(WP)AOP/Hll/61/4 (JCC) Report series number: RS/92/GE/22 (PHL)
1 October 1992 LIMITED DISTRIBUTION ENGLISH ONLY
REPORT OF THE FOURTEENTH MEETING OF THE CHINA/WHO JOINT COORDINATION COMMITTEE Manila, Philippines 5-7 August 1992
Not for sale Printed and distributed by:
Regional Office for the Western Pacific World Health Organization Manila, Philippines October 1992
CONTENTS
1. 2.
INTRODUCTION ................................................................................................................... 1 REVIEW OF THE 1992-1993 PROGRAMME BUDGET IMPLEMENTATION (DOCUMENT WPR/MPN/92.2) ......................................................................................... 1 2.1 Comments ......................................................................................................................... 1
3.
CONSIDERATION OF PROPOSALS FOR NEW ACTIVITIES IN 1992-1993 (DOCUMENT WPR/MPN/92.3) ......................................................................................... 2 3.1 3.2 3.3 3.4 Proposals from Headquarters and WPRO .................................................................. 2 Proposals from Priority c. .............................................................................................. 2 New Proposals from MOPH .......................................................................................... 3 Intensified WHO Collaboration with Countries in Greatest Need Proposals...... 3
4.
EIGHTH FIVE-YEAR PLAN: PRESENTATION ON PRIORITY AREAS (DOCUMENT WPR/MPN/92.5) ......................................................................................... 3 4.1 4.2 4.3 4.4 Medical Sciences and Technology ................................................................................ 4 Human Resources for Health ........................................................................................ 4 Health and Epidemic Prevention Services .................................................................. 4 Environmental Health Inspection and Service ........................................................... 5
5.
INTRODUCTION OF THE NETWORK FOR TRAINING AND RESEARCH ON CHINA'S HEALTH ECONOMICS (DOCUMENT WPR/MPN/92.5) ......................................................................................... 5
6.
REPORT OF THE SUBCOMMITTEE ON FELLOWSHIPS ....................................... 6 6.1 Non-Returning Fellows ................................................................................................... 6 6.2 Evaluation of Fellowships ............................................................................................... 6 6.3 Direct Contact with Host Institutions .......................................................................... 6
7.
OTHER BUSINESS ................................................................................................................ 7 7.1 Local Costs ........................................................................................................................ 7 7.2 Information Documents ................................................................................................. 7
ii
8.
CLOSURE ................................................................................................................................. 8 ANNEXES: Annex 1 • Agenda ...................................................................................................................... 9 Annex 2 • List of participants................................................................................................ 11 Annex 3 • Statement by Dr S.T. Han, Regional Director, World Health Organization, Western Pacific Region ............................................................... 15 Annex 4 • Statement by Mr Sun Longchun. Vice Minister of Public Health of the People's Republic of China ........................................................................... 17 Annex 5 • Statement by UNICEF Office for China ................................................................................................................. 19 Annex 6 • Consideration of proposals for new activities in 1992·1993 ............................................................................ 21 Annex 7 • Consideration of proposals from WHO/HQ and WPRO for new activities in 1992·1993 without known sources of funds ................................................................................................... ..45 Annex 8 • List of Priority C activities for implementation if and when funds become available. in order of priority .............................................................................................................. .4 7
1. INTRODUCIlON
The fourteenth meeting of the China/WHO Joint Coordination Committee was held at the World Health Organization Regional Office for the Western Pacific, Manila, 5-7 August 1992. The agenda for the meeting is attached as Annex 1 and the list of participants as Annex 2. The meeting opened with an address by Dr S.T. Han, Regional Director, World Health Organization Regional Office for the Western Pacific, and Mr Sun Longchun, Vice Minister, Ministry of Public Health (MOPH), China. A statement from UNICEF, Beijing, was distributed at the opening ceremony. These statements are attached as Annexes 3 to 5, respectively.
2. REVIEW OF THE 1992-1993 PROGRAMME BUDGETlMPLEMENTATION (DOCUMENT WPR/MPN/92.2)
This agenda item was presented by Dr B.P. Kean, WHO Representative for China. Dr Kean noted that, due to the prioritization exercise, implementation of the programme budget did not begin until May 1992. Consequently, several activities which had originaUy been scheduled for early 1992 would have to be rearranged, and further details were needed for a number of these activities. For the most part, however, there were no outstanding problems, and most of the details had been worked out in earlier meetings. The meeting then proceeded to a project-by-project review of implementation. MOPH was requested to provide revised dates, terms of reference, and requests for local costs for activities to be implemented in 1992. 2.1 Comments
Dr Han Tieru commented on measures being taken by MOPH to improve implementation: Due to the late finalization of the prioritization of the programme budget, the (1) Department of Foreign Affairs has not yet informed other departments in MOPH about the final results of the prioritization exercise. Therefore, many of these departments are not aware of the status of their projects. To rectify the situation, MOPH plans to organize a coordinating meeting to inform responsible departments of the final decisions with regard to the prioritization exercise. (2) At present, there is no sound mechanism for monitoring and review within MOPH, and responsible officers are often not familiar with the procedures and practices of WHO programme budget formulation, implementation, and management.
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To correct this problem, MOPH plans to organize annual meetings to review implementation and identify problems. These meetings will be held prior to the JCC and will involve the Departments of Foreign Affairs and Medical Science and Technology in MOPH, national project coordinators, and staff from the WHO Representative's office. (3) To further strengthen monitoring and coordination, MOPH would like WHO to assist with the establishment of a computerized project monitoring system. (4) To enhance coordination between MOPH and WHO, MOPH will ask each department to designate one person as coordinator for WHO projects. This person will act as a liaison between the Department of Foreign Affairs, WHO, and the department concerned. (5) To enhance management capabilities, MOPH plans to organize a workshop for project coordinators in November 1992. MOPH would like to invite the regional office to send staff with expertise on programme budget development, programme budget implementation, and on local costs and supplies and equipment to participate in the workshop. The Regional Director expressed his support for these measures, and particularly for the November workshop. It was agreed that this was a positive step, and that WPRO would support the workshop.
3. CONSIDERATION OF PROPOSALS FOR NEW ACTIVITIES IN 1992-1993 (DOCUMENT WPR/MPN/92.3) There were four separate categories of new proposals to be considered. 3.1 Proposals from Headquarters and WPRO
This agenda item was presented by Dr Liu Xirong. Seventeen proposals for new activities, with funds already identified, were presented for consideration. These proposals, including decisions made by the committee, are attached as Annex 6. A number of additional proposals were submitted, for which extra budgetary sources are currently being explored. Since these proposals did not have confirmed funding, they were not considered by the committee. These additional proposals are listed in Annex 7. 3.2 Proposals from Priority C
This item was presented by Dr Li Shichuo. MOPH has chosen several priority C activities for consideration. If sufficient additional funds become available during the biennium, MOPH would like these activities to be implemented in order of priority. The list of priority C activities, as approved during the meeting, is attached as Annex 8.
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The Regional Director commented that funding for these activities could be provided if the Director General were to reinstate the 10% of the budget which had been withheld. Otherwise, WPRO would do its best to implement them with any other funds which may become available. 3.3 New Proposals from MOPH
Dr Li Shichuo also presented four new proposals for additional funding. These proposals, including decisions made by the committee, are attached as Annex 9. 3.4 Intensified WHO Collaboration with Countries in Greatest Need (IWC) Proposals This item was presented by Dr Li Shichuo. Based on initial discussions with Dr Kawaguchi (PCO/HQ) in May at the World Health Assembly, MOPH had prepared proposals in the following three areas: a) Primary Health Care b) Polio Eradication c) Training and Research on Health Financing Total $20000000 20000000 488800 $40488800
Dr Mugitani remarked that, while he was not in a position to make a firm decision on funding. he would carry these proposals back to HQ for consideration. He further noted that the International Coordination Office/HQ is contemplating sending a mission to China in November to look at the possibility of supporting some appropriate proposals. More detailed discussions on this issue will be arranged in August when Dr Li Shichuo is in Geneva for the meeting of the Programme Committee of the Executive Board. The Regional Director said he was sorry that no decision could be made at this time, and hoped that the issue could be resolved through further discussions between MOPH and the Planning and Coordination Office in August.
4. EIGHTH FIVE-YEAR PLAN: PRESENTATION ON PRIORITY AREAS (DOCUMENT WPR/MPN/92.5)
Four background papers were presented under this agenda item by various persons from MOPH. The content of the papers and presentations are summarized below. Complete copies are available from WPRO, if needed.
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4.1
Key Projects of Medical Sciences and Technolo~ in the Ei~hth Five-Year Plan This item was presented by Dr Xue Zhifu.
The basic tasks of medical science and technology are: control of population, improving the quality of the population, improving care of the elderly, and control of major diseases. During the Eighth five-year plan, these goals will be met through applied research, special funds for support to theoretical research, programmes for research in bioproducts and pharmaceuticals, and through a national development plan for the integration of new technology. 4.2 Human Resources for Health in the Eight Five-Year Plan This item was presented by Dr Xiao Ziren. Existing problems in health human resources in China are; the quality of some health personnel, irrational distribution of human resources, insufficient numbers of specialists in certain areas, an uneven age-distribution of health professionals, and the recruitment of unqualified personnel into health institutions. These problems will be addressed during the eighth five-year plan through further development of secondary and higher-level medical training, including post-graduate and continuing education. Dr Liu Xirong asked whether school fees continue to be paid by the state, or if students had to pay part of them. Dr Xiao replied that for "normal" students (i.e. those who had entered on the basis of competitive examinations) a nominal fee of approximately 300 Yuan was charged. For "self-paid" students, the fees were higher. 4.3 The Eighth Five-Year Plan and Tentative Proilramme for the Year 2000 on National Health and Epidemic Prevention Services This item was presented by Dr Li Shichuo. Despite the current emphasis on "prevention first", morbidity due to infectious diseases, particularly in the minority, border, and poor areas, continues to be high. AIDS and STDs were also showing increasing trends, and were causes of concern. A shortage of suitably qualified personnel and a lack of funds to improve physical infrastructure have hampered efforts to reduce morbidity. During the eighth five-year plan, increased attention will be paid to preventive care and rural health services. Emphasis will be placed on the development and consolidation of epidemic prevention services, in order to create the conditions necessary for an improvement in the quality of health facilities and services. A number of indicators have been established to monitor access to immunization services. These indicators will be achieved through an intensification of the reform process; increased financial input into the health and epidemic prevention services; reinforcement of institution-building; improvement of the health monitoring and inspection system; strengthening scientific management; and improved human resources training.
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Dr Kean asked whether it would be possible to get more information on the current situation with respect to Kalaazar disease. He also noted that the issue of the maintenance and replacement of the cold chain was very important, to ensure that the chain did not "break" in critical places. Dr Nair asked how successful the contract system had been in preventive care. The Regional Director noted that a contract system might work for selected urban popUlations, who could afford to pay, but that a nationwide contract system could result in serious problems. He would strongly object to a national contract system, particularly for poor people in critical public health areas such as immunization. Dr Li replied that the money earned from paid services was used for disease prevention and control and to further expand services. The paid system is implemented only in limited areas, and different policies were in place for poor, remote and minority areas. Dr J.W. Lee noted that significant progress had been made in the elimination of leprosy, but that some pockets of higher incidence remained. The incidence of tuberculosis, on the other hand, had been increasing. and he expressed some concern about this trend. Finally, he noted that AIDS and STDs were closely related, and was of the opinion that more attention should be paid to the control of STD. 4.4 Key Working Points of Environmental Health Inspection and Service in the Eighth Five-Year Plan
This item was presented by Dr Zhang Jinglin. It covered only those areas under the responsibility of MOPH. A number of areas will receive increased attention during the eighth five-year plan. These include improvements in the quality of drinking water; regulation of public hygiene; closer supervision of cosmetics; formulation of regulations for chemical safety; research on the relationship between environmental pollution and health; establishment of 30 model counties in environmental health; and the establishment of regulations and standards related to these areas. Dr Basaran commented that WHO would shortly be coming out with new drinking water guidelines, and expected that WHO would soon be able to offer more detailed guidance in this area. The Water and Sanitation Monitoring System (WASAMS) was also available as a tool for monitoring drinking water quality. He also noted that chronic fluoride contamination and pesticide residues in food were serious problems.
5. INTRODUCTION OF THE NETWORK FOR TRAINING AND RESEARCH ON CHINA'S HEALTH ECONOMICS (DOCUMENT WPR/MPN/92.5)
This item was presented by Dr Zhang Jinglin. The background paper and presentation are summarized below. A complete version of the background paper is available from WPRO.
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Recent economic reforms in China have had a profound effect on the health sector. Changes in health care systems and health care financing have made it necessary to reconsider how to best allocate limited resources in the health sector. Yet most of the researchers and policy-makers in the health field lack training in health economics and fmance. To provide increased opportunities for training and research in these areas, MOPH, in cooperation with the Ministry of Finance, WHO and the World Bank, has launched a network of training and research institutions in health economics and finance. The network brings together six medical education institutions, and is coordinated by the Institute of Health Economics Research at MOPH. The goal of the network is to enable health administrators at all levels to apply modern economic concepts and analytical methodology to the formulation of health policies. A training plan has been established, and is now well underway. The next major activity will be a senior policy seminar in Chengdu in October 1992.
6. REPORT OF THE SUBCOMMITTEE ON FELLOWSHIPS
Dr RomuaIdez presented this item. The subcommittee on fellowships discussed three policy issues. It was agreed that details of individual fellowships would be worked out between MOPH and the office of the WHO Representative. 6.1 Non-Returnine Fellows
Although the situation was not considered serious, steps had been taken by the Government to create a more favourable working environment to encourage fellows to return. Funds would be provided to support scientific research, and workshops would be organized to introduce new technologies. Local fellowships and the use of regional institutions for training would also be encouraged. 6.2 Evaluation of Fellowships
Both the government and WHO recognized that this process was important but complicated. Periodic evaluations were being made, but both sides were exploring more appropriate methodologies to be used in the evaluation of the programme. 6.3 Direct Contact with Host Institutions
It was agreed that direct contact by fellows with host institutions would continue to be discouraged. Any direct contact which did occur was strictly unofficial, and no commitment could be made by the fellow on behalf of WHO. On occasions when direct contact was made despite WHO policy, the fellow must provide copies of all correspondence to MOPH and to WHO.
The Regional Director said that he was happy to see that most fellows were returning to China and making significant contributions to the country. He encouraged the government to consider the technical requirements of the country when approving extensions of stay, and hoped that appropriate measures would be taken to ensure that
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fellows returned to China at the end of their fellowships. The Regional Director also noted that the use of local fellowships was encouraged by a resolution of the Executive Board. Local fellowships often provide more relevant training and are much more cost effective than overseas fellowships. Vice-Minister Sun replied that he agreed with the points made by the Regional Director, and agreed that China would exercise discretion in the approval of extensions of stay. He also emphasized measures that China was implementing to encourage fellows to return to China. These included improved living and working conditions for returned fellows, and new regulations to allow returning fellows to travel abroad for further study after having worked for some time in China. He mentioned that China planned to send a working group to the USA and Canada to study this problem.
7. OTHER BUSINESS
7.1
Local Costs Mr Chandra and Dr Han Tieru presented this item.
Significant progress had been made in liquidating outstanding local costs over the past few months. From an original balance of$789 550, MOPH had liquidated $420 641, or about 53% of the outstanding local costs. The outstanding balance was $368 909. One local cost of $60 000 was still outstanding from 1989, and was in need of special attention. Mr Chandra also reminded MOPH of the importance of submitting original receipts with statement of expenditures for local costs above $10 000. It was decided to maintain the present system for the time being. The situation would be reviewed again at the end of the year. Dr Han Tieru agreed with the points made by Mr Chandra, and agreed to give due consideration to the problems involving local costs. He also outlined a number of suggestions to improve the handling of local costs in China: I. MOPH will inform responsible offices and institutions of the procedures for
implementing local costs. 2. MOPH requested that WPRO add one page to the LOCOST-A form to include items such as the name and address of the payee, bank account number, and so on. 3. A set of instructions for filling out the LOCOST-A forms will be prepared and translated into Chinese to accompany all forms distributed in China. 4. MOPH invited an expert from WPRO to give a presentation on local cost to the November workshop on WHO procedures. 7.2 Information Documents
The Regional Director called the attention of the committee to information documents on human reproduction research (WPR/MPN/92/INF.l) and tropical disease research (WPR/MPN/92/INF.2). These documents were not discussed.
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8. CLOSURE
Dr Liu Xirong summarized the new proposals which had been approved for additional funding. These consisted of $335400 from WPRO, $327 800 from HQ for support to the People's Medical Publishing House, $150 900 from HQ for support to other projects, and $100 000 for projects proposed by MOPH, to be supported by additional funds from WPRO. The grand total was $914 100, including support to the People's Medical Publishing House. Excluding this support, the grand total was $586 300. Vice-Minister Sun Longchun thanked the Regional Office for its support, and for the careful preparation of the meeting under the leadership of Dr S.T. Han. He noted that much progress had been made in the cooperative programme, even though WHO had been experiencing financial difficulties. He expressed his gratitude for the cordial reception shown to the delegation, and said he was looking forward to hosting lCC-15 in China next year. The Regional Director thanked Vice-Minister Sun for having participated in the meeting, and expressed his gratitude to the members of the Chinese delegation for their excellent presentation on the eighth five-year plan. He noted that the meeting had proceeded very quickly this year, due to the considerable effort which had gone into the working group meetings. The only problem encountered had been a lack of money, but he hoped additional extrabudgetary funds would be forthcoming.
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ANNEX 1 AGENDA 1.
OPENING SESSION Designation of Chairman Opening statements: Statement by Dr S.T. Han, Regional Director, WHO/WPR Statement by Mr Sun Longchun, Vice Minister, MOPH Introduction of participants
2. 3. 4. 5.
ADOPTION OF AGENDA REVIEW OF THE 1992-1993 PROGRAMME BUDGET IMPLEMENTATION CONSIDERATION OF PROPOSALS FOR NEW ACTIVITIES IN 1992-1993 EIGHTH FIVE-YEAR PLAN: PRESENTATION ON PRIORITY AREAS (a) (b) (c) (d) Research Human resources development Communicable diseases control Environmental health
6. 7. 8.
HEALTH CARE FINANCING REPORT OF THE SUBCOMMITTEE ON FELLOWSHIPS OTHER BUSINESS Local costs
9.
CLOSURE
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ANNEX 2
LIST OF PARTICIPANTS MINISTRY OF PUBLIC HEALTH OF THE PEOPLE'S REPUBLIC OF CHINA:
Head: Deputy Heads:
Mr Sun Longchun Vice-Minister of Public Health Dr Xiao Ziren Director Department of Science and Technology Dr Li Shichuo Deputy Director Department of Foreign Affairs
Members:
Dr Zhang J inglin Deputy Director Department of General Administration Dr Han Tieru Chief Division of International Organizations Department of Foreign Affairs Mr Wu Guogao Responsible Officer Division of International Organizations Department of Foreign Affairs Dr Xue Zhifu Chief Division of Research Planning Department of Science and Technology Dr Niu Shengli Programme Officer Division of International Organizations Department of Foreign Affairs Dr Liu Junli Programme Officer Division of Technical Exchanges Department of Science and Technology
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WORLD HEALTII ORGANIZATION WESlERN PACIFIC REGIONAL OFFICE:
Dr S. T. Han Regional Director Dr Liu Xirong Director, Programme Management Mr B. Chandra Director, Support Programme Dr A. G. Romualdez Director, Health Services Development and Planning Dr N. V. K. Nair Director, Health Protection and Promotion Dr J. W. Lee Director, Disease Prevention and Control Dr A.K. Basaran Acting Director, Drug Policy, Environmental Health and Health Technology Dr F. Canonne Regional Adviser in Development of Human Resources for Health Mr D. Wheeler Budget and Finance Officer Ms T. BaUat Administrative Officer/Regional Director Mrs V. Hay Administrative Officer (Programme Development) Dr H. Lafif Administra tive Officer (Programme Operations)
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WORLD HEALTII ORGANIZATION HEADQUARTERS: Dr M. Mugitani Medical Officer Office of External Coordina tion Planning, Coordination and Cooperation OFFICE OF TIlE WHO REPRESENTATIVE, BElliNG:
Dr B. P. Kean WHO Representative Dr K. Kutch Programme Officer
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ANNEX 3 STATEMENT BY DR S.T. HAN, REGIONAL DIRECfOR WORLD HEALm ORGANIZATION WESTERN PACIFIC REGION AT mE OPENING CEREMONY OF mE FOURTEENlH MEETING OF mE CHINA/WHO JOINT COORDINATION COMMITTEE MANILA, 5-7 AUGUST 1992
VICE-MINISTER SUN LONGCHUN, DEAR COLLEAGUES, LADIES AND GENTLEMEN, It is a great pleasure to welcome you to Manila for the fourteenth meeting of the China/WHO Joint Coordination Committee. I would like to take this opportunity to express my appreciation to the Ministry of Public Health of China for its cooperation during two difficult budgetary exercises that we have undertaken together since the thirteenth JCC in Dalian. In the second half of 1991 we had to consider deferral or "ancellation of many activities in order to complete the biennium cycle within the budget. A similar exercise had to be undertaken earlier this year for the 1992-1993 budget cycle, with some planned activities deferred. As well as revising the implementation plans for activities, significant cost-saving measures were instituted. My aim was to reduce the budget with as little detriment to programme content as possible, and I think we have been able to achieve this. These difficult exercises were due to circumstances unforeseen and largely beyond our control. I was greatly encouraged by the sense of partnership in which WHO and its Member States in this Region approached the situation. China, with the largest country budget, had to implement a larger number of changes. This was done with careful planning, attention to programme priorities and a spirit of cooperation. Thank you for your help. Like WHO, many other international organizations and many government aid agencies are also facing financial constraints. This has made the competition for project and activity funding very keen. I am pleased, however, to note that at this JCC a large number of new proposals with funding already identified from extra budgetary sources are presented for our consideration. As I have previously mentioned to you, regular budget funds available to me for reprogramming are on this occasion extremely limited. This JCC meeting continues the trend established last year in which we deal with more programme-oriented and policy issues. A significant part of the agenda relates to human resources development which continues to be the major element of the programme of collaboration between China and WHO. In monetary terms, human resources development accounts for 39% of WHO's programme in China. Other issues to be discussed include China's policies on health care financing and the environment.
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This year also sees several new faces at the lCC and I warmly welcome ViceMinister Sun Longchun to this Office and to his first lCC and also to Dr Xiao Ziren, Dr Li Sichuo and Dr Han Tieru. From WHO also some familiar faces in new positions, Dr Liu Xirong, Director of Programme Management, and Mr Bernard Chandra, Director of the Support Programme. I am sure this meeting will be a constructive and frank exchange of ideas and further enhance the collaboration of China with WHO.
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ANNEX 4 STATEMENT BY MR SUN LONGCHUN, VICE MINISTER OF PUBUC HEALTH OF THE PEOPLE'S REPUBUC OF CHINA AT THE FOURTEENTH MEETING OF THE CHINA/WHO JOINT COORDINATION COMMITTEE, MANILA, 5-7 AUGUST 1992 RESPECTED REGIONAL DIRECTOR, DR S.T. HAN, DEAR COLLEAGUES AND FRIENDS, On the occasion of this Fourteenth Meeting of the China/WHO Joint Coordination Committee, may I first of all convey the cordial greetings from Professor Chen Minzhang. Minister of Public Health to the Regional Director, Dr S.T. Han as well as to our colleagues and friends from WHO. I also would like to express, on behalf of Chinese delegation, our heartfelt thanks to the Regional Director for inviting us again to Manila to attend the meeting for the discussion of joint cooperative programme. Since the signing of the Memorandum governing Technical Cooperation between China and WHO in 1978, the mutual cooperation has witnessed rapid development in terms of scale and depth with gratifying results achieved, thus making positive contributions to the improvement of our people's health and acceleration of the modernization of medical sciences and technology, especially the early attainment of strategic goal of "Health for All by the Year 2000" in China. I feel that the meeting of joint coordination committee -- a mechanism developed in wake of the cooperation between two sides for reviewing the implementation of the cooperative programme has offered an excellent opportunity for us to share experiences and views, discuss existing problems and issues, find the solution to the problems and explore the approach for further expansion of the cooperation. It is my conviction that with the full support from the Regional Director and his staff and through our common efforts, this meeting will come to a successful conclusion. As in 13th ICC meeting held in Dalian last year, it has fairly rich contents in the agenda, during this meeting. we will not only review the implementation of the 1992-1993 programme budget, discuss 1994-1995 detailed programme budget and consider proposals for new activities in 1992-1993, but also listen to the presentation on priority areas in our Eighth Five-Year Plan for the Development of Medical and Health Services, such as research, human resources development, communicable diseases control and environmental health as well as national network for training and research in health economics and financing. I think the presentation will help our WHO colleagues better understand the priority areas, development direction and striving objectives of our present and future health programmes, so as to further expand and strengthen the existing friendly relations of cooperation between us in connection with the priority areas of WHO. As every one knows that the implementation of some projects of 1992-1993 cooperative programmes had to be postponed due to financial difficulties encountered by WHO, which will have some adverse effects on the implementation of this biennial cooperative programme, to which I would like to express our concern. At the same time, we fully understand the measures taken by WHO in this unusual circumstance to postpone the implementation of some projects. We hope that WHO will tide over this financial crises as soon as possible, so as to implement all cooperative programme activities according to
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schedule. We also wish to express our appreciation to the Regional Office for the Western Pacific headed by Director Han for the efforts it has made in minimizing adverse effects caused by this financial crises to the cooperative programme with Member States. I believe the discussion on prioritization of Priority C activities will contribute to the reduction of this adverse effects to the cooperative programme. Meanwhile, I also would like to express our willingness to carry out cooperation with WHO Headquarters in its new initiative to intensify WHO technical cooperation with countries in greatest need. Before this meeting, a lot of preparatory work have been done in Manila and Beijing and special meetings have been held for the preparation of documents and discussion of agenda items, all these have provided good basis and made it easy for the discussion during this meeting. Here I would like to thank the staff members of the Regional Office, Dr Kean, WHO Representative in China, as well as other officers of the WR office for a large amount of work they have done for the preparation of this meeting. Finally, may I wish the meeting great success.
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ANNEX 5 STATEMENT BY THE UNICEF OFFICE FOR CHINA FOR THE FOURTEENTH MEETING OF THE CHINA/WHO JOINT COORDINATION COMMITTEE, MANILA, 5-7 AUGUST 1992 UNICEF in China has had an excellent working relationship with the WHO office in Beijing as well as with the Western Pacific Regional Office (WPRO) and WHO representatives from Geneva. During the past year, we have worked jointly in many areas and kept close contact in a number of others. In summary, these include the following activities: 1. The joint UNICEF/UNFPA MCH project received significant technical inputs from WHO. WHO consultants have provided assistance to the MCH management information system, the external evaluation activities and the development of professional MCH curricula. Both organizations are considering sponsorship of a major MCH conference in China in 1993 with international participation.
2. The WHO supported ARI programme and the UNICEF /UNFPA supported MCH project conducted a joint field visit to assess training activities and implementation of standard case management of ARI. Continuing interaction occurred at the ICCARI in Washington and then in a jointly sponsored National ARI meeting in Hangzhou in June 1992. 3. Joint field visits to investigate the EPI project and the poliomyelitis eradication activities have been routinely conducted. WHO technical support of the cold chain has been, and continues to be, very valuable. 4. Close liaison and interaction in EPI have also been maintained in regard to topics such as EPI worker training, the EPI surveillance and information system, strengthening the neonatal tetanus elimination programme, setting up maintenance systems, procurement of polio vaccine and planning for WHO's and UNICEF's inputs for 1994-1995. 5. WHO, as well as FAO, have participated with UNICEF in continuing to provide guidance to the ACC/SCN initiated food and nutrition surveillance (IFNS) pilot effort in China. This year UNICEF is joining WHO and FAO in supporting preparations at the country level for China's participation in the ICN preparatory meeting in Geneva and the actual ICN in Rome. 6. UNICEF has been closely involved in WHO's CDD activities in China including participation in development of national policies and programmes, ORS/ORT reviews, costing, training, health education, etc. This past year additional ways for closer cooperation in selected geographic areas and topics were explored. 7. With the joint inauguration of the Baby Friendly Hospital Initiative (BFHI) by UNICEF and WHO, breast-feeding activities have accelerated dramatically in China. Both organizations have been closely involved in the planning and early implementation stages. In April a joint MOPH/WHO/UNICEF pre-assessment activity was carried out in nine provinces/cities. Both organizations will be involved in the certifying process for baby friendly institutions.
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8. WHO and UNICEF are members of the international advisory group for IDD control in China along with ICCIDD. This year UNDP joined this group and a large jointly programmed and funded project has been developed using UNDP, WHO and UNICEF funds. (Although the project is a unified one, each agencies' funds are executed independently because of agreements between China and the agencies.)
9. UNICEF and WHO have participated jointly with the World Bank in addressing major concerns in regard to financing of health services and health economic in China, especially in the less developed regions of the country. The listing of individual areas of cooperation does not do justice to the close interactions and almost daily contacts made between our two agencies at the working level in Beijing. The close personal and friendly ties between our staff make working towards similar goals that much easier. In regard to our common objectives, we look forward to increased interactions on how we can jointly assist China in reaching all its Primary Health Care, World Summit for Children and National Programme of Action health goals for the year 2000. This should also include plans for joint monitoring efforts between our two agencies and the MOPH, similar to the major national EPI reviews in 1989 and 1991. We clearly look forward to the challenging years ahead in China and the further strengthening of our close relationship.
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ANNEX 6
CONSIDERATION OF PROPOSALS FOR NEW ACfIVITIES IN 1992-1993
JCC 14 29/09/92 ·····DETAllED REQUIREMENTS FOR 1992·1993····· CIJ4PONENT MAN MONTHS EST.COST (USS)
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY CIJ4PONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUIIOS
DECISION MADE AT THE 14TH JCC MEETING
03.02 MANAGERIAL PROCESS FOR NATIONAL HEALTH DEVELOPMENT CHN/MPN/002 1. To improve knowledge of WHO policies and procedures
STC
,. 1
10 000
MOPH
Seminar on WMO poUc;., and procedures, progr.-e ctevelopaent 8f'Id i ementat i on
No_r 1992
""l
Agreed for additional fll1dill8o
RI Local costs
4 100
MOPH
For senlinar on WHO pol jeies and prOCedures, programme developnent and illlplt!llMtf"ltltion
No_r 1992
Agreed for additional fundIng.
~ RI June 1993 Agreed for additional funding.
2.
Software and report development for better planning and i~lement.tion
CSA
10 000
MOPH
To develop software for use for progr_ budget
by
MOPH
devel~t
and to modify current JeC report printout for use as planning and illPlementation tool
R8
S&E
5 000
MOPH
For programme budget development and to modify current Jet report printout for use 8S planning and monitoring tool
Dc tober 1992
Agreed for additional flnling.
RI
PROJECT TOTAL
29 100
JCC 14 Z9/09/92 • •..• DETAILED REQUIREMENTS FOR 1992-1995··_·· COMPONENT MAN MONTHS EST. COST (USS) TARGET DATE OF III'LEMENTAT ION PROPOSED FIJIIDS DECISION MADE AT THE 14TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED
ACTIVITY COMPONENT DESCRIPTION
BY:
05.00 DEVELOPMENT OF HUMAN RESOURCES FOR HEALTH CHN/HRH/007 1. Communication Centre Hl.n8n Hedi cal
STC
,. 1
10 DOO
MOPH
Senior teacher training course, Chongsha, 4 weeks
July 1995
Agreed for additional funding.
Univers1ty
RB local costs 5 OOD MOPN
Senlor teacher training cours., Changsha, 4 weeks
July 1995
Aoreed for adeH t i one l fund;''Ig.
RB PROJECT TOTAL 15 OOD
~
CHN/HRH/012 1. Study tour for senior management and faculty of Yanbi.n "edic.l College Study tour
4. 1
18 400
MOPH
Study tour to 2 countries in the Western Pacific Region to exchange experience and policy at regiona~ medical college level
2nd quarter
Agreed for
1993
additional funding.
RB PROJECT TOTAL 18 400
JCC " 29/rJ9/92
APPROACH/ACTIVITY
·····DETAILED REQUIREMENTS FOR 1992-1993-···· EST. COST taIPOIIENT IWI MONTHS (USS)
PROPOSED IY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUllDS
DECISION MADE AT THE 14TN JCC MEETING
... ---_ ......... ---_._----_. __ .. ---------_ ...... _------------------------_ .. _---------_ ... _-------------------------- ... -----------_.------------------_.---------_.---._----------CHN/NRH/014 1. Retraining township and village doctors
STC
1x 1
10 000
MOPH
In-service training, 50 administrators and managerial staff
May
1993
Agreed for additional funcHng.
RI Local costs
4 000
MOPH
Tc support in-service training
May
1993
Agreed' for additional funding.
RI Loca' costs 3 500 MOPH
Evaluation of the role/effectiveness of young medical university graduates in training rural doctors. Land cruiser station wagon GX high
1993
Agreed for additional funding.
~
RI 1993 RB
Vehicle
20 000
MOPH
roof
.-"reed for additional funding.
PROJECT TOTAL
37500
JCC '4 29/[19/92
APPROACH/ACTIVITY
-----DETAILED REQUIREMENTS FOR '992-'993----MAN _TNS CCI4PONENT EST_COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
ICP/HRH/012 1. Poltcy, planning and management of hl.ln8n resources for health
HQ staff
'X
.30
5 000
HQ/HRH
Workshop on field-testing of computer-based HRH planning/projection nxlel end the developwnt of a"\ HRH infonmtion system. (A week-workshop prepared in collaboration with HRH/HQ) Recruited by HQ
J ...... -July 1993
Agreed for HQ flM'ding.
HQ/HRH
Temporary
~iser
'X
_30
8000
HQ/HRH
including CSA
June-July '993 HQ/HRH
Agreed for funding.
HQ
D:
Local costs
1 000
HQ/HRH
Preparation of reports (HOs)
June-July '993 HQ/HRH
Agreed for NQ funding.
ItO steff
Ix .30
3 000
IIP/HRH
To collaborate in the conduct of the workshop.
JI6le-Juty 1993
Agreed for ICP flAlding.
1IP/ICP/HRH/012 (RB) local costs
5 000
WP/HRH
To cover the costs of the workshop.
June-July 1993
Agreed for HOIHRH and IIP/lep funding.
HQ/HRH (USS2500) IIP/lCP/HRH/012 (RB) (USS2500)
JCC 14 29/09/92 . - - - - - - - - - - - - __________________ • _______ • ___________________ • ________________________________________________ - - - - - ______ 0 ___ __ - - - - - - - - - - - - - - - - - - _ · - • • - - - - - - - - - - - - - ____________ • ____ _
APPROACH/ACTIVITY
·····DETAILED REQUIREMENTS FOR 1992·1993····· COMPONENT EST.COST MAN MONTHS (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
TeIIIpOrary Adviser
1•• 30
8000
IIP/HRH
Recruited by to (including CSA)
J..,.·July 1993 IIPIICP/HRH/012 (RB)
Agreed for ICP fl.llding.
PROJECT TOTAL
30 000
06.00 PUBLIC INFORMATION AND EOUCATION FOR HEALTH CHNIIEH/001 1-
International
S~shlll
Meeting
10 000
HO/HED
To exchange experiences 1n health education and health promotion
21·24 Oct 1992
Agreed for HQ fl.llding.
with special empha.is on health supportive public policies.
'"
tv
HO/HEO
PROJECT TOTAL
10 000
JCC 14 29/09/92
-._----.------.-----------.-.----------.-----._-------------_ .. ---_ .... __ .. ----------_.---_ .. -- .. ---- .. -----.----- ... --- .. _.---_ .. ---.-----.-------_ .. _---------------------------_. ·····DETAILED REQUIREMENTS fOR 1992·1993····· MAN _TNS COMPONENT EST. COST (USS) PROPOSED BY: ACTIVITY COMPONENT DESCRIPTION TARGET DATE Of IMPLEMENTAT1011 PROPOSED fUNDS DECISION MADE AT THE 14TH JCC MEETING
APPR~CH/ACTIVITY
-_.----0----- .. -----.----- .. ----------------- .. ------- _____ . ________________ ._. ____ ._. _________ . _____ . _____________ 0____ . ______________________________ . __________ . ______ 0_________ _ 09.01 MATERNAL AND CHILD HEALTH, INCLUDING fAMILY PLANNING CNN/MCN/D05
1.
Planning _tssion to finalize plan of action on Safe Motherhood
STC
2. .25
19 000
HQ/MCH
Visit to China for one week
3rd cplrter
.;$sian (Dr C. ven
~r
Doe and
1992
Agreed for HQ funding.
Dr K. Kalicinski to visit China on 20·28 August (992) HQ/MCH (EBl Total USS50 000 (including plam;ng m;lJs;on and all related activhies)
N ....
2.
Plrtogrl"" study
TSA
2 000
HQ/MCH
Analysis of the Partograph study's data
Erd of 1992 HQ/MCH (EB)
A.greed for HQ flllding.
3.
Book on Child Growth and Developnent. MonHoring and Jntervent i ons
CSA
900
HQ/MCH
Contractual Services Agreement with Dr Hong-Shao-Yi, Director, WHO Collaborating Centre for PhysicaL Growth and Psychosocial Oevelopment of Children, Shanghai for publication of the book.
31 August 1992
Agreed for HQ flllding.
HQ/MCH (E8)
PROJECT TOTAL
21 900
JCC 14 29/09/91.
.-.-- ... _-_ .. --_.-------._ .. _---------------------------._-------- ... _-----------------------------.--------------------------------------------------------------.----------------APPROACH/ACTIVITY ·····DETAllED REQUIREMENTS FOR 1992·1993····· COMPONENT MAN _US EST. COST (USS) PROPOSED
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE Of Ul'lEM£NTATIIlII PROPOSED FUNOS
BY:
DECISION !lADE AT THE 14TH JCt MEETING
09.04 !«)RICERS' HEALTH ICP/OCH/001 1-
Training course in worksHe health promotion
STC
1•• 75
8500
WP/OCH WP/IEH
To cooperate in conducting training courses and in pl8fYling of the project activities.
J ...... ry 1993
Agreed for lep fl.<1ding.
WP/ICP/OCH/DD1 (RB) (USS8000) WP/lCP/lEH/001 (RB) (USS500) Local costs
5 DOD
WP/OCH WP/IEH
Training course for project leaders of four companies.
January 1993
Agreed for ICP fLnding.
WP /I CP /I EH/OOl (RB) s&E 1 500 WP/OCH WP/IEH For translation and reproduction of HPR materials. January 1993
'" 00
Agreed for ICP fLnding.
WP/lCP/lEH/001 (RB) PROJECT TOTAL 15 000
JCC l' 29/09/92
APPR~CH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1992-1993----COMPONENT MAN IIQIITHS EST.COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
10.01 PSYCHOSOCIAL AND BEHAVIOURAL FACTORS IN THE PROMOTION OF HEALTH AND HUMAN DEVELOPMENT I CPIPS F 1002
1.
Training worksnops in psychosocial aspects of heal th
STC
b..75
8500
IIP/MNH
Dr O. Goldberg (UK) will visit Beijing and Shenzhen for two weeks and participate in training
Septeni>er 1992
Agreed.
workshops. (Budgeted .t US18500 but est'.ted actual cost is USS10 000 for which full provision wiH be required clJring implementation by additional flM"ding or reduction in duration). local costs
IIP/I CP/PSF 1002 IRB) Shortfall wi U be covered by
IIP/lCP/MMD/OO2/ VP/92
.., '0
5 ODO
IIP/MNH
Financial support for tne training workshops.
Septeni>er 1992 WP/lCP/MND/OO2/ VP/92
Agreed.
PROJECT TOTAL
13 500
JCC 14 29/09/92
APPROACH/ACTIVITY
----·DETAILEO REQUIREMENTS FOR 1992·1993····· MAN _TH$ COMPONENT EST.COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
10.02 PREVENTION AND CONTROL Of ALCOHOL AND DRUG ABUSE ICP/ADA/OOI 1. Drug abuse prevention and eontrol in China, Hong Kong and Macao
STC
1>1
7500
WP/lINH H"/PSA
Technical support for the workshop on drug abuse prevent i on and control in China, Hont lCong and Macao.
28-29 OCt 1992
Agreed.
BudsI.ted at USI7500 but estimated actual cost is USS10 000 for whfch full provision will be re<pJired cklring i!llplemenution by
WP/CHN/ADA/003. RB (I mI_ STC and local cost
additional f'llding or reduction in
duration or selection of the STC from nearby country(ies) in order to stay within the budget.
of U5I3oo0) arc! ""/PSA/EI (Up to USI30 000) wi It s'4JPC)rt activities '. 2 arc! 3. Agreed.
.., 0
local costs
5 000
WP/MNH HQ/PSA WP/NNH ""/PSA
To cover costs of the drug abuse prevention and control workshop. Technical input to workshops (from Hong lCong and Macao). Additional teqK)rary advisers from
Temporary Advisers (2)
4 200
Agreed.
Hong Kong and Macao will be supported subject upon
29!f19m ____ . _ . ______ . _ . ____ • ____ •• _________ • ___ • __ • ______________ 0 _____ -.---------------_.--------------.----.-.--_________________________________________________________________ _
JCC "
APPROACH/ACTIVITY
_EMT
·····DETAILED REQUIREMENTS FOR 1992·1993····· MAlI MOIITHS EST.COST CUSS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION
DECISION ~ AT THE 14TH JCC MEETING
PItOPOSED FUNDS _________________ . ____ ._. __ ._. ______ . __________ ._. ____ --.-0----.-.---------------.----.-.-.------------_.-.- _______________________________________ ._. ___________ . ___ . _____________ _ the
Ivailabi lity of funds in
consul tltfon with MOPK.
2.
Consultative drug .buse
~ting
local costs
2000
W/MNH IIQ/PSA
To coyer th. costs of the ~ting.
30 October 1992
Agreed.
on demand reduct i on of
3.
National workshop on
Local costs
5000
W/,,"H
addiction behaviour,
To cOYer the COlts of the workshop.
2· 7 Nov 1992
A,reed.
Changsa PROJECT TOTAL ~
... -
10.03 PREVENTION AND TREATMENT OF MENTAL AND NEUROLOGICAL DISORDERS ICP/HMO/002 ,. Psychosocial developnent
local costs
2 000
HO/MHH
in early childhood in ChiN
In collaboration with the Department of Social Medicine in Beijing. Under discussion with local counterpart. Subject to receipt of the study protocoL US$20oo wi It be provided.
1992'1993
Agreed for HQ funding.
HQ/MNK/EB (Subject to Iv.Habit ity of funds)
JCC 14 29/09192 __ • ___ o __ 0 ______________________________ • ___ • ____________________ • __________ ._. _________ ._. ________ • ____________ 0 __ 0 ••• _____ • __ • ______________ •• __________________ . - ••• ---.-.-_.----
APPR~CH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1992-1993----C1lMPOMfNT MAN MONTHS EST.COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUIIlS
DECISION MADE AT THE 14TH JCC MEETING
... _---_._---_._----_._._.---Agreed for HQ funding.
2.
Psychological problems in Genera' Health Care
local costs
4 000
HQ/MNH
ongoing since 1990 with the Shanghai Centre which has organized local work and an intercentre reliability meeting. The follow-up phase is under way and, should funds become available. previous support
1992-1993
KQ/MNH/EB (Swject to
avaHabi Uty of funds)
will be s_lemented 3. WHO/ADAMHA Joint project on Di 89"06 i s and
by
USS4000. 1992- 1993 Agreed for funding. HQ/MtlK/EB HQ
TSA
3 000
HO/MN"
Classification of Mental Disorders, Alcohol- and Drug-retated problems 4. Study of the long-tenft course and outcome of 5ch i zophreni a
FI,,;rther studies on the developftent of instruments for the assessment of mental heaLth problems in the Chinese language.
Participant
5 000
HO/MNH
WHO/NQ is providing a full set of technicaL materials and will invite a participant from China to attend the meeting in USA. tn add;tion to covering the cost of a participant. financial support ~y be provided to the centre if funds become available. Technical support for the meeting to be held in Beijing for 3 days.
1992- 1993
Agreed for HQ funding.
kl
HQ{MNK/EB (Subject to availability of funds)
5.
Meeting on family and
STC
1x 1
10 000
mental hea 1th
WP/MNH HQ/MNH
19-21 Apr 1993 Either from
Agreed.
HQ/MNH or
WP/ICP/MNO/002 (EB)
JCC 14 291f19/92
APPROACH/ACTIVITY
·····DETAILED REQUIREMENTS FOR 1992·1993····· EST.COST COMPONENT MAN MONTHS (USS)
PROPOSED IY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
locaL costs
5 000
~/MNH
HQ/MNH
To cover costs of .eeting. Discussed during the visit of Director, MNH/HQ and RA/NNH in China in 1991 with MOPH (Medical ~inistr.tion Division) and agreed.
19·21 Apr 1993
Agreed.
Either 'rom HG/""H or ~/ICP"-/OO2
(EI) to cover the 3 . .tings.
6.
5th neeting of National Coordinating Group on
local costs
1 000
~/MNH
To cover costs of meetings. Di rector. MNH/HQ and RA/MNH
26·27 Apr 1993
Agreed.
NQ/MNH
Mental Health
_yattend. To be S'4lPOrted
by HQ/MNH or
'" '" Agreed.
WPI ICP/MND/OO2 (EI) 7. Meeting of WtfO
local costs
1 000
~JMNH
Collaborating Centres in Mental Health/ Neurosciences in China
HQ/MNH
To cover costs of meetings. To be held for 1 day following the 5th Meeting of National Coordinating Group.
28 Apr; l 1993
To be s~rted by HQ/MNH or WP/lCP/MNO/OO2
(EBl
8.
Prizes to young psychiatrists and neurologists, Beijing Institute of Mental Health
CSA
2 000
WP/MNH HQ/MNH
The awards will be given during the meeting of heads of WHO collaborating centres in mental health and neurosciences.
28 Apr if 1993
Agreed for HQ
funding.
To be supported by HQ/MNH
PROJECT TOTAL
33 000
JCC 14 29/09/92
APPROACH/ACTIVITY
····-DETAllED REQUIREMENTS FOR 1992-1995--·-_ _ THS COMPONENT EST.COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION HADE AT THE 14TH JCC MEETING
11.02 ENVIRONMENTAL HEALTH IN RURAL ANO URBAN DEVELOPMENT AND HOUSING ICP/RUO/001 1. National workshop on PEPAS staff
1x .50
5 DOD
management of lIUlicipal and industrial solid waste in s-all and lnediun~siled cities
WP/PEPAS CRAES
To provide technical support in the conduct of the works~op.
Apr/May 1995
Agreed for lep funding.
WP/lCP/RUO/OO1 (RBI STt Ix .75
6 500
WP/PEPAS CUES
To provide technica' support in the conduct of the workshop. (Assignment should be 0.75 month inclusive of briefing, debriefing
Apr/May 1993
Agreed for ICP funding.
..., ...
and traveL tiMe and place of origin should be from 8 nearby country in order to make the provision sufficient) local costs
WP/lCP/RUO/OO1 (RB)
5 000
WP/PEPAS CRAES
Financial support for the workshop.
Apr/May 1m WP/lCP/RUO/OD1 (RB)
Agreed for ICP fl.l1ding.
Jtt 14 29/119/92
APPR~CH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1992-1993----OOMPONENT MAN MONTHS EST. COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
2.
Review. assess and iq:.rove national water quality monitoring activities (NEPA/MOPH/MWR )
PEPAS sta1f
Ixl
4 500
WP/PEPAS
Technica' collaboration in the conduct of a workshop on the tnanagement of grOU"'dwater resources.
April 1993
Atreed for lep fW1ding.
WP/ICP/RUD/OOI (RB) April 1993
locaL costs
2 OOD
WP/PEPAS
Financial support for the workshop.
Agreed for lep fl..nding.
WP/lCP/RUD/OOl (R8) 3. HEAL/TCe activity on Fluorides exposure studies
CSA
5 000
HQ/PEP China
Monitoring support in the conduct of Fluoride exposure studies.
1992-1993
Agreed for funding.
HQ
..... VI
GL/GlO/CEH 110/VD/92.300 PROJECT TOTAL 11.05 FOOD SAFETY CHN/FOS/OOI 1.
24 000
Consumer consuLtation on Food Safety
Local costs
10 000
HQ/FOS
Financial support for the consuL tati on.
Novemer 1993
Agreed for IfQ
fl.nding.
HQ/FOS (RB) STC 2. 1 20 000 HO/FOS To provide technical support in the conduct of the consultation. Novent/er 1993 Agreed for HQ
funding.
HQ/FOS (RB)
JCC 14 29/09/92
APPROACH/ACTIVITY
·····DETAILED REOUIRE"ENTS fOR 1992·1993····· COMPONENT llAN IOITHS EST.CDST (W)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE Df IMPLEMENTAT ION PROPOSED FUliDS
DECISION IIAOE AT THE 14TH JCC MEETING
SiE
5 000
HQ/FOS
Promotional materIals, such as publications, posters, radio and television spots
Novenber 1993
Agreed for HQ fLnding.
HQ/FOS (RB) PROJECT TOTAL 35 000
13.01
I_NllATION ICP/EPI/002 Training on surveillance
1.
STC
Ix 1
10 000
WP/RPT
To conduct trainin; courses for poliomyelitis eradicat'on andlor to ~ke monftor;ng visits at country level. for training courses on poliomyelitis surveillance.
December 1993
Agreed.
JVC
'" 0-
Local costs
5 000
WP/RPT
D",,""', 1993 JVC
Agreed.
2.
Laboratory facilities
STC
Ix I
10 000
WP/RPT
To enhance national capabilities in:
Sept""', 1993
Agreed.
.
training
standardization of diagnostic practices
JVC
TSA
10 000
WP/RPT
To support laboratory diagnosis at the national laboratory,
Deceni:ler 1993 JVC
Agreed.
3.
Poliomyelitis outbreak investigation
Local costs
10 000
WP/RPT
To cover costs of investigation activities.
Deceri>er 1993
Agreed.
JVC
JCC 14 29/119192
APPROACH/ACTIVITY
..... DETAILED REQUIREMENTS FOR 1992·1993····· MAN _THS COMPONENT EST.COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
local costs
10 000
IIP/RPT
Local expenses for poliomyelitis immunization days.
Dec_r 1993 JVC
Agreed.
PROJECT TOTAL
55 000
13.06 DIARRHOEAL DISEASES ICP/CDD/001 1-
Training courses on diarrhoea case management
STC
1x 1
10 000
WP/CDS
Technical support for three courSes planned in YurYl8n, HU"IBn and Beijing runicipality.
lrd quarter 1992
Agreed.
..., -I
EB Local costs
7500
IIP/CDS
Travel and per diem costs for facilitators and participants.
3rd quarter
Agreed.
1992 EB
2.
Training course on communication skills and support for the final ization of
STC
1x 1
10 000
IIP/CDS
To collaborate in the conduct of the training course. Technical support for the finalization of COO communication plan.
4th quarter
Agreed.
1992
communication plan
EB
JCC 14 29/09/92
APPROACH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1992-1993----_ MONTHS COMPONENT EST_COST (USS)
PROPOSED IY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
local costs
5000
lIP/COS
Travel and per diem coats of Course facilitators and participants.
4th quarter
Agreed.
1992 EB
3.
Pr09ramme managers course
local costs
lD 000
WP/COS
Travel and per diem costs
4th quarters of
Agreed_
of course facilitators and participants: two tourses.
1992 and 1993 EB
4.
SUpervisory skills course
Local costs
10 000
lIP/COS
1"8vel and per dim costs
4th quarters of
Agreed.
of course facilitators and parttcipants: 2 courses.
1992 and 1993 EI
~ Agreed.
5.
Household survey
Local costs
10 000
lIP/COS
Trevel and per diem costs of surveyors: two surveys.
3rd quarters of
1992 and 1993 EB
6.
Health facility survey
STC
2. 1
20 000
lIP/COS
Technical collaboration in the conduct and analysis of the survey (STC and/or WPRO staff member).
3rd quarters of
Agreed_
1992 and 1993
EB
JCC 14 29/09192
APPROACH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1992-1993----MAN MONTHS EST_COST COMPONENT (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DAlE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
local costs
10 000
WP/COS
of surveyors:
Travel and per diem costs two surveys.
3rd quarters of 1992 and 1993
Agreed.
EB 7_ Workshop on policy of case _Nl9eflent
STC
1>1
10 000
WP/COS
To provide technical support in the condUct of the workshop.
2nd quarter
ASireed.
1993 EB
PROJECT TOTAL
102 SOO
13_07 ACUTE RESPIRATORY INFECTIONS ICP/ARI/001 1-
>J:> '"
Training of doctors It county hospitals on ARI clinicel management
Local costs
12 000
WP/ARI
To train hospital doctors in standard case management of in-patients.
2nd quarter
Agreed_
1992 HQII CP/AR I 1001
2_
Printing of training and health education materials
local costs
20 000
WP/ARI
Printing of materials for training at provincial and county level.
3rd quarter 1992
Agreed.
HQIICP/ARI/001
JCC 14 29/119192
APPR~CH/ACTIVITY
••••• DETAILED REQUIREMENTS fOR 1992·1993····· COMPONENT NAN MONTHS EST. COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE Of IMPLEMENTATION PROPOSED fUNDS
DECISION MADE AT THE 14TH JCC MEEtiNG
3.
Monitoring of case _Nlgement f rOIl
Local costs
20 000
WP/ARI
sentinel sites
Special monitoring - areas in some counties, where impLementation of the ARI progr~ has been started.
3rd quarter 1992
Agreed.
HQ/lCP/ARI/OOl PROJECT TOTAL ~
13.08 TUBERCULOSIS CHN/TUB/OOI 1. Operational research for T8 Control in ~iNl
HQ
staff
I. 1.50
10 DOD
NG/TUB
To meet with China counterparts and participate in Operational
._r HQ/TUB HQ/TUB
1992
Research meetings.
Agreed in principle but Dr Mug;t.n; to discuss with HQ/TU8 the use of technical expert i 5e flA'lded by World Bank.
... 0
STC
I. 1.50
IS 000
HQ/TUB
A member of the TUB Steering Committee on Operational Research to meet with counterparts in China
August 1993
PROJECT TOTAL
25 000
Jet 14 Z9/09/92 ~~--.-----.------------------------------------------- .----------.--._----------------.-.--------------.-----.--.-------------.-----------.-----.--.--------.-----.-----.-------_.-.
APPROACH/ACTIVITY
·····DETAILED REQUIREMENTS FOR 1992·1993····· MAN MONTHS EST.COST COMPONENT (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
---------------------.-------.--------.-----.-----------.--------------------.----------------.--.-----.-------------------------------._-------------------------.---------13.12 RESEARCH AND DEVELOPMENT IN THE FIELD OF VACCINES CHN/RDV/DOI 1. Isolation and identification of hepatitis E virus
TSA
20 000
HOIMIM
fo iSOlate and identify HE virus fro. hUMan spectes and propagate it in celt culture.
.o_r HOlM 1M
1992
Agreed for KQ f<n:ling.
PROJECT TOTAL
l2..9QQ
13.15 BLINDNESS' DEAFNESS ICP/P80/OOI 1. National consultation on prevention of deafness Local costs
.... 5000 WP/OCH To support participants.
2·8 OCt 1992 WPIICP/PBD/OOI ST 92.1
Agreed.
STC
Ix .50
6 000
WP/OCH
To participate in the consultation.
2·8 Oct 1992 WPIICP/PBO/ool ST 92.1
Agreed.
JCC 14 29109/92
--_ .. ----------------------.--.--.----_.---.--.--.--.------.-----------APPR~CHIACTIVITY
-----DETAllED REQUIREMENTS FDR 1992-1993----CllMPDNENT MAN MONTHS EST-COST (USS)
-------------------.---------------------------------_.-----------------------------PROPOSED BY: ACTIVITY COMPONENT DESCRIPTION TARGET DATE OF I NPl EIlENTA TI ON PROPOSED FUNDS
----------------------DECISION MADE AT THE 14TH JCC MEETING
-.---------------.-------------------.--.----------------------------------.----2. NationaL workshop on management of cataract surgery
----.--.--.------------------------._-----------------_.-----------_.----_.----------WPfOCH 50 Ophthalmologists and PBl workers (intraocular operation or intraeapsular extracti on of catarac t) 17-27 Nov 1992 Agreed.
---------
Local costs
6700
WPflCPfPBOfOOl VB 92
S&E
2 000
WPfOCH
Training materia ls.
17-27 Nov 1992 WPflCPfPBOfOOl VB 92
Agreed.
PROJECT TOTAL 13_16 CANCER CHN/CANfOOI 1. Natione l workshop on
!2...W!
::;
STC
cancer pain relief and palliati ve care
Ix _50
6000
HQ/CPl
carryov er from 1992 when two regional workshops were planned; pending final approval. one workshop is scheduled for 30 NOVeR:Ier to 4 December 1993.
No_r 1993
Agreed for HQ f<.nding_
Will be sought by HQfCPl from extrabudgetary sources
PROJECT TOTAL
.uM
JCC 14 29/09/92
.... - .. -----------------_ .. -----._------------------_.-----------.-------------------------_.-------------- .. ---------------------._.------.--.-------------------.----------------APPR~CH/ACTIVITY
·····DETAILED REQUIREMENTS FOR 1992·1993····· COMPONENT MAN MOMTHS EST. COST (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 14TH JCC MEETING
------_.------.-------_.-----_.------------------_.-------.-.---------------_.-------.---------.-------.----_.------------.----------------._--------------------------------------14.00 HEALTH INFORMATION SUPPORT CHN/HB I1004 1. Health literature plbl i cations
CSA
327 800
HQ/HBI
Translation, publicatton and distribution of selected works
Dec_r 1993 NQ/NaI
Agreed for HQ fllding.
PROJECT TOTAL
327 800
.... ....
- 45-
ANNEX 7
CONSIDERATION OF PROPOSALS FROM WHO/HQ AND WPRO FOR NEW ACTIVITIES IN 1992-1993 WITH NO KNOWN SOURCES OF FUNDS
Project title I.
Amount (US$) 200000 80000
Occupational health and labour hygiene Epidemiology of acute pesticide poisoning PEPAS (Interregional meeting on Urban Health Development) PEPAS (Global Water Quality Monitoring - GEMS/WATER) Essential drugs and vaccines (Action programme on essential drugs) Prevention and control of chronic rheumatic diseases Tuberculosis control (World Bank financed TB Control Project)
2.
3.
35000
4.
5.
40000
6.
24000
7.
81000
- 47-
ANNEX 8 LIST OF PRIORITY C ACllVITIES FOR IMPLEMENTATION IF AND WHEN FUNDS BECOME AVAILABLE, IN ORDER OF PRIORITY Item 1 Project No. CHN/MCH/OO5 Component Amount
(Women and children's health and family planning) S&E 49800 92/93 RB
2
CHN/HRH/014
(The effects of young teachers in medical universities on the retraining of township and village doctors) STC STC L C L C VEH 7500 7500 5 000 5 000 15 000 40 000 lCC 13
3
CHN/HRH/013
(Establishing a teacher training centre for health personnel development) STC L C STC L C STC L C FEL FEL 7500 4000 7500 4000 7500 4000 27 000 IS 200 76700 lCC 13
4
CHN/PHC/OOI
(Primary health care for schoolchildren in rural area) L C 5000 92/93 RB
5
CHN/ARI/OOI •
(Training Centre for Clinical Management of Acute Respiratory Infections in Children) FEL S&E FEL 15200 17000 16100 4500 14000 66800 lCC 13
L C S&E
• (Note: Only US$30 000 will be provided to this project upon MOPH submission of a mutually acceptable proposal for training purposes.)
- 48-
Item 6
ProjectNQ, CHN/OCH/OOI
Component
Amount
(Promotion of occupational health services at basic levels and field trials) L C 5000 92/93 RB
7
CHN/CEH/OO6
(Background investigation of coal smoke fluorosis area in China) L C 5000 92/93 RB
8
CHN/HRH/014
(Training of rural preventive medicine doctors at service) S&E 220700 92/93 RB
9
CHN/GPA/OOI
(AIDS surveillance and prevention) S&E 113 400 92/93 RB
10
CHN/HRH/013
(Strengthening education programme for village doctors) S&E S&E 99500 98100 197600 92/93 RB
11
CHN/CAN/OOI
(Studies on anti-tumour drugs of microbial origin and their monoclonal antibody immunoconjugates for cancer treatment) L C 11000 92/93 RB
12
CHN/OCD/OOI
(Technical investigation and training for plague surveillance and control) STU 25600
lCC 13
13
CHN/TUB/OOI
(Operational research on tuberculosis surveillance)
L C
92/93 RB
Total for 92/93 RB Total for JCC 13 Conditional for CHN/ARl/OOI GRAND TOTAL
$612500 142300 30000 $784800