WORLD HEALTH ORGANIZATION REGIONAL COMMITrEE Eighth Session Hong Kong 5~ll September 1957
REGIONAL OFFICE FOR THE WESTERN PAC!FIC
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WP/R08/4 Add.l 27 August 1957 ORIGINAL: ENGLISH
SUPPLEMENTARY LIST OF PROJECTS The estimated costs and narratives for a number of projects, details of which are given in the attachment to this document, were not included in the r·egular programme for 1959 or in the proposed Technical Assistance estimates for 1958 for the follo'Wing reasons: (a) some projects tentatively agreed upon between the governments and the Regional Office were not included in the consqlidated country requests; and (b) all elements of some projects could not be accommodated 'Within the regional allocation. If there should be saVings 'Within the country totals under the Technical Assistance programme, or if saVings under the :r'egUl.ar budget should become available in 1958 or 1959, it may prove possible to implement some of these projects. In order to facilitate action should additional funds become available the Committee may wish to follow the procedure.adopted during the fourth, fifth, sixth and seventh sessions, which authorized the Regional Director to establish priorities. The following draft resolution is therefore submitted for consideration of the Committee: "The Regional Committee, Having, as a part of its consideration of the proposed programme and budget estimate for 1959, reviewed the Supplementary List of Projects Which were reques~ed by governments and recommended by the Regional Director, but Which could not be. accommodated within the tentative regional allocations for 1958 and 1959,. or in the proposed Technical Assistance estimates for 1958, l. BELIEVES that the projects in the Supplementary List should be considered part of the regional programme and should therefore be forwarded to the DirectorGeneral for submission to the Executive Board and the World Health Assembly; 2.. . REQUESTS the Regional Director to implement as many of the projects in the Supplementary List as possible,. as and When funds are available, from Whatever source;
3· AUTHORIZES the Regional Director to establish priorities in implementing projects in "\tl.e Supplementary List •."
WP/RC8/4 Add. 1 APPENDIX SUPPLEMENTARY LIST OF PROJECTS (to be implemented to the extent that fund$ are made available) Number of Posts C.A11BODIA Public health administration Fellowships Nursing ·Fell.owships Total - CAMBODIA CHINA Tuberculosis control supplies and equipment Short-term consultant Fellowships Venereal diseases and treponematoses Fellowships China 17 5,000 3,750 1o ~oo 19,250 2 China China 1 18,800 ~8
Cost Estimates
us$ Cambodia 2 5,000 Cambodia 3 22,000 27,000
..
Public health administration Fellowships Mental health Short-term consultant Fellowships Nutrition Supplies and equipment Other projects (peaceful use· of atomic energy) Fellowships
24,SOO China 20 3, 750 12,320 16,070 China 30 3,000 China 28 9,000
: . . . . · Other projects (Institute of Public Health) China 27 Expert 12,575 Supplies and equipment ~,ooo Fellowships 7,000 22,575 Other projects (College of Medicine, National Taiwan University) ·· Fellowships Total - CHINA China 28 3,500 116,695
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WP/RCB/4 Add. 1 Appendix Page 2 Number of Posts FIJI Other projects (Central Medical School) Fellowships Other projects (Thoracic anaesthesia) Fellowships Total -FIJI HONG KONG Public health administration (Dental health) Fellowships Environmental sanitation Fellowships Total - HONG KONG JAPAN Maternal and child health (Care of premature infants) Short-term donsultant KOREA Tuberculosis Fellowships Endemo-epidemic diseases (Virology and immunology) Fellowships Public health administration (various) Fellowships Public health administration (Health insurance) Fellowships
' Cost Estimates
US$ Fiji 2 2,600
Fiji 4 2,)00 4,900
Hong Kong 13 Hong Kong 13
ll,ooo 7,000 18,000
Japan 2 1,625
Korea 10 16,500
Korea 10 8,500
Korea 10 35,000
Korea 10 3,500
WP/RC8 Add. 1 ApEendix Page 3 Nwnber of Posts
' ....
Cost Estimates
us$ . Environmental sanitation .. (S?oh.itary engineering) Fellowships Other projects (various) Fellowships Total - KOREA MACAO Environmental sanitation (various) Fellowships MALAYA Tuberculosis· · Fellowship~ :NEW CALEDONIA
Korea 10
.. 5,500
··· ·.'i
Korea 10
13,000 82,000
Maeao
l
7,000
Malaya 18
~::::.~~Health education of the public :. !ellowships
New Caledonia 1
;,ooo
PAPUA AND NEW GUINEA
Malaria (entomology) . . -......... Fellowships ~
I
·'
·~.
Papua and New Guinea 6
5,000 PHILIPPINES
~alaria (insect. resistance) Fellowships 'fuberculosis ·~ ·Fellowships
Philippines 55
3,500 Philippines 54 9,000
EED - Reha.bilitati.on (orthopaedic surgery in poliomyelitis) Fellowships .
Philippines 54
5,500
:wP/RC8/4 Add. l App endix Page 4 Nilmber of Posts
' Cost Estimates US$
Public health administration (Pathology) Philippines 54 Fellowships Public health administi'ation (various) , ~ :Fellowships Public health administration (hospital administration) Fellowships Health education of the public Fellowships Environmental sanitation Supplies and equipment 2
10,700 16,000
Philippines 54
Philippines . 54
3,500 Philippines 54
5,500 Philippines 43
1,000 traini~~
Environmental sanitation , Experts Supplies and equipment Total - PHILIPPINES
Philippines 51
19,804 1,500
2lt304 ']j,004
TIMOR Nutrition Fellowships VIET NAM Public health administration Fellowships Environmental sanitation Fellowships Total - VIET J'Lt'l}i 1tJEST NEW GUINEA Endemo-epidemic diseases (leprosy control) Fellowships West New Guinea 7 Viet Nam 2 Timor 1
3,500
5,000 Viet Nam 9
1,950
WP/RC8/4 Add. 1 AE~ndix
Page 5 Number of Posts
' ... INTER-COUNTRY PROGRAMMES Malaria eradication technical meeting Participants Endemo-epidemic diseases (Rabies control) Short-term consultant Supplies and equipment Public health administration (Conference and 'study tour) Participants Laboratory biological facilities Short-term consultants Supplies and equipment Participants .Nursi~g
Cost Estimates
US$ WPRO 55 2,300 WPRO 42 .2,600 ·200
-WPRO 45
2,800
10,150 · WPRO 51 15,600 1,000 6,000 WPRO 44 9,688 43,735 ·WPRO 61 4, 188 2,700 22,500 WPRO 57 7,500 1,800 20,350 WPRO 50 5,000 WPRO 52 10,400 7,500 WPRO 41 11,050 200 17 2000 28,250 17,900 29,65.0 29,388 53,423 22,600
administration seminar Short-term consultants PartiCipants
Nursing education seminar Short-term ' consultants WHO·Secretariat staff Participants Health education training course Short-term consultants Supplies and equipment Participants Social and occupational health Fellpw:ships (industria 1 health ) I
Seminar on industrial health Short-term consultants Participants I
Mental health - Conference on community mental health services Short . . .term consultants Supp~ies and·equipment Participants
I
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1rJP;~c~7{:ldd • 1 .Appendix PagE 6 Number of Posts Development of the pre-school child Short-tErm consultant Environmental sanitation food sanitation seminar Short-term consultants Supplies and equipment Participants Seminar on training of sanitarians Participants Sewerage planning and design training Supplies and equipment Fellowships Other projects - Medical librarianship Short-term consultant Supplies and equipment Fell~wships . .
' ... Cost Estimates
us$ :.~TPRO
33 7,800
T~RO
40 7,800 3,500 34,620 45,920
-~VPRO
46 6)650
WPRO 62 :300
13,200 13,500 1rJPRO ; 48
5,_200 3~000
28,(?00 36,800 HPRO 14 1,250 1,000 12,000 14~250
International seminar on qua.rantine Short-term consultant Supplies and equipment Participants TOTAL - INTER-COUNTRY PROGRAMMES INTER-REGIONAL Tuberculosis Participants Public health administration Seminar on family mental health Short-term consultants Participants _Sympos~liPI
328z381
TN"PRO 43 . 10,555 WPRO 60 10 400 7,700 18,100
Environmental sanitation on the resistance of insects to certain insecticides Participants Health physics course Supplies and equipment :f>articipa-nts . . .<:. :
1.\TPRO 54 WPRO 37
. 14 ,ooo 1,000 7,189
8,189 50,844 739,899
TOTAL - INTER-REGIONAL GRAND TOTAL
"WP/ RC8/4 Add. 1 Appendi x Page 7
CAMBODIA
' PUBLIC HEALTH ADMINISTRATION Fellowships
Cambodia 2
In order to strength~n the central health services of the country the Government has requested a twelve-month fellowship to enable a senior health officer to study public ..health administration ($5 000) • NURSING
Cambodia 3
Fellowships The aim of this project which began in 1951 is to assist the Government to improve the quality and increase:-tlie number of nurses and midwives. WHO is providing ~-team consisting of a senior nurse educat or , t wo nurse educators (general nursing) and one nurse educator (midwif ery) 1.mtil local c ounterp,~s are qualified to take over the greater r esponsibility. Provision is made f or four. fellowships of twelve months each ($22 000) i n the SUpplementary Li st . of activities for. advanced preparation of the countez:part personnel.
CHINA TUBERCULOSIS
China
17
Tuberculosis control Provision is made here for-a short-term consultant in stat ist i cs, three fellowsh i p s, one for twelve months in physiology of res piratory disea ses, two for si x months each, one in bacteriology: and the other in BOG production plus $5 000 worth of supplies to complement"" tP.e .. assi stance l i sted i n do~unient . "WP/RC8 /4 Part I. ' . . . VENERElAL DISEASES AND TREPONEMATOSES Fellowships
China l region~
Provision is made here for five fellovs):J.j_.ps; three short-term fellowships plus two of twelv~ months each. PUBLIC :a:E.ALTH ADMINISTRATION Fel.J.owship s
.
China 28-
The Government had requested eight feilowships, six months each, for medical officers and public-health nurses in 1959. One has been provided in the regular programme and budget. The other .s~ven are con~ained here in the Supplementary List. · MENTAL EEALTH ;Fellowships ',·:
China 20
Provision is made in the Supplementary List. ·for a short-tenn consultant, two fellowships each for t-welve months plus · another- year's . continuation of these _ f ellowships.
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WP/RC8/4 Add. 1 ApPendix Page 8 NUTRITION S~pplies and equipment
' China 30
Provision is made f'or a pie.c.e of equipment whi.c h the Goverrunent req!lested ,to complement the fe·llm~· ship for which provision ha~ been made in the regular programme and budget.
OTHER PROJECTS Fellovy.ships (Peaceful use of atomic energy)
China 28
Th~ Go\re;~i:mt request:ed three feliowships. · ' One ha:s. been provided in the re&Ular programme and budget. The other two are included in the Supplementary List • . · · ·
'
Institute of public health . .
cmna: 27
The expert, . supplies and fellowships contained in the Supplementary List form that part of the government-requested assistance for which provision was <q.ot. made in the regular programme ~nd budget. China 28 Colle.g~.·~ o:f> • ' f '
MeC!-icine, National
Ta~wan.
Un,iv:ersi t~
:., . . This feA.lowship for the .· D.eall .of the Coll.e ge of ME?dicine to Visit institutions educating a.n d. trai;ning medical. and para-medical personnel 'wa.s transferred· from the Regular Budget t.c the Supplementary List. FIJI
Feli~wships(c~ntral
OTHER .. PROJ.ECTS
Fiji 2 Medic.al School)
·. . In: connection with the assistance to the Central Medical School, pronsJ.on is made for one fellowship to be utilized in the field which is most likely to benefit the teaching in the school. It is anticipated that the field of study 'w6ill~ be eit .her physips or another subject pertinent to the training of medical· si;udents •. · · · Fiji 4 Fellowships(Thoracic anaesthesia) The· Goverrunent intends to establish a thoracic unit as part of its tuberculosis-control programme. A fell owshi p has a lready been awarded to a su~geo~ with some experience in thqraoi c wo rk 7 and a furthe r fel l owshi p i s reque.~t'ed to enable . a local assistant. medica l praet i ti oner to study anaest he sia for six months (estimated cost' $2,300) . The sur ge.on and t he anaest ne t i st would forni. the nucleus of the unit.
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WP/RCS/4 Add. l Appendix Pa ge 9 \
HONG KONG PUBLIC HEALTH ADMINISTRATION (Dental health) Fellowships
.... Hong Kong 13
In . l956 the Goverpment requested five fellowships each fer two ye:;rs · t.o ·trr:in' d~ntal n\lrses. Two hav~ been prOIIZi.df'd ~ for in the 195$ regular programm.e and budget and one ·in i959~ The · othe~ two apyear :i.n · the Supplement.ary
tist.
·
··
ENVIRONMENTAL SANITATION Fellowships
Hong Kong 13
, - The Governm~nt has. requested two fe.l).owships to enable local health . ... .inspectors to study public-health and envi;r.o nmental-sanitation practioes for ·· ' appr_ o ximately six ·months ($7,000 ). ·· JAPAN · MATERNAL .AND CHILD HE:ALTH Care of premature infants Japan 2
. ..
: -Since 1952, the services .,..o£. a short-term consultant, fellowships and equipment· ·have been· provided to assist the goyernment 1 s premature i:nfant-care programme. The• visit of' a-nother consultant for a period of five weeks to advise on ··.the- or:gani·zation of domiciliary care service.s iae requested by the Government for 1958• The work of the two premature infant care units already established at the Red Qross Hospital and ·in the 'Sotagaya Infants Home, To~o, can thus be extended by training midwives and .: pub.lic-heal.th nurses in the home care of prematu·r e infants.
KOREA J •
TUBERCULOSIS Fellowships
Korea 10
The .Government requested- two .f'el1owships in 1956. These appeared in documents WP/RC?/5 add. 1 and Off. Reo. 74. In 1957 the Government requested another fellowShip. Therefore provision is made in the Supplementary List for thre.e .fellowships each for · 12 months. ·~
:
.
.
ENDE:MO-EPIDEMIC DISEASES (Virology . E:l.nd immunology) Fellowships
.Korea 10
These two fellowships, one in virology and one in immunology were requested by the Government in 1956 remain in the Supp.kmentc:ry List .
WP/RCS/4 Add. 1 ApPendix Page 10 PUBLIC HEALTH ADMINISTRATION (Various ) Fellowships Korea 10
Provision is made in the Supplementary List for seven fellowships requested by the Government; one each in public health administration, health education, vital and health statistics, epidemiology, publi:o-health nursing and two in maternal and child health to supplement what has been provided in the regular programme and budget. Fellowships (Health insurance) Korea 10
· Provision is made here in the S-1pplementary List for a fellowship to enable a selected person to visit medical and health insurance schemes so that he can assist the Government in making long-term plans upon his return. ENVIRONMENTAL SANITATION (Sanitary engineering) Fellowships Korea 10
The Republic of Korea is engaged in an integrated rehabilitation programme of sanitary facilities in that war-damaged country. It is believed essenti~l for the immediate and future needs of the country that sanitary facilities should be carefully planned and expertly designed so as to meet modern public~health requirements. A considerable programme of improvements in sanitary facilities has been initiated with the·assista~ce of the Office of the Economic Co-ordinator Who will supply to the Korean Government, assistance in the form of equipment and supplies as well as international personnel. A fellowship to train a Korean engineer in the specialized field of sanitary engineering for a period of twelve months in either the United States of America or the United Kingdom is requested and has been entered in the Supplementary List. OTHER PROJECTS (Various) Fellowships (control of narcotic drugs) Korea 10
As a result of unsettled conditions over many years, illegal manufacture, sale and consumption of narcotic drugs have been widespread. This still constitutes a problem and the Government wishes to adopt effective control measures. The- Government ha·s requested a six-month fellowship for the study of measu=es for the control of narcotic drugs in selected countries in the Western Pacific and other regions. This ·has been included in the Supplementary List,.
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\;TP /RC8 I 4 Add. 1
Appendix Page 11 Fellowships (operation and management of blood ballks) ~ ,·
.
The Govermnent has been oper·ating the National Blood Bank since 1953 on a moderate scale. Bilateral aid in the form of additional equipment·and supplies is anticipated to develop this service further. At the request of the Govermnent, a fellowship of six months duration, ror the purpose of exchanging information and experience, is provided in the Supplementary List. Fellowships (National . dh~mical Laboratory) The National ·chemical Laboratory in Seoul is responsible for food: and drug control. It also undertakes special studies and the training of personnel; but the key personnel of this institution require additional training and experience. One. of th(3 special studies in progress is that on the Korean diet and the nutritional status of the Korean people. This is a very important subject;' since on account of the hostilities and the resultant mass movement of population, under-and mal-nutrition in Korea have become very great problems indeed~ ·
.
~ave
The Government has requested two fellowships in biochemistry. been included in the Supplementary List. MACAO
These
E1.1VIRONME;NTAL SANITATION (Various) Fellowsh~ps
Macao 1
Macao is a small territory in which there are both urban and rural .areas. During recent years, its population has been greatly increased by influx from outside. The business section in Macao is very thickly populated and there are prob~ems connected with housing, water supply, food sanitation and waste disposal. A request has been received for two six-month fellowships in sanitation and provision has been !Jla·de accordingly in the Supplementary LisJ.;, •.
MALAYA TUBERCULOSIS . Fellowships Malaya 18
'Tub~rcb.iosis is Widef'rpread 'in the Federation: and :i,s believed to be the most serious killing qisease. The Gqvermnent 's anti-tuberculosis programme, which has beep. i':n operation ~or many years, received assistance from WHO and UNICEF iri 1951-1952 in the shape of ..aid to a BCG campaign. Since then, ir.~ernational aid has been confined to fellowships. · ·
WP/RC8/4 Ad9. . 1 · Appendix Page 12 In continuation of this, prov~s~on is noW' made in the S·upplementary List for a fe:J..lowship of 12 months duration i n 1958, for a doctor to study tuberctilos~s-control metho5'ls in Europe. Nmf CALEDONIA HEALTH EDUCATION OF THE PUBLIC
New Caledonia 1 II(
Fellowships One twelve-month fellowship has been r·e'quested· 'f or. tre,ining in · healf,h educati<:>n for a nurse or social worker who would take thi,s specialized training aproad ('$5 oob )·. · · · · ' 1
PAPUA AND NEW GUINEA
MAHffi:tA. :.(EntomologY:) FS'llowships .. ,
Paplia and". New (Juinea 6
Th~ Government requests a fellowship for a peid:od· of twelve months ·t o permit an entomologist to study the lat6st advances in insect control ($5,000).
PHILI PPINES MALARIA (Insect resistance) Fellowships Philippines 55
The 'a nti-malaria programme of the Government has been progressing satisfactorily and the objective has be ~ changed from the control to the eradication of the disease • . 'I ' •
In view of the l:'eports of the deve lopnEmt of ::re.sistance of··malari:a mosqui ~oes _to insecticides in some oount ri e·s with ' serious · impli~ations tO the nai:;droml malaria progr_ artune; and ·bemi.use of the need to .(Yonduct· .resear_ch on this subject, pi:ovision ha's been made; · following the Government's request>/for a · six-month fellowship for a member. of the ¥.!S.laria Control 'D:i:vision· to study research techniques and procedure conce rning mosquito resistance, as well as insect resistance in general. TUBERCULOSIS Fellowships· · Philippines 54
One six-month _ fellowship is r eques t ed for a physician to study rehabilitation in ~ubercuJ.osis in the United States of America :and Scandinavian ·~ countries •. It is expe·cted that· this doct·or, ·on h:i:s··return to the Department of Health,,. will pr~pate ·specific plans f or rehabili tatid'n in tuberculosis control in the Philipp±nes. ·
.4.,
WP/RC8/4 Add. l
~~ One twelve~onth fellowship is requested for ·a nurse to study public- · health nursing related to tuberculosis control. The Government desires that the study,be undert~.ken in the United States of America and Scandinavian countries. E.l'fDE:IO.-EPIDEIUe DIS:$A$ES F-el·lQW§.hiP!B !; {1\~hapil:i:..tat:i)n1. orthopaedic s1:CM.e.~i jp. .: .. _poli~rw.eJ.iti:;;) . '
·:···
·'· ··
:"· ·
' ....
Page
13
Philippines 54
The Government of the Philippines has in Mani+a the .mod;ern.Nationa.l Hospital. One of the important departments which the Government wishe~ :to e_xpa~,~,~~ st~engthen is the specialised field of reconstructive surgery for poliomyelitis cases. A demand for services in this specialised field is frequently made on the staff of the National Orthopaedic Hospital as there ,at?.e many c.~.ses of post-poliomyelitis paralysis and deformities. The ..• . . - ·l . Government is requa·s ting in 1959 a twelve-month fellowship in reconstructive · surgery related to poliomyelitis to enable a surgeon of the National Orthopaedic Hospital to study .at advanced !?~~:tres in the United :States of .America and England·. It· is ,e~pec_ted . that th~ :fellow, after his return,. Will substantially contribute to the-improvement and development of this service given by theHospital. Orthopaedi~ ;'.'
:
-~ ~
Estimate-d cost to WHO is ,.$ 5,500. The Government's contribution is the provision of physical fac·ilities for the specialised work and salary of the fellow.;~ · . . . i· :.·. ,, PUBLIC HEALTH ADMINISTEATION (pathology-) Fellowships · Philippines 54
Pr::ovisiq.n is made for two-two-year. fello't-!Bhips ($10,700) .to enable two' pathologists to gain experience in training the pathologists and laboratory technicians who are needed to staff the expanding rural health services of the country·. 'J;'pe fellows wi:n be employed. in two of: fi va; regional trairiing laboratorie$., Wh-ere ):;hey wi.O.l ,g ive service as·:well as teach;. their duties, besides wprk ~n t~~ ',.r-eg-ional· ·laborato:ry, will include sUpervision of the pathological services of the provincia l and municipal hospitals in thei'r region. PUBLIC HEALTH ADI.UNISTRATION (Various) Fellowsh~~s . ... { ...
Philippines 54
The Government has requested the following fellowships ($16,000)a 1) In connec.t io.n with the r~organization and decentr~j~.J,.;i.zation of the Department of Health·~· ~wo twelve-month feliowshi.ps for personnel sele.cted to direct prdvincial arid city health departments; . . . . .. . . 2) a twelve:...m:onth fellowship in preventive dentistry for a dental ·officer who would perform supervisory· dlr.ltie's in the rural dental-health service on his return; · . · ' · · 3) a twelve~onth fellowship in zoonosis control for the Chief of·the· Division·,o~~Veterinary Pu.blic''Health of th~ Ma~'ia city Health Department. ,....-
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WP,/RC8/4 Add. 1 Appendix Page . 14 . . ~
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PUBLIC HEALTH ADMINISTRATION Fellowships (Hospital administration)
Philippines 54
The ·Government of the Philippines has an extensive programme of development of their hospital network. There is however a country-wide shortage of medical officers with experience in hospital administration. The Government requests in 1959 one six-month fellowship for a senior officer of the Bureau of Hospitals to observE! hospital administration in the United States of il.Jllerica and Europe. It is expected that this officer, on returri from his fellowahip, will contribute substantially to the improvement in administra~iaa of the government and private hospitals in the Philippines. Estim~ted cost to "WHO will be $3,500 and the Governmen"\..1 s ·•on\ribution to ·the proj:ect is $3,000.
HEALTH EDUO~TION OF THE PUBLIC Fellowships
'.
·. .'I
A twelve~onth fellowship is requested for a membet· -o.r the health education staff of.: thFJ :·Department of · Health to study at a school of public · · ·· ' ' ''. health ($5,500 ). ·· ENVIRONMENTAL SANITATION Supplies and equipment Philippines 4.3
The Government included in their request for assistance in this actiVity an amount of $1,000 for supplies and equipment. Due to budgetary limitations this item ~as relegated to the Supplementary List ·of projects• ···
F.nvir·bnmen~al
sanitati<?.n ~train:i..ng qourse
Philippines
Sl
Two sanitarians and provision for supplies and equipment cou1d·n6t 'be Pr6vision is therefore made for these elements of the project Within the Supplementary List of p!"ojects •. accommo~ated in the Regular programme due to budgetary limitations~
TIHOR NUTRITION Fellowships Timor 1
The present population of T~moz.:'. is estimated to be around 450,QOO • .. The health service has three hospitals; arid eight health stations' (one :i,n -each circumscription) served by eleven doctors, seventy nurses, one chemist, one radiology -technician and auxiliary nurses. The Director of He~~th Services attended th~ FAo,hmo Nut·rition Education and..Health Education Seminar in Baguio. The staple diet of the local inhabitants consists ·o f 0 orn and rice plus small quantiti~:s ·:of flour:·: At . the Goverment't 8 ·:request,. a fel],owship of 1 . six months duratiori 'in nutri tiori to strengthen the health services is included in the Supplementary List.
-,
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....
WP /RCB/4 Add. 1 Awendix Page 15
VIET NA.M PUBLIC HEALTH ADMINISTRATION Fellowships Viet Nani 2
A twelve-month fellowShip has been requested fot .a medical officer to study public~health administration ($5,00b)~ ENVIRONMENTAL SANITATION Fellowships Viet Nam 9
This project, which was initiated in November 1956, is for the purpose of assisting the Government of Viet Nam in strengthening both national and local environmental sanitatio:p. services. The Division of Sanitation withill the Ministry of Health ·had beeri assisted by the assignment of a vJHO public-:- .· health engineer for duty within the· Division. The Govermnent has requeste.d sustained assistan,ce in this field by the provision of experts, supplies · ~nd a fellowship, Orie twelve-month ·fellowship for study abroad in advanced · environmental sanitation for additional training of governmental personnel is requested, The estimat~d cost of th~· fellowship is $5,000~ ·1
.·
WEST NEVr'GUINEA. \
ENDEMO-EPIDEMIC DISEASES (Leprosy control) Fellowships
Wes't; New Guinea 7
A three-month fellowship is requested for the study of leprosy-control methods ($1,950). INTffi;.;.COUNTRY PROGRAMMES ' ;
WPRO 55
Ms.l.sria e.rc;dication technical meeting It is proposed to hold ai four-day technic~i.meeting on malaria eradi~~tion. for the chiefs of malaria services from Brunei, North Borneo, Sarawak, Kalimantan (estimated cost, $2,300) •.. Hea:dquarters will be represented by a memher of 1 the·' Malaria Section. I :
ENDEMO-EPIDEI~uc
DISE.c\SES
'
)
Rabies control Rabies contin~es to be a problem in several countries of the Region. It has been proposed that a short-term consultant (estimated cost, $2,600) should visit these countries to assist them in providing more effective . .. ' preventive and control measures and to dis<;}uss prcibl~ms and exchange experiences. ~ small amount of supplies would also be requit~A· ($2oo).
WP/RC8/4 Add~ 1 . Appendix Page 16 PUBLIC ~4LTH ADMINISTRATION Conference and study tour WPRO 45
As a follow-up to the conference and study tour planned for 1957 7 it has been requested that a group of tw e l~e health administrators from as many differ ent countries should visit four countries in anotl1er part of the Region from that to be visited in 1957, to study each other's problems and to exchange experiences (estimated cost 1 $10,150) . It is believed that a conunon vi'el..rpoint and a bett er understanding of the vari.ous aspects of the problems could thus be obtained. Laboratory.qio~ogical facilities .. . '· ··
WPRO 51
National public-health l aboratories are often seriously handicapped by lack of adequate animal colonies and other facilit~es • . M any colonjes are .•. not properly kept 7 r eproducti on rat es are low, and dis ease is so often introduced ' t~at coloni es ar e useles s f9r experim~ntal ~ar k . In view of the increasing interest in viro.).ogical and other laboratory. s ervic e s it is ... .~ considered t:L"mely to offer assistance. This project would require two consultants for six months' each to supply technical advi~e for the improvement of public -health laboratori e s by visits to several countries, to survey existing conditions, study laboratory animal diseases and give training in the diagnosis of zoonotic disease s (e stimated cost, $15,600), fellowships for attendance at courses organized by the cons,ultants ($6,000), and suppl~es and equipment ($1,000).
,. ;-f ••
NURSD!G Nursing administration seminar WPRC
44_
The conclusion regarding the two nursing seminars held in 1952 ahd 1955 is that new activities have been stimulated within the various countries and that the benefits have be en extended to many more nurses than those who participat ed in the seminars. It is felt by nurses from various countries of the Region that t here is a need for a seminar to study and discuss problems of nursing administration. As we ll as dealing with general principles .of: administration and supervision, such a meeting should provide an oppb'rtuni ty for group studies of such questions EJ.S }::lospi tal l?;U!sing services, pqblichealth nursing and mi.d wifery services,. co-opei.~~tion . bel;.ween personnel of nursing services , nursing e ducation, 'relation's hip betw~en .medical, nqrsing and other personnel, and supervision of auxiliary personnel. The dUration of the seminar would be four to six weeks . The assistance required·would comprise the services of a director for the seminar, ;four consultants ( $9,688) and provision for forty participants ($43, 735) from twenty-one countries and · territories. Nursing e&ucation sem:i,nar
WPRO 61
There is a gen(3ral shortage of all categories of..nursing personnel in 'the island territo:des of the Pa'cific Area. Various ty'pes of training programmes are being developed in an attempt to prepare local personnel to
WORLD HEALTH ORGANIZATION WESTERN PACIFIC REGION
WP/RC8/4 PART II
(TECHNICAL ASSISTANCE FUNDS) PROPOSED PROGBAMME AND COST ESTIMATES FOR THE FIN·ANClAL YEAR 1 JANUARY • 31 DECEMBER
1 9 5 8 TOGETHER WITH TENTATIVE ESTIMATES FOR THE FINANCIAL YEAR 1959
• MANILA, AUGUST 19 57
I
N D E X Narratives Tables
Introduction Summary Cambodia China Japan Korea Laos Malaya North Borneo Philippines Sarawak Singapore Tonga Vietnam Inter-Country Progranunes
I 1
II
2 6
III VI
10 12
IX IX XI XI XITI XTII XV
13
14 17 18
22 23 25 25
XV
XVII
29
INTRODUCTION
Th~ Regional Director h'as the honour to. submit for the information of the Regional Committee the revised 1958 Prograrilme .and Cost Estimates for activities which are expected to be financed urrler the United Nations Expanded Programme of Technical Assistance .for Economic Development of Under-Developed Countries .. It is regretted that it was not possible to have this document distributed to governments before the Regional Committee Meeting because of the time-table established for preparation of the programme. At the time of finalization of this document, the submission to the Technical Assist,a.nce Board by Laos .had not oeen received. Consequently, the programme as indicated in this document is based on the supposition that the Government will confirm this when actually submitting its programme to the Technical Assistance Board. The extent to which the Technical Assistance projects for 1958 can be implemented will depend on the total amount of funds available under the Expanded Programme. It is anticipated that the pledges for contributions from participating governments will be made known in October 1958. In general,it is believed that for 1958, finances will be available to provide for the implementation of planned Category I projects. · Category II projects can only be implemented i f savings accrue in the approved Category I projects. It will be observed that a forecast has been made for the Technical Assistance programme in 1959. These activities must, for the reasons mentioned above, be considered as highly tentative. Their inclusion in the consolidated country reqlests for 1959 will naturally depend, to a great extent, on the influence which health authorities are able to exert in order to ensure that they are included in the country programme during the planning period in 1958. In conformity with the revised procedure, the Director-General has submitted the Technical Assistance Programme and cost estimates to the Executive Chairman of the Technical Assistance Board. It is understood that the Secretariat of the Technical Assistance Board will maintain close liaison with the par'ticipating orgmizations during the months of Septemher and October in r'egard to the consolidation of the total Technical Assistance programme. The recommendations of the Technical Assistance Board on the 1958 pr'ogramme will be submitted to the Technical Assistance Committee for approval.
T
CAMBODIA MALARIA Malaria Control
PUBLIC HEALTH ADMINISTRATION Rural Health Training Centre Cambodia 1
Cambodia 9
mhllis project was ,s.tarted late in 1950, but the work vTaS restricted durlng 'the,first two years/:ow;ing to unsettled conditions and lack of personnel. \rJ'HO assistance was therefore suspended for. several months in 1953, but resumed again later in the year. The main objectives of the. project are to assist the Government in controlling and eventually eradicating malaria, and to train local · personnel. The international staff, consisting of a mal(lriologist and a public-health sanitarian, have been provided by WHO under the Technical Assistance programme; the greater part of the equipment and supplies has been provided through bilateral assistance. It is expected that practically all the malarious population of thE} country will be reached by resid'tl.al spraying this year. A1 though the incidence. of the disease has been greatly reduced, malaria transmission has not been completely interrupted in some of the. mountainous areas; efforts are being made to determine an effective and practical means of stopping transmission in these areas, so that the eradication of the disease may . be pursued. The Government has requested the continuation of :the services of the international malar:lologis t ahd the public-health sanitarian throughout 1959. A fellowship to permit a medical officer to study in Europe is reqJested under Category II for 1959. ·TUBERCUIOSIS Fellowships (tuberculosis control). Cambodia 12
The Rural Health Centre building in Takhmau (near Phnom-Penh) is expected to be completed and equipped late in 1957. The WHO medical officer was recruited iii December X956 ,cind has been working since ~,a:nuary 1957 ~ th the Ministey 'of Pu~lic Health on !he implementat:wn of the proJect. He has also been teaching public health at the Royal School of Medicine. This project will serve as a training area for medical undergraduates, graduates and anciliary medical personnel, besides being a skeleton of the provincial health services ih Cambodia. This l;ong-term project is closely related to the community deve~opment proj~ct in the province of Kandal. ·.A publichealth nurse Wlll be recru1ted in 1957, and a nurse/midwife is requested under Category II in 1958. mhe Government has ;req.tested the continuation of. the services of the medical of.ficer, two nurses and the addition of om more nurse and a sanita.ri~ in 1959. · Cambodia 10 . In the past.~O provided und,er its. regular.progrannne a publ1c -health ad,rrdn1s tra tor for Cambodia to assist the national health administration with the co-ordination .of WHO assistance as well as w:t th national health planning. The Government of Cambodia feels that a renewal of this assistance would be useful and has recpe s ted under Category II a public-health ad'minis tra tor who will assj,st with the co ... ordina tion of the United Nations and bilateral ager;cief;l in. the health field a:rJ.d help with the integration: of this ass:-stance mto ~·long-range plan of national healthdevelopment. B~s~des .the publ1c-hea,lth ad'ministratorJ who is :expE)cted to continue h1s ass~gnment in 1959, at an approximate cost of $12 000 a fellowship in public-health administration, tenable in Canada o; Europe is req1e sted in that year by the Government for the counterpart of the WHO Adviser. Estimated cost of felJ.owship is $5,500. Public Health Administration
The Government of Cambodia is req1esting as Category II in' 1959 two fellowships tenable in Canada or Europe, each of one~year duration, in the field of tuberculosis control. So far, Cambodia has only one medical officer who has received post-graduate train~ ing in tuberculosis. It is the intention of the Government to start, in addition to the BCG campaign, a nation-wide tuberculosis control programme, and the Government is anxious to train two medical officers in this field. Estimated cost is $11,000 ..
SOCIAL ·..AJI1D OCCUPATIONAL HEAI/IR FelloWShips
Cambodia 12
The Government is requesting in 1959 under Category II two fellowships, each of one-year duration, tenable in Canada :or Europe, for 100dical officers working in the field of· social and occupa ti.onal health. The request is warranted by the development of the indus tries in the countcy and the necessity to establish both at the level of the Ministry of Public He").lth and the factories a nucleus of health services in this field. Estimated cost is $ll,ooo. MATERNAL AND CHILD HEALTH Demonstratiqp. and training centre Cambodia 4
special emphasis on pnymsiology, and the· Other in ophthalmology. These lecturers work iil close co-OJl8ra tion with the other WHOass is ted projects in Cambodia. A third lecfurer, in radi. ology, joined the school ill the latter part of 1956, and a tf'ourth lecturer, in physiology, is to be provided in 1957. It is proposed t6 oontinU.e all four posts in 1958. A fifth lecturer in 1958 is reqles'ted as Category II (biochemistry). A fellowship grant of $4,000 for the undergraduates is requested as Category II. The personnel and fel ... lowship-grant requested in 1958 are to continue in 1959 with an addition of a sixth lecturer (in histopathology). CHINA MALARIA Malaria eradication project China 7
·This project to assist in developing the maternal and child health services was. begu.n. in 1952;. the project personnel were later increased and by 1955 the team consisted of two medical officers and .a public..;heal th nurse. During the period of, operations, a paedia~ric unit has been established by the .Government at the Preah Ket Melea Hos.pital, where training of medical and nursing personnel and students is carried on; maternal and child health services have been started at three centres in Phnom-Penh, one of which is used.for general public-health demonstration and training purposes; and a start has been made in expanding -t;,he school health programme by setting ti.p a demonstration service m Phnom-Penh ... In 1956 the Government requested that a medical officer.and a nurse Should continue to assist in the school-health side of the project, the Government assuming responsibility for all other activities. Provision has been rhade to retain the medi(!al ,officer and the public-health nurse in 1958 anq 1959. The Government has recpested two fellowships (Oategory'!I) for twelve mon~s each in 1959. The project has received assistance from UNICEF and bilateral agencies •. OTID:::R PROJECTS Royal School·of Medicine Can1bodia5
This project was started in 1952 to assist the Government in controlling malaria and lay the foundatiort for the eradication of the disease, to trairi local personnel and to study the control of other' insect-borne diseases. International s ta.ff consisting of a malario.;. logist, an entomologist and a public-health engineer and some laboratory equipment and supplies have been provided by ~ID under the Technical Assistance Programm.e; the greater part of the supplies and equipment has peen provided through bilateral aid.. Provision has also been made for a number of f~ll?Wships, including .pne in. 1958, to prepare the local staff Ao continue a.nd expand the programme. The satisfactory results obtained during the initial years of operations resulted in the project developing into a malaria eradication programrn In 1957, a WHO malaria adV'isory team evaluated the erad:ic ation ·project and gave recommendations for the consolidation phase of tl'e programme, including the organization of an effective surveillance scheme. Pro• vision has also been made for two consultants in 1957, one for insect resistance and another for a survey of the other arthropod ...borne diseases. l!,ollovring a request from the Government, provision has been made under the Techliical Assistance Programme in 1958 for (l) a 12-month fellowship to traina local staff in the investigation and control of other arthropod-borne diseases, and (2) under Category II, $1,500 worth of supplies, equipment and technical literature to help' equip the arth:ropod-borne diseases laboratory.
From the beginning of 1956 WHO has provided for ttie Royal School of Medicine two lecturers, one in clinical medicine With
In an,,ti,:qiPCiMPi5{:Q., ~+ the e~ansiqn of itl~...acti~ ti((lS toward the control of : ~the:t'l.arjfhropod-born,e .. diyea$eS and f?;J..lpw:ing a requesi{ f:~9Jll ifh~· Go,;e,JJpnl~~t, p!foy,islon h.a~~ b~((l:n, maSJ:e .\mder th.e. Techn.:l.r9al !\$Sistan,qe J'IIograi!llnei in 1959 (1) to assign. a ~pecia;J..ist.on.arthropod~borne diseases, (2) to award one 6-month fellowship, and· (3). for,)l~7 ,500 worth. of, drugs' supplies .and equipment. · ENDEMO;_EPIOEMIC DISEASES Trachoma Control China 13'
WHO and UNICEF and bilateral agencies, jfhe control of co:rmnuni~ab,;l.e ·"··· diseases s:qch as. tuberculosis, venereal diseases, trachoma, rna.;lari<il:' and several:' aspects of public health such as environmental s8.n:i.tat:ton and maternal and child'hea1 th•.are being demonstrated. These services will gradurolly be .taken over by and fully integrated into, the services of the health den tres and.· station:s as part of.·· their. routine \.rork. The direc.tion and supervision :of these se.r:vices require trained and e~erienced personnel at the senior leve;L. . .
This programme started in 1952 with WHO and UNICEF assistance. By the end of August 1956, 1.6 million school children had been examined and all trachoma cases treated with antibiotic ointment. Since then new: school entrants have been examined and treated. The Government has been advi{3eCJ,,tpa.t unles1:1 family contacts are treated, .the nUJriber of:casef? ..of trachoma among children entering sqhools will alw~;tys remain about the .sariJ.e. Family contacts in.,$elected areas are undergoing treatmen] with antibiotic oin¥1lent, accortiing to se:ver9,1 different schedules, to find out i f contact. treatment is.feasible and w:hichtre9:tment schedule ts most e,e:on0 mipal but at the ..same i:,ime effective. The Government 'is re~esting the 'Technical Assistance Board to •pr6vide a short:.. term consultant for two months in 195~f to assess the resuits and t·o advise on the desirability of extE!hding abd expanding the programme. ,. 't ,· ~
The '(1cl'v:ernm€nit Js asking the Tebfm±cai A-ssistance Board for tw:o twelve-month fellowships in 1958, under Cat~g,ory II. . NURSING Nursing education CYlina 6.
This project, which began in 1952, w:as originally intend~d to last five years but the Government has now: recp.ested the continuation of WHO assistance through 1960. The object .of. the project is to improve ·standards ·of nursing . education an::l nursing services through the ·establishment of a eollegiate school of nursing at the National Taiw:anUniversity. The school opened in 1956 w:ith a basic nursing course, and a division will be set up as soon as possible to prepare graduate nurses for teaching and administrative positions. Four posts of nurse educator are provi<;led fox: in 1958- one senior nurse as team .leader. ,anCJ,.tl)ree other~! t6 te;;~..ch ~enoral nursing (2) and mental health (1). '!hose foey posts will be continued in '1959 w;ith an a<;ldi tional nurse ectuca tor in obstetric and paediavl"ic nurs.i:ng~ A nur~#n'g conalltarit has be€m prov:idkd for six months. in :1957 to 'ad.vl,se the uni:versi ty autJioritieC! and the Organiz9:tion on future developments particular+:Y in th,e field .of graduate studies. on< tw:elve.:Omonth :t:ellow:ship'Will be· awarded in. 1957. Und,er Category;,II, pr:o:vision is nade in.l958l'o:r,one fe,llow:ship in nursing e<;lucatior;t fer, f.,w:oly-e.m,onihs, ari(f in 1959 :Cor f6ur fellowships of· tw:elve months ·each in mental health and psychi8.tric nursing, obstetric and paediatric nursing, communicable<;lil3f?ase nursing ,and basic nursing arts. The United States .International Co-operatl.~:m ,A;dministrati~nis assist:i,ng the project by·p~oviding fellowships, l)lti:):.dings;·l:ibrary 'and te'aching eqUipment. (_' ,' ',,; '• ;. . ; .; "'f . , ~-
'
Si:nc~ . th~ programme,. :i..f extended an,d e~anded, will .continue on ·(it large scale f<r sever.al years and. ;Will r.equire ef.::t:::l!.cient co-ordina"\i:i,:on and direction, .th.E?. Go,verl11llent . . . .is also a;ski:ng the T~chnica;J...AssistanceBoar<;l, Ul'lder Category II, for one twelve-month fell.ow:ship i:Q. 1958 on epidemiology with emphasis on trachoma control. . . .
The .Qovernmerrt intends. ifo request the Technical Assistanqe \Bo~;~.rd:;to ;provide·. a .l=lhort-i:@rm;copsu;J..tant , and; 1;1. s;!A!;~mon th. fellowship in ()ph th<i~:lm<!Jlogy . :i,n 1959.
PtmLJJC , HEAL'nl ·.1\D:MJNISTIU\.T:J:Q~ ·· Fellowships The system of hospitals and health centres and stations has gradually been strengthened. With the assistance of
SOCIAL AND OCCUPATIONAL HEALTH Fellowships (industrial health)
China 29
Considerable industrial expansion has taken place in recent vears. This covers a wide field !'anP':inll fl"nm snJ:I'::~1" 1"Af'inincr. rdn""-
apple tuna-fish canning, the manufacture of synthetic textiles, aluminwnU:tensils and electricalappliances'to prQducti..on of DDT and Goal :mining. This has imposed new responsibilities on, the health administration. Ordinances and,, regv.lations must be promulgated a.:n,d supervision given to ensure that minimum requirements for industrial hygiene and occupatinnal health are maintain~d. To assist in strengthening this branch of the health service, the Government is asking the Technical Assistance Board,under Category II, for two twelve-month fellowships in 1958. HATERNAL AND CHIID HEALTH Demonstration and training centre Chirn 3
and
' Th:ree fellollfShips of; twelve months each have been provided in 1958 for a medical officer, a pUblic-health. nurse and a midwife. In 1959, the Government has requested four fellowships of twelve months each.
UNICEF has allocated<supplies and equipment for the expansioJ of the programme during 1958-1959 and assistance is also being received from bilateral agencies. · ENVIRONMENTAL SANITATION Demonstration and training projects
China l/1. This project was initiated lii 1954. The basic objective is to provide technical assistance td the Government in, i:tnproVing environmental sanitation throughout Taiwan.
This is the continuation of the maternal and child health project which has received WHO and UNICEF assistance since 1952. The medical ,officer and public-health nurse provided by WHO have completed their assignments, but the Government has asked for the public-health nurse-midwife to continue through: 1958 and 1959~
A public-health engi..neerinK consultant was provided by WH:O in 1954 to make studies, surveys and recommendations on environmental sanitation. The Taiwan Institute of Environmental. Sanitation ivas established in October 1955 as the· official organizatipn to carry out this progrCj.lTlllle. One v.JHO public-health engineer has been assigned as adviser to this organization since January 1956. Progress so far has been in the direction of rural environmental sanitation, organic wastes disposal, food sanitation, school sanitation and the training of sanitarians. \,.
Since the project started, tho staffs of 187 health stations have received in-service training at the Centre in Taichung. It is expected that the remaining 170 health stations will be covered by 1960. Refresher courses for private practising midwives, star ted by the GcYverrunent in 1956, will continue in 1958 and 1959, by which time it is eXpected that a to tal of about nine hundred will have attended. A medical consultant was provided by 'lrJHO for three months in 1957 to assist the Government' in evaluating the maternal and child health programme and to advise on future developments. By, the end of 1957, it is expected that the new Provincial Institute. of Maternal and C}1ild Health will have been established and w.ill take over the work of the Taichung Centre. Provision is .made for anqther medical consultant for three months in 1958 to assist in developing the programme at the Institute•
A second WHO public-health engineer was assigned in March 1957 to assist Taipei City ip the development of its sanitary sewerag~ system. The planning and design of the entire works will require two years. Continuation of this technical assistance in 1959 is requested to guide the (3arly construction work of this proposed system. ·· · · · In 1959, industrial hygiene, air pollution, and radiological pollution will be added to the scope of this project and current activities extended to greater areas. This includes strengthening of the work in sanitation among the various health stations and health centres. Continued technical assistance of this n·afulre is necessary to fulfill the anticipated goal for the Taiwan Institute of Envirsmmental Sa11itation.,
Fellowship~ for two public-health engineers are needed to fulfill the requirements for a c<;>mpeten t staff of technical personnel. Advanced training .in this field is non-available in Taiwan and must therefore be obtained by studies abroad.
Equipment and supplies are also requested. This will be ~terns necessa~ for the implementation of any new phase of work which are not obtainable locally. The provision of technical literature and journals will be continued. The cost to TAB/WHO will include the international personnel ($26,001 in 1958 and $31,226 in 1959), fellowships ($11,000 each in 1958 .9Jrl. 1959) and equipment and supplies ( $5,400 in 1958 and ~~10, 000 in 1959) •
years and has covered all preventive and curative aspects. However, occupation<U therapy has not been widely adopted. With the help of chemotherapy, larger numbers of tuberculosis patients, many of whom had been hospitalized for long periods and many of whomhave had extensive surge~, can now be discharged. These patients, especially those physically handicapped, need to be self-supporting when they return to society. The Government has therefore asked the Technical Assistance Board for a six-month fellowship in 1958 for the study of occupational therapy and the medical aspects of vocational rehabilitation of convalescing tuberculosis patients. VENEREAL DISEASES AND TREPONElvfATOSES Fellowships Japan 19
OTHER PROJECTS
Fellowships (food and drug control) In Taiwan food is processed mainly by independent operators each on a relatively small scale. More and more cosmetics are produced locally. Although most raw materials for the pharmaceutical indust~ are imported, a wide variety of pharmaceutical preparations is locally manufactured. The Food and D1~g Bureau is responsible for the analysis and assay of food and drugs and standardization of antibiotics, cosmetics, etc. There is need for more trained personnel for the important work of testing and assay of food, drug and cosmetics and general supervision to ensure that required standards are maintained and the public protected from injurious colouring matter and other additives. In the past WHO fello-v;rships were awarded for study in Australia and in the United States of America. The Government is requesting the Technical Assistance Board to provide two twelve-month fellowships in 1958 under Catego~ II. JAPAN TUBERCULOSIS Ja-pan 19 Fellowships An impressive programme of tuberculosis control has been carried out by the Japanese Government in the last ten
China 29
The Government of Japan is concerned about the problem of the venereal diseases and much effort has already been put into the drive to contrul them. The Organization granted fellowships to two medical officers to enable them to study public health, majoring in venereal disease control, abroad in order to strengthen the central staff concerned lvi th venereal-disease control, one each in 1955 and 1956. With the new Prostitution Control Law coming into effect as from 1 April 1958, the Government is concerned about the lack of well-trained contact tracers. Further, because of the number of large seaports in the country, the Government is desirous of having an officer study the. work of the port venereal-disease clinics and other government services in ports of countries which are signata~ to the Brussels Agreement, to which the count~ plans to. belong in the near future. · · The Government intends to ask the Technical Assistmce Board for a fellowship in 1959 to enable an officer of the country. to study contact tracing and the activities of port venereal-disease clinics in selected countr:iBs of Europe. Japan 17 In Japan, diseases and condition such as allergies, rheumatic fever, cardio-vascular diseases and cancer are receiving more and PUBLIC HEALTH ADMINISTRATION Hospital Administration
more attention. Consideration is being given .to establishing medical centres and special clinics to be attached to hospitals so that the resources of the various hospital departments can be co-ordinated.for case-finding and early diagnosis and treatment. The Government is requesting. the Technical Assistance Board to. provide a six-month fellowship in 1958 to study the Organization and opera ti.on of such special clinics in the United States of America. The Japanese Government wishes a competent person to study hospital administration with special reference to the admission and hospital care of children. In Japan, there are no general hospitals for children. General.hospitals have paediatric wards but children requiring specialized treatment are admitted to the wards of the particular departments for adults. In Japan, the motte r-child relationship is believed to be stronger than that obtained elsevJhere and relatives are, therefore, admitted into the childrents wards or hospitals as non-professional attendants. The Government plans to ask the Technical Assistance Board for a six-month fellowship in 1959 to make this study in Europe. In Japan, an increasing nUJriber of hospitals have clinical
with respect to age, sex and causes of death. The social secu:rity sys tern in Japan is being rapidly expanded, but analysis of mortality in connexion with social and economic factors has been one of the less developed fields of study as a result of lack of experience in the preparation of basic data and methods of ana~ysis. There is therefore need for a fellowship for study and training in tQis field in countries where such studies are well advanced. It is believed that in the United Kingdom there have been a great many prominent achievements in this field since the md of the 19th century. In Sweden also, excellent results have been obtained in studies on the relationship between mortality and socio-economic factors, utilizing the sample survey method~ If the methods and techniques of these studies are applied in Japan, they will be of assistance in improving mortality analysis which in turn will contribute a great deal to the social security scheme in Japm1. It is therefore requested by the Government that a six-month fellowship be awarded for study in this field in the United Kingdom and Sweden. ENVIRONMENTAL SANITATION Fellowships
and pathological examinations carried out in laboratories established for the purpose instead of in the different clinical departments. As a result of the progress made in the control ·of acute communicable diseases, more attention is being paid to and more work done at the clinical departments and laboratories in connection with chronic diseases. The Government intends to ask the Technical Assistance Bdard for a sixmonth fellowship in 1959 to study the establishment, operation and supervision of hospital laboratories in the United States of America. The Governmeri t plans also to ask the Technical Assistance Board for $1,000 worth of medical literature for the Institute of Hospital Administration in 1959. Fellowships (vital and health statistics) Japan 19 The vital and health statistics service is well developed in Japan and the mortality figures have so far been analyzed
Japan 19
The increased concentration of population in urban areas of Japan, together with an acceleration of industrial expansion, has resulted in serious problems of environmental sanitation including extensive pollution of water' sources utilized by both communities and indus trie.s • The Japanese lvtinistry of Reconstruction has planning, construction and operational responsibilities for facilities to correct these si tuati.ons" The Ministry of Construc-tion in re<JtBsting assistance in this respect has stated that lmowledge and experience in this technical. field is very limited in Japan end re~s ts that an engineer be sent abroad to study and investigate advances in this field iri England. It is proposed to send in 1958 an English~speaking sanitary engineer of the Minis tr:y of Construction to England and other Europe~ countries, if deemed desirable, to investigate and study advances it environmental sanitation. The estimated cost will be ~~3, 000.
OTI:I:Im.PROJEG1JS ;Fel].owships (food, al).d drug control)
Japan 19
Fo;od control in Japan is highl.y important because of the adverse climate during parts of the year. To strengthen its food san:i. ta tion programme, the Government wishes to send a staff member to study the technical and legal aspects of food inspection and food preservation. A recp.est will therefore be made to the Technical Assistance Board for a six-month fellowship in the United States of Ame;rica in 1959·
approved bye ;the Technical Assistance Board. At the request of the Government a fellowship in national. medical aid system was later substituted for th;e fellowship in ..health education. The GoverriJ\:lent is now asking for a six-mohth fellowship in 1958 to allow a medical officer to study the teaching C>.f epidemiology and preventive medicine in the United States of America. 'I:he .fellow, on his return, will then be in a position to promote adaquate epidemiological studies which will form the basis for establishlng control measures against food poisoning, dysentery and other unidentified diseases. The Government has also dsked the Technical Assistance Boa:rd for $500 \forth of supplies and equipment in . the form of books equipment on epidemiology, medical social work, wa:ter pollution control and environmental sanitation, under its Category II programme.
oeing 7
Cons:i.derable quanti ties of radioactive substances are imported into Japan for research and clinical; use and it is anticipated that radioactive substances and drugs conta:ining th.ese will soon be manufactured locally .and. widely distributed and applied. The Government feels that regulations must be adopted and a system of supervision and control o:f quality, production and distribution must be established. The Government p:roposes to ask the Technical Assistance Board for a six-month fellowship for a key person to stu~y the system in operation in the United States of America and Canada in 195 9. ;
and
The Government intends also to ask the Technical Assistance Board for $500 worth of supplies in 1959. Fellowships Japan 19
Institute of Public Health
Japan 10
In past years, several consultants and fellowships .and a cer'l:,ain amount of supplies were provided to help strengthen selected d,epartmen ts of this ins ti tu tion. In l954, fellowships in epidemiology and medical-social serv:ice were awarded; in 1955 a WHO short~term consultant qn epidemiology was sent to the Institute while in 1956, WHO short-term consultants on medical-social service and water po].lution visitedthe Institute, and.two fellowships were awafded orie in water pollution and the other in training of s~n±tarians.
In Japan organic phosphorus compounds are being used extensively and studies on how to prevent and treat poisoning caused by these compounds are being carried out. Although their standards and application are governed by government regulations and the users are taught and required to take every precaution, a number of users, 1-2,000 every year, are poisoned. The Government therefore is asking the Technical Assistance Board for a six..,.month fellowship in 1958 to study the work, including toxicity tests, that is being carried out in European countries, with a view to strengthening the measures already taken in Japan to ~ntrol the use of organic phosphorus compounds and to prevent poisoning. Japan has a system of health centres and public-health laboratories. situated at strategic places in tre prefectures th.pqughout the country. As their services .are appreciated and thel;'efore utilized, the demands on and workload of the public•heal th laboratories increase. The need for raising the standards and improving the management of these laboratories is felt~· The Government intends to ask the Technical Assistance Board for a six•month.fellowship in.l959 to send the
The Government requests for fellowship in public-health and health education, a short~term consultant in trainingof sanitarians and ~~700worth of supplies ·in the form technical books and health e:xhibi t materials far 1957 were
bacteriologist in-charge of a clinical laboratory to study management of laboratories in the United States of America so that he can improve his own laboratory which will then serve as a demonstration and training centre for other laboratory workers. LAOS VENERF.AL DIS EASES & TREPONEr1A'IOSES Treponematoses control Laos 2
MALAYA
TUBERCULOSIS Tuberculosis control WHO and UNICEF assistance was g:i_ven in 1951 the mass BCG campaign.
Malaya 10 1952 to start
This project was started at the end of 1952 when WHO provided a medical officer, and also supplies, to assist the Government in establishing a mass yaws campaign in four provinces of Laos. Until 1955, however, because of unsettled conditions in the country, the project could proceed only in Savannakhet Province, but there it had marked success •. The teams then started work in two other provinces ani by 1958 will complete the initial mass campaign for the four provinces. During the latter part of 1955, the WHO medical officer carried out a preliminar,1 survey of venereal diseases in the country, and plans are being considered for the organizatl on of a general control programme. For this it will be necessary to establish serological laboratories, and the Government is interested in organizing at the same time a general laboratory service for the main centres of population. The serologist took up his assignment in Vientiane in June 1957 to assist the Government in establishing this laboratory service. It is proposed in 1958.to continue the posts of venereologist and serologist. Estimated cost ~~34,126. Supplies for the laboratory were provided by WHO in 1957· PUBLIC HEALTH ADMINISTRATION Undergrad~ate medical. studies fellowships Laos 8
The Government considers that there is need for an overall re-examination of the tuberculosis services with regard to hospital and domiciliary treatment, out-patient care, rehabi:litation, disposaJ of chronic cases and finally, aid to the families of tuberculous patients. Tuberculosis 1-rards exist in most of the hospitals in the Federation and there is a limited amount of out-patient tuberculosis clinic work. A tuberculosis expert is required to advise on the setting up of an organization to deal vJi th the problem of prevention and treatment of tuberculosis, not by the use of hospital ;facilities but by the early detection and treatment of cases of tubercul.osis outside the hospital. The Government is asking the Technical Assistance Board to provide a short-term consultant (three months) under Category II. ENDEMO-EPIDEt1IC DISEASES Leprosy control
Malaya 13
It has been estimated that there are about 27,500 leprosy cases in the Federation. Leprosaria exist in Sungei Buloh, Tampoi and Palau Jerejak but the available staff and resources in these lepro· saria are fully committed in dealing with the in-patients. 'I'he Government plans to establish in one of the States, a· pilot scheme for the detection and treatment of leprosy in the most economical and efficient way which would serve as a prototype for the rest of the Federation. It is proposed to use Sungei Buloh as the diagnostic training centre and set up a field control pilot project. Workers will obtain three months 1 training at Sungei Euloh followed by practical experience in actual contr~l work in the field. The Government is asking the Technical Assistance Board for the. services of a leprologist for eight months in 1958 to advif?e and assist in the establishment of such a service and in the co-ordinati of this service with that found in the leprosaria.
There is no medical school in Laos. Physicians are being trained at the Royal School of Medicine in Phnom•Penh in neighbouring Cambodia, a country which has many of the same medical and health problems. WHO has assisted Laos fer some years past by maintaining eight undergraduate medical students at the Royal School of Medicine and provision is rrade to continue these fellowships in 1958 (estimated cost in 1958 $4,680).
PUBLIC HEALTH ADMINISTRATION ~ospital administration
Malaya 14
I
Th\3 ix;1ternational hospital administrator, during the first' bart of his assignment, reviewed the principal hospitals in the ~edera!"tion and recommended changes which streamlined hospital ~dministrative procedures with the aim of saving time and energy ~nd increas~ng efficiency. He drafted the terms of service of ,lay h,ospi tal administrp. tors and ass is ted in their selection and ~ecruitment~ ,A training scheme was, developed and an instruction hanuai prepared. ,The international hospital administrator is ~ow conducting a course of instruction. Upon the successful ~onclus:Lon of training, he v;rill assist the new lay hospital administrators during ·~he initial period of their employment the var.ious hospi tais. l ' .
A WHO medical statistician in the hospital recor,ds· project m Singapore assists in th,e development and operation of. the project with his services equally shared by the, Federation of Malaya and Singapore. .· · · · ·
It is expected that the implementation of the project will improve morbidity statistics in Malaya and provide hospital utilization data to serve as a basis for the planning of health and medical care services. NURSING Nursing education
Malaya 1
6
I
TheGovernment is asking the Technical Assistance Board i. for the ciontinnation of the services of the international hospital ~dministrator through 1960. i kospi tal records i
The aim of the project, which began in 1950, is to ass;i.st the Government in improving the. q;uality of nursing and midwifery education and services •. Assistc:mce is being given to the school of ntl.rsing in Penang arrl the schools of midwifery in Kuala Lumpur and Ipoh. Postgraduate education is being furtm'red by means (lf the' sch,ool for health visitors in Penang. · · The WHO team consists of a senior nurse educator (public health) arrl three nurse educators, midwifery (2) and 9linical instruction (1). Provision is made to continue all posts until the end af 1958. NUTRITION Nutri ti. on (clinical qons1Jl tant & social anthropologist)
Malaya 15
The purpose of the project is to revise and organize the ~ospital records system of the medical service in the Federation ~f Malaya, to establish a training programme for _local officers ~ the keeping of hospital records and to initiate those officers Lnto their. new posts, J . At the request of the Government provision is made for of the services of a hospital records officer until ~he e.nd of 1960 •. The Government will provide a hospital rec 0.rds bfficer as c 0un~erpart to be trained by the WHO experts, and ~rov;Lsion is made (Category II} for a fellowship of one year ln 195£f (estimated coeyt, $4,000), in order that this officer ~an gain advanced training ani experience in hospital records ~eepiq.~ •.. Upon completion of his training abroad, the officer ~ill take up the post of senior hospital records officer and ~onsolidate the achievements attained when the project is about lo oe' terminated. Provision is made in 1957 for supplies and l(!Uipinent in the amount of $500.
Malaya 12 & 16
I
~ontinup.tion
Preliminary surveys were carried out in 1956 by short.o.term consultants in clinical nutrition and medical social en thropology to obtain information as to the extent af protein deficiency in childhood, its incidence, degrees. of severity and distribution. The reports of· both consultants have confi. rmed that this problem is of public health importance. Further studies are required to provide addi~ional information in order to advise the Government on planning better health education and community development towards the eradication of nutritional · deficiencies and diseases in the country. · Provision is made 1n 1958 for a social anthropologist for eight months (Category I) and for a clinical nutrition consultant for six months (Category I:J:}•.
(.
NORTH BORNEO
MALARIA Malaria control
NorthBorneo 5
This project, vJhich started in July 1955., was. ,as.sessE)d in June 1957 ra¢ recommendations were made by IJJHO for fts cyontinua tion until 1960 •. The spraying operations in 1956 covered a nopulatiori of about 55 ,OClO. It is ex:}':Jected tO cover a population of about 81,000 in 1957, 110,000 in 1958, 142;ooo in 1959, and all the malarious population (estimated to be • about 200,000) in 1960. In addition to the residual spraying of houses, antimalarial drugs will be used to hasten the interruption of malaria transmission and reduce the cost of·· operations.' 'l'lle international staff, consisting of a malariologist and ari eh-tomologist, has been provided by WHO uhder 'the Techni-cal Assistance' Programme; the insecticides, sprayers, antimalarial tlrugs, transport and laboratory supplies are. being • provided by UNICEF. The Government has agreed to provide local personnel and labour, supplies and equipment, internal transportation, and office accommodation. Following the recp.est of the Government, a fellowship has been provided in 1957. PHIJ4IPPINES MAIARIA Medical Entomology fellowships · Philippines 55
to improve lpea~ statistics and epidemi<?~qgical know~.~ge of; the disease., t)::le (}overnment has a.ske¢1. for a vir;qlogy eXJ?~rt- who y{i~l help in planning and setting up aninfluenza centre, to form the nucleus of a future virology centre. He will also carry out f':l:eld and laboratory epidemiological investigations.into the, ~ .ap,d B groups of viruses of the arthropod-bo:r;ne ,encepha,lltis a.nd'oth~ studies he may deem d.esirable. The· Department 'or Health propose~, in co-operation W:i th 'the University of the Philippines, to us~ the centre for the basic trairting of virologists. A virologist will be needed for .two years comtnencing October 1958• Provision :is also made under Category II for· a fellowship for siX months to allow the virologist's counterpart to train abroad~·
The Goverl1)nent recp.ests under Category TI. for 195.8 one twelve-month fellowship in medical entomology for a member of the national health administration connected 1·dth. the national malaria control and eradication programme. It. is expected that. such a fellowship >vill contribute materially to the strengthening of entomological services in .connection with malaria .progra:nnnes in t)::le countr;y. .The f.\eed for such a fellowship has been felt for some time. Estimat@d cost is $5,500. ENDEMO...EE:IDEMIC DIS.EJ,)SES Influenza Centre Philippines 50
To assist the Department of Health in the preliminary identification and classification of influenza infections and
PUBLIC HEALTH .ADMINISTRATION Hospital architecture
Philippines
The Government recp. ests in 1958, under Category II, one consultant adviser on hospital architecture and designs. The Bureau of
biostatistics and maternal and child health; mental health, public-health nutrition and public-health education will be covered in 1958. Assistance "is requested in ,1958 for thr~e twelve . ..,month full-time visiting professors or associate professors in mental health, public.;.hea:lth nutrition and public-health education ·in' addition to the continued $ervi.ce from l957 of a Lecturer ·in Maternal arid tchild Health ·1for the first five months of 1958. The Organization is financially responsible for the costs other than salaries of the associate professors (estimated cost, $10,465 ). The Rockefeller Foundation will be responsible for lodging and for fellowships. Iri addition to the above, ·assistance .has been received under bilateral agreements for the rehabilitation of the Institute of Hygiene building, teaching and research equipment, and for siXteen additional personnel. SARAWAK
It is expected that all the malarious areas will be reached by the spraying operations in 1958. The Government has requested continuation of assistance until 1960. SINGAPORE. PUBLIC HEALTH ADMINISTRATION }1edical statistics (hospital records) Singapor~
9
The objec.tive of the project is to assist the Government. in revising and organizing the• hospital li'e.cords ~ystem of the medi.cal. service in Singapore, in establishing a s.ui table training progra.m:rlte for local officers in the keeping of ho:;;pital r~cord.s and in ini:tia.ting those officers into their new posts. ·· ·
MALARIA Malaria control
Serawak·5
At the request of the Government provision is made 'for e,ont:i.nuation of the services of a medical statistician until the end of 1959. The Government will provide a statistiqian as counterpart .·to 1Je trained by the WHOexpert and provisioni~ made in 1958 fo:r; a.one:..year fellQwship so that this s.tatistician can gain advanced training and. expe;t"ienc in medical statistics and hospital J,?ecordp keeping• Upon completion. of his training abroad, the statistician will take up the post of medical statistician at the head office to consolidate the achievements of the pro,ject and supervise the work of existing hospital reco.rds officers in the medical service. · It is expected that the implementation of the project will improve morbidity statistics in Singapore and provide adequate hospital utilization data to serve as a basis for the planning of health and medical care services. NURSING Nursing education s~~ges
This project was .started in 1952 to assist the Government in studying the malaria £ituation and determintng aneffective and economical method of controlling the disease. The encouraging results obtained in the preliminary pilot phase of the project enabled the Government to secure a vote of 4 Illillion. Straits dollars for the antimalaria programme until 1960. The international staff, copsist?-n.g of ,two malariologi.sts and an entomologist, and some special laboratory equipment and technical literature, have been provided by WHO under the Technical Assistance~ Prpgramme. The Government has agreed to provide al;L the insecticides, sprayers, transpor:Y, a.p.timalarialdrugs, a.nd. the operational costs of the progranme, including local personnel and .labpilr and .office and lab ora tory accommodation .•
Singapore 8
This project has been in operation since 1952. In its initial emphasis was placed on the orgm1ization of a domiciliary after-care service in the U:t7ban area of Singapore and later a full domiciliary mid}fifery service. This was. completed in 1956. The aim of the. present prograiiJII1e :4s to improve the. quality of' p:p.rsing service by raising the standard. of nursing education at basic and
post-basic level. Assistance began with the provision of a nurse educator in November 1954, a second was added in August 1955 and provision 'made for a third in 1956. WHO assistance was extended to psychiatric nursing in 1957 with provision of a nurse educator to develop a training course for fully qualified psychiatric nurs.es. A nursing consultarit·;and consUltant in hospital administration wore provided for a period of thr'ee months in 1957 to undertake a stUdy of the nursing education programme. On their recommend... ation and at the request of the Government, the project will continue through 1958 with provision for four posts (estimated cost $20,195). Tho Government has agreed to provide counterpart personnel and organize a programme of clinical instruction for students; in.;..se:t'Vice education, and special courses in administration and special fields for qualified nurses. The Government is providing inter-alia the necessary fellowships for the training of counterparts. ENVIRONMENTAL SANITATION Aedes Aegypti Eradication Singapore 13
boun~aries;
possible even in an area with extensive land·· eradication_would be much easier in an island surrounded. by sea.
4• An outbreak of yellow fever in Singapore, q.:~.ite apart from the high death rate involved, would cost the taxpayers many millions of dollars as an· immediate expenditure and the Aedes aegypti eradication programme would then have to be undertaken in any case. 5. In the long run it might be cheaper to eradicate the species from the whole of Singapore than to maintain forever a control service over part of the island and to keep emergency supplies .of vaccine always in stock. 6. It follows, .therefore, that the only certain way of protecting Singapore from yellow fever is by eradication of the insect vector in Singapore. 7. The eradication of Aedes aegypti would reduce the incidence of dengue and allied fevers and the mosquito control work involved could not but produce at the same time a ~reat reduction in tho size of the mosq1ito population of other species; this would give the added advantage of reducing the nuisance from tho less harm,;.. ful domestic species. The Governmon t has already formula ted plans fori 1. Disinfestation of aircraft arriving in Singapore, estimated cost, ST~~30,500 per year. 2. Vaccination of essential personnel on a voluntary basis, estimated cost, ST$ 5,700 per year.
The Singapore Gove~nment, in view of the following reasons is requesting an international short-term consul.tant in insect control (aedes control) for 1958 under the Technical Assistance programme, Category II. 1. Singapore is infested with Aedes aegypti and the people of Singapore are not immune to yellow fever. 2. YellOw fever could be introduced into Singapore either by a mosquito carrying the virus or by a human being (or othef primate} carrying the virus. 3. The eradication of Aedes aegypti is known to be
3. St:>ckpiling of yellow fever vaccine, estimated initial cost, ST$11,000 and estimated annual recurrent cost, ST$4160.
OTH:E:R.PROiJECTS University of Malqra
Singapore 2
The supplies requ:i,red for a .successful opera.tion of this project are estim...<tted tO an amount not excee\iing $1500. VIETNAM MALARIA Malaria control
WHO assistance began in October 1953 with the first · postgraduate course for the diploma in public health. Four visiting lecturers were provided for a period of two years each, in th0 discipliries of health education, applied· nutrition, applied phys'iology and medical statistics who, in addition to reinforcing the teaching staff of the faculty' acted as advisers to government authorities. At the request of the University and with the agreement of the Government, the lectureships in n:Bdical statistics and applied physiology were extended till late in 1955 • At the same time, fellOwships were awarded in medieal statistics, applied physiology and bacteriology to members of the University staff. WHO has also provided fellowships to other countries of the Region to send trainees to study for the diploma. /\. consultant ih the tr<tining of medical social workers was also provided in 1956 for three m.onths. The London School of Hygiene and Tropical Medicine then joined tho Government and t*IO in this project. In 1956 a lecturer in publip health was provided by the London School and paid by vJHO under the Technical 1\.ssis tance Programme. The Government has asked the Technical Assistance Board for t:he continuation of the services of this lecturer throughout 1958. TONGA ENVIRON:MENTAL SANITATION Tonga .. 1 The Government of Tonga has requested in 1958 the provision of one sanitary: engineer and one scientist (social anthropologist) to assist the Govemm0nt in strengthening the environ ... men i:c1.l sanitation services at all levels. With this ass is i:c'lnco, it is hoped to improve rural and urban environmental sanitation, train.sanitati(?n personnel and plan and expand a nationwide prograinme of improvement in environmrin tal sani ta. tion. Tho estimated cost of WHO exp~tts is $1?,200.
Viet nam
1
The inter-country malaria conference held in Phnom-Penh, Cambodia, in Januarj 1956, which was attended by representativas. of Cambodia, Laos, Thailarid and Vietnam, reconnnond.ed the establ.ishmept of an anti-malaria co-ordination board with a view to co-ordinatlhg tho anti-malaria activities in the countries represented at the con· ference• At its .first meeting in November 1956, the Anti-Malar.ia Co-ordination Board which was composed of representatives of t11~. Governments of Burma, Cambodia, Laos, Thailand and Vietnarih recommended tho· establishiTIGnt of tho position of secretary of the Boa!u to assist in co-ordinating the anti-malaria activities of the countries represented on the Board, to review problems and prov:i,de technical advice, and to arrange for the meetings of the Board. The Technical Assistance Board has been requested to provide a malariologist who will perform the d~ties enumerated above. It is expected that the services of the secretary of tho Board will be. needed for at least four years. TUBERCULOSIS Tuberculosis control
Viet nam
?
A UNICEF/WHO-assisted BOG campaign began early in 1954, the· international team being a doctor and two nurses. As from July 1956, it was continued by tho Government. A fellowship was awarded in 1954 to allbw a physician to study tuberculosis control in Cariad• and, on his returp: in 1955, he wp.s appointed Director of T\l,berculos Services. A new dispensary: was completed in 1956 "1-Ti th the ...assist.an of bilateral agency. To help in integrating all this tubE)rculo~;is work into a unified programme, provision is made for a me.qical · · officer who will take up his duties in 1957. His p9st wi:l.l be continued in 1958. ~estima te<;l post, ~pll,4?3) and 1959· One tweave ...
month fellowship in thoracic surgery is requested in 1958 by the Government under Category II (estimated cost $4500), as well as a thoracic surgeon rmder the same category. (Estimated cost $12,488). ENDEMO-EPillE!v1IC DISEASES Fellowships Vietnam 13
promote a national programme of health education of the public in Vietnam. Estimated cost is $4500. MA.TERNAL AND CHILD HEALTH Demonstration and training centre
Viet nam 3
The Government is requesting in 1958 under Category II one six-month fellowship in the control of endemo-epidemic diseases for a medical officer of the national health administration. It is expected that after a period of training in Canada or Europe, and on return to his country, the medical officer will strengthen the control of communicable diseases arid quarantine measures in Vietnam. l'li th increased sea and air communication through Vietnam, the need for such a specialized officer has been felt, for some time. EstinL:'lted cost is ~~3500. PUBLIC HEALTH ®MINISTRATION Fellowships Vietnam 13
The Governmentts programme for developing public-health and medical care services for mothers and children is expanding steadily, and has been strengthened by the creation of a section of maternal and child health in the Ministry of Health. The first phase of the project, assisted by WHO since 1954, included strengthening of the maternal and child health services in Saigon, Dalat, and Hue, and the establishmm t of a new children's hospital in Saigon which opened in 1956. WHOts contribution included the services of a medical officer and two public-health nurses and the provision of .fellowships. In 1957, a clinical · paediatrician joined the international team to help in developing a comprehensive child-health service and teaching programme at the childrents hospital. In 1958, it is proposed to retain this team and, in addition, provision has been made for a public-health nurse/midwife who will also assist in the Rural Health Development Programme jointJ..y sponsored by the Government and the United States Interna.tional Co-operation 1\dm.i..nistration. One fellowship for twelve months has been requested (Category II) for a medical officer in 1958. UNICEF and the United States International Co-operation Administration have contributed supplies and eq.tipment. It is anticipated that the Government will req.test continuation of this assistance from WHO under the 1959 Technical Assistance Programme. OTHER PROJECTS Medical Faculty, University of Saigon and Health Technicians' School Vietnam 10
The Government is requesting in 1958, under Category II, provision for one 12-month fellowship in public-health administration. It is expected that the candidate, who will be a senior medical officer of the nat:i.. onal health administration, will ob~~n a degree in public health to enable him on his return to his countJy, to contribute to the co-ordination and integration of the various phases of public-health administration in Vietnam. Estimated cost of this fellowship is $4500. \
HEALTH EDUCATION OF THE PUBLIC Fellowships
Vietnam 13
The na tionc'11 health administration of Vietnam is expanding its progrcumne of health education of the public in 1958. Health educators are trained under the aid of a bilateral agency. One twelve-month fellowship in health education of the public is request~d under Category II in 1958 for an 11 officier de sante". It is expected that this health officer, after his training in health education in Canada or Europe, will be in a position to
In an attempt to provide health services in the rural areas, the Government decided to train health technicians to take the place of physicians of whom there is a shortage. In 1955, WHO sent the Director of the School on a short study to'!J.:r' of institutions in several countries. As considerable bilateral as sis ten ce is being
provided to the University of Saigon, with much increased facilities for medical undergrad~~tes, the future of the school is not settled and the Government requested redesignation of the project to ~that of "professor of preventive medicine 11 , whose duties would be to set up the Department of Preventive Medicine at the Medical Faculty and to teach at the Health Technicians School. Provision is ~~de for the professor of preventive medicinets assignment in 1957 and the assistance to continue through 1958 and 1959· Estimated cost in 1958 is ~~11,036. Provision is nlso ~~de in 1958 for teaching equipment and supplies amounting to approximc'l tely ~~1,350. Di!TER-COUNTRY HEl\.LTH EDUCATION OF THE PUBLIC Health education training course PROGR.AM~!fF'.B
WPRO 31 This will be the third of n continuing series of zonal seminars on environmen~'ll sanitation in the Western Pacific Region. The first zonal seminar was held in Taipei, Taiwan during the period 14 October to 2 November 1956 and had as its subject "The Collection, Disposal and Utilization of Organic Wastes". The second z.onal seminar will probably be held i;n Singapore during December 1957 and will cover "Rural Water Suppliest'"' This, tho third zonal seminar will treat of an environmental sanitation subject co:rmnon to the following countries within the zone: Australia, British Solomon Islands Protectorate, Cook Islands, Fiji French Oceania, Gilbert and Ellice Islands Colony, New Caledonia, N~w Hebrides, New Zealand, Papua, American Samoa, l'TesteJ;n Samoa, Tonga, U.S. Trust Territories. It is expected that the seminar will be held about March or April 1958 in a con tral site within the zone, such as Port Moresby or Noumea. WHO assistance will consist of the provision of m1 expert consultant and other seminar secretariat stc-:tf.f, fellm-Jships for about 2L~o governmental participants and some technical ecp ipment and supplies. Regional seminar on education and training of snnitation personnel \t.JPRO 58
ENVIRONMENTAL Environmental
S1~ITATION
~.anitation
seminar - Zone III
WPRO 38 The health education training course for the territories of the South Pacific, sponsored jointly by the South Pacific Commission and tho WHO Regional Office for the Western Pacific was held in Noumea, New Caledonia for eight weeks starting 1 July 1957 and was attended by forty trainees. The purpose of the course was to study tho basic principles underlying health education and their application to South Pacific territories; to exchange ideas on health education activities and programmes now in progress; and to study pL'tns for further development. In order that the infonna tion and skills they g::tinod at the course may be utilized to the fullest, provision is ~~de throughout 1958 and until mid-1959 for continuation of the services of the health education specialist assign~~ to the Commission in July 1957 (estimated cost of tho post in 1958, $10,926 and supplies and equipment, $1000). This regional training course and follow-up is planned to influence the growth of public health directly in a large number of territories; it is considered that this aim can be more economically achieved in the first instance through this ~e of regional training than through individual countr,y projects.
The effective staffing of national and local environmental sanitation services within the public-health administrative framework is dependent upon the existence of trained sanitation spocialis ts • In most countries of the Western Pacific Region there is a serious shortage of both trained sanitation personnel as well as programmes and facilities for training of these workers. It is proposed that a regional seminar be held in 1959 for a period of approximai:Bly three weeks for the purpose of stimulating
and assisting in planning national and local programmes of education and training of both professional and sub-professional pe.rsonnel. This regional seminar would provide for attendance by both administrative and technic<u governmental personn~l responsible for training programmes. A planning meeting will be held at the Western Pacific. Regional Office early in 1959 for the purpose of obtaining advice and assistance from a selected group of responsible sanitation :administrators and educators from countries of the Region on the content and organization of tho seminar. It is planned to invite six .experts for this four~day meeting. WHO assistance would consist of the provision of expert consultants and other secretar~1l staff, fellowships for about 38 governmen~~l participants and some technical equipment and supplies.
;',
WESTERN PACIFIC
~,~a-
.,...
''
:
"'
Number of, posts
Technical Assistance Estimated expenditure Category II Categor,y I
Other Extra-Budgetar,y Fun Estimated expenditure " < ,,
1957 1958 1959 I:
1957: us~~
1958 US$
1959 US$
1958 US$
1959 US$
1957 US$
1958 US$
1959 USllti
s u 13 13 13 68,604 ?5,6?0 80,?50 REGIONAL OFFICE FIELD ACTIVITIES
M M A R
y
8 l
8 2 2 4 8
2 3
9 2 2 4 9 9 1
98,134 99,1?0 128,213 6,847 14,473 12,229 3'7' 789 34,126 36,179 36,033 46,1'74 54,391 61,237 76,377 79,321 96,678 93,465 5?,407 46,676 11,926 8,895 6?,068 98,289 85,5?0 ?,025 10,346 121,240 62,501 65,311 100,361 97,051 84,923 6'72,263 640,577 622,?85 ""
?,000 13,000 19,763 23,144 21,900 58,973 33,191 5,500 22,000 11,000 11,000 4,500 15,500 30,100 5,5~ ,,
Malaria Tuberculosi.s Venereal diseases and treponematoses Endemo-epidemic diseases Public health administration Nursing Social and occupational health Health education of the public Maternal and child health Nutrition, Environmental sanitation Other projects I
15,400 24,000 30,000
80,000 100,000 100,000 10,000 20,000 20,000
5 14 13 l
1
7 6
8 1
8 1 4 10
5?,000
?8,000 40,000
- "
4 7 11
-
20,68'7 50,155 31,708 26,0?2 202,081 208,662 202,081 208,662
- 5,282 22,?50 132125 167,682 244,?50 203,125 167,682 244,750 203,125
54 62
59 ?2
Tote! - FIELD ACTIVITIES Total - INESTERN PACIFIC I
67 =
'75
740,867 '716,247 ?03,535
=
-
-
---
Technical Assistance
1959 US$
1958 -US$
CAMBODIA MALARIA Malaria Control Malariologist Sanitarian Total established posts Allowance's:' Local costs Project service allowance Assignment allowance Local travel subsistence Others Service b€nefi t Death and. disability Travel: Home l€ave Fellowships Other costs Estimated Government Contribution TUBERCULOSIS Cambodia 1 p 4 p 2
11,000 _ _ (100, OO?)
Fellowships (tuberculosis control) · Estimated Government Contribution
Cambodia 12
Technical Assistance Estimated expenditure
ther Extra-Budgetary Fun Estimated expen.dituX'~
1957 ·, CAMBODIA (.COnt'd) PUBLIC HEALTH ADMINISTRATION
195J!,
us$. Cambodia 9 '
trs:w ·
1 1
1 1 1 3
T
4
1 1 1 1
8,000 6,400 11,240 14,400
8,250 6,400 4,800 14,650 4,800 5,000 4z800 9,800
Rural health training centre Medical officer Public health nurse Nurse midwife Sanitarian Total es~blished posts Allowances: Local . costs Installation Project service allowance Assignment . allowance Local travel subsistence others Service benefit 'Death and disability Travel: . nuty Recruitment and repatriation Home le.ave other co13ts ,,
p 4 p 2 p 2
P2
475 1,377 685 1,705 2,000 1,030 2,127 640 360 2,000 1,030 3,137 660 37l.
3)0 850 515 177 384 216 700 3,310 6~468
300 1,700 1,030 . 357 784 441' 700 750 15z$62 7,469 '
440 1,480 1,855 17,402 30;335 ' 231'703 )(29,000)( 29,000)
( ** 1 1
7 942
Estimat~d . Gov~rnment Contribution
5,475
PUblic health administration PUblic health administrator Allowances: LOCf!l .. costt .1_ In~kl1-a. io.n Ass.ig~ent . allowahc e Local travel subsistence
Cambodia 10 P4
4~0
m
825
1,100 1,029
Page'4 Nl).ID.ber of posts "'
.
WEs'l'!:RN·PACIFIC . .... •
Technical Assistance Estimated expenditure Category II Category I 1958 US$ 1959 US$ 1958 US$ 408 438 246 900 1959 US$ 547 598 336 750 5 2 500 17':_329 (4~000)
Other Extra-Budgetary Fundl: --
.
'
~ PUBLIC HEALTH ADMINISTRATION ( Cont'd ) Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Fellowships Estimated Government Contribution SOCIAL AND OCCUPATIONAL HEALTH Fellowships Estimated _Government Contribution MATERNAL AND CHI1D HEALTH Demonstration and training centre Maternal and child health officer Public health nurse Total established posts Allowances Local costs Project service aliowance Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Cambodia 4 p 4 P2 Cambodia 12
Estimated expenditure 1957 US$ 1958 US$ 1959 US$ --
L957 1958 .:
195~
1957 US$
9,513 (4,000)
1 •1 1 1
llzOOO (40,000)
T
---:
T -
2 -
1 1
7,394 7,619 6zl33 6 2 333 8,765 13,527 13,952
3,083 1,750 43 448 1,176 592 333 1,830 1,750 1,211
610 343 2,465 1,850
1,850
:
'
Technical Assistance Number of posts 1957 1958 1959 ' 1957 US$ Estimated expenditure Category II Category I 1958 US$ 1959 US$ 1958 US$ 1959 Us$ MATERNAL AND CHILD HEALTH ( Cont'd ) Supplies and equipment FEllowships Other costs Estimated Government Contribution OTHER PROJECTS Royal School of Medicine Lecturer in Ophthalmolo f!}f Lecturer in Radiology Lecturer in Phthisiology Lecturer in Physiology Lecturer in Biochemistr,y Lecturer in Histopathology Total established posts Allowances: Local costs Installation Proiect service allowance Ass gnment allowance Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave SuiTlies and equipment Fe owships Other costs Estimated,Government Contribution Cambodia 5 ())
Other Extra-Budgetary Fu ~ ~
Estimated expenditure 1957 r US$ 10,00~
1958,,. Us$ 18,000lf.
1959
US$
11,000 6 2916 14,189 26,124 22,181 (30,000)(lOO,OOO)UOO,OOO) llzOOO
lOzOOO I~zOOO·
1 1 1 1 4
1 1 1 1 1
-
' -
-
1 1 1 1 1 1 b
7,713 7,581 7,375 7,375 :26,~00
7,958 7,812 7,600 7,600
7,300 7,300 450
~0,044
)0,970
14,~$
7,525 7z300
p p p p p p
4 4 4 4 4 4
2,362 857
450 2,200 1,093 1,186 668 900 750 4,000
4:,800 2' 812 2~403 1,352
4,800 3,225 2,478 1,394
1,100 545 584 329 900 4,000
1,816 5,302 4,997 5,200
1,947 14,272 10z813 54,17f 57,139
46/734 (52' 500) (86,ooo)(86,ooo)
15.!200 26z072
.
= 10
-
13
-15
103,18? 144,862 132,120
-
32z663 97,763
Total - CAMBODIA
10~000
l8zOOO
"'"'·-·---
,,
,,,,,
,,
· Technical. Assistance i Ntimber
ot posts
Estimated e Category I
nditure Category II
1957 US$ CHINA
1959
1
1
5,221 2,800
7,300 7,300
MALARIA Malaria eradication project Entomologist Hedical officer Total established posts Short-term consultant's fees Allowances: Local costs Local travel subsistence Others Service benefit Death and disability Travel: Short-term consultant RecrUitment and repatriation Supplies and equipment Reimbursement of income tax Fellowships Estimated Government Contribution ENDEMO-EPIDE1'1IC DISEASES Trachoma control Short ....term consultants: Fees Travel "Supplies and equipment Fellowships Estimated Government Contribution·
China 7 p 4
P4
1,064
1,526 545 584 329 900
2,458 4,369 630 653
1,500 1,500
7,500 7,500
5, 500 3,500 17,195 5,500 14,684 (269,443)(155 ,833Xl27, 778)
China 13
1,200 650 1,850 - - (13,889) (
1,200 650 3,500 5,350 5,500 5,500
so, ood~~ao, ooo*1oo, ooo • ~0 ,ODO •1()0, 000
'** )
100,000 .
Category II CHINA (Conttd) China 29 China 29
Estimated expenditure'
PUBLIC HEALTH ADMINISTRATION
3,500 ( 690) 5,500 ( 611)
Fellowships (dental health) Estimated Government Contribution
11,000
Fellowshi,ps Estimated Government Contribution NURSING
1 1 1 1 4
1 1 1 1 4
1 1 1 1 1 _5_ 13,550 3,636
6,383 6,267 5,950 5,000 4 2800 22,800 28,400
6,183 6,067 5.,750 4,800
Nursing education China 6 · Se!1ior nurse educator P3 P2 Nurse educator (mental health) Nurse ed,ucator (general) P2 Nurse educator (general P2 Nurse educator (obstetric & paediatrics) P 2 Totalestablished posts Short-tetm consultant's fees ; weal costs ' Locat };ravel subsistence others '· Service bt.mefit Death and disability Travel: Short-term consultant . ,Rec::ruitment;andrepatriatiori Home leave · Supplies and equipment Fellowships Others 1\J:lu~ances
451
(1,528) (1,985) 492 681 1,824. 2,272 1,026 1,278 700 2,095 700 3,055 5,500 5~500
810 43,660 28;219 34,401 (46,139) (11,111) (~)
1,430 200 3,233 19,525
1,6)5
22 ,ooo ~2,000
Estimated Government Contribution
~-;-·>'·'"
"
. .\
-~·
..
....
Technical Assistance Estimated expenditure 'Citegory :( Category II 1957 1958 1959 1958 1959 ..
Other Extra-Budgetary ~ 0 ctJ'
-
Ftind~:
. ot t·
Number pos:l:,s
r-.
Estimated
expen~t~e
:57 195$ 1959 ::
r
';'
US$
US$
US$
US$
US$
.
1957 US$
1958
CHINA ( Cont 1d) SOCIAL AND OCCUPATIONAL HEALTH Fellowships (industrial health) Estimated Government Contribution l-1ATERNAL AND CHILD HEl\LTH
US$
1959--
US$
llzOOO (
**
)
-
China 29
:--il 1 1
5,047 2,100
5,167 1,800
5,367
Demonstration and training centre Nurse midwife Short-term consUltant's fees Allowances Local costs Local travel subsiste nee Others Service benefit Deat~ apd disapility Travel: Short-term. consultant Recruitment and repatriation Home leave Supplies and equipment Fellowships Other costs Estimated Gover:tlment Contribution
China 3
p2
87
(507) 93 413 233 975
(507) 96 429 242
770
980 1,295 5,774 n,6oo 387 13z778 2lz456 '6z607 ( 46 ,288) (16' 389) ( *"~ )
'
19,100 19~100
30,00CHxf. 43,000 3'5~000
40,000 ' 40zOOO
43 2 000
,. '
i l
* Allocated by
. Board. the UNICEF Executive
·'
.··
'~
.··
Technical Assistance Estimated expenditure Category II Category I 1957 1958 1959 1958 1959 ·. < <
Other Extra-Budgetary FuJ ••• •• •• < .........
<<
N\llD.ber e£rosts 1957 1958 1959 .
.! .~
.·<;:··;
c!f' ·
£!
Estimated expenditure < <
.. ·.
1957
1958
1969
.::,c
US$
US$
US$
US$
US$
CHINA
(Cont 1d)
US$ .. ·
US$
US$
ENVIRONMENTAL SANITATION
-2 -2 -2
14,309 15,875 16,'5/5 718 3,276 1,310 737
Demonstration and training project Sanitary engineer Allowances:· Local costs Local travel subsistence Others Service benefit Death and disability Travels: Duty Recruitment and repatriation Home leave Reimbursement of income tax Supplies and equipment Fellowships Estimated Government Contribution OTHER PROJECTS
China 14 p 4.
1,871
718 3,268 1,270 715
483 3,320 700 5,490 4,613 4,155 564 51,554 5,400 440 5,500 74,534 3b,901 31,226 (l~C,700)(141, 700)(.1.83,000)
5z500 5,500
10,000 11%000 21~000
..
(
11 2000 ~HI~
Fellowships (food and drug control) Estimated Government Contribution Total - CHINA
China 29
.·
-8 .<
7
9
158:167 93,926 92,268
51,000 69,600
110,000 143,000 140 2000
•
~,
___
"_"
:rcrg-Er""Ic:r········ 1
'
';Wi!:s!ftm~flrcJAciFIC
-
'"-~""""'""'''"~~~-
Technical Assistance I
1959 US$
1958 US$
1959 us~
JAPAN TUBERCULOSIS 2' 900 3:, 000
Fellowships Estimated GQverpment Contribution VENEREAL DISEASES 3,000 A~~
Ja;e~nl9
( Nil ) ( Nil )
TREPONEMATOSES
Fellowships Estimated Gove~nment
( Nil )
Contribution
PUBLIC HEALTH ADMINISTRATION
1,000 3,000 7 ~000 31000 8,000 ( Nil ) ( 417) 3,000 (Nil),
Hospital.. administrCJ,tion S'\lpplies and eq,uipment Fellowsh;ips · . .ll/stimated Government
Japan 17
Cont:ribu~ionz
· Japan 19
Fellowships (vital anl health statistics) Estimated Government Contribution ENVIRONMENTAL .SANITATION, 3,000 F~llowships
Japan 19
Estimated Government Contribution
.,,
,,
.
I'
..,,.
··.·
Technical Assistance Number . of posts ,'\
···•···
I , '<I)
bther Extra-Budgetary Fun< .C!J
·.,.·:
Estimated expenditure Category II Category I I·
~
~
Estimated expen¥~~~~ .• •c•.)
J.957 I•
19,8 195.9' +<
1957 us~r
1958 US$
1959 US$
1958 US$
1959 US$ JAPAN (Conti d) OTHER PROJECTS
'·:
1957 : US$
1958 .. l9:59r ''"' us~······ US$
3,100 ( Nil
Fellowships (biology & antibiotics)
Japan 19
l
Estnnated Government Contribution :
1,700 ( Nil ) 7,000: (
Fellm-vships (blood bank management) Estimated Government Contribution Fellol.Yships (food and drug control) Estimated Government Contribution Institute of Public Health · Short-term consultants: Fees Travel Supplies and equipment Fellowships Estimated Government Contribution Fellowships .'
Japan 19
Japan 19
Nil )
Japan io
..
:
500 _) { Nil ) ( 1,039) (.J!g_ 3,000 .
10~614
1,414 1,800 1,300 6 100
3,ooo 3,000
500
500 500
. Japan 19
3,500
(Nil) ( Nil )
-
Estimated Government Contribution
==
24.!519 lQzOOO 25 1 000 1
3z500
Total - JAPAN
i
---~-_.......
-
: '
_____
;~~"'~
.. WESTERN PACIFier ..
--~-~~·····
Number of'pests
Technical Assistance Estimated expenditure Category II Category I
Other Extra-Budgetary Fund (j)
··-
'0
0
~
Estimated expenditure
57 195$ 1959 <''··
1957 US$
1958 US$
1959 US$
1958 US$
1959 US$ KOREA EN~EMO-EPIDEMIC
1957 ··us$
1958 US$
1:959 US$
DISEASES Korea 11
3,000 ( ~*"~*'
Fellowships (epidemic control) )
-
Estimated Government Contribution HEALTH EDUCATION OF THE PUBLIC
6,000 ( ~H~
Fellowships )
Korea 11
Estimated Government Contribution ENVIRONNENTAL SANITATION
3,500 ( ~HH} )
Fellowships (sanitary engineering)
Korea 11
-
-
Estimated Government Contribution Total -KOREA
=- -
12z500
-
'·
-l~!.
T-~~---.t.-'
--- -- -"
-·
"·---
.
"'
.. -
.
·..
--
..
··~.·
....
:'
.·•
Number of posts 1957 :L958 1959
Technical Assistance Estimated expenditure Category II Category I
' ~
Other Extra-Budgetal1' ·Fw (j)~ i
'
1J ~ LAOS··~ •
~st.:imated. ~xpenditt;r~~·
··'···'
.
1957 Us$
1958 US$
1959 US$
1958 US$
1959 US$
1957 US$
1958'~
li9:?9 US$
j
US$
VENEREAL DISEASES
A~l)
TREPONEMATOSES Laos 2 p p
T T - -
1 1
1 1
1 1 2
7,854 8,104 6z569 6~794 12,062 14,423 14,898
Treponematoses control Venereologist Scientist (Serologist) Total established posts Allowances: Lo ca.1 costs Installation Project service allowance Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: DUty Re ct uitnrent and repatriation Home leave Supplies and equipment Other costs Est.iniated Government Contribution PUBLIC HEALTH ADMINISTRATION
4 3
579 6,750 4,201 1,582
2,150 7,714 2,182 1,154 649
2,150 7,714 1,154 1,192 671
.•
40 3,185 1,890 7,500 37 '789
5,400
5z854 34,126 33,179 (25,ooo)(25,oooX25,000) 4,680 4,680 )
4,680 (
Fellowships {undergraduate medical studies) Laos 8 (
- - 2 2 ,I
2
42~469
-
71-*
(
** )( ** )
Estimate~
Government Contribution Total - LAOS .~
38,806 37,859
..
..
·-··-~··---
~
WESTERN PACIFIC f'
Number i of posts ! lt;? .1 Qt;R 1 qt;q F 1Qti7
Technical Assistance ,Estimated expenditure Category I 1Qt;R 1Qt;Q
-Other Extra-Budgetary Fund1 <!}
Category II lCJl)g 1CJ I)C)
~ ~
Estimated expenditure
Us$
1957 MALAYA TUBERCULOSIS Tuberculosis control Short-t[rm consultants Fees. Travel Estimated Government Contribution EN~EMO-EPIDEMIC
12~8
US$
US$
US$
US$
US$ Malaya lC
US$
1222 US$
1,800 975 2,?75 (~)
DISEASES Malaya 1
(~)
4,800 2,600 7 ,4:)0
--
Leprosy control Short-term consultants: Fees Travel Estimated Government Contribution PUBLIC HEALTH ADMINISTRATION Hospital adminfstration Administrative officer Allo1v-ances: Local costs Local travel subsistence Others Service benefit Death and disability Travel: Duty Recruitment and repatriation Home leave Supplies and equipment Reimbursement of income tax · Estimated Government Contribution
Malaya lL p
-
1
-1
4,633
6,333 (382 )'
6,550 (382) 113 524 295 1,570
3
57
110 507 285
106 500 500 2;,430
(4,562) (5,556) (_~!.__) i "•-" T ~
5,'f<Jt)
<J,::m3
S,670
..
'
,,
-
.
..-
..
~--.
.....
,,.,
.
;,~
.
WESTERN PACTII'IC -~----------- -··--···------------···--~----~----
Technical Assistance ----··----··-------··---Estimated expenditure Category II 1958 1959
Estimated expenditure-
1957 1958 1959
Cat€ or I 1957 1958 1959 US$ --US~~-
1957 PUBLIC H&\LTH ADMINISTRATION ( Cont'd ) Hospital records Administrative officer .Allowances: Local. costs Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Reimbursement of income tax Fellowships Estimat ed Government Contribution 1
1958 US$
1959 US$
US$
us
US$
Malaya 15 p
1
1
1
4,517
6,150 (382) 107 492 277
6,350 (382)
3
56
110 508 286 2,380
2,349 678 690 9 2 252 (
7z600 7 2 334 (2,281) (2,7~~)
1~1~
)
--
4,000 4,000
NURSING
1 1 2 1 5
1 2 1 24,313
6,150 10,833 5~150 22~133
4
Ntirsing educa~ion Senior nurse educator Nurse educator' (general) Nurse educator (midwifery) Nurse educator (clinical) Total e s-tiablished posts Jl:llowances: Local costs Local travel subsistence Others Servi oe benefit Death and disability
Malgy;a 1 p 3 p 2 P2
p 2
(1~978)
. 392 ··L,7?1 997 i c ..
g'-· f;_.
......,.E~:t"''""~
•:r.··-------------------------------------~--~~~~~~~----------------------------------~~-----~-~~--.-~~~~----------------~ I\ 't'echnical 1\ssistance Other Extra-Budgetary Funds
..
, Number lOf . posts 1
-~~·-----...,.--------~----------------1 ---- r
~----~--------Es_t_-i~m_a_t_e_d__ ex_p~e_n_d_i_t_u_r_e__________ 1 Category I 1958 I
Estimated expenditure 1957 US$
Category II US$
~57 1958 1959
I
----------~r-----~------~----~~~----~------~--~------------------~~~-----~--------~--~---r---+----~----~----~----1
1957 US$
1959 US$
1958
1959
1958 US$
1959 US$
US$
US$
NURSING
( Cont 1 d ) 5,510 360 4,845 1,855 130 599 27,002 34,269 443,847) ( 6,594) - -
Travel: Recruitment and repatriation Home leave Supplies and equipment Ot:her costs Estimated Government Contribution NUTRITION
1
1
4,867
7,450 3,600
Nutrition survey }1edical social anthropologist Short-term consultant's fees Allowances: Local costs Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home _leave _ S:hort-term . . consultant
Malaya 12 & 16 p 4
287 363 389 219 900 7z025 (
( 232) 547 596 335 900 750
~Hi-
1ID,346 ){
~
)
Estimated Government Contribution 19,725
I? ;
40,398 57 2911 28,268
! : i ! j
-
Total - MALAYA
;
.
WESTERN PACIFIC '••'
.l-,0,5 ....
'~
c
';
':
.·
:
.
N1lmber of posts
Technical Assistance Estimated expenditure Category I Categocy II
Other Extra-Budgetar,y Fun Q)
~
~
Estimated expendi tu~e'
tl957 1958 1959
1957 US$
1958 US$
1959 US;Ui
1958 US$
1959 US$ NORTH BORNEO MALARIA ~tfalaria
.1957 US$
1958 US$
191:)9
Us$
T
1 1
-·-
-
1 1 2
-
1 1 2
13,504
7,638 7,413 62775 72000 14,188 14,638
control J.tfalar]ologist Entomologist Total established posts
~!<?.£.!h _Bo_~t!€..<?_...2
p 4 p 3
1,546
1,246 4,527 1,135 639 510
1,246 3,450 1,171 659 4,895
(34~000)
3,460 1,829 9 20 2 348
Allowances : Local costs Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Supplies and equipment Estimated Government Contribution ENVIRONHENTAL SANITATION North Borneo 8 Water supply and sewage disposal Sanitary engineer Sanitary engineer Total established posts
22~245 26,059 ( 6o, 000)(102 1 ooo)
15z4oo* 241.000 30 1 000 15 z400 ~4 1 000 30.!00~
- - -
T
1 1
-
-
-
p p
4 3
3,731
. ~---·
'/
.:
..
Technical Assistance Estimated expenditure Category II
ENVIRONMEN~AL
SANITATION ( cont 'd )
125 1,770 . 5,626 77,558)
Allowances: Others Travel: Recruitment and repatriation Estil'll8ted Government Contribution ?2,245 26,059
==
2
2
25,974
Total -
NOR~H
BORNEO
=----.....:=
15,400 24,000
30,000
PHILIPPINES MALARIA 5,500
Fellowships (medical entomology)
Philippines
~5
ENDEHO-EPIDEMIC DISEASES 1 1
1,825 800
7,3~6
3,200
Influenza centre Virologist Post adjustment Allowances:. L9cal costs Local travel subsi Others
Philip~
_,r·/
50 p 4
pf/"
/
(555) (1,052) 136 545 146 588 82 331 900 3,500 3,500
Travel: Recruitment and repatriation Home leave Fellowships Estimated Government Contribution
'
Technical Assistance of_posts 1957 1958 1959 N~be:r '
Q),
pther Extra"":'Budgetary Fun 't:S' <6 i
Estimated expenditure Category II Catett:or:.v I 1958 tJS$ 1959 1958 1959
0
-~
Estimated $xpenditu:re; 1957 --·l9SB · lQ~tl)·
1957
. ENDri;MO-EPillE'~>1IC
<
Us$
US$
US$
Us$ DISEAS_'fi.:S ( cont 'd)
US$
US$
US$
1 1 1 '3
1 1 1
3
1 1 1 3
8,104 7,469 2~508
22,435 18,081 7,067
8,354 7,694 6 2 000 22,048 9,000
Bilharziasis pilot project Epidemiologist Sanitary engineer Zoologist 'l'otal established posts Post adjustment Allowances: Local costs Local travel subsistence Others Service benefit Death and disability Travel: Duty Recruitment and repatriation Home. leave Supplies and equipment Reimbursement of income tax Estimated Government Contribution
~es9
v . p4 p3 p 3
7,364
(1,582) (1,699) 5,780 5,172 849 1,148 646 478 2,360 8,565 900 2,000 2~000
135 1,999
33 z033 402990 37~823 (145,465Xl45,465 ( ~Hl- )
.~zlOO
PUBLIC HEALTH ADHINIS 'J'RA 'J'ION
-1
-
1
1,825 800
~
5,475 2,400
Hospital arch:ttecture Medical officer Post adjustm~nt
!:.h_~liJ?P...:tEes 58
p 4
-
Technical Assistance E:sti.lhated expenditure
1958 US$
1959 US$
1958 US$
1959 US$ PUBLIC HEALTH ADHINISTRATION ( Cont 1 d ) Allcwances: Local costs Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Estimated Government Contribution Fellorrrshios (hospital management _?hi;Lippines 55 and operation) Estimated Government Contribution NURSING
1958
l959 tJs$·
(253) 136 146 82 900 3~636 ( ~H~ )
I
(349) 408 438 246 900 9 2 518 )
--·-
( ~H~
-----
7,000 ( ~H'; )
--
1
6,382
6,606 1,925
.Midwifery tr§l it].ing Nurse midwife Post adjustment Allowances: Local costs Local travel subsistence Others Travel: Hecrl4tment and repatriation Supplies and equipment Other costs Estimated Government Contribution
fE!.lippine~.
29 p 3
957 50
(818) 1,124 1,260
10,000 !- 20,000
1
20,000
185 7,389 10,282 (60,960)(60z960) - -
1o,ooo
~o,ooo
2o,ooo
~,,,
I ..
. . •, ..
·'
Technical Assistance Estimated expenditure Category I Category II 1959 US$ 1958 US$ 11,000 ( ?H~
.. Q)
Pther Extra.-Budgeta_ry Ful'lc .'(j
Number of pdsts L<Vi7 lQt;g 1QI)9 191)7 US$
·~. .
·Estimated expen~tY,re . < ,; . ·;
1.Q58 US$
1959 US$ MATERNAL A'f\ID CHILD HEALTH Fellowships Estimated Government Contribution O'l'HER PROJECTS Philippi11es 55
1957 US$
1958 US$
1959
.·;
USi
·•
)
5,000 ( i\1\
Fellowships (virus diseases transmitted by insects)
Ph_ilippines 55
"''-
)
--
Estimated Government Contribution Philippines 12 University of the Philippines Lecturer in Matern'a1 and child health Lecturer in r1ental health Lecturer in Nutrition Lecturer in Public health education Total established posts Short-term consultantts fees Post adjustment Allowances: Local costs Installation Project service allowance Assignment allowance Local travel subsistence Others Death and disability Travel: Short-term consultant Recruitment and repatriation i
1
14
1 1 1 1
--
1 1 1 3 3,000
p4 p4 p 4 p 4
3,042 4,258 4,258 4.!258 4,015 15,816 6,934
3,042 3,042 32042 9,126 3,999
113 412 1,334 170 4,035 1,392
1,350 2,322 1,006 713 4,195 1,374 506 411 2,700
.,
1,267
.
•
.,....
Technical Assistance Number of posts ~57
Other Extra-Budgetary Fund! Estimated expenditure 1957 1958 1959
r-~~--------~------~---------------·-
Estimated expenditure
Category I 1958
Category II
195S 1959
1957
1958
US$
US$
US$
US$
US$ OTHER PRO,JECTS ( Cont'd )
US$
US$
US$
450 879 10,906 10,465 4,991 ( 88, 542 ) ( S8.? 542 ) ( iH!- )
Reimbursement of income tax Other costs
5,282 Estimated Government Contribution
22,750 13,125 ~~
-8
51,328 65,071 57,668
43' 518
Total - PHILIPPINES SARAlftTAK
~5,282
33,125
l'1ALARIA ~1a la ria
!2.
2
2
.1 1 1 ~--3 3 3
~--
15,406 15,896 7,206 7,431 21,939 22,612 23,327
cant r ol Malariologists Entomologist Tota 1 established posts Allowances: Local costs JJocal travel subsistence Others Service benefit Death and disability Travel: Duty Recruitment and repatriation Home leave Supplies and equipment Estimated Government Contribution Total - SARAWAK
Sarawak 5 p 4 p 3
2 ,1.32
1,568
2,484 1,808 1,017
2,132 2,895 1,865 1,049
937 2,400 8,580 13,190 -,.---::1,...,.0 500 35,434 30,053 44,958 (25o,oooX25o,oooX25o,ooo) 35,434 2£~ ~958
-
i t
41-l.~
Tnf'nY'm!:lt; lin not
1"Pr>Pi1rPn
·-------------~------------------~------------------------------~----------------~--~---· fY'nm thl" fi:mrPY'nm,cnt ..
Technical Assistance ctl
, Q~her :~:"
~tra-Budgetc;:ry
fu,n
Category II
~ '~~---__...;.;.~-----------SINGAPORE PUBLIC HEALTH ADNINISTRATION
Medical statistics (hospital records) Medical statistician Allowances: Local costs J.Jocal t-ravel subsistence Others Service benefit Death and disahility Travel: Duty Recruitment and repatriation Home leave ft'ellcwship Estimated Government Contribution NURSING
Sin~apore
9 · P 4
44
1 3
1 3
1 3 4
5;ooo, 5,200 14,700 15,300 9,741 19,700 20,500 3,501 (4,602) (4,602) 627 639 1,576 1,640 888 924
Nursing education Nurse educator (mental health) Nurse educator (general) Total established posts Short-term consultant 1 s fees Allowances: Local costs Local travel subsistence Others Sewice benefit Death and disability
Singapor~
p 2 p 2
110
Technical Assistance :Estimated expenditure Category I Category II
(I)
5 mmsnm· ( Cont 1d )
~
Estimated expenditure 1------------~--~----~
1,350 95 3,180 750 3,405 1,256' --..,17,977 20,195 . 22,506 (348,!.930X348, 930)(348, 930)
Travel: Short-term consultant Duty Recruitment and repatriation Home leave Other costs Estimated Government Contribution ENVIRONHENTAL SANITATION Aedes aegypti eradication Short-term consultants: Fees Travel Estimated Government Contribution OTHER PROJECTS University of l~laya Lecturer in public health Allowances: Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Estimated Government Contribution 9;,200
2,400. 1,300 3,700 (16 ,290)
1
6,067 477
6,267 609 501 282
p 3
2,320 4,050 6,544 14,029 (17,162)(17,162)
=
6
=
5
35,075
55,969 40,_886
Total - SINGAPORE
----·----------.....1.'
1958 US$
1959 . US$ TONGA ENVIRON~1ENTATJ
SANITATION rronga .1 P4 P. 3
--
-22 T
1 1
1 1
1 1 4,933
7,413 ; 7,638 6~100
6~300
13,513 13,938
. Pilot project Sanitary .engineer Scientist ( s.ocia 1 anthropologist) Total established posts Allow a noes : Local costs Localtravel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Supplies and equipment Estimated Government Contribution Total - TONGA VIET NAM HALARIA Ma 1aria 6dfitrol + i
137
894 853 1,081 609 250
894 860 1,115 628 4,250
3,690 42000 1~500 12,760 18,700 21,685 (42,000)(42~000)( ~} ) 2 2 2 -~
12 2 760
18~700
·21 2 685
1
1
3,042 333
7,394 800
Maldriologis~
--
Vi.etnam 1 P4
Post adjustment Allowances: Local costs Installation
450
',o
•;
Number o£ posts
'
'
<
' Technical Assistance "'
'
' ,,
,,
',
,,.,
,, ;
'' (I)
Other Extra-Budgetary ,Cb
Fund~:
Estimated expenditure '
Category I 1959
Categocy II 1958 1959 '
i$,.(
Estimated ~:x:pendit~r~ 1957 1958 ' 1959
57 1958 1959 ,'.'
1957 '' 1958
US$
US$
US$
US$
US$ MALARIA
US$ (Cont 1d)
US$
US$
'
458 750 227 243 137 900
1,100 1,800 546 592 333
T *~~ 1 1 2 1
250 6z540 12,815
Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Estimated Government Contribution TUBERCUJ.DSIS
)
r~~-
) _1,300 7,300 800 7,525 7,525 800
1
1. r---
.....
- -1 2 -
7,375 1,825 7,375 800
7,600 7,600 800
Tuberculosis control TB Specialist Thoracic Surgeon Total established posts Post adjustment Allowances: Local costs Installation Project service allowance Assignment allowance Loca,l t!'avel subsistence OthErs Service benefit Death and disability
_.....__~--·-
Viet nam 7 P4
Pit
600 540 82 1,100 480 546 590 332 1,100 480 549 608 342
450 1,100 480 545 584 329 1,100 480 548 602 339
p
"',•'•
...
~·
. ·"'
,.
''
Technical Assistance · · ~E$timated ex.penditv,re
Other Extra-Budgetary Fun<
''"'"''''""k
TUBERCULOSIS (Conttd)
900 250 3 '947 11,473 ( 132,960 ) 750 12.z229 ( ~H~ )
900 750 4~500
Travel: Recruitment and repatriation Home leave Fellowships Estimated Government Contribution ENDEMO-EPIDEt1IC DISEASES
16l988 12.!144
3,500 (
Fellowships Estimated Government Contribution
Viet. nam 13
~H~ )
PUBLIC HEALTH Am1INIS'T'RATION
4,500 (
Fellowships Estimated Government Contribution
Viet nam
13
-l:-l~
)
HEALTH EDUCATION OF' 'f'HE PUBLIC
4,500 ( ~~ )
Fellowships Estimated Govermrent. Contribution
Viet nam 13
MATERNAL AND CHI:r.J) HFJ\LTH
2 2 4
2 3 5
2 3 ... 5_
15,913 16,388 12 .!483. 15.!766 22,810 28,396 32,154 2,567 2,800
Demonstration and training centre ·Medical officer Publ~c health nurses Total established posts Post adjustment
Viet nam
3
··~·· :; Technical Assistance ~0~'··~·--~--~~--~------------------------o,~~is Estimated expenditure Category I Category II
Other
Extra-B~dgetary Fund~
Estimated expenditure
157 1958 1959 . 1957 US$
f:
1958 US$
1959 US$
1958 US$
1959 US$ !1ATERNAL AliD CHILD HEALTH ( Cont 1d )
1957 US$
1958
1959 US$
1,170 7,049 932 789 300 4,254 2,120 1,150 2,272 1,279 700 5,990 4,750 2,400 1,267 2,573 1,448 6,155 2,635 4,500 4z500
6,351
1,081 39,101 50.tl09 5b,l82 (428,571) (3 ,200) { ~M*- )
Allowances: Local costs Installation Project service allowance Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home Leave Fellowships Other costs Estimated Government C!ontribution Maternal and child welfare Supplies and equipment Children's hosnital Supplies and equipment O'T'HER PRO,JECTS l'1edical Faculty, University of Saigon and Health Technicians 1 School Professor on Preventive l\fedicine Post adjustment !:!:.<:.:~-~a.E:_.!2
7,000~*"
7,ooo{f- . _ __
1o,ood*' 1o,ooo~*" _ __
ll
1
1
3,042
7,413 800
7,638 800
P 4
O'T'HER PRO,JEC'l'S ( Cont 1d)
'60 900 369 1,100 546 593 334 1,100 550 611 344
2,205 250 750 275 _h350 6,851 12,386 11,793 (2oo,ooo)~oo,ooo)
Allowances: Local cost~ Installation Project service allowance Assignment allowance Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Supplies and equipment Estimated Governrrlent Contribution
(
~~
6
=
9
9 =
~9,899
80,508 93z019
33z988 12zl44
Tota 1 - VIET NN1 INTER-COUNTRY PROORC, r./fi'1ES HEI\LTH EDUCA'T'IOW OF 'T'HE PUBT..,Ir.
17,000 17,000
1
1
1
3,954 2,810
?,394
4,180
Health education tr<dninr:r course B:ea1th educator Short~t.erm
P4
consultant's fees
1,6.39
1,172
661
Aliow~·nces: Local costs Local travel subsistence
l't~t'"'""""'"' oo :7"'
0
0
~~'''
';;-"""''-'"'''
Category II
HEALTH EDUCATION OF THE PUBLIC ( Cont 'd )
277
326 592 333
182 334 188 3,350
1,235 2,470 1,000 2,300 1,109 593 22z725 38z003 11,926
Others $ervice benefit , Death and disability Travel: Short-term consultant Recruitment and repatriation Supplies arid equipment Reimbursement of income tax Participants
8z895
' ENVIRONMEN'l'AJ, SANITATION Env,ironmental .sanii:ation seminar Zone II Short-term consultants: Fees Travel Temporary staff Supplies and equipment Partic:i,.pants Environmental sanitation seminar Zone III Short-term consultants: ;<•,;:,: " Fees . Tr1;1v~l Temporary staff Supplies and equipm~nt T.fPRO 31
4,242 4,258 3,800 1,500 8,100 21,900
1ATPRO 31
2,800 2,600 8,487 .J,200 6,600 8,487
wESTERN PACIFIC Number of posts Technical Assistance Estimated expenditure Cate ory I Cate o II
j ENVIROW1ENTAJ, SANITATION ( Cont'd) Regional seminar on education and training of sanitation personnel Short-term consultants: Fees Travel Supplies and equipment Participants OTHER PR.O,JECTS Study group on social and preventive medicine Short-term consultants: WPRO S8
Other Extra-Budgetar.y
~
Estimated expenditure
1957 US$
19 8 US$
1959 US$
195.8 US$
1959 US$
195
4,200 7,900 12,100
2,200 26,955 29,155
--1 1 1
875 937 400 11,700 p,912 73,815 18,526 20,995
Fees
Travel Supplies and equipment Participants Total - IN'PER-COUNTRv PROGRA''ifi1ES
WORLD HEALTH ORGANIZATION WESTERN PACIFIC REGION I!
..
WP/RC8/4 PART I (REGULAR FUNDS) J
PROPOSED POOGRAMME AND BUDGET. ESTIMATES FOR THE 31 DECEMBER
FINANCIAL YEAR 1 JANUARY l 9 5 9
--.-O-n-LD HE.Al"'fH O~GANIZ.:\TION REGIONAL OFFICE FOR THE WESTERN pACIFIC
~-~-------,
.... ~XPENDITURE
INCLUDING ESTIMATED FOil PROGRAMMES FINANCED FROM OTilEI\ EXTR MANILA, JULY 1957
[_B::U~D:G:ET~A~~~~~~~!!:tA~R_Y_ _ __,
I Narrative Introduction Summary Regional Office Regional Advisers Area Representatives .American Samoa Australia :British Solomon Islands Protectorate Cambodia China Cook-Islands Fiji Hongkong Japan Korea VI VI VII VIII II II II III III III IV IV I Tables
N D E X Narrative Laos IX Tables
23 24 25
1 2 6 8 9 10 10 12 14 17 17 18 19 22
Macao Malaya New Caledonia New Zealand North :Borneo Papua and New Guinea Philippines Singapore Timor Tonga Vietnam Western Samoa West New Guinea Inter-Country Programmes Inter-Regional X XI XIV XIV XIV XIV XV XV XVI XVIII X X
26 26 27 28 29 34 35 35 36 38 38 40 45
INTRODUCTION The Regional Director has the honour to submit to the Regional Committee the Proposed Programme and Budget Estimates for the ltJestern Pacific Region for 1959 but, limited to activities to be financed from Regular and/or Other Extra Budgetary Funds. It is not possible to include in this document the programme and budget estimates for 1958 and 1959 to be implemented under the United Nations Expanded Programme of Technical Assistance for Economic Development of Underdeveloped Countries as a result of procedures adopted by the Technical Assistance Board. The main reason is that it was not known at the time when this document had to be· distributed whether the projects discussed bet-vJeen the Regional Office and government representatives had been approved by~ the national co-ordinating bodies for inclusion within the country target figures. It Hill be noted that previous years' budgetary estimates are given for the year of operation, that is 1957, and also for 1958 and 1959 toeether Hi th a detailed breakdoHn of various cost elements for each' individual project. The amounts listed under 1957 represent expenditures incurred during the first half of 1957 and estimated additional requirements for the second half of the same year. In accordance \<Ji th the resolutions of the Executive Board and the World Health Assembly, new staff rules 1i-Jere approved revising the salaries and allm1ances and, therefore, the castings which are shown in Official Record 74 differ from those now indicated for 1957 and 1958 in this document. The resolutions provided that the neH allowances would go into effect for the Hegional Office and other offices as of 1 January 1957 and is proposed for projects as of 1 January 1958. The Tenth \'l!orld Health 1\.ssembly, in considering the 1958 budget, approved a reduced budget ceiling over that recommended by the Director-General. Official Records 74 was based upon the Director-General's tentative allocation and, therefore, document WP/RC8/4 is based on the revised allocation for 1958 and tentative allocation for 1959.
The proposed projects for individual countries in 1959 are in conformity ovith requests received from governments. Activities indicated under the heading of n Inter-Country Programmes" are based on requests from one or more governments, or represent proposals submitted by the Regional Director for the consideration of the Regional Committee.
Due to the resumption of active participation in the vJorld Heal Organization of some of the inactive members, the Supplemental projec· that Here shown in last.year's document have been provided for within the revised allocation or added to the Supplementary List of activities. In addition, further requests from various governments which could not be accommodated in the 1959 Hegular bt'Klget have also been provided for in the Supplementary List. of act.ivities. The column headed 11 Other Extra-Budgetary Funds" represents amounts expected to become available from other international and/or bilateral sources. Amounts vrhich have already been allocated by the UNICEF Executive Board have been marked with an asterisk. In actual fact it is known that the amounts listed in this column do not adequately cover the considerable assistance which has been, or will be, given by bilateral sources towards the implementation of the projects This is the result of the different budget cycles of other agencies to that of WHO Hhich makes it virtually impossible to provide more exact figures. Consequently, wllHe it is comparatively easy to obtain the cost of assistance given in the past, or estimated to be forthcoming during the present budget period, it; is not possible at this time to ventLr e an estimate of all funds th<t will be made available during 1958 and 1959. vJherever information has been supplied, the estimated amounts of goverru11ent expenditures towards the implerrentation of projects hav1 been shown under the relevant year and project. Should further information become available, approprm te adjustments . vJill be made in the final document. The. Proposed Progr~e and Budget Estimates for 1959 will, after consideration by the Regional Committee, be transmitted to the Director-General for subsequent submission to the T1-renJliy-first Sessio1 of the Executive Board and the Eleventh World Health Assembly.
REGIONAL OFFICE r
The staffing pattern has been retained at the same level as
~958. It is anticipated, however, that additional custodial and ~aintenance staff 1dll be necessary when the office moves to tre ~ew building, tentatively scheduled for the latter half of 1958.
purpose of duty travel is to enable direct advisory services to governments and also to assist them in the detailed planning, development and use of field programme. Common Services The estimates for Comrnon Services in 1959 are maintained at the sam.e level as that for 1958. A.REA REPRESENTATIVES 'I'he number of personnel in 1959 is maintained at the same level as that for 1958. St ' · ·at·u-c.ory 1ncreases for the staff have been accormnodated in a lower overall estimate for 1958 mainly due to the reduction and home leave requirements for that year. Duty Travel Provision is made for duty travel at the same level to a11ow these officers to visit countries -vJithin the areas serviced by them. Common Services Provision is made for estimated expenditure with respect of cab~es, postage, minimal capital asset requirements etc •. The estlffiates for Common Services in 1959 is maL ntained at the same level as that for 1958.
pn the other hand, it is expected that the other United Nations ~gencies, who will be housed in the same building, will offset
some of these costs. )uty Travel , No appreciable difference in the costs of duty travel is ~nvisaged for 1959, even though regional activities are gradually ~xpanding over a greater area. 'rhe Hegional Director and senior ~echnical staff -vnll again visit many of the countries and terri~ories during the year in order to discuss policies with individual ~overnments and, where appropriate, 1:.-ri th UNICEF representatives and, ~n addition, maintain liaison with field staff and evaluate progress l1ade. Provision is made for the administration perso1mel to make ~imited visits to certain countries in the Region for administra~ive discussions -vrith governments and also to examine personnel woblems. Provision is also made for the Public Information )fficer to visit some projects. ~orrnnon
Services
The estimates for cormnon services in both 1958 and 1959 have been increased within the regional office allocation. The increase, iowever, only represents estimates for acquisition of capital ~ssets in respect of the transfer to the new building. REGIONAL ADVISERS The ten posts of regional advisers in the various fields aave been maintained at the same level as 1958. Duty Travel 1
The reduction applied with respect to provlS10n for duty pravel in 1956 has been more or less maintained. The general
AMERICAN SAMOA ENVIRONMENTAL SANITATION American Samoa 1 MALARIA
BRITISH SOLOMON ISLANDS PROTECTORATE
Malaria Control The Government of the United States of America has requested assistance in a combined project for environmental sanitation and health education in American Samoa. It is desired to utilize modern techniques of environmental sanitation and health education in organizing a co-ordinated programme in the Samoan islands which will be integrated into the total public-health programme. It is proposed that WHO should provide the services of a sanitary engineer and health educator for a period, in the first instance, of one year to begin in 1959. Two twelve-month fellowships for study and observation within the Western Pacific Region are also provided, one for environmental sanitation, the other for health education. Considerable emphasis is expected to be placed on training local personnel. The cost to WHO will consist of the international personnel (US$23,616), two fellowships ($6,400 ) and equipment and supplies ($1, 500 ) • AUSTRALIA PUBLIC-HEALTH ADMINISTRATION Fellowships (~trengthening of Health Services)
British Solomon Islands Protectorate 2
Malaria has been a major public-health problem in the Protectora Out of a total estimated population of 100 000 1 only a few hundred people live in non-malarious areas. The disease is hyperendemic in most areas; in Guadalcanal, for example, over 600 children examined in 1957 had enlarged spleen. Lack of a sufficient number of trained personnel and funds for supplies and equipment, as well as the existence of other important public-health problems, has prevented the Afuainistration from undertaking an intensive antimalaria campaig
Following a request from the Government for assistance, provisio has been made in 1958 for two fellowships, one for three months and another for six months, to train local personnel in malaria control methods and procedures. It is anticipated that laboratory supplies and equipment, transport, insecticides and sprayers worth about $12,000 in 1959 ~d $8,000 in 1960 will be provided from other extr budgetary sources. Provision has also been made for the services of the international malariologist in 1959. Total estimated cost to WH is $12,216 for 1959. It is expected that with the international malariologist, the fellowships and the necessary supplies and equipment, the Government will be in a position to plan an intensive antimalaria campaign with a view to controlling the disease and laying the founetation for its eradication. NURSING Nursing Education
Australia l
British Solomon Islands Protectorate 3
Provision has been made, at the Government 1 s request, for two fellowships for Australian public-health personnel to take postgraduate study abroad, and to return to the public-health services in Australia, thus strengthening the National Health Administration. The cost of both fellowships to WHO would be $1..1,000. The fellowships would commence about September l-959 and end in August 1960. The Government's contribution would be the payment of . fellows' salaries during their absence on study abroad.
The Government of the British Solomon Islands Protectorate is attempting to strengthen the central health services, some of the major health problems have been attacked, the main government hospit was rebuilt in 1955, one new district hospital has been built and t~ others modernized. Another phase in the development of the health services is provision for training of personnel for nursing service. A three-year course for medical assistants (district dressers) was started in 1953 and a school of' nursing for native nurses was opene~ in 1957. The Government has requested WHO assistance in providing one sister tutor to assist with the nursing education programme f'or
period of two to three years starting early in 1959 during which liime government personnel vdll be prepared to continue the programme :t.fter the vdthd.:rawa.l of WHO assistance. 1
::~. limited amount (not exceeding $750) for supplies and equipment.
Provision is, therefore, made for a sister tutor ($7,562 ) and
The Government's contribution will be operational expenses of the school, the salaries of counterpart personnel and physical facil:i. ties • CAMBODIA VENEREAL DISEASES AND TREPONEMATOSES rreponematoses Control
Cambodia 8
develop the established programme of theoretical and practical instruction for (a) student nurses (government school), (b) student midwives and (c) rural midwives. Assistance in the future Will be given in the establishment of professional schools of nursing and midwifery and in providing refresher courses for both groups. Because of the expansion of the programme to include training on both the professional and auxiliary level, provision is made, in 1959, at the request of the Government, for one additional nurse educator (general) to assist with the development of this programme. Estimated cost to WHO for personnel in 1959 is $38 760. Provision is also made for four fellows4ips of twelve months each ($22 000) in the supplementary list of activities for advanced preparation of counterpart personnel. Assistance has been received from UNICEF and the United States International Co-operation Administration (ICA) in equipping the nursing school, demonstration wards and health centre. Two fellowships of twelve months each for overseas study were awarded by ICA in 1956 and two were offered for 1957. CHINA
The venereal-disease and treponematoses control project which was planned to commence in 1957, could not be undertaken because of unforeseen circumstances. It is anticipated that a control project for yaws will be commenced in 1958 and it is proposed to cant inue provision of a medical officer to help the Government strengthen this project and plan the consolidation and integration of the work into the routine work of the health services. Provision is also made for a twelve-month fellowship for a medical officer to study public health and venereal-disease and treponematoses control. Estimated cost in 1959 is $17,864. It is anticipated that assistance for supplies and equipment will be obtained from bilateral funds. With the control of yaws in the neighbouring Thailand and Laos well underway with their established yaws control projects, the importance of controlling the disease effectively in Cambodia increases.
TUBERCULOSIS Tuberculosis Control
China 17
The energetic control progrrunme, carried out by the Government for nearly ten years with some assistance from outside sources, continues to expand in scope and to increase in effectiveness. Assistance from the Organization, which has been provided in·termittently since 1951, will continue in 1959 and provision is made in the 1959 regular budget to continue the services of the WHO senior adviser, for $4000 worth of supplies and equipment, and for a sixmonth fellowship in medical statistics for study in the United States of America, at an estimated cost of $21 829. A short-term consultant in statistics for three months and a six-month fellowship in bacteriology have been included in the supplementary list of activities, at an estimated cost of $7250. The purpose of these measures is to assist the Government in expanding and strengthening the control progra.mrne which has already achieved notable results. It is expected that further aid, to an extent not at present known, will come from other international and bilateral sources.
NURSING Nursing Education
Cambodia 3
The aim of this project, which began in 1951, is to assist the Gove:r:nment to improve the quality and ~ncrease the number of nurses and midwives. WHO is providin~ a team consisting of a senior nurse educator, two nurse educators {general nursing) and one nurse educator (midwifery) until local counterparts are qualified to take. over greater responsibility. The team will continue to guide and
VENEREAL DISEASE AND TREPONEMATOSES
Venereal Disease Control
China 1
MENTAL HEALTH Fellowships
China
~
During 1955/1957 the WHO medical officer helped the Government with the continued training of the personnel involved and with the strengthening of the comprehensive programme developed with the assistance of WHO and UNICEF and based on the permanent health facilities of the country. At the request of the Government, approval was granted for him to assist the Government to explore the problem of leprosy and its control in the country. During 1958 and 1959 it is proposed that he should be retained to assist in consolidating the training of personnel involved in the project as well as medical and nursing personnel in private practice, thus intensifying the attack on the diseases, and advising on the integration of the work into the routine activities of the health administration. He will also continue to advise the Government on the problem of leprosy control. Provision is therefore made in the regular budget for continuation of the expert's services in 1959 and $250 worth of supplies and equipmentj estimted total cost is $21 860. Provision is also made in the suppletlentary list of activities for three regional short-term fellowships for medical officers and public-health nurses and one twelve-month fellowship for a medical officer, at an estimated cost of $13 300. The project is receiving assistance from UNICEF and bilateral agencies. PUBLIC }D@ALTH ADMINISTRATION Fellowships
On the recommendation of WHO consultants, a child guidance clind has been established in Taipei and an expanded programme of demonstx tion and training was launched in 1957 after tbe associate professox returned from his WHO fellowship.
At the request of the Government, provision is made in the 1959 regular budget for a twelve-month fellowship in psychiatry (Estimate cost to vliiO is $5500). A twenty-four-month fello-wship in psychintrj social work to strengthen further the services has been included in the supplementary list of activities. NUTRITION
China ;
Nutrition is an important field which has caused concern at1d attracted the attention of health and education workers. in Taiwan, both government and voluntary. A vT.HO fellowship in nutrition vms awarded and a nutritionist attached to the maternal and child health project. Sample surveys have been made. In 1956, a national nutrition conference sponsored. by health, education and agriculture branches of the Government and attended by fifty representatives from over twenty agencies, recommended that the nutrition laboratory of the National Institute of Health be expanded and analysis of local food items and dietary surveys be undertaken. The Government has requested a twelve-month fellowship in 1959 and provision has been made accordingly. The estimated cost to WHO is $5500. Equipment worth $3000 to assist in the implementation of the above recommendation has been included in the supplementary lisi of activities. OTHER PROJECTS Fellowships (Peaceful Use of Atomic Energy)
China 28
In the past, selected medical officers of health and publichealth nurses have gone abroad on fellowships avrarded by WHO and other agencies. It is believed that after their return with new knc;>wledge and experience, the health services have been strengthened. The Government has requested eight such fellowships in 1959 for medical officers of health and public-health nurses. Provision is made in the regular programme for one of these six-month fellowships (estimated cost $3500), the remaining seven have been placed in the supplementary list of activities.
China
~
The Government has established an 1nstitute for atomic medicine responsible for research, teaching and clinical service. A large, .$1 of money has been set aside for buildings, equipment and for perso111 The main buildings have been completed.
The Government has requested three fellowships; two for physitwelve months each and one for six months for a hospital ~hysicist. Provision has been made in the regular programme for bne twelve-month fellowship (estimated cost $5500); the remaining ~ellowships have been placed in the supplementary list of activities. ~ians,
tustitute of Public Health
China 27
dental practitioners for government service in Fiji and the adjacent territories in the South Pacific. At the Government's request provision was made in 1955 and 1956 for two lecturers - one in ' physiology and biochemistry and the other in biology - to strengthen teaching of the basic sciences and to train local staff to assume these duties on withdrawal of the international staff. In addition, two fellowships for three years were provided to train junior Fijian lecturers in physiology and biology at the University of Otago. The Government has requested an extension of the project in its present form until the end of 1959. While the physiology fellowship will end in 1959, the biology fellowship is to continue through 1960. In addition, provision is made for $2000 of supplies for the Department of Physiology and Biology. The total estimated cost to WHO is $34 558. The Government's contribution to the project is provision of laboratory facilities, staff, students and the expenses related to the operation of the School. HONG KONG PUBLIC-HEALTH ADMINISTRATION Fellowships (Dental Health)
, In the three years ending March 1957, the Institute of Public [ealth of the National Taiwan University College of Medicine con~ucted fifteen classes each of two months duration. Most of the ~34 physician trainees were drawn from the health centres and ~tations. By June 1957, 8o% of the health centre and station physicians will have been trained. }
1
The Institute is making plans, in collaboration with the Provincial Health Administration and with the financial assistance ~f the Joint Committee on Rural Reconstruction and the United States ~nternational Co-operation Administration, for a one-year course ~o begin in 1958• At the request of the Government, provision was ~ade in 1958 for two twelve-month fellowships at a cost of $10 000. ~ additional six-month fellowship and $3000 worth of supplies tave been included in the supplementary list of activities.
Hong Kong 13
For 1959, the Government has requested two short-term conlultants, one in epidemiology and the other in health education, ~ach for six months, and two fellowships in public-health ~dministration, one for six months and one for twelve months. ?rovision has been made in the regular programme for the sixlonth consultant in epidemiology and one twelve-month fellowship ~t an estimated cost to WHO of $13 000. The Regional Adviser in tealth Education will assist the Government in lieu of the other ~onsultant and the second fellowship has been placed in the ~upplementary list of activities. FIJI
Early in 1956, a WHO short-term consultant visited Hong Kong to assist the Government in assessing dental-health problems and needs and the available resources. His report contains the following; 11 • • • • • it is probably unnecessary to stress the advantage of employing school dental nurses ••• ". 11 • • • • • I learned that already the inadequacy of the present service had been recognized by the authorities •••• ". "This suggests the wider use of school dentalnurse personnel as a means of dealing with the dental care of children in Hong Kong, as is being done already in the Federation of Malaya and elsewhere in the East. 11 The Government accepted this recommendation and has asked for five fellowships, each for two years to train dental nurses. Provision is now made for these fellowships, two in the 1958 regular budget (estimated cost $111 000), one in the 1959 regular budget (estimated cost is $5500) and two in the supplementary list.
~THER
~entral
PROJECTS Medical School
Fiji 2
The Central Meq;tcal School, Suva, trains assistant medical and
JAPAN . PUBLIC-HEALTH AOONISTRATION Fellowship (Control of Cardiovascular Diseases)
MATERNAL AND CHILD HEALTH Poliomyelitis and Rehabilitation of Crippled Children Japan 18
Japan 1
In Japan, progress is being steadily maintained in the field of public health. Most of the acute communicable diseases are fairly well under control. Attention has been drawn to chronic diseases which have increasingly become the cause of much disability and death among older people. The Government is taking appropriate steps towards the prevention and treatment of cardiovascular diseases and has requested a six-month fellowship in the United States of America in 1959 for a candidate to observe the programmes that are in operation there. The estimated cost to WHO is $3500. HEALTH EDUCATION OF THE PUBLIC Fellowship
Assistance from WHO and UNICEF to this programme has included visits by a consultant in 1952, 1953 and 1957, six fellowships, equipment and supplies. Comprehensive services have been establishe for the rehabilitation of children with orthopaedic handicaps. The Government proposes to extend activities to include services for children with non-orthopaedic handicaps, such as defects of hearing or sight. Provision is made for one fellowship to study the organiz tion and administration of programmes in these special fields at an estimated cost to WHO of $3500.
MENTAL HEALTH
Japan·~
Japan 18
The Ministry of Health and 1/lelfare, Japan, recognizing that health education is an indispensable part of its public-health programme and that modern health education is based on the behaviour sciences as it is on the natural sciences, wishes to improve the training of the health educators working in local health centres. The Ministry, therefore; proposes that a person with experience in local public-health administration be selected to study health education abroad to prepare him to assist with the organization and conduct of in-service training courses for local health educators and to serve as a faculty member for the health education courses. Provision is therefore made for a twelve-month fellowship in health education at a recognized school of public health in the United States of America to start about September 19591 and continue to August 1960. This will cost the Organiza..:. tion approximately US$5500 for travel, book allowance, tuition and living stipend.
In recent years the problem of mental health has been given increasing attention in Japan. WHO has already assisted the NationE Institute of Mental Health in strengthening its clinical services at its in-service programme by providing a short-term consultant, fellc ships and medical literature. In view of the fact that the library the National Institute of Mental Health still requires strengthenine $1000 haN been provided in the 1958 regular programme for supplies E equipment; an additional $500 has been included in the supplementarj list of activities for the same purpose.
In order to assist the Government in training workers for the 1~ child guidance clinics, provision was made in the 1958 programme anc budget for two fellowships; one in the organization and management < mental health consultation services and the other for study of diag. nostic and.advisory services with particular reference to methods i! testing children. l
Juvenile delinquency in Japan has become a problem of the first magnitude. In 1953 1 the Director of the National Juvenile Training School went on ~ WIIO short-term fellowship. He is now convinced tru early institutionalization and guidance would be better than domici. liary treatment. A .request has been received from the Government f< a six-month fellowship in 1959 for a psychologist to study case
lassification and clinical guidance·of juvenile delinquents in ~sti tutions and :provision for this· is accordingly made. Estimated bst to WHO including $1000 for su:p:plles is $4500.
Fellowship (Medical Specialization)
Japan 18
rHER PROJECTS ~llowshi:p (Habit-Forming Drugs)
Japan 18
Since the end of World War II, Japan has been faced with the roblem of habit-forming drugs. Of great seriousness is the widepread abuse of amphetamine, popularly known as "wake-amine".
Japan is more fortunate than many other countries in the Region as regards the quantity and quality of medical and public-health institutions and manpower. However, although many '\vorlters are branching out into special fields, the machinery for establishing minimum requirements in qualifications and experience, and the certification of specialties (specialty'boards) is not well developed. Last year, the Government requested a six-month fellowship in 1958 to enable its holder nake a study of the system in the United States of America. This was included in the supplemental programme and budget. The Government has once again emphasized the importance of this fellowship and provision is therefore made in. the 1959 prograrmne and budget for such a fellowship (estimated cost $3500) in case this cannot be awarded in 1958. ) KOREA ENDEMO-EPIDEMIC DISEASES Fellowship (Parasitism Control)
During the :post-war period 1945-191~9, when amphetamine was railable to anyone, it was used by students who desired to be )re effective in study or in sports, by night workers for over)ming sleepiness, and by others for curiosity's sake. Since 1948, 1e number of misusers has increased markedly. Addiction is com~1est runong those in their teens and twenties and there has been corresponding rise in juvenile delinquency and crime. A. survey L954) found that 33% of juveniles confined in reformatories, were uniliar with the use of amphetamine.
At the request of the Govermnent, provision for a six-month :!llowship in control of habit-forming drugs has been made at an 3timated cost to WHO of $3500. Japan 18
Korea 10
;lllowship (Laboratory Animal Strains)
Repeated surveys have shown that intestinal parasitism among children is high, sometimes over 90%. It is not known whether this is " the result of poor sanitation, special food habits, deficient health education and school health or a combination of some or all of the factors. The Government has requested a six-month fellowship in 1959 and provision is made accordingly at an estimated cost of $3500. Fellowship (Leprosy Control) Korea 10
In Japan, it is considered that the desired quality and standard equipment and reagents required for the production, testing and ssay of biological products have been attained. ~sting
l
It is however acknowledged that accuracy and consistency in and assay could be t~ther assured if animals of uniform trains were available. The Japanese Government. has therefore ~quested a six-month fellovrship in the United States of America in 959 for a candidate from the National Institute of Health to study :d.ection, raising and distribution of such animal strains.
J.
The National Institute of Health is responsible for guidance and supervision of production, testing and assay of biological roducts. Provision is, therefore, made iri the regular budget for six-month fellowship at an estimated cost of $3500.
In Korea, there are over forty leprosaria and leprosy colonies with an estimated 22 000 inmates. Roughly 46% of the national health budget is spent on food subsidy for these people. Further, it is not known how many undiscovered leprosy cases there are outside of the institutions. The Government plans to establish leprosy mobile clinics to give health education, study the epidemiology of the disease, discover new
cases, re-examine and re-classify the cases in the leprosaria and leprosy colonies, supervise their treatment and rehabilitate and return them to society. Although leprosy workers have been trained with the aid of WHO fellowships, there is still a shortage of trained workers. The Government has requested a six-month fellowship in leprosy control in 1959 and provision is made accordingly in the regular programme at an estimated cost of' $3500. PUBLIC-HEALTH ADMINISTRATION Fellowships
the 1958 programme & budget, the one for 1959 is included in the supplementary list, together with the second priority fellowships two in maternal and child health and one in epidemiolo~y, all ' twelve months each. /MENTAL HEALTH
Fellowships
Korea 10
Korea 10
The WHO/UNKRA Health Planning Mission recommended the reorganization of the public-health dispensaries so that ultimately they would function as health centres. The plan now is to have about 18o such centres. Training activities are in progress at the natiolli~l urbanhealth centre and in 1957, it is expected to train personnel to strengthen the staff of forty dispensaries which will then be upgraded to health centres. The Government, with assistance from the United States International Co-operation Administration (ICA), plans also to establish a new institute of public health and new demonstration centres for urban and rural health. WHO has been requested to assist in the preparation of instructors. Provision has been made in the 1958 regular programme for'a six-month fellmvship in vi tal and health statistics and a twelvemonth fellowship in public-health administration. Three fellowships one each in public-health administration, health education and p~blic-health nursing, were included in the supplementary list. The Government has requested five fello~<rships in 1959, first priority being for a fellowship in public health statistics and one in health education; and second priority for three fellowships, two in maternal and child health and one in epidemiology. Provision is mada in the 1959 programme and budget for a twelvemonth fellowship in health education only. Estimated cost to WHO $5500. Since a fellowship in vital and health statistics appears in
Owing to the hostilities and the resulting mass movement of population, there are enormous mental health problems in Korea. In response to the Government's request for assistance in training personnel for its mental health services, provision v1as made in the 1958 supplementary programme and budget for a twelve-month fellowship in mental health. This fellowship is now provided for in the 1959 regular programme. The esti:m.ated cost to WHO is $5500 LAOS MATERNAL AND CHILD HEALTH Demonstration an& training centre Laos 6
The infant mortality in Laos is estimated to be high and the m'J.ternal mortality is not known. The Government plans to develop hospital and medical care facilities· to establish preventive healt services for mothers and children, and also to train various categories of personnel needed for this work. A medical officer ~s awarded a fellowship for twelve months in 1954 and received training in paediatrics and maternal and child health in Cambodia. In 1958, provision is made for a medical officer, a senior nurse educator, two public-health nurse/midwives, and supplies and equipment. The personnel will continue throughout 1959 at an estiDnted cost to WHO of $34,459· From 1959 on~rds it is expected that supplies and equipment will be provided from other extra budgetary funds. Negotiations are under way to investigate possible sources from Which they migb be obtained.
NEW CALEOONIA HEALTH EDUCATION OF THE PUBLIC ;Fellowship New Caledonia 1
ENVIRONMENTAL SANITATION Fellowship
New Zealo.nd 1.
The Government of the Territory of New Caledonia is working 'continuously to improve the standard of its public-health services. It is recognized at the same time that the people must have a correct understanding of, and interest in, these services if they ~re to be effectively utilized. Also, health workers on the whole must, as a part of the work, lmmv hmv to develop desirable health attitudes and practices among the people, based on their bustoms and patterns of life. A health education specialist is needed to assist the health personnel with this \Tork, through training prograrmues, advisory and consultant activities and the organization of a health education programme for the Territory. The Government has, therefore, requested that a medical officer and a nurse receive overseas tr~ining in health education. It is proposed that this training be given in the United States of America at a school of public iealth for a twelve month period. Provision is made in the regular programme for the fellowship for the medical officer and the fellow~hip for the nurse has been 'included in the supplementary list. The estimated cost to ~~0 in 1958 is $5,500 for the medical officer ~ellowship.
The Principal Health Inspector of the Department of Health in New Zealand is responsible for supervision of environmental sanitation activities of both national and local personnel in health departments. It is proposed that this senior officer be given the opportunity of observing and studying administrative and technical practices in other countries of the world in the field of environmental sanitation. The experience gained would be utilized to strengthen national and local environmental sanitation services in New Zealand. A fellOivship of four months' duration either in Europe or the United States is proposed at a cost to WHO of $,3200. OTHER PROJECTS Fellowships (Rehabilitation Physiotherapy) New Zealand 1
NEW ZEALAND N'URSING ~ellowship
The Government requests in 1959 a four-month travelling fellowship for the Inspecting Physiotherapist of the Department of Health to observe the operation of physiotherapy in hospitals in Europe and United States of America including recent advances in this field. It is expected that the officer, after gaining experience in this field, will be in a position to improve this type of services provided in the New Zealand hospital system. Estimated cost to WHO is $3200. be payment of the fellow's salary. The Government 1 s contribution will
New Zealand 1
~ fellowship of four-months' duration, plus long-distances travelling ~ime, for a nurse instructor to study post-graduate and basic nursing ?ducation programmes and modern trends in public-health nursing and iursing service administration in Canada, the United States of America ~nd· Europe. The estimated cost to WHO is $3500.
At the request of the Government provision is made in 1959 for
PAPUA AND NEW GUINEA PUBLIC HEALTH ADMINISTRATION Fellowships Papua and N~w
Guinea 6
The candidate has held senior administrative posts in New Zealand tnd is now an instructor in the Post-Graduate School of Nursing. This ~ellowship study is requested as preparation for assuming a position ~f greater responsibility in 1960.
The Government requests provision in 1959 of a six-month travelling fellowship for a senior medical officer of the Territory to visit and observe successfully-functioning public-health administrations in the less highly developed areas of South-East Asia and Western Pacific. It is expected that the experience gained will be of benefit in the planning and implementation of similar projects
within the Territory. The cost to WHO is estimated at $3500. The Government 1 s contribution to the project shall be payment of the officer's salary during the fellowship. ENVIRONMENTAL SANITATION Fellowships Papua and New Guinea
return to the Department of Health, will prepare specific plans for rehabilitation in tuberculosis control in the Philippines. One twelve-month fellowship is requested for a nurse to study public-health nursing related to tuberculosis control. The Government desires that the study be undertaken in the United States of America and Scaridinavian countries. The Government's total contribution would be $5200. Provision is made in the 1959 regular progrrumne for the publichealth administration fellowship ($3500), the other two fellowships have been included in the supplementary .list of activities ($9000). ENDEMO-EPIDEMIC DISEASES Fellowship (Leprosy control) Philippines 49
6
The Government requests provision in 1959 of a six~month travelling fellowship for the senior officer of the Territorial Health Administration to visit and observe rural environmental sanitation in the African territories and study means used for health education in the areas observed. The estimated cost to 1-lliO is $38oO. The Government's contribution to the project will be the payment of the officer's salary during the fellowship. PHILIPPINES TUBERCULOSIS Fellowships Philippines 54
The Government of the Philippines, in accordance with its national framework of tuberculosis control and in order to strengthen tllis aspect of the public-health services, requests the Organization to provide, starting in May 1959, three fellowships in tuberculosis controL One six-month fellowship is requested for a senior medical officer of the public-health administration to observe in the United States of America tuberculosis control with all its public-health administration implications and the way of integration into the local health department's .work. It is expected that the candidate, who is the Chief of the Division of Tuberculosis, on his return to the Department, will be in a better position to implement extensive tuberculosis control progrrumnes in the country. One six-month fellowship is also requested for a physician to study rehabilitation in tuberculosis in the United States of America and Scandinavian countries. It is expected that this doctor 1 on his
The Government of the Philippines has an outstanding organizat~c for the detection and treatment of leprosy patients. The rehabilit~ tion phase of leprosy patients, however, needs strengthening, particularly in the field of plastic surgery and .the rehabilitation of crippled leprosy patients. A twelve-month fellovTship to start in 1959, is requested by the Government for study abroad in plastic surgery techniques as applied to the rehabilitation of leprosy caseE It is expected that on completion of the fellowship the candidate will utilize the knowledge gained in this special field for the. rehabilitation of the crippled leprosy patients at the leprosarium or at a specialized hospital. ~he estimated cost to WHO is $5500. The Government's contribution to this fellowship is the provisic of the candidate's salary and physical facilities for his work. PUBLIC HEALTH ADMINISTRATION Fellowship Philippines 54
The Government of the Philippines requests in 1959 a twelvemonth fellcwship in public-health administration with emphasis on the rural and university health services for the Director of Health Services of the College of Agriculture of the University of the Philippines at Los Banos, Laguna. The candidate is actively engaged in the teaching of health topics at the College of Agriculture and at regular courses for community development. It is expeci
bhat the studies leading to the Master of Public Health, the ~xperience gained in university health services during nine months tn the United States of America and three months with rural health ~ervices in India will contribute qualitatively to the :planning ~nd conduct of similar services and teaching in the Philippines. Sstimated cost to WHO is $5,500. lrtJ.RSING fellowships l
Eatima,ted cost to WHO would be $3500. bution would be $3900. MENTAL HEALTH Fellowships
The Government's contri-
Philippines 4
Philippines 54
During the :past five years the training :programme for health personnel particularly for nurses and midwives, and the health kervices available to the people of the City of Manila have ~teadily expanded. There are now fourteen training centres with ~ighteen :public-health nurse instructors and three nurse super[isors; in addition there are eleven domiciliary obstetrical pervice centres and a premature infant care centre and home sertice. These training centres are being used by eight schools of ~ursing, nine midwifery schools and by the rural health units of ~he national government for public health and midwi~ery experience. 1
The Government of the Philippines requests extension of the services of the mental health consultant until the end of 1958. This request is based on the extensive and complex task which is facing the WHO consultant in connexion with the organization of the Division of Mental Health, in ~aming the Division's activities, reorganization and improvement of the National Mental Hospital in Manila, and in the preparation of training of personnel in the mental health field. As the mental health programme is receiving a high priority in the national health policy of the Philippines, the Government requests the modification of the original request for the WHO mental health expert from one year to two years. It is expected that during the second year of the expert's assignment, the consolidation of work can be done and the programme of mental health placed on a sound basis. Provision is also made for two fellowships in mental health, the field of study of one of which is in psychiatric social work, the other to be decided after the Government has considered the recommendation of the mental health expert. A small amount ($250) has been provided for books. The Government has further requested the following fellowships as part of its expanding programme of mental health in 1959: 1. A two-year fellowship in the public-health aspects of mental health in the United States of America and the United Kingdom for a senior government medical officer, who will be responsible, through experience gained, for integrating mental health into the general public-health activities of the urban health departments and rural health units. Cost to WHO would be $7000. The Government's contribution would be $3000.
l To keep abreast of modern trends and to. improve this service rurther provision is made at the request of the Government for a )ix-month fellowship in 1959 to allow a senior nursing officer of ~he Manila Health De:partiT~nt to study public-health nursing and ~dwifery activities in the United States of America and the United tingdom. Estimated cost to WHO is $3500. ;
~OCIAL AND OCCUPATIONAL HEALTH fellowships ;
Philippines 54
The Government of the Philippines requests provision in 1959 tor a six-month fellowship in the field of industrial medicine in the United States of America. It is intended to give specialized ~raining to the senior medical officer of the National tevelopment ~ompany, which is the largest government industrial company engaged In agricultural and manufacturing activities and which maintains an }xtensive medical service department. It is anticipated that the fellow, on his return, would be in a position to improve the organi~ation and functioning of the industrial health services.
2. One twelve-month fellowship for study and observation in Psychiatric nursing in the United States of America and the United
Kingdom. Interest in this field was stimulated by the WHO psychiatric nurse consultant Who visited the Philippines recently. It is expected that experience gained by the fellow can be utilized in upgrading psychiatric nursing services in the National Mental Hospital. Cost to WHO would be $45()0. The Government's contribution would be $1200. ENVIRONMENTAL SANITATION Philippines 43
A reorganization of the Department of Health has placed increased responsibility upon the Division of Environmental Sanitation. A long-term plan for environmental sanitation activities, now being reviewed, provides for a thorough study of existing laws and sanitary codes, field pilot operations to solve the problems of rural and semiurban areas, the centralization of activities in regional offices, the appointment of provincial sanitary engineers, co-ordination with other divisions of the Department of Health, and the strengthening of training activities. A WHO s.ani tary engineer is. pres.ently assigned under this. project to the Department of Health and the Ins.titute of Hygiene for assis.tance and advice on the activities of these agencies. At the request of the Philippine Government, provision has been made to continue this assistance (estimated cost in 1959, $14,688). Two s.ix-month fellows.hips have been provided to enable staff members of the Department of Health . . . to s.tudy urban and rural sanitation problems., at an estimated cost of US$7000. An amount of $1000 for equipment and supplies is also provided for in 1959~ Environmental sanitation training Philippines 51
A significant number of communicable diseases in the Philippine which are susceptible to control by environmental sanitation are causing excessive death and illness which retard the econOillic development of the country. Statistical 'figures available in the Bureau of Healt4 reflect the need for a better contr~l of the envi~ ronrnent. Morbidity rates due to diseas.es ass.ociated with water and food, and those caused by parasites and spread by some environmenta factors., rank seoond and third respectively among all disease group and have consistently maintained a high rate the last five years. It is cons.idered that the improvement of sanitation would prove to be a sound investment in terms of economic and social well-being of the nation. The public-health regional training centres. of the Philippine Government provide a bas.ic training of six weeks duration for s.anitary ins.pectors of which there are approximately 2100 in the country. It is estimated that the number of sanitary inspectors required for efficient service should be over :;ooo, including the requirements of cities, municipalities and government agencies needing the services of this category of personneL In order to increas.e the technical competence of sanitary inspectors, it is desirable to institute a source of advanced training for this subprofessional group. It is believed to be essential to the proper development of sue a training course to provide practical field training in an area which includes both urban and rural communities where practical demonstration and field trials of environmental sanitation techniqu and facilities can be made. A short-term consultant was provided in 1957 to evaluate the qualifications and state of training of existing personnel en~ged in environmental sanitation activities and to formulate detailed plans of action and recommendation~. A sanitary · engineer will be provided to assist in planning, organizing, operating and co-ordinating activities of the proposed training programme. The two sanitarians for whom provision is made in the supplemep.tary lis will not only act as instructors in sanitation training centres but wiJ:l also traintheir opposite numbers to assume these duties.
The availability of additional regular funds in 1957 resulted in a decision'to implement the portion of this project for as.sisting the Government by providing a short~term consultant to assess prohlems and make recommendations for their solution leading to strengthening of training programmes. It is expected tbat the recommendations o;f' the expert consultant will be implemented by the Government with WHO assistance in 1958 and 1959.
. It is planned that two training centres will be set up in the )Philippines and will include pilot demonstration areas involving ~he construction and operation of sanitary facilities in both rural and semi-urban areas. It is expected that the centres which are a ~art of the proposed long-range environmental sanitation programme lror the Philippines will begin operations about the middle of 1958. t ' The estimated cost of this assistance will be .$8,125 in 1958 hnd .$13,994 in 1959 including .$11 500 for supplies. SINGAPORE PUBLIC HEALTH ADMINISTRATION !
prevented the Government from undertaking an intensified antimalaria campaign. . Following a request from the Government, provision has. been made for a twelve-month fellowship in 1959 to train a member of the staff of the Medical Department in malaria control. The estimated cost to WHO is .$4500. It is expected that the fellow will be of great assistance in undertaking an intensified antimalaria programme upon completion of his training. TONGA
1
Singapore 4
PUBLIC HEALTH AIMINISTRATION
Urban health centre This centre continues to co-operate with the Department of Social Medicine of the University of Malaya and to serve as a ~raining centre for medical students, public-health nurses, ~ealth inspectors, assistant public-health nurses and other \mcill...-:iry~personnel. The Government and University are providing ~he cost of the health centre, staff and equipment. UNICEF has given .$20000 for equipment and supplies for the maternal and ~hild health section of the centre. The Government has requested continuation of the services pf the WHO personnel in 1959 and four fellowsh1ps, each for two ~ears in child psychiatry, child psychology, psychiatric social rork and health visiting, and provision is made accordingly in ~he progr"a.:nnne and budget. The estimated cost to WHO is .$29607. TIMOR 'f-
Fellowships
Tonga 3
The Government of Tonga requests in 1959 a fellowship in public health leading to the Diploma in Public Health for the Director of Medical Services. The estimated cost to WHO is .$2900. VIETNAM
ENVIRONMENTAL SANITATION
Viet Nam 9
This project, which was initiated in November 1956, is for the purpose of aszisting the Government of Vietnam in strengthening both national and local environmental sanitation services by expert assistance and advice. The. Division of Sanitation within the Ministry of Health has bean assisted by the assignment of the WHO public health engineer for duty within the Division. Work is in progress to establish administrative and technical procedures for the newly established Division of Sanitation. A study is being made of the present status of environmental sanitation in the country with a view to providing baseline data both for sound planning and later evaluation of progress in this field. Existing laws and sanitary codes are being studied and it is planned to assist the Government in preparing modern laws and codes relating to envi-
rrALARIA rellowships
Timor l
. Malaria bas been a public-health problem in Portuguese Timor, )ut lack of personnel trained in modern methods of control has
ronmental sanitation. Assistance .is also being given in the training of all sub-professional personnel as well as considerations on technical problems in urban and rural sanitation. The WHO public health engineer is acting as adviser to the Ministry of Health through the Director of Health Services and is actively engaged in training counterpart personnel in the Division. The Government has requested continuation of his services throughout 1959 and provision has been made accordingly. Some equipment and supplies have been provided by WHO and provision is made in 1959 for $1000 worth of equipment and supplies and one twelve-month fellowship for study abroad in advanced environmental sanitation for additional training of governmental personnel. A similar fellowship has been entered in the supplementary list of activities. Estimated total cost to WHO will be $22 1 600 inclusive of supplies and a fellowship of $5000. WESTERN SAMOA TUBERCULOSIS Tuberculosis control progrelli~e
WEST NEW GUINEA. NUTRITION Fellowships West New Guinea
The Government requests provision in 1959 for a six-month fellov. ship in nutrition for a medical officer of the national health admi· nistration.
It is expected that the fellow as a result of the experience gained during his studies in Europe will contribute to the ·strengthening of this aspect of the Government's public-health services. Estimated cost to WHO - $2600. The Government expects to contribut Guilders .369.000 to the improvement of nutrition activities in 1959. :ENVIRONMENTAL SANITATION Fellowships (Public health engineering) West New Guinea
7
Western SP.moa 3
Western Samoa has already a nucleus of a tuberculosis control which it is desired to expand in line with recent advances in this field~ The New Zealand Government, on behalf of Western Samoa, requests from WHO in 1959 provision for a tuberculosis control campaign. Although the Regional Tuberculosis Adviser will visit the Territory to assess in detail the extent of the problem and assist in the planning of a suitable programme; provision i.s nevertheless .no.de for a WHO adviser in tuberculosis (estimated. cost .. $11, 752). Provision is also made for a fellowship for an assistant medical practitioner to study abroad tuberculosis control for twelve months ($.3600). If possible, such a fellowship would be antedated one year so that the fellow's return will coincide with the WHO Adviser's arrival and the t'ivo can work to~ether :im developing the ·programme in order to establish a diagnostic laboratory. Equipment and supplies for the development of a diagnostic laboratory are required and provision made for $6000 to meet the cost.
The Government of West NevT Guinea has a programme for strengthening environmental sanitation services in that country.
WHO in 1957 awarded a fellowship to a government medical officer for observation of env~ronmental sanitation practices in other · countries and the Government has now requested assistance in the training of a public-health engineer. · It is proposed to ,send a graduate government engineer of the Department of Public Works in 1959 to an approved graduate institution in order to undertake advanced studies in public-health enginee ing. The fellowship will ·be for approximately one year at an estilllf!. cost of US$5500. The Government expects to contribute Guilders 912,000 to publichealth engineering activities in 1959.
INTER-COUNTRY PROGRAMMES 1
VENEREAL DISEA:SES AND TREPONEMATOSES Yaws Control
TUBERCULOSIS !Inspection of BCG Production Laboratories 1
WPRO 30
Fiji 1 Hestern Samoa 1 Netherlands New Guinea 4 Solomon Islands 1 etc.
In 1953 and 1956, an international expert on BCG vaccine producltion visited selected laboratories in the Region, collaborated with itheir directors and reviewed techniques in the light of the inter!national standards approved by the Organization. It is considered lthat valuable results were obtained and that the visit was useful to, !and welcomed by1 the directors concerned. , It is proposed, therefore, to repeat the visit in 19591 and !provision has been made in the budget at an estimated cost of $1875. !
Yaws has long been a major health problem in the Pacific Island Territories and this project, which began in 1954, was undertaken to help the governments to carry.out mass-treatment campaigns for the control and possible eradication of the disease from these territories, which include Fiji, Western Samoa, West New Guinea, the British Solomon Islands Protectorate, the Gilbert and Ellice Islands, the Cook Islands, Niue, Tonga and the New Hebrides. The WHO team (consisting of a medical officer, serologist and nurse/administrative officer) has assisted the Government of Fiji, Western Samoa, the British Solomon Islands Protectorate and the Gilbert and Ellice Islands to establish control projects and to carry out the necessary resurveys on the projects of Fiji 1 Western Samoa and the British Solomon Islands Protectorate. During 1958 the team will help establish control projects in the Condominium of the New Hebrides, the Kingdom of Tonga and the Cook Islands and will also assist with the necessary resurveys and follow-up work. It is proposed to retain the team in 1959 (estimated cost $33592) so that it may continue to advise the governments and revisit the territories for evaluation of the projects and consolidation and integration of the work. Provision is also made for some supplies ( $250) 1 but the bulk of the imported supplies and equipment will be furnished by UNICEF. One fellowship has also been provided to enable one laboratory technician to receive training in Fiji at an estimated cost of $268o.
!study Group on BCG Vaccine Production 1
WPRO 56
, In this Region, there are laboratories in five countries producling BCG vaccine: in Australia, China, Japan, Philippines and Vie~am. !Following the advice of an international expert who recommended closer land more frequent liaison between these five entities, the Organization \proposes to sponsor an annual meeting, lasting for ten days, to enable lthe Directors to meet together to discuss technical problems, to extchange information and to keep each other informed as to methodology !with the general intention of aiming at greater uniformity. 1 It is proposed that the first of these study groups should meet gin Manila in 1959, with one participant from each of the other four tcountries mentioned, and provision has been made in the budget accord~ngly at an estimated cost of $2000 including $100 for supplies.
I
t
~
'
It is believed that such a study group will be valuable in drawhng closer together the experts .concerned with this highly technical (aspect of tuberculosis control, will aid the dissemination of the ~latest information among them, and will .}.ead to more uniformity of !(procedures. It is a.lso proposed that subsequent meetings will be held in the [other four countries in turn, once every two years.
l
ENDEMO-EPIDEMIC DISEASES Poliomyelitis Centres
WPRO 37
Fellowships (Undergraduate medical studies)
WPRO 59
The work at the two 'iHO-deeignated Regional Poliomyelitis Centres has continued. Some of the countries and territories served by these two centres have already been visited by the director of one of the centres. Samples were collected from sufficiently large selected groups of the population and the results of typing are e:x;pected soon. Laboratories were visited and advice given on the training of personnel and initiation of work on viruses. This important work needs to be continued and provision has been made in the 1959 regular budget for several short-term fellowships at an estimated cost to vJHO of $2000.
In the South Pacific area there is a shortage of medical manpowe in the territories Where the development of health services along modern lines is taking place. In order to increase the nymber of assistant medical practitioners for the South Pacific Island territories, it is proposed to provide ten undergraduate fellowships to study medicine at the Central Medical School, Fiji, starting in 1959, for a period of five years. These fellowships will be made available to the governments in the South Pacific area who will nominate candidates, after a competitive examination, from the areas Where there is the greatest dearth of medical manpower. The estimat cost to VJHO would be $15 1 660.
MATERNAL AND CHILD HEALTH
It is expected that a centre will also be designated to serve the South Pacific.
Conference on Maternity Care
WPRO 43
PUBLIC-HEALTH ADMINISTRATION S~nar on Veterinary Public Health I ·/
WPRO 53
The emphasis that has been placed in recent years on the serious zoonoses from which countries in the Region suffer warrants ~he holding of a seminar on the public-health importance of such diseases and on their control (this would include the subject of meat hygiene). Provision is therefore made for a twowweek seminar, to be attended by twenty participants (estimated cost, $ll1 300). Two short-term consultants will be required for four months each ($10 1 000), and supplies and equipment ($1000) will also be necessary.
Maternity care and midwifery training have been considered by WHO expert committees and one particular aspect of maternity care domiciliary midwifery services - was discussed at the sixth session of the Regional Committee for the Western Pacific. This conference is a follow-up of these earlier meetings and is intended to bring together representatives of various professional disciplines to identify and discuss some of the main problems of maternity care in the Region. The topics for discussions will include: methods of determining specific needs and hazards associated with child-bearine in different areas of the Region, as a first step to programme planning; organization of services to meet these needs; training of personnel; programme evaluation; and research requirements. Provision ( $7500) is made for three consultants (an obstetriciar a nurse-midwife and public-health administrator) for two months eacr who will make preliminary visits to some of the countries to study local problems at first-hand. They will also assist in preparing for the conference and in leading the discussions. The estimates also include $22.1 751 for the attendance of participants and $650 for supplies and equipment.
OTHER PROJECTS Medical Literature and Teaching Equipment This item, not connected with any specific project, is for the supply of small quantities of essential literature, equipment and supplies to Member Governments for work on demonstration, training projects and pilot studies. The provision made for 1958 and 1959 is $1000 in each year. INTER-RIDIONAL PUBLIC HEALTH ADMINISTRATION Dental Health Seminar Inter-Regional 42
At the request of the Australian Government and in keeping with the interest stimulated in dental health resulting from the \iJHO Dental Health Seminar held in 1954 in New Zealand, it is proposed to hold an inter-regional dental health seminar for ten days in Adelaide, Australia, in February 1959 preceding the Australian Dental Association Congress. The objectives of the seminar would be : (a) To discuss dental health problems facing national health administrations and dental :prof'essions in the Hestern Pacific and South East Asia; (b) To discuss methods of integration of the dental health services with the, public-health services and to assess problems of dental health education in less-developed countries or territories. WHO would be responsible for the provision of a seminar director, two consultants, short-term fellowships for thirty-eight participants from twenty-one countries or territories and a small &nount of supplies. Governments of the countries in ·the He stern Pacific and South East Aaia would be invited to nominate suitable persons for the award of fellowships. Estimated cost to WHO would be $3850 for consultants, $28295 for fellowships, and $300 for supplies and equipment. The host government's contribution would be Australian £1300 and the physical facilities placed at the disposal of the seminar and two consultants .•
WESTERN PACIFIC Regular Budget Number of posts 1957 1958 195) Estimated expenditure 1957 US$ 1958 US$ 1959 US$ 335,158 40,566 77,439 97,356 14,500 252,103 72,076 3,500 33,618 88,149 27,000 8,100 127,571 16,499 83,518 941,995 12,186 929,809 .1,264,967 REGIONAL OFFICE FIELD ACTIVITIES 25,649 3'4,441 67,831 57,870 83,581 107,130 5,500 46,940 163,730 191,288 94,840 91,499 5,000 7,500 32,083 28,106 41,563 71,833 44,596 39,428 5,000 61,249 67,826 16,198 17,038 42,095 65,410 792,330 10,545 52 ?22,894 781,785 Malaria Tuberculosis Venereal diseases and treponematoses Endemo-epidemic diseases Public health administration Nursing Social arid occupational health Health education of the public Maternal and child health Mental health Nutrition Environmental sanitation Education and training (Regional adviser) Other projects Less: Delays in the implementation of new projects 428,200 428,200 274,250 274,250 21,000 26,500 84,700 4,000 16,000 '·.
Page 1 Other Extra-Budgetary Funds Estimated expenditure 1957 US$ 1958 us~~
s u
M
M
A R y
. 1959 US$
42 2 3 5 12 7 2 2 1 4 1 2
-2 3 6 7 J
44 44 3 4 6 8
313,202 327,435
14 12 2 6 1 5 1 3 '
24,000 21,000 103,250 3,000 7,000
12,000 85,100
2 6 7 1 3
276,000
116,000
30,000
- - -41 50
Total - FIELD ACTIVITIES Total - vJESTERN PACIFIC
127,100 127,100
83 94 96 1,036,0961,109,220 === == ====== == ====== === ==== '
=====:::!::;:;:.;J!S
=======
=======
=======
·Page 2 •..
WESTERN PACIFIC: Regular Budget Technical Assistance
Number of posts 1957 1958 1959
.g Estimated expenditure 1957 USiJli 1958 us~ 0
~
of posts 1957 1958 1959
!~umber
Estimated expenditure 1957 USi!ii
1959 us~
1958 US!:i>
1959 US~" 'iP
OFFICE OF THE REGIONAL DIRECTOR 1 1 1 1 1 1 1 1 1 15~000
4,933 3,420
15;000 5,000 3,540
Regional Director Administrative assistant Secretary EPIDEMIOLOGICAL INTELLIGENCE STATION, SINGAPORE
UG Pl M7
.
1 1 1 3 1 ,2
1 1 1 3 1 2
1 1 1 3 1 2
11,000 3,683 :3,683 6,811 1,861 2,667
11,000 3,683 3,683 7,148 1,960 2,825
Hedical officer Administrative assistant Technical assistant Clerks Clerk Clerk typists PUBLIC INFORMATION
P5 Spec ial Spec ial S5 S4 S3
l
1 1
1 1
1 1
7,979 . 2,760
8,000 2,760
Information officer Information assistant Secretary HEALTH SERVICES
P3 H7
1
1
1
2,960
3,080
114 D2 P4 P4 M6 M5 M4 M4
1 1 l
1
1
12,200 3,240 1,660
12,200 3,360 1,720
1 1
1 1
i 1
I
Hedical director Statistician Public health administrator Secretary Secretary Clerk Clerk typist
1 1
1 1 1
1 1 1
7,355 2,828 2,190
7,580 2,918 2,280
1
;
WESTERN PACIFIC: ..
Page 3 Technical Assistance ~ (.')
Regular Budget Nu.mber of posts 1957 1958 1959 Estimated expenditure 1957 US$ 1958 US$ 3,600 2,618 1,905 1959 us~
.-a
(l)
Number of posts ~
Estimated expenditure 1957 US$ 1958 US$ 1959 US$
1957 1958 1959 f.yllowshi,ES Technical assistant Secretary Clerk typist ADMINISTRATION AND FINANCE
1 1 1
1 1 1
1
1 1
3,720 2,708 1,988
M7 M5 M4
1 1 1 1 1 1 1
1 1 1 1 1 1 2 1 1 1 1
1 1 1 1 1 1 2 1 1 1 1
9,000 2,550 6,813 4,020 4,460 2,730 3,345 2,100 7,188 1,645 1,620
9~250
2,640 7,038 4,020 4,460 2,820 3,465 2,190 7,413 1,705 1,680
Administration and finance officer Secretary Budget and Finance Budget and finance officer Finance officer Accountant Assistant accountant Cashier Accounts clerk Budget clerk Accounts clerks Clerk stenographer Personnel Personnel officer Personnel assistant Clerk stenographer General Services Translator Administrative services officer Translator General services assistant Assistant translator
P4 M6 P3 P2 Pl M7 M6 M6 M5 M4 M4 P3
1 1 1 1
1 1 1 1
1 1 1 1
6,150 4,733 3,660 2,610
6,350 4,933 3,660 2,610
1 1 1
M4 M4 P3 P2 Pl M7 1 1• 1 6,475 6,700
*
1 1 1 1
1 1 1 1
1
1 1 1
,.
5,800 3,917 3,510 3,453
6,000 4,117 ·3,630 .3,580
WP6 ·-·
Page 4 I f
WESTERN PACIFIC: Regular Budget (!)
t
! l i
Number of posts US$
'D
Estimated expenditure
i--
0
~
Technical Assistance ......... Number Estimated expenditure of posts ...
.
4-
-
--
11957 1958 1959 l
1957
f' 1 l ! l l l
1958 US$ 2,760 2,370 4,208 1,905 1,740 1,366 4,800 1,500 15,917
1959 US$ Library clerk Registry assistant Registry clerk I Mail clerk .Clerk typists Travel clerk Mail clerk Supply clerk ReEorts and Documents Reports officer Temporary staff Custodial staff Total established posts Post adjustment Travel Duty StatutoEl Staff Costs ..1\llowances Recruitment and repatriation Home leave Other costs Public information (supplies and materials) Epidemiological telegraphic expenses
1957 M5 M4 M4 1 1 2
195~
1959 1 1 2
19.57
us$--
1958 US$
1959 US$
1 1 2
1 1 2 1 1 1
1 1 2 1 1 1 1
1 1 2 1 1 1 1
2,760 2,460 4,388 1,988 1,800 1,416 5,000 1,500 16,205 191,820 27,500 219,320 10,000 50,595 19,565 2,000 2,700
2,933 2,460 4,270
3,000 2,460 4,440
l l t l l
,M4 M4 M4 M3 M3 P2
i
1
t
L i l l !
l
! l l
i j
i
42
- 44 44
13
13
13 40,256 52825 46,081 14,371 1,800 2,082 48,624 9l025 57,649 1,000 12,256 278 50,011 92025 59,036 1,000 12,467 3,706
182,355 187,737 222000 272500 211,355 215,237 8,852 10,500 46,358 630 14,743 2,500 2,700 53,593 700 10,951 2,000 2,700
WESTERN PACIFIC -
Page 5
Regular Budget Number of posts Est:i.mated ·expenditure 11)
Technical Assistance reS
CJ
~
Number of posts
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ Common Services
1957 1958 1959
1957 u~~
1958 u~;w
1959 u.:>;n;
3,479 13,455 4,817 733 3,580 i<s===
4,332 13,936 4,237 794 8,455 ======::::i
4,332 14,135. 4,237 794 7,480 335,158
Space and equipment services Other servic os Supplies and materials Fixed charges and claims Acquisition of capital assets Total - REGIONAL. OF~ICE
515 2,742 819 194 "
742 2,874 661 210 75,670
742 2,928 661 210 80,750
42
==== ==s::::= =======
44.
44
313,202
327,435
========
==== ===-=
13
13
13 68,604 ::::::::::;:u::
======
========
==::1====
..
Page 6 Regular Budget I l I
vJESTERN PACIFIC Technical Assistance (J)
Number of posts 1957 1958 1959
Estimated expenditure 1957 US$ 1958 US$ 9,417 9,250 9,3.33 18,763 7,469 8,563 8,521 9,271 7,619 7,581 2,828 12,700 101 484 ' 32,021 133,505 27,130 37,259 1,320 2,840 1,605 lll,315 33,620 144,935 27,500 42,752 19,332 1959 US$ '
'Cl
~ C)
Number of posts 1957 1958 1959
Estimated expenditure 1957 US$ 1958 USitP 1959 US$
REGIONAL ADVISERS Malaria Tuberculosis Venereal diseases & treponematoses Public health administration Nursing Health Education of the Public Maternal and child health Environmental sanitation Education and training Statistician ..
1 1 1 2 1 1 1 1 1
1 1 1 2 1 1 1 1 1 1 1 6
1 1 1 2 1 1 1 1 1 1 1 6
9,500 9,500 9,500 19,313 7,694 8,813 8,771 9,500 7,854 7,812 2,918 1,3,011 114,186 33,620 147,806
P4 P4 P4 P5 P4 P4 P4 P4 P4 P4 M5
1
_§.
- 1§.
Stenographic Pool Pool supervisor Clerk stenographers Total established posts Post adjustment Travel
M4
11
Mi
28,500 43,401 8,190
Duty Statutoxy Staff Costs Allowances Recruitment and repatriation Home leave Transportation of personal effects
6,738
'
2,000
2,000
WLSTERH PACIFIC Hegular Budget ' <!)
Page 7 Technical Assistance Number of posts Estimated expenditure 'D
Number of posts us~
Estimated expenditure
CJ
~
1.957 1958 1959
1957
1958
1959 US$ Common Services
1957 1958 1959
1957 US$
1958 US%i>
1959 . US$
us;W 1,471 5,700 1,312 416 4,025 247,443
1,012 5,438 1,624 384 1,400 17 18 =~=
1,471 5,807 1,312 416 3,500
Space and equipment services Other services Supplies and materials Fixed charges and claims Acquisition of capital assets Total - REGIONAL ADVISERS
18
:::::::::::.
=== =======
213,517
========
=======
240,403
===
===
====
=======
6,738
=======:t
2,000
=======
2,000
-
--~·---···~-~-~~-.-~~-·~·-. ~-
-~
..
··-
·-----
Page 8
WESTERN PACIFIC Regular Budget Technical Assistance Number of posts 1957 1958 195< WHO ARJ!:A. REPRFSEliJ'l'ATIVES Estimated expenditure 1957 US$ 1958 1959 US$
\ I l l
~
Number of posts 1958 1959
Estimated expenditure 1957 1958 US$ 27,146 1,636 2,050 1,710 850 33,392 530 33,922 8,500 11,785 1,450 6,334 1,100 3,100 900 1 2000 1959 US$ 27,896 1,713 2,118 ' 1,773 882 34,382 530 34,912 8,500 13,263 1,800 1,100 3,100 900 12000 ===::::::==m
~957
l 2 1 1 3 1 1 1 1 3 1 1 1 1
US$
US$
[I ..L ..L
22,402 12434 23,836 4,563 7,493 3,000 475 2,770 897 12015
Medical officers Secretary Clerk stenographer Clerk stenographer Clerk t?fpist Total established posts Post adjustment Travel Duty Statutory Staff Costs Allowances Recruitment and repatriation Home leave Common Services Space and equipment services Other services Supplies and materials Acquisition of capital assets Total - AREA REPRESENTATIVES
P5 VN5 SY4 T4 VN3
~
/
"'
I===
5
=== === =======
7
?
44,049
=======
68,091
64,575
=== === ===
.
=======
======
======
WESTERN PACIFIC: !
Page 9 Other Extra-Budgetary Funds (!)
Regular Budget Number of nosts Estimated expenditure "'C1 cd
~
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ AMERICAN SANOA ENVIRONNENTAL SANITATION
1957 US$
1958 US$
1959 US$
- - - -
1 1 2
7,300 7~300
14,600 900 2,200 1,200 1,090 1,168 658 1,800 1,500 31,~516 ~ *lt- ) 6~400
Sanitary engineer Health educator Total established posts Allowances: Local costs Installation Assigmo.ent allowance Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Supplies and equipment Fellowships Estimated Government Contribution Total - M1ERICAN SAMOA
American Samoa 1
p p
4 4
===
=== ===
4
=======
=======
31,516
===::::===
========
======== =======
Page 10 Regular Budget Number of posts 1957 1958 1959 Estimated expenditure 1957 US$ 1958 Us$ 1959 US$
WESTERN PACIFIC: '·
Otte r Extra-Budgetary Funds ~
~
Estimated expenditure 1957 US$ 1958 US$ 1959 US$
AUSTRALIA ADMINISTRATION Australia 1 Fellowships (strengthening of health services) Estimated Government Contribution HE"~TH
PUBLIC
8,400 ~72041) ===
11,000
11,000
=== ===
:::======
8,400
=======
~** ) 11,000
=======
(-!<* ) 11,000
Total - AUSTRALIA BRITISH SOLOMON ISLANDS PROTECTORATE MALARIA British Solomon Islands Protectorate 2 p 4
=======
======== ==,.==e:tzl
Malaria control
-
-
-1
?,300
Malariologist Allowances: Local costs Installation Assignment at lowance Local travel subsistence Others Service benefit Death and disability Travel: Recruitment md repatriation Supplies and equipment Fellowships Estimated Government Contribution
450 1,100 1,008 545 584 329 900 4.z300 4.z300 12.z216
12,000 12,000
t
~**
'
~**
'
WESTERN PACIFIC: Regular Budget Number of POsts .J..957 1958 1959 Q)
Page 11 . Other Extra-Budgetary Funds ~ ~
Estimated expenditure 1957 US$ 1958 US$ 1959 US$ BRITISH SOLOMON ISLANDS PROTECTORATE (cont td) NURSING Nursing education Brit ish Solomon Islands Protectorate 3
Estimated expenditure 1957 US$ 1958 US$ 1959 US$
-
- -1
4,800
Nurse educator (general) Allowances: Local costs Installation Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Supplies and equipment Estimated Government Contribution Total - BRITISH SOLOMON ISLANDS PROTECTORATE
p 2
l
300 850 135 177 384 216 700 750 8.!312 ~~ ~
( 2 === === ===
::::::======
=======
4,300
:::::;:::=====
20,528
========
14,000 . - ======= =======
l
WESTERN PACIFIC: Page 12 '
Regular Budget Q)
Other Extra-Budgetar,y Funds 'd ~
Number of posts·
Estimated expenditure
£!
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ CAMBODIA VENEREAL DISEASES AND TREPONEMATOSES
19:rt US$
1958 US$
1959 US$
1 1 --
7,300 450 1,100 1,800 545 584 329 900 '
?,525
Treponematoses control Venereologist Allov;rances t Local costs Installation Assignment allowance Local travel subsistence Others Service benefit Death and disability Travell Recruitment and repatriation Home leave Supplies and equipment Fellowships
Cambodia 8
P4
1,100 1,800 548 602 339 900 750 4z300 1?,864 (?0 ,ooo)
40,000 "
40,000 40,000
13 008 {3o!ooo)
Estimated Government Contribution
40,000
~
WESTERN PACIFIC:
Page 13 Other Extra-Budgetary Funds Q)
Regular Budget Number of posts 1957 1958 1959 "0
Estimated expenditure 1957 US$
~
i:tl
Estimated expenditure 1957 Us$
1958 US$
1959 US$
1958 US$
1959 US'IP
CllMBODIA (Cont td) '
NURSING Cambodia 3 p p p
Nursing education
-
1 2 1 4
1 2 1
1 3 1 _2_
.JL
23,703
6,250 11,616 4,883 22,749
6,456 16,816 52083 28,355 300
Senior nurse educator Nurse educator (general) Nurse educator (midwifery) Total established posts iUlowances: Local costs Installation Project service allowance Assignment allowance Others Service benefit Death and disability Travel: Duty Recruitment and repatriation Home leave Other costs Estimated Government Contribution Total - C.\MBODIA
3 2 2
16,662 2,221 3,400 1,434 1,330 748
4,250 1,652 1,762 991 700 750 382760 (83,500)
454 1,620 41+2660 .(83,500) 6;870 13,756 50.!287 (83,500)
:::4= =~= =§=
=Mt:1:§§~=
=§J~~2~=
=~§:!~~~=
====::::!:!===
=tt9.~gQQ=
,tJ-2~222=
,---WESTERN PACIFIC:
Page 14 Regular Budget Number of pests
Other Extra-Budgetar,y Funds Q)
Estimated expenditure
~ ~
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ CHINA TUBERCULOSIS Tuberculosis control China 17 P4
1957 US$
1958 US$
1959 US$
-1
-1
-1
7,431 3,600
7,656 3,600
7,896
~1edical
officer, tuberculosis control
Short-term consultantts fees Allowances! Local costs Project service allowance Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: Duty Short-term consultant Recruitment and repatriation Home leave Supplies and equipment Fellowships Estimated Government Contribution
1,516 447 2,030 1,200 583 1,730 612 345 486 3,900 1,050 5,750 5~000
1,200 583 1,733 632 355
48 4,294
30 116 (83!333)
7.!000 28 162 (97!222)
(111~111)
880 1,050 4,000 3z500 21 829
2,5od*' 2,z500
WESTERN PACIFIC: Regular Budget ())
Page 15 Other Extra-Budgetar.y Funds ~ c!1 M
Number of oosts 11957 1958 1959
Estimated expenditure 1957 US$ 1958 1959 US$ CHINA (Conttd) VENEREAL D~3EASES
Estimated expenditure 1957 US:jp 1958 US$
1959 US$
uSJ
AtiD
TREPONEMATOSES China l p 4
Venereal-disease contro;L
- -l -l l
7,656
7,896
8,146
Venereologist Allowances~
1,600 593 692 1,200 817 1,033 632 355 1,200 817 1,037 652 367 3,520 5,871 250 21.!860 (L;i,667)
Local costs Project service allowance Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel~
761 5,871 250 62600 24 2023 (19,444) 250 12,183 (22,222)
Duty Recruitment and repatriation Home leave Supplies and equipment Fellowships Estimated Government Contribution PUBLIC HEALTH ADIVIINISTRATION
35,000 35~000
35,000 35zOOO
45_100 .45,100
5,500 (611)
3,500 -(1,667)
Fellowships Estimated Government Contribution
China 28
'
Page 16 Regular Budget Number of posts Estimated expenditure
· WESTERN PACI F.J: C:
Other Extra-Budgetar,y Funds
-g ~
(])
Estimated
expenditure·~
1957 1958 1959
1957 US$
l<R58 Us$
1959 US$ CHINA (Conttd) HENTAL HEALTH
1957 US$
1958 US$
1959 US$
11,900 ( 4,361)
2,820 ( 6,111)
5,500 ( 6,944)
Fellowships Estimated Government Contribution NUTRITION
China 20
5,500 ( 2,778)
Fellowships Estimated Government Contribution OTHF.R PROJECTS
China 30 '
5,500
Fellowships (peaceful use of atomic energy) Estimated Government Contribution Institute of Public Health
China 28
(277,778)
China 27
10,000 10,000 (11.!944)
3,600 3,900 5,500 13,000 (12,028) 76 689 ===:?:====
Short-term consultants~ Fees Travel Fellowships Estimated Government Contribution Total - CHINA :;==~=====
'=~~
2 2 === ===
=7~!~~2=
=~~:?:~~~=
37 500
=~~a:222=
=4~!122=
WESTERN PACIFIC Regular Budget Q)
Page 17 Other Extra-Budgetary Funds ~ 0 H ;,
Number of posts
Estimated expenditure
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ COOK ISLANDS
1957 US$
1958 US$
1959 US$
3,450 (4.2704) 3,450
PUBLIC HEALTH ADMINISTRATION Cook Islands 2 Fellowships Estimated Government Contribution
===
===
===
=======
=======
===::====
Total - COOK FIJI
ISLru~DS
=======
=======
=======
OTHER PROJECTS Central Medical School Fiji 2 p p
-
-
1 1 2
T
1 1
-
1 1 2
13,700 324 1,316 2,083
8,229 6.2588 14,817
8,479 6,813 15,292
Lecturer (biology) Lecturer (physiology) Total established posts Allowances: Local costs Installation Project service allowance Assignment allowance Others Service benefit Death and disability
4 3
2.;400 4,052 1,185 666
2,400 4,059 1,223 689
Page 18 Regular Budget
WESTERN PACIFIC: Other Extra-Budgetary Funds Q)
Number of posts
"C1
Estimated expenditure
«< s.. 0
Estimated expenditure
1957 1958 1959
1957 US$ '
1958 US$
1959 US$ OTHER PROJECTS (cont' d). Travel~
1957 US$
1958 US$
1959 US$
6,362 12,370 2,960 26 745 35 490
7,495 2,000 1.!400 34 2 558 ~** )
Recruitment and repatriation Home leave Supplies and equipment Fellowships Estimated Government Contribution Fellowships (medical librarianship) Estimated Government Contribution Fiji 4
~44~280)
~44:280) 35 490
~3:792) 2 === === === 2 2
2 000
=======
28,745
===~===
=======
34,558
Total - FIJI HONG KONG PUBLIC HEALTH Am1INISTRATION
=======
======= =======
11,000 (
5,500 )
Fellmv-ships (dental health) )
Hong Kong 13
~**
(
~'*
Estimated Government Contribution NENTAL HEALTH
2,600 ( l===
Fellowships (assistance to mental hospital)
Hong Kong 13
**
)
Estimated
Governme~
Contribution
===
===
=======
2,600
11,000 ~======
=======
5,500
Total - HONG KONG
t:s======
======= =======
WESTERN PACIFIC: '
Page lS
. Number of posts 1957 1958 l959
Regular Budget Q)
Other Extra-Budgetary Funds C!1
Estimated expenditure 1957 US$ 1958 US$ 1959 US$ JAPAN PUBLIC HEALTH,ADMINISTMTION Fellowships (control of cardiovascular diseases) Estimated Goverrunent Contribution NURSING Nursing education Senior nurse educator Allowances: Local costs Project Service allowance Assignment allowance Local travel subsistence Others Service benefit De,ath and disability Travel: Duty Recruitment and repatriation Home leave Supplies and equipment Fellowships Other costs Estimated Government Contribution HEtl.LTH EDU:: ATION OF THE PUBLIC Ja;ean 18 Fellowships Estimated Government Contribution . ~--·-·
1a $..4
Estimated expenditure 1957 US$ 1958 US$ 1959 US$
3,500 ( 7E-*
Japan 18
)
Japan 14 P3
-1 -1 -
6,400
6,625
3,310 356 79 950 427 114 530 298
528 1,650 1,970 1,000 190 5,500 5,956 21.120 2lzl84 16z819 ( 50.!00Q) ( 50,!000)
'
I
·-
(
5z50q
**
)
,,,-
',,,,,,
Page 20 ' '
WESTERN PACIFIC: Regular Budget Other Extra-Budgetary Funds Estimated expenditure
Number of posts
Estimated expenditure
0
~ ~
1957 1958 1959
1957 US$
1958 US$
1959 US$ JAPAN (conttd) MATERNAL AND CHILD HEALTH Poliomyelitis and rehabilitation of crippled children Japan 1
1957 US$
1958 US$
1959 US$
1,523 2,592 2~600
6~_715
3z500 (lOOzOO~) 3~_500
(
258)
(
3z500 3.a500
Short-term consultants: Fees Travel Fellowships )
**
Estimated Government Contribution Handicapped children Supplies and equipment Fellowships Estimated Government Contribution MENrAL HEALTH National Institute of Mental Health Ja;ean 4 "
22600 (
Japan 18
57 2 0oo*
** 1,000 7~_000
)
(
8,a000 5z555)
1,000 32500 4,t500 ( 555)
Supplies and equipment Fellowships Estimated Government Contribution
* Allocated
the
tru
:t1;11'
.l!lx:ecut.l.ve .!:Soard.
~.JESTERN
PACIFIC:
Page 21 Other Extra-Budgetary Funds ,<1)
Regular Budget Number of posts 1957 1958 1959 Estimated expenditure 1957 US$ 1958 US$ 1959 US$ JAPAN (cont'd) OTHER Pl10JECTS 3,500 'I
'g 0 H
Estimated expenditure 1957 US$ 1958 US:jp 1959 US$
,,
Fellm-rships (habit forming drugs) )
Japan 18
(
~H~
Estimated Government Contribution Fellowships (laboratory animal strains) Estimated Government Contribution Fellowships (medical specialization) Estimated Government Contribution Total - JAPAN Ja:ean 18 Ja:ean 18
3,500 ( 7H*"
)
3,500 ( 10,000)
==t::= ==== ====
1
1
c.======
23,534
=====::;==
35,284
===1::===
27 500
========
57,000
=======
=======·
I
'I
;
Page 22 Regular Budget Number of posts 1.957 195S'l959 Estimated expenditure 1957 US$ 1958 US$ 1959 US$
WESTERN PACIFIC: "
Other Extra-Budgetary Funds
j KOREA ENDEMO-EPIDEMIC DISEASES
Estimated expenditure 1.957 US$ 1958 US$ 1959 US$
'
3,200 ( *"~
} 3,500 (10.!000) 3,500 (19~000)
Fellowships (National Institute for Korea 10 Prevention of Infectious Diseases) Estimated Government Contribution Fellowships (parasitism control) Estimated Government Contribution Fellowships (leprosy control) Estimated Government Contribution PUBLIC HEALTH ADMINISTRATION 9,000 ( ~H~
Korea 10
Korea 10
5,500 )
Fellowships
Korea 10
(
**
)
Estimated Government Contribution HATERNAL AND CHilD HEALTH Korea 10 Fellowships
6,300 i
5,500 )
(
~M~
(
~"y~
)
--
Estimated Government Contribution Midwifery training (supplies and local stipend) Korea 9 /
v'i1,000*
11,000
i
i
*
A11nn::d·.P.r'l h-1r t.hP. TTh1TC:R1i' ~PI"n+.hr<=> ... 'Rn!'l-r>il
WESTERN PACIFIC: I
Page 2. Other Extra-Budgetary FUnds Q)
Regular Budget Number of posts Estimated expenditure
~ ~
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ KOREA (Cont td) NENTJ\L HEALTH
1957 US$
1958 US$
1959 US$
4,000 ( ==::: ~H*-
5,500 ) ( \1 '~ i\h
Fellowships )
Korea 10 •..
Estimated Government Contribution Total - KOREA LAOS MATERNAL AND CHILD HEALTH Demonstration and training centre Laos 6 p 4 p 2 p 1 ===~====
=== ---
13 500 ====!====
=1~~~~s=
18 000 ===!====
11 000
===!====
11 000
========
1
1
-
-
1 1 2 2 _A_ _A_
-
7,300 4,800 7,200 19,300 1,350 3,650 4,116 1,040 1,544 869
7,525 5,000 7,600 20,125
Medical officer, maternal and child health Senior nurse educator Public health nurse (midwifery) Total established posts Allowances g Installation Assignment allowance Local travel subsistence Others Service benefit Death and disability
.
3,650 4,116 1,052 1,610 906
Page 24 Regular Budget Number of pc>sts
WESTERN PACI FIG: Other Extra-Budgetary Funds Q)
Estimated expenditure
~
'0
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ MATERNAL AND . CHILD HEALTH (Conttd)
1957 US$
1958 US$
1959 US$
3,000 3,000 500 35,3b9 ( =~= .*l(-
Travel: Recruitment and repatriation Home leave Supplies and equipment )
)
~
34z459 ~H!-
30zOOO 30,000 30 000 ===!====
Estimated Government Contribution Total - LAOS MACAO MAL.I\RIA Fellowships (malaria control) ==::::;:=====
=~= ={!-=
========
=~~!~~2=
=~{!,;{!~2=
========
1,450
Macao 1
~
**
) =======::::
Estimated Government.Contribution Total - MACAO
=== === ===
========
=::::!.!:4~2=
=====:::===
========
========
.... .. ~
.
.
WESTERN PACIFIC: Regular Budget Number of posts 1957 1958 1959 (J)
Page 25 Other Extra-Budgetary Funds "0
Estimated expenditure 1957 US$ 1958 US$ 1959 US$ MALAYA PUBLIC HEALTH ADMINISTRATION
~
ttl
Estimated expenditure 1957 US$ 1958 US$ 1959 US$
- - -
1 1 2
1 1 2
9,251
7,431 5j233 12,664
Mala;la 9 l!ledi cal officer, public health administration P4 p2 Public health nurse Total established posts Allowances: Local costs Installation Project service allowance Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: Duty Recruitment and repatriation Home leave Supplies and equipment Other costs Estimated Government Contribution Rural Health Centres Supplies and equipment
Rural health training centre
89 2,198 317 804 2,000 476 319 1,013 569 2;024 2,015 207 21.!287 ( 35z000)
"
38 565 500 ( 35~000) 13~ 762
.3,000 _3,000
A;,ooo* 16,000 ..
7,000 7,000
===
2
===
2
===
=======
13,762
=======
21,287
======= ·····-···~·
Total - MALA.YA
======= ======= -=======
Page 26
WESTERN PACIFIC: Regular Budget Q)
i l Number of oosts
Other Extra-Budgetar,r Funds "0
Estimated expenditure
0
~
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$ NEW CALEDONIA HEii.LTH EDUCATION OF THE PUBLIC
1957 US$
1958 US$
1959 US$
5,500 ( 7H~
Fellowships )
New Caledonia 1
Estimated Government Contribution
=== === ===
=======
==~:?:~~~
:::::======
Total - NEW CAIE DONIA l\TEW ZEJ\.IAND
=======
-------
:::::::;::::=:;:==
ENDEt10-EPIDEI'-1IC DISEASES 4,000 (
Fellowships (virology) Estimated Government Contribution NURSING 3,500 (
New Zealand 1
6,160)
Fellowships )
New Zealard 1
**
Estimated Government Contribution }ffiALTH EDUCATION OF THE PUBLIC
5,500 ( 6~160)
Fellowships Estimated Government Contribution
New Zealand 1
3,500 ( 6~173)
HA.TERNAL AND CHILD HEALTH New Zealand 1 Fellowships (paediatrics) Estimated Government Contribution
WESTERN PACIFIC: Regular Budget Number of posts Q)
Page 27 Other Extra-Budgetary Funds ~ 'd ttl
Estimated expenditure
Estimated expenditure
1957 195S1959
1957 US$
195S US$
1959 US$
1957 US$ NEW ZEALAND (cont'd) ENVIRONMENTAL SANITATION
195S US$
1959 US$
'
3,200 ( ih't-
Fellowships )
New Zealand 1
Estimated Government Contribution OTHER PROJECTS
3,200 (
Fellowships )
New Zealand 1
** ======== 9,900
Estimated Government Contribution Total - NEW ZEAlAND NORTH BORNEO MATERNAL AND CHILr 1-IEALTH Maternal and child welfare Supplies and equipment =======
===
===
===
=======
9,000
=t======
4,000
======= =======
v 13~ooo* =====:::=
¢#/
13;,000.,~
=""=
=== ===
=======
=~=====
=======
Total - NORTH BORNEO
13,000
======= =======
13,000
*
A11 ncA.tAd bv
the UNICEF Executive Board.
Page 28 Regular.Budget Number of posts Estimated expenditure
WESTERN PACIFIC:
Other Extra-Budgetary Funds "C. cd S-1 <I>
Estimated expenditure
C!l
1957 1958 1959
1957 US$
1958 US$
1959 US$ PAPUA AND ID~~v
1957 US$ GUINEA :t-1/\.LJ\RIA
1958 US$
1959 US$
3,500 ~252000)
Fellowships Estimated Government Contribution TUBERCULOSIS Fellowships
Papua a:rrl New Guinea 6
4,500
,,~~;
t 2,688)
Papua and New Guinea 6 PUBLIC HEALTH tilll'-ITNISTRATION
---3,500
Estimated Government Contribution
Fellowships )
PaEua and New Guinea 6 HEALTH EDUCATION OF THE PUBLIC
(
-j~f..
Estimated Government Contribution
5,800
Fellowships )
Papua and New Guinea 6 ENVIRONMENTAL SIINITli.TION
(
~H(-
Estimated Government Contribution
3,800
Fellowships
Papua and New Guinea 6
(
-~~
)
Estimated Government Contribution
'
{h~ Informat~on
.
.• not rece1ved from the Government
.
WESTERN PACIFIC: Page 29 Regular Budget Number of posts 1957 1958 1959 (I)
Other Extra-Budgetary Funds 'g ~
Estimated expenditure 1957 US$ 1958 US$ 1959 US$ Pi\.PUA ANDNEVv GUINEA (Contld) OTHER PROJECTS 3,500 ( 2,688~
Estimated expenditure 1957 US$ 1958 US$ 1959
·'
Us$
.
Fellowships (medical education) Estimated Government Contribution 7 300 ===!==== Total - PAPUA AND Nl~W
Pa;eua and Ne'iir Guinea 6
===
="'=
=::%=
=~~!~~~=
==~!~~~=
GUINEA
::;========
========
========
PHILIPPINES TUBERCULOSIS BCG Demonstration and training 3,500 ( 5 ,200) Supplies and equipment Fcllmvships Philippines 17 17~000 17~000
Philippines 54
Estimated Government Contribution VENERE.AL DISEA~3ES fiND TREPONEl1fl. TOSES Yaws control Philip;eines 15 '
¥
Supplies and equipment ENDEMO-EPID:EMIC DISEASES Leprosy control Supplies and equipment Fellowships ,<,<-~"--~
25.!000
25zOOO
PhilipEines 49 4,000* 3,000 * 4,000 3,000
I
~ 2~250)
5,t500 5:!500
Estimated Gevernment Contribution
========
======== ======== .......
,Page 30 !; ..
WESTERN PACIFIC: Reglll.ar Budget Q)
..
·.···
.. 1957 US$
Other Extra-Budgetar,y Funds ~ ~
Number of oosts
Estimated expenditure
Estimated expenditure
19571958 1959 ,, ..
1958 US$
1959 US$ PHILIPPINES (Conttd) PUBLIC HEALTH 1\DMINISTRATION
1957 US$
1958 US$
1959 US$
3,500 ( -~*'
5,500 )
Fellowships
Philippines 54
(2,6ooJ 3,500
Estimated Government Contribution NlJRSING
5,150 ( 'f...H. "hi\
Fellowships
Philippines 54
)
(1,200) 3,500 (3,900)
Estimated Government Contribution SOCI.I\L liND OCCUPATIONAL HEALTH Fellowships (industrial health) Philippines 54
Estimated Government Contribution NATERNJI.L AND CHILD HEALTH Service ani training programme Supplies and equipment Premature infant care S~pplies and equipment Philippines 40 PhilipEines 24
157,000"'1·5.z000 i
75,000
1~
5,000
l t .•-Mt.•·Ar.l1 Cit'!'! +.,.d ....h-.r:
. .+.hoc .. UlllT.C!li'ti' li'..,.,....,._ + -:~....... P "'~ ...v:~ .
'
WESTERN PACIFIC:
Page .31 Regular Budget Number of posts Estimated expenditure ~
Other Extra-Budgetary Funds Estimated expenditure
~
ttl
1957 1958 1955
1957 US$
1958 US$
1959 US$ PHILIPPINES (Gonttd) MENTfiL HEALTH
1957 US$
1958 US$
1959 US$
Advisory services
:fhilippines 4 p
-1
-1 -
6,287
7,488 3,200
MedicAl officer, mental health Post adjustment Allowances: Local costs Instnlla tion Project service allowance Assignment allowance Local travel subsistence Others Service benefit Death and disability Travel: Duty Recruitment and repatriation Supplies and equipment Reimbursement of income tax Fellowships Estimated Government Contribution
4
705 2,567 420 440
1,200 768 627 599 337 2,580 250 559 11,000 28,'!608 .)(--)~
278 2,650 949 4.!500 18,796
'
11,500 11~500
~ *''!- )
~
5
( 4,200)
~
"'"~e,«<
WESTERN PACIFIC: Page 32 Regular Budget Number of :posts Q)'
Other Extra-Budgetary Funds c.!:1
Estimated expenditure
~
Estimated expenditure
l957 1958 1959
1957 US$
1958'' US$ v·
1959 VS$ PHILIPPINES (Conttd) ENVIROll)}fENTAL SANITATION Advisory and training programme Philippines L~3
1957 US$
1958 US$
1959 US$
----
1
-
1
-1
7,656
7,896 2,135
8,146 2,135
Sanitary engineer Post adjustment Allmvances: Local costs Project service allowance Assignment allm..rance Local travel subsistence Others Service benefit Death and disability Travel: Recruitment and repatriation Home leave Supplies and equipment Fellowships Estimated Government Contribution
p 4
3,060 238 939 950 336 133 632 355 1,965 14~402
950 336 137 652 367 1,965 1,000 72000 22,688 (11,950)
1,120 1,965 1,000 15~978
.
( 5 ,950)
( 5,950)
...
WESTERN PACIFIC:
Page 33 Regular Budget Number of posts Estimated expenditure Q)
Other Extra-Budgetary Funds Estimated expenditure
"d qJ
l5
1957 1958 1959
1957 Us$
1958 Us$
1959 US$ ENVIRON1'1ENTAL SANITATION (Conttd) Environmental sanitation training PhiliE:eines 51 p
1957 US$
1958 US$
1959 US$
"
-
-1 -1
3,500 2,100 1,692
6,117 2,900
Sanitary engineer Short-term consultantts fees Post ad jus tmen t Allowances~
3
450 642 196 307 280 158 1,800 900 3 2900 -)P,f-
1,100 336 527 489 275
( 2 2 =~= ==== ===
)
8z125 (51,500) ===!====
750 1.!500 132994 (51,500)
Local costs Ins talla ti on Assignment allowance Local travel subsistence Others Service benefit Death and disability Travelt Short-term consultant Recruitment and repatriation Home leave Supplies and equipment Estimated Government Contribution Total - PHILIPPINES ~Q§!QQQ=
~'Z!~~{!==
51135
::~2!~§~=
~~~!~22=
========
I
--·~
)
WESTERN PACIFIC: Page 34 Regular Budget Nwnber of posts ~
Other Extra-Budgetary Funds C))
Estimated expenditure
i
·~ US$ SINGAPORE PUBLIC HEALTH iiDMINISTRfi.TION
'0
Estimated expenditure
i i
1957 1958 1959
1957 US$
1958 US$
1959
1957 US$
1958 US$
1959 US$
-
1 1 2
-
1 1 2
-
.1 1 2
10,454 178
6,719 42967 11,686
6,944 52167 12,111
Urban health centre Senior nurse educator Nurse educator (public health) Total established posts Allovrancos: Local costs Installation Assignment allowance Project service allowance Others Service benefit Death and disability Travel: Duty Recruitment and repatriation Home leave Fellowships Other costs
Singapore
4
p 3 p 2
.
1,750 2,685 136 206 935 526
1,750 212 969 5L~5
.740 1,950 1,093 17.'!236 4,000 451 19,554 t24, 752)
.
2,740 11,280
~21,815)
(30~990)
29 607
Estimated Government Contribution MENTAL HEALTH
7,300 ( ··~-?*"
Fellowships )
Singapore 11
Estimated Government Contribution
2 ==== =~= =~= \ \I v. T ...... :t:--. .. ...,;...,.... ;.....t.. ..! ..........
:::~4:!~~~= ..---;.l~
=12~~~4= ,.D.. - J .. t ........
=~~:!~~£= r; __ _......._.., ... __ ....~--.:._,;_..},__
Total - SINGAPORE
--------
========
========
- - ...... _ .... ..!,--- ....1
WESTERN PACIFIC: Page
35
Regular Budget Number of posts Q)
Oth~r "Cl
Extra-Budgetary Funds c
Estimated expenditure
0
~
m
Estimated expenditure
1957 1958 1959
1957 Us$
1958 US$
1959 Us$ TIMOR
1957 Us$
1958 US$
1959 US$
. 4,500 (
M.i\.Lfi.RIA Fellowships )
Timor 1
*''{-
Estimated Government Contribution MATERNAL AI\lD CHILD Hl!illLTH Timor 1 Fellowships
4,500 ~ -~*'?~
)
Estimated Government Contribution
===
=== ===
======:::::=
==~!~<2Q=
==~~~QQ=
Total - TIMOR TONGA PUBLIC HF~TH
========
========:!
=~====:::=
ADMINISTRATION Tol]?ia 3
2,900
Fellowships
(
~~
~
Estimated Government Contribution Total
==== --- ===
=========
========
:::::::=:?:====
2 900
- TONGA
========
==='=====
========
'
~
WESTERN PACIFIC: Page 36 Regular Budget Q)
Other Extra-Budgetary Funds 0
'
Number of p()sts
,Estimated expenditure
~
Estimated expenditure
P.-95'7 1958 1959
1957 US$
1958 US$
1959 US$ VIET NAM PUBLIC HEli.LTH ADNINISTRATION
1957 US$
1958 US$
1959 US$
5,000 ( 19,200)
Fellowships Estimated Government Contribution NURSING
VietNam 2
5,000
Fellowships Estimated Government Contribution Mt-'i.TERNAL AND CHILD HEALTH Maternal and child welfare Supplies and equipment Children's hospital Supplies and eq1ipment NUTRI'riON
Viet Nam 12
I
(
1,600)
t<~'"'" 10, 000*
9~,000
20,ooo*
5,000 ( '1,650)
Fellowships Estimated Government Contribution
Viet Nam 12
..
.
__
,
... - ·-· ..
'·"
•"
. " ' ....
..
~-HA----~-- -~""
WESTERN PACI FIG: Regular Budget Number of posts 1957 1958 1959 Estimated expenditure 1957 US$ 1958 US$ 1959 US$ VIET Advisory services ~U~
Page 37 Other ~ra-Budgetary
Funds
-8 a1 0 ~
Estimated expenditure 1957 US$ 1958 US$ 1959 US$
(cont'd) Viet Nam 9
\
ENVIR0Nl111ENTAL SANITATION
.1:....
-1 -1
8,500
8,750 800
9,000 800
Sanitary engineer Post adjustment Allowances: Local costs Installation Project service allowance Assignment allowance Local travel subsistence Others Travel: Recruitment and repatriation Home leave Supplies and equipment Fellowships Estimated Government Contribution OTHER PROJECTS
.
p 4
600 2,144 400
3,005 357 3,000 18 2006 ( 25,160)
1,200 600 4,456 720 250 16 2 776 ( 25zl60)
1,200 600 4,585 415 1,000 5,~000
22~600
( 25_z160)
8,000 1,4282 571)
Fellowships (various) Estimated Government Contribution
Viet Nam 12
=== === ===
1
1
1
=======
41,006
-=======
16,776
===&===
22 600
Total - VIET NAM
======= "''"'
30,000
==:::==== ..
9,000
=======
I
___
WEST~~
PACIFIC: Other Extra-Budgetar.y Funds Q)
Page 38 Regular Budget Number of posts Estimated expenditure
£ V.JESTEHN S/1}1011. TUBERCULOSIS Tuberculosis c'ontrol 1!\]'estern Samoa 3 p 4
Estimated expenditure
1957 1958 1959
1957 US$
1958 US$
1959 US$
1957 US$
1958 US$
1959 US$
-
- -l
7,300
Nedical officer, tuberculosis control }tllowances: Local costs Installation Assit;nmont allovmnce Local travel subsistence Others Service benefit Death am disability Travel: Recruitment and repatriation Supplies and equipment Fellowships Estimated Government Contribution Total ~vESTEI1.N
450 1,100 544 545 584 329 900 . 6,000 3,600 21,352 { ) 1\i{" \1\1
:::::::::::::::
=== =~=
========
========
:::::::::!:=:::=:=
21 352
SAMOA
====.:::::=:::::=
---------------
:::::::::::::::::::===
WEST NE!J'J GUINEA MALARI.ti. 4,400 (1672368) 4z400 (2132158) Malaria control Fellowstlips Supplies and equipment 'lATest Nc-vr Guinea 2 2l,OOO ~'l2:Lz000 2L~looo 24~000
Estimated Government Contribution
* Allocated by tbEi l.J'N:I:QEF ExecutJ.ve Board .
WESTERN PACIFIC: Page 39
Regular Budget of'
Other Extra-Budgetary Funds Q)
Number nosts
Estimated expenditure
1il ~
Estimated expenditure
1957 195$ 1959
1957 US$
1958 US$
1959 US$ \!rEST NE\rJ GUINEi~
1957 US$ (Cont'd) ~'Test
1958 Us$
1959 US$
3,000 ( Nil
. )
PUBLIC HEJ.LTH Fellowships
IillHINISTR"~TION
New Guinea 7
Estimated Government Contribution Mi\ TF.J?.N/~1 Il.l'!D CHILD HEJIL TH Ha to mal and child :ViTE~lf arc Supplies and equipment
3,000 \rJest Not-r Guinea 7
3,000
4,500 (78,947) 2,600 (97,105)
Fellowships
----
Estimated Government Contribution NUTRITION Fellowships 1rJest Nmv Guinea 7
Estimated Government Contribution ENVIRONMENTAL SANITATION
5,500 ~
Fellmvships
vvest New Guinea 7
=== === ---
.
==Z!~~~=
:::::~!~~~=
(240,000) 8 100
Estimated Government Contribution Total -WEST NmJ GUINFA ===~:::===
===!====
24 000
===~====
27 000
========
IPage 40
WESTERN PACIFIC: '
[ Number of posts '
Regular Budget Estimated expenditure 1957' US$ 195S Us$ 1959 US$ INTER-COUNTRY PROGRAMMES TUBERCULOSIS Inspection of BCG production laboratories \rJPRO 30 Short-term consultants: Fees Travel Study Group on BCG vaccine production Supplies and equipment Participants Refresher course for assistant medical practi~ioners 1,800 1,950 9z9?5 13,!?25 Short-term consultantst Fees Travel Participants BCG Demonstration and training Supplies and equipment Cambodia 6 VietNam 4 ~VPRO Q)
Other Extra-Budgetary Funds "d
~
<tl
Estimated expenditure 1957 US$ 195S US$ 1959 US$
ll9S7 i9SS 1959
<)00
9?5 lz8?5 100 l.z900 2 2000
56
WPRO 35
?zOOO*
4,000
WESTERN PACIFIC: Regular Budget Number of p<>sts Estimated expenditUre Other Extra-Budgetar.y Funds Estimated expenditure
Page 41
1957 195$ 1959.
1957 US$
1958 US$
1959 US$
INTER-COUNTRY PROGRJU,11JillS ( con-t' d) VENEREAL DISEli.SES AND 'rREPONEHATOSES Fiji 1 Yaws control Western Samoa 1 West New Guinea 4 Solomon Islands 1 etc. Medical officer, yaws control Scientist Administrative officer Total established posts Allotvances: Local costs Ins-tallation Project service allowance Assignment allowance Local travel subs~Gence Others Ser'"lrice benefit Death and disability Travel: Duty Recruitment and repatriation Home leave Supplies and equipment Fellowships Other costs
1957 US$
1958 US$
1959 US$
1 1 1 3
1 1 1 3
1 1 1 3
18,236
8;062 6,438 5,217 19,717
8,312 6,663 5 417 ·-· • .t -20,392
P4
p 3 p 2
531 4,842 4,200 1,012 3,400 3,000 1,241 1,577 888 3,000 12,675 250 3,400 3,000 1,251 1,631 918 3,000 250 2,680
4,820 4,101 500
468 38,242 4E>.t2lb 3bz522 ) ( ** ) ( 45,000) ( ** .... """t'"\ J_
24,700 Estimated Government Contribution
3,250
-"'1
1~--
J.1--
TT'hT'Tt"t"l?'C' "'G\..,. __ ,. ... .f. . 4:"t;oo"
ll,•H''l'V'~
lPage 42
vVESTERN PACIFICg Regular Budget Other Extra-Budgetary Funds Estimated expenditure ·~
l Number of posts
i
f
Estimated expenditure
.1957 1958 1955
1957 US$
1958 US$
1959 US$
1957 US$
1958 US$
1959 US$
2,100 1,800 2,000 4,200 102100
VENEREAL DISEASES AND TREPONm!ATOSES (Cont 1 d) Seminar on venereal-disease control Short-term consultants Fees Travel Supplies and equipment Participants ENDEMO-EPIDE.MIC DISEASES Poliomyelitis centres Short-term consultants Travel Fellowships Leprosy control Short-term consultants Fees Travel Conference on arthropod-borne virus diseases
WPRO 5
VVPRQ_]]
6,ooo 4,000 10,000
1,500 1,500 2,000 2,000
WPRO 34
4,200 32600 7,800
WPRO 22
2,100 1,400 182000 21,500 j
Short-term consultants Fees Travel Participants
!
WESTERN PACIFIC: Regular Budget Nwnber of POsts Estimated expenditure Other Extra-Budgetar,y Funds
Page 43
;a 0 ~
(!)
Estimated expenditure
11957 1958 1959
1957 US$
1958 US$
1959 US$ ENDEMO-EPID&~IC
1957 DISEASES ~'JPRO
US$ 10
1958 US$
1959 US$
(conttd) Trachoma control Short-term consultants; Fees Travel PUBLIC HEALTH ADMINISTR~TION Conference on study tour Short-term consultants: Fees Travel Participants Dent al health Short-term consultants: Fees Travel Seminar on veterinary public health Short-term consultants~ Fees Travel Supplies and e~ipment Participants
2,120 2,t320 4.:!440
1~TPRO
32
1,400 3,620 12.!120 17.!140
WPRO 24
.
1,800 1.!950 3,759
WPRO 53
4,800 5,200 1,000 11.!300 22.!30~
I
--·~-----·-"·-
WESTERN PACIFIC: '
Regular Budget n~umber i
Other Extra-Budgetary Funds Q)
TV\ at.C!
Estimated expenditure
~957 195$ 1959
£ PUBLIC HE~LTH
Estimated expenditure
1957 US$
1958 US$
1959 US$ ADMINISTRATION ( cont' d) ~-.TPRO
1957 US$
1958 US$
1959 US$
r !
'
15,660
FelJ.owships (undergraduate medical studies) SOCI/\.L AND OCCUPATIONAL HEALTH Fellowships (industrial health) NA. TERNA.L AND CHILD HEALTH Conference on maternity care Short~term consultants Fees Travel Supplies and ecpipment Participants O'l.liER PROJECTS
59
7,500
5,000
WPRO 50
vVPRO 43
3:,600 3,900 650 22~750
30 2 900 3,250 Publication of Japan paper on resistance to insecticides (contractual services) l.zOOO
-
_,__ 1~000
. 12000
Nedical literature and teaching equipment Seminar on rehabilitation, Solo, Indonesia Participants
1,100 ==f=
3
===
3
===
3
111,972
=======
=======
81.!291
112,257
========
Total - INTER-COUNTRY
PROGRfu~S
=======
31,700
======== =======
7,250
....
WESTERN PACIFIC: Regular Budget Number of posts Estimated expenditure Other Extra-Budgetar.y Funds Estimated expenditure
Page 45 <I> '0 ctJ
5 INTER-REGIONAL
1957 195S 1959
1957 US$ --
195S US$
1959 US$ PUBLIC ~\LTH ADMINISTRATION Dental health seminar Inter-Regional 42
1957 US$
195S US$
1959 US$
. ..
1,900 1,950 300 28.~295
Short-term,; consultant Sl Fees Travei Supplies and eq.J. ipment Participants r ·~
32z445
=== === ===
=======
=======
=======
32,1+45
Total - INTEi-REGIONAL
=======
•====== =======
J