(WP)AOP/Hll/6 1/4 (JCC) Report series number: RS/93/GE/16(CH N)
7 October 1993 LIMITED DISTRIBUTION ENGLISH ONLY
REPORT OF THE FIFTEENTH MEETING OF THE CHINA/WHO JOINT COORDINATION COMMITTEE Urumqi, China 17-19 August 1993
Not for sale Printed and distributed by the Regional Office for the Western Pacific of the World Health Organization Manila, Philippines October 1993
CONTENTS
1. 2. 3. 4. 5.
INTROD UCTION ............................................................................................................. 1 REVIEW OF THE 1992-1993 PROGRA MME BUDGET IMPLEMENTATION (DOCUM ENT WPR/MP N/93.2) .................................................................................. 1 FINALIZATION AND IMPLEMENTATION OF THE 1994-1995 DETAILED PROGRA MME BUDGET (DOCUM ENT WPR/MP N/93.3) ................................ 2 CONSIDERATION OF PROPOSALS FOR NEW ACTIVITIES IN 1993-1994 (DOCUM ENTWPR /MPN/93 .4) ................................. ................................................. 2 PRESENTATION BY THE MINISTRY OF PUBLIC HEALTH ON THE CURREN T SITUATION OF MEDICAL AND HEALTH SERVICES REFORM IN CHINA (DOCUMENT WPR/MP N/93.5) ......................................... 3 REPORT OF THE SUBCOMMITTEE ON FELLOWSHIPS ................................ 3 6.1 6.2 6.3 6.4 6.5 6.6 6. 7 6.8 1~92-1993 imple~entati~n :·····:··········································· ····················· Drrect contact wtth host mstltutlons ..................................················ ..................................... Costing .. .......... ... .......... .. ..... .. ........... ................................ ..... .. ...... .. ....................... .. .... Extensions of stay .......... ........ .. ... ........... ........... ... ... .. .. ....... ........ ................ ................ Recovery of funds from non-returning fellows ..................................................... Reprogramming to support a study tour ............................................................... Changes in fellowship management in China ......... ......... ..... ... .. ...... .......... ....... .... Special programme in health administration ........................................................
6.
3 4 4 4 4 4 4 4
7. 8.
FIELD VISIT TO OBSERVE PRIMARY HEALTH CARE .................................. 5 OTHER ADMINISTRATIVE MATTERS .................................................................. 5 8.1 Meeting on demand reduction programmes for drug abuse in China, Hong Kong and Macao ............................................................................................. 5 8.2 Information documents ............................................................................................ 5
9.
CLOSUR E ··················································· ········································································ 6 ANNEXES: ANNEX 1 - Agenda ...................................................................................................... 7
ANNEX 2 - List of Participants .................................................................................. 9 ANNEX 3 - Statemen t by Dr Gu Yingqi .................................................................. 11 ANNEX 4 - Statemen t by Dr S.T. Han ..................................................................... 13 ANNEX 5 - Statement by Dr Suomi Sakai .............................................................. 15 ANNEX 6 - Consideration of Proposals for New Activities in 1993-1994 ····························································································· 17
1. INTRODUCTION
The fifteenth meeting of the China/WHO Joint Coordination Committee (JCC) was held in Urumqi, China, on 17-19 August 1993. The agenda for the meeting is attached as Annex 1 and the list of participants as Annex 2. The meeting opened with addresses by Dr Gu Yingqi, Vice-Minister, Ministry of Public Health (MOPH); Dr S.T. Han, Regional Director, World Health Organization, Regional Office for the Western Pacific. Mr Mijit Nasir, Vice Chairman of the Xinjiang Uygur Autonomous Region, welcomed the participants to Xinjiang Uygur Autonomous Region and wished them a pleasant stay and fruitful discussions. A statement was read by Dr Suomi Sakai on behalf of UNICEF /China. These statements are attached as Annexes 3 to 5, respectively. Dr Han opened the meeting as outgoing Chairman and Dr Gu Yingqi was appointed Chairman of the current session. After a brief introduction of the participants, the agenda was adopted.
2. REVIEW OF THE 1992-1993 PROGRAMME BUDGET IMPLEMENTATION (DOCUMENT WPR/MPN/93.2)
This agenda item was introduced by Dr Liu Xirong, Director, Programme Management. Dr Liu noted that the 1992-1993 biennium had been one of the most difficult for the Western Pacific Regional Office (WPRO). Owing to a substantial reduction in funds available to the Organization, the Director-General had withheld 10% of the regular budget. This had forced WPRO to undertake two prioritization exercises which had resulted in a reduction in the China country budget of $2 286 050. Despite the reductions, however, Dr Liu noted that activities amounting to US$6 509 430 would be available from the regular budget and US$4 257 500 from extrabudgetary funds, making a total of US$10 766 930, not including WHO Headquarters' support, in 1992-1993. As of 31 July 1993, the implementation rate was 80.16%. Dr Liu expected this to reach 100% implementation before the end of the year. Dr Liu thanked the Ministry for the spirit of cooperation and understanding which had been shown during the difficult prioritization exercises. He then asked Dr R.W.K. Gee, WHO Representative for China, to present the project-by-project review of the 1992-1993 Programme Budget. The review covered only ongoing activities, and did not include those which had been implemented or cancelled. No significant problems were noted with the implementation of the 1992-1993 Programme ects would be discussed during a special meeting in Budget. However, it was agreed that all GPA proj1 Beijing after the JCC. Dr Gee noted that projects CHN/PHC/001, CHN/PHC/008, and CHN/OCD/007 all included activities in Xinjiang Uygur Autonomous Region. Dr Han Tieru commented that the Ministry had sometimes found it difficult to monitor intercountry projects when activities were implemented without the knowledge of the appropriate officials in the Ministry. The Regional Director took note of his concern, and agreed to ask his colleagues in the Regional Office to keep all parties informed on the progress of ICP activities.
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3. FINALIZATION AND IMPLEMENTATION OF THE 1994-1995 DETAILED PROGRAMME BUDGET (DOCUMENT WPR/MPN/93.3)
This agenda item was introduced by Dr Liu Xirong. Dr Liu noted that WHO and the Ministry of Public Health had already reached a consensus on the 1994-1995 Detailed Programme Budget, and that the Comprehensive Exchange of Letters was to be signed in Beijing in just a few days' time. He nevertheless invited any comments or questions from the Ministry. Mr Wu Guogao commented that the document accurately reflected the consensus reached between WHO and the Ministry with the exception of some minor points on terminology. It was agreed that these questions would be resolved through informal discussions with the WHO Representative. The Regional Director observed that substantial reductions in the budget had been experienced in 1992-1993, and that there was a possibility of further reductions in 1994-1995. He thanked the Ministry for its excellent implementation record in 1992-1993, and encouraged it to continue to be efficient in the implementation of the Country Programme, particularly with respect to timely submission of statements of expenditures for local costs.
4. CONSIDERATION OF PROPOSALS FOR NEW ACTIVITIES IN 1993-1994 (DOCUMENT WPR/MPN /93.4)
This item was introduced by Dr Liu Xirong, who informed the Committee that the document provided was a combination of proposals from WPRO, WHO Headquarters, and the Ministry of Public Health. It was agreed that three of the six proposals submitted by the Ministry would be combined, since they were similar in nature. Proposals amounting to $896 980 had been received, including $645 100 from WPRO, $125 000 from Headquarters, $20 000 of joint proposals from WPRO and Headquarters, and $106 880 from the Ministry. All the proposals submitted by WPRO and WHO Headquarters already had committed funding. Dr Liu indicated that the Regional Director had agreed to support most of the proposals submitted by the Ministry from the Regional Director's Development Programme. The Regional Director agreed to support the MOPH proposals, but expressed some doubt about the appropriateness of the study tour to Finland under ICP /RUD /002. It was agreed that an alternative venue within the Western Pacific Region would be identified. He also requested the Ministry to provide more details on the project on Health Literature Services Development (CHN/HBI/004). The new proposals, including decisions made by the Committee, are attached as Annex 6.
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5. PRESENTATION BY THE MINISTRY OF PUBLIC HEALTH ON THE CURRENT SITUATION OF MEDICAL AND HEALTH SERVICES REFORM IN CHINA (DOCUMENT WPR/MPN/93.5)
This agenda item was presented by Dr Cao Ronggui, Director, Department of General Administration, Ministry of Public Health. The text of the presentation is contained in document WPR/MPN/93.5. After the presentation, Dr Cao invited comments and questions. The Regional Director commented that WHO strongly supported China's effort to reform its health seJVices, particularly in view of the rapid changes occurring in the economic system. He agreed that the crucial element was the financing of health care seJVices, but hoped that questions of equity and quality would also be kept in mind. He also hoped that the public health aspects of the system would not be given reduced emphasis by health workers and the Government as the latter's role in the health system diminished. Finally, he hoped that the reform efforts in China would produce a well-managed system, and one specifically designed for the special requirements of China. Dr Liu Xirong supported the comments of the Regional Director. He expressed his wish that during implementation of reforms, the Ministry would ensure that preventive medicine received adequate emphasis. . Dr Romualdez obseJVed that the health sector was a very special type of market because consumers were ignorant of the product. He hoped China would take advantage of the opportunity to educate consumers, and also to provide incentives to health workers to promote preventive care. Dr Gee raised the question of over-prescription of drugs, and hoped the Ministry would emphasize the rational use of drugs in the training of health workers. Finally, Dr Kean asked if there were any regulations about the percentage of resources which could be used for "sideline" industries. He also asked whether such industries could be established as joint ventures, which would imply that the products would be exported, thus depriving the local health seJVices of much needed medical products. Dr Cao thanked the speakers for their questions and comments. He agreed that these were all important points and said that the Ministry would take them into consideration.
6. REPORT OF THE SUBCOMMITTEE ON FELLOWSHIPS
This item was presented by Dr Romualdez, Director, Health SeJVices Development and Planning. The Subcommittee on Fellowships had discussed the following issues of concern: 6.1 1992-1993 implementation
The Ministry of Public Health had expressed some concern over the rate of implementation of fellowships for 1992-1993. According to the Ministry, 34 fellows had still not departed, yielding an implementation rate of 70.2% WHO responded that, from the Organization's point of view, a fellowship was considered implemented when the programme had been confirmed and the funds had been allocated. Placements had been confirmed for 16 fellows, even though they had not yet departed. WHO did not foresee any unusual problems in the placement of the remaining fellow before the end of the biennium.
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6.2
Direct contact with host institutions
The Ministry had suggested that placement could sometimes be improved by allowing fellows to make direct contact with host institutions. WHO discouraged direct contact but did not prohibit it. When direct contact did occur, however, it was strictly unofficial and could imply no obligation on the part of WHO. The Ministry was asked to ensure that fellows understood that the finalization of a programme required official contact between WHO and the host institution. 6.3 Costing
The Ministry also expressed some concern over undercosting of fellowships, and subsequent requests for it to identify funds to cover shortfalls. The Ministry requested WHO to arrange programmes in such a way that the duration was adjusted to keep the fellowship within the existing budget. WHO agreed that, in principle, the duration of programmes would be adjusted automatically in order to keep the fellowship within budget. However, in exceptional cases, such a procedure might endanger the technical content of the fellowship. In such cases, WHO would refer the matter to the Ministry for a decision. Mr Chandra informed the Committee that steps had been taken to correct the underbudgeting problem, and he hoped that the budgeted amounts would be sufficient to cover fellowships in the 1994-1995 biennium. 6.4 Extensions of stay
The Ministry had informed WHO that, in principle, it would agree to a first extension of stay, provided the fellow was able to secure outside funding. Subsequent extensions, however, would be approved only in exceptional cases, with strong justification. No modification to existing procedures had been suggested. 6.5 Recovery of funds from non-returning fellows
The Ministry had requested WHO to continue to make efforts to recover funds from non-returning fellows. WHO had agreed to do this, while noting that such efforts were often difficult. 6.6 Reprogramming to support a study tour
The Ministry had raised the issue of a request to reprogramme funds from two fellowships to fund a study tour to the USA and/or Europe early in 1994 for the purpose of strengthening the management of fellowships in China. It had been agreed that the Ministry should submit an official request and FAF's as soon as possible. WHO would cost the study tour and arrange a programme within the available budget. 6.7 Changes in fellowship management in China
The Ministry had advised WHO that several changes were foreseen for the future in the management of fellowships in China. First, the proportion of the budget allocated to fellowships would be reduced from approximately 40% to approximately 30% in the 1996-1997 biennium. Second, the Ministry had advised that, as of 1993, improvements were being made in the process of selecting fellows. The new procedures would place more emphasis on technical proficiency than on language ability alone. 6.8 Special programme in health administration
The Ministry had raised the question of arranging a special programme for ten division chiefs who would study health administration in the Philippines in 1994-1995. It had expressed considerable
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for them. It had been agreed that the Ministry would liaise with WR/China and HRH/WPRO to determine whether such a programme could be arranged. In closing, Dr Romualdez thanked his counterparts in the Ministry of Public Health for their efforts, and remarked that the fellowship subcommittee was becoming much easier. He complemented the Ministry on the substantial progress which had been made in the management of fellowships.
7. FIELD VISIT TO OBSERVE PRIMARY HEALTH CARE
A field trip was conducted by the group to observe primary health care in Turfan City. The visit to the Sheng-Jin Township Hospital, Yaer Village Health Station and the Turfan Primary Health Care Centre provided opportunities to see the health services in one of the largest autonomous regions in China and to discuss basic health issues as well as problems encountered. The possible designation of the Turfan Primary Health Care Centre as a WHO collaborating .centre was raised. The health official heading the Centre was asked to provide the WHO Representative with information on activities currently being carried out and those planned for the next five years which required WHO support.
8. OTHER ADMINISTRATIVE MATTERS
8.1
Meeting on demand reduction programmes for drug abuse in China. Hong Kong and Macao
Dr Han Tieru drew the attention of the Committee to a meeting on drug abuse, to be held in Macao under project ICP / ADA/001, which was mentioned on page 88 of document WPR/MPN/93.2, Review of the 1992-1993 programme budget implementation. The Ministry of Public Health felt that it was important to send observers to this meeting. If WHO agreed, the Ministry proposed to send 8-10 observers from its staff and the provincial governments at their own · expense. The Regional Director responded that he would have no objection to the Ministry sending · observers, subject to the agreement of the host Government. 8.2 Information documents
The attention of the Committee was drawn to information documents on the Special Programme of Research, Development and Research Training in Human Reproduction (WPR/MPN/93/Inf.1), the Special Programme for Research and Training in Tropical Diseases (WPR/MPN/93/Inf.2), and Status of ongoing HQ-funded activities in China (WPR/MPN/93/Inf.3). These documents were not discussed.
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9. CLOSURE
On behalf of Vice-Minister Gu Yingq~ Dr Xiao Ziren, Director, Department of Medical Science and Technology, thanked his colleagues from WHO for their participation in the meeting. Dr Xiao noted that the agenda had been very full, \:out that the meeting had been a great success. He was particularly pleased at the finalization of the 1994-1995 Programme Budget, and was looking forward to the signing of the Comprehensive Exchange of Letters, which was scheduled to take place in Beijing on Saturday, 21 August 1993. Dr S.T. Han, Regional Director, remarked that the meeting had been particularly interesting. While the daily schedule had been long and arduous, it had enabled the participants to observe health services in one of the largest autonomous regions in China. He noted that the review of the cooperative programme had been conducted efficiently and effectively and that, despite severe budgetary constraints, WHO and China had successfully implemented funds from regular budget, extrabudgetary funds and Headquarters' input amounting to $17 037 730 in 1992-1993. He thanked the Government of the Xinjiang Uygur Autonomous Region, the Regional Health Bureau, and the Turfan Municipal Health Bureau for their hospitality and for the opportunity to visit Xinjiang. Finally, he thanked his colleagues from the Ministry of Public Health for having organized a successful meeting, and invited them to come to Manila for the sixteenth meeting of the China/WHO Joint Coordination Committee in 1994.
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-7ANNEX1 AGENDA
1.
OPENING SESSION Designation of Chairman Opening statements: Statement Statement Statement Statement by Dr Gu Yingqi, Vice-Minister, MOPH by Dr S.T. Han, Regional Director, WHO/WPR by Dr Suomi Sakai, UNICEF /China by Mr Mijit Nasir, Vice Chairman, Xinjiang Uygur Autonomous Region
Introduction of participants (WPR/MPN/93/IB/1 Rev.5) 2. 3. 4. 5. 6. ADOPTION OF AGENDA (WPR/MPN/93.1 Rev. 5) REVIEW OF THE 1992-1993 PROGRAMME BUDGET IMPLEMENTATION (WPR/MPN /93.2) FINALIZATION AND IMPLEMENTATION OF THE 1994-1995 DETAILED PROGRAMME BUDGET (WPR/MPN/93.3) CONSIDERATION OF PROPOSALS FOR NEW ACTIVITIES IN 1993-1994 (WPR/MPN /93.4) PRESENTATION BY MOPH ON CURRENT SITUATION OF MEDICAL AND HEALTH SERVICES REFORM IN THE COUNTRY (WPR/MPN /93.5) FIELD TRIP TO OBSERVE PRIMARY HEALTH CARE IMPLEMENTATION OTHER ADMINISTRATIVE MATTERS CLOSURE
7. 8. 9.
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-9ANNEX2
LIST OF PARTICIPANTS
MINISTRY OF PUBLIC HEALTH OF THE PEOPLE'S REPUBLIC OF CHINA: Head: Deputy Heads:
Dr Gu Yingqi Vice-Minister of Public Health Dr Li Shichuo Director Department of Foreign Affairs Dr Xiao Ziren Director Department of Medical Science and Technology Mr Cao Ronggui Director Department of General Administration
Members:
Dr Han Tieru Chief Division of International Organizations Department of Foreign Affairs Dr Shi Anli Deputy Chief Division of Technical Exchange Department of Medical Science and Technology Mr Wu Guogao Deputy Chief Division of International Organizations Department of Foreign Affairs Dr Liu Junli Programme Officer Division of Technical Exchange Department of Medical Science and Technology Dr Liu Zhentian Programme Officer Division of International Organizations Department of Foreign Affairs
WORLD HEALTH ORGANIZATION WESTERN PACIFIC REGIONAL OFFICE: Dr S. T. Han Regional Director Dr Liu Xirong Director, Programme Management Mr B. Chandra Director, Support Programme
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Dr B. P. Kean Director, Drug Policy, Environmental Health and Health Technology Dr A. G. Romualdez Director, Health Services Development and Planning Ms T. Ballat Administrative Officer/Regional Director Mrs V. Hay Acting Administrative Officer (Programme Operations) Ms D. Pantua Administrative Assistant, Budget Ms C. F. Cabali Assistant, Programme Operations OFFICE OF THE WHO REPRESENTATIVE, CHINA: Dr R. W. K. Gee WHO Representative Dr K. Kutch Programme Officer Dr Cai Jiming Senior Programme Assistant UNITED NATIONS CHILDREN'S FUND, CHINA: Dr Suomi Sakai Chief of the Health and Nutrition Section
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ANNEX3
STATEMENT BY DR GU YINGQI, VICE-MINISTER, MINISTRY OF PUBLIC HEALTH AT THE OPENING OF THE FIFTEENTH MEETING OF THE CHINA/WHO JOINT COORDINATION COMMITTEE URUMQI, CHINA, 17 AUGUST 1993 DISTINGUISHED DR S.T. HAN, REGIONAL DIRECTOR OF THE REGIONAL OFFICE FOR THE WESTERN PACIFIC OF THE WORLD HEALTH ORGANIZATION, DISTINGUISHED REPRESENTATIVE OF THE UN AGENCY, DEAR COLLEAGUES AND FRIENDS, Today, the Fifteenth meeting of the China/WHO Joint Coordination Committee is formally open here in Urumqi. First of all, please allow me to extend, on behalf of the Ministry of Public Health of the People's Republic of China, our warm welcome to all members of the WHO delegation headed by Dr Han, Regional Director for the Western Pacific, and to the representative of UNICEF, as well as our congratulations to the convenors of the meeting. The friendly cooperation between China and WHO has a fairly long history, especially 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. This cooperation has effectively upgraded managerial level of health services in this country, introduced a large amount of funds and appropriate technology, trained urgently needed personnel in various fields and facilitated the exchange of medical and health information between China and other countries, thus playing a positive role in the improvement of the health standard of Chinese people, acceleration of the modernization of medical sciences, and in particular, the early attainment of the strategic goal of "health for all by the year 2000" in this country. This meeting is the eighth held in China, but the first in remote minority areas, thereby it has special significance. The past experiences show that the mechanism of JCC developed in wake of the cooperation between two sides has offered an excellent opportunity for us to review the implementation of the cooperative programme, identify existing problems and issues and find the solution to them, share views and ideas, and explore the approach on how to further expand the cooperation under the new situation. This meeting held in Urumqi has provided the participants with an opportunity to acquaint themselves with health work and local conditions and customs in the bordering minority area of this country. It is my conviction that through common efforts, this meeting will come to a successful conclusion. At this meeting, we will review the implementation of the 1992-1993 programme budget, finalize the 1994-1995 detailed programme budget, consider new proposals and listen to the presentation on the reform of our health services. During the meeting, we will also make a field trip to Turfan City to observe primary health care work. In regard to 1992-1993 cooperative programmes, the programme budget for China has been reduced by around 28% due to financial constraints encountered by WHO, which has affected the implementation of this biennial cooperative programme, to which I would like to express our deep concern. At the same time, we are pleased to note that thanks to our concerted efforts, most of the retained cooperative programmes have been fulfilled. 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 ensuring that the priority activities of cooperative programmes are not affected or less affected through conducting full consultation with its Member States before taking any reduction measures. We hope that WHO will tide over this financial difficulties as soon as possible, so as to implement all cooperative programme activities of the next biennium according to the plan.
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In the past year, China has made vigorous efforts in pushing forward reform in the health sector and the development of its health services in accordance with its own national conditions and made an important progress in implementing the strategy of "Health for All". China is a developing country with a population of 1.1 billion. Large disparities in economic levels, geographic environment, cultural background of various nationalities, lifestyle and health habits exist across the country. We are well aware that we still face an arduous task in the full attainment of the strategic goal of "Health for All by the Year 2000". In the future, we will continue to adhere to the principles of health services, namely, implementing the principle of prevention first; relying on the advancement of sciences and technology; mobilizing the involvement of whole society; giving equal importance to both traditional and western medicines; and serving people's health, and strive for achieving the goal of primary health care. In the process of this endeavour, we should, first and foremost, rely on our own strength, comprehensively and effectively mobilize all domestic resources and make rational and effective use of them. In the meantime, we also cherish the cooperation with WHO, other UN agencies and NGOs, and hope to see the continuous development of this friendly relation of cooperation and in this regard, the support and understanding of our friends in all aspects will be highly appreciated. A great amount of preparations have been done by two sides, both in Manila and Beijing before this meeting, with special meetings held and excellent documents prepared. Our colleagues in Xinjiang Health Bureau have also done a lot of logistic preparations for this meeting. All these efforts have laid down a sound foundation for the success of the meeting. Here, I would like to take this opportunity to express my heartfelt thanks to all those staff of the Western Pacific Regional Office and WHO Representative's Office in Beijing and colleagues in Xinjiang Health Bureau who have been involved in the preparation of the meeting. Finally, I wish the meeting great success, and to our friends and colleagues, enjoy your stay and good health in Xinjiang.
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STATEMENT BY DR S.T. HAN, REGIONAL DIRECI'OR WORLD HEALTil ORGANIZATION WESTERN PACIFIC REGION AT TilE OPENING CEREMONY OF TilE FIFTEENTII MEETING OF TilE CHINA/WHO JOINT COORDINATION COMMITTEE URUMQI, 17 AUGUST 1993 HONORABLE VICE MINISTER GU YINGQI, HONORABLE VICE CHAIRMAN OF TilE XINJIANG AUTONOMOUS REGION, MR MIJITI HONORABLE VICE CHAIRMAN OF TilE REGIONAL PEOPLE'S POLITICAL CONSULTATIVE COMMITTEE, MR MAO OFFICIALS OF TilE MINISTRY OF PUBLIC HEALTil OFFICIALS FROM XINJIANG GOVERNMENT, OUR COLLEAGUE FROM UNICEF, DR SUOMI SAKAI, LADIES AND GENTI..EMEN, It is a great pleasure to be in Xinjiang Uygur Autonomous Region for the fifteenth meeting of the China/WHO Joint Coordination Committee.
On this occasion, the fifteenth meeting of the China/WHO Joint Coordination Committee, I am happy that Vice Minister Gu Yingqi leads the Chinese delegation, and I would like to take this opportunity to congratulate Minister Chen Minzhang on his reappointment as Minister of Public Health. I wish him great success in the development of health services for the Chinese people. I also welcome Dr Li Shichuo in his new position as Director of the Department of Foreign Affairs. WHO also has some familiar faces in new positions; Dr Bill Kean as Director, Drug Policy, Environmental Health and Health Technology, and Dr Kingsley Gee as WHO Representative to China. In the fifteen years since the JCC was initiated, I have been privileged to attend all meetings since 1979 (except the very first meeting), and to see the cooperation between WHO and the Government grow and deepen. During the 1992-1993 biennium, as the Vice-Minister just mentioned, we have had to undertake significant budgetary reductions on two· occasions, which resulted in about 28.30% reduction, and I would like to express my deep appreciation to the Ministry of Public Health for their understanding and cooperation during the budget reduction exercises. Mr Vice-Minister, I am sure I do not need to stress how reluctant we were to conduct these exercises, but we have had no alternative. As I am sure you are aware, currency fluctuations in the world market, rising costs and unpaid dues from some Member States, have led to a significant reduction in the WHO budget, both globally and regionally. All Member States have had to bear reductions in their country programme budgets. WHO has also undertaken comprehensive cost-cutting measures both in the Regional Office and in country offices. In all these I have aimed to ensure that priority project implementation is not significantly impaired and that programmes of cooperation with Member States continue at an effective level. I know that we share the same drive to accomplish the maximum possible with our limited resources. The Ministry of Public Health in China is also facing budgetary constraints and the need to reduce staff members. I look forward, in particular, to the Ministry presentation on the current situation of medical and health services reform in China. This is a time of great economic change in China, and change can be positive, resulting in more streamlined and more efficient services to the public.
- 14These are challenging times. Let us face the changing health patterns of the close of the 20th century with confidence, and always with the aim of improving health in all population groups, especially those who are underserved. May this be a very successful meeting.
- 15ANNEX5
STATEMENT BY DR SUOMI SAKAI, CHIEF, HEALTH AND NUTRITION SECTION, UNICEF OFFICE FOR CHINA DURING THE FIFTEENTH MEETING OF THE CHINA/WHO JOINT COORDINATION COMMITTEE URUMQI, CHINA, 17 AUGUST 1993 DISTINGUISHED VICE-MINISTER GU, DR HAN, REGIONAL DIRECTOR OF THE WHO REGIONAL OFFICE FOR THE WESTERN PACIFIC, VICE-CHAIRMAN MI JITI, VICE-CHAIRMAN MAO, COLLEAGUES AND FRIENDS, On behalf of UNICEF, I would like to first thank the MOPH and WHO for your invitation to this important meeting. We at UNICEF place great importance in the collaboration with WHO in supporting the Government of China in reaching its goals for the survival and healthy development of China's children and women. Here in China, collaboration between WHO and UNICEF has been frequent and fruitful. In the field of EPI, we have jointly supported China in reaching its goal of 85% coverage at county level. We continue our support for 85% coverage at township level. Our support to the polio eradication efforts are fuUy coordinated, and we are working together to assist China reach its goal of virtual elimination of neonatal tetanus by 1995. Breast-feeding promotion with the "Baby Friendly Hospital" initiative is another area in which close collaboration between our two agencies has been productive. The MOPH is now initiating an effort to expand the BFHI to all provinces and special cities. This produces a challenge for training and assessment in as large a country as China. In addition, the multi-sectoral nature of promotion and protection of breast-feeding poses another great challenge. We hope that our agencies will continue to join efforts and support the Government of China in passing a National Code for the Marketing of Breast-milk Substitutes, and in creating·Mother-Friendly Workplaces. Recently, coordinated effort to support the virtual elimination of IDD in China has been initiated by WHO, UNDP and UNICEF. We hope that other agencies in the UN family will join in assisting the Government of China in this multi-sectoral endeavour which involves the health sector, the salt and food industries, and the agricultural sector, among others. In the areas of ARI, CDD and community nutrition and other fields of MCH/FP, we have continued links especially in the form of joint field visits and technical exchange and consultations. The collaboration of UNFPA, WHO and UNICEF in these areas is a good example of joint UN support to the Government of China. WHO and UNICEF not only share interest in direct health service programmes, but also in areas of management and health financing. We hope that we can join forces in our support of the Health Economics Network of China as well as of training activities to strengthen management capacity at province, prefecture and county levels. We at UNICEF hope that the close collaboration between WHO and UNICEF in assisting the Government of China in reaching its goals for the Survival, Protection and Development of Children in the 1990s will continue to develop and bear fruit.
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ANNEX 6
CONS IDERA TION OF PROPOSALS FOR NEW ACTIVITIES IN 1993-1994
JCC 15 09/09/93 --·--DETAILED REQUIREMENTS FOR 1993-1994----COMPONENT HAN MONTHS EST.COST (US$) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS 03.02 MANAGERIAL PROCESS FOR NATIONAL HEALTH DEVELOPMENT CHN/HPN/002 1.
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
DECISION HADE AT THE 15TH JCC MEETING
Strengthening management on China/WHO cooperative progranmes
Local costs
5 000
MOPH
To cover the costs of a workshop on WHO fellowship policies, selection and procedures.
Hay 1994
Agreed but to be expanded to include evaluation of fellowships.
RDDP/RB Local costs 5 000
MOPH
To cover the costs of preparing the manuscript and layout of a book entitled "A Guide to Cooperation with WHO".
3rd quarter 1993 to 1st quarter 1994 RDDP/RB
Agreed. WPRO to review text before printing. WR to be the focal point.
00
Local costs
4 980
MOPH
Printing, publication and distribution costs of "A Guide to Cooperation with WHO".
3rd quarter 1993 to 1st quarter 1994
Agreed. WPRO to review text before printing. WR as focal point.
RDDP/RB S&E 11 900 MOPH 1 computer (AST 386/25) with typewriter, 1 fax machine, 1 slide projector and 1 overhead projector 4th quarter 1995 RDDP/RB Agreed. However, TDI should be changed to 1995.
PROJECT TOTAL
26 880
JCC 15 09!09!93 -----D~TAILED
APPROACH/ACTIVITY
COMPONENT
REQUIREMENTS FOR 1993-1994----HAN MONTHS EST.COST (US$)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 15TH JCC MEETING
05.00 DEVELOPMENT OF HUMAN RESOURCES FOR HEALTH CHN/HRH/007 1. Preparation of English Training Materials Local costs 5 000 HOPH Preparation of materials for teachers of English. Publication of training materials. 1993-1994 RDDP/RB 1993-1994 RDDP/RB Agreed.
Local costs
5 000
HOPH
Agreed.
PROJECT TOTAL
10 000
ICP/HRH/019 1. Policy, planning and management of human resources for health Duty travel-HO staff 5 000
HQ/HRH
Follow-up to "Workshop on fleld·testlng of computer-baaed HRH planning/projection model and the development of an HRH Information syst~' (One-week workshop prepared In collaboratIon with IIPRO). Recruited by HO.
1st quarter 1994 HO/HRH
Agreed for HQ funding.
Temporary Adviser
8 000
HO/HRH
1st quarter 1994 HQ/HRH
Agreed for HQ funding.
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993·1994----HAN MONTHS EST.COST COMPONENT CUSS) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
APIJ
1 000
HO/HRH
Preparation of report of the workshop.
1st quarter 1994 HO/HRH
Agreed for HQ funding.
Temporary Adviser
8 000
IJP/HRH
Recruited by RO .
1st quarter 1994 IJP/ICP/HRH/019 (RB)
Agreed for ICP funding.
Local costs
5 000
HO/HRH IJP/HRH
To cover the costs of the workshop.
1st quarter 1994 HQ/HRH (USS2500) IJP/ICP/HRH/019 (RB) (US$2500)
Agreed for HQ and ICP funding.
N
0
PROJECT TOTAL
27 000
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993-1994----EST.COST HAN MONTHS COMPONENT (US$) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION MADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
07.00 RESEARCH PROMOTION AND DEVELOPMENT, INCLUDING RESEARCH ON HEALTH-PROMOTING BEHAVIOUR ICP/RPD/002 1. National workshop on research design and methodology STC
1x.75
9 800
IJP/RPD
To collaborate In training activities.
1994 \IP II CP /RPD /002 (RB)
Agreed for ICP fooding.
Temporary Adviser
1x .50
7 000
IJP/RPD
To collaborate In the conduct of the workshop on research design and methodology.
3Q/4Q 1994 IJP/ICP/RPD/002 (RB) 30/40 1994 IJP/ICP/RPO/OD2 (RB)
Agreed for ICP funding.
N
Local costs
5 000
IJP/RPD
Local expenses.
Agreed for ICP foodfng.
PROJECT TOTAL
21 800
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993-1994----HAN MONTHS EST.COST COMPONENT (US$) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION MADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
08.01
NUTRITION CHN/NUT/001
1.
National advocacy meeting
Meeting
40 000
UNDP liP/NUT
National advocacy meeting to raise level of awareness of IDD among the national pol icy-makers.
August 1993 UNDP
Agreed for UNDP fl.llding.
2.
Study tours for provincial heads
Study tour
50 000
UNDP liP/NUT
Study tours to inform and motivate those responsible for Implementation In the provinces. Participation to exchange experiences In international conferences as a way of being exposed to international and up-to-date experiences.
1994 UNDP
Agreed for UNDP fl.llding.
IV N
3.
Participation in international conferences
Participants
15 000
UNDP liP/NUT
Novenber 1993 1994 UNDP June
Agreed for UNDP funding.
PROJECT TOTAL
105 000
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993-1994----EST.COST HAN MONTHS COMPONENT (US$) PROPOSED BY: ACTIVITY COMPONENT DESCRIPTION TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
ICP/NUT/001 1. Lactation training centre APW 10 000 HQ/NUT HQ/FNE Training on lactation management, production, publication of materials on breast-feedin g; and acting as regional resource centre. End 1993 Agreed for HQ funding (DGDP).
DGDP
PROJECT TOTAL 09.04 WORKERS' HEALTH ICP/OCH/001 1.
10 000 N Yl
Second meeting of the collaborating centres in occupational health
local costs
5 000
HO/OCH
To defray part of the costs of the meeting.
11-14 OCtober 1994 HO/OCH
Agreed for HO funding.
PROJECT TOTAL
5 000
JCC 15 09!09!93 -----DETAILED REQUIREMENTS FOR 1993-1994----EST.COST HAN MONTHS COMPONENT (US$) PROPOSED BY: ACTIVITY COMPONENT DESCRIPTION TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
10.03 PREVENTION AND TREATMENT OF MENTAL AND NEUROLOGICAL DISORDERS ICP/MND/002 1. Study of the long-term course and outcome of schizophrenia _..
APIJ
5 000
HC/MNH
Contract with the IIHO Collabor ating Centre for Research and Training in Mental Health, Beijing to conduct addition al training and to support a project to follow-up individu als identifie d in the earlier survey. Prevention of major neurological diseases such as epilepsy and cerebrov ascular diseases will be studied with leading neurolog ists as temporary advisers . The number of temporary advisers will be decided later after consulta tions with HOPH. To cover the costs of the one-week wor~shop.
1st quarter 1994 HQ/MNH
Agreed for HQ funding.
2.
National wor~shop on public health aspects of neurology
Temporary Adviser
15 000
HQ/MNH 1./P/MNH
October 1994 \IP/ICP/HND/002/ VP
Agreed for extrabud getary funding.
Local costs
5 000
HQ/MNH 1./P/MNH
October 1994 HQ/HNH ~/JCP/MND/002/
Agreed for HQ and extrabud getary fln:fing.
VP
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993·1994-···· HAN MONTHS COMPONENT EST.COST (USS) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
3.
National workshop on primary prevention of mental and neurological disorders
Meeting
HQ/MNH
HQ/HNH has produced model guidelines for primary prevention of mental/neurological and psychosocial disorders.
23-24 March 1994
Agreed. Funding to be provided from funds allocated for the 10th Global Coordinating Group meeting which will be held in Beijing, 15·22 March 1994. Agreed for HQ funding.
4.
of an international instrument for the assessment of quality of life (~HOOOL)
Developme~~
STC
2x .50
13 000
HQ/MNH
To develop local, culturally appropriate versions/translations of the WHO quality of life assessment methods.
March 1994 HQ/HNH
local costs
5 000
HQ/MNH
To defray part of the costs of a meeting of investigators who will collaborate in the development of a Chinese version of the WHO quality of life assessment methods. To finalize and publish the Chinese version of the WHO quality of life assessment methods.
March 1994 HO/HNH
Agreed for HQ funding.
AP~
2 000
HQ/MNH
4th quarter 1994 HQ/MNH
Agreed for HQ fl.llding.
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993-1994····· MAN MONTHS COMPONENT EST.COST CUSS) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
5.
Prizes to young psychiatrists and neurologists
TSA
2 000
HQ/MNH
A technical services agreement will be made with the UHO Collaborating Centre for Research and Training In Mental Health for the activities necessary to select candidates and award prizes.
October 1994 HQ/MNH
Agreed for HQ funding.
PROJECT TOTAL
47 000
11.02 ENVIRONMENTAL HEALTH IN RURAL AND URBAN DEVELOPMENT AND HOUSING ICP/RUD/001 1.
N
0\
National workshop on quality assurance in water quality monitoring activities
Local costs
3 000
UP/EHC
To cover the cost of the workshop (rental of conference room, reproduction of papers, per diem and travel expenses of participants)
3rd quarter 1994 UP/ICP/RU0/001 CRB)
Agreed for ICP funding.
PROJECT TOTAL
3 000
JCC 15 09!09!93
APPROACH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1993-1994----EST.COST HAN MONTHS COMPONENT (US$)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 15TH JCC MEETING
ICP/RUD/002 1. Study tour to observe integrated healthy city progranmes Fellowship
so
000
MOPH
Eight fellows to visit Singapore and Australia for about one week each.
1st half of 1994
Agreed for two cities within the IJestern Pacific Region.
RDDP/RB
PROJECT TOTAL
50 000
12.02 ESSENTIAL DRUGS AND VACCINES ICP/EDV/001 1. Introduction to the implementation of an essential drug list STC 1x .50 5 750 HQ/DAP Collaborate with the Government in Improving/amending essential drug list. August 1993 HO/DAP Agreed for HQ funding.
2.
Introduction to quality assurance
STC
1x .50
5 750
HQ/DAP
Collaborate with the Government In upgrading quality assurance of drugs and vaccines.
December 1993 HQ/DAP
Agreed for HQ funding.
PROJECT TOTAL
11 500
JCC 15 09/09/93 ---·-DETAILED REQUIREMENTS FOR 1993-1994----COMPONENT MAN MONTHS EST.COST (USS) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
13.03 MALARIA ICP/MAL/002 1. Meeting of selected malarious countries of East and South·East Asia STC 1x .50 10 000 IJP/MAL Participate in the meeting, provide technical input and write the report of the meeting. Noveaber 1993 IJP/ICP/HAL/002 (RB) 1-5 Noveaber 1993 IJP/ICP/HAL/002 (RB) Agreed for ICP fl.rlding. N 00
Agreed for ICP funding.
Meeting
30 400
IJP/HAL
Meeting among countries with common borders In East and South-East Asia to discuss mutual problems associated with malaria transmission and malaria control. Participating countries are Cambodia, China, Lao P.D.R., Malaysia, Papua New Guinea, Philippines, Solomon Islands, Vanuatu and Viet Nam.
PROJECT TOTAL
40 400
JCC 15 09!09!93
APPROACH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1993-1994----EST.COST HAN MONTHS COMPONENT (USS)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION MADE AT THE 15TH JCC MEETING
13.06 DIARRHOEAL DISEASES ICP/CDD/001 I.
Support for planning and implementation of COD activiti es in Ningxia and Qinghai
STC
1x
.so
5 800
WP/CDS
To collabor ate in the conduct of a 4-day Programme managers training course followed by a two-day planning workshop.
October 1993
Agreed, sl.bject to availabi l lty of extrabud getary funds.
CDD/HQ Local costs 3 000 \JP/CDS To cover the costs of the Programme managers training course and the planning workshop. October 1993 Agreed, sl.bject to ava It abit tty of extrabud getary funds.
IV 10
COD/HQ Local costs 6 000 IJP/CDS To cover the costs of supervis ory skills training courses in Ningxia and Qinghai. 4th quarter 1993 Agreed, sl.bject to avaiLab ility of extrabud getary funds.
CDD/HQ STC 1x
.so
5 800
\JP/CDS
To collabor ate In the conduct of a case management training of trainers course to be organized in Kunmlng (nationa l) DTU.
September 1993
Agreed, sl.b]ect to avaltabf t ity of extrabudgetary funds.
COD/HO
JCC 15 09/09/93
APPROACH/ACTIVITY
· ····DETAILED REQUIREMENTS FOR 1993·1994····EST.COST HAN MONTHS COMPONENT (US$)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION HADE AT THE 15TH JCC MEETING
local costs
2 500
IJP/CDS
To cover the costs of the case management training of trainers course to be organized In Kt.nning (national) DTU.
Septl!ll'ber 1993
Agreed, subject to availability of extrabudgetary funds.
CDD/HQ local costs 5 000 IlP/CDS To cover the costs of the case management training courses in Ningxia and Qinghai. 4th quarter 1993 Agreed, subject to availability of extrabudgetary funds. w 0
CDD/HQ local costs
7 000
IlP/CDS
Development and inplementatlon of communication activity plan: (a) training on Interpersonal communication skills; (b) use of radio; and (c) school curriculum. Baseline household surveys In Ningxia and Qinghai.
4th quarter 1993
Agreed, subject to availabi II ty of funds .
CDD/HQ Septl!ll'ber 1993 Agreed, subject to avaflabil i ty of extrabudgetary funds.
Local costs
9 000
IlP/CDS
COD/HQ S&E 1 000 IlP/CDS Equipment needed for the establishment of ORT units (cups, jugs, etc.) 4th quarter 1993 Agreed, subject to availability of extrabudgetary funds.
CDD/HQ
JCC 15 09/09/93 ·····DETAILED REQUIREMENTS FOR 1993·1994··· ·· EST.COST HAN MONTHS COMPONENT (USS) ACTIVITY COMPONENT DESCRIPTION TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION MADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
2.
Strengthening teaching of diarrhoeal diseases in medical schools
STC
1x .50
5 800
WP/CDS
To collaborate in the conduct of a preparatory workshop to plan for medical education activities.
October 1993
Agreed, subject to availability of extrabudgetary f...-.ds.
CDD/HQ Local costs 5 000 \JP/CDS To cover the costs of the preparatory workshop. October 1993 Agreed, subject to availabfl i ty of extrabudgetar y funds.
CDD/HQ STC 2x .50 13 000 \JP/CDS To collaborate In the conduct of a medical education workshop In the national DTU in !Cunning, Yunnan province. June 1994 Agreed, subject to ave II abfl f ty of extrabudgetary fll"ds.
~
CDD/HQ Local costs 5 000 \JP/CDS To cover the costs of the medical education workshop. June 1994 Agreed, subject to avail abfl i ty of extrabudgetary fll"ds.
CDD/HQ
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993-1994----HAN MONTHS COMPONENT EST.COST (USS) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS Local costs 8 000 IJP/CDS To cover the costs of a ease management training of trainers courses (ToT) in Kunming OTU (for participants from Yunnan province). Septeriler 1993 Agreed, subject to avail ablll ty of extrabudgetary flllds. DECISION MADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
COD/HQ Local costs 5 000 IJP/CDS Translation and printing of COO training and reference materials for ToT course. 3rd quarter 1993 Agreed, subject to availabilIty of extrabudgetary flllds.
... 4. Research skills and proposal development Meeting 40 000 IJP/COS IJorkshop on diarrhoea prevention In collaboration with COR/HO. IJorkplan details being prepared in liaison with COR/HQ.
COD/HQ October 1993 Agreed, subject to availability of extrabudgetary flllds. N ~
COD/HQ 5. Communication activities STC 1x1 13 000 IJP/CDS · To collaborate in the conduct of a training on interpersonal communication skills In Shandong province. 1st or 2nd quarter 1994 Agreed, subject to availability of extrabudgetary flllds.
COD/HQ
JCC 15 09/09/93 -----DETAILED REQUIREMENTS FOR 1993-1994----EST. COST MAN MONTHS COMPONENT (US$) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
Local costs
10 500
IJP/CDS
To support communication activities in Shandong province: (a) development, field testing and recording of radio messages; (b) development of COD activities in schools and adult education; (c) conduct of a KAP study. Development of a communication plan and conduct of a KAP study in Heilongjiang province.
1st to 2nd quarter 1994
Agreed, subject to avaflabil ity of extrabudgetary funds.
CDD/HQ
Local costs
5 000
\IP/CDS
.. 1x 1 11 500 \IP/CDS
2nd quarter 1994
Agreed, subject to availability of extrabudgetary funds.
CDD/HQ 6. Evaluation and monitoring STC To collaborate in the development and field·testing of monitoring tools (checklist, mini-surveys, etc.). Decenber 1993 Agreed, subject to availability of extrabudgetary funds.
c..J c..J
COD/HO Local costs 2 500 IJP/CDS Monitoring of key COD indicators by provincial programme staff. December 1993 Agreed, subject to availablll ty of extrabudgetary funds.
CDD/HQ
JCC 15 09!09!93
APPROACH/ACTIVITY
-----DETAILED REQUIREMENTS FOR 1993-1994----EST.COST HAN MONTHS COMPONENT (US$)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IHPLEHENTATION PROPOSED FUNDS
DECISION MADE AT THE 15TH JCC MEETING
7.
Support for ongoing training activities for phase Ill provinces (Xinjiang, Sichuan, Guangxi and Hainan)
local costs
11 500
\IP/CDS
To cover the costs of the Programme managers training courses in the four provinces.
Septenber/ October 1993
Agreed, subject to availabilit y of extrabudge tary funds.
CDO/HQ local costs 10 000 \IP/CDS To cover the costs of the Supervisory skills training courses in the four provinces. Septenber/ OCtober 1993 Agreed, subject to availabilit y of extrabudge tary funds. ~
CDD/HQ
""' PROJECT TOTAL 211 700 13.07 ACUTE RESPIRATORY INFECTIONS ICP/ARI/001 1.
Expansion of coverage
local costs
20 000
\IP/ARI
Workshop for provincial ARI programme managers to formulate plans for national ARI control programmes.
OCtober 1993
Agreed, subject to availabilit y of extrabudge tary funds.
ARJ/HQ
JCC 15 09/09/93 ·· · ··DETAILED REQUIREMENTS FOR 1993· 1994····· EST.COST HAN MONTHS COMPONENT (US$) ACTIVITY COMPONENT DESCRIPTION TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION MADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
----------------------------------------------------------------------------------- --------------------------------------------·-----------------------------------------------2. Strengthening programme management local costs 16 000 \IP/ARI Training of paediatrician& in standard ARI case management of severe pneumonia at national level. Noventler 1993 Agreed, subject to availability of extrabudgetary funds.
ARI/HO local costs 65 000 \IP/ARI Training of paediatrfcians In standard ARI case management of severe pneumonia at provincial level. Noventler 1993 Agreed, subject to availability of extrabudgetary funds.
ARI/HO S&E
30 000
\IP/ARI
Printing of ARI materials for training courses at provincial and county levels.
October 1993
Agreed, subject to availability of extrabudgetary funds.
~
VI
ARI/HO
PROJECT TOTAL
131 000
JCC 15 09!09!93
APPROACH/ACTIVITY
----·DETAILED REQUIREMENTS FOR 1993·1994·---EST.COST MAN MONTHS COMPONENT (US$)
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS
DECISION HADE AT THE 15TH JCC MEETING
13.08 TUBERCULOSIS CHN/TUB/001 1.
Technical support and Operational Research for TB control in China
Q Staff H
3x .75
20 000
HO/TUB
To meet with China counterparts and advice on operational research.
Noverrber 1993 June 1994 Noverrber 1994 HQ/TUB
Agreed for HQ funding.
STC
3x .75
30 000
HQ/TUB
A member of the TUB Steering Committee on Operational Research to meet with counterparts in China.
Noverrber 1993 June 1994 Noverrber 1994 HQ/TUB
Agreed for HQ funding.
w
0\
PROJECT TOTAL
50 000
JCC 15 09/09/93 ·····DETAILED REQUIREMENTS FOR 1993·1994 ····· EST.COST MAN MONTHS COMPONENT (US$) ACTIVITY COMPONENT DESCRIPTION TARGET DATE OF IHPLEHENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
13.14 OTHER COMMUNICABLE DISEASE PREVENTION AND CONTROL ACTIVITIES CHN/OCD/007 1. Hepatitis B vaccine production STC 1x 1 11 500 IJP/CDS To conduct heat-flash procedure on the production of plasma-derived HB vaccine. 4th quarter 1993 Agreed, subject to avai lab! l i ty of extrabudge tary fund (AGFUND).
IJP/CHN/OC0/007 STC 1x1 11 500
IJP/COS
To follow-up and give advice on the large-scale production of HB vaccine.
4th quarter 1993
Agreed, subject to availabilit y of extrabudge tary fund (AGFUND).
w
~
IJP/CHN/OCD/007 Fellowship 1x 2 8 500
IJP/CDS
Training on production of recombinant HB vaccine.
3rd quarter 1993
Agreed, subject to availabll ity of extrabudge tary fund (AGFUND).
IJP/CHN/OCD/007
JCC 15 09/09/93 ·····DETAILED REQUIREMENTS FOR 1993·1994····· EST.COST MAN MONTHS COMPONENT (US$) ACTIVITY COMPONENT DESCRIPTION TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION MADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
S &E
90 200
lo/P/COS
Equipment for heat-flash procedure on HB vaccine production.
3rd quarter 1993
Agreed, slbject to availability of extrabudgetary fund (AGFUND).
loiP/CHN/OCD/007
PROJECT TOTAL
121 700
13.15 BLINDNESS &DEAFNESS ICP/PBD/001 1. 00
Yl
National workshop on health promotion of the elderly with emphasis on prevention of sensory disabilities
Local costs
5 000
HO/PBL
To defray part of the costs of the workshop.
October 1993 lo/P/ICP/PB0/001 ST .1
Agreed for extrabudgetary funding (PBL/HO).
PROJECT TOTAL
5 000
JCC 15 09/09/93 ·····DETAILED REQUIREMENTS FOR 1993·1994····· EST.COST HAN MONTHS COMPONENT (US$) TARGET DATE OF IMPLEMENTATION PROPOSED FUNDS DECISION HADE AT THE 15TH JCC MEETING
APPROACH/ACTIVITY
PROPOSED BY:
ACTIVITY COMPONENT DESCRIPTION
14.00 HEALTH INFORMATION SUPPORT CHN/HBI/004 Establishment of a three·<ier advisory network Agreed in principle Further clarification to be sought.
1.
APW
5 000
HOPH
Preparation of a manual on Health Sciences and Technological Literature Retrieval.
4th quarter 1993
RDDP/RB Local costs 4 000
HOPH
Workshop/training course to train instructors for conducting local workshops on HSLARS.
4th quarter 1993
Agreed In principle Further clarification to be sought.
RDDP/RB local costs 6 000
HOPH
One
workshop in the South and one in the North to train staff in use of the HSLARS.
1st quarter 1994 2nd quarter 1994 RDDP/RB
Agreed In principle Further clarification to be sought.
APW
5 000
HOPH
Contract for an expert to develop the rules for evaluation of advisory services.
1994
Agreed In principle Further clarification to be sought.
RDDP/RB PROJECT TOTAL 20 000