Final report of the sixteenth session of the Regional Committee for the Western Pacific

• ~ .. '. WORLD HEALTH ORGANIZATION REGIONAL COMMITTEE FOA THE WESTERN PACIFIC SIXTEENTH SESSION Seoul, 16"21 September 1965 REPORT OF THE REGIONAL COMMITTEE MINUTES OF THE PLENARY SESSIONS MANILA November 1965 WORlD HEALTH ORGANIZATION RIDIONAL COMMITTEE FOR THE WESTERN PACIFIC REPORT OF THE REGIONAL COMMITTEE Corrigendum. Page 53, under "Analysis of Field Activities - Regular - 1966" first column, eleventh line delete ''Mental health" and replace by ''Dental health" • • • • WORLD HEALTH ORGANIZATION REGIONAL COMKtTrEE FOR THE WESTERN PACIFIC SIXTEENTH SESSION Seoul, l6 to 21 September 1965 REPORT OF THE REGIONAL COMMI'I'rEE MINUrES OF THE PLENARY SESSIONS MANILA • NOTE The sixteenth session of the Regional Committee for the Western Pacific was held in the Central Officials' Training Institute, from 16 to 21 September 1965, under the chairmanship of Dr Youn Keun Cha (Korea), with Dr H.E. Dovmes (Australia), as Vice-Chairman. Dr C.K. Chang (China) and Dr M. Orsini (P-rance) were the Rapporteurs. The Regional Committee met on 16, 17, 20 and 21 September. Technical discussions were held on 18 and 20 September. The Report of the Committee will be found in Part I of this document on pages 1-87, the minutes of the plenary sessions in Part II on pages 93-225. The Sub-ComIni ttee on Programme and Budget met on 17 and 20 September. The report of the Sub-Committee will be found on pages 41-55 • -ii- PART I REPORT OF THE REGIONAL COMMITTEE .", . • I II III IV v. CONTENTS INTRODUcrlOO ...................................................... ,. ••••.••••••• ,.. ANNUAL REPORT OF THE REGIONAL DIRECTOR COVERING THE PERIOD FROM 1950-1965 •••••••••••••••••.••••••••• PROPOSED PROGRAMME AND BUDGET FOR 1967 •••••••••••••••••••••.• ()'l.1lIER .MA!,I'!1ERS DISCtJSS:E:J) ................................ ......... . 1 Third general programme of work for the western Pacific Region covering the period 1967-1971 •.•..•..••••.•••.•.••.•••.• 2 Heal.th in relation to demographic 2 5 6 6 questions ..................... ,. ............................. ,..... 6 3 Material. support of the programme for global. eradication of smallpox by countries in the Western Pacific Region .................................................................................................... 9 4 Polio~li tis .................................................................................. .. 10 5 Present position with regard to El Tor cholera in the Region •..•.•.•..••.•.•..•••..•.•.. 12 6 Resolutions of regional. interest adopted by the thirty-fifth and thirty- sixth sessions of the Executive Board and the Eighteenth World Heal.th Assembly ......................... " ................................................. .. orlIER BUS mESS ................... ,',.." •• , .... " •••••• ,., ••••••• 1 Progress reports from governments 13 14 on .l?eal~h ~ctiv~t=I;eE?, ........... o"'''.''''''''.'''.''''.'.' 14 2 Tribute to Dr I. c. F8.llg ., ........•......•..•. ,', . .: .... , .•. 3 Technicai Discussions ••••• '* ........................... , , , , •••• RESOLUTIONS ADOPTED BY THE COMMtTrEE ••••••••••••••••••••••••• WPjRC16.Rl WPjRC16.R2 Election of the Regional Director ••••••••••••• Annual. Report of the Regional. Director ,.,' '0' '0' ................................. .. -iv- 16 16 17 17 18 CONTENTS V RESOLUTIONS ADOPTED BY '.rHE COMMITTEE (continued) 1 2 WP/RC1.6.R3 WP/RC16.R4 WP/RC16.R5 WP/RC16.R6 WP/RC16.F(7 WP/RC16.R8 WP/RC16.R9 WP/RC16.RlO WP/RC16.Rll WP/RCl6.Rl2 WP/RC16.Rl3 . . . . . . . .. . ............... , Health in relation to demographic questions ............. '-........... ;. ~ .............. ".' .......... '. '0 <I! .... ~ .. .. Smallpox eradication programme •••••••••••••••• PoliOIIij7elitis ................................................................ .. Third general programme of work for the Western Pacific Region covering the period 1967~ 18 19 21 1971 .. '.- ....................... ' ........................................ '. .. .. .. .. .. .. .. 22 Cholera .................... e" ...................................................... .. Teclm1cal Discussions ................................................ .. Proposed programme and budget estimates for -1961 •••••••••••••••••••••••••••• lIealth education .......................................................... .. Resolution of Appreciation to 22 23 23 24 Dr I. C. Fang .................................................................... 25 Resolution of appreciation •••••••••••••••••••• Adoption of the report .............................................. .. 27 . ANNEX8S· , , ~ , . - . ' . \ . , , . - . . - . , ' AGENDA ............................................... " ••••••••• , •• , ... " .. , ...... " ••• 29 31 LIST ,~ !~RE~E;rilT.ATIVES '" •.•.• ' ,.,'. , .• '.'.',',', ••• , ....... , .... it ............. . 3 REP.QRT .CF. ,THE .8UB-COMMITl1EEON .. , , ' 4 5 6 PROO~ l\ND BtJOOEI' ............. , .............. , ...................... .. THIRD GENERAL PROGRAMME OF WORK FOR THE .WESTERN, PACIF,IC REGION COVERING THE PERIOO 1961-1971 •• , .. ,', .. , .. , .. ,", ..... , ... , •••• , .. ,.,.".,', ....... ,. REPORT OF THE TECHNICAL DISCUSSIONS ON THE USE OF HEALTH EDUCATION SERVICES IN .... : 41 51 NA.TIONA.L. lIEAIlrH PRCX7~S '. -... , .. ', .... , .......... , ... , • ~ ............... , 63 LIST C>F' DOC~S ...... , .......................... II • • .. • ............ . -v- (WP/RC16/l5 Rev.l) IN';t'RODUCTION The sixteenth session of the Regional Committee for the Western Pacific ..as formally opened at the Citizens I Hall, Seoul, Republic of Korea, by the Honourable 1fdnister of Health and Social Affairs, Dr Won Son Oh, in the presence of His Excellency the Prime Minister, Mr I1 Kwon Chung. The session lasted from 16 to 21 September 1965. The meeting ..as attended by representatives of all ~mber states in the Region, and by representatives of France, Portugal, the United Kingdom of Great Britain and Northern Ireland and the United States of America, attending on behalf of certain territories in the Region. Representatives of the United Nations, the Technical Assistance Board, UNICEF, the International Committee of Military ~dicine and Pharmacy, the South Pacific COmmission, and of ten non-governmental organizations in official relations with WHO were also present. The Government of Singapore sent an observer. The Director-General attended the session. The Committee elected the following officers: Chairman Vice-Chairman Rapporteurs in English in French Dr Youn Keun Cha (Republic of Korea) Dr H.E. Downes (Australia) Dr C.K. Chang (China) Medecin-Gen6ral M. Orsini (France) Formal statements were made by the representatives of the United Nations, UNICEF, the South Pacific Commission and of seven non- governmental organizations in official relations with WHO. The agenda is given in Annex 1 and the list of representatives in Annex 2. 2 ____ . __ -=RE.::;.::::G.:::;I:::.:ON~AL~. COMMt'l"I'J!IE: SIXTEENTH SFSSION At its first plenary meeting, the Committee established a Sub- Committee on frogramme and Budget, composed of repl~sentatives of the following countries: Australia, Cambodia, China, Japan, New Zealand, Republic of Korea (Chairman), Republic of Viet·-Nam and the United Kingdom. The S ... b-ColllIllittee held two meetings, following which it sub- mitted a report to the main Committee. Fu."'ther details are given in Part II and Annex 3 of this report. At its second plena.ry meet.ing, the Committee went into private session to consider nominations for the post of Regional Director. Tha Committee nominated., in order of preference as indicated by the order of their election, Dr Francisco J. Dy (Philippines) and Dr R.W. Greville (Australia) (see resolution WPjRC16.Rl). In accordance with the principle of rotation, the seventeenth ses- sion of the Comrnittee will be held in 1-OO11a. As decided during the fifteenth session of the ~ommittee, the eighteenth session will be held in Kuala :r~1.l.!IlJ?ur, Malaysia. In the COUl-se of six plena.ry sessj.ons, the Committee adopted thirteen resolutions which are set out in Part V. PART r. ANNUAL REFORI' OF THE REGIONAL DIRECTOR· COVERING THE PERIOD FROM 1950-1965 The Regional Director d;-ew particular attention to four aspects which he considered merited attention in the future. The first related. to the difficulties experienced by national health workers, particularly i.n the developing countries, in obtaining the necessary funds not only to raise the standard of health of the people but to maintain what had been achieved. So often progress had been .. REPORT OF THE REGIONAL COMMITTEE 3 retarded because of insufficient funds to support the programmes which had been started and in some cases services had ceased all together because the facilities necessary to maintain them had not been provided. Before embarking on new programmes there must be adequate financial support at the national level to ensure good results and, most important of all, to maintain the results achieved. The income of the health workers should also be raised. This was so low in many developing countries that doctors and nurses often left government service to work in priv-ate practice, many even sought eJl!Ployment abroad.. This meant a loss to the country and, in a '!;ray, a loss to WHO. If this trend conti- nued, it would never be possible to provide the health workers required. The economic planners must understand that without a healthy population social and economic d.evelopment would. be a very slow process indeed. It was the responsibility of the health authorities to convince their economic planning boards of this fact. Secondly, the shortage of well-qualified and trained medical and health personnel would remain a deterrent to the development and improve- ment of health services for some years to come. Regional training facilities should be strengthened and exp~~ded even more, so that staff might study and learn in environments similar to their own. National training programmes should also be developed. and improved so that governments could produce as rapidly as possible their own supply of well-trained health personnel. The staff trained abroad should be used in the best way possible to the mutual benefit of themselves and their countries and, most important of all, they should be given the facilities so that they could perform their 1vork competently. Thirdly, further efforts .rould be required to combat the communicable diseases, particularly malaria, tuberculosis and El Tor cholera. .Al.though there had been no recent outbreaks of smallpox, every effort must be made to maintain the status quo and make sure that it did not again invade the Regj.on. He a:ppeale1 to goveI'IlID.Gnts to participate in the world-wide smallpox eradication pro~~~, which could be achieved if there was a co-operative effort on the part of all. Finally, environmental sanitation was a field mlere the financial requirements were so tremendous that it sometimes appeared as though little progress had been made. Hork in this field cost money but there were a number of international. organizations "r:hich were wJ.lling to invest funds to assist gC'vernments to deal with this problem. This was another field to vhich .priority should be given in the future. During the discussion of the Re:port, the Representative of New Zealand reported tha.t over the twenty years since the enactment of .the Electrical Wiring (X-Ray) .Regu1.a:Lions in 1944, New ZeaJ.and he.d. maintained a complete record of all X-ray installations, and for at least sixteen years since the enactment of the Radio-active Substances Act of 1949 this radiation protection service had covered all aspects of radiation hazards. A repc. .. -t was also submitted by the Representative of Portugal on the progress of the yaw's canwaign in Portuguese Timor, where an active control programme is nov L~ progress. Only 35 000 people (7 per cent. of the estimated population) were now living in hyper-endemic areas and about 25 000 (5 per cent. of the estimated population) in meso- endemic or hypo-endemic areas. .... REPORT OF THE REGlOOAL COMMITTEE 5 The Committee noted that the malaria eradication programme in China (Taiwan) had been completed and that an international team had recommended that the Province should be included in the l-lorld Health Organization's Register of Countries where malaria eradication had been achieved. This recommendation had been accepted and the Province of Taiwan, therefore, becomes the first area in the Western Pacific Region from which malaria had been eradicated since the Organization embarked on its global campaign. The Committee considered that the Report gave a clear picture of the manner in which the programme had been built up over the past fifteen years and that it was a worthy tribute to Dr Fang's leadership during the period he had served as Regional Director (see resolution WP/RC16. R2). PART II. PROPOSED PROGRAMME MID BUDGEr FOR 1967 The Sub-Committee on Programme and Budget (established in accordance with resolution WP/RC7.R7 adopted by the Committee at its seventh session) held two meetings. The Regional Committee reviewed the proposals for 1967 in the light of the findings and observations of the Sub-Committee. The proposed regional programme and budget for 1967 was noted by the Committee and the Regional Director 'Ims requested to transmit it to the Director-General for his consideration for inclusion in his proposed programme and budget for 1967 (see resolution WP/RC16.R9). The report of the Sub-Committee is contained in Annex 3. 6 PART III. OTHER MATTERS DISCUSSED 1 Third general progrRmme of work,for the Western Pacific Region covering the period 1967-1971 (Docun:ent HP/RCl6/6) The Committee revie~d the proposed third general progremme of work covering the period 1967-1971 inc1u.sive submitted by the Regional Director. It noted that' the proposed progre~, which was based on the Fourth General Programme of Work awroved by the World Health Assembly, had been made suffiCiently flexible to cover developments over the next few years. The Committee considered that the programme of work as presented provided a broad general policy that could guide'the develop- ment of annual programmes during the period concerned. The text of the new programme of work will be found in Annex 4 (see resolution wpjnc16. R6) • 2 Health in relation to demographic questions (Document WPjRC16/7) The Committee noted that follOwing the fifteenth session, a copy of the resolution (WP/RC15.R5) on health in relation to demographic questions had been sent to countries and territories in the Region, with a letter c,sking for information on: (a) studies carried out 0):1 demographic problems, especielly as r~gard the effects of populB;tion changes on health progra.mmeG; (b) train:L."1g progra.mmes on demograpw that had been or ~re being organized by educational institutions and , " whether or not these had been incorporated in the curricula of public health training programmesj (c) their op:L.'"lion as to what further action should be taken in the future. Twenty out of thirty-twogoverrunents to whom the resolution had been sent had replied. the During the discussIons, the Representatives of Laos, Portugal and Republic of Viet-Nam. provided further data on density, natality, r REPORT OF THE REnIONAL COMMITTEE 7 general, infant and maternal mortality rates and percentage age distribu- tion of the populations in their countries. The Representative of France also submitted information covering the 1963 census in New Caledonia. The Director-General informed. the Committee of resolution WHAl8.49 adopted by the World Health Assembly on the subject of health aspects of world population. He also drew attention to the report which he had presented to the l1"orld Health Assembl~ and reviewed WHO's position regarding population problems. The Committee noted that the Organization was now prepared to give advice on the health aspects of human reproduction to the health administrations of its Members and Associate Members. Although there were still many difficulties related not only to the medical aspects but also the cultural background of the different countries, it was considered that a service which WHO could undertalre without any restriction would be to evaluate the different programmes in operation. A number of Representatives presented statements regarding the rate and pattern of population growth in their countries and it appeared that the major demographic concern in the majority of countries seemed to be fertility, which still remained high, and its allied health problems. The Representative of China reported that one of the most rapidly expanding programmes in his country was that of family planning, vThich had been started in January 1964 in one county only but which now covered the entire province. The health authorities had assumed responsibility for the education and motivation of the people ~~d the actual service was provided by the Maternal and Child Health Association, which was a voluntary organization. 1 Off. Bec. WId ruth Org., 143, Annex 18 8 .. REGIONAl, COM!1tT:I'EE;. S~:.;::I'=H....:S::.::ES:::::";.::;S.=.IO: ... N",".~ _____ _ It was noted that in the Republic of Korea the bigh birth rates and the lack of maternal and cbild. health services were the major factors related to the hi.gh mortality rate. The Government bad therefore started a family planning action programme as the health staff fully realized that it was their responsibility to provide as soon as possible the necessary information and services to the people, in order to reduce both the rate of population increase and the rate of induced abortion. The Representative of the Philippines stated that the population at present in his country was characterized by a phenomenal rate of growth. Forces favourable to a rise in the fertility rate, such as those that came about through the improvement of health conditions,were presently at work. In Fiji, family planning bad been declared government policy. The fact that there was also a problem in many of the territories surrounding Fiji had been brought to the fore at the recent meeting of the South Pacific Health Board, where a resolution had been passed urging Member governments to set up family planning services as an integral part of their family ple.nning programmes. It was noted that in certain c.ountries the problem of population planning did not arise at the moment, although in all cases the relation of the birth rate to public health programmes was realized. The Committee was in full accord with the contents of the World Health Assembly resolution which,. it considered, had. provided the opportunity ::Oor WHO and its Member St.ates to consider the medical aspects of human reproduction. It expressed the hope that a clearer definition of the services which may be provided by WHO would be • ~. '-\ -.- '. t I I • REPORT OF THE REGIONAL COMMITTEE 9 forthcoming after the next Health Assembly. The Committee considered further that there was need to develop a way which would differentiate between those people who required information on family planning and those who did not. People should know what was available to them so that they would be able to guide their actions in accordance with existing know- ledge. It recommended, therefore, that the countries in the Region should carry out studies to determine the best way by which infonnation on family planning could reach the groups requiring this knowledge. The Committee noted further the Director-General's statement that no mass programme or campaign of any kind could have any permanent effect unless there was a minimum health structure within the country (see resolution WPjRC16.R3). 3 obal eradication of The above item was placed on the agenda at the reCJ.uest of the Government of the United states of America ,lith a view to obtaining material support for this programme in accordance with resolution 'VlHAl8.38 adopted by the Eighteenth World Health Assembly. The Representative of the United states of America referred to the money being spent by smallpox-free countries to protect their peoples and stated that if eradication were achieved this would mean the release of a tremendous amount of money for other health problems. The United states Government felt that those countries which had, in fact I eradicated smallpox should be encouraged to make an analysis of what it was actually costing them to maintain freedom from the disease. It was felt that each country should consider fighting tbe disease 10 'Where it existed and that it was in the interest of every country to s1.lP,Port the world-wide eradication progr.-amme. Once eradication was achieved, countries would immediately begin to recover the cost invested through WHO and in a very short time the amount invested would be repaid several times over, as it .muld no longer be necessary to continue this annual cost w.l..thin their o.m boundaries. 'I{nile the number of :people living in areas where smallpox was endemic was very large, it was relatively small when the total population of the world and the total amount of eradication achieved were considered. Th~ Representatives of Australia, Cllina, France, the Philippines, the Republic of Viet-Nam and the United Kingdom supported the proposal that global eradication of smallpox should be undertaken at the earliest possible date. It .ras also suggested by the Representative of China that i-mO should undertalte to test the safety and potency of the vaccines donated. to the campaign to ensure that they met the required standards (see resolution WPjRCl6.R4). 4 PoliOmyelitis (Document WPjRC16j8) The Committee reviewed. a report presented by the Regional Director on the action taken in com1exion with the resolution (WPjRC15.R6) adopted at its fifteenth session. The Committee noted that the lack of adequate virus diagnostic facilities in many areas hindered the study of the prevalent virus infections, including poliomyelitis, It was hoped, however, that the visits of a WHO consultant virologist to selected countries in 1966 would improve this situation. The Committee noted further that the to~ic of poliomyelitis vaccination had been included in the agenda for the meeting of the } , l , , . -' r REPORT OF THE REGICWAL COMMITTEE 11 UNICEF-WHO Joint Committee on Health Policy held in Geneva, 8-10 February 1965. The Joint Committee had recommended that UNICEF, although not normally providing assistance to campaigns against poliomyelitis, might do so under the following conditions: (i) there is evldence that the incidence of the disease had increased greatly or was likely to do so in the near future, (ii) the government concerned gives high priority to vaccination of the susceptibles (which in most cases vrould be young children), (iii) that the country has adequate medical services for this purpose, except in emergencies. The Committee vie,~d vdth satisfaction the decision of the UNICEF Executive Board at its meeting in June 1965 to accept these recommend.a- tions. Information was presented by the Representatives of AUstralia, China, the Philippines and the Republic of Viet-Nam on the poliomyelitis situation in their countries. In Australia, there had been a continuous fall in incidence since 1955, with the exception of the epidemic years 1961 and 1962. Vaccina- tion bad, ho~ver, greatly reduced the incidence of the disease in this epidemic and prevented possibly 2000 cases. It was noted also that the Tasmanian Government had carried out a pilot Sabin vaccination programme and was now about to embarlt on a large-scale programme in which the vaccine vrould be given to all, irrespective of previous immunization status. It was considered that provided there was continuing avrereness l? REGION.IILCOMM£TTEE: of' the need f'or vaccination both by the. public and the health authorities, poliomyelitis might become a ra~ disease in Australia. The Representative of China informed the Committee that as a result of a supply of Salk vaccine donated to his Government by associations in Japan and the United states of America, it had been possible to immunize 1.2 million children below the age of' three. The Health Department hoped to start a mass campaign next year with assistance from UNICEF. The Committee noted that in the Republic of Viet-Nam there were more thEm 2000 cases under treatment at the orthopaedic centre in Saigon. Epidemiological. investigations 'I-.'ere being carried out at the Pasteur Institute in Saigon and it had been decided to vaccinate all children below five years of age. The Representative of the Philippines stated that the disease was also endemic in his country. Recently a change had been observed in the age distribution of the cases and deaths. More than one-half of the total deaths were now in children under five years of age. With the decrease in the infant mortality rate, an increasing incidence of poliomyelitis vlE'.s expected. The Committee agreed that every possible assistance· should be given to Member countries undertaking campaigns against poliOmyelitis (see resolution WP/RC16.R5). 5 Present position with regard to El Tor cholera in the F.egion (Document WP!RC16!9) It wasloted the above item had been placed on the agenda at the request of the Government of Malaysia. The Committee reviewed a report presented by the Regional Director on the present position with regard t . \. f r REPORT OF THE REGIONAL COMMITTEE to El Tor cholera in the Region (document WPjRC16j9 and Add.l). The Representatives of Cambodia, the Philippines, Portugal and the Republic of Viet-Nam submitted information on the outbreaks in their countries and the work being done to control them. The Representatives of China, France and the United states of America also participated in the discussions. There "ras complete agreement that ways and means must be found to eradicate this disease and that this should be done on an international basis. It was considered that sufficient information was now available to permit a concerted attack on the infection and that there should be some central point where all available information on 13 the cholera situation in the Region and on the stUdies being carried out could be collected and kept up to date. It was also felt that the Regional Director should collaborate more closely, through the Director- General, with the Directors of the South-East Asia and Eastern Mediterranean Regions with a view to co-ordinating anti-chOlera activities on an inter-regional basis. It was considered that the first step to be taken should be to develop plans for an intensified programme. It was suggested that the Regional Director might consider obtaining the assistance of personnel from interested countries for this purpose and that later he might consider establishing a specific section in his office with staff to carry out the plans developed (see resolution WPjRCI6.R7). 6 Resolutions of regional interest adopted by the thirty-fifth and thirt -sixth sessions of the Executive Board and the Eighteenth World Health Assembly (Document WP RCI 3) The attention of the Committee was drawn to nine resolutions of regional interest adopted by the Executive Board and the World Health 14 -----,- Assenibly. TbeEe covered the Development of the MaJ.e.ria Eradication Programme (resolution WHAl8.3) j I!'ourth General Programme of Work covering a Spec:!..f'ic Period (1967-1971) (resolt.tion WHAl8.33); Programme and Budget Estimates for 1966: Volunta,ry Fund for Health Promotion (resolutions EB35.Rl9, WHAlB.34 and EB36.Rl7); Reyiewof the Financial Position of the Organization: Financial Report, 1964 - Voluntary Fund for Health Promotion: World Health Foundations (resolution WlIAlB. 31); Organizational Study of th.~ EXecutive Board: Methods of Planning and EXecution of Projects (resolution WHAlB.37); Amendments to Article 1 of the Constitution (resolution WHAl8.48); and Procedure f'or the Nomination of' Regional. Directors (resolution EB35.R22). PARr IT. OTHER BUSINESS 1 Progress reports from governments on health activities The Chairman acknowledged the follo.Ting reports which had been transmitted to the Regional Director: (1) AMERICAN SAMOA - Report on the progress of health and mediCal services; (2) AUSTRALIA - Health activities in 1964/65 in Australiaa!1d Report of the National Health and M:!dical Research Council, fifty-eighth session, 29-30 October 1964; (3) CAMBODIA - Report on the progress of health activities; (4) FIJI - Report on the progress of health activities; (5) GUAM - Report on the progress of bealtu and medical sE'-vicesj (6) HONG KONG - Report on the progress of health activities, 1964; REPORr OF THE REGIONAL CONI.fiTTEE (7) JAPAN - Report on the progress of health activities for the fiscal year 196)+ (April 1964 - March 1965) i (8) LAOS - Report on the progress of health activities; (9) MACAU - Report on the progress made in the field of public health, 1 July 1964 - 30 June 1965. (10) MALAYSIA - Report on the progress of health activities in Malaysia. (11) NEW CALEDONL~ - Report on the progress of health activities in NevT Caledonia and its depenuenciesj (12) N~v ZEALA1'ID - Significant developments in public health in 196Lfj1965j (13) PHILIPPL1ES - Report on the progress of health activities, 1964; (14) REPUBLIC OF CHINA - Report on the progress of health activities in Taiwan, 1964; (15) REPUBLIC OF KOREA - Report on the progress of health activities, 1964j (16) REPUBLIC OF VIET-NAM - Report on the progress of health activities, 1964-1965; (17) SINGAPORE - Report on the progress of health activities, '}, 1964. (18) TRUST TERRITORY OF THE PACIFIC ISLANDS - Report on the progress of health ruld medical services; (19) WESTERN SAHOA - Report on the progress of health activities, 1964-1965- 15 2 Tribute to Dr I.C; Fang The Representativ~s expressed their appreciation to Dr Fang for the services he had rendered to their countries during his term as Regional Director, commended him for the guidance and leadership he had given to health authorities in the Region, and wished him good health and happiness in his retirement (see resolution WP/RC16.Rll). , Technical Discussions 3.1 ~signation of Chairman At its eleventh session, the Regional Committee adopted a resolution (WP/RCll.Rll) recommending that the Chairman of the Te~hni~aJ. Discussions should be appointed well in advance of the meeting. Following consulta- tions between the Regional Director and the Chairman of the Regional COmmittee, Dr C.N. Derek Taylor, Deputy Director (Health Education) 1 Division of Public Health, Department of Health, New Zealand, 'W<l.S selected for this office. 3.2 Organization The tbeme of the Technical Discucsions "'!l.S ''The Use of Health Education Services in National Healt'll Programmes". The first session consisted of introductory statements on the two working papers submitted: ''The Use of Health Education Services in National Health Programmes" :m.d "Ex~les of Uses of Health Education Services in Countries and Territories of the Hestern Pacific Region". The participants were then divided into groups vThich met separa.tely and conducted a free discussion in accorda.~ce with guidelines and references provided. The second session was also devoted to group REPORT OF' THE RIDIONAL COMMITTEE 17 discussions. The third session was again a plenary one at which the reports prepared by the discussion groups were presented. Full details are contained in the report of the Technical Discussions which appears in .Annex 5. 3.3 Following the presentation of the report in plenary session, the i~ortance of establishing health education services as an essential and integral part of national health programmes was e~hasized. The Committee adopted a resolution recommending that governments consider seriously the provision of professionally qualified health education personnel within their national health services and training institutions (see resolution HP/RC16.RlO). Selection of topic for the TecID1ical Discussions in 1966 • The Committee selected "The Role of the Health Department in Environmental Health Activities II as the subject for the Technical Discussions in 1966 (see resolution VJP/RC16. R8). PART V. RESOLUTIONS ADOPTED BY THE COMMI'ITEE WP/RC16.Rl ELECTION OF THE REGIONAL DIRECTOR The Regional Committee, Considering Article 52 of the Constitution, In accord~Dce .nth Rule 51 of its Rules of Procedure, NOMINATES in tIle order of preference as indicated by the order of their election the names of the follo.ling persons for the post of Regional Director for the Western Pacific: Dr Francisco J. Dy Dr R.W. Greville 18 REGIOI'fAL COMMI'l"I'l'.JE: SIXTEENTH SESSION 2. DECIDES that these names shall be submitted to the Executive Board; and 3. REQUESTS the Director-General to propose to the Executive Board that it authorize him to issue a contract to the Regional Director for a period of five years from 1 July 1966. WPR Handb.Res., 4th ed., 6.4 First meeting, 16 September 1965 WF/RC16.R2 . ANNUAL .REPORT OF THE REGIONAL DIRECTOR The Regional COmmittee, Having revie"ed the Report of the Regional Director on the work of WHO in the vlestern Pa.ci:ric Region during the :period 1950-1965, 1. CONSIDERS that the Report is an excellent record of the programmes developed and the advances made with WHO assistance; 2. NOl'ES with great interest the progress made and the views expressed. in the Report; 3. EXPRESSES the hope that the outstanding spirit of co-operation which has characterized the relations between the Regional Office and the M:!mber countries of the Committee will continue; 4. COMMENDS the Regional Director and his staff for the work acco~lished and the preparation of a co~rehensive report. WPR Handb.Res., 4th ed., 2.2.15 Fifth meeting, 21 September 1965 WP/RC16.R3 HEALTH IN RELATION TO DEMOGRAPHIC QUESTIONS The Regional Committee, Having reviewed the report presented by the Regional Director on health in relation to demographic questions and having received • REPORT OF THE REGIONAL COMMITTEE a verbal statement from the Director-General on the report which he had submitted to the Eighteenth World Health Assembly on programme activities in the health aspects of world population which might be developed by WHO, 1. ENDORSES the resolution adopted by the World Health Assembly which has provided the opportunity for 1-lHO a..."ld its ~mber States to consider the medical aspects of human reproduction; 2. EXPRESSES the hope that a clearer definition of the various services which may be provided by lilliO will be forthcoming after the next World Health Assembly; 5. NOTES that no mass programme or campaign of any kind can have any permanent effect unless there is a minimum health structure; 4. RECOl-1MENDS that l~mber States in the Region carry out studies to determine the best way by lrhich information on family planning can reach the groups requiring this knowledge. 19 WPR Handb.Res., 4th ed., 1.5.4 Fifth meeting, 21 September 1965 HP/RC16.R4 SMALLPOX ERADICATION PROORAl-1ME The Regional Committee, Having considered resolution WHAl8.58 adopted by the Eighteenth Horld Health Assembly on the smallpox eradication programme; Noting: (1) that the Director-General has estimated that smallpox might be eradicated .nth international aSSistance; and 20 P.EGIONAIJ COMMl:TI'EE: SIXTEENTH SESSIO,-",iIT,,--_ (2) that the World Health Assembly has declared the world-wide eradicatiOn of smallpox to be one of tr.e major objectives of the Organizationj Noting further that the World Health Assembly r~s requested: (1) Member states to give the programme greater support than in the past and to provide the substantial contribu- tions essential for its executionj and (2) governments which carry on bilateral programmes of aid to include smallpox eradication in their programmes of assistance; 1. BELIEVES that smallpox eradication should be one of the long-term objectives of the regional programme so that the funds formerly spent on the prevention and treat.l!lent of this disease can be used to solve other important public health problems; 2. INVITES all Member States within the Region to give the fullest possible support to the world-Vlide smallpox eradication programmej 3. SUGGF.8TS that those Member states which are free from smallpox should consider investment in a world-wide effort to eradicate smallpox from those areas where it exists and to prevent its reintroductionj 4. BELI~lES that the first and most important step to be taken :i'" for the Director-General to develop a global plan which "'ill contain an effective and systematic analysis of REPORT OF THE REGIONAL COMHITTEE where the difficult areas lie, as well as the areas where eradication has already been achieved. 21 WPR Handb.Res., 4th ed., 1.3.2 (1) Fifth meeting, 21 September 1965 WP/RC16.R5 POLIO~fiELITIS 1>- The Regional COmmittee, ,- Having reviewed the report presented by the Regional Director, 1. NarES that UNICEF, although not normally providing assistance to campaigns against poliomyelitis, has agreed to do so under the following conditions: (1) there is evidence that the incidence of the disease had increased greatly or was likely to do so in the near future, (2) the government concerned gives high priority to vaccination of the susceptibles (which in most cases would be young children), (3) that the country has adequate medical services for this purpose, except in emergencies; 2. ~UESTS the Regional Director to continue to give every possible assistance to Member countries undertaking campaigns against poliomyelitis. WPR Handb.Res., 4th ed., 1.3.2 (4) Fifth meeting, 21 September 1965 ~22~ ___ --, __ ;..:RF=;u""'I::..Q1\~""l":o.:AL,,,-,C~O~'TEE: S~lTH SESSION_~~ __ ~~_ wp/Rc~6.R6 THIRD GENERAL PROGRAMME OF WOHK FOR THE WESTERN PACIFIC REGION COVERING THE PERIOD 1967 -197~ The Regional Committee, Having revievred the general programme of 'WOrk for the specific period 1967-1971, inclusive, as proposed by the Regional Director, 1. CONSIDERS that it provides a broad general policy that could guide the development of the annual programmes; 2. APPROVES the third general programme of 'WOrk for the specific period 1967-1971, inclusive. WPR Handb.Res., 4th ed., 1.1.1 (3) Fifth meeting, 21 September 1965 WP/RC16.R7 CHOLERA The Regional COmmittee, Having revievred the report presented by the Regional Director on tr..e present position with regard to El Tor cholera in the Region and the additional jnformation furnished by representatives, 1. CONSIDERS that there should be a co-ordinated attack on cholera, 2. RECOMMENDS that the Regicn'\l Director: (1) should make t:rre necessary arrangements to collect information on the cholera situation in the Region and to keep tl1is information up-to-date; (2) should 'WOrk in close collaboration, through the Director-General, with the Directors of the south-East Asia and Eastern Mediterranean Regional Offices with a view to co-ordinating anti-cholera activities; REPORT OF THE REGIONAL COMMITTEE (3) should obtain the assistance of personnel from some of the interested countries so that plans might be developed which would provide a sound base for future budgetary re~uests connected with activities in this field. 23 WPR Handb.Res., 4th ed., 1.3.3 (1) Fifth meeting, 21 September 1965 WP/RC16.R8 TECHNICAL DISCUSSIONS The Regional COmmittee, Having considered the topics suggested by the Regional Director for the Technical Discussions during the seventeenth session of the Committee, DECIDES that the subject for the Technical Discussions in 1966 shall be liThe Role of the Health Department in Environ- mental Health Activities ". WPR Handb.Res., 4th ed., 5.5. 2 (13) Fifth meeting, 21 September 1965 WP/RC16.R9 PROPOSED PROGRAMME AND BUDGET ESTIMATES FOR 1967 I The Regional COmmittee, Having examined the programme and budget estimates proposed for the Western Pacific Region in 1967 and the report of the Sub- Committee on Programme and Budget, AGREES that as many as possible of the following inter- country group educational activities proposed to be financed under the Expanded Programme of Technical Assistance should be undertaken: 24 . REGIOUAL C011Ml:'l'TF.El:. SIXTEENTH· S.E'SSION Seminar on health planning in urban development Inter-country maternal and child r~alth advisory· services, South Pacific Inter-country environmental health advisory services, South Pacific II REQUESTS the Regional Director to tra.nsmi t the progrB.lllllV'! and budget proposals to the Director-General for his considera- tion for inclusion in his proposed programme and. budget for 1967. WPR Hendb.Res., 4th ed., 3.1.15 Fifth meeting, 21 September 1965 WP/RC16.RlO HEALTH EDUCATION The Regional COmmittee, Having held technical discussions on t~e Use of P~alth Education Services in Natione~ Health Progr~s tt, Considering that a main aim of health education is to motivate the people to take an active and respon~ible part in health programmes on a well-inforned basis, 1. ENDORSES the importance of establishing health education services as an essential and integral part ofnaticinal health programmesj 2. RECOMMENDS that the Governments of Member states consider seriously the provision ot prcf3ssionally quaJ.ified health education personnel within their national health services and training-institutions; 3. RE";UESTS the Regional Director to continue his sU.J?port and assistance to interested Member States in enabling their health services to obtain the support required for the planning and -~. REPORT OF THE REGIONAL COMMITTEE development of essential health education services within their national health programmes. 25 WPR Handb.Res., 4th ed.) 1.4.2 Fifth meeting, 21 September 1965 WP/RC16.Rll RESOLUTION OF APPRECIATION TO DR I. C. FANG The Regional Committee 1. EXPRESSES its great appreciation to Dr I.C. Fang for the services he has rendered during the period he has served as Regional Director; 2. COMMENDS him for the wise guidance and leadership he has given to health authorities in the Region, and 3. EXTENDS to him and Mrs Fang its best wishes for the future. Fifth meeting, 21 September 1965 WP/RC16.R12 RESOLu~I~r OF APPRECIATION The Regional Committee EXPRESSES its appreciation and thanks to: (1) the Government and people of the Republic of Korea for: (a) having invited the Regional Committee to hold its sixteenth session in Seoul, (b) the excellent arrangements and facilities prOVided, (c) the interesting tours which have enabled representatives to see some of the achievements of the Republic; (2) His Excellency the Prime Minister) Mr n Kwon Ch1.IDg, for ha.ving honoured the COllllllittee with his presence at the opening ceremony; (3) the Honoura.ble 14inister of Health and Social Af'fairs, Dr Won Son Oh, for having formally opened the sixteenth session of the Regional Committee; (4) the Honourable Mini:::ter of Foreign Affairs, Mr Tong Won Lee, the Hoc.ourable Vice Minister of Foreign Af'fe.1rs, Mr Duk Jeo ~Ioon, and the Honourable Mayor of Seoul V..etro- politan Government, for the generous ho~itality extended; (5) the Director of Public Health, Dr Y01.ID Ke1.ID Cha, and his staff for the excellent arr~~gements made for the meeting; (6) the Chairman and other officers of the Committee; (7) Dr C.N. Derek Taylor for hav1.ng so ably served as Cha.irman of the Technical Discussions, to the plenary session rapporteurs, to th.e chBiriii.en and rapporteurs of the three discussion g:t'oups andt6 the other experts who assisted with the Technical Discussions; (8) the representatives of the United Nat:i.ono, the United Nations Children's Fvnd, the South Pacific CollDllission, and the non-gove'rnmental organizations who made statements; (s) the Director-General for tha honour of his visit and his invaluable advice; REPORT OF THE REGIONAL COMMITTEE (10) the Regional Director and the Secretariat for their work in connexion with the meeting. 27/28 Fifth meeting, 21 September 1965 WP/RC16.Rl3 ADOPTION OF THE REPORT The Regional Committee, Having considered the draft report of the sixteenth session of the COmmittee, ADOPTS the report. Sixth meeting, 21 September 1965 REPORT OF THE REGIONAL COMMITTEE 29 ANNE.\ 1 AGENDA 1 Formal opening 2 Address by retiring Chairman Address by the Director-General 4 Election of new officers: Chairman, Vice-Chairman and Rappor"\eurs 5 Address by incoming Chairman 6 Adoption of the agenda 7 Technical Discussions Statement by the Chairman of the Technical Discussions 8 Proposed programme and budget estimates fc.r the financial year 1 January - 31 December 1967 9 8.1 Establishment c-f the Sub-Committee on Programme and Budget 8.2 Consideration of the report presented by the Sub-Committee on Programme and Budget Acknowledgement by the Chairman of brief repnrts received from governments on the progress of their health activities 10 Resolutions of regional interest adopted by the thirty-fifth and thirty-sixth sessions of the Executive Board and the Eighteenth World Health 11 Election of the Regional Director 12 Report of the Regional Director 13 Third general prog;."amme of work for the Uestern PacifiC Region covering the period 1967-19'71 14 Health in relation to demographic questions 15 Poliomyelitis 16 Present position with regard to El Tor cholera in the Region: Item proposed by the Government of Malaysia 17 Material support of the programme for global eradication of snallpox by countries in the Western Pacific Region: Item proposed by the Government of the United States of America 3Q REGIONAL COMMITl'EE: SIX'l'EEN'rH SESSION 18 Selection of topic for the Technical Discussions during the seventeenth sessi"'n of the Regional Committee 19 Consideration of the report presented by the Technical Discussion Group 20 Time, place and duration of the seventeenth and eighteenth sessions of the Regj.onal Coromi tt'ge 21 Any other buainess 22 Adoption of the dre.ft report of the Committee 23 Ad,jourmnent "-- :.r "'-- AUSTRALIA AUSTRALIE CAMBODIA CAMBODGE CHINA CHINE REPORT OF THE REGIONAL COMMI:TTEEl 31 LIST OF REPRESENTATIVES LISTE DES REPRESENTANTS ANNEX 2 ANNEXE 2 I. REPRESENTATIVES OF MEMBER STATES REPRESENTANTS DES ETATS MEMBRES Dr H. E. Do-wne s De~uty Director-General of Health Commonwealth of Australia Dr Ako Toua Assistant Medical Officer De~artment of Public Health Territory of Pa~ua and New Guinea Mr N.C.K. Evers Second Secretary Australian Embassy Seoul Dr C.J. Ross-Smith General Secretary Australian Medical Association Dr In Sokan Chef du Service de la Tuberculose Dr Keo Phann Directeur du Service d'Eradication du Paludisme et des Ma1.adies transmissibles Dr C.Ie. Chang Director De~artment of Health Administration Ministry of Interior (Chief Re~resentative) (Chef de delegation) (Alternate/Sup~leant) (Alternate/Su~~leant) (Alternate/Suppleant) (Chief Re~resentative) (Chef de delegation) (Alternate/Sup~leant) (Chief Representative) (Chef de delegation) 32 CHINA (continued) CHINE (suite) FRANCE JAPAN JAPON LAOS REGIONAL COMMITl'EE: SIXTEENTH SESSION Dr T.C. Hsu Commissioner of Health Department of Health Taiwan Provincial Government Medecin General M. Orsini Directeur de la Sante et de l'Hygiene publique en Nouvelle-Caledonie et Dependances) Noumea Medecin Colonel Thenoz Chef du Service de Sante de la Polynesie fr~aise Papeete Dr N. Tatebayashi Director Environmental Sanitation Bureau Ministry of Health and Welfare Mr S. Mitani Counsellor Japanese Government Overseas Agency Seoul Dr J. Urata Chief Health Center Section Public Health Bureau Ministry of Health and Welfare Dr ICoukeo Saycocie Directeur General de la Sante (Alternate/Suppleant) (Chief Representative) (Chef de delegation) (Alternate/Suppleant) (Chief Representative) (Chef de delegation) (Alternate/Suppleant) (Alternate/Suppleant) , ,-* MALAYSIA NEW ZEALAND NOUVELLE-ZELANDE PHILIPPINES PORTUGAL REPORT OF THE REGIONAL COMMITTEE 33 Dr L. H. Jayesuria Deputy Director of Medical Services Malaya Dr R. Dickie Director of Medical Services Sara,lak Dr C.N. Derek Taylor Deputy Director (Health Education) Division of Public Health Department of Health Dr C.S. Gatmaitan Undersecretary of Health Department of Health Dr T.A. Gomez Chief Office of Health Education and Personnel Training Department of Health Dr A.N. Acosta Special Assistant Department of Health Dr N.C. de Andrade Medical Inspector Macao Dr M.F. Matias Director of Health Services Portuguese Timor (Chief Representative) (Chef de delegation) (Alternate/Suppleant) (Chief Representative) (Chef de delegation) (Alternate/Suppleant) (Alternate/Suppleant) (Chief Representative) (Chef de delegation) (Alternate/Suppleant) REPUBLIC OF KOREA REPUBLIQUE DE COREE RmIWAL COMMI'l."rEE: SIXTEENTH SB'3SION Dr Youn Keun Cha Dir~ctor Bureau of Public Health Ministry of Health and Social Affairs Dr Yang Won Pak Director Bureau of Medical Affairs Ministry of Health and Social Affairs Dr Sang Tae Han Chief Section of Preventive Medicine Bureau of Public Health Ministry of Health and Social Affairs Dr Taek Il Kim Chief Section of Maternal and Child Health Bureau of Public Health Ministry of Health and Social Affairs Dr Chang Dong Min Chief Section of Public Health Bureau of Health and Social Affairs Special City of Seoul Dr Hyang Jong Park Assistant Professor School of Public Health Seoul National University Mr Gee Hahn Second Secretary Ministry of Foreign Affairs Dr Yu Sun Yun Director National Institute of Health Ministry of Health and Social Affairs Mr Moon Yong Rhie Director Bureau of International Relations Ministry of Foreign Affairs (Chief Representative) (Chef de delegation) (Alternate/Suppleant) (Alternate/Suppleant) (Alternate/Suppleant) (Alternate/Suppleant) (Alternate/Suppleant) (Alternate/Suppleant) (Adviser/Conseiller) (Adviser/Conseiller) REPUBLIC OF KOREA (continued) REPUBLIQUE DE COREE ( suite) REPUBLIC OF VIET-NAN REPUBLIQUE DU VIEl'-NAM UNITED KINGDOM ROYAUME-UNI UNITED STATES OF AMERICA El'ATS-UNIS D'AMERIQUE REPORT OF THE REGIONAL COMMITTEE 35 Mr Koo Wook Chung Chief Section of International Organizations Bureau of International Relations Ministry of Foreign Affairs Dr Le Cuu Truong Dil~cteur genayal de la Sante et des Hopitaux Dr Duong Cam Chuong Chef de Service d'Eygiene publique au Ministere de la Sante, Directeur du Programme national de Protection maternelle et infantile Dr C.H. Gurd Director of Medical Services Fiji Dr J. Watt Director (Adviser/conseiller) (Chief Representative) (Chef de delegation) (Alternate/Suppleant) (Chief Representative) (Chef de delegation) Office of International Health United States Public Health Service Department of Health, Education and Welfare Dr R.K.C. Lee Director of Public Health and Medical Activities University of Hawaii Honolulu Dr J. Austin Kerr United States Agency for International Development Manila (Alternate/Suppleant) (Adviser/Conseiller) UNITED STATES OF AMERICA (continued) ETATS-UNIS D'AMERIQUE (suite) WESTERN SAMOA SAIDA-OCCIDENTAL SINGAPORE SINGAPOUR Dr J. lewis United states Agency for International Development Seoul (Adviser/Conseiller) Dr D. vI. Ruthig (Adviser/Conseiller) Associate Director Office of International Health United States Public Health Service Department of Health, Education . and vlelfare Dr H. A. Tucker Medical Director American Samoa (Adviser/Conseiller) Lt. Colonel H.W. Fleming, Me (Adviser/Conseiller) Director Public Health and Welfare United States Civil Administration of the Ryukyu Islands Dr Masashi Makabe Deputy Director Welfare Department (Adviser/Conseiller) Government of the RyultyU Islands Dr J.C. Thieme Director of Health Western samoa II. OBSERVERS OF NON-MEMBER STATES OBSERVATEURS DES El'ATS NON MEMBRES Dr Thong Kah Leong Senior Health Officer Singapore REPORI' OF THE REGIONAL COMMITTEE 37 III. REPRESENTATIVES OF THE UNITED NATIONS AND SPECIATJZED AGENCIES REPRESENTANTS DES :t-TATIONS UNIES E'!' DES INSTI'lVI'IONS SPECIALISEES UNITED NATIONS J TECHNICAL ASSISTANCE BOARD AND UNITED NATIONS SPECIAL FUND NATIONS UNIES, BUREAU DE L' ASSISTANCE TECHNIQUE ET FONDS SPECIAL DES NATIONS UNIES UNITED NATIONS CHILDREN'S FUND FONDS DES NATIONS UNIES POUR L'ENFANCE Mr vi. R. Lucas Resident Representative of the Technical Assistance Board and DirectOr of Special Fund Programmes in Korea Seoul Mr A. E. McBain UNICEF Resident Representative Seoul rv. REPRESENTATrvES OF OTHER INTER- GOVERNMENTAL ORGANIZATIONS REPRESENT ANTS D I AUTRES ORGANISA- ,TIONS INTERGOUVERJ.l!EMENTALES INTERNATIONAL COMMITTEE OF MILITARY MEDICINE AND PHARMACY COMITE INT~TIONAL. DE MEDECINE El' DE PHARMACIE MILITAIRES . SOUTH PACIFIC COMMISSION COMMISSION DU PACIFIQUE SUD Colonel Eui Shik Kim Surgeon General ROKAF Dr G. Loison 'Executive. Officer for Health South Pacific COmmission Noumea 38 REGIONAL COMMITTEE: SIXTEENTH SESSION V. REPRESENTATIVES OF NON- GOVERNMENTAL ORGANIZATIONS REPRESENTANTS DES ORGANISA- TIONS NON GOUVE:RNEMENTALES INTERNATIONAL ASSOCIATION FOR THE PREVENTION OF BLINDNESS ASSOCIATION INTEBNATIONALE DE PROPHYLAXIE DE LA CECITE INTERNATIONAL COUNCIL OF NURSES CONSEIL INTERNATIONAL DES INFIRMIERES INTERNATIONAL DENTAL FEDERATION FEDERATION D~TAIRE INTERNATIONALE INTERNATIONAL FEDERATION OF SURGICAL COLLEGES FEDERATION INTERNATIONALE DES COLLEGES DE CHIRURGIE INTERNATIONAL HOSPITAL FEDERATION FEDERATION INTERNATIONALE DES HOPITAUX *Did not attend N'a pas assiste a la reunion *Dr O. Choi Department of Ophthalmology Yonsei University College of ~dicine and Severance Ho~ital Seoul Miss S.Y. Hong President National Korean Nurses Association Seoul Dr S.H. Yoon Kbrean Dental Association Seoul Dr U.S. Oh Korean Dental Association Seoul Mr P.W.C. Mao, M.B., B.S., F.R.C.S. (Glasg.) Hong Kong Dr V.R. de Ocampo Board Director Philippine Hospital Association and ~dical Director De Ocampo ~morial Center Manila Dr R.L. Alfonso Board Director Philippine Hospital Association and Medical Director Far Eastern University Hospital Manila ' ... REPORT OF THE mXUONAL COMMITl'EE 39 INTERNATIONAL HOSPl;TAL . FEDERATION (cont:j.nued) FEDERATlca'l' INTERNATIONALE DES HOPITAUX (suite) INTERNATION..-".L SOCIEl'Y OF BLOOD TRANSFUSION SOCIEl'E INTERNATIONALE DE TRANSFUSION SANGUl}IE INTERNATIONAL UNION OF ARCHITECTS UNION INTERNATIONALE DES ARCHITECTES INTERNATIONAL UNION FOR CHILD WELFARE UNION INTERNATIONALE DE PROTECTION DE L'ENFANCE INTERNATIONAL UNION FOR HEALTH EDUCATION UNION INTERNATIONALE POUR L' EDUCATION SANITAlRE LEAGUE OF RED CROSS SOCIEl'IES LIGUE DES SOCIEl'ES DE LA CROIX-ROUGE * Did not attend N'a pas assiste a la reunion Dr M. ChuaChiaco Board Director Philippine HosritaJ. Association and ~dicaJ. Director' - Chinese General HospitaJ. Manila Dr J. Ortanez Financial Adviser Philippine Hospital Association and Medical Director Ortanez General Hospital Manila *Dr C.D. Won Director Red Cross Blood Bank Seoul *Mr H.C. Kim Department of Architecture Seoul National University Seoul -*Mr D. K. Kim Seoul. Dr J. Franklin-Adams cj 0 The Save the Children Fund Pusan Dr G. Loison Executive Officer for HeaJ.th South Pacific Commission Noumea Dr Y.C. Kim Director Health Service Department Republic of Korea National Red Cross Seoul 40. REGIo.NAL Co.MMITTEE: SIXTEENTH SESSION LEAGUE OF RED CROSS SOCIm'IES (continued) LIGUE DES SOCIETES DE LA CROIX-Ro.UGE (suite) MEDICAL Wo.MEN I S INTERNATIONAL ASSOCIATION ASSOCIATION INTERNATIONALE DES FEM-1ES MEDECINS THE WORLD MEDICAL ASSOCIATION L I ASSOCIATION MEDICALE MQNDIALE 1<TORLD VETERANS FEDERATION FEDERATION MONDIALE DES ANCIENS COMBATTANTS Mrs Y. C. lCoo Assistant Director International Relations Department of the Red Cross SeouJ. Dr C.H. Lee SeouJ. Dr C.T. Kim SeouJ. Dr C.J. Ross-Smith General Secretary Australian Medical Association Vice-Admiral S.H. Lee President Korean Veterans Association SeouJ. .... - • REPORT _ OF THE REGIONAL COMMITTEE -_ . 41 ANNEX 3 REPORT OF THE SUB-COMMITl'EE ON PROGRAMME AND BUDGET 1 INTRODUCTION At its seventh session, the Regional Committee, in resolution WPjRc:r. I((, decided "that the establishment of a sub-commi ttee on programme and budget, consisting of six members plus the Chairman of the Regional COmmittee, should become a routine activity of' the Regional Committee "; and recommended that ''the membership of this sub-committee be rotated among the Representatives of various ~mbers, subject to the provision that any Representative desiring to be a member of the sub-committee should be entitled to participate ". The members of the Sub-Committee and their alternates and advisers were as follows: Australia Cambodia China Japan New Zealand Republic of Korea Dr H.E. Downes Dr Aka Toua (alternate) Dr C.J. Ross-Smith (alternate) Dr In Sokan Dr Keo Phann (alternate) Dr C.K. Chang Dr T. C. Hsu (alternate) Dr N. Tatebayashi Dr J. Urata ( alternate ) Dr S. Mitani (alternate) Dr C.N. Derek Taylor Dr Youn Keun Cha (Chairman) Dr Taek n Kim (alternate) Republic of Viet-Nam Dr Le Cuu 'mIong United Kingdom Dr C.H. Gurd The follOwing also. attended: Dr Koukeo Saycocie (LaOs), Dr L. W. Jayesuria (MIl.aysia), Dr N.C. de Andrade (Portugal), Dr M.F. Matias (portugal), Mr A.E. McBain (UNICEF), Dr S.H. Yoon (International Dental Federation), Dr Y.C. Kim (League of Red Cross Societies) and Vice-Admiral S.H. Lee (World Veterans Federaticm). • REPORr OF THE REGIONAL COMMITTEE by the World Health Assembly and the Regional Committee. The finan- cial obligation of each Member goverllment in the year concerned could not be determined at this stage because this would be established on the basis of the global activities of t'lHO which would be submitted by the Director-General. This aspect, thercf'ore" would be fully dis- cussed during the florld Health Assemb~r. The Sub-CoInraittee noted further that the Regional. Director had. carefully cxa.m.ined the requests received from l{cmber governments in consultation with the regional adviSers and the ~l.H0 reprcsent~tives. In finalizing his proposed programme and budget he had. also been guided by the general programme of work covering the specific period 1967-1971, which had. been prepared by the Executive Board and subsequently adopted by the Eighteenth World Health Assembly. 2.2 Regular Budget - Proposed Bud;;et Level for 1967 The Sub-Cor.1l1littee noted tha t the e!fec tive working budget proposed for the Region under the regular programme in 1967, including expenses in connection with the meeting of the Regional Committee, amounted to ~ :3 821 000. Of this amount, %> 488 454 had been allocated to the Regioml Office, ~ 3 326 l36to fi(:ld activities • Regional Office The Sub-Committee noted that there was a slight increase over th.:l.t of the previous year. This was attributable to the normal statutory ~- lncrements and the cost connected with the s~lary and allowances of three REGIONAL COMMITTEE: SIXTR=:::::EN=:-:,:.;;'TH:.::;-::-=.;SE;:::~S;;.::S,-=I:.;:;ON:;;.-_______ _ new posts - a personnel officer at P.l level whose services were required because of the increasing work-load connected with reCruitment, a clerk- typist to deal with the work involved as a result of the decision to promote a wider sale of WHO publications, and an additional secretarial post in the Bureau of Health Services. The Representative of China noted that the prOvision for the duty travel of the regional advisers had not increased. He believed that the amount indicated was not sufficient to enable them to carry out the work required of them. The Secretary stated that it had always been the policy of the Regional Director to maintain the requirements of the Regional Office at a minimum so that priority could be given to requests for direct assistance from Member governments. The budget was, however, flexible and if there was any definite need for an increase in the amount of funds for duty travel, this cotud be arranged by using savings which would become available. 2.4 Regjonal Advisers and WHO Representatives The Sub-Committee noted that there were eighteen technical advisers in different fields and that the amotUlt allocated for this item showed a slight decrease. This was attributable to the uneven distribution of bome leave during the two years, which was, of course, offset by the normaL statutory increments. It also noted that the posts of seven WHO representatives would be continued and that their areas of responsibilities '!ere as follows: Ca"'bodia; -China _ (Taiwan), the representative here also covers Guam, Hong Kong, Japan, Macao, the Ryukyu Islands and the TrUst Territory of the Pacific Islands; Fiji, also covering Australia, New Zealand and .... • .> .. REPORT OF THE REGIONAL COMMITTEE the South Pacific territories; Laos; Malaysia, also for Brunei and Singapore; Republic of Korea; and Republic of Viet-Nam. The Secretary informed the Sub-Committee that one of the major tasks of a WHO representative was to assist the government to review its health needs and resources and to develop, plan, co-ordinate, inu>lement and evaluate the national health programme and policy. The WHO represen- tatives, therefore, also served as senior adviser in public health adminis- tration in the country or countries to which they were assigned. As this was considered to be an extremely inu>ortant post both from the technical and administrative points of view, special training courses had been organized at WHO Headquarters for incumbents and. potential candidates. 2.5 Field Activities 2. 5.1 Country Programme s It was noted that the field activities proposed had been classi- fied under twenty-one different major headings. $pecial emphasis continued to be given to projects relating to the basic needs and pro- blems of the Region. The largest percentage of funds continued to be budgetted for public health administration with 21.26 per cent. of the total, followed by malaria with 19.25 per cent. In 1967, continuing projects accounted for approximately 81.95 per cent. of the allocation (see pages 53-54). The Sub-Committee reviewed a working document which had been prepared as a result of a request made at the fifteenth session, when a representative had stated that discussions on the proposed programme and budget estimates would be faCilitated if representatives could be provided with information on the different subjects under some of the ~4~6 ____________ ~REG~.'~·Iz·O~N~AL~·~C~OMMIT.rEE: SIXTEENTH SESS~I~QN~ __________ _ major headings (see page 55). The Sub-Comm:i. ttee noted that the heading ''public HeaJ.th Administ.ration If covered a w:tde range of activ:i.ties including public heaJ.th laboratory services, medical care, hospitaJ. administration, hospital architecture and such integrated fields as rural health and public health programmes. BrtL'1ei The Secretary stated that the Government had submitted a request for the continuation of the malaria eradication programme. The Regional Director considered, however, that by 1967 the Government might well find the malaria problem under control and might not require any further assistance. The Government's request for continuation of the services of the WHO adviser had therefore been :.ncluded in the supplementary list. If, how~ver, there was need for further extension of WHO assistance to the progra.:rm;e, the Regional Director would be more than willing to meet this request. Ch:Lna - Virus laboratory services The Secretcry informed the Committee that the Goverru:nent' s request for assistance in connexion with a virus laboratory services project had been changed and would now consist of a medical officer, a virologist and fellowships. Gilbert and Ellice Islands Tuberculosis control The. Sub-Committee noted that it had been proposed that UNICEF assistance sL.uuld be given in 1967. As far as WHO a3sistance YlRS concerned, the WHO tuberculosis advisory team would spend at least two months in the area to evaluate the project. -< Diarrhoeal disease control The Secretary said that it appeared that the Government was placing emphasis on environmental sanitation, as this was the title it had used when submitting the request. The Regional Director had con- sidered that a diarrhoeal disease adviser and a sociologist should be provided under the country project, but that the services of the sanitary engineer could be provided from the regional environmental'sanitation team which would assist all the countries and territories in the South Pacific area. The post of sanitary engineer, which .the Government had requested, had therefore not been included under the country request. It was noted that the sociologist would actually be a social anthropologist whose main function would be to study the various habits. and customs of. the people with regard to their eating habits and waste disposal. Before the people could be educated on the use of certain facilities, it would be necessary to know the causes and factors which would influence the health education approach. Macao The .Representative of Portugal stated that the Government .of Macao now wished to he,ye on:j.y a fellolfShipin ~f!.lth edu~ation •. He drew attention to the fact that the request for fellowships for Portuguese Timor had arrived too late for inclusion in the budget and sugsested that as Macao had reduced its request from three to one fellowship the money thus saved should be used to cover fellowships in nursing and public health administration for portuguese Timor. It was so agreed. 48 Malaysia The Secretary informed the S~b-Committee that the document had been prepared before Singapore had separated from Malaysia. The necessary changes would be reflected in the Official Records printed at Headquarters. The projects pertaining to Singapore could be easily identified, as there were indications as to which state each project belonged. The Government of Singapore had already informed the Regional Director that it wished to continue to receive the assistance approved and ~lanned. 2.5.2 Inter-Country Programmes The Sub-Committee noted that provision had been made for a number of continuing projects, including the Malaria Eradication Training Centre and the regional tuberculosis advisory team. A new advisory team, consisting of an epidemiologist and a bacteriologist, two seminars - one on occupational health and the other on paediatric education - and a training course in international quarantine, were among the ne,T activities proposed. It was also noted that provision had been made for a public health nurse educator to develop post-basic courses in public health nursing and to advise on the development of public health nursing services in the South Pacific. The Representative of the United Kingdom stated that Fiji had just started a post-basic'coursein public health nursing w1d asked if the services of the vffiO public health nurse educator' would be available to strengthen that course. It was agreed that this could be arranged. 2.6 Technical Assistance Programme The Sub-Committee noted that the proposals under the Technical Assistance programme for 1967 were merely tentative. They consisted of estimates for the continuation of projects already approved beyond 1966 • REPORT OF THE REGIONAL COMMITTEE by the Technical Assistance Board, as -vrell as recommendations -made by the Regional. Director to governments covering the extension or mod.ifi- cation of existing projects, and the establisp~nt of new ones. No precise information on the Technical Assistance programme would be available until after the meeting of the Tech."lical Assistance Board in the autumn of 1966. The Sub-Committee noted further that it was the r~eponsibility of the Regional Director to secure funds for inter-country projects proposed under the Technical Assistance programme. It agreed, therefore, that the three projects concerned - seminar on health planning in urban development and the maternal and child health advisory services and environmental health advisory services projects, both for the South Pacific area, - should be endorsed by the Committee. 2.7 Special Account for Community ifater Supply, Malaria Eradication Special Account and Special Account for the Yaws Programme The Sub-Committee noted that the proposals appearing under the Special Accounts for Community Water Supply, l-tUaria Eradication and the Yaws Programme were purely tentative and that their implementation was subject to the availability of funds under these accounts. 3 CONCLUSION The Sub-Committee considered that the proposed programme was acceptable for transmission to the Director-General for inclusion in his proposed programme &1d budget for 1967. SUGGESTED Gu:IDELINES FOR THE SUB-COMMITTEE ON PROGRAMME Ab1) BUDGEr 1. General. review of the ro sed the financial year 1 January - The general reviev should include, inter alia: (1) new activities in 1967; (2) comparison of the costs of new activities in relation to the total cost of field activities. 2. Detailed examination and analysis of the proposed programme and budget estimates (1) Review of summaries (2) Review of the Regional Office (3) Review of Regional Advisers and villO Representatives (4) Revierr of field activities, including inter-country projects 3. General conclusions In drawing its conclusions, the Sub-Committee should answer the following questions: (1) Does the programme follow the general programme of work approved by the Regional Committee and the World Health Assembly? (2) Is the proposed programme acceptable to the Committee? 51/52 The Sub-Committee should also list any ~uestions which it considers the Regional Committee should discuss in ~lenary session. -,.., ANALYSIS OF PROPOSED PROGRAMME A ~'D BUDGET ESTIMATES REGULAR FUNDS - 1966-1967 53 ~ ............. ~~.,.. ......... _...,..., ,, ___ : ....... _'~ ......... __ ..,_-:o_ ...... _··-st ..... - ... -....-----.. ----.. -----.... ---'~~~~'~ ( Regional Committee Meeting costs (Appropriation Section 3) Regional Office costs (Appropriation Sections 5 and 7) •••••••••• Field activities (Appropriation Secticl1lI 4 and 7) ................ . Malaria activities (Appropriation Sections 4 and 7) ••••••••••• _ • _I TOTAL (GROSS) ......................... o. .......................................... , i 1966 uS.> 6000 473590 2407872 714703 3602165 ====== 1967 US", 6000 ·190889 2779343 653971 3930203 ==--==== ANALYSIS OF FIELD ACTIVITIES - REGULAR -1966 , Main Headings I Continuing Projects New Projects Total -- I US:;; "/. U~ 0/. USe ",. Malaria .......................................... 703 503 22.53 11 200 0.36 714703 22.89 Tuberculosis ..............•. - 166884 5.35 26000 0.83 192884 6.18 Venereal diseases and treponematoses .................. .... 47111 1.51 2200 0.07 4!i 311 1.58 Bacterial diseases ............ '1 17071 0.54 4000 0.13 21071 0.67 Parasitic diseases .. " .......... " .......... 39671 1.27 - - 39671 1.27 Virus diseases ................ / 23071 0.74 S 600 0.31 32671 1.05 I..e:prosy ............................................ 21469 0.69 7800 0.25 29269 0.94 Public health administration .... 585034 18.74 144 328 4.62 729362 23.36 Vital and health statistics .. .... 45439 1.45 13600 0.-14 59039 1.89 l\1ental health .................... 22200 0.71 9850 0.32 32050 1.03 Nursing ............... ,. ..... . -.. 159013 5.09 11 600 0.37 1'10 613 5.46 Social and occupational h()alth .. 48997 1.57 48212 1.54 97209 3.11 Chronic and degenerative I diseases ............................. - - - - . - Health education ............ ... 93466 2.99 I 52700 1.69 146166 4.68 Maternal and child health ....... 110000 3.53 13250 0.42 123 250 3.95 Mental health ................ 77796 2.49 I 9000 0.29 86796 2.78 Nutrition ........................ 38516 1.23 4967e 1.59 88195 2.82 Radiation and isotopes .......... - - 30754 0.98 30754 0.98 Environmental health •••••••••• 137639 4.41 82441 2.64 220080 7.05 Education and training ••••••••• 17~ 367 5.75 64 414 2.06 243781 7.81 Other activities .................. .... 15700 0.50 - - 15700 ~ -- TOTAL (GROSS) ••••••• 2531947 81.09 590628 18.91 3 122575 100.00 ---- ==== ------- ------ === =--==-- === REGIONAL COMMITTEE: SIXTEENTH SESSION ANALYSIS OF FIELD ACTIVITIES - REGUlAR - 1967 Main Headin3s Continuing Projo,cts ! I New Projects Total usC "/. US~; "/0 US$ "/. I , I I Malaria ........................................ 653971 19,05 - - 653971 19,05 I Tuberculosis ............................... .. 193774 5.65 26550 0,77 220324 6.42 Venereal diseases and I treponematoses 29404 0.86 - - 29404 0.86 I .. ,. .................... I Bacterial diseases 16096 0.46 I 81913 2,39 98009 2.85 .................. ...... I Parasitic diseases ...... " .................. 24196 0,71 - - 24 196 0.71 Virus diseases .................. co .... ..... 23 S96 .0.68 47278 1.38 70674 2.06 I..eprosy ...................... ,. ............ ,. ...... - - 21700 0.63 21700 0.63 I Public health administration. " • 648968 18.90 80807 2.36 729775 21.25 Vital and health statistics •• , , , .. 26776 0.78 21000 0.61 47776 1,39 I Demal health ., ..... "", ..... 17300 0.50 2000 0,06 19300 0.56 Nursing ,. ........................................ 203564 5.93 53970 1,57 257534 7.50 Socisl and occupational health" 68008 1,98 37800 1.10 105 808 3.08 I i Chror.ic and degenerative I diseases ...................................... - - 20500 0.60 20500 0.60 I Health education .......................... 90345 ?.63 34966 1.02 125311 3.0S Maternal and child health " .... 115661 3.37 63808 1,86 179469 5.23 Mental health ........................ It •• 94610 2.'16 7700 0.22 102310 2.98 Nutrition .................................. 94 789 2,76 - - 94789 2.76 Radiation and isotopes .......... 24371 0.71 2800 0.00 27171 0.79 Environmental hea!th ".' ...... 175244 5.21 37000 1,08 216244 6.29 Education and training •• , ••• " • 285749 8.33 41700 l.n 327 <,49 9.54 Other activities ............ .... 23400 0.68 38 2~0 1.11 61600 ~ TOTAL (GROSS) ...... 2813 622 81.95 619692 18.05 3433314 100.00 ==---=== ----- ====== -------- ===== ------- MAJOR SUBJECT HEADINGS USED IN THE PROPOSED PROGRAMME MID BUDGEr ESTIMATES FOR 1967 During the meeting of the Sub-Committee on Programme and Budget held in connexion with the fifteenth session of the Regional COmmittee, it was suggested that discussions of the proposed programme and budget estimates would be facilitated if representatives could be provided with a list of the different subjects under some of the major headings. Projects would be included under: - Public Health Administration, if they relate to public health laboratory services, medical care, hospital administ~ation, hospital architecture, and such integrated fields as "rural health", '~ublic health programmes ". - Social and Occupational Health, if they relate to occupational health (including hygiene of seafarers and aviation medicine); sports medicine; accident prevention; forensic mediCine, medical rehabilita- tion of the physically handicappedj problems of social medicine connected with infants and the aged, and matters pertaining to medico-social work. - Chronic and Degenerative Diseases, if they relate to cardiovascular diseases, cancer, rhe.uma.tic diseases, and other chronic non-communicable diseases. - Elucation and Training, if they relate to general medical education, training in preventive mediCine, general assistance to medical schools (including schools of public health), and seminars or other meetings on such subjects, and cannot be identified 1vith any other major subject headings. - Other Activities, if they relate to immunology, space medicine, genetics, activities which cannot be identified vith any specific subject heading. REPORl' OF THE RmIONAL COM>n'1'1'EE TRIRD G~IE:RAL PROGRU';I,m; OF WORK 170H I'E.F~ \~''-'.E:firl ElCIFIC i\;.;nImr C0V"ERnrG THE PERIW 1961-1971 1 STRENGTHENnm OF NATIONAL HEALTH SERVICES 57 1.1 The general principles contained in the two preceding programmes governing assistance to goverm£1ents in strengthening their national health services will continue to guide the implementation of this third general programme of work. The need for establishing or developing extensive general health services is still a basic pr0blem faced by many governments in the Region. Assistance will continue to be provided by the WHO representative stationed in the country or area, by pUblic health advisers and other field staff. 1.2 The orderl.;y organized develo:pment of all services concerned with the health :protection of the population (which comprises the prevention of disease, the promotion of health and curative and restorative medicine in all its aspects) constitutes the main objective of national health planning. It is part of a dynamic process involving concerted national effort for the attainment of desired economic and social goals. It is typically designed to produce a comprehensive plan and health service, but circumstances may limit its scope to the strengthening or extension of certain constituent services. The services of the WHO representative stationed in the country or area, as well as the assistance of the regional office staff will be available to assist governments in such health planning, and, where funds permit, the Organization is prepared to provide advisers and/or consultants for such specific assistance to national health planning as may be needed. 1., Experience has shown that for the success of mass campaigns it has been frequentl.;y necessary to assimilate their machinery, with its limited objectives, into the more comprehensive general health service. This integration of the mass campaign organization within the general health services facilitates the extension of those services to the peripheral areas of a country, and avoids the centralization which tends to prevent progress in the rural areas. Health services should reach the people in a constellate pattern of organization, in which hospitals are extended to health centres and health units staffed in accordance with the manpower resources available to provide preventive and curative services of diminishing organizational co~lexity. 1.4 It is proposed to give emphasis to: (i) the establishment and development of vital and health statistics services; (ii) the collection and analysis of epidemiologica~ data and other pertinent information as the basis of national health planning and periodic evaluationj 58 REGIONAL COMaTTEE: SIXTEl!1'NTH SESSION (iii) the prevention and control (and in some instances, the eradication) of communicable diseases of ~~~jar importance; (iv) the developn.ent of r.J.edical c(;.re pro,;ram:ncs, p:l.rticularly hospital pJamling, organization and administration as an integral :part of the comprehensive national health plan; (v) the strengthening of health laboratory services; (vi) the development of maternal. and chil.d health as an integral psr-c of the genere.l health services, with adequate provisior..s fer promoting the phYSical, mental end Bocial well-being of the child, job-I:. efforts to combat malnutri- tion (partic1D.arly protr::in-calcrie malnu.trit10u), support of other maternal and child health projects, including those for handicap~ed childran, school health programmes and the control of helminthic infestations; (Vii) the eeucation and ~aining of various categories of professional and auxlJiary health personnel, particularly in the nt~sing and midwifery disciplines, and assistance in the drDfting of new or revised legislation which ~dll help set up or maintain adequate standards; (viii) the promotion of activities in the field of e~viron­ mental health, with pu'ticular emphasis on the developnent of ~ogr3mmes for an adequate and safe water supply, waste disposal a~d food hygiene; , (ix) the establishment cf an adequate health education programme as an integral :part of the genel'al heaJ..th :plan under we]~qualified health education leadership, incluiing provisions for health education in mp.dical and health workers training progr~s, particularly with respect to post-.gradua.te programmas for health education specialiots and the development of school health education in teacher training and school health programmes. I! ME\SURES AGATh"ST THE COMl.roNICABLE DISEASES 2.1 The ne~d to develop and maintain epidemiological surveillance on a regional and global b~sis and to achieve control, or even eradication of the major diseases, at l~ast on a local basiS, wherever technically and economically feasible .• "111 influence the Qrganization's programme. 2.2 In addition to strengthening the epidemiological, statistical and' health laboratory services as r'",;rt ;}f ,thoa gelleral health services, emnhasia will be placed on stimulatlngthe development of adequate virus di;gnostic laboratcry services in view of the great importance of the arbovirus infectious, including Ja:ra~se encephal1 tis and baemorrbng;1.e fever, the respiratoryviruB infections end also poliomyelitis. REPORT OF THE REGIONAL COl+!ITl'EE 59 Training in the application of the fluorescent antibody techniques, particularly in the diagnosis of the venereal diseases, will be encouraged. 2.3 The intensive efforts to eradicate malaria and ya:ws, to prevent their re-introduction in areas cleared of these infections, and efforts to exclude smallpox from the Region will be continued. 2.~ Increasing efforts will be needed to achieve the control of tuber- culosis, leprosy, trachoma, the venereal diseases and bilharziasis, as well as the common infections, such as diphtheria, pertussis and tetanus, which are susceptible to control by available vaccines. Programmes to control cholera, as well as the prevalent enteric infections, including the helminthiases, and als0 the virus diseases, particularly Japanese encePhalitis, haemorrhagic fevers and poliomyelitis will be intensified. The control of rabies will be stimulated in the affected areas. 3 MEASURES AGAINST THE NON-COMMUNICABLE DISEASES 3.1 Increasing attention will be given to certain non-communicable diseases, such as degenerative diseases of the heart, malignancy, mental disorders and the like which, heretofore, have been considered to be problems mainly of the developed countries but are now being felt even in the developing countries in the Region. Assistance in the assessment of the various ecologic factors influencing the frequency and distribution of these diseases and the establishment of programmes for their prevention and control should be considered. 3.2 Attention needs also to be given to the development of dental health programmes and the promotion of fluoridation of water supplies. Programmes aiming at the protection of patients and personnel alike from the effects of the medical use of radiation are also required. 4 EDur..ATION AND TRAINING 4.1 The shortage of well-qualified and trained medical and health personnel remains the major drawback to the development and improvement of health services, particularly in the developing areas in the Region. Therefore, high priority will continue to be given to assistance to ene.ble developi.ng countries to establish, improve or expand their training programmes so that they can produce as rapidly as possible their own supply of well-trained health personnel. 4.2 The strengthening of certain training institutions so that these can serve as centres for the advanced training of health personnel from other countries in the Region will be further pursued. 4.3 To ensure the proper planning, implementation and evaluation of education and training programmes, there is need to relate the health manpower situation with the national health plans, the programme of general education and other socio-economic factors. 60 REGIONAL CONt{ITTEE: SIX'fEENTH SESSION 4.4 (a) Efforts must be exerted to improve the standards of professional and auxiliary education and training prograF.2!les. A group of well-qualified professional health personnel able to assume leader- sh:!.p in the continuous expansion of education and health service programmes must be developed. (b) Existing education programmes should be subjected to continuous review with the end in view of changing or modifying the programmes if necessery to meet 1~ca1 needs. (c) Assistance should also be extended towards the establisbment aI'.d development of refresher training, post-basic and post-graduate p!'ogrammes • This will ensure that health personnel will continually improve their basic knowledge and skills, thus raising the standard of health services. 4.5 Tlle fellowship progra.'llllle will be further developed to enable teachers or persons who influence or train nany others upon their return, to benefit from advanced training or observation abroad. 4.6 The exchange of information regarding ne.,1 ideas, knowledge, techniques and other procedm'es through conferences, seminars and other educational meetings has been most useful and will be continued. 5 SUBJECTS OF GENERAL nfrEETA TIO:\"AL HEALTH nfrEREST 5.1 WHO Headquarte=s ,vill continue to discharge functions concerned with subjects of world-wide interest, such as medical research, inter- national epidemiology and quarantine, collation, analysis and presenta- tion of statistical material provided by governments, establishment of biological standards, prepiration and maintenance of the Internatioll.al Pharmacopoeia, and of the Iuternational Classification of Diseases, Injuries and Causes of Death. 5.2 WHO Headquarters will seek to formulate internationally acceptable principles and requirements for drug evaluation, to :promote the exchange of info;rmat:i.ou on drilg safe·ty and efficacy !l.ud to seek ways of rapid dissemination of information on serious adverse drug reactions. 6 PROGRAMME CO-ORDllIATION 6.1 The Second General Programme of Work of the Region identified four areas of programme co-ordination, namely: . (i) the United ~T9.tions, the Specialized AgenCies, the International Atomic Energy Agency and other organizations of the United Nations system; (ii) the inter- ~overnmental and governmental agencies ,lor king in the health field; (iii) the non-governmental organizations interested in health problems; .r REPORT OF THE REXlIONAL COMMITTEE 61/62 and (iv~ other organizations and institutions, official. and private, involveu :J.:1 healt;L ·;;O~,;.. 6.2 The essential purpose of all the efforts of the Organization in this field is twofo1d. There is a need to co-ord1JJate activities in the health field with other economic and social development activities, thus bringing into focus the L:1portance cf the health element in balanced national socio-economic development. 14ean"While; the Organization must also exercise its constitutional function as the co-ordinat1ng authority on international health work and therefore collaborate closely with all those agencies,inter~goverrunental, governmental and non-governmental, "Which work in the health field. The existing mechanisms for such co-operation must remain flexible and effective and be extended to meet increasing needs, for it is necessary that national planners and . economists become all8!'O ,-,f th" ioportance 01' healt~l ::~ a factor in national dev~lo~en~ anu the untoward consequences of neglecting it. The need for co-operation also arises from the rapid progress of medical science, which calls for closer ties with all technical bodies, parti- cularly non-governmental organizations, in order to ensure that the impact of their work is fUlly reflected in international health programmes. 6.3 It is at the national level that co-ordination of health activities is most effective. In the ultimate analYSis it is for national health authorities to integrate all sources of aid - international, bilateral and private - for the fulfilment of stated health objectives) and for harmonizing the national and international work in the agricultural, educational, industrial and social sectors. In this respect the Organization ,dll rely increasingly on the part played by WHO representatives. In all this field of endeavour the Organization will continue to foster and rely upon the mutual under- standing, goodwill and respect of all those whose work has a direct or indirect bearing on the health of nations. 7 EVALUATION Continued attention will be paid to the periodic evaluation of projects by both government and ,{lHO staff. The introduction of evaluation criteria in each plan of operation will facilitate assessment as well as retrospective analysis. A continuing review of projects and of the experience gained in the field, including follow-up studies of past assistance, should provide the basis on which programme formulation and project planning can be better developed. Efforts will also be made to advance the understanding of the :interplay of health factors and economic development in countries. 1 2 3 4 REPORT OF THE TECHNICAL DISCUSSIONS ON THE USE OF HEALTH EDUCATION SERVIC:m IN NATIONAL HEALTH PROORAMMES CONTENTS .ANNEX 5 INTRODUCTION ................................................ 1.1 1.2 Subject ..•..••.•.•.•.•....• , •..•.....•.....••...•.•.... Planning, Preparation and Arrangements for the Discussions .••••........................•.... FIRST PLmARY SESSION .•.•••.•••.•••••.•••.•.•....••...•.••.. MEm'INGS OF THE THREE DISCUSSION GROUPS ••••••••••••••••••••• 3.1 3.2 3.3 3.4 3·5 3.6 The Use of Health Education Services ••••••••••••••••••• Pla.tlIling .••.......•.......••..•.•....••..••...•..••.... Organization and Administration •...•..••.•.•••...•.•..• .Education 8.lld Training .................................. . Some Possible Ways and leans ••••••••••••..••••••••••••• Suggestions for Consideration by WHO ••••••••••••••••••• CLOSnlG PrmARY SESSION ...................................... . APPENDIX A - PROPOSED QUESTIONS FOR CONSIDERATION ~ 66 66 66 66 71 71 72 73 74 76 79 80 OF THE DISCUSSION GROUPS ••••••••••••••••••••••• 83 64 OFFICERS OF T1iE TECHNICAL DISCUSSIONS Chairman: Dr C.N. Derek Taylor, Depnty Director (Health Education), Division of Public Health, Department of Health, New Zealand English-language napporteurs: Dr C.J. Ross-Smith, General Secretary, Australian Medical Association, Australia Dr Ako Taua,. Assistant M9dical Officer, Department of Public Health, Territory of Papua and New Guinea French-language Rapporteur: Medecin Colonel ~nenoz, Chef du Service de sante de la Polynesie . franqaise,Papeete DISCUSSION GROUP A Chairman: Dr L. W. Jayesuria, De:puty Director of Medical Services, Malaya Vice-Chairman: Dr Junichi Urata, Chief, Health Center Section, Public Health· Bureau, Ministry of Health and Welfare, Japan Rapporteur: .... Dr R.K.C. !ee, Director of Public Hea.lth and M9dical Activ:l.ties, University of Hawaii, Hon0lulu, Hawaii, United States of America Host·Co~~try Rapporteur: Dr Hyang Jong Park, Assistant Professor, School of Public Health, Seoul National University, Republic of Korea DISCUSSION GROUP B Chair::na..'1 : Dr C.K. Chang, Director, Depa.....-tmer.t of' HeaJ.th Adrrl.nistration, Ministry of Intflrior, Taiv.1&l, Republic of Cb.ina - ,Y REPORT OF THE RIDIONAL COMMITTEE Vice-Chairman: Dr C.H. Gurd, Director of Medical Services, Fiji Rapporteur: Dr Trinid.ad A. Gomez, Chief, Office of Health Education and Personnel Training, Department of Health, Manila, Philippines Host Country Rapporteur: Dr Chang Dong Min, Chief, Section of Public Health, Bureau of Health and. Social Affairs, Special City of Seoul, Republic of Korea DISCUSSION GROUP C Chairman: Medecin General M. Orsini, Directeur de la sante et de l'HYgiene publique en Nouvelle-Caledonie, Noumea, Nouvelle-Caledonie Vice-Chairman: Dr Keo Phann, Medecin Chef de la Direction de l' Eradicati. on du Paludisme et des Maladies transmissibles, Cambodge Rapporteur: Dr Guy Loison, Executive Officer for Health, South Pacific COmmission, Noumea, New Caledonia Host Country RapporteUl': Mr MOon yong Rhie, Director, Bureau of International Relations, Ministry of Foreign Affairs, Republic of Korea Secretariat: Dr A. Helen Martikainen, Chief, Health Education Section, World Health Organization, Geneva Mr D.C. Johnson, Regional Health Education Adviser, WHO Western Pacific Regional Office, Manila (Secretary) 66 REGIONAL COMMrITEE~ SIXTEEN'J.'H SESSION 1 INTRODUCTION 1.1 Subject ''The Use of Health Education Services in National Health Programmes It was the subject selected for the Technical Discussions in accordance with resolution WP/RC15.R4 adopted during the fifteenth session of the Regional Committee. 1.2 Planning, preparation and arrangements for the discussions Advance planning included preliminary consultations between the Chairman of the Technical Discussions and the Secretariat. Through contacts with public health authorities and health workers in countries of the Region and by way of a questionnaire, information was secured on the uses of health education services in national health programmes. Suggested questiOns and problems were provided by Member governments prior to the meeting, as well as by representatives upon their arrival. in Seoul, Republic of Korea (see Appendix A). The list of working documents and background material provided appears in Annex 6 of the main Committee report. The Technical Discussions opened with a plenary session followed by meetings in three discussion groups "arid concluded with a closing plenary session. 2 FIRST PLENARY SESSION In his opening remarks, the Chairman stated that the topiC of the Technical. Discussions was of great importance to all countries and territories ("If the Region and that the purposes of the discussions were: (1) to exchange information and ideas on what is being done by countries in the Region; • REPOR!' OF THE REGIONAL COMMITTEE 67 (2) to revievl needs and available resources for future planning, development, and use of health education services in national health programmes within the Western Pacific Region of WHO; (3) to offer ideas and suggestions for reference of countries in the future development of the health education services. The Chairman drew attention to the Annual Report of the Regional Director for 1964, which indicated that considerable progress had been made in countries of the Western Pacific Region during the past fifteen years. He noted also that in many parts of the world today medical and public health authorities have come to recognize that adequate knowledge, understanding, and motivation are required by individuals and the public at large before co-operation, active support, and personal or community action regarding health matters can be realized. In recent years, a great deal more attention had been given to a more scientific and organized application of the principles of education and the findings of the relevant social sciences to the planning and. promotion of public health services. As a result of the recognition of the need for the social and educational approach in public health programmes, health education services are now being established along with other basic public health services in national, prOvincial or state, and local health organizations. The Chairman referred to some main points made in his paper entitled liThe Use of Health Education Services in National Health Programmes ". He stressed: (1) the ~ortance of the principle of active participation of people in health programmes if they are to become ",,6,;;;8~_~ ____ ........;R:.::EG:;,,~I:.:ON=l\L=T ....;C:::..:O~M:.!i.\IT=.Tl'EE: SIXTEEN'rH SESSI0N motivated to adopt and to apply desired changes or iIqProv'E)ll!ents in their daily health habits and practices; (2) the opportunities which melllbers of the staff in health programmes have to aF,Ply the social and educational approach in planning and carrying out their respective functions and responsibilities; (3) the kind and amount of em:9hasis placed on informing people about health services, and motivating people to adopt desired improvements or c~"ges in treir health practices, depends on the degree to which the public health facilities are developed in the local area, province or state, or country concerned; (4) the i~rtance of the health programme administrators bringing the health education services into the early planning stages of programmes in which the understanding and active support of the public or certain population groups are required; (5) the iIqPortance of developing co-operative activities 'With ministries or departments of education. All branches of the health services are vitally concerned 'With school health and health education. It is 'With the school-age children and. youth that there are mst iIqPortant oppor- tunities to promote desirable health knowledge, attitudes, h~~its and practices. The Secretary of the Technical Discussions focussed his remarks on a few of the major questions and developments w~~ch had emerged from 'y his review of the re~orts received from Member countries and the profes- sional contacts the Regional Office had had with health officials and health workers throughout the Region. He pointed out that: (1) the need for establishing or improving health education services in national health programmes was recognized by leaders throughout the Regionj (2) there is concern that health education services are still not always an integral part of the planning and develop- ment of health services. Therefore, the important element of motivating people to make more effective use of health services and to participate in relev~~t improvement projects was not yet .rell developedj . (3) more study and effort are needed to establish the basis for planning the social and educational aspects of health work and of training activities for health Y~rkers and othersj (4) some encouraging steps were being taken va thin the Region to make more substantial and systematic provision for the social and educational approaches in the planning and extension of both curative and preventive health services. This is being done by planning ahead for health education services which can be used. to help carry out functions such as: (a) analysis and study of the relevant social and educational aspects of health problems; (b) planning the educational aspects of various health programmes; 70 mr~ION.AL COMMITTEE: SJXTEEN'J1H SESSION (c) organization and conduct of educational aspects of basic health services or of specia..l projects directed tOvlard majornealth problems; (d) education and training of health personnel in health education and the related social sciencesj (e) prepsxation, pre-testing, and production of visual materials; (f) evaluation of the effectiveness of health education services; (g) studies and research related to health education pra.ctices. (5) there is an outstanding potential for giving much more co-operative support to helping prepare school-teachers for the !:l£'.::lY opporttmities t.hey have to influence the heall;h behe.vio\.~ of students. The growing interest of international agencies such as UIiESCO and UNICEF in assisting interested countries to strengthen primary and second.at'y education and teacher training have important technical ~lications for health ministries and l1HO in co-operative promotion of school health and health education. It was his view tbat ~~ experienced and thoughtful leaders and workers in various r~alth professions, education, co~unications, related social scien;es and other fields, ~~re vell aware that much more needs to be done to extend and to improve the social and educational aspects of health work. REPORT OF THE REGI~TAL COMMrTTEE n , MEEl'INGS OF THE T1lREE DISCUSSION GROUPS Meetings of the three discussion groups considered problems in the plflnning and use of health education services in national health programmes. SOl!le of the main points made are sl.1llllllBrized as follows: 3.1 T~e Use of Health Education Services 3.1.1 There was general agreement that the value of using health education services in health programmes had been 'ltrell demonstrated in many parts of the Region. Examples were given concerning many areas including: maternal and child health, nutrition, dental health, vaccination campaigns (BeG, smallpox, measles), poliomyelitis, tuber- culosis, environmental health, bilharziasis, filariasis, malaria, yaws and leprosy. 3.1.2 The need for health education services is particularly evident in the developing countries. Nevertheless in economically more developed countries, they are also needed. It was noted, that existing health education services are not always used to the best advantage. Too frequently attempts are made to impose coercive regulations which are difficult to iJli>lement, rather than to seek means of enlisting, the, under- standing and spontaneous support of the people. It was recalled in one group that public health moves no faster than public opinion. 3.1.3 In countries with only a single health education specialist, his efforts should preferably be directed to: (a) studies and research of relevance to health and health education; (b) interpretation of problems and programme requirements to government officials; and (c) training of tutors who in turn will train other personnel in health education. 3.1.4 A more systematic and effective use of health education services by health administrations could be of very considerable value to 72 RIDIONAL COMMITTEE: SIXTEENTH SESSION enlisting more effective local participation in and support of existing and developing health programmes. 3.2 Planning 3.2.1 For the satisfactory development of health education services at national, state and local levels of administration, it is essential that both technical and non-technical health administrators understand the modern conce:pt of health education and are convinced of its useful- ness in health :programmes. 3.2.2 In particular, the above a:pplies to government officials who allocate the required budgetary resources necessary for effective health education services. 3.2.3 Adequate finance must be planned for health education services and it should appear as a se:parate budget item. In one group, it was pointed out that too often there is a tendency for the health education budget to be "taken lightly". 3.2.4 Health education services are :part of the overall health :programme and should be planned and developed along .lith the other basic health services. The health education services should be closely geared to the available public health services and should. be integrated into appropriate health programmes. It is the responsibility of' the health administrator to give leadership in deciding programme priorities in consultation with the health services concerned and. to involve his health education ser- vices from the early stages of planning health programmes. 3.2.5 The training of health education staff' should be of as high a professional level as possible. As staff become trained, it is neces- sary to ensure that positions are open to them and that projects on REPORT OF THE REGIONAL COmITTEE 13 which they can begin work are available. The sta.:ffing position can be difficult where existing posts are already filled by less highly trained people. 3.3 Organization and. Administration 3.3.1 Important pOints brought out by the groups orere that: (a) there should be a central health education unit at the national level, (b) this unit should be situated in the health m1nistry, and (c) it shoul': occupy a position at the same level as other major programme activities. 3.3.2 For certain countries, it was felt that the head of the national health education services should, if possible, have a medical background in addition to higher training in public health with specialized studies in health education. This could apply particularly during the early development of health education services in the country. 3.3.3 The groups gave particular attention to the following services which they considered a co~tent national health education unit could assist with providing: (1) Planning and co-ordination of the health education activities carried out by the various health services within the Ministry of Health and co-ordination of these activities with the health education efforts of departments ot education, agri- culture, orelfare, and other relevant agencies of government, as well as with those of hospitals, voluntary health agencies, professional societies and others. The higher the status given to health education, the higher the level at \Thich co-ordination and planning can be carried out and economies effected. 14 SIXTJmIYTH SESSION Examples 'Were given: (a) of the advantages of co-ordination by a central health education committee with membership from departments and organizations such as those listed above, and (b) of the need for goverrunent health ministries to co-operate more closely .lith voluntary organiza- tions and professional groups. (2) Consultative services to departments, organizations and groups within the health ministry and to other ministries, organizations and institutions. (3) Training of all categories of health workers at all levels. (4) Studies and research including sociolOgical studies con- cerning the beliefs, attitudes and practices of people in relation to health and disease. (5) Information and programme interpretation incl.uding (a) the presentation of health programmes to the public and to government officials in order to promote understanding and to obtain their support; and (b) the provision of general health information to the public including the availability o£ existing health services. (6) The planning and carrying out of health demonstration and training projects. 3.4 Education and Training 3.4.1 Health workers at all levels should be prepared in health educa- tion and the related social sciencies and this training should be closely I~ REPORT OF THE REGICNAL COMMITTEE 75 geared to their individual requirements. It was pointed out that even the less educated sprayman in a malaria eradication programme has a valuable part to play in health education. He should be trained in simple terms to understand what he is dOing and why so that he can make use of this information in his contacts with the people. These contacts may be the first indication in a village that the government has a health department. Action such as this can help to command the respect of the population. 3.4.2 Non-technical administrators also need appropriate training in health education adapted to their functions and responsibilities. 3.4.3 Training of health workers in health education is necessary at baSiC, post-basic and post-graduate levels and also during in-service training. The last may be the easiest to plan and to carry out as it is generally under the control of the health adl!Jinistration. 3.4.4 Every effort should be made to include and to integrate health education in all relevant aspects of education and training curricula for health workers. 3.4.5 There is a need for closer liaison and co-operation beti~en the teaching faculties of training schools and institutions preparing health workers and the health agencies which are the "consumers" of the services provided by their former graduates. The aforementioned training institutions would include medical schools, nursing and mid- wifery schools, and centres for training environmental sanitation personnel. 3.4.6 School-teachers should be provided ,lith opportunities for receiving preparation in health education at basic, post-basic and post-graduate levels. Rmlcw.L COMML'l"fEE: SmEENTH SESSION 3.4.7 Some participants felt that each country should aim at the planning and development of its Olm facilities to provide education and training. These should include provision for the health education aspects of education and training and be in keeping with existing health needs, local socio-economic circumstances, available staff, teaching facilities, materials and budget. »my examples were given of the progress made to date. 3.4.8 Qualified staff "lith training and e~erience in public health and health education is necessary to ensure that the above-mentioned functions and training progr8JlDlles can be carried out. 3.5 Some Possible Uays and Means In considering some of the ways and means of planning, organizing and using health education services in hee+th programmes, several parti- cipants stressed the inlPortance of health workers taking into account the educational status, the cultural patterns, and the economic circumstances of the people in any given local area if they were to function effectively in carrying out their duties and responsibilities. Getting people to help themselves was particularly stressed. It was noted that one of the main aims of health education is to stimulate local leaders to help their o,m people to become more capable of meeting their health problems. They can be aided by health services already ava.1l.able or likely to be made available to them in the future. The groups suggested that some of the ways and means by which this might be achieved are: (1) Ensure that planning by, and. participation of, the people is carried. on at all levels, as early as possible and continuously. .. I;; REPORT OF THE REGIONAL COMMITrEE (2) All available resources should be used, including voluntary health agencies, hospitals, professional associations and practising physicians. The support of physicians was considered to be of particular significal1ce because of the considerable importance people in some areas place on the advice and counsel of their family physicians. (3) Maximum use should be made of trained health education personneL (4) Health education activities should be geared directly to the planning and implementation of health programmes. (5) Adequate funds and services need to be made available for the health education aspects of any ~alth programme. (6) Where possible, there should be an attempt to achieve more tangible b~!lefits by the people through their participation 77 in health programmes. Motivation of public and government support is easier if such benefits can be readily demonstrated. The timing of a health programme and of the planning of its health education aspects is important. For example, people are frequently motivated to co-operate and to take action during epidemics. (8) Competition in the promotion of local health improvements can be used to advantage in some cultures. This can usually be planned for and carried out through the active and direct participation of the leaders and groups in the area concerned. (9) The planning and production of audio-visual aids for use in health education activities with each local group should RmI(J{AL C<H41'lTEE: SIXTEENTH Sl!5SI(J{ be geared to local. needs, languages, and conditions in order to be intelli8ently understood and accepted by the people of the area concerned. Ex:an!Ples were given of some of the ways and means of fitting in information on health with certain cultural practices such as during festivals. Reference was made also to the value of radio and television under certain circumstances. (lO) Whenever possible, provision for the e':aluation of the health education aspects of a health programme should be made from the earliest stages of progrBllllOO planning. It is, therefore, essential during the planning stages: (a) to specify clearly the objectives of the educational aspects of the health programme; (b) to select the criteria for determining subsequently whether there has been any progress made toward these objectives; (c) to decide and develop the procedures which will be used for this evaluation; and (d) to establish base-line data from which it can be gau8ed subsequently whether desired chan8es or improvements have resulted. (ll) A close working relationship is highly desirable with educational institutions at all levels and in particular with primary and secondary schools. Through co-operative planning with school and health personnel, lIIOre specific and systematic provision for health educa.tion in schools REPORT OF THE REGIONAL COMMI'l'l'EE and in teacher training could be ensured. This would enable school-age children and youth to become: (a) more aware of important health needs and principles; (b) capable of understanding and using available health services; and (c) motivated to live more healthfully. Some participants noted that it may be easier for young people to adopt desired health practices than for adults to change habits that have been long established. 3.6 Suggestions for Consideration by vmo Several suggestions were put forward by the discussion groups for 79 transmittal to the Regional Director of the vmo Regional Office for the Western Pacific. It was felt that the suggestions, as outlined below, could be of assistance to health ministries of Mamber States within the Region in the future planning and development of health education services in national health programmes. These proposals included the follovTing: 3.6.1 That liHO should endeavour to provide more fellowships for post- graduate studies in public health and health education, especially for those professional persons serving in teaching institutions for health personnel. 3.6.2 vmo assistance would be useful in reviewing whether the services of professional health education personnel, trained previously with vmo fellowship aid, are being used most effectively. 3.6.3 vmo assistance is needed to collect, compile and distribute relevant information to interested health ministries on some of the 80 • programmes and experiences in Member countries in which effective planning and use is made of health education services. 3.6.4 Continuing WHO support is essential in assisting interested health ministries to obtain greater governmental support, funds, personnel and equipment needed for the further planning and development of essential health education services within national health progrSllllOOS. 3.6.5 All interested countries within the Region should be invited to assist WHO by making }mown information on any studie's concerning the evaluation of the effectiveness of health education services, particularly those in which the criteria used have appeared to have a demonstrated applicability and value. 4 CLOSING PLENARY SESSION The Chairman opened the plenary session by inviting the general rapporteur to present a summary report of the first plenary session of the Technical Discussions. Reports were then presented from each of the three discussion groups. In the general discussion which followed the main pOints stressed were the following: (1) the importance of health administrations establishing health education services at the highest possible level in the administrative structure of the health ministry or department and its respective progrSllllOOs, (2) the desirability of developing a sufficient cadre of qualified staff for health education services. Health administrators may require to draw on a variety of essential skills such as those held by experts in • c1 ..,;-. , - ~ REPORT OF THE RmI~AL COMMITTEE 81/82 community development, methodology of studies and research, public relations, behavioural sciences, and the preparation and production of visual aids, . (3) tte desirability of WHO helping to provide an inter- national directory of post-graduate schools offering professional training in health education together ~nth information on the major aspects of health education which are emphasized in the teaching curricula of the respective schools. The General Chairman then expressed cordial appreciation to the host government authorities of Korea and to the Regional Director for the staff assistance and services provided throughout the Technical Discussions. He expressed also a particular acknowledgement to all of the chairmen and rapporteurs and to the participants who had contributed 60 constructively and thoughtfully to the discussion of the important subject placed before them. Appreciation was expressed also t~ the General Chairman by a spokesman on behalf of the participants for his efficiency in leading the Technical Discussions. 1. REPORT OF THE REGIONAL COMMITTEE PROPOSED QUESTIONS FOR CONSlDERATION OF THE DISCUSSION GROUPS APPENDIX A What are some or the problems in making the best use or health education programmes being directed by national or territorial health ministries or departments, such as maternal and child health, school health, environmental sanitation, malaria eradication, etc.? 2. In what ways can VIe get known scientific idormation down to the "grass roots" level in terms convincing enough to bring about desirable i1qprovements in the health practices or people? 3. To what extent are existing health education services contributing to the achievement of public health programme objectives and priorities? 4. What can be done to integrate health education activities into existing health services? 5. How can health education services be used in countries where there is a large illiterate population, where nell economic resources are becoming available to people who have previously known only a SUbsistence economy and where new public health problems are arising due to urbanization? 6. How can we motivate the people who are not interested in bringing about changes in those aspects of their living practices which are detrimental to health? 7. To what extent are existing health education services or national, provincial or state, and local health programmes used to help carry out: (a) analysis and study of the relevant social and educational aspects of health problems; (b) planning the educational aspects or variouc; healtP. programmes; (c) organization and conduct of educational aspects of basic health services or of special projects directed toward major health problemsj (d) education and training of health personnel in health education and the related social sciences; (e) preparation, pre-testing, and production or visual materials; RIDIONAL COMMITTEE: S~TH SE5SIal (f) eval.uation of the effectiveness of heal.th education services; (g) studies and research related to heal.th education practices. 8. What aspects of developing national. or territorial. heal.th education services need to be given more attention in o~der that health programmes administered by our ministries and departments will be effective in their efforts to motivate and to bring about necessary action on the part of the public? 9. What technical., organizational., and administrative prOvisions are desirable for a health education service to function most effectively? 10. What can be done to ensure training in heal.th education and related social. sciences for all heal.th workers in the Region as an integral. and systematic aspect of baSic, post-basic, post-grad.uate, and in- service training programmes? 11. How can a country make the best use of its trained heal.th education manpo'Wer when this is strictly limited? 12. What are some of the most effective ways to eval.uate the heal.th education aspects of health progra.tlllOOs at yarious administrative levels, e.g. local, provincial or state, or national levels? ' ...... WP/RC16/1 WP/RC16/1-a WP/RC16/2 WP/RC16/3 WP/RC16/4 WP/RC16/5 WP/RC16/6 WP/RC16/7 WP/RC16/8 WP/RCl6/9 and Add.l WP/RCl6/10 WP/RCl6jll WP/RCl6/12 Rev.l WP/RCl6/l3 WP/RC16/l4 WPjRCl6j15 Rev.l ANNEX 6 LIST OF DOCUMENTS Agenda Annotated a~nda Proposed programme and budget estimates for the financial year 1 January - 31 December 1967 Resolutions of regional interest adopted by the thirty-fifth and thirty-sixth sessions of the Executive Board and the Eighteenth Horld Health Assembly Election of the Regional Director Fifteenth Annual Report of the Regional Director Third general programme of work for the Hestern Pacific Region covering the period 1967-1971 Health in relation to demographic questions Poliomyelitis Present position with regard to El Tor cholera in the Region 85 Selection of topic for the Technical Discussions during the seventeenth session of the Regional Connnittee Material support of the programme for global eradication of smallpox by countries in the Western Pacific Region List of representatives (see Annex 2 of document WP/RCl6/15 Rev.l) Report of the Sub-Committee on Pro~amme and Budget (see Annex.3 of document WP/RCl6/l5 Rev.l for final text) Report of the Technical Discussions (see Annex 5 of document WP/RCl6/15 Rev.l for final text) Report of the sixteenth session of the RegiOnal Connnittee for the l'lestern Pacific 86 RIDIONAL COMMITTEE: s:rxTmNTH SESSION tfP/RCl6/Min/l Rev.l WP/RC16/Min/2 Rev.l WP/RC16/Min/3 Rev.1 WP/RC16/Min/4 Rev.l WP/RC16/Min/5 Rev.1 WP/RC16/Min/6 Rev.1 M1nutes of the First Meeting - 16 September 1965 Minutes of the Second Meeting - 16 September 1965 Minutes of the Third Meeting - 17 September 1965 Minutes of the Fourth Meeting - 20 September 1965 I>tLnutes of the Fifth Meeting - 21 September 1965 MLnutes of the Sixth Meeting - 21 September 1965 Documentation for Sub-Committee on Programme and Budget WP/RC16/p&B/l WP/RC16/p&I3/2 WP/RC16/p&B/3 Suggested guidelines for'the Sub-Committee on Programme and Budget (see Annex 3 of document vTP/RC16/15 Rev.1) Analysis of proposed programme and budget estimates - regular funds, 1966-1967 (see Annex 3 of ,document WP/RC16/15 Rev.l) Major subject headings used in the proposed programme and budget estimates for 1967 (see Annex 3 of document WP/RC16/15 Rev.l) Documentation for the Technical Discussions WP/RCl6/TOl Rev.l VTP/RC16/T02 WP/RC16/T03 WP/RC16/T04 WP/RC16/TD5 WP/RC16/T06 Rev.l WP/RC16/T07 Rev.l WP/RCl6/TD8 Technical Discussions programme Procedures and techniCJ.ues for the Technical Discussions GuidelineS for the Technical Discussions Examples of uses of health education services in countries and territories of the Western Pacific Region, by Mr D.C. Johnson, Regional Adviser on Health Education, WHO Western Pacific Regional Office, Manila The use of health education services in national health programmes, by Dr C.N. Derek Taylor, Deputy Director (Health Education), Division of Public Health, Department of Health, New Zealand List of officers and members, Technical Discussions Individual evaluation questionnaire Proposed questions for consideration of the discussion groups (see Annex 5 of document wp/Re16/15 Rev.l) ( unnumbered) 87/88 First Report of the Expert Committee on Health Education of the Public, Wld ID.th Drg. techno Rep. Ser., 1954, §2 Report on the PARO/WHO Inter-Regional Conference on the Postgraduate Preparation of Health Workers for Health F.clucati. on, WJ.d ID.th Drg. techno Rep. Ser., 1964, £I§., item 2.1, pages i6-20 Other Documentation Brief reports received from governments on the progress of their health activities (see Part TV, item 1 of document ilP/RC16/15 Rev.l for list of reports received)