World Health Organization (WHO) · Technical Documents

Proposed programme and budget estimates for the financial year 1 January - 31 December 1961 (regular funds - including malaria eradication: operations planned to be financed from the Special Account)

December 31, 1959 World Health Organization

Full text

W/P RC 10/4 Part 1

WORLD HEALTH ORGANIZATION WESTERN PACIFIC REGION

PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR THE FINANCIAL YEAR 1 JANUARY -31 DECEMBER 1961

REGULAR FUNDS INCLUDING MALARIA ERADICATION: OPERATIONS PLANNED TO BE FINANCED FROM THE SPECIAL ACCOUNT MANILA, JULY 1959

,, .

Page Introduction Summary Re~onal

Page laos Macao Malaya Netherlands New Guinea New Zealand Niue North Borneo Papua and New Guinea Philippines Singapore Tonga Trust Territory of the Pacific Islands Vietnam Western Samoa Inter-Country Programmes r . ••

1 Office

24 24 25 27 29 .30 .31 .31 .3.3 .37 'YI .38

Regional Advisers Area Representatives Australia British Solomon Islands Protectorate Cambodia China Cook Islands Fiji French Polynesia Hongkong Japan Korea

2 6 8 9 9 10 12

15 15 17 18 18 21

.38 40 41

INTRODUCTION The Regional Director has the honour to submit to the Regional Committee the Proposed Programme and Budget Estimates for the Western Pacific Region for 1961 which will be financed from ~IO regular funds and/or Other Extra-Budgetary Funds and the Malaria Eradication Special Account (MESA). This budget is based on the tentative allocation of the Director-General and is slightly larger than that for 1960. The proposed projects in the budget are in accordance with the requests from the Member States of this region. A number of projects requested could not, however, be accommodated within the funds available and have therefore been included in the supplementary list for implementation should savings arise in the future. A separate document covering this supplementary list is being prepared for the consideration of the Regional Committee. The column heading n Other Extra-Budgetary Fundstl represents amounts expected to become available from other international and/or bilateral sources. Amounts already allocated by the UNICEF Executive Board have been marked with an asterisk. However, it is difficult at present to indicate accurately the amount available from these sources due to the difference in budget cycles. A separate document is being prepared on the United Nations Expanded Programme of Technical Assistance as the country requests of Member States of the Region to the , ... Technical Assistance Board for 1960 were not known at the time of preparation of this document. The Proposed Programme and Budget Estimates for 1961 will, after consideration by the Regional Committee, be transmitted to the Director-General for subsequent submission to the Executive Board and the Health Assembly of the WHO.

...

WESTERN PACIFIC Regular Number of posts Budget 0 '"l CP

Page 1 Other Extra-Budgetary Funds !10

Estimated expenditure

p..

Estimated expenditure

1959 US$

1960 US$

1961 US$ ~,168

1959

1960 US$

19~1

S U M 11 A R Y REGIONA.L OFFICE FIElD ACTIVITIES Malaria Tuberculosis Venereal diseases and treponematoses Endemo-epidemic diseases Virus diseases Leprosy Public health administration Dental health Vital and health statistics Nursing Social and occupational health Health education of the public Maternal and child health Mental health Nutrition Environmental sanitation Education and training Other projects Less - Delays in implementation of new projects Total - FIELD ACTIVITIES Total - WESTERN PACIFIC

US$

58 57 57 3 3 7

410,4'70 25,704 66,140 96,239 6, l(:o 200,699 36,176 17,241 108,774 12,764 37,641 68,423 38,589 19,113 107,687 70,716 1,000 913,066

429,655

3 1 6* 1

7* 1

3 4 1

14 17 17 1

9 2 4 1

2 9 6 2 6 5

3 9 7 1 2 7 5

1 5 4

--58 67 54 ~ H-~ ~~

28,648 33,699 56,511 74,384 84,lD8 93,790 22,680 70,548 1,950 19,649 13,798 11,334 263,907 343,590 11,000 6o,616 44,132 101,894 122,050 16,200 4,500 5,500 65,330 114,397 26,000 41,46o 32,764 25,213 117,786 110,802 116,042 73,242 1,000 lzOOO 1,045,194 1,164,330 18,749 19,498

32,000 27,000 37,000 10,000 7,500

32,000 51,000 55,000 10,000 14,000

32,000 51,000 80,000 10,000 14,000

194,000

226,000

158,000

i3;·ooo

913,066 1,026,445 1,144,832 ~~~~~~~~§ 1~~~§~~2 1~~§~~~~

307,500 307 500 ===~===

411,000 411 000 ===~===

345,000 ~~~~ggg

onsible for activities connected *The adviser on communicable diseases is res p with TB, vm and Leprosy but this post has peen included under VDT.

REGIONAL OFFICE

There is no major change in the staffing pattern of the Regional Office apart from the addition of an interpreter/ translator in 1959 as a result of the considerable increase in the workload of this nnit. In spite of the fact that the office no-vr occupies the nm-r building, 1'1Thich is considerably larger than the former one, the nmr1ber of custodial and maintenance staff remains the same. The amonnt allocated to duty travel for the Regional Director and senior professional staff is the same as in 1960. Common Services.,.· J The provision for recurring charges are based on actual and estimated needs for 1959 and.on averages of previous years. Other new charges in connection 'tvith the operation and maintenance of the new ~11110 building are based on actual eJ-.'Penditure for the first five months of occupancy and estimated needs for the remainder of the year. The estimates for 1960 and 1961 are based on 1959 requirements }Uth provision for an additional amount of $5,250.00 each year principally to care for repairs, renewals of equipment, maintenance of the building and grounds.

'el )

•

WESTERN PACIFIC

Pa.e:e 2 Regular Number of posts Budget 1-j

Other Extra-Budgetary Funds 0 !» CD

Estimated expenditure

0..

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

OFFICE OF THE RIDIONAL DIRECTOR 1

1 1 1

1 1 1 1

15,000 5,400 3,650 3,660

15,000 5,600 3,850 3,700

Regional director Reports and liaison officer Administrative assistant Secretary EPIDENIOIDG ICAL lNTELLIGENCE STATION, SINGAPORE

UG P2 "

Pl WI

1* 1

1 3 3

1 1 3 3

1 1

3 3

3,921 3,921 ?,366 4,989

4,040 4,040 7,485 5,168

Medical officer Administrative assistant Technical assistant Clerks Clerk typists PUBLIC INFORMATION

~no ~10

P5 ·

S5 S4

1 1 1

6,267 3,200 2,7&J

6,467 3,320 2,760

Information officer Information assistant Secretary HEALTH SERVICES

P3 · J!f/

' .....

I l 1 1 1 1 1 1

1 1 1 1 1 1

10,000 7,713 3,360 2,918 2,445 1,735

11,200 7,958 3,480 3,000 2,535 1,795

Medical director Public health administrator Secretary Secretary Clerk Clerk typist

Dl · P4 M6 M5 M5 M4

* Transferred to \iHO Area Representatives effective 1 July 1959.

WESTERN PACIFIC Page 3 Regular Number of posts Budget Estimated expenditure

1961 US$

Other Extra-Budgetary Funds Q p.. CD 1-:! !.>:>

Estimated expenditure

1959 US$

1960 US$

1959 US$

1960 US$

1961 US$

Fellowships 1 1 1 1 1 1 1 1 1 3,900 2,640 1,620 3,900 2,730 1,680 Technical assistant Secretary Clerk typist ADMINISTRATION AND FINANCE 1 1

WI M6 M4

1 1

9,700 2,453

10,000 2,543

Administration and finance officer Secretary Budget and Finance

P5 M6

1 1

1 1 1 1 1

3 1 I

1 1 1 1 1 1 1 3 1

1 1 1

1 1 1 1 3 1

7,263 6,400 3,600 4,020 4,4&:J 3,180 2,190 6,170 2,280

7,588 6,400 3,800 4,020 4,4f:IJ 3,300 2,280 6,290 2,280

Budget and finance officer Finance officer Accountant Assistant accountant Cashier Accounts clerk Budget clerk Accounts clerks Clerk stenographer Persormel

P3 · P2 · P1 WI M6 M6

'.,

M5 M4 M4

1 1 1

6,050 3,030 2,535

6,250 3;150 2,550

Personnel officer Personnel assistant Clerk stenographer

P3 · WI M4

WESTERN PACIFIC Page

Regular Number of posts

Budget 0 ...., I>' (I)

Other Extra-Budgetary Funds 0..

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

General Services 1 1 1

-·- P3 P2 · P2 · Pl· M7 M6

1 1 1

1 1

1 l l

1 1

l 1 1

1 1 l l 1

1 1 1

4 1

4 1 l

4 1 1 1

1 1

--58 57 57

6,925 6,200 4,850 4,317 3,750 3, 705 3,000 2,760 2,460 2,460 8,260 2,078 1,800 1,321 2,000 16,496 222~337

7;150 6,400

5,050 4,517 3,870 3,768 3,000 2,760 2,460 2,460 8,500 2,168 1,800 1,371 2,000 16,713 238.!686

Translator Administrative services officer Translator Translator Administrative services assistant Assistant translator Library clerk Registry assistant Registry clerk Mail clerk Clerk typists Travel clerk Mail clerk Supply clerk Temporary staff Custodial staff Total established posts Travel Duty Statutory Staff Costs Allowances Recruitment and repatriation Home leave

M5 M4 M4 M4 M4 M4 M3 M3

' ... I

232~978

12,430 92 , 243 12, 876 9,845

13,000 JD7, 162 900 12,610

13,000 105,603 19,874

WESTERN PACIFIC Page

Regular Number of posts

Budget 0 ..... 0.. (1)

Other Extra-Budgetary Funds liO

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

2,000 2,700 1,200 ll,613 27,930 6,875 3,475 4,946 58 57 57 === === ===

2,000 2,700 1,200 14,371 28,1.44 6,600 3,4JD 4,580 ~2!:§~~

2,000 2, 700 1,200 14,371 28;144 6,600 3,410 4,580

Other Costs Public information (supplies and materials) Epidemiological telegraphic expenses Hospitality expenses Common Services Space and equipment services Other servf.ces Supplies and materials Fixed charges and claims Acquisition of capital assets Total - RIDIONAL OFFICE

~~!:{t2~

~~!:~~~

=======

========

=======

' . ,.

RBG IONAL ADVISEPuS Provision is made under the regular budget to continue the posts · of eleven regional advisers (with a stenographic pool of nine). Duty travel There is a slight increase (~pl_,OOO) in the provision for duty travel of advisers compared c-ri. th that in the preceding year to enable the nmr advisers to familiarize themse lves < Jith the problems in the ir respective fields in the region. The provision for duty travel Hill permit the regional advisers to v:i_ sit countries in the ror(ion to discuss and advise on the pla.nninro and in1p.Iementation ~f projects in their fields.

WESTERN PACIFIC Regular Number of posts Budget 0 ., £0 CD

Page 6 Other Extra-Budgetary Funds Estimated expenditure

Estimated expenditure

0..

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

RIDIONAL ADVISERS 1 1 1* 1 1 1 2 2 1 1 1 1 1 1** 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 8,833 9,500 7,750 19,875 7,937 9,271 7,394 10,025 8,104 8,062 2; 918 1,920 :14, 318 1:12,256 ll5,90? 9,083 9,500 8,000 20,475 8,187 9,521 7,619 Malaria Tuberculosis Venereal diseases and treponematoses Communicable diseases Parasitic diseases Public health administration Nursing Health education of the public Maternal and child health Nutrition Environmental sanitation Education and training Statistics Stenographic Pool Pool supervisor Secretary Clerk stenographers Total established posts Travel Duty Statutory Staff Costs Allowances Recruitment and repatriation Home leave P5 P4 P4 P4 P4

10,325 8,354 8,312 3;000 2;010 14, 648 ll9 ,034

P4 P4 P4 P4 P5 P4 P4 M5

---

1 1 1 1 1 1 7 7 7 -21 20 20

,.....

M5 M4

28,520 73,849 4,670 7,070

26,000 75,313 1,300 17,900

27,000 77,449 8,595

* Post of tuberculosis adviser isup to 30 June l 959 only •

WESTERN PACIFIC Regular Budget Number of posts Estimated expenditure 0 ., II>

Page Other Extra-Budgetary Funds Estimated expenditure

0... (t)

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

3,447 8,807 1,747 1,189 1,364 21 20 20 === === === ~~:!2t2

5,321 10,747 2;ooo 1,412 1,500 ~~7:!1tQQ

5,321 10,747 2,000 1,412 1,500 ~~~!2~~

Conunon Services Spaces and equipment services Other services Supplies and materials Fixed charges and claims Acquisition of capital assets Total -RIDIONAL ADVISERS

=======

====-==;:::::

r .....

Alill..l\. HEPRESEHr AT IVES Provision is made to-maintain the number of personnel at the so..:me level as for 1960. Duty Travel The provision for cluty travel for 1961 is LYJ.creased to enable the areo. representatives to maintain liaison ~;ith govcrnJilcnt officio:cls .:Ul.d 1Ji th multilatorctl 3.ll.d bilateral agencies operating in their arGas 2nd to assist in the plarming, j_rrrplGnentation cmd development of h8o.lth pro gramme s.

...

)

Common Services The estimate is based on the actual and estimated needs for 1959 vrith provision in 1960 and 1961 for anticipated additional operating costs Hbj_ch approximately a:.m.ount to $250.00 for each year.

•,

WESTERN PACIFIC Regular Number of posts Budget 0 ...... ~

Page S Other Extra-Budgetary Funds s;o 0..

Estimated expenditure

1959 US$

1960 US$

1961 - US$

1959 US$

1960 US$

1961 US$

WHO AREA. REPRESENTATIVES 4 1 1 1 1 4 1 1 1 1 4 1 1 1 1 35,043 39,66? 2,263 1,?84 1,735 1,056 . 1.! 120 4?,625 40::517 2.330 1,847 1.? 735 L061 ~120

--8 8 8 --

Medical officers Clerk stenographer Clerk stenographer Clerk stenographer Clerk typist Temporary staff Total 'established posts Travel Duty Statutory Staff Costs Allowances Recruitment and repatriation Home leave Common Services Space and equipment services Other services Supplies and materials Acquisition of capital assets Total -AREA. REPRESENTATIVES

P5 SY4 T4 SA? SA5

48,610

8,380 18,045 5,898 3,259 1,510 3,467 503 1,020 8

10,500 20,078 2,790 1,250 4,120 630 ?50 ===~===

J.2, 500

20,237 3,540 1,250 4,120 630 ?50 91 637 ===!===

,. ,

I === === ===

77 125 ===.!:===

87 743

=======

-------

---· --------

AUSTRALIA PUBLIC HEALTH ADIHNISTRATION

Fellmvships

Australia 1

Provision is made for tvm fellowships for Australian public helli.th personnel to take post-graduate study courses abroad and to return to the service in Australia ($11_,000). A travelling fellmfship of three months duration for a senior member of the national health administration to acquaint himself with the latest developments in the field of public health administration in Europe, the United States of l!merica and Canada (02,500) is also included • ., • J

BRITISH SOLOHON ISLANDS PllOT:CCTOPw'\.TE NUP.Sll~G

Nursing Education

British Solomon Islands Protectorate 3

An important part of the development of the Protectorate's central health services is the training of nursing staff. A three~year course for medical assistants (district dressers) v;ras started in 1953 and a school of nursing was opened in 1957. WHO provided a nurse educator in 1959 to assist the programme for two or three years while government st,aff are trained to continue the work. Provision is made for continuation of the project in 1961 (estimated cost, $7,334).

WESTERN PACIFIC ?<>~<;)

Regular Number of posts

Budget 0... ct>

Other Extra-Budgetary Funds

Estimated expenditure

~ 1959 US$

Estimated expenditure

1959 US$

1960 US$

1961 US$

1960 US$

1961 US$

AUSTR.I!LIA PUBLIC HEALTH ADMINISTRATION

13,500 (2,464)

n,ooo (4,928) ll 000 ===!===

13,500

Fellowships

Australia 1

( *"* ) -~~!~~~

Estimated Government Contribution Total - AUSTRALJA ======

--- --- ---

===~===

13 500

=======

· = ======

BRITISH SO!J:)MON ISlANDS PROTECTORATE NURSING Nursing education British Solomon Islands Protectorat e 3 Nurse educator (general) Allowances Travel Supplies and equipment Estimated Government Contribution Total - BRITISH SOLOMON ISLANDS PROTECTORATE =======

r . ,. P2

1 1 1 --

( ** } 1 === === 1 ==

2, 800 851 1, 449 750 5z850

4,917 1,538 bz455

5,ll7 1,567 650

( **" J 6 455 ===!===

C**)

7.!334

5 850 ===:&===

7 334 ===!===

=======

CAIOODIA

VEl\lEREAL DISEASES AND TREPONEI-IATOSES Treponematoses Control

Cambodia 8

The Government started a :.-. treponematoses control proJ ct in 1959 with the technical assistance of ~fBO and other assistance from UNICEF and this project 1·1ill be continued throughout 1961. It is proposed to retain the services of the medical officer (estiJim-Ged cost_, $20,448) to assist the Gwcrnment 1-Ji th the execution of the project and particularly to strengthen the supervision that uill be required for the extension of the 1vork, for the necessary resurveys m1d integration. The UNICEF con-· tribution to th~ -:Qroject 1-ras estimated at ;iii5l,OOO for 1959/60. This project will make an :important contribution to-r-rards the eradication of ya1vs from the Hindo-China 11 peninsula.

PUBLIC HEALTH .ATIHINISTRltTION Adviso~

services

Cambodia 2

A public health adviser is required to assist the Government in its public health administration, in co-ordinating public health programmes, surveying health conditions and planning long-term progrannnes. Such · a post 1vas filled from the end of 1953 until September 1955, As a result of the greatly increased public health activities in the country, the Government nmi" requests that, its 1960 program.rne should be modified to include a public health administrator and provision is made accordingly (estiJi1ated cost, $17,442).

WESTERN PACIFIC Regular Budget Number of posts 59 60 61 1959 US$ 0 ., 1:0 CD

Page 10

Other Extra-Budgetary Funds Estimated expenditure 1959 US$

Estimated expenditure 1960 US$

0..

1961 US$

1960 US$

1961 US$

CAMOODIA VENEREAL DISEA.SES AND TREPONEMATOSES

1 1' 1 ---

3,438 2,554 4,828 4z300 15 2 120 (70,000)

8,354 6,253 2,263 500

8,604 6,291 5,553 20~448

Treponematoses control Venereologist Allowances Travel Supplies ~nd equipment Fellowships

Cambodia 8

P4 26,ooo* 25,00o* 25z000

17 2370 (70,000)

(70,000)

Estimated Government Contribution

26,ooo

PUBLIC HEA.I:I'H ADMINISTRt'\.TION

---

( ** J

7,300 6,155 4,229 200 172884

7,525 6,188 3,729 17z.4L+2

Advisory services Cambodia 2 Public health administrator Allowances Travel Supplies and equipment Estimated Government Contribution

r . ....

( **

( ** J

*Allocated by the UNICEF Executive Board.

CJJOODIA ( cont t d)

NURSING NursD1g Education Cambodia 3 The aim of the project, vrhich began in 1951, is to improve the quality and increase the number of nurses and midwives. ~iHO is providing a team (consisting of a senior nurse educator; three nurse educators in general nursing and one in mid1·rifery). Until local counterparts are qualified for these positions, the team is continu5..ng to guide and develop the progrrunm.e of theoretical and practical instruction for (a) student nUl~ses, (b) student m.id1-uives, (c) rural m.id-vri ves, (d) in-service education in teaching and, S)lpervision for qualified nurses and m.idi;-J·ives; more advanced courses for nurses m1d midwives will u.lso 1Je established. The senior nurse edu.c::ttor is o.lso responsible for advising the Government on the co~ordinatod plillming and strengthening of all aspects of the national nursing and mi~rifery services and education. Provision is made to continuo the team in 1961 (estimated cost, $59_,288)_, and also for hm fellouships of tuelvo months each ($11,000). Assistance has been received from UI~ICEF and the United Sto.tes International Co-operation Administration ( ICA) in equipping the nursing school, demonstrati~~ wards, and health centres. ICA c:md Colombo Plan have also provided fellowships.

(

WESTERN PACIFIC Regular Number of posts Budget 0 ., 0... (1) ~

Page 11 Other Extra-Budgetary Funds Estimated expenditure

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

CAMBJDIA. (cont'd) NURSING

---

1 1 1 3 3 3 1 1 1 _i __2 _i

6,681 6,456 16,300 13,383 4,867 5,101 27,848 24,9/.IJ 20,285 22,477 4,670 7,430 4,500 - 4,000 57~ 155 58~995 (83,500) ~83.z500) =Z~:!~Z~ =~{!.:!~4~

6,906 16,900 5,067 28,873 22,635 7,780 11,000 70.z288 (83,z500) ~Q§:!~7§

Nursing education Senior nurse educator Nurse educator (general) Nurse educator (midwifery) Total established posts Allowances Travel Fellowships

Cambodia 3

P3 P2

Estimated Government Contribution Total - CAMBODIA.

6 7 === === ==z

=======

26 000 ===:!=== ' ....

=~~:!QQ~

CHmA VENEPt.El~L DLSEi~SE:3 AND Tj:~ti:PON.Gl'{,'..TOSES Venereal Diseases Control

China l

This project has 1x:en carried out ':Jy tho Govo:rnment since tho end of 1953 lTl th tho technical assistcmcc of ~J-10 and othel" assist1:1.nco from UHIC,~F' and !Jilaternl agencies; it has been cxpan.dod to cover the Hhole island an.d nou operatos thl·ough 22 hcc:,lth centres, 368 healtil ,stations nnd 36 hospitals, It is iJl"oposed to provide a short-teTiu consult ant for four months in l96i (estimated cost, $5,200) to o.ssist tho Govc rrr<no:nt v.rith tho ovc:>.lu2.tion of the project, the consolidation of the vorlc and \·rith plarm:i_;,;EJ the f1.::.turo o.ctivities of tho pl·ojoct, _;,_ small amm.mt is nlso included for supplies .:md equipment ( $.250). The assistc..nce of mnc;:o;F and bilateral o.goncios continues.

WESTERN PACIFIC Regular Number of posts Budget 0 Estimated expenditure (!)

Page

Other Extra-Budgetary Funds !>0

p,.

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

CHIN£\. TUBERCUlOSIS l 7,896 3,6oo 4,200 7,152 1,042 3~920

---

3~500

Tuberculosis control China 17 Medical officer, tuberculosis control P4 Short-term consultant Fees Travel Allowances Travel Supplies and equipment Fellowships Estimated Government Contribution BCG Campaign Supplies and equipment VENEREAL DISEl\.SES AND TREPONEMATOSES / 10 11 oeo-l~o

25,000 25.!000

201.010 ll.!300 (lll,lll) (200.!000)

9 ooo·~ r. 1-

9,000*

-- -

8,146 3,600 4,200 2,400 2,800

4,000 1,083 250 250 250 8,050 13,479 5,450 {412667) (236,800) (250.!000) *Allocated the UNICEF Execwtive Board.

Venereal diseases control Venereologist Short-term consultant Fees Travel Allowances Travel Supplies and equipment

China 1 P4

~2,000*

Estimated Government Contribution

22 2 000

21.!000* 2l.z000

20.z000 20,000

CHINA (cant' d) PUBLIC HEALTH iillt"'1INISTR.i~TION

Fellowships

China 31

The Government has requested five fellm.fships :in 1961 to strengthen the national·Dnd local health services further. Provision is made for four fellowships in public health administration; one for twelve months cmd tv-m for six months each, for three medical officers, and one for twelve months for a nurse and another for tv-rclve months to train the chief of the regional public health laboratory in Central Taiwan ($23,000) • MENTAL HE.:~LTH

... • J

1-Iental Health Programme

China 20

The assistonce provided in 1961 is a continuation of What was given in previous years • .ilt the request of the Government, provJ.sJ.on is made in 1961 for a short-term consultant to assist in the design and initiation of long-term studies of tho personality development of Chinese children, an international mental health nurse and two fellowships, one for twelve months, in the organization of corn.munity mental health services, and the other for tuentyfour months in psychiatric social work (estimated cost, $28,860). The results of the studies of the personality development of Chinese children 1-rould benefit countries nnd territories in this region 1Ji th similar cultural and social patterns.

WESTERN PACIFIC Page

Regular Number of posts

Budget p... CD

Other Extra-Budgetary Funds ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

CHIN!\. ( cont' d) PUBLIC HEADI'H ADMINISTRATION 3,500 (1,667) 10,500 (2,286) 23,000 ~4, 167)

Fellowships

China 28

Estimated Government Contribution Fellowships China 31

Estimated Government Contribution MENTAL HEli.DI'H

---

6,000 1,800 2,100 3,060 1,400 500

6z220 62220 (6.~944)

~8.! 571)

5~000 5~500

14.!500 28z860 (13z889)

Mental health programme Mental health nurse Short-term consultant Fees Travel Allowances Travel Supplies and equipment Fellowships

China 20 P3

' ....

Estimated Government Contribution

CHmA (cont'd) EDUCJ-.~.T ION

il.ND TR",INllJG Institute of Public Health

China 27

The Organization has assisted the Institute in the past by means of fellowships and the provision of consultants in epidemiolo:::;r, and public health practice. The practical teaching of preventive medicine ond public health at the Institute of Public Health is to be strengthened in September 1959 by the establisru1Kmt of a training C~.nd demonstration centre which is being fin&"lcially supported by the United Stntes International Co-opc;ration i~dministration (IC;;.). The Institute plans to organize a one-year post-graduate training course in public health as soon •afi the centre is in effective operation. The Government is roquGsting a consultant in public health practice for a period of six months in 1961 (estimated cost, ~~7,800) and a twelve-month fellowship in health education ( ·,.6, 500). A small amount is also included for books and periodicals

(-..500).

WESTERN PACIFIC Page Regular Number of posts Budget 0 1-j

Other Extra-Budgetary Funds 0.. CD ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

CHINA (cont'd) NUTRITION

6,220 (2, ?78)

Fellowships

China 30

Estimated Government Contribution EDUCATION AND TRA.INING

.. 4,500 4z500 (12, 028 ) 6,220 (2??, 778)

7,200 8,400 13,000 28!600 (ll,lll) 9,000 (48,603) 72 950 ===:!:===

3,600 4,200 500 6,500 14, 800 (41, 667)

Institute of Public Health Short-term consultants Fees Travel Supplies and equipment Fellowships

China 27

r .••

Estimated Government Contribution Fellowships (health physics) China 28

Estimated Government Contribution 72 no ===!:===

2 ===

===

== =

(:fJ 149 ===:!:===

Total - CHINA.

=~~~~~

===!===

55 000

===~===

54 000

COOK ISLANDS PUBLIC HK~LTH Follovr ships "~DiviTIUST}l;;.TIQN

Cook Islands 2

Prov:Lsion is made for a one-year follo·wship in public health administrdion for an assistant medical officer ( ~j,2, 500).

FIJI TUBERCULOSIS FellovJships ••. J ] 1. .

Fiji t

Plans are m1.aer c.J.scusslon o expand the tuberculosis services of Fiji Hhich at prcsont are based mainly on hospital servicGs and mobile BCG teams, 1rith a limitod am.ount of outpatient supervision. In ordol~ to trai_n. more staff for the purpose, provision is made for t1;-.m fcllm'lfships for assistant medical officers, one in tuberculosis control <mel one in radiolOg'J, for six months each ($4,000),

WESTERN PACIFIC Page

Regular Budget Number of posts Estimated expenditure CD

Other Extra-Budgetary Funds Cl.. ~

0 "1

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

COOK ISlANDS PUBLIC HEALTH ADMINISTRATION 2,500 Fellowships Cook Islands 2

l ** ) ==

Estimated Government Contribution Total - COOK ISlANDS

=== ===

=======

===,!,===

2 500

=======

FIJI TUBERCUlOSIS 4,000 (4, 858) !Fellowships Fiji 4

'.,

Estimated Government Contribution HEALTH EDUCATION OF THE PUBLIC

4,500

!Fellowships

Fiji 4

( **)

Estimated Government Contribution

** Infonnation not received from the Government.

FIJI ( cont' d) EDUCATION liND TRAINING Central Nedical School Fiji 2

The Central Medical School at Suva trains assistant medical and dental officers for Government service in Fiji and the adjacent territories in the South Pacific. ~~o lecturers have been provided for from 1955 to 1960 - one in physiology and bioche:rnistry and the other in biology - to strengthen teaching in the basic sciences and to train local staff to replace the international staff. Fellov-rships have also been provided to train junior Fijian lecturer_s in physiology and biology at the University of Otago, Ne-tlf ZealarrdJ The Government has asked for the extension of this project to the end of 1961, as it is most unlikely that the fellows taking courses in these subjects at the University of Otago will complete their studies before then. It is therefore proposed to retain t-r.m lecturers throughout that year (estimated cost, $25,857).

WESTERN PACIFIC Regular Number of posts Budget !:0 (!)

Page 16

Other Extra-Budgetary Funds 0 ., 0..

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

FIJI (contr d) MATERNAL AND CHilD HEALTH 3,000 (2,277) Fellowships Fiji 4

Estimated Government Contribution

EDUCATION AND TRAINING 1 1 1 1

---

1 2 2 2

14, 270 6,733 5,147 2,000 1,400 29,550 ?56, 607) 29 550 ===!===

7,958 7,038 14,996 6,649 4,880 750 ]2~000

8,208 ~263

15,471 6,721 3,665 25,857 { -lh~ )

Central Medical School Lecturer (biology) Lecturer (physiology) Total established posts Allowances Travel Supplies and equipment Fellowships

Fiji 2 P4 P3 r."

39,275 ? ** )

Estimated Government Contribution Total - FIJI ======= ====:::::;:-;:;.=

2 2 2 --=== ===

::4f§;LZ?:

29 857 ===!===

=======

WESTERN PACIFIC Regular Budget Number of posts Estimated expenditure s;o 0.. (t)

Page 17 Other Extra-Budgetary Funds

G( 1959 US$

Estimated expenditure

1959 US$

1960 US$

1961 US$

'1960 US$

1961 US$

FREliiCH :OOLYNESIA TUBERCUlOSIS Tuberculosis control 3,600 4.z200 7,800 (25,844)

French Polynesia,

Short-term consultant Fees Travel Estimated Government Contribution

NUTRITION Nutrition survey 5,400 6!. 300

French Polynesia 4

,.....

Short-term consultant Fees Travel Estimated Government Contribution

llz?OO (13,367)

=== --- ===

=======

===!:===

19 500

=======

Total - FRENCH :OOLYNESIA

=======

========

J,;;JlAN VIRUS DIS:&:;.SES Control of viral diseases Japan 21

Japan is keenly auarc of the problem of communicable diseases of viral origin and v.rishes to reOl~ganize and strencthen its services and facilities for research~ training, diagnosis, treatment a1'1d prevention in this field. The food enrichment fellowship originally provided for in 1960 has been replaced by a short-tenn consultant in tho control of viral diseas~s. In 1961 provision is made for t"t..ro six-month fello~-Jships, one in the organization and administration of a network of virus diagnostic lab~ories and the other in the diagnosis and trcatmont'of viral diseases ($7,000). PUBLIC HE.;~LTH ;:..DNIIJISTRJ:..T ION J:o,ellowships

Japan 18

The Institute of Public Health, which come s under the Hinistry of Health and '\ ielfare, is responsible for postgraduate training in public health. The Govor11ment •·ri.. shes to send abroad a young and promising health officer for post-graduate professional educction in public health in a non-Japanese setting so that he may stud-y modern public health practices, especially the increasing utilization of social scientists. It is felt th:-.t such a fellowship would have a stimulating effect on the fello1-J .:tnd upon his return, on his co-uorkers. Provi sion is therefore made for a twclve;..month fellow·ship in public health administration ($5~500).

'•

WESTERN PACIFIC Regular Number of posts Budget s;o CD 1-:1

Page 18 Other Extra-Budgetary Funds 0 ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

HONGKONG MA.IARIA.

740

Fellowships

Hongkong 13

DENTA.L HEALTH 5,200 11,000 ( 71-*

Fellowships

( ** ) === === === ==~!21!9

J =======

Hongkong 13 Estimated Government Contribution Total - HOIDKOID

===~===

11 000

=====;;::_=

=======

==~====

JAPAN VIRUS DISEA.SES Control of viral diseases Short-term consultant Fees Travel Fellowships Japan 21

'.;

900 1,050 lz950 (lz200) 7,000 7z000 (2,235)

Estimated Government Contribution PUBLIC HEALTH ADMINISTRATION

3,500 (

5,500

Fellowships

Jap:m 18

840) (1,680) Estimated Government Contribution ** Information not received from the Governmerrh__ _

JAPAN ( cont 1 d)

PUBLIC HEiiLTH ADlUNISTRATION Fellmvships (food control)

Japan 18

Fellm'lfships (medical care)

Japan 18

In Japan, he alth centre food inspectors are rGsponsihle for food control by inspection of food and food handling establishments·. There are 2,000 inspectors for over 1,600,000 establishments. In view of the tremendous v-mrkload and possible deficiencies in their training ~d efficiency, outbreaks of food poisoning often occur. Provision is made for a six-month fellovJship, to observe the system in Europe with a view to improving and strengtheninr; those services in Japan ( ~p2, 600) • •• . J

Provision is made for a six-month fellowship tenable in the United Kingdom for the study of medical education and training, the working conditions and ren1uneration of general medical practitioners, the relationships and co-operation bet-vreen the general medical pro..ctitioners, specialistconsultants and hospitals ($2,600).

Fellowships (cance r control)

Japan 18

In 1960 there is provision for a six-month fellovJShip on registration of cancer patients. Provision is also made in 1961 for another six-month fellm·1ship for study of cancer diagnostic techniques, health education and organization of a net-..wrk of centres for the prevention, early detection and treatment of cancer, using existing hospitals, clinics and other institutions ($3,500). Fellow~1ips

(control of poisonous substance)

Japan 18

In Japan the Hinist:t"J of Hoa.lth oncl vio1f are is responsible for the control of and protection against health hazards caused by poisonous and deleterious substances. Laus and regulations exist. P<J.rallel uith tho recent progress in chemical industries, new compounds are being produced and employed in the ·manufacture of a vJide range of articles, such as clothing, paints, etc. used in daily life 1ri thout adequate examination for toxicological effects. Provision is made for a six-month fellov-mhip in 1961 to study· the effective systems employed in European countries

($2,600).

WESTERN PACIFIC Regular Number of posts Budget 0 ., 0.. C1)

Page

Other Extra-Budgetary Funds 1:0

Estimate-d expenditure

Estimated expenditure

1959 US$

196Q US$

1961 US$

1959

1960 US$

1961 US$

JAPAN (cent' d) PUBLIC HEl\.LTH ADHINISTRA.TION

US$

3,500 (

840) 2,600 ~

Fellowships (medical Japan 18 social work) Estimated Government Contribution Fellowships (food control) Japan 18

840)

Estimated Government Contribution Fellowships (cancer control) Japan 18

3,500 ~

840) 2,600

Estimated Government Contribution Fellowships (control of Japan 18 poisonous substance) Estimated Government Contribution Fellowships (medical care) Japan 18

,, .

840) 2 6oO

(

' 840 )

Estimated Government Contribution

JAPAN (cant 'd)

liATERNAL li.ND CHILD HEALTH 1 :tehabili tation of Handicapped Children

Japan l

In the past eight years the re has been a notc:,ble and prot;ressivc cx:pansion of tho Govern.rn.ent 1 s progrEl:ffiine for the rehabilitation of physically handicapped children in J2pan. During this period, assistance from "\rJHO has included advisory services through visits by consult~1ts D1 1952, 1953 and 1957 and nine fello1·Jships. illHCEF has provided equipment and supplies. The Government noH vrishes to expand the: scope of the progr<mnrre to include services for more severely disabled childnm, some of.. v;dD.om may require long-term institutional care. At the Government 1 s request, provision is made for one six-month fcllo"tJship for study of progr2liunes -w-hich have been developed for the care of severely disabled children in the Unj_ted StatGs of Jrraerica and Canada ( $3,500).

WESTERN PACIFIC Regular Number of posts Budget 0 >; 1:0 CD

Page 20 Other Extra-Budgetary Funds 0..

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959

1960 US$

1961 US$

JAPAN (cont td) PUBLIC HEALTH ADMINISTRATION

US$

4,260

{ ''* )

Fellowships (cardiovascular Japan 18 diseases) Estimated Government Contribution ~\LTH

EDUCATION OF THE PUBLIC Japan 18

.6,220 ~ M.-

Fellowships

Estimated Government Contribution MATERNA.L AND CHILD HEALTH Fellowships Japan 18 Estimated Government Contribution

2,800 ( 840 ) 4,300 ~

' ...

3,500 (

840)

840 )

Rehabilitation of handicapped Japan 1 children Estimated Government Contribution Handicapped children Supplies and equipment

n , ooo*

15,000

JAP1m (cont'd) 1-IENTAL HEALTH National Institute of Mental Health

Japan 4

This is a continuation project Hhich has been receiving assistance for a nun1ber of years. In J.::.pan, problem children, including children 1-rith disturbed parent-child relationships and other emotional disturbances, are not treated at home nor are·they sent to foster homos or homes for delinquent children. Out of the 122 child guidance clinics 110 have obse1~ation homes attached to them .fat the short-term care of problem children. Tho Government fools that there is need for ir11provement of the treatment methods in thJ se observation homes. Provision is made for a six-month fellowship in 1961 to enable a psychiatrist to visit advanced centres in Europe ($2,600).

KOREA ENDEr-10-EPillffiHC DISEASES

Fellowships

Korea 10

Provision is made for one t1'!Telve-month fello-v.rship for study of·the control of endemic and parasitic diseases

( $5,500). •

WESTERN PACIFIC Regular Number of posts Budget Q...

Page 21 Other Extra-Budgetary Funds P5 0

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959

1960 US$

1961 US$

JAPAN ( cont t d) MENTAL HEl1.ill'H National Institute of Mental Health Supplies and equipment Fellowships Japan 4

US$

1,200 4~160

5z360 { 555)

9!000 9,000 (2,520)

2.!600 ~ 2~600

840)

Estimated Government Contribution EDUCATION AND TR.i\.INING

8,320 ~ *"l*"

J 20 750 ===:!:=== 29 900 ===:!:===

Fellowships (habit-forming Japan 18 drugs and laboratory animal strains) Estimated Government Contribution Total - JAPAN KOREA ENDEMO-EPIDEMIC DISEASES

,..... 11 000 ===:!:=== ===~===

--- === ===

====~=::"'

28 460

15 000

========

5,500 ~

Fellowships

Korea 10

960)

Estimated Government Contribution Fellowships (parasitism Korea 10 control) Estimated Government Contribution

4,160 {lOzOOO) -:Hllnt·ormat~on

not received from the Government .

KOREA .(cont'd) LEPROSY

FellowShips

(Lepra~

control)

Korea 10

Leprosy is a difficult problem in Korea both from the medical and administrative points of viev-r. For some years the Government has been developing plans to strengthen the lepsory services, and assistance from·WHO has included a short-term consultant and fellowships. It is proposed to continue this method of approach, and provision is made for two six-month fellowships to enable suitable doctors to study abroad and afte:nmrds to undertake the uork in Korea ($6,000). .,·J PUBLIC HE.i1.LTH .A.DHINISTR.i\.TION

National training and demonstration centre

Korea 15

Provision was made in 1960 for a public health administrator to work w-ith the national training and demonstration centre and the Government has now requested that this post should be continued throughout 1961 (estimated cost, $11,013). In order to strengthen the existing national teaching staff, provision is also made for two fellmvships (each for twelve months), one each in public health administration and materne2l and child health ( $11,000). A small amount is included for supplies and equipment ($500).

WESTERN PACIFIC Regular Number of posts Budget (!)

Page 22

Other Extra-Budgetary Funds llO 0...

Estimated expenditure

0 '-:1

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

KOREA. (conttd) LEPROSY

6,000 ~ 960)

Fellowship (leprosy control)

Korea 10

Estimated Government Contribution PUBLIC HEA. LTH ADMINISTRl1. TION National training and demonstration centre Public health administrator Allowances Travel Supplies and equipment Fellowships Korea 15

1 1 --

7,;300 2,555 1,400 1,000 12,255 (50,000) 5,500 ( 960) 5,500 ( 960)

7,525 2,588 900 500 ll,OOO 22~513

(55 ,000)

Estimated Government Contribution Fellowships (epidemilogy) Korea 10

' ....

Estimated Government Contribution Fellowships (public health Korea 10 laboratory) Estimated Government Contribution

KOP.1:1~

( cont 1 d)

NlJRSING rhduifcr.r training

Korea

.:is part of the Government 1 s prograr:nne to strengthen public health, medical care and mid.xJife:ry services to neet the special neGds of mothers and children in Korea, \THO assistance in miduifer;y is reql~ested. Provision is made for one eighteen-month fellouship to prepare a qualified nurse rniduifc as miduifer-.r teacher ( $6,000) . •• . J

WESTERN PACIFIC Regular Number of posts Budget 0 .,

Page 23 Other Extra-Budgetary Funds 0.. CD ~

Estimated expenditure

60 . 61 .

1959 US$

1960 US$

1961 US$

1959

1960 US$

1961 US$

KOREl\. (cont'd) NURSING

US$

•

6,000 -

Midwifery training Fellowships

Korea 16

(1,440)

Estimated Government Contribution HE\LTH EDUCATION OF THE PUBLIC

6,220 (

Fellowships

Korea 10

960)

Estimated Government Contribution MATERNAL AND CHilD HE\LTH 5,500 ~

Fellowships

Korea 10

' ,. .

960)

Estimated Government Contribution MENTAL HE£\.LTH

6,220 ( 1 1 --- === ===

Fellowships

960) 28 ?55 ===!:==::: 40 013 ===!====

Korea 10 Estimated Government Contribution Total - KOREA.

:= := :=k:=:=

16 600

=======

LAOS HATERNAL AND CHILD HEALTH J.viaternal and Child Health/Nursing Laos 6

The purpose of this project, for vThich assistance has been provided since 1959, is to improve and develop health care serv:i_ces for mothers and children in Laos. In the first phase of the project a medical officer and a senior nurse educator were provided to assist the Government in making a survey of the principal pl~oblems· and needs and in formulating plans for developing the programme. In 1960 two additional nurse educators were provided to assist in strengthening training activit~e~·for various categories of nursing and midwifery persoru1el. At the Government's request, provision is made to retain this team of four international staff throughout 1961 (estimated cost, $38,547). An amount of $1,000 has also been included for supplies and equipment. The Goverrunent vr.ill provide counterpart staff and transport. It is anticipated that ill.JICID, vr.ill participate in the project and provide other supplies and equipment in 1961.

. ..-,

WESTERN PACIFIC Regular Number of posts Budget

Page 24 Other Extra-Budgetary Funds Estimated expenditure

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

IAOS M\.TERNA.L .1ND CHILD HKI\.LTH

1 1

1 1 1 1

?,3?5

7,600 6,267 4,900 4,900 23,667

6,067 2,400 2,400 5,042 ?...,647 5,866 1,000

24 -4 -

18,242 10,311 2,500

14,555 ( .,w )

1,000 32,053 ( -X-1~ )

12,880 2,000 1,000 39,547 ( *i~ )

Maternal and child health/ rmrsing Medical officer, maternal and child health Senior nurse educator NUrse educator (general) Nurse educator (public health/ midwifery) Total established posts Allowances Travel Supplies and equipment

laos 6

P4 P3 P2 P2

Estimated Government Contribution Total - lAOS

==~ ==~ ==~

32 053 ===!===

=~2!?~7

======= MlCAO

=======

ENVmONMENTAL SANITII.TION

3,500

Fellowships

Macao 1

( ** ) === ===

Estimated Government Contribution

===

===~::;;:=-=

3500 ===!===

=======

Total - M\CAO

=======

========

.Lnfnrmati on not

Y'P.~ei vP.rl

f-rom 1·.hP. r.ovAY'nmAn1·. _

H.l.LMl.IA

Halaria Eradication Pilot Project

Ealaya 20 proposed to assign a r,-;_edical officer :in 1961 to assist the Government -vrith the consolidation and expansion of the Hork ( esti:m.2.ted cost, ~12,649). The assistance of UNICEF continues. This project 1-Jill make an jJ:lportant contribution tmrards the eradication of ya1,rs from the 11 Indo-China 11 penjnsula. Vni.US DISEi$8S Virus Dj_seases Control

In 1958 the Goverlliilent requested ~'iliO assistance to carry out a pilot project to demonstrate a method of stopping malaria trans:c:ission in L<::.laya and to give assistance to the training of ant:iJnalarial workers. Discussions have been held 1Ji th the Government, a pilot area chosen for the project and plan of opel'ations prepa::cc::d. WliO 1dll provide from 1 January 1960 a malariologis-t and an entomologist under the Ealario.. Ero.dication Spc::cie.l .Account ( esti.rnated cost, $49, 271), and a sanitary engineer under-~~~ regular budget from l Jru1uary 1960 (estimated cost, $13,683) • Spraying operations 3Ild dl"tlg administro.tion -vJill start on 1 J en uo..ry 1960 and it- is e:;;:-_pected that they >fill continue until the:: middle of 1961. Provision has been mo.de jn the plan of operations for the extension of the pilot project Hi th the consent of both po..rties. 1JHO uill o.lso provide supplies and tra:n.sport for carrying out the project ($33,031). Provision is also mo.de for two senior fellowships in 1959 ($3,000), one senior fello-vmhip and three junior fellowships in 1960 ($6_,000) to be lmdm·taken at the international malo..ria training course at Tala. Upon the successful conclusion of the pilot project, the Government of Nalaya intends· to undertake a country...o:f.C.e malaria ero..dication project.

Halaya 23

The Institute for Eedical B.escarch has carried out considcro..ble 1r ork in resea:t.'ch a.r1.<1 training and has 1x"en active in the virus field for many :JG3.:.CS. The University of lialaya in Singa-pore is also rapidly setting, up bra...nch departments in Kuala Lumpur. Provision is made in 1961 fo~ ru1 expert to assist in strcngthcnillg vnork :in the virus field 1rith speci3l emphasis on poliomyelitis (estirrw.ted cost, $12,649) ..

VEN:SREAL DISEASES Al-ID TP.EPONEE.hTOSES Treponematoses Control

Halaya 3

The treponematos s s control project has been carried out by the Governrn.ent since 1954 but the -vmrk has been confined to the States of Kelo..ntan and Trengzanu. \iHO has provided technical advice and short-term fellouships, UNICEF has provided assistance -vJith equipment and supplies. The Governnent is an.xious to consolidate the vD rk in Kelontan and Treng[;anu and also to expand the activities to·the other States of the Federa-tion -vJh ere yaws is endemic. It is

WESTERN PACIFIC Regular Number of posts Budget 0 "1 (!)

Page 25 Other Extra-Budgetary Funds 0...

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

MA.IAYA 1-il\IARIA

1 1 --

6,000 3,060 1~400

10,460

1,550 773 900 3,223

Malaria eradication pilot project Sanitary engineer Allowances Travel

Malaya 20 P3

VENEREI\L DISE.'\.SES AND TREPON»iA.TOSES

---

7,300 3,355 1,994 l2z649 ~ *"~-

Treponematoses control Medical officer Allowances Travel

Malaya 3 P4

)

Estimated Government Contribution Yaws control Supplies and equipment VIRUS DISEASES

r . ,.

3,000"*

3,000*

15,000

---

7,300 3,355 1.!994 12,649 (39,775) hv the UNTC:F.F Exec11t1ve 'RoaT'n

Virus diseases control Virologist Allowances Travel

Malaya 23 P4

Estimated Government Contribution

* A.lloC"..ated

WESTERN PACIFIC Regular Number of posts Budget 0 .., 0... CD ~

Page 26 Other Extra-Budgetary Funds Estimated expenditure

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

MAIAYA (cent' d) PUBLIC HEALTH ADMINISTRATION 1 --

?,656 2,?36 1,318 11,?10 ( -h'-lt- )

Rural health training centre Medical officer Allowances Travel

Malaya 9

- -- ---

Estimated Government Contribution Rural health centres Supplies and equipment Rural health Public health administrator Allowances Travel Malaya 22

? ,_soeJlE-

14,000

·- -- (

?,300

r . ,.

3,355 1:!400 -:1.2:!055 ..I,Pk )

Estimated Government Contribution

..v.

Alln~~=ti-.An

hv i~he

UNTr.EF Ex:ecut1.ve Board.

IL\LAY.;'. ( cont 'd) EDUC"."TION .il.NTI TIL.INTIJG

Assist::mcc to training institutions (clinical pathology)

hdnya 21

Trainins; in clinic<ll pathology is at present given solely at the Institute l'ol~ Lec',:i.co.l ~{osearch) Kualct L1.:unpur. The trainine:: ho.s mD.inl;y- boon on tho apprentice system, because tho st2.ff is too sm2.ll to allo-,r a proper syste1rw.tic training, Hilich should include lectures a.11d demonstro.tions to the nelii recruits 1:xoforo they cntOl~ the la1)oratorj_es. Provision is m.ctde for D. tutor to vJOrk in the Institute to assist in the .traininc of medico.l· officers in cb_nical pathology ( esti.Jflated cost, $11,813).

WESTERN PACIFIC Page

Regular Number of posts

Budget

. 1961 US$

Other Extra-Budgetary Funds 0 ..., CD

Estimated expenditure

0...

Estimated expenditure

1959 US$

1960 US$

1959 US$

1960 US$

1961 US$

MAlAYA (conttd) EDUCATION AND TRAINING Assistance to training Malaya 21.. institutions (clinical pathology) Tutor in clinical pathology Allowances Travel Supplies and eqaipment Estimated Government Contribution Total - MAlAYA ===~===

1 1 --

?,300 3,355 1,400 1 2 000 13,055 ~ *'k

?,525 3,388 900

11.z813 ~ *'v<"

==~ ==~ ==4

===~===

ll ?10

=~~~~72

=4~!:~~~

10 500

===~===

1? 000

=~2~~22

NETHERlANDS NEW GUINEA. MAlARIA. Malaria control Supplies and equipment LEPROSY

'."' 32,000* 32,000 32.z000

2,000

Fellowships (leprosy Netherlands control) New Guinea ? Estimated Government Contribution

A. UncR.ten bv the lThlTriW.li' ExAr.ut.ivA "Rcm:rrl_

------NETHERLANDS IillrJ GUINEA NURSING Fellowships

Netherlands New Guinea 7

It is proposed to auard a fello-vJship of twelve months 1 duration for study of nursing education in the United states of America to prepare a nurse to take charge of the·basic training prograrmne for nurses in Hollandia ( $5, 500) • NATERNAL .A~ID CHILD HEALTH Advisory Services Netherlands Neu Guinea 6

In 1958, th~·~overnmont of Netherlands Nou Guinea requested the services of a consultant to advise on the general development of the maternal and child heclth programrne 3l1d, in particular, to assist in strengthening paediatric services and training activities. Lt the Government's request this project, nhich HD.S included in the supplomontai"J list, is nmJ transferred to the regular progr2mme and provision is made in the 1961 regular· budget for the consultant (estimated cost, $11,255)~ Supplio s and equipment have been provided by UNICEF. Fellowships (school health) Netherlands New Guinea 7

Tho Government wishes to strengthen the school health programme in Netherlands New Guinea and is ~onsidering the establishment of a division of school health ~dthin tho framework of tho public health service. Provision is made for a twelve-month fellouship for a medical officer to study overseas, specializi..Tlg in the field of school health ($5,500). On return from fello-vnhip study, it is expected t.lut this medical officer vJill be assigned in charge of the school health programme.

WESTERN PACIFIC Page 28 Regular Budget Number of posts 59 60 61 1959 US$

Other Extra-Budgetary Funds !;0

Estimated expenditure 1960 US$

0 '-:1

0... CD

Estimated expenditure 1959 US$

1961 US$

1960 US$

1961 US$

NETHERL'lNDS NEW GUINEA. (conttd.) NURSlliG

6,200 { -}(--* )

3,200 (2, 750)

5,500 ~

Fellowships

** )

Netherlands New Guinea 7 Estimated Government Contribution MA. TERNA.L AND CHIID HEA I:l'H

Advisory services

1 ---

?,300 2,555 1.!400 ll.!255

Netherlands New Guinea 6

Medical officer Allowances Travel Estimated Government Contribution

{ ** ) 5,500

'."' ( ~I* )

l''ellowships (school Netherlands health) New Guinea 7 Estimated Government Contribution Maternal and child welfare Supplies and equipment

3,ooo*

lD,OOO

10,000

NUTRTIIDN 2,600 Fellowships Netherlands New Guinea? Estimated Government Contribution

~92.!250) *Allocated by the UNICEF Executiv e

Board

-- - - - - - - - - - - -

NEi T ZffiPJ.lliiD

PUBLIC HEALTH ADNINISTRLTION Fellowships (Hospital and planning) administr~tion

New Zealand 1

Tho Government wishes to expand its hospital facilities as well as streamline its hospitnl administration and planning. Provision is made for three short-term fellov.rships to enable one senior hospital board secreta~J, one representative of the Department of Hcnl th in its administrative branch, and one member of the Department of Health in its architect~ITal branch to unde~a~o a three four-months study tour in the United States and Europe to got acquainted 1.Jith hospital planning, the relationship of central government fm1ctions to local management m1d their respective administrntive systems. Such a study would also include stock and equipment procurement, hospital costing and the evaluation of hospital work ($8,000).

•

WESTERN PACIFIC Regular Number of posts Budget 1-j

Page 29 Other Extra-Budgetary Funds 0 1!0 0... (1)

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

NETHERlANDS NEW GUINEA (cont'd) ENVIRONMENTAL Sll.NITATION 5,500 (240,000) --1 -- === ===~===

Fellowships (public Nether lands health engineering) New Guinea 7 Estimated Government Contribution 22 255 ====!=== Total - NETHERlANDS NEW GUINEA. 35 000 ===!=== ===~====

8 800

===~===

10 700

42 000

=~~Q~

NEW ZEA. IAND PUBLIC HEALTH ADMINISTIUlTION 8,000 (4,000) Fellowships (hospital New Zealand 1 administration and planning) Estimated Government Contribution NURSING 4,000 ~ -iH!- )

'.,

Fellowships

New Zealand 1

Estimated Government Contribution MENTA. L HEA.TII.'H

550

Fellowships

New Zealand 1

NHJE ENDEHO-EPIDE11IC DISELSES Control of hulll<m. intestinal parasites Niue 3

It is plo.rmed to "Lmclcrta.l{e c. survey of hui·n::cn intestinal paro..sitic ini'e ction as a basis for a campaign airilod at the elimination of tl1is type of ini'cction. The Government has requested the assistc:mco of a short-term consultant, preferably a WPRO staff member, and 2. supply of anti-helminthic drugs. Prov~'-sion is therefore made for cquipmc:mt and supplies ( $7,000) • •• . J

WESTERN PACIFIC Regular Number of posts Budget 0 t-j

Page 30 Other Extra-Budgetary Funds 0.. CD ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

NEW ZFAIAND (cont'd)

ENVIRONMENTAL SANITATION 4,000

5,500 (4, 200)

Fellowships

~**

New Zealand 1 Estimated Government Contribution EDUCATION AND TRA.INIID

2,750 ( *->'l-

} ==~~~QQ ====~===

Fellowships (physioNew Zealand 1 therapy) Estimated Government Contribution 8000

=== --- ---

= ==~===

11 300

Total - NEW ZEAlAND

=======

========

NIUE

' ..... Niue J

ENDEMO-EPillEMIC DISE.'iSES Contra 1 of human intestinal parasites Supplies and equipment

7, 000 ( "" ) '"j~

Estimated Government Contribution Total- NIDE

=== === ===

-------

=======

7 000 ===:!:==::;

=======

=== = =-==

=======

PLPU1'>. AND NEH GUTIJE.L\ HK.,LTH ~DUC;"T ION OD' THE . PUBLIC Fellovrships

Papua and New· Guine a 6

Since the First iill-"~ustralian Health Education Semino.r :iJ.1. c o.rly 1955 the Governlllcmt has b e en arD"dous to strengthen and e~cpo..D.d it s hC;alth education s orvice s. A reque st has been receive d for a tHc:lvc -:month overse as health education f e ll01·Jship for ono of its officers ( $5,500). This fellOI.JShip 1rrill start in m.id-1961 at a school of public health in the Unite d States of ::..mericp.-yith t11.o Government contribut:ill.g the ccndicl.ate 1 s sala17 ~mel. othe r usual exp enses.

WESTERN PACIFIC Regular Number of posts 59

Page 31 Other Extra-Budgetary Funds !» CD

Budget 0 '-:1 0..

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959

1960 US$

1961 US$

NORTH BORNEO MA.TERNA.L AND CHilD HE.'i.LTH Maternal and child welfare Supplies and equipment

US$

9,000* ===~===

6,ooo><==!:===

3,000* ===~===

--- === ---

=======

------· - ---- -

=======

Total - NORTH :OORNEO PAPUA AND NEW GUINEA. WBERCULOSIS

9 DOO

6 000

3 000

3,000 (3,360)

Fellowships

Papua md New Guinea 6 Estimated Government Contribution PUBLIC HEA IIT'H ADMINISTR.t'l TION

3,000 (2,016)

Fellowships (tropical Papua and medicine, administration) NeW" Guinea 6 Estimated Government Contribution HEl.LTH EDUCATION OF THE PUBLIC

'."'

5,500 ( *i~ )

Fellowships

Papua and New Guinea 6 Estimated Government Contribution

-:t-

Allocatee by the UNICEF Ex:ecutive Boa.:rd

PAPUA AND Fellm-JShips

NE\~-

GUINEA ( cont r d)

HATERNAL AND CHILD HEALTH Papua and Ne1-r Guinea

Provision is made for a tv-wlve-month fello-v.rship for stud:-y abroad in· th8 field of infant child and maternal health ($5,500) •

•• - J

WESTERN PACIFIC Regular Number of posts Budget !;»

Page 32 0 ., p...

Other Extra-Budgetary Funds Estimated expenditure

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

PAPUA AND NEvl GUINEA (contrd) M'i. TERNA.L AND CHilD HE.r'i.IJrH

5,500 ~ -lHE-

Fellowships

Papua and New Guinea 6 Estimated Government Contribution

EDUCATION AND TRLHNING 3,000 (2,240) 3,000

Fellowships (medical Papua and education) New Guinea 6 Estimated Government Contribution Fellowships (tropical Papua and medicine, research) New Guhlea 6 Estimated Government Contribution ===~===

'. =======

(3, 360) ===

--- ---

=======

===~===

l2 000

11000

Total - PAPUA AND NEW GUINFA

=======

'-•v

-r'-D---•..!.--

--4•

- - - - . : ... -,3

..f·\o..-.

f'!.,....,.,,..."""""'_""-.,...,+

PHILIPPJNES TUBERCUIDSIS Fellouships Philippines 54

In connection ;vi th the expanding programme of tuberculosis control, provision is made for one fellouship for a suitable physician to study rehabilitation in Europe for six months

($3,000). PUBLIC HEA~H ~IINISTRATION Hospital records •'. J

Philippines 63

The Government is anxious ·to reorganize the present hospital records system through its agen~J, the Bureau of Hedical Services of the Department of Health, w·ith a vim..r to providing hospital morbidity and utilization data which will serve as a basis for the planning of medical and health services. Provision is made in 1961 for a twelve-month fellowship ($4,500) to enab~ a medical records officer to undertake overseas training in the keeping of hospital records.

WESTERN PACIFIC Page 33 Regular Number of posts Budget 0.. (!) ~

Other Extra-Budgetary Funds 0 >-1

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

PHILIPPINES TUBERCUlOSIS 4,160 ~

3,000 -lh't

Fellowships Philippines 54 Estimated Government Contribution BOG demonstration and Philippines 17 training Supplies and equipment VENEREAL DISEASES AND TREPONEMATOSES Yaws control Philippines 15 Supplies and equipment lEPROSY leprosy contro 1 Supplies and equipment Philippines 49 12, ooo*

~?,oooJ

17,000*

17,000

s,ooo*

,. ,. 10,ooo* JO,ooo* 10 J ooo*

PUBLIC HEALTH ADMINISTRATION

4,500 ~ ** J

Hospital records Fellowships

Philip;eines 63

Estimated Government Contribution

* Allocated bv the UNICEF Executive

Board.

-----

PHILIPP~ES

(cont'd) Philippines 64

PUBLIC ffi.i.:AIIT'H AUUNISTRAT ION Advisory Services on Rural Health Programme

Since 1955 th<3 Philippine Governr,wnt has rapidly expanded the health activities of the old sanitary divisions, by·virtue of a law establishing a national rural health programme. There are no-vr 1,300 rural health units each operating with a team, consisting of a medical officer, public heCJlth nurse, sanitary inspector and a licensed nri.d1vife, ·which provides and administers medical and public health services particularly to the rural population. The Government's target has nearly been reached and the consolid~tion of various health activities in the rural health units is already taking place. Provision is made for an international team which, with the national cotUlterparts, will review, assess and submit recommendations to strengthen ftrrther these services and assist them in efficiently carrying out the aims and objectives of the rural health programme. The team 1'1Till consist of one senior public health administrator and one public health nurse supervisor for a period of approximately seven months each (estimated cost, $19 ,600). VITAL AND HEALTH STATISTICS Health Statistics

' Philippines 62

Cognizant of the need of adequate health statistics for effective national health administration, the Government requests assistance in reviewing present health statistical services and in organizing an efficacious and up-to-date system of collecting a:..'l.d recording of data 1-ri. th a view· to strengthening the health statistical machinery of the Department of Health. Provision is made for an expert on health statistics-for a period of tw·o years from 1961 (estimated cost, $14,455).

WESTERN PACIFIC Regular Budget Number of posts 59 60 61 1959 US$ 0 ., liO ct> ~

Page 34 Other Extra-Budgetary Funds Estimated expenditure 1959 US$

Estimated expenditure 1960 US$

1961 US$

1960 US$

1961 US$

PHILIPPINES (conttd) PUBLIC HEA. ll'H ADMINISTRATION Advisory services on rural health programme Short-term consultants Fees Travel Philippines 64

9,800 9z800 19z600 ( -l!*

Estimated Government Contribution VITAL AND HEA.ll'H STATISTICS

---

7,300

5, 755 l.z400

Health statistics Health statistician Allowances Travel

Philippines 62 P4

14.!455 ( -:h':)

' .....

Estimated Government Contribution NURSIID

4,000 (1,200)

Fellowships (public Philippines 54 health and midwifery) Estimated Government Contribution SOCIA.L AND OCCUPATIONA-L HEA.LTH

Fellowships (industrial Philippines 54 health) (3,900) Estimated Government Contribution Information not received from the Gover.nment.

6,720

., PHILIPPHJES ( cont 1 d) Hl~NTAL

HEALTH Advisory Services

Philippines 4

The last phase of the Philippines mental health project is designed to complete the team of mental health Horkers uho 1orill guide and achninistor the national mental health programme. Assistance in 1961 also includes provision for the second year felloHship of the ps-y-chiatrist i·Jho 1-Jill have com:r:~.enced training in 1960. The tvro· follm·rships covered vdll be fo:c t1-1elve months each ($10,000) • •• . J

WESTERN PACIFIC l'3ge 35 Regular Number of po~ts Budget 1:0 CD

Other Extra-Budgetary Funds 0 ,., ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

PHILIPPINES (conttd) MA.TER.N.\1 AND CHILD HEALTH

Services and training Philippines 40 programme Supplies and equipment MENTAL HEA. LTH

150,000~~-

150,000-j..<.

100,000

---

7,713 6,616 2,951 17.z280 ~ ~HI-

11z500 11z500 (4,200)

10,000 10,/.000 ( -IH!- )

Advisory services Philippines 4 Medical officer, mental health Allowances Travel Fellowships Estimated Government Contribution Fellowships NUTRITION Nutrition Supplies and equipment Philippines 54

,. ,.

365

23.zOOo*

* Allocated

bv the UNICEF Executi.ve

Board.

-------

PHILIPPINES (cont'd) ENVIRONI.JENTAL SAl'i!ITAT ION Advisory Services Philippines 43 of Health on this advanced training for scnitary inspectors since 1958 and an additional sanitarian was added in 1960 in order to assist uith the establishment of the advanced training course L~ othor regional training centres throughout the countl:"'J. Provision is made to continue those posts and to add an additional post of sanitary engineer in 1961 (estimated cost, $43,877), uith a small amount for ocpipmont ru1d supplies ($500).

The long-range plan for enviromaental sanitation activities in the Philippines is nm;r being implemented by the Philippine Department of HeB~th and other governmental agencies. A recent reorganization of the Department of Health has decentralized activities of the Department ~JY creating regional organizations. Regional m1d provincial sanitary engineers are being trained for added responsibilities. The Division of Envirom~ental Sanitation of the Department of Health is assisting the CitY. of Nanila in the <le.Bign and operation of a pilot refuse composting plant and it is intended to provide technical assistance to other and smaller communities of the Philippines for installation of this method of refuse disposal. A WHO sanitar-y- engineer has been advising the Department of Health and the Institute of Hygiene of the University of the Philippines. At tho request of the Philippine Govermaont, provision is made to continue this assistance in 1961 (estimated cost, $20,233). A small amount for equipment and supplies is also included ($500). Environmental Sanitation Training fol~

Philippines 51

As ~-part of the implementation of the long-range plan environmental sanitation in the Philippines, the Department of Health has li1stitutod a course for advanced training of sanitary inspectors. It is proposed that this course -vdll eventually be given in each of five or six regional public health training centres. This is an important step in increasing the efficiency of environmental sanitation sel~ces throughout the country. Of the appro::dmately 2,100 sanitary inspectors now in the service, less than 20% have had formal training. A WHO sanitarian has been advising the Department

WESTERN PACIFIC Regular Number of posts Budget 0 , so CD

Page 36 Other Extra-Budgetary Funds 0...

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

PHILIPPINES (cant• d) El~ONMENTAL

SANITATION

---

8,000 7,400 7,163 1,000 8.!000 31.'1563 (11,950)

8,250 7,749 672 1,000 4~500

8;500 7,791 3,942 500 20z733 ( -x-r.- ~

Advisory services Philippines 43 Sanitary engineer P4 Allowances Travel Supplies and equipment Fellowships Estimated Government Contribution Environmental sanitation Philippines 51 training Sanitary engineer P4 Sanitarians P3 Total established posts Allowances Travel Supplies and equipment Estimated Government Contribution Total - PHILIPPINES 189 000 ===~===

22zl7l (

-l~ }

1 -2 -3 -

l 2

12z317 6, ll7 6,725 1,991 1.!500 16.!333 (51, 500 ) ===~=== 12~317

12, 507 7,270 1.!200 33, 294 (51, 500) 66 965 ===!= =.=

7,525 l2z717 20,242 18,355 5,280 500 44z_377 { *-~ J 116 665 ===~===

' .....

3 5 ==~ === ===

80 421

~Q2~QQQ

127 000

===!===

......

~--..0-----.l-~

__ J ..

----~--.3

~---

..t-1.....- , _ , _ _ _ _ _+

.. SINGAPORE

PUBLIC HEALTH ADfliNI.STR.ATION Institute of Health

Singapore 4

This centre co-operates 1;-rith the Department of Social Hedicine of the University of Halaya in Singapore and serves as a training centre for medical students, public health nurses, health inspectors and other ancillary personnel. The Government and the University are providing the cost of the health centre, staff and equipment. Provision is made to continue the post of nurse educator in public health in 1961 (estimated cost, $10,237). "'. J

NURSING Island-wide Domiciliary

1-Iid~dfery-

Singarx>re 14

In ad(_ition to the dorr1iciliary after-care service and the domiciliary mid~rJifery service in the urban area of Singapore an isla~d-wide domiciliary midwife~J service began in 1959 1rith the assistance of a L:JHO nurse educator in midt-.rifery. Provision is made for this assistance to continue through 1961 (estimated cost, $13,180).

WESTERN PACIFIC Regular Budget 0

Page 3? Other Extra-Budgetary Funds (1)

Number of posts

Estimated expenditure

0..

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

SINGaPORE PUBLIC HEfi.LTH ADMINISTRATION

---

5,250 1,?58 1,851 6~400

6,16? 2,110

6,36? 2,139 1,731 10,23? ~ ~PA- J

Institute of Health Public health nurse Allowances Travel Fellowships

Singapore 4 P3

8,2?? 15.!259 (200, 000) (200,000)

Estimated Government Contribution NURSIID Island-wide domiciliary midwifery Senior nurse educator Allowances Travel Singapore 14 P3

-1-1- 1

6,944 4,344 92? ]2, 215 ~ *'~ )

?,169 4,?00 11,869 ~ **)

?,394 4,806 980 13.!180 ~ ** )

' .....

Estimated Government Contribution Total - SINGAPORE

2 2 2 === === ===

=f:z~~z~

=f.~~¥t~

=f.~~~z

=======

===-=-===

=======

roNGA.

PUBLIC 42250 Fellowships ======= --:--.:--...3 J:t---

HEA~

ADMINISTRATION Tonga 3 =======

=== === === u u

==~~~~~ ---·

======= ,.,..'~..._ ,., - · · - - - - - - ·

Total - TONGA.

=======

-------

-r_.z::.. _ _ _ ..a.,,.!

---------

VIETNAH PUBLIC HEALTH ADNINISTHATION Preventive Eedicine Vietnam :1..4.

The Government is developing a se~cvice for preventive medicine and v-Jill require tho assistance of an epidemiologist throughout 1961. This officer -;ras assigned in 1960 to assist in planninc: and programmin~ . and iil developing disease control, pa:cticularly of communicable diseases. He Hill corrcinuG to organize the staffing pattern of the service, to train pc;r:::onnel and assist iri plann.inr:; ·the central laboratol ,'T Hork ( estir:J.atcd cost, ~~11, 813). Provision is also made for •. a;tovelvc-r:lontll fello-vmhip (qp5,500) for a national to study epideniology and. on his rGttF'n to replace the 1-THO expert. 7

WESTERN PACIFIC

Page 38 Other Extra-Budgetary Funds CD

Regular Number of posts

Budget R.

Estimated expenditure

~ ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

TRUST TERRTIORY OF THE PACIFIC ISLL\NDS PUBLIC HEA.LTH ADMINIS'I'Rli.TION

3,500 (3, 500) --·-

Fellowships

Trust Territory o! the Pacific Islands 4 Estimated Government Contribution Total - TRUST TERRITORY OF THE PACIFIC ISL:\NDS VIETNAM PUBLIC HFALTH ADMTIUSTRATION

--- ---

=======

===!===

3 500

-------------

=======

---

7,300 3,355 1,400 l2z055 (17,763)

7,525 3,388 900 5~_500

Preventive medicine Epidemiologist Allowances Travel Fellowships

Vietnam 14 P4

, ., .

17,313

(

Estimated Government Contribution Hospital administration Short-term consultant Fees Travel Supplies and equipment Vietnam 15

3,600 4,200 500 8.!300 (16z255)

Estimated Government Contribution

Tnf'o:rmai~l.on

not 1"eceived fT'Om thP. GnvP.-rnmP.nt.

VIETN.Al1 ( cont 1 d) PUBLIC HEALTH ADNINISTRATION

Pharmaceutical Officer

Vietnam 17

Provision is made for a medical supply officer who 1'1Till assist uL th the organization of storing and distribution of pharmaceutical supplies and equipment and also vdth the establishaent of procedures for purchasing and distributing such supplies and equipment tl1roughout the country (estimated cost, $10,460). VITAL AND HEAL'PHJSTATISTICS

Vital and Health Statistics

Vietnam 11

Provision uas made in 1960 for a health statistician to assist in the development of the Statistics Office of tho Secretary of State for HGalth and for the supplies essential to the project. He will also lecture at the Hedical Faculty, University of Saigon, and at the Health Technicians 1 School (Vietnam 10). The Govermnent requests that Vfl{Q assistance· should be continued in 1961 (estimated cost, $11,813). It is e:h.rpected that the implementation of the project -vJill strengthen the national statistical service and.- improve the vital and health statistics of the country.

WESTERN PACIFIC '

Page 39 Other Extra-Budgetary Funds 1-:j

Regular Number of posts

Budget 0 ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

VIETNAM (cont' d) PUBLIC HEALTH ADMINISTR\TION

---

6;ooo 3,060 12400 l01.4b0 ~ ->.Y.'- )

Pharmaceutical officer Pharmaceutical officer Allowances Travel

Vietnam 17 P3

Estimated Government Contribution VITAL AND HEALTH SL\TISTICS

,.. I

---

7,300 3,355 lj400 1.!000 13,055

7,525 3,388 900 ll.!813

Vital and health statistics Vietnam 11 Statistician Allowances Travel Supplies and equipment Estimated Government Contribution Mli.TERN.'1L AND CHilD HEli.LTH Maternal and child welfare Supplies and equipment Tudu Maternity Hospital Supplies and equipment

'.,

~6,804)

{ ** '

10,000*

45,000*

45,000

llzOOO*

* Allocated

. vP. bv_"the UNICEF Ex:ecut1

Ro~:n·n _

'- -

VIETN.AN (cant' d) ENVn10NNENTAL SANITATION Advise~

Services

Vietnam 9

A 1rJI-IO sanitary engineer has been assisting the Government of Vietnam since November 1956 in strengthening both national and local environmental sanitation services in that countlJT. A newly-crGated Division of Environmental Sru1itation has increased its staff during the period of the project and has collected a considerable amount of baseline data both for the purpose of plannin3 p~ogrrumaes and for evaluation of accomplisrmonts. Existing laws, ~egulations and codes relatins to env~gnmental sanitation have been studied with a vievJ to modernizing and codifying tho legal basis for envirorui1Gntal sm1itation -vrork. A considerable number of sub-professional personnel have been trained and are presently assigned throughout the countr-y- as "agents S3.nitaireli. Two national sanitar-y- onp;inee~s have been trained as a result of assistance from tho United States International Co-operation Administration ~nd arc assigned to the Division of S~1itation. The Government has requested tho extension of WHO assistance throughout 1961,-and provision is made accordingly (estimated cost, $17 ,371). Provision is also made in 1961 for equipment and supplies ($500).

TUBEHCULOSIS Tuberculosis Control

~festern

Sail10a 3

Tho planned progrrumne of case-finding and treatment which began in 1959 will be extended until tho end of 1961. Provision is made to continue the services of the HHO medical officer for twelve months (estimate d cost, $11,208).

WESTERN PACIFIC Page

Regular Number of posts

Budget

Other Extra-Budgetary Funds Estimated expenditure

Estimated expenditure

1959 US$

1960 US$

1961 US$ V~TNt\M

1959 US$

1960 US$

1961 US$

(contt d)

ENVIRONMENTAL SA.NITATION

9,000 6,470 1,523

1,ooo

9,250 6,508 1,412 17,170 (4, 751)

9,500 6,571 1,300 500 17,871 (4,751)

5,000 22,993 (25,160)

Advisory services Sanitary engineer Allowances Travel Supplies and equipment Fellowships

Vietnam 9 P4

Estimated Government Contribution Total - VIETNA.H

==~ ==~ ==~

21 000 ===!===

45 000 ===!===

WESTERN SAMOA. TUBERCUIOS IS

' .....

4,258 1,437 2,005 13~600 21~300

7,469 2,581 3, 600 13,650 {33, 604) 13 650 ===!===

7,694 2,614 900

Tuberculosis control Western Samoa 3 Medical officer, tuberculosis control P4 Allowances Travel Supplies and equipment Estimated Government Contribution Total - WESTERN SAMOA

ll,208

(33,604)

{ **

=== === ===

21 300 ===!===

ll208 ===!:===

=======

WESTERN PACIFIC Page 41 Regular Budget Number of posts Estimated expenditure 0 1-:1 so Cl)

Other Extra-Budgetary Funds 0...

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

INTER-COUNTRY PROGRAMMES MAlARIA. :Malaria eradication training course, Tala :Malariologist Allowances Travel TUBERCUlOSIS Inspection of BCG production laboratories Short-term consultant Fees Travel Refresher course for assistant medical practitioners Short-term consultant Fees Travel Supplies and equipment Conference on vaccine production Supplies and equipment Participants WPRO 30 WPRO 72

1 --

4,258 3,307 1.!400 8, 965

990 2 2 927 3,917

'., Viff>RO 35

1,212 878 2,30 2,320

WPRO 56

100 1.!900 2.!000

-----

------

INTER-COUNTRY PROOIW:ll-IES TUBERCUIDSIS BCG Assessment a!J.d Advisory Team

vJPRO

75 to eradicdo the disease (estimated cost, is also made for some supplies (;pl,OOO).

Eleven countries and territories in the Region have undertaken BCG camp<dgns 1-Jith tho help of 1iHO and lJlJICEF, 1-rith a total of appro~i.mately 20 million tests and 10 million vaccinations. Experience has shom that some kind of assess:nent, to ascertain ho1-1 effective the programn1e· is and vJhat factors require furthc:r attention, is essential. It is also knoun t~1at a hic;h degree of trained skill is necessar-y i f reliable a.sscssment results are to be obtained. It is tnerefore prop0j>Od to form a regional assessment team, not only- to lmdortakc such uork at the request of governments but also to tr2.in local porsom1el in this very specialized -cmrlc. Provision made for one modical officer, one public health nurse and one stntistician, all for tvmlve months (estimated· cost, $28,505) Emd for a small amount of supplies ($2,000).

$46,445).

Provision

Since 1954 the Org~:mization has helped 1-rith the treponematoses control projects in Fiji, Hestorn Sam.oa, the British Solomon Islmds Protectorate, the Gilbert and Ellice Islands and the Condominium of tho Neu Hebrides. Tho proposed torun 1--Jill continuo the uork in these areas and 11rill also 1.mdertake the work in the Cook Islands Mel the Kingdom of Tonga as well as in other ymv-s endemic m·eas of the region.

VENEHEAL DISEAS:CS Jc;m T~Cl.EPOllliHATOSES Inter-country Treponeinatoses Team ol~ganization

I;JPRO 22

Since 1950/51 ·the Organization has assisted Hi th the and operation of treponematoses control projects in the majol' ymm endemic areas of the i-Jestern Pacific l~cgion. Those projects aro at different stvges of consolidation and intcs;ro.tion 8.11d there still remain several areas of low yaws endemicity nhich must be tackled· to achieve the ultimate eradication of yavJs from the i:1egion. It is proposed to provide for an inter-country treponematoses team (one nD dical officer, one laboratory scientist and one nurse/administrative officer) to assist the various Governments uith t.hc evaluation of the 1mrk alroady undertalccn, 1.\!ith the integration of this into tho esta,blished health services and other steps necessary for th~ eradication of the disease and 11ith the survey of the areas of lou endemicity and tho organization of the necessary measures

WESTERN PACIFIC Regular Budget Number of posts Estimated expenditure

Page 1{2 Other Extra-Budgetary Funds

Gt p.. CD !:>:>

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959

1960 US$

1961 US$

INTER-GOUNTRY PROGRAMMES (cont'd) TUBERCULOSIS Tuberculosis seminar Short-term consultants Fees Travel Supplies and equipment Participants BJG assessment and advisory team Medical officer Statistician Public health nurse Total established posts Allowances Travel Supplies and equipment irJPRO 6?

US$

3,600 4,200 500 21~000

29.!300 WPRO ?5 P4 P3 P2

---

--3

1 1 1

?,300 6,000 4.z800 18,100 6,605 3,800 2.z000 30,z505

,..... WPRO 22 P4 P3 P2

VENEREAL DISEA.SES AND TREPONEMATOSES Inter-country treponematoses team Medical officer Scientist NUrse/administrative officer Total established posts Allowances Travel Supplies and equipment

1 1 1 3

19,84? 9,861 13,2?? 4].0 43,z395

8,562 6,31? 5,61? 20,496 10,592 18,015 250 49,z353

8,812 6,531 5,81? 21,160 10,693 14,592 1.2000 4?,z445

20.z000 20.z000

INTER-COUNTRY PJ.OGRAIJ1ES ( cont 'd) ENDEHO-EPIDilliiC DIS:8ASES Poliomyelitis Centres ~IT{O-dcsignated

UPUO 37

Provision is made to permit the directors of the centres in Japan and Singapore to complete the visits in their respective areas in order to assist govermaents in assessing poliomyelitis and other virus· diseases as they exist in the various countries ( $660). A small amount ($1,000) is also provided for supplies and equipment to help defray the needs of conducting the training of fellows and in connection lJith vil'Us studies. The toW estimated cost uill be $1,660. Seminar on Diarrhoeal Diseases UPRD 73

It has been felt by several countries in this Hegion that diseases and disorders in Hhich diarrhoea is the outstanding manifestation are a living haza:;.~d to the life and health of infants and children. It is considered that this problem requires concentrated attention as no single point of attack so far promises to be fully effective. l'he decline in mortality and mm~bidity from diarrhoeal diseases in some cmmtries appears to be attrihL~table to a g:cadual elevation of economic and social conditions and progress in medicine and public health. The gradual extension of community· and home sanitation appears to be also an important fa.ctor. In 1961 it is proposed to hold a seminar uhich will bring together forty (40) participants ~epresentative of senior health administrators, clinical paediatricians, 1naternal and chiJd. health officers and sanitar-y- engineers uho 1till evaluate past experience, present k:noWL edge and forrrmlate plans for the future in order · to initiate a concentrated attack on diarrhoeal diseases. Provision is made for four consultants, one of 1h om will be the seminar director (estimated cost, $9,100), for 40 participants ($26,900) and selected supplies, materials and equipment ($1,000).

WESTERN PACIFIC Page 43 Regular Number of posts Budget 0 0.. Cll

Other Extra-Budgetary Funds ~

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

INTER...COUNTRY PROORAMMES (cant t d) VENEREA.L DISEASES AND TREPONEMATOSES WPRO 78 Inter-regional yaws control co-ordination meeting, Kuala Lumpur Travel of temporary staff Supplies and equipment ENDEMO-EPIDEMIC DISEASES 1,500 500 lz500 3z500 66/J 1,000 lzb60 Seminar on diarrhoeal diseases Short-term consultant Fees Travel Supplies and. equipment Participants WPRO 73 Poliomyelitis centres Travel of temporary staff Supplies and equipment Fellowships WPRO 37

350 150 500

2z000 2z000

4, 200 4,900 1, 000 26,900 37,000

' .....

PUBLIC HEALTH ADMINISTRATION Seminar on veterinary public health Terilporary staff Supplies and equipment Participants WPRO 53

4,697

1,665 12 2 170 18 2 532

:rnTER-COUNTH.Y PROGR.Al1MES ( cont 'd) PUBLIC HEALTH ADNINISTRAT ION Fellowships (Undergraduate Hedical or Dental Studies) Advisory Services WPRO 59

UPRO

To increase the number of assistant medical or dental officers in the health services of the South Pacific Island territories, it is proposed to provide five-year undergTaduate fellowships for study at the Central Medical School, Fiji. Cmdidates will be nominated by the governments concerned from the areas 1i1ere such office:cs· are most needed. This project was first proposed in 1958. The Government of Netherlands Nevi Guinea has requested provision for tuo fellow·ships to enatile t-vm Papuans to receive education in dentistry at the Central Hedi~al School, Fiji ($5,000) and provision is made accordingly. Refresher Course for Assistant Medical Officers on Integrated Rural Health 1·JPHO

Countries in the Region often ask the advice of the Organization on subjects for which no regional adviser is available and on which it may be impracticable to· obtain assistance from rembers of the headquarters staff. For m1ch cases, short-term consultants have been recruited to advise on smallpox campaigns, hospital architecture, clonorchiasis and other fields. Provision is made for eight consultant months to cover requirements of this kind as they may arise ($10,400).

In 1956 twenty-two assistant medical officers (.AliOs) from the Pacific area· attended a refresher course in public health and sanitation. A similar number of .AI-lOs attended a training course in health education in 1957 and ~1 environmental sanitation seminar in 1958. In 1959 a refresher course in tuberculosis control w-as organized. It is proposed to hold in 1961 a five--..reek ref:L~eshcr course on integrated rural he~lth vdth emphasis on yaws and NCH for t1-renty-five .AHOs in the Pacific area. Provision is made for t.m shortterm consultants for t-vm months each and 25 short-term fello-wships of five-week duration each for the participants (estimated cost, $17,900).

WESTERN PACIFIC Regular Number of posts Budget !iO (1)

Page 44 Other Extra-Budgetary Funds 0 '-:! 0.

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

INTER-GOUNTRY PROGRAMMES ( cont' d) PUBLIC HEALTH ADMINISTRATION 5,000 5,000 Fellowships (undergraduate medical or dental studies) WPRO 59

2,400 2,800 12~700

Refresher course for assistant WPRO ?6 medical officers on integrated rural health Short-term consultants Fees Travel Participants Advisory services Short-term consultants Fees Travel DENTAL HEA. LTH Dental health seminar Short-term consultants Fees Travel Supplies and equipment Participants WPRO 63 WPRO 79

17z900

4,800 5z600 l0z400

' .....

2,030 5,406 640 22z900 30z97'b

WESTERN PACIFIC Regular Number of posts Budget 0 ...., p:l

Page 45 Other Extra-Budgetary Funds 0.. CP

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959

1960 US$

1961 US$

INTER-GO'ON'IRY PROORAMMES (cont 1 d) VTIAL AND HEA.TirH STATISTICS Seminar on vital and health statistics Short-term consultants Fees Travel Travel of WHO staff Supplies and equipment Participants WPR.O 66

US$

1, 800 2Jl00 3,529 3,054 19,617 30,100

SOCIAL AND OCCUPATIONAL HEALTH 6,044 Fellowships (industrial health) Seminar on occupational health Short-term consultants Fees Travel Supplies and equipment Participants MA.TERNAL AND CHilD HFALTH Conference on maternity care Short-term consultants Fees Travel Supplies and equipme~t Pa:rticipants WPRO 43

wm.o 50 WPRO 52

'.;

2,400 2,800 500 10,500 16,200

2,150 9,61? 865 17~520 30~,152

DITER-COUNTH.Y PHOORANI'·'IES (cant 1 d)

HATEltNAL .AJID CHILD HEALTH Seminar on School Health

~-JPRO

Host countries and territories in the 11c[!;ion provide some health services for children attending school, although the development of school health prograrn.mes has, in some instances, tended to be frag:m.entar;y and ill-balanced ,.n_th over-emphasis on tho detection of physical defects and lir,J.ited attention to health education and the provision of a health~r school environment. There is evidence that heolth and education authorities arc becoming increasingly avJare of their responsibilities t,o.Jprotect the health of school age children, including the need f.o provide adequate ph.fsical facilities and sanitation in schools. There is also grm:ring r e cognition of the contribution 1.1hich the teacher can make, if adequately · prepared, to improve health in the school and in the corrmmnity. A number of co1mtries and territories have already indicated their interest in the proposal to hold a regional sero.i.nar on school he alth and their -vJish to participate in it. In 1961 it is therefore plan..ned to hoJd this seminar for a period of tuo ~rreeks, providing an opportunity for leading health and. education workers concerned 1 ·Jith children of school age to study probleliiS of mutual interest and to consider practical w·ays and means of dealing 1-.r.i. th them "1-Jhich uould contribute to the ll11provement of health. The broad scope of the seminar would include school health services, school health education, and the school environment. Provision is made for throe consultants for a period of two months each (estimated cost, $7,800), for the attendance of thirty-four participants ( $19,900), and for supplies and equipment ( $750).

WESTERN PACIFIC p age

Regular Number of posts

Budget 0 ..., p:l

Other Extra-Budgetary Funds 0... CD

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

INTER-COUNTRY PROGRAMMES (cont 1 d) MATERNAL AND CHIID HEALTH Seminar on school health Short-term consultants Fees Travel Supplies and equipment Participants MENTAL HEALTH Seminar on family lii' e and mental health Short-term consultants Fees Travel Supplies and equipment ENVIRONMENTAL SANITATION Regional seminar on education and training of sanitation personnel Participants WPRO 58 WPRO 28

3, 600 4,200 750 19,900 28,450

WPRO 60

940 1,507 147

,. ,..

2,594

5z500

INTfu.'1.-COUNTRY PROGRAl'll''-iES ( cont 'd) OTHER p_,_LOJECTS Hedical Literature and Teaching Equipment vvPRO 64

This item, not connected uith arw specific project, is for tho supply of small quantities of essential litoTatuxe, equipr:1emt and supplies to l:cmbor govom11ents for work on demonstration and training projects and for pilot studies. The provision made is $1,000 •

•• . J

WESTERN PACIFIC Regular Number of posts Budget Q >-:1 ~

Page 47

Other Extra-Budgetary FUnds p_. (t)

Estimated expenditure

1959 US$

1960 US$

1961 US$

1959 US$

1960 US$

1961 US$

INTER-cOUNTRY PROORAMMES (cent' d) OTHER PROJECTS 1~000

1!000

1~000

Medical literature and teaching equipment

WPRO 64 20 000

3 4 === === ===

~~Z!:~22

~~{t!:~~~

~Z2!:~§~

Total - INTER-COUNTRY PROGRAMMES

=======

===!===

' .....

Page Summary Regional Office Regic.n.al Advisers Cambodia China Korea Malaya North Borneo Philippines Sarawak Vietnam Inter-Country Programmes 1

4 5 5 6

7 7 8 ' • ;4'

9 9

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT

Page 1

Number of posts _

0 ~ (I)

Estimated expenditure

0...

1959 US$

1960 US$

1961 US$

1962 US$

1963 US$

SUliMARY

_2__.2._..2__2__2

RllDIONAL OFFICE FlEIJ) ACTIVITIES

52,393

60,505

67,522.

63,063

70,006

6 2 4 1 3 5

6 2 4 2 1 3 6

6 2 2

6 2

1 3 6

1 3 2 .3

----21 ~ =:=

Regional advisers Cambodia Ch:ina Korea Malaya North Borneo Philippmes Sarawak Vietnam Inter-Count~ Programmes Total - FIELD ACTIVITIES Total - vfESTERN PACIFIC

78,168 32,930 73,190 40,820 29,031 514,800 41,630 62z835 ;

75,547 30,714 73,600 48,287 37,891 300,000 150,000 38,754 97,123 851,916 ~!~!~~!

77,612 30,129 61,097 24,380 90,000 16,670 150,000 44,038 79z040 572~_966

78,157 32,018 45,598 90,000 17,088 150,000 39,451 24,136 476, 448

80,224

43,718 123~ 942

20 14

..2. ==

873z404 ~~~!Z~Z

30 33 29 23 18

===

640.z_488 ===-:::;==

~~~!~~

193, 948 = =~=-===

'.,

I I

REGIONAL OFFICE

Provision is made to continue the same number of posts in the Regional Office.

Duty Travel Provision is made for duty travel under the Nalaria Eradication Special Account to enable the adEdnistrative staff to assist in the administrative and financial aspects of malaria projects •

•• • J

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT

Page 2 Number of posts p:l 1-J (!)

Estimated expenditure

0..

1959 US$

1960 US$

1961 US$

1962 US$

1963 US$

REGIONAL OFFICE ADHTIUSTRATION AND FTIUNCE

1 1 1

1 l 1

1 1 1

1 1

Administration and finance officer Administrative officer Clerk stenographer Budget and Finance

P4 P3 H5

6,854 3,000 1,408

7;,506 6,100 1,920

7,731 6,300 2,010

7,979 6,513 2,100

8,229 6,738 2,190

1 1 1

1 l

1 1

1 1 1

Accounts clerk Budget clerk Budget clerk Personnel

H7 1'16 Ivr4

2,154 1,988 1,825

2,820 2,370 2,265

2,940 2,460 2,280

3,060 2,550 2,280

3,180 2,640 2,280

Clerk stenographer General Services

1,675

1,972

2,062

2,152

2,242

--- - -

1 1

1 l

1 1

Administrative services officer Clerk Total established posts Travel Duty

?-16

_2_..2__2_...2_..2.

1, 000 1, 383 22,087 4,531

3, 700 2,422 31,075 4,000

3,900 2,512 32,195 4,000

' .4,100 2, 602 33,336 4,000

4, 200 2, 692 34, 391 4,000

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT

Page 3 Number of posts

0 £6

Estimated expenditure

1959 US$

1960 US$

1961 US$

1962 US$

1963 US$

Statutor,y Staff Costs Allowances Recruitment and repatriation Home leave Common Services Space and equipment services Other services Supplies and materials Fixed charges and claims Acquisition of capital assets

11,248 5,970

17,037

17,184 5,750

17,334

17,472 5,750

1,806 4,641 774 621 715 52,393

2,129 4,299 800 565

2,129 4,299 800

2,129 4,299 565 . 600 63,063 ======= 800

2,129 4,299 800

6oo

565 600 67,522 =======

565 600

== === === === ==

9 9

Total - REXHONAL OFFICE

======

60,505 ===:::::==

70,006 ::;=====

'."'

---

----

--------

REGIONAL ADVISERS PersoiUlel Provision is made under the Special Account for the continuation of the services of a malaria adviser, an entomologist, a sanitary engineer, an administrative assistant and two clerk stenographers to assist the senior malaria adviser who (with one clerk stenographer) is paid from regular funds. Duty Travel The provision.. ·.:fpr duty travel under the Special Account is maintained at the same level in 1961 as in 1960 and will enable the professional staff to visit various co~tries in the region to provide assistance and advice in connection with malaria activities.

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT

Page 4 I

Number of posts

1"1 (1)

Estimated expenditure

1959 US$

1960 US$

1961 US$

1962 US$

1963 US$

REGIONAL ADVISERS Malariologist Entomologist 1 Sanitary eng:ineer 1 Administrative assistant 2 - - - - Clerk stenographers Total establiShed posts _§___§___§__§___§_ Travel Duty Statuto!Y Staff Costs Allowances Recruitment and repatriation Home leave Connnon Services Space and equipment services Other services Supplies and materials Fixed charges and claims Acquisition of capital assets 1 1 1 1 1 1 2 1 1 1 1 2 1 1 1 1 2 1 1 1 1 2 P4 P4 P4 Pl 1-15 7,979 7,750 7,104 4,067 3,075 29,975 15,110 8,229 8,000 7,979 4,267 3,900 32,375 15,000 8,479 8,250 8,229 4,467 4,080 8,729 8,500 8,479 4,667 4,260 34,635 15,000 8,979 8,750 8,729 4,867 4,440 35,765 15,000

33,505 15,000

20,710 4,260 2,652

22,035 1,940 1,064 2,150 400 283 300 75,547 =====

22,210 2,700

22,385 1,940 ,~,.064

22,562 2,700 1,064 2,150 400 283 300 =====

1,149 2,601 857 399 455 78,168

1,064 2,150 400 283 300 ====-=;;;;;;;;:;;;:

2,150 400 283 300 78,157 =====

=== === === === ===

Total - REGIONAL ADVISERS

======

77,612

80,224

- - - -- - - CAH:OODIA Assistance to eradication Cambodia 1 The antimalaria operations with WHO assistance started in was inaugurated on a total coverage basis. By 1957 the hyperendemic re~ions of Taiwan had been sprayed five times, spraying being conducted once a year, and the rest of malarious areas three times. New transmission was eliminated except in a few active foci and malaria incidence was brought down from the pre-control estimation of 1.2 million cases per year to less than 1000 in 1957. The surveillance programme was organized in 1956 when the objectives of the campaign were shifted from malaria control to eradication, but the fully-fledged campaign came into being only after July 1958, when the programme was reorganized to provide adequate surveillance, supported by financial assistance from the WHO-HESA fund. For malaria surveillance purposes, Taiwan can be conveniently divided into two regions, active surveillance being pursued in the areas where transmission has most recently occurred (population about 300,000), while passive surveillance is being implemented in the other previously malarious areas (population 2,700,000). By the implementation of this programme, a total of

1950 with a pilot project to demonstrate that transmission could be stopped by the use of residual insecticides. The project has expanded gradually until by the end of 1958 the whole of the population of the malarious areas, numbering about a million, had been protected. In three quarters of this area transmission has been interrupted by once yearly spraying with DDT. In these areas the vector is Anopheles m1n1mus. In other parts of the malarious areas, where there is a secondary vector, A. leucosphyrus balabacensis, a method of interrupting ~r~nsmission has not yet been found, but investigations into the effect of combined attack with insecticides and drugs are continuing. It is intended to transform the present project into a full eradication project during 1959. A national malaria service has been set up and a plan of operations for malaria eradication will be prepared. It is also intended to carry out a test of the efficacy of pyrimethaminized salt as the sole method of interrupting transmission in a mountainous area where residual insecticide had not been completely successful. (See WPRO 68) WHO is providing a malariologist and a sanitary engineer from Technical Assistance funds and an entomologist and a sanitarian from the Malaria Eradication Special Account. These personnel have the responsibility of giving technical advice to the Government, of training local personnel and assisting the Government in the preparation of a plan of operations. Considerable assistance to the project is given by the United States International Co-operation Administration (ICA). During 1959 two fellowships will be awarded under the Halaria Eradication Special Account. CHINA. Assistance to eradication China 7 The attack phase of the malaria eradication programme in Taiwan began in 1953 when a DDT residual house spray campaign

509,464 blood smears was collected and examined in 1958 through both active and passive surveillance measures, from which 630 confirmed cases of malaria were found. It also resulted in the discovery of three residual foci of malaria transmission.· Emergency control measures were instituted immediately after the discovery of the evidence of transmission in any focal area, and, consequently, active foci were brought under control. Investigation into the reasons for continued transmission continues and there is every indication that the problem will be solved in 1959. In addition, miscroscopically confirmed parasite carriers were investigated and given radical treatment with drugs. MESA assistance is necessary to support the surveillance service to consolidate the area cleared of malaria. Eradication should be achieved within the next four years. Provision is made for the payment of part of the salaries of senior professional staff, wages to some surveillance personnel and some equipment and supplies.

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT Number of posts 0

Page 5 1961 US$

Estimated expenditure

1-j

liO

0... CD

1959 US$

1960 US$

1962 US$

1963 US$

CAMBODIA Assistance to eradication 1 1 1 l l l -2 2 2 2 1 l

Cambodia 1 P3 P2 6,100 4,178 10,278 8,402 10,500 750 3zOOO 32z930 36lz396)

-----

Entomologist Sanitarian Total established posts Allowances Travel Supplies and equipment Fellowships Estilnated Government Contribution

6,300 4,917 ll,2l7 9,202 10,295 30z714 (230~_000)

6,5JJ 5,ll7 ll,630 9,264 9,235 30ll29 (230,000) (

6,738 5,317 12,055 9,328 10,635 32,018 -'<-><-

) =:=, = ==

==~

~=~

~~=

2 ===

Total - CA}IBODIA CHINA Assistance to eradication Salaries, wages and travel Supplies and equipment Fellowships Estimated Government Contribution China 7

l~~2~~

30 714 =~~===

30,1.29 --· -==:::=

32,018 ::::;;.:=:====

'., 53,290 18,200 lz700 73zl90 (85zl99) 57,600 16,000 51,097 10,000 6lz097 (76z965) 61,097 45,598 45z598 (71,468) 45,598

73z600 (95z398) 73,600

-- --- --- ---

Total - CHINA

=======

73,190

======

CHINA. (Cont 1 d) One fellowship will be provided in 1959 to enable a senior member of the government staff to study surveillance procedures outside Taiwan. KOREA Pre-eradication survey Korea 13 Malaria is endemic in Korea but no widespread antimalarial activities have yet taken place; a malaria survey is essential before plarming antimalaria measures. Provision is made for a WHO malariologist;Jentomologist, and two laboratory technicians, with necessary supplies and transport. The team will assist the Government to carry out the survey in co-operation with the Office of the Economic Co-ordinator. Provision is also made for three fellowsbips to enable government staff to visit malaria eradication projects within the Region. The Government will provide counterpart staff, local personnel and auxiliary services for carrying out the survey. On the basis of the survey, further aid under the Special Account may be planned.

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT Number of posts 0 ....

Page 6 1961 US$

Estimated expenditure

p... "" CP

1959 US$

1960 US$

1962 US$

1963

US$

KOREA Pre-eradication survey l l Malariologist l l Entomologist 2 2 - - - - - Laboratory technicians _!t__!t_ _ _ _ Total established posts Allowances Travel Supplies and equipment Fellowships Estimated Government Contribution 4 4 === === === --- --Total - KOREA Korea l3 P4 P3 P2 3,042 3,500 5,160 ll,702 4,156 10,962 7,394 6,ll7 9,817 23,328 8,609 8,350 2,000 6~000

u,ooo

3zOOO 40z820

48.!287 )

(17z272 ~~z.82~

(:§.!2~Z

====:::=

=====

======s

' .....

MALAYA

Malaria eradication pilot project

Malaya 20

In 1958 the Government of the Federation of Malaya requested WHO assistance to carry out a pilot project to demonstrate a method of stopping malaria transmission in Malaya and to give assistance to the training of antimalarial workers. Discussions have been held with the Government and a pilot area chosen for the project. A plan of operations for the pilot project has been prepared. vmo will provide from 1 January 1960 a malariologist and an entomologist under the Malaria Eradication Special Account, and a sanitary engineer under the regular budget. Spraying operations and drug administrat~d.b will start on 1 January 1960 and it is expected that they will continue until the middle of 1961. Provision has been made in the plan of operations for the extension of the pilot project with the consent of both parties. WHO will provide supplies and transport for carrying out the project. WHO will also award two senior fellowships in 1959 and one senior fellowship and three junior fellowships in 1960, to be undertaken at the international malaria training course at Tala, Philippines. Upon the successful conclusion of the pilot project, the Government of Halaya intends to undertake a country-wide malaria eradication project. NCRTH BORNEO Assistance to eradication North Borneo 5 The project started in 1956 to demonstrate the practicability of stopping malaria transmission under North Borneo conditions. In the early years considerable difficulties were encountered both administrative and epidemiological. In 1958 a total of 11,365 houses were sprayed protecting 55,474 population of which 23,548 also received treatment with antimalarial drugs. Spraying was carried out twice a year using DDT and dieldrin water dispersible powder. Antimalarial drugs were administered at the time of

spraying. Assessment in the first quarter of 1958 gave evidence of continued transmission in all pilot areas (dieldrin, DDT, dieldrin plus drug and untreated comparison area). Another assessment was made in the last quarter and the infant parasite rate fell to zero in an area in which insecticides had been supplemented by antimalarial drugs. This was considered as sufficiently promising to permit further expansion of the programme.

WHO has provided a malariologist and entomologist from the beginning of the programme and a sanitarian from 1 January 1959. All three posts are paid from Technical Assistance funds. Part of the supplies for the project are provided by UNICEF. It is anticipated that widespread surveillance operations will be carried out in 1961 and 1962. This will be assisted by ~~90,000 in each year from the Malaria Eradication Special Account.

...

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT Page?

Numbe.r of pqsts

•

Estimated expenditure

!=)..

1959 US$

1960 US$

1961 US$

1962 US$

1963 US$

MALAYA

1 1 1 1 ---2 2

-----

Malaria eradication pilot project Halaya 20 Malariologist P4 Entomologist P3 Total established posts Allowances Travel Supplies and equipment Fellowships Estimated Government Contribution

7, 300 6,000 13,300 6,415 5,176 7,000 6:!000 37,891 (64,471 29,031

7,525 6,200 13,725 6,479 4,176 24,380 )

26,031 3,000 29_, 031

===

Total - MALAYA NORTH BORNEO Assistance to eradication North Borneo 5 Salaries, wages and travel Supplies and equipment Estimated Government Contribution

======

37,891 ====

24,380

======

:...=.==

------

'- .... (397,977) ====-==

(

60,000 30,000 99..000 1;335,27Q

60,000 30,000 202000 90,000

) =====

=== === ===

===

Total - NORTH BORNEO

======

~~!:~~

======

PHILIPPINES Assistance to eradication Philippines 53 Assistance to eradication The project was converted to one of eradication in 1955. By the beginning of 1958, countr~dde coverage had been attained and transmission had been interrupted over wide areas. Although WHO had assisted in an earlier pilot project, the main brunt of the earlier stages of the campaign had been borne by the Philippine Government assisted by the United States International Co-operation Administration (ICA). In 1958 when spraying was discontinued over wide areas populated by more than 5 million people, WHO gave assistance from the Malaria Eradication Special Account amounting in 1958 to Z?318,500 and in the first half of 1959 to (~314,800. This assistance was largely directed to the support of a surveillance system to confirm that malaria transmission had been stopped in these areas. In 1959 this assistance has been continued and it is intended to prepare a consolidated plan of operations in which the efforts of the Philippine Government, the United States International Co-operation Administration (ICA) and WHO will be co-ordinated into one concerted attack to eradicate malaria from the whole of the Philippines. The main problems at the moment are the consolidation of the gains already achieved, the interruption of transmission in the areas where it still continues - largely areas of new development - and the introduction of the antimalarial attack into a few areas which hitherto had been inaccessible. During 1959 it is intended to assist the Government to prepare a plan of operations, to provide a WHO staff member to give assistance and technical advice, and to make available, whenever necessary, the services of the Regional Entomologist, Regional Sanitary Engineer and the Regional Administrative Consultant who is to be appointed in the near future.

SARAvJAK

Sarawak 5

This project was started in 1952 to assist the Government in studying the malarial situation and determining an effec~ tive and economical method of controlling the disease. The encouraging results obtained in the preliminary pilot phase of the project enabled the Government to secure a vote of 4 million Straits dollars (US81,320,132) for the antimalaria programme until 1960. The international staff, consisting of two malariologists and an entomologist, and some special laboratory equipment and technical literature, have been provided by vMO under the Technical Assistance programme. The Government has agreed to provide all the insecticides, sprayers, transport, antimalarial drugs and the operational costs of the programme, inCluding local personnel and labour and office and laboratory accommodation. Progress has been satisfactory in 1958. 84~b of the land area of Sarawak was included in residual spraying operations ; 54% of the estimated population of 680,000 were included, the remaining population were either situated in the few large towns where there is no malaria or in areas where the incidence is very low. Pilot surveillance operations had been started. Considerable success was achieved in 1958 in reducing the transmission of malaria throughout the country and in 1959 the programme has been directed towards total coverage as a step for the preparation of a plan for eradication. In order to assist the Government in the final stages of the campaign, it is intended to provide $150,000 in each of the three years 1960, 1961 and 1962. The government contribution is expected to be for 1960} 1961 and 1962, and US~p99,010 for 1963. US~pl32,013

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT

Page 8 1961 US$

Number of posts

p:>

0 '-:1 0... CD

Estimated expenditure

1959 US$

1960 US$

1962 US$

1963 US$

PHILIPPINES Assistance to eradication Philippines 53 Ivialariologist Salaries, wages and travel of local personnel Allowances Travel Supplies and equipment Estimated Government Contribution

1 1 1 1 ----

2,433 483,407 1,920 2,240 24z800 514.!800

7,375 284,090 5,765 2,770 300.!000

7,600

7,833

5,000 3,270 16,670

5,835 3,420 17,088 ( -:Pk

<~~342,792)(1,411,940)(1,411.!940)

)

=== === === === ==

Total - PHILIPPlliES SARAV.JAK Assistance to eradication Salaries, wages and travel Supplies and equipment Sarawak 5

514 800 ===z,===

~22!:2~

16,670

======

17,088

======

-----------

100,000 5o~.ooo

100,000 50,000 150~000

150,000 Estimated Government Contribution (132~013)

io6,ooo 50,000 150,000 (132,013) 150,000 (99z010) =;:=====

(132,013) 150,000 ==--===

---

=== ====

=== --

Total - SARA.WAK

150,000 ==-===

====-=

=======

Information not received from Government

VIETNAM Assistance to eradication Vietnam 16 Malaria in Vietnam is a serious public health problem and is an impediment to settlement and development in many areas of the country. In February 1958 the Government set up an "Administration General11 for the eradication of malaria and later in the year requested WHO assistance for an eradication campaign which would be carried out with supplies and equipment provided Qy the United States International Co-operation Administration (ICA). v~O was asked to provide a short-teTm consultant in 1958 to work out a plan of action and a malariologist and entomologist to provide technical assistance to the eradication project. A report has been produced Qy the consultant and an agreement signed for assistance during the year 1959. During this period it is intended to complete the geographical reconnaissance, train staff, set up a study area and prepare a plan for eradication to start 1 January 1960. Preliminary spraying operations are already in operation, with materials and technical advice provided by the United States International Co-operation Administration (ICA) • A WHO malariologist has been in Vietnam since October 1958 and it is proposed to appoint an entomologist and a technical assistant. The United States International Co-operation Administration (ICA) is also providing technical advisers. HHO will also provide some supplies and transport. INTER-COUNTRY FROG&U1MES Anti-malaria Co-ordination Board WPRO 39 The inter-country malaria conference held in Phnom-Penh, Cambodia; in January 1956, which was attended by representatives of Cambodia, Laos, Thailand and Vietnam, recommended the establishment of an antimalaria co-ordination board

with a view to co-ordinating the antimalaria activities in the countries represented at the conference. At its first meeting in November 1956, the Anti-malaria Co-ordination Board which was composed of representatives of the Governments of Burma, Cambodia, Laos, Thailand and Vietnam, recommended the establishment of the position of secretary of the Board to assist in co-ordinating the antimalaria activities of the countries represented on the Board to review problems and provide technical advice, and to' arrange for the m~etings of the Board. A malariologist was appointed to the post in October 1958 with duty station at Saigon. His main duties are the organization of the co-ordination board meetings, the liaison work between the governments concerned and the preparation of circular letters. It is expected that the services of the secretary of the Board will be needed for at least four years.

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT

Page .f). Number of posts

0 "1 0... Cl)

Estimated expenditure

1959 US$

1960 US$

1961 US$

1962 US$

1963 US$

VIETNAM 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ---3 3 3 3 3 Assistance to eradication Malariologist Entomologist Technical assistant Total established posts Allowances Travel Supplies and equipment Fellowships Estimated Government Contribution Vietnam 16 P4 P3 P2

7,208 4,390 1~200

-----

12,798 7,485 9,301 7,046 5zOOO 412 630 (584;965)

8,875 7,656 4,850 21,381 10,499 6,374 500 38,754 (952,380)

9,125 7,896 5,050 22,071 10,613 11,354 44,038 (952,380) 44,038 ====-:::::::!=

9,375 8,000 5,250 22,625 10,702 6,124 39 , 451

9,500 8,000 5,450 22,950 10,754 10,014 43~718

(952,380) (585,034)

=== === === === ==

Total - VIETNAM INTER-COUNTRY PROGRAHMES

~~!:§22

~~~z~~

~2?:~~~

421.I~~

,..... WPRO 39 P4 S.A4 7,917 660 8,577 4,321 7,665 1,800 22.!363 8,167 685 8,852 4,498 3,000 lzOOO 18.!150 8,417 712 9,129 4,538 9,260 lz800 24.!727 8,667 739 9,406 4,500 8,350 lzOOO 24 2 136

--------I

1 1 2

1 l 2

1 1 2

Anti-malaria Co-ordination Board Malariologist Secretary Total established posts Allowances Travel Supplies and equipment

INTER-COUNTRY PROGRAMMES (cont•d) Medicated salt trial (Pinotti's method) WPRO 68 It is proposed to carry out a field trial, similar to that proposed in Africa, of Pinotti's method of mass treatment of the population by pyrimethaminized or chloroquinized salt, in an area with a population of at least 20,000 and within close reach of an existing programme assisted by WHO. It is the object of this trial to demonstrate whether transmission can be interrupted by medicated salt alone. Provision is made for a sanitarian and a laboratory technician for two years (1959-1961), to supply the drugs, necessary transport and equ~~ment and to subsidize the local project personnel. The tloVernment of Cambodia has undertaken to grant the necessary facilities for the conduct of the project and to provide the salt. Malaria eradication training course, Tala, Rizal, Philippines

field unit at San Pablo, about thirty miles south of Manila. Provision will be made for the international staff for a period of two years.

vJPRO 72

The Regional Committee at its Eighth and Ninth sessions emphasized the importance of providing facilities for the training of malaria eradication personnel in the Western Pacific Region. An international training course has been set up at Tala, Rizal, Philippines as a co-operative effort between the Philippine Government, the United States International Co-operation Administration (ICA) and WHO. The course will provide instruction in malaria eradication techniques and governments of the Region have been asked to indicate to what extent they are prepared to utilize the course. Students from countries outside the Region will be accepted. 1rJHO will provide a senior malariologist as co-ordinator of studies and a sanitarian to assist in training. It is intended to provide training on two levels for professional and auxiliary personnel. Part of the instruction will be carried out at the Malaria Institute at Tala, and part in a demonstration malaria

WESTERN PACIFIC: MALARIA ERADICATION SPECIAL ACCOUNT

Page 10 Number- of posts >;

0 0.. Ct>

E:!!timated expenditure

!;D

1959 US$

1960 US$

1961 US$

1962 US$

1963 US$

INTER-COUNTRY PROGRANMES (cant d) 1 \

----2 2 ---

1 1

1 1 2

1 1

Medicated salt trial (Pinotti 1 s method) WPRO 68 Sanitarian P2 Laboratory technician Pl Total established posts Salaries, wages and travel of local personnel Allowances Travel Supplies and equipment

2,800 2,100 4,900 6,160 4,828 5,712 13~130

4,900 3,700 8, 600 12,314 8,461 5,907 2lz660 56,942

2,500 1,900 4,400 6,160 4,245 5,058 10z830

34,730 Malaria eradication training course, Tala .1 1 Malariologist 1 1 1 Sanitarian Total established posts ..1.... ..3._2_-Allowances Travel Estimated Government Contribution VJPRJ

30,693

72 P4 P2 2,800

-----

2,800 1,942 1,000 5 2 742 (15.!093) 62,835

7,431 4,917 12,348 9,183 500 22 2 031 (1.5 2 093)

7,656 5,117 12,773 9,247 1 2600 23~.620

' . ,.

(15 2093) =====

===

=~=

=== === ==

Total - INTER-COUNTRY PROGRAMNES

======

97 ,123

==.:::;;:.===

79,040

======

24,136

======

Key facts

Organisation World Health Organization (WHO)

Document type Technical Documents

Adoption date December 31, 1959

Source World Health Organization