychosocial factors and health, and their importance for health services; 1. REQUESTS the Director-General, in cooperation, where appropriate, with other organizations of the United Nations system, and the intergovernmental and nongovernmental organizations concerned, to implement the proposals in the report for a multidisciplinary programme on psychosocial factors and health, with the aim of: (1) applying existing knowledge in the psychosocial field to improve health care, particularly for those most in need; (2) developing methods in collaboration with countries, so that relevant psychosocial information can be made available to health planners; and (3) acquiring new knowledge on which health action can be based, particularly concerning the needs of uprooted people and changes in family functioning under conditions of rapid social change; 2. REQUESTS the Director-General to report to a subsequent Health Assembly on the developments in this field.

Ninth plenary meeting, 13 May 1976 A29/VR/9

1 Document A29/S.

TWENTY-NINTH WORLD HEALTH ASSEMBLY

h'HA29.22

13 May 1976 REPORT ON THE WORLD HEALTH SITUATION

The Twenty-ninth World Health Assembly, Having considered the report of the Director-General l on the report on the world health

situation;

Reiterating the need for the Organization to publish, in conformity with resolution WHA23.59,2 an analysis and evaluation of information on the state of health of the world population and on environmental health; Recalling resolution WHA27.60,3 in which mention was made of the need to rationalize the collection and presentation of information on the health situation in the world and in individual countries; Recognizing the need to improve the analytical content, coverage and timeliness of the report on the world health situation; Mindful of the importance of discussion of the world health situation among Member States; Concurring in the Executive Board's recommendations as contained in resolution EB57.R46; 1. 4

RECOMMENDS that the future reports on the world health situation (1) should comprise a global analysis along with country reviews, published by headquarters, as in the previous reports: (2) should be published every six years, in accordance with the major programme cycle of the Organization, namely the General Programme of Work, with the exception of the sixth report which should cover the five years 1973-1977, corresponding to the Fifth General Programme of Work; (3) should be published in Arabic, Chinese, English, French, Russian and Spanish, without prior review by the World Health Assembly; (4) should, at a subsequent Health Assembly, be the subject of discussion bearing particularly on their methodology and content;

2. RECOMMENDS further that the other proposals contained in the report of the DirectorGeneral be implemented, particularly with respect to the mechanism for the preparation of the report on the world health situation. 1 Document A29/7. 2 WHO Handbook of Resolutions and Decisions, Vol. I, 1973, p. 3. 3 WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 3. 4 WHO Official Records, No. 231, 1976, p. 33.

WHA29.22 page 2 3. INVITES the Director-General to consider every pos.ible means of assisting Member States in improving the quality and accuracy of the answers to the questionnaire addressed to them for the preparation of the report; 4. REQUESTS the Director-General to prepare the future reports on the world health situation accordingly and taking into account the discussions at the Twenty-ninth World Health Assembly.

Ninth plenary meeting, 13 May 1976 A29/VR/9

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Fifty-seventh Session

EB57.R46 29 January 1976

REPORT ON THE WORLD HEALTH SITUATION

The Executive Board, Having considered the report of the Director-General on the report on the world health situation;l Reiterating the need for the Organization to publish, in conformity with resolution WHA23.59, the analysis and evaluation of information on the state of health of the world population and on environmental health; Stressing the value of appropriate information on the world health situation for the planning and evaluation of health programmes as well as for general reference; Recognizing the need for improving the analytical presentations, coverage and timeliness of the report on the world health situation; 1. RECOMMENDS that the future reports on the world health situation (1) should comprise a global analysis along with country reviews, published by headquarters, as in the previous reports; (2) should be published every six years, in accordance with the major programme cycle of the Organization, namely the general programme of work with the exception of the sixth report which should cover the five years 1973-1977, corresponding to the Fifth General Programme of Work; and (3) should be published in Arabic, Chinese, English, French, Russian and Spanish, without prior review by the World Health Assembly; 2. RECOMMENDS further that the other proposals contained in the report of the DirectorGeneral be implemented particularly with respect to the mechanism for the preparation of the report on the world health situation; and 3. REQUESTS the Director-General to submit to the Twenty-ninth World Health Assembly a report on this subject reflecting the discussions at the fifty-seventh session of the Board and suggesting that the Sixth Report on the World Health Situation be prepared accordingly,

Twenty-sixth meeting, 29 January 1976 EB57/SR/26 1

Document EB57/29.

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.28 13 May 1976 REAL ESTATE FUND

The Twenty-ninth World Health Assembly, 1 Having considered resolution EB57.R35 and the Director-General's report on the status of the projects financed from the Real Estate Fund and the estimated requirements of the Fund for the period 1 June 1976 - 31 May 1977: 2 Recognizing that certain estimates in that report must necessarily remain provisional because of the continuing fluctuation in exchange rates; Noting in particular that it is now necessary to undertake an extension to the building of the Regional Office for the Western Pacific; 1. AUTHORIZES the financing from the Real Estate Fund of the projects envisaged in the Director-General's report at the following estimated costs: Extension of the building of the Regional Office for the Western Pacific Construction of eight offices and storage space in the Regional Office for the Eastern Mediterranean . . . • . Installation of a new telephone exchange in the Regional Office for Europe . • • • • • Additional repairs to the property purchased by the Government of Denmark and to be leased to the Regional Office for Europe 2.

$ 460 000

45 000

100 000 25 000

APPROPRIATES to the Real Estate Fund, from casual income, the sum of $ 310 000.

Ninth plenary meeting, 13 May 1976 A29/VR/9

1 WHO Official Records, No. 231, 1976, p. 26. 2 WHO Official Records, No. 231, 1976, Annex 9, pp. 96-99.

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.31 17 May 1976

VOLUNTARY FUND FOR HEALTH PROMOTION The Twenty-ninth World Health Assembly, Appreciating the role which the Voluntary Fund for Health Promotion is playing in the promotion of health activities; Having considered the structure and procedures of, and the reporting system for, the Voluntary Fund for Health Promotion; Desirous of further improving the functioning of the Fund and of consolidating the various decisions taken until now on the functioning of the Fund; 1.

CONFIRMS the establishment of a Voluntary Fund for Health Promotion; DECIDES: (1) that the Voluntary Fund for Health Promotion shall include the following subaccounts: (a) (b)

General Account for Undesignated Contributions, Special Account for Smallpox Eradication, Special Account for Medical Research, Special Account for Community Water Supply, Malaria Special Account, Special Account for the Leprosy Programme, Special Account for the Yaws Programme, Special Account for the Cholera Programme,

(e) (f) (g) (h)

(i) Special Account for Assistance to the Least Developed among Developing Countries, (j)

Special Account for the Expanded Programme on Immunization, Special Account for Disasters and Natural Catastrophes, Special Account for Miscellaneous Designated Contributions,

(k) (1)

(m) Any other special accounts that may be placed in the Fund by the Executive Board or the Health Assembly;

WHA29.31 page 2

(2)

that any of the above subaccounts of the Fund shall be credited with: (a) (b) (c) voluntary contributions received in any usable currency; the value of contributions in kind and services; interest earned on moneys in the Fund;

(3) that resources may not be transferred between subaccounts, except that resources which accrue in the General Account referred to in subparagraph (1) (a) above may be transferred to another subaccount or be utilized for other purposes, as proposed by the Director-General and approved by the Chairman of the Executive Board; and that the unexpended balance(s) of the Fund shall be carried forward from one financial period to the next; (4) that those activities planned in the programme budget to be financed from the Fund shall be so identified; and that in accordance with Financial Regulation 11.2 the Fund shall be maintained as a separate account, and its operations shall be presented separately in the Director-General's financial report; 3. ACCEPTS future contributions to any of the subaccounts of the Fund pursuant to Article 57 of the Constitution, provided that the Director-General has det~rmined that such contributions can be utilized and that any conditions which may be attached to them are consistent with the objective and policies of the Organization; 4. CONFIRMS its resolution WHA26.24 requesting the Director-General to report annually to the Executive Board on the contributions to the Voluntary Fund. the financial status of the Fund, and action taken to obtain increased support for the Fund; 1

DECIDES that this resolution supersedes in totality resolutions WHA13.24

and EB26.R20.

Tenth plenary meeting, 17 May 1976 A29/vR/1O -

1 WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 63. 2 WHO Handbook of Resolutions and Decis{ons, V 1 .I, 1973 , p. 424 • ... 0

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Fifty-eighth Session

EB58.RIO 25 May 1976

VOLUNTARY FUND FOR HEALTH PROMOTION

The Executive Board,

Having considered the report of the Director-General on the Voluntary Fund for Health Promotion, 1. NOTES the contributions made to the Voluntary Fund for Health Promotion for which the Director-General has already expressed the thanks of the Organization to the donors; 2. APPRECIATES the support given by governments and other donors to the Voluntary Fund for Health Promotion and expresses the hope that the trend towards increasing contributions to the Voluntary Fund will continue in order to enable the Organization to pursue activities required to meet the most urgent needs in the international health field and requests for assistance; 3. REQUESTS the Director-General to continue publicizing the existence and objectives of the Voluntary Fund and the possibilities which it offers for international cooperation in the field of health; 4. REQUESTS the Director-General to transmit this resolution, together with the report that he has submitted to the Executive Board, to the Members of the Organization, calling particular attention to the Executive Board's expression of appreciation of the contributions made; 5. INVITES the Director-General to refer the matter for the further consideration of the Executive Board at a later session.

Third meeting, 25 May 1976 EB58/SR/3

1WENTY-NINTIl WORLD HEALTIl ASSEMBLY

WHA29.32 17 May 1976

ORGANIZATIONAL STUDY ON THE PLANNING FOR AND IMPACT OF EXTRABUDGETARY RESOURCES ON WHO'S PROGRAMMES AND POLICY The Twenty-ninth World Health Assembly,

Having considered the organizational study prepared by the Executive Board on the planning for and impact of extrabudgetary resources on WHO's programmes and policy, 1. AGREES that the study has far-reaching implications for furthering the work of the Organization and that it constitutes a suitable basis for the fulfilment of WHO's constitutional mandate as the directing and coordinating authority on international health work; 2. NOTES with appreciation the contributions already obtained by or pledged to the Organization and to developing countries for activities in the health field; 3. URGES that all existing and potential sources of extrabudgetary funds should provide the Organization with increased support for the expansion of its efforts in the health field; 4.

REQUESTS the Director-General, within the established policies of the Organization: (a) to take particularly into account the promotion of those planned health programmes that could attract additional resources for the benefit of the developing countries; (b) to continue to develop appropriate mechanisms for attracting and coordinating an increased volume of bilateral and multilateral aid for health purposes; and (c) to continue his efforts on an interagency basis to harmonize programme budget cycles and planning and operational procedures of the major United Nations funding agencies with those applied to the regular programmes of the organizations in the United Nations system.

A29/vi/10

Tenth plenary meeting, 17 May 1976

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TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.42 17 May 1976

COORDINATION WITH THE UNITED NATIONS SYSTEM GENERAL MATTERS UNDP-supported activities - financial situation

The Twenty-ninth World Health Assembly, Having considered the Director-General's report on the current financial situation of the United Nations Development Programme;l Noting the terms of resolution EB57.R49 adopted by the Executive Board at its fiftyseventh session after consideration of these problems and their possible effect on WHO's programme of technical cooperation with the developing countries; Noting further the measures decided by the UNDP Governing Council at its twenty-first session held in January 1976 to mitigate the effects of the liquidity crisis on the operational programme; Recalling that the Governing Council will again review the situation at its twenty-second session in June 1976; 1. EXPRESSES deep concern over the financial problems that the UNDP is facing and the impact these may have on the United Nations development system's support of the developing countries' efforts towards self-reliance within the overall framework of the New International Economic Order; 2. ENCOURAGES Member States experiencing reductions in the expenditure level of UNDP assistance to make special temporary arrangements through their health administrations to mitigate major disruptive effects that the current financial situation of UNDP may have on the ongoing internationally-assisted health programme in their countries through recourse to such measures as partial self-financing or cost-sharing, enlarged use of national staff and institutions, and judicious reprogramming with other available sources of funds; 3. REQUESTS the Director-General to continue his full collaboration with the Administrator of UNDP in order to ensure a systematic consultation at all levels between the governments concerned, UNDP and WHO with a view to safeguarding essential projects and components in the programme of health and related fields; 4. REQUESTS the Director-General to keep the situation of UNDP-financed activities executed by WHO under constant review and to report on further developments to the fOf of the Executive Board. 1 ty-ninth session Tenth plenary meeting, 17 May 1976 A29/VR/10 ' 1 2

Document A29/35 Add.l WHO OffiCial Records, No. 231, 1976, pp. 35-36.

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Fifty-seventh Session

EB57.R49 29 January 1976

COORDINATION WITH THE UNITED NATIONS - GENERAL MATTERS UNDP-supported activites - Financial situation

The Executive Board, Having considered the report of the Director-General on UNDP-financed activities executed by WHO, and on the current financial situation of the United Nations Development Programme; Noting with concern the severe liquidity cr~s~s in which the UNDP finds itself which has made it necessary to envisage a significant curtailment of UNDP-financed project expenditures in 1976 and which may have serious consequences for WHO's programme as a whole and more particularly for the Organization's UNDP-financed technical cooperation with and services to developing countries; Recalling that UNDP-financed projects can be executed by WHO only on the basis of a firm commitment by the UNDP to furnish on a continuing basis the necessary funds to cover all approved expenditures incurred by the Organization on behalf of UNDP; 1. EXPRESSES the hope that the Governing Council of the United Nations Development Programme will find ways and means in the immediate future to solve UNDP's liquidity problem in order to avoid drastic programme reductions which might otherwise have serious long-term effects on many approved activities in the developing countries; 2. ENCOURAGES initiatives by the United Nations Development Programme to establish financial policies and practices which would prevent sudden reductions in UNDP supported activities; and 3. REQUESTS the Director-General: (1) to ensure that adjustments to any approved UNDP-financed project for which WHO is the responsible executing agency are made only after full consultation between the government concerned, UNDP, and the Organization; (2) to make arrangements with the Administrator of UNDP for effective consultation procedures in programme and financial policy matters which would appropriately reflect the partnership between UNDP and WHO in which the two parties have contractual obligations towards recipient governments and towards each other, and which would prevent the Organization from being committed without prior knowledge or consultation to situations which might affect its own programmes or resources; (3) to consider, in the light of circumstances prevailing during the early part of 1976, and of any consultations with individual governments, such action on the part of the Organization as may be necessary to safeguard certain UNDP-financed health projects of special importance, including the possibility of their being financed within the constraints of the approved regular budget level or from other resources available to the Organization;

EB57.R49 page 2 (4) to call the attention of the Governing Council of the United Nations Development Programme to this resolution; and (5) to report on further developments in this matter to the Twenty-ninth World Health Assembly.

Twenty-sixth meeting, 29 January 1976 EB57/SR/26

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Fifty-seventh Session

EB57.R48 29 January 1976

COORDINATION WITH THE UNITED NATIONS SYSTEM:

GENERAL MATTERS

The Executive Board, Having examined the reports of the Director-General on Coordination with the United Nations System: general matters;l Confirming the results of the seventh special session of the United Nations General Assembly and its resolution 3362 (S-VII) on development and international economic cooperation, 1. 2. 3. NOTES the reports of the Director-General; ENDORSES the action taken and proposed by the Director-General; REQUESTS the Director-General to: (1) maintain WHO's full collaboration with other bodies, organizations and institutions of the United Nations system in all activities and programmes relevant to the promotion of health; (2) ensure that WHO participates fully in the implementation of resolution 3362 (S-VII), particularly as regards the creation of a greater awareness of priority health problems and of the intrinsic value of health development for overall development, and as regards the restructuring of the economic and social sectors of the Unit~d Nations system; " 4. NOTES the action taken to strengthen the health sector in UNDP country programming in line with UNDP's new dimensions; 5. WELCOMES the growing attention being given by UNDP to assistance in the field of rural development which coincides with WHO's own efforts in the field of primary health care; 6. THANKS UNICEF for its continued substantial support to health activities in favour of mothers and children; 7. NOTES with satisfaction the growing support provided by the World Food Programme to health activities; and 8. APPROVES the action taken by the Director-General in cooperation with the Office of United Nations Emergency Operations for the purchase of medical supplies and equipment in favour of the most seriously affected countries.

Twenty-sixth meeting, 29 January 1976 EB57/SR/26 1

Documents EB57/40and Add.l, 2, 3, 4.

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EBS7.RSO 29 ,January 1976

CO-ORDINATION WITH THE UNITED NATIONS SYSTEM (GENERAL MATTERS): TECHNICAL COOPERATION AMONG DEVELOPING COUNTRIES

The Executive Board, Noting resolution 3461 (XXX), adopted at the thirtieth session of the United Nations General Assembly on 11 December 1975; Recognizing that technical cooperation among developing countries should be seen as an integral part of overall cooperation for development; Noting the plans for the organization of a series of regional intergovernmental meetings, preparatory to a global conference on technical cooperation among developing countries to be held in 1977 in Argentina; and Bearing in mind that the objectives to be sough-t through technical cooperation among developing countries coincide with the concerns expressed in resolutions WHA28.75 and WHA28.76 on new ways of expanding assistance to the developing countries, as well as with the aim of the Organization to assist Member States in achieving self-reliance,

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1. INVITES Member States to give priority attention to the promotion of technical cooperation among developing countries in the health sector; 2. REQUESTS the Director-General to continue his collaboration with the Administrator of UNDP in the promotion of activities for technical cooperation among developing countries; 3. STRESSES the importance of WHO's effective participation in the regional intergovernmental meetings, convened to discuss practical measures for technical cooperation among developing countries, as well as in the conference to be held in 1977.

twenty-sixth meeting, 29 January 1976 EB57/SR/26

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.43 17 May 1976

INTERNATIONAL WOMEN'S YEAR The Twenty-ninth World Health Assembly, Noting with appreciation the report of the Director-General on the participation of women i.n health and development; 1 Noting further that the World Conference of the International Women's Year, the General Assembly and other United Nations bodies and conferences have recognized that the improvement of the status of women constitutes a basic element in any national socioeconomic developmental process, and that the major factors impeding the full participation of women in development stem from the insufficient access of women to education, and to health and other social services; Aware that the full integration of women into the development process requires a strong commitment on the part of society, and a change of attitudes; 1. URGES Member States: (1) to initiate and strengthen measures, including legislation as required, for the provision of social services that will enable women to contribute to development without detriment to their own health and welfare and those of their children; (2) to strengthen their national health care systems, giving special attention to the health care needs of women, especially when fulfilling a maternal role; (3) to encourage greater participation by women at all levels in the health sector by expanding policies of training, recruitment and promotion of women health workers, by eliminating discrimination against women, where it exists, and by promoting the active participation of women in the activities of WHO, including the constitutional bodies of the Organization; 2. REQUESTS the Director-General: (1) to maintain liaison with other agencies of the United Nations system in ensuring the coordination of programmes directed to the promotion of the role of women in development; (2) to cooperate with countries, together with the relevant organizations of the United Nations system, in developing intersectoral programmes and activities for women and children; (3) to promote the active involvement of women in the planning, decision-making and developmental processes of health service systems (particularly primary health care);

1 Document A29/37.

WHA29.43 page 2

(4) to strengthen WHO's progr.... s directed to the specific problems of women as regards reproductive health and other areas indicated in the report of the DirectorGeneral, particularly in maternal and child health care; (5) to review WHO's current and planned programmes with a view to identifying and strengthening those elements that will affect women as participants in and beneficiaries of the activities designed to improve health; (6) to take active steps to apply the above principles in WHO, including measures for increasing the recruitment, promotion and training of women in the Organization, and to report on the progress being made in implementing this programme to the fifty-ninth session of the Executive Board.

Tenth plenary meeting, 17 May 1976 A29/VR/IO

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.45 17 May 1976

WHO'S HUMAN HEAL'ffi AND ENVIRONMENT

PR~RAMME

The Twenty-ninth World Health Assembly,

Having considered the report of the Director-General on WHO's human health and environment programme;l Recalling resolutions WHA26.58,2 WHA27.49,3 WHA27.50 4 and WHA28.63;5

Considering that progress in improving the conditions of the human environment as they effect health is too slow, and that present efforts by all concerned require intensification; Emphasizing that the improvement of environmental conditions should be seen as part of the total health and development effort; Stressing the particular priority to be given to environmental sanitation in the developing countries, especially to the provision of adequate and potable water and the disposal of waStes;

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Recognizing, however, that all countries must pay increasing attention to the prevention of adverse effects on health resulting from conditions in various environments to which man is exposed; Reaffirming the priority of health in the context of environmental programmes and the need for close cooperation in this field; 1. THANKS the Director-General for his report, and endorses the approach to the future development and implementation of the programme; 2. REITERATES that WHO should collaborate with governments in the development of their environmental health services and infrastructures; 3. URGES governments: (1) to make environmental health programmes an integral part of their national health and development efforts, particular attention being given to the most needy sectors of the population; and (2) 1 2 to allocate adequate resources to environmental health;

Document A29/11. WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 18.

3 WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 19. "

4 WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 20. 5 WHO Official Records, No. 226, 1975, p. 33.

W'HA29.45 page 2 4. REQUESTS the Director-General: (1) to plan and implement the programme on the basis of the proposals made in his report and taking into account resolutions WHA26.58,1 WHA27.49,2 WHA27.50 3 and WHA28.63;4 (2) to continue to follow a multidisciplinary approach and to integrate the various programme areas into a comprehensive programme, as proposed in his report; (3) to continue collaboration and coordination within the United Nations system, especially with the Unitec Nations Environment Programme, and with other intergovernmental and nongovernmental agencies concerned with environmental matters, with a view to: (a) maintaining WHO's leading role in respect of activities to promote human health; (b) increasing the availability of resources in addition to the regular budget of the Organization; and (c) making the Organization's contribution to environmental programmes as effective as possible; (4) to continue to give high priority to collaboration with governments in the implementation of this programme; and (5) to report to a subsequent World Health Assembly on the impact of the implementation of this resolution on the work of the Organization.

Tenth plenary meeting, 17 May 1976 A29/VR/10

1 WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 18. 2 WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 19. 3 WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 20. 4

WHO Official Records, No. 226, 1975, p. 33. ,,<

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TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.46 17 May 1976

HEALTH ASPECTS OF HUMAN SETTLEMENTS

The Twenty-ninth World Health Assembly,

1 Having considered WHO's Human Health and Environment Programme and the mid-decade 2 progress report of the Director-General on community water supply and waste water disposal on which it has passed resolutions; Noting the statement presented to the Assembly by the Secretary-General of Habitat: United Nations Conference on Human Settlements, which will take place in Vancouver from 31 May to 11 June 1976; Having also considered the Report on the Technical Discussions on the Health Aspects of Human Settlements;3 Considering that the World Health Organization, by virtue of its Constitution, is the specialized agency concerned with the safeguarding and promotion of health and environmental conditions in human settlements; Aware of the unprecedented growth rate of population, of the surge of rural populations into urban areas, and continued lack of tangible improvements in rural areas, particularly in developing countries, which is exacerbating the health and environmental problems of human settlements; 1. EMPHASIZES the vital need to take into consideration health and environmental aspects in the planning and development of human settlements, using a comprehensive and multidisciplinary approach; 2. RECOMMENDS that governments: (1) ensure that health authorities at central and local levels have scientific and technical competence and sufficient breadth of responsibility in relation to environmental health and preventive medicine to influence the hygienic features of human settlements which are fundamentally important to health, including water supply, hygienic wastes disposal, adequate nutrition and decent shelter; (2) promote full cooperation between health and other central, and local government departments as well as the voluntary agencies and the community in order that health considerations should be taken into account ab initio in the planning and development of human settlements. An important aspect of this is the education of decision-makers in the planning, architectural, economic and social fields in the importance of the potential health contributions to life in human settlements; .1 2 Document A29/11. Document: A29/12 Rev.1 Document A29/Technical Discussions/S.

.....

WHA29.46 page 2 (3) undertake the study of health aspirations and needs of populations in human settlements and those conditions of the environment predisposing to ill health; determine the respective priorities of these needs; and, as far as is practicable, allocate resources for their resolution, and for the continuing monitoring of the situation;

(4) undertake the evaluation of the administrative, organizational and legislative structure of their health services in terms of fulfilling the health responsibilities within the framework of national policies for human settlements, and revising them where appropriate, bearing in mind the importance of flexibility in such matters; 3. REQUESTS the Director-General: (1) to give an appropriately high priority to collaboration with Member States on programmes aimed at studying and solving population growth, health and environmental problems in human settlements in a comprehensive manner; (2) to study carefully the implications of the recommendations which will ensue from Habitat: United Nations Conference on Human Settlements and, thereafter, to study ways and means of providing increased technical collaboration to Member countries; (3) to promote, strengthen and coordinate research on the effects on health of the physical and social environment of human settlements, and endeavour to develop suitable scientific methodology applicable to resolving health problems of human settlements under varying geographical and climatic conditions; (4) to prepare appropriate environmental health criteria pertaining to housing, the residential environment, and human settlements; (5) to build up an information system, based on information from Member States, on all health aspects of human settlements; (6) to further strengthen WHO's collaboration with the United Nations and the United Nations agencies and programmes; (7) to ev'aluate the work of the Organization in the field of health aspects of human settlements and report to a subsequent World Health Assembly on the progress which has been made and on his conclusions and recommendations for future work; and

(8) to draw the attention of the United Nations Conference on Human Settlements to this resolution.

Tenth plenary meeting, 17 May 1976 A29/VRllO

***

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.47 17 May 1976

COMMUNITY WATER SUPPLY AND EXCRETA DISPOSAL

The Twenty-ninth World Health Assembly, Having. considered the mid-decade progress report of the Director-General on community water supply and waste water disposal;l ~oting that, while the progress achieved in the first half of this decade by Member States through their own efforts and through international collaboration is encouraging, even more sustained efforts are required;

Stressing that potable community water supply and sanitary disposal of human and anLnal Lxcreta are basic services fur the control of major communicable diseases and contribute to socioeconomic development., and improvement of quality of life,

l. ENDORSES the regional targets proposed by the Director-General for community water supply and excreta disposal in the developing countries to be strived for as a minimum by the end of the United Nations Second Development Decade; 2. EMPHASIZES the vital need for ensuring that the water reaching the consumer meets the highest possible hygienic requirements - how~ver, at the very least is free from pathogenic organisms and recognized toxic substances;

3. EMPHASIZES also that arrangements for sanitary disposal should accompany, or closely follow, the provision of community water supplies; 4.

RECOMMENDS that Member States: (1) further develop plans for and implementation of community water supply and excreta disposal services within the context of overall socioeconomic development planning through interagency collaboration; (2) give greater priority to the least privileged sections of the population living in rural and congested urban and fringe areas;

(3)

secure greater participation of communities, and adoption of appropriate technolo-

gies; (4) establish, and periodically review, feasible programme targets in community water supply and excreta disposal; (5) intensify education of the public in health implications of community water supply and excreta disposal; and (6) strengthen the role of national health agencies so that planning in this field takes full account of the health priorities and needs.

1 Document A29/12 Rev.l.

WHA29.47 page 2

5. REQUESTS the Director-General to continue to accord high priority to coliaboration with Member States in national planning of services fo~ the provision of community water supply and excreta disposal as outlined in the Sixth General Programme of Work l and WHO's human health and environment programme 2 and in so doing: (1) to study ways and means of providing increased technical collaboration at country level, particularly in those countries with the greatest needs;

(2) while continuing to emphasize the health aspects, to interrelate them with the other aspects through collaboration with national health services and other ministr~es. agencies or deparonents directly concerned with the planning and implementation of community water supply and excreta disposal; (3) to continue leadership in health aspects in cooperating with other international and bilateral agencies, including UNDP, UNICEF, UNEP, FAO, IBRD and the regional deve1op~ ment banks;

(4) to arrange for a review of the status of community water supply and excreta disposal in terms of quality, quantity, services and other relevant factors, both at the regional committees in 1980 and globally at the Thirty-fourth World Health Assembly ill 1981; and at the same time to report on the implementation of the Organieation'~ programme, giving emphasis to all the health aspects involved.

Tenth plenary meeting, 17 May 1976 A29/va/lO .

I Document A29/6 & Corr.l & 2. 2 Document A29/ll

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.48 17 May 1976

PROGRAMME BUDGET POLICY The Twenty-ninth World Health Assembly, Aware of the solemnly proclaimed determination of the United Nations to intensify international cooperation for the solution of the socioeconomic problems of the developing world; Concerned with the gap between the health levels of the developed and developing countries; Recalling resolution WHA28.76 on programme budget policy with regard to technical assistance to developing countries; Considering the action initiated for its implementation in 1976 and 1977 and the relevant comments of the Executive Board at its fifty-seventh session; Aware of the crucial role the programme budget and technical cooperation play in the achievement of this goal; Aware of the necessity of continued collaboration with the United Nations Development Programme as well as with other funds providing extrabudgetary resources for health activities; Noting with deep concern the increasing allocation of resources of the Organization towards establishment and administrative costs; 1.

REQUESTS the Director-General (1) to reorient the working of the Organization with a view to ensuring that allocations of the Regular Programme Budget reach the level of at least 60% in real terms towards technical cooperation and provision of services by 1980, by (a) cutting down all avoidable and non-essential expenditure on establishment and administration, both at headquarters and in the regional offices; (b) (c) streamlining the professional and administrative cadres; phasing out projects which have outlived their utility;

(d) making optimum use of the technical and administrative resources available in the individual developing countries; (2) to submit a report to the Thirtieth World Health Assembly on the progress made in implementing this resolution and resolution WHA28.76, and to ensure that this is reflected in the proposed programme budget for 1978-79;

WHA29.48 page 2

2. REQUEsts the Executive Board in its future revi.ws of programme budgets to pay special attention to the reorientation of programme budget policy necessary to give full effect to resolutiort WHA28.76 and thi. retolutton.

Tenth plenary meeting, 17 May 1976 A29/VR/10

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.49 17 May 1976

CARDIOVASCULAR DISEASES The Twenty-ninth World Health Assembly, Recognizing the importance of cardiovascular diseases as ~auses of both morbidity and mortality in virtually all industrialized countries of the world;

Recalling resolutions WHA19.38 and WHA25.44 which request the Director-General to explore possibilities of extending and strengthening the activities in the field of cardiovascular diseases; Realizing that cardiovascular diseases are emerging both in relative and absolute terms as a public health problem also in developing countries; Anticipating that in connexion with overall socioeconomic development an increase in the toll of cardiovascular disease is likely to follow; Emphasizing that with adequate research and invervention such trends of untoward health consequences as experienced in the now industrialized societies could be avoided, 1. INVITES the Director-General to prepare a long-term programme of the Organization in the cardiovascular diseases field with special emphasis on: (a) promoting research on prevention, etiology, early diagnosiS, treatment and rehabi l i tat ion ; (b) coordination of international cooperative activities in this field;

2. URGES Member States to implement programmes of control and prevention of cardiovascular diseases wherever necessary and feasible; 3. REQUESTS the Director-General to report to the World Health Assembly periodically on the progress achieved.

Tenth plenary meeting, 17 May 1976 A29/VR/10

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.57 19 May 1976

OCCUPATIONAL HEALTH PROGRAMME The Twenty-ninth World Health Assembly, Having considered the report by the Director-General on the occupational health programme, and bearing in mind earlier resolutions on the subject by the Health Assembly and the Executive Board; Reaffirming that occupational health is a component of public health that should be closely coordinated with or integrated into national health and industrial development programmes; Aware of the pressing demands for adequate occupational health services in a large number of Member States; Conscious that there is a lack of information on the type and magnitude of the health problems of workers in developing countries; Stressing the fact that despite the outstanding need for Member States to develop effective occupational health programmes, WHO has so far played a rather limited role in this field; Alarmed by the fact that there are large numbers of working populations throughout the world, including workers in agriculture, transportation, construction work, s~rvices in small industries and office work that are left without preventive occupational health care to put under control their various health problems; Emphasizing the need to improve the present knowledge of the preventive aspects of occupational health, particularly where new industrial technologies are being introduc~d, 1.

URGES Member States: (1) to promote and carry out field investigations of the health problems of workers in different occupations as a guide for the planning and implementation of comprehensive health programmes for workers; (2) to consider the health of the working population an integral part of public health, particularly when developing country health programmes or establishing new industries; (3) in developing occupational health manpower, to take into account the needs of those groups of workers to whom health services are not available, and to utilize health personnel in industry for carrying out comprehensive health care services to the working population; (4) wherever possible, to undertake monitoring of the work environment and workers I health with a view to instituting control measures, and evaluating the effectiveness of such measures; (5) to give special attention to vulnerable groups of the working population such as young, women, elderly and handicapped workers, workers affected by communicable diseases and simultaneously exposed to work hazards, migrant workers, miners and transport workers, especially seafarers;

WHA29.57 page 2 (6) to report annually on occupational diseases and sickness absenteeism within the framework of health statistics in a standardized health reporting system; 2. REQUESTS the Director-General: (1) to implement the programme in his report and to introduce the new elements it contains into the medium-term activities of the Qrganization; (2) to give occupational health a high priority and the new orientation recommended in his report, particularly in areas emphasizing collaboration with countries that are rapidly being industrialized and in the development of applied research in preventive health care to workers; (3) to assist Member States in acquiring systematic information on the health problems of the working population and in promoting and organizing occupational health monitoring; (4) to collaborate with countries in developing the appropriate services, legislations and institutions concerned with workers' health, and in intensifying training in occupational health, reporting on progress of this programme to the Thirty-second World Health Assembly; (5) to maintain close coordination with Ito and all international agencies and regional organizations concerned with occupational health; and (6) to account for this development in occupational health in the programme of the Organization in preparing the programme and budget proposals for 1978-79 and to seek and encourage extrabudgetary contributions for developing this programme; 3. REQUESTS the Regional Committees to discuss in 1977 or 1978 the subject of occupational health, with a view to active implementation of regional programmes of work in occupational health at both the country and intercountry levels based on the needs of each country.

TWelfth plenary meeting, 19 May 1976 A29)VR/12

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WHA29.S8 19 May 1976 SCHISTOSOMIASIS

The Twenty-ninth World Health Assembly, Noting with satisfaction the Director-General's report on schistosomiasis accordance with resolution WHA28.53 2 and the activities undertaken so far; 1

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Noting also with concern the spread of schistosomiasis in areas where water resources schemes are being planned or implemented; Recognizing that considerable resources would be required in terms of finance and manpower for effective large-scale control programmes; Realizing that the control of schistosomiasis requires further basic and applied research to develop new tools and operational ~ethodology compatible with the financial resources of Member States, 1.

RECOMMENDS that Member States the acquisition of scientific tion of appropriate services, control of schistosomiasis in a public health problem;

promote, within the framework of their health programmes, knowledge on all aspects of this disease and the organizaand that they establish the priority to be given to the accordance with the importance this disease presents as

URGES Member States in which schistosomiasis is or could become endemic to take into account the epidemiological aspects of this disease when planning and implementing water ~anagement schemes, and to undertake specific measures to prevent the spread of the disease into new areas and neighbouring countries; REQUESTS the Director-General: (1) to expand the activities of the Organization in the field of schistosomiasis;

(2) to further promote research in diagnosis, control methods of the disease, including its chemotherapy, and on methods for the elimination of snail intermediate hosts; (3) to take all necessary steps to harness international support for prevention of the disease in water management schemes.

TWelfth plenary meeting, 19 May 1976 A29/VR/12 1 Document A29/l8. 2 WHO Official Records, No. 226, 1975, p. 28.

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WHA29.59 19 May 1976 MYCOTIC INFECTIONS

The Twenty-ninth World Health Assembly, Thanking the Director-General for his report on mycotic diseases of resolution WHA28.55;2 ~

submitted in pursuance

Noting with appreciation the contribution of governments in reporting on mycotic diseases in their respective countries; Realizing the important place these diseases have in human pathology, in spite of the scarcity of data regarding their prevalence and incidence; Stressing the fact that the control of some mycotic infections is feasible with the tools now available, 1. RECCMoIENDS that Member States: (1) build up specialized expertise within their health services to enable an adequate assessment to be made of the prevalence and incidence of mycotic diseases and, subsequently, of their public health importance; (2) encourage teaching of health personnel in the field of mycoses at medical schools and other appropriate institutions; 2. REQUESTS the Director-General: (1) to assist Member States in training technical personnel for the application of available diagnostic and treacaent procedures; (2) to promote the establishment of an up-to-date nomenclature of my~otic disorders;

(3) to stimulate research on mycotic infections with particular emphasis on simple diagnostic techniques and chemotherapy.

TWelfth plenary meeting, 19 May 1976 A29/VR/12

1 Document A29/l9. 2

WHO Official Records, No. 226, 1975, p. 29.

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TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.63 20 May 1976

EXPANDED PROGRAMME ON IMMUNIZATION The Twenty-ninth World Health Assembly, Having considered the Director-General's progress report on the expanded programme on immunization, 1 1. NOTES with satisfaction the efforts made to develop the programme in pursuance of resolution WHA27.57 and the first progress accomplished; 2. EMPHASIZES again the high priority to be given to the programme with a view to ensuring its rapid expansion and meeting the needs of the Member States and their national immunization programmes;

3. RECORDS its appreciation of the important role that UNICEF is playing, jointly with WHO, in supporting national Uumunization programmes;

4. THANKS the Governments and the agencies that have already contributed to the programme and urges those that are in a position to do so to contribute funds, or their equivalent in equipment and supplies, to the Voluntary Fund for Health Promotion (Special Account for the Expanded Programme on Immunization), or to make sufficiently long-term contributions on a bilateral baSis; 5. COMMENDS the Director-General's intention of merging the smallpox eradication programme and the expanded programme on immunization during the next two years with a view to using the many years' experience of smallpox control and at the same time taking into account the considerable differences, peculiarities and complexities of immunization against other infections;

6. RECOMMENDS to the Director-General the carrying-out of special research to evaluate the effectiveness of immunization in countries with differing climatic and socioeconomic conditions, to develop qualitatively new, more effective and heat-stable vaccines against the six diseases included in the programme and also other diseases against which vaccines have not yet been developed and to study the validity of currently accepted contra-indications to vaccinations; 7. INVITES the Director-General to work out a strategy for a detailed immunization programme on a sound scientific basis which would be in harmony with the aims of WHO's Sixth and subsequent General Programmes of Work and have the prospect of being implemented by Member States continuously over a long period, particular account being taken of the programmes on primary health care; and 8. REQUESTS the Director-General to keep the World Health Assembly regularly informed of the progress made.

I Document A29/l6.

Thirteenth plenary meeting. 20 May 1976 A29/vR/13

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.66 20 May 1976 RHEUMATIC DISEASES

The Twenty-ninth World Health Assembly, Having considered the Director-General's report on rheumatic diseases;l and

-....

Taking into account the importance of such diseases as a cause of long-term disablement and their serious socioeconomic consequences, 1. IS OF THE OPINION that the prevention and control of rheumatic diseases should constitute an integral part of the national health programme, and that greater efforts are required to provide appropriate services within that programme; 2. NOTES with satisfaction the work of the International League against Rheumatism in having 1977 designated as World Rheumatism Year, which will provide an opportunity for close cooperation between the various organizations concerned with the fight against rheumatic diseases; 3. RECOMMENDS that WHO should continue to assist governments, on their request, in promoting services for the prevention and control of rheumatic diseases, research in this field, and the training of rheumatologists.

Thirteenth plenary meeting, 20 May 1976 A29/VR/13

1 Document A29/20.

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TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.67 20 May 1976

THE NEED FOR LABORATORY ANIMALS FOR THE CONTROL OF BIOLOGICAL PRODUCTS AND THE ESTABLISHMENT OF BREEDING COLONIES (NONHUMAN PRIMATES) The Twenty-ninth World Health Assembly, Recalling resolution WEA28.83; Having considered the report of the Director-General on the need for laboratory animals for the control of biological products and the establishment of breeding colonies;l Recognizing that there is an increasing Shortage of suitable nonhuman primates for biomedical purposes, for both research and the quality control of biological products, and that this could lead to a lowering of the standards of safety of drugs and vaccines, as well as handicapping medical research in several disciplines; Conscious of the urgent need for the Organization to take active steps to assist in the improvement of the supply of nonhuman primates for biomedical purposes; Believing that such important problems can be solved only by international collaboration among all countries concerned, 1.

URGES Member States: (1) to strengthen the development of this resource in countries with wild populations of nonhuman primates, with a view to promoting the rational conservation and utilization of these animals considered as a renewable natural resource;

(2) to give increasing support for the initiation and operation of nonhuman primate production programmes, whether in breeding stations or in special reserves; (3) to exchange breeding stock with other interested countries in order to establish a number of sources of each species of nonhuman primate, thereby assisting the conservation of the animals in the wild.

REQUESTS the Director-General: (1) to encourage and facilitate international collaboration where appropriate in the development and implementation of simian breeding programmes; (2) to facilitate the exchange of both resources and technology between all countries concerned and, with the help of other interested international organizations as appropriate, make expert advice available to countries, at their request, on the conservation, breeding, supply and utilization of nonhuman primates;

1 Document A29/2l.

WHA29.67 page 2 (3) to provide leadership in the preparation of standards, criteria and international gUidelines on the supply and use of nonhuman primates for biomedical purposes; (4) to promote research on the possibilities of replacing nonhuman primates by other animal species.

Thirteenth plenary meeting, 20 May 1976 A29/VR/13

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.68 20 May 1976 I

DISABILITY PREVENTION AND REHABILITATION The Twenty-ninth World Health Assembly, Recalling resolution WHA19.37;l Having considered the report of the Director-General on disability prevention and rehabilitation;2 Having considered the great medical, economic, social and psychological impact caused by disability to millions of people throughout the world; Recognizing that the existing services are costly and the coverage inadequate, and that an extension of the present pattern of services is unlikely to meet the needs of most countries; 1. 2. to:

THANKS the Director-General for his report; RECOMMENDS that the WHO policy on disability prevention and rehabilitation be oriented

(1)

the promotion of effective measures for the prevention of disability;

(2) the encouragement of the application of effective approaches and appropriate technologies to prevent disability while integrating disability prevention and rehabilitation into health programmes at all levels including into primary health care; (3) emphasis on those problems of disability that can be solved most efficiently and effectively and in a manner acceptable to the populations; and (4) the inclusion of the appropriate disability prevention and rehabilitation methods into the training of all relevant health manpower; 3. DRAWS THE ATTENTION of Member States to the importance of disability prevention and rehabilitation as an integral part of health and social services and to the need for collaboration between all agencies concerned with health promotion, including social welfare services;

1 WHO Handbook of Resolutions and Decisions, Vol. I, 1973, p. 34. 2 Document A29/24.

WHA29.68

page 2 4. REQUESTS the Director-General: (a) to encourage the application of these new policies; and

(b) to seek the cooperation of other organizations of the United Nations system and of nongovernmental organizations in their implementation.

Thirteenth plenary meeting, 20 May 1976 A29/VRj13

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.70 21 May 1976 LEPROSY CONTROL

The Twenty-ninth World Health Assembly, Recalling resolution WHA28.56; Realizing the seriousness of the present situation in regard to leprosy in the world and the danger of its further aggravation;

-. 1. 2.

Recognizing the need for urgent action to control the disease; Noting the Organization's activities in this field,

and

URGES the Director-General to strengthen the programme for the control of leprosy; REQUESTS the Director-General: (1) to assist the countries most affected to develop effective programmes for early detection and closely supervised treatment of infectious cases and health education; (2) to intensify coordination with other international organizations and with bilateral and multilateral agencies with a view to mobilizing the necessary resources in support of leprosy control programmes in the countries in urgent need of assistance in this respect; (3) to encourage individual countries to conduct operational studies and other research activities on various aspects of leprosy, and particularly on means of immunization against the disease; (4) to assist countries in cooperation with UNICEF and other organizations in the production and procurement of anti-leprosy drugs and in the rehabilitation of leprosy patients; (5) (6) to stress the importance of psychosocial factors in leprosy; and

to report to the Thirtieth World Health Assembly on the progress made.

Fourteenth plenary meeting, 21 May 1976 A29/VR/14

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.72 21 May 1976

HEALTH

~NPOWER

DEVELOPMENT

The Twenty-ninth World Health Assembly, Having considered the report of the Director-General on health manpower development;l Reaffirming the main principles contained in resolutions WHA24.59, WHA25.42, WHA27.31, Recalling that the assistance in promoting the training of national health personnel is a constitutional function of WHO, Considering that absolute and relative shortage of health manpower and the often inadequate and irrelevant training of such manpower have been important factors impeding health coverage of populations; and Recognizing effort involving a systematic and directly related 1. _..J

that the remedy to these long-standing problems requires a new and vigorous the concept of the unity of medical science and health activities, and integrated approach to health manpower planning, production and management to the assessed needs of populations;

ENDORSES the programme proposals of the Director-General as contained in his report; REQUESTS the Director-General: (1) to assist Member States in the formulation of national health manpower policies that are responsive to health service requirements and consistent with policy in other sectors; (2) to intensify efforts to develop the concept of integrated health services and manpower development so as to promote manpower systems that are responsive to health needs; and to collaborate with Member States in introducing a permanent mechanism for the application of the concept and in adapting it to the requirements of each individual country; (3) to collaborate with Member States in strengthening health manpower planning as an integral part of overall health planning in the context of their socioeconomic conditions;

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(4) to encourage the development of health teams trained to meet the health needs of populations, including health workers for primary health care, and taking into account, where appropriate, the manpower reserve constituted by those practising traditional medicine; (5) to collaborate with Member States in the development and adaptation of effective health manpower management policies; in the establishment of a continuous evaluation

1 Document A29/l5.

WHA29.72 page 2 process to ensure the necessary changes in a dynamic and integrated system of health services and manpower development; and in the development of measures to control undesirable migration of health manpower; (6) to establish a long-term programme of health manpower development on the basis of these proposals in all the regions, taking into account specific needs and possibilities of the countries in each region, and on the basis of this long-term programme build medium-term HMO programmes with concrete aims and target indices for evaluation of the results attained, and these programmes to be discussed at the regional committee meetings in 1977; (7) to study the extent of actions taken by governments in modifying their health manpower training programmes and assist the Member States in restructuring the curricula for all the members of the health team especially for physicians at both undergraduate and postgraduate levels, to make them more relevant to the needs of their societies, 3. REQUESTS the Director-General: (1) to explore ways and means of implementing the recommendations for the Organization's future activities in health manpower development as set forth in his report, (2) to report to a subsequent Health Assembly on the achievement in carrying out this programme. ~

Fourteenth plenary meeting, 21 May 1976 A29/VR/14

TWENTY-NINTH WORLD HEALTH ASSEMBLY

WHA29.73 21 May 19761

DEVELOPMENT OF THE ANTIMALARIA PROGRAMME The Twenty-ninth World Health Assembly, Recalling resolution WHA28.87;1 Having considered the Director-General's report on the development of the antimalaria programme,2 and the report of the Ad Hoc Committee on Ma1aria 3 endorsed by the Executive Board at its fifty-seventh session; "

Welcoming the particular attention given to the antima1aria programme at the fifty4 seventh session of the Executive Board, culminating in the adoption of resolution EB57.R26; Emphasizing the need for WHO to continue to accord priority to the promotion and coordination of antima1aria activities, and to related research and training, at the country, regional and global levels; Noting with satisfaction that several governments have generously contributed to the Voluntary Fund for Health Promotion - Malaria Special Account; 1. 2. ENDORSES resolution EB57.R26; REQUESTS the Director-General; (a) to take the necessary steps to implement the action recommended by the Executive Board in the light of discussions at the World Health Assembly; (b) to intensify coordination with other international organizations and bilateral agencies for the mobilization of the necessary resources in support of antimalaria activities including the production, development and availability of insecticides and antimalarial drugs in countries in need of such assistance; (c) to assist countries in conducting operational studies and developing research facilities on various aspects of malaria, particularly concerning tmmunizing agents, new chemotherapeutic substances, and biological methods of control;

1 WHO Official Records, No. 226, 1975, pp. 52-53. 2 Document A29/25. 3 WHO Official Records, No. 231, Part I, Annex 7. 4 WHO Official Records, No. 231, Part I, pp. 18-19.

WHA29.73 page 2 (d) to promote the application of bioenvironmental methods of malaria control wherever feasible; 3. REQUESTS the Executive Board to keep the development of the antimalaria programme under continuous review and to report, as appropriate, to the World Health Assembly.

Fourteenth plenary meeting, 21 May 1976 A29/VR/l4

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Session

EB57. R26 27 January 1976

DEVELOPMENT OF THE ANTlMALARIA PROGRAMME The Executive Board, Recalling resolution WHA28.87 whereby the Executive Board was requested to continue to give close attention to the development of the antimalaria programme on a global basis; Having examined the report of the Ad Hoc Committee on Malarial and the recommendations contained therein; Noting the special attention devoted to malaria by the regional committees at their latest sessions, the resolutions they adopted on the subject, and also the contents of Annex 2 of the Ad Hoc Committee's report; Conscious of the seriousness of the present world malaria situation and of the danger of further extension and entrenchment of the disease; Emphasizing the urgent need for prompt and vigorous action to inject a new international cooperative spirit, and introduce more flexible approaches into the global antimalaria programme; Realizing that the pursuance of the global antimalaria effort until its definitive culmination in the eradication of the disease depends on:

(a) WHO's promotional and coordinating activities at both national and international levels; (b) the governments' determination to pursue the antimalaria efforts on a more realistic basis, and provide the national priority required on a continuing basis; (c) the national health authorities' role in the delivery of the antimalaria service within the total health services, with the full cooperation of other relevant departments dealing with socioeconomic development and environmental improvement, and with the active participation of the community, 1. URGES governments of countries where malaria constitutes a major public health problem to establish a National Malaria Committee to ensure realistic planning, interdisciplinary cooperation, and adequate financing of antimalaria programmes; 2. REQUESTS the Director-General, taking into account the recommendations of the Ad Hoc Committee and the discussion in the Board; (1) to assist countries to develop more realistic and flexible approaches in antimalaria programmes adapted to the different epidemiological and socioeconomic conditions;

Document EB57/l9.

• EBS7.R26 page 2 (2) to intensify coordination with other international organizations and bilateral agencies for the mobilization of the necessary resources in support of antimalaria activities in countries in need of such assistance; (3) to emphasize and assist in the extension of training in malariology at both national and international training institutions and in developing various training courses in this field suitable for all public health workers serving in malarious countries; (4) to assert the Organization's leading role in developing overall plans for the development, production, and distribution of antimalarials and insecticides; and (5) to report to the Twenty-ninth World Health Assembly on the promotional and coordinating efforts of WHO in the global antimalaria programme and in related research activities; 3. THANKS the Ad Hoc Committee for its work and for its report; and

4. ENDORSES the report and decides to include it in the report of the Executive Board to the TWenty-ninth World Health Assembly.

Twenty-first meeting, 27 January 1976 EB57/SR/2l

r~NTY-NINTH

WORLD HEALTH ASSEMBLY

WHA29.74 21 May 1976

PROMOTION OF NATIONAL HEALTIl SERVICES AND HEALTIl TECHNOLOGY RELATING TO PRIMARY HEALTIl CARE AND RURAL DEVELOPMENT

The Twenty-ninth World Health Assembly, Having considered the reports of the Director-General on the Promotion of National I 2' Health Services and Health Technology relating to Primary Health Care and Rural Development, , and resolution EBS7.R27 3 of the Executive Board; Reaffirming its previous resolutions and decisions (in ~articular WHA23.61,4 WHA2S.17,S WHA26.35,6 WHA26.43,7 WHA27.448 and WHA28.88 9 ) concerning the need to further the health of all people within national contexts, using every appropriate method in an acceptable manner, and encouraging the provision and expansion of effective, comprehensive health care to meet the right of access to such care for all people; Considering that WHO's priority should be to assist countries to implement steps which will improve the health of underserved populations; Emphasizing that health development should be considered as an essential part of socioeconomic development and that primary health care linked to community involvement is an approach which can combine health service actions with health-related actions in other sectors; Recognizing that the development of appropriate methodologies and technologies are important support elements in the development: of primary health care and rural development and as such should be considered a priority area; 1. TdANKS the Direct:or-General for his reports;

2. URGES Member States to consider their national health problems in their totality as an integral part of their socioeconomic development plans and to review their health policies and strategies taking into account: ( i) the need to develop methods and procedures relevant to their national situations, utilizing appropriate, effective, acceptable and feasible techniques;

1,2 3

Documents A29/22 and A29/23. WHO Official Records, No. 231, 1976, pp. 19-20. WHO Handbook of Resolutions and Decisions, Vol. I, 1973, pp. 29-30. WHO Handbook of Resolutions and Decisions, Vol. I, 1973, p. 30. WHO Handbook of Resolutions and DeciSions, Vol. II, 1975, p. 69. WHO Handbook of Resolutions and DeciSions, Vol. II, 1975, p. 4. WHO Handbook of Resolutions and Decisions, Vol. II, 1975, p. 5. WHO Official Records, No. 226, 1975, pp. 53-54.

6 7 8

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WHA29.74 page 2 (ii) the priority that should be accorded to measures for improving the health of under served populations; (iii) the importance of relating the activities of the health .ervice. to those of other health~related sectors, especially at the level of the primary health care and rural development services; 3. CONSIDERS it necessary: (i) to strengthen WHO's activities in the collection, analysis and dissemination of information between Member States on the health experience, methodologies and technologies available; (ii)

to cooperate with Member States in the adaptation and the utilization of existing technologies in the light of locally prevailing conditions;

(iii) to promote research for the development of appropriate and effective methodologies and technologies; 4. REQUESTS the Director~General:

(i) to continue his efforts directed towards further developing and implementing the programme on the promotion of national health services relating to primary health care and rural development; (ii) to take adequate measures to establish and develop a programme of health technology relating to primary health care and rural development as part of the overall primary health care programme, and to stimulate health manpower training institutions to intensify their efforts for promoting and strengthening their roles in its development; (iii) to take appropriate steps to ensure that WHO takes an active part, jOintly with other international agencies, in supporting national planning of rural development aimed at the relief of poverty and the improvement of the quality of life; (iv) to take further steps to encourage a dialogue on these issues within and between Member States including all relevant aectors and levels of government and the population; (v)

to assist Member States to implement their programmes of primary health care.

Fourteenth plenary meeting, 21 May 1976

A29/vR/14

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Fifty-seventh Session

EBS7.R27 27 January 1976

PROMOTION OF NATIONAL HEALTH SERVICES RELATING TO PRIMARY HEALTH CARE

The Executive Board, Having considered the report of the Director-General on promotion of national health services relating to primary health care;l . Reaffirming the importance of the Organization taking urgent action to improve national health services; Agreeing that primary health care is linked to community involvement and that success will be dependent upon the relationships between health service development and rural and national development; Emphasizing that WHO's programme in primary health care as part of national health services should have a high priority and that comparative studies, national debates, subregional and regional meetings, and international exchanges should all be used to assist in furthering the wider objectives; 2 Responding to the decision of the Health Assembly in resolution WHA28.8S concerning the desirability of holding as soon as possible an international meeting or conference under WHO auspices to exchange experience on the development of primary health care as part of national health services, especially as regards the aspects of planning and evaluation; Considering that an exchange of national experience would assist in the promotion of national health services relating to primary health care; Taking note with appreciation of the invitations already received from the Governments of the Arab Republic of Egypt and of the Union of Soviet Socialist Republics to be host to an international conferenc~ 1. REQUESTS the Director-General to report to the Twenty-ninth World Health Assembly on the manner in which the programme for promotion of national health services relating to primary health care can be expanded and made more effective;

2. DECIDES that the International conference on the development of primary health care as part of national health services, especially as regards the aspects of planning and evaluation, be held in 1978; and

1 Document EBS7/20. 2 WHO Official Records, No. 226, 1975, p. 53.

. EB57.R27 page 2 3. DECIDES to establish an ad hoc committee of the Executive Board consisting of five members which would meet prior to 1 April 1976 in order to decide on the detailed objectives, the . agenda, the place, the date, the participants and the nature of the preparatory steps necessary to fulfil the objectives of the conference.

Twenty-first meeting, 27 January 1976 EB57/SR/21

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Fifty-seventh Session

EBS7.R17 22 January 1976 DEVELOPMENT OF PROGRAMME EVALUATION IN WHO

The Executive Board, WHO·, l Having considered the report of the Director-General on the development of evaluation in

Reaffirming its belief in the need to strengthen and improve the evaluation of the Organization's programme on a continuing basis; Recognizing that, for evaluation to be effective the Organization must develop specific objectives, quantified where possible, particularly at the country and regional levels; Recalling that, in its organizational study on the interrelationships between central technical services of WHO and programmes of direct assistance to Member States,2 the Board laid emphasis on the need to intensify collaboration with Member States for a systematic assessment of the implementation of the Organization's programme and of its ultimate impact on the health situation of the countries, 1. THANKS the Director-General for his report;

2. CONCURS with the Director-General's proposals for developing programme evaluation at all operational levels of the Organization; 3. RECOMMENDS that all Member States introduce the renewed approach to evaluating health programmes; and 4. REQUESTS the Director-General, when implementing his proposals, to take into account the deliberations of the Board at its fifty-seventh session and to inform the Executive Board and the World Health Assembly of experience gained and progress made in the development of programme evaluation.

Fourteenth meeting, 22 January 1976 EBS7/SR/14

1 Document EB57/WP/2. 2 WHO Official Records, No. 223, 1975, Annex 7.

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Fifty-eighth Session

EB58.Rll 25 May 1976

REPORT BY lllE REPRESENTATIVES OF mE EXECUTIVE BOARD AT lllE 'lWENTY-NINlll WORLD REALlll ASSEMBLY Method of work of the Executive Board in relation to programme development

- '"

The Executive Board, Having considered the report by the representatives of the Executive Board to the Twenty-ninth World Health Assembly;l Noting resolution Period, which requests evaluations, to ensure with the Sixth General WHA29.20 on the Sixth General Programme of Work covering a Specific the Executive Board to undertake annual reviews, in-depth studies and that the overall work of the Organization is proceeding in conformity Programme of Work, and to continue the study of long-term trends;

Recalling resolutions WHA28.75, WHA28.76 and WHA29.48 on technical cooperation with developing countries and programme budget policy; Taking into account resolution WHA28.62, which inter alia recognizes the progressive trend towards a more effective role of the Executive Board in policy-making, and assistance to the work of the World Health Assembly; Desiring to enhance the effectiveness of the work of the Executive Board in its continuing collective responsibility under Chapter VI of the Constitution, and to set up mechanisms to enable the Executive Board to make the most effective contribution to the work of WHO; 1. CONGRATULATES the representatives of the Executive Board to the Twenty-ninth World Health Assembly, Professor J. Kostrzewski and Dr L. B. T. Jayasundara, on the able manner in which they fulfilled their responsibilities; 2. DECIDES that the rep'resentatives of the Board at the Health Assembly shall be present to report on the work of the Health Assembly to the first session of the Board after the Health Assembly, in their present or past capacities, and requests the Director-General to make the necessary arrangements to this end; 3. REQUESTS the ad hoc committee established under resolution EB57.R53 2 on methods of work of the Health Assembly and of the Executive Board to pursue its work, taking into account the discussions at the Twenty-ninth World Health Assembly and the fifty-eighth session of the Board, with a view to ensuring better and more responsible involvement of Executive Board members during their terms of office in the work of WHO at all levels,and, inter alia, to

1 Document EB5S/2. 2

The Board decided to increase the membership of this Committee to seven members.

, EB58.Rll page 2 consider the frequency and duration of sessions of the Executive Board, documentation, the establishment of committees and working groups, the responsibility of the President of the Health Assembly and the responsibility of Executive Board members between sessions; 4. REQUESTS the Director-General to provide the ad hoc committee with an analysis of the implications of the proposals made in operative paragraph 3 above and the discussions during the Twenty-ninth World Health Assembly and the fifty-eighth session of the Board; 5. DECIDES further to establish a programme committee composed of the Chairman and 8 (eight) additional members which shall: (a) advise the Director-General on the policy and strategy involved in order to respond effectively to resolutions WHA28.75, WHA28.76 and WHA29.48 on technical cooperation with developing countries and on programme budget policy; (b) review the general programmes of work for a specific period in pursuance of resolution WHA29.20 and in particular as it relates to the biennial programme budget proposals of the Director-General. In pursuance of these responsibilities the programme committee shall be enabled to recommend to the Executive Board the convening of special groups of members of the Board, corresponding to the major areas of concern of the General Programmes of Work and, through the Director-General, to calIon such additional expertise as may be required from inside or outside the Organization. The special groups shall be constituted in such a way as to ensure flexibility, sufficient continuity and regional distribution of membership. The first meeting of the programme committee shall take place before the fifty-ninth session of the Executive Board.

Fourth meeting, 25 May 1976 EB58/SR/4

* *

Key facts

Organisation World Health Organization (WHO)

Document type Technical Documents

Adoption date December 31, 1976

Source World Health Organization