(WP)AOP/H11/61/4 (JCC)
28 September 1989 LIMITED DISTRIBUTION ENGLISH ONLY
REPORT OF THE ELEVENTH MEETING ON CHINA/WHO PROGRAMME OF COOPERATION Beijing, China 1-4 August 1989
Not for sale Printed and distributed by the Regional Office for the Western Pacific of the World Health Organization Manila, Philippines September 1989
TABLE OF CONTENTS
1.
INTRODUCTION GENERAL DISCUSSIONS ...................................... . 2.1 Review of the implementation of activities funded from China's country allocation under the WHO regular budget (1988-1989) and extrabudgetary sources for China..... .......................... ... .. ... .... .. ...
1 1
2.
1
2.2
Review of the implementation of activities funded from all funds (except the China country allocation under the WPRO regular budget) ............ ... ... ..... Consideration and discussion of the 1990-1991 detailed programme budget for China (WPRO regular budget) ..............................................
2
2.3
2
2.4 Consideration of proposals for new activities (1989 -1990) .......................................... 3. OTHER BUSINESS ........................................... .
3 4
3.1 Channels of communication ............. ............... 3.2 Revised programme budgeting procedure .... ... ... ...... 3.3 4.
4 4
Future meetings of JCC ............................... 5/6 5/6 7/8 9
CLOSURE.................................................. ANNEX ANNEX ANNEX ANNEX 1 - Agenda ........................................ 2 List of participants .......................... .
3 - Statement by Professor Chen Minzhang Minister of Public Health, Beijing .............. 4 - Statement by Mr Song Yunfu Director, Department of Foreign Affairs Ministry of Public Health, Beijing ............. 5 - Statement by Dr S.T. Han Regional Director World Health Organization Western Pacific Region .........................
13
15
ANNEX
17
... /
11
ANNEX ANNEX ANNEX ANNEX
6 - Statement by Mr Rajeev Pillay UNDP, Beij ing .................................. 7 - Statement by Dr R.L. Parker UNICEF, Beij ing ................................ 8 - Statement by Mr Ng Ngek-Book 11.0, Beij ing ...................................
19 21 23
9 - Statement by Dr H.L. Teller UNESCO, Beij ing ................................ 25/26 Meeting of the Sub-Committee on Fellowships..... Review of the implementation of activities funded from China's country allocation under the WHO regular budget (1988-1989) and extrabudgetary sources ..... .............. ..... 27
ANNEX 10 ANNEX 11
29
ANNEX 12 - Review of the implementation of activities funded from all funds (except China's country allocation under the WPRO regular bUdget - 1988-1989) ............................ ANNEX 13 - Proposals for New Activities in 1989-1990 ......
33 37
1.
INTRODUCTION
The eleventh meeting on the ChinajWHO programme of cooperation was held in Beijing, People's Republic of China, from 1 to 4 August 1989. The agenda for the meeting is attached as Annex 1 and the list of participants as Annex 2. The meeting opened with an address by the Minister of Public Health, Professor Chen Minzhang, who attended the opening ceremony together with Vice-Minister Cao Zeyi. Mr Song Yunfu, Director, Bureau of Foreign Affairs, MOPH, who was designated as Chairman of the meeting, then gave an opening statement, followed by Dr S.T. Han, Regional Director, WHO/wpRO. Statements were also made by representatives from other agencies, namely Mr R. Pillay (UNDP) , Dr R. Parker (UNICEF), Mr Ng Gek Boo (ILO) , and Dr H.L. Teller (UNESCO). Their statements are attached as Annexes 3 to 9. A sub-committee on fellowships was designated to review in detail all matters relating to fellowships. The report of the sub-committee is attached as Annex 10.
2.
GENERAL DISCUSSIONS
2.1
Review of the implementation of activities funded from China's country allocation under the WHO regular budset (1988-1989) and extrabudsetary sources for China (Document WPR/MPN/89.2)I
Using document WPR/MPN/89.2, the meeting reviewed the implementation status of projects included under the regular budget allocation for China in 1988-1989, as well as those funded from extrabudgetary sources. With only five months remaining in the biennium, most of the activities had been or were being implemented. The programme budget for 1988-1989 was expected to be fully implemented by the end of December 1989, with no major implementation problems expected for the rest of the biennium.
lA copy of this document can be made available on request addressed to WHO/wpRO ,Attention: AOP.
... /
- 2 -
With regard to fellowships, the sub-committee reported that a great majority (about 88X) had been implemented or awarded. There were a few problems in implementing some fellowships owing to: (a) failure of the candidates to pass the English language test; (b) delayed confirmation of acceptance from receiving institutions; and (c) difficulties in obtaining visas. It was anticipated, however, that almost all those problems would be resolved before the end of the biennium. Comments made during the meeting on certain projects requiring action are given in Annex II. 2.2 Review of the implementation of activities funded from all funds (except the China cOuntry allocation under th~ WPRQ regular budget - 1988-1989) (Document WPRIKPN/89.3)
The meeting reviewed the implementation status of project activities funded from other sources, as shown in document WPR/MPN/89.3. Implementation of these activities was generally satisfactory and no major problems were foreseen. Comments made during the meeting on certain projects requiring action are given in Annex 12. 2.3 Consideration and discussion of the 1990-1991 detailed progr,~e budget for China (WfRQ regular budget) (Document WPR/MPN/89,4)
Dr HAN informed the meeting that in order to simplify the procedures for programme implementation, he had decided to adopt one comprehensive sgreement covering Regular Budget project activities of the entire 1990-1991 biennium. While that new procedure would involve extra work on both sides during the initial preparatory stage, it was expected to minimize implementation delays which, in the past, had often been caused by late preparation and signature of exchanges of letters. It would also give a two-year prospective plan of work. Dr Han hoped that all pending issues in the 1990-1991 budget would be resolved during the meeting so that the budget could be finalized and the agreement signed on 4 August 1989. He pointed out that even after signature of the agreement, reprogramming during the implementation stage, if technically justified, might still be considered. On the bUdgetary situation, Dr Han explained that no budgetary problems were foreseen during the remaining period of the 1988-1989 biennium. However, a political issue on the agenda of the World Health Assembly in 1990, if not resolved to the satisfaction of all parties concerned, might result in a substantial budgetary reduction which in the case of WPRO would amount to about US$14 million. Until that issue was discussed during the Assembly, implementation of the budget might have to be slowed down. It would therefore be advisable to indicate more target dates after May 1990.
2A copy of this document can be made available on request addressed to WHO/WPRO, Attention: AOP. 3This document has since been reissued as document WPR/PB90-91 (China) and distributed separately.
.. .... /
- 3 -
The meeting then proceeded with its review of the detailed programme budget contained in document WPR/MPN/89.4. Noting that most of the target dates for implementation were for the first half of 1990, the meeting decided to leave the dates as they were, subject to postponement should there be a bUdgetary problem in 1990. The WHO Representative would keep in close contact with MOPH on the budgetary situation. Having clarified the major outstanding issues, it was agreed to finalize the programme budget document and to sign the comprehensive agreement for the 1990-1991 programme budget at the MOPH Conference Hall on Friday, 4 August 1989 at 9:00 a.m. 2.4 Consideration of proposals for new activities (1989-1990) (Document WPRIMPN/89.S)
Document WPR/MPN/89.S containing the proposals for new activities to be implemented in 1989, as well as 1990-1991 intercountry programme activities for China, was reviewed by the Committee under this item. The decisions made during the meeting are shown in Annex 13. In accepting the proposals, Dr HAN gave the following explanations: (a) A project number or indication of definite funding source opposite the activity meant that funding would be available from that project or funding source. For activities involving the use of additional funds from the 1988-1989 biennium, funding would definitely be available. Those proposals which had been accepted amounted to US$158 200. (b)
(c) For activities involving the use of additional funds from the 1990-1991 biennium, although they had been accepted in principle, implementation would have to wait until the budgetary situation became clearer after May 1990. Depending on the bUdgetary situation at that time, the proposals might be implemented in full or in part. The activities therefore had been categorized as Priorities A to C, to determine priority for implementation. Those proposals amounted to US$716 600. (d) For proposals requiring further review, additional information or revision, funding would be decided later on an ad hoc basis after technical review of the revised proposals in WPRO. (e) Research proposals would have to be processed in accordance with the usual research review mechanism.
..-/
- 4 -
3.
OTHER BUSINESS
3.1
Channels of communication
Mr CAO Yonglin expressed the Ministry's appreciation of the efforts made by WHO in implementing collaborative activities with China. To further improve the channels of communication between WHO and MOPH, he made the following suggestions. (a) Communications received directly by WHO from Chinese institutions should first be referred to MOPH, as it was the focal point for all health matters. (b) While project directors or provincial health officials were free to discuss project matters directly with the WR or WHO staff, any decisions resulting from such discussions should be referred to MOPH for approval. (c) With regard to direct communications from HQ to MOPH, WPRO and WR should be kept informed. (d) Both MOPH and WHO should ensure timeliness and relevance of information exchange. For example, MOPH would endeavour to provide local cost statements as early as possible; similarly, WHO should ensure early submission of passport details for prospective visitors to China. Dr B. KEAN assured the MOPH side that the above would be drawn to the attention of WHO staff both in the Regional Office and at Headquarters. This was corroborated by Dr HAN. 3.2 Revised programme budgeting procedure
Dr HAN informed the meeting that he had introduced several changes into the programming mechanisms in WPRO to include better planning and simplification of procedures. In addition to adopting a comprehensive agreement for the 1990-1991 budget, it was also planned to simplify the programme budgeting procedures by combining broad and detailed programme budgeting into one exercise. That revised procedure would be adopted for the 1992-1993 programme budget. Mr CAO stated that MOPH had no objection to the proposed revised procedures for programme budget preparation. MOPH would do its best to improve formulation of various project proposals and the management and implementation of various projects. In that connection, Dr KEAN referred to an earlier discussion between him and Dr Li Hongshan, when the latter had mentioned that in preparing the budget for 1992-1993, they would ensure that various ministries, institutes, provincial health bureaux and other agencies were briefed on WHO's programme budgeting policies and procedures to ensure conformity of their proposals to those policies. That would certainly contribute to better programming and utilization of WHO resources in China.
. .. /
- 5/6 -
3.3
Future meetings of JCC
MOPH expressed the hope that the JCC review mechanism would continue and that the dates could be determined as early as possible. Dr HAN agreed to continue the JCC mechanism. The next meeting might have to be scheduled after the World Health Assembly in May 1990, when the budgetary situation would be clearer.
4.
CLOSURE
On behalf of MOPH, Dr LIU Hailin underlined the importance of the JCC as a mechanism to further improve the management of collaborative activities between WHO and China. During the meeting, a number of issues had been clarified as both parties had exerted their best efforts to come to mutually acceptable solutions. The MOPH gave high importance to the JCC, as evidenced by the participation for the first time of the Minister of Public Health, Professor Chen Minzhang, and Vice Minister Cao Zeyi, during the opening ceremony. He expressed the hope for continuation of the JCC review mechanism. He also assured WHO that MOPH would continue to strengthen its efforts to implement the programme activities adopted during the meeting and to collaborate closely with WHO. Dr HAN, speaking on behalf of WHO and the staff present, expressed appreciation of the excellent preparation made by MOPH for the meeting. He had come to China with a positive frame of mind, hoping to be able to accomodate all the proposals made by the Government. While that had not been completely feasible in view of the uncertainty of the 1990-1991 budgetary situation, Dr Han assured the MOPH of WHO's continued full cooperation in future years.
- 7/8 -
ELEVENTH MEETING ON THE CHINAjWHO PROGRAMME OF COOPERATION Beijing 1-4 August 1989 AGENDA 1. OPENING SESSION Designation of Chairman Opening statements: Statement by (Minister Statement by Statement by Statement by Statement by Statement by Statement by Professor Chen Minzhang of Public Health) Mr Song Yunfu (MOPH) Dr S.T. Han (WHO/WPRO) Mr R. Pillay (UNDP, Beijing) Dr R. Parker (UNICEF, Beijing) Mr Ng Gek-Boo (ILO, Beijing) Dr H.L. Teller (UNESCO, Beijing) Annex 1
Introduction of participants 2. 3. ADOPTION OF AGENDA (WPR/MPN/89.l) REVIEW OF 1988/1989 PROGRAMME IMPLEMENTATION (a) (b) 4. China country allocation under the WHO Regular Budget and extra budgetary sources (WPR/MPN/89.2) All funds except the China country allocation under the WPRO Regular Budget (WPR/MPN/89.3)
CONSIDERATION AND DISCUSSION ON THE 1990-1991 DETAILED PROGRAMME BUDGET FOR CHINA (CHINA'S COUNTRY ALLOCATION UNDER THE WPRO REGULAR BUDGET) (WPR/MPN/89.4) CONSIDERATION OF PROPOSALS FOR NEW ACTIVITIES (WPR/MPN/89.5) DISCUSSION ON GENERAL ADMINISTRATIVE HATTERS CLOSURE
5. 6. 7.
- 9 -
ELEVENTH MEETING ON THE CHINAjWHO PROGRAMME OF COOPERATION Beijing 1-4 August 1989 Annex 2
LIST OF PARTICIPANTS MINISTRY OF PUBLIC HEALTH OF THE PEOPLE'S REPUBLIC OF CHINA, BEIJING Mr Song Yunfu Director Department of Foreign Affairs Mr Cao Yong1in Deputy Director Department of Foreign Affairs Dr Liu Hailin Deputy Director Department of Sciences and Technology Mr Shu Guoqing Chief Division of International Organizations Department of Foreign Affairs Dr Li Hongshan Chief, Division of Technical Exchange Department of Sciences and Technology Mr Li Qingxiu Deputy Chief Division of International Organizations Department of Foreign Affairs Mr Mei Guanghai Deputy Chief Division of International Organizations Department of Foreign Affairs Dr Liu Junli Programme Officer Division of Technical Exchange Department of Sciences and Technology
- 10 -
WPR/MPN/IB/l Page 2 Dr Sun Ting Programme Officer Division of Technical Exchange Department of Sciences and Technology Krs Situ Wen Programme Officer Division of International Organizations Department of Foreign Affairs WORLD HEALTH ORGANIZATION WESTERN PACIFIC REGIONAL OFFICE Dr S.T. Han Regional Director Dr Liu Guo-bin Director, Programme Management Dr N.V.K. Nair Director, Health Protection and Promotion Dr A. Romusldez Acting Chief, Human Resource Development Kiss M. Khomin Administrative Officer (Programme Operations) Miss Thelma Ballat Administrative Officer (Programme Development) OFFICE OF THE WHO REPRESENTATIVE, BEIJING Dr B.P. Kean WHO Representative Mr M. Erkkila Technical Officer UNITED NATIONS DEVELOPMENT PROGRAMME, BEIJING Mr H. Behrstock Deputy Resident Representative Mr R. Pillay Assistant Resident Representative (Programme) Miss S. Burd Programme Adviser
- 11/12 -
WPR/MPN/IB/l Page 3
UNITED NATIONS POPULATION FUND, BEIJING
Kr A. Laquian Country Director Ks C. Gregory Programme Officer
UNITED NATIONS CHILDREN'S FUND, BEIJING
Dr R. Parker Senior Programme Officer Ks S. Sakae Programme Officer (Health)
WORLD FOOD PROGRAMME, BEIJING INTERNATIONAL LABOUR ORGANISATION, BEIJING UNITED NATIONS EDUCATIONAL, SCIENTIFIC AND CULTURAL ORGANIZATION, BEIJING
Kr K. Da Silva Senior Adviser Kr Ng Gek-Boo Director Dr H.L. Teller Representative and Director, UNESCO Office for Science and Technology
- 13 -
Annex 3
STATEMENT BY PROFESSOR CHEN MINZHANG MINISTER OF PUBLIC HEALTH, BEIJING AT THE ELEVENTH MEETING ON CHINAfWHO PROGRAMME OF COOPERATION
Respected Dr Han, Respected representatives of UN agencies, Dear colleagues, friends and comrades, Today, the 11th meeting of ChinafWHO programme of cooperation formally opens here in Beijing. On behalf of the MOPH, I would like to extend a sincere welcome to all participants. Twelve years has passed since the signing of ChinafWHO memorandum of mutual understanding. As a Chinese saying goes, "distance tests a horse's strength, so time reveals a person's heart," we are very pleased to note that WHO has made tremendous efforts in helping the modernization of Medical sciences, training personnel, introducing advanced sciences and technology and equipment and supplies in our country. WHO is well known to our people with good reputation. It is not only due to the fact that the programme promoted by WHO are highly appropriate to China's situation; due to its understanding and support to China's health services, but also due to the scientific attitude and earnest. China is a developing country with a large population. In order to deliver better health services to the Chinese people and reach the ambitious goal of health for all by the year 2000, we must display the spirit of self-reliance and hard struggle. In the meantime, we need advanced technology and equipment and supplies. Hence, it is our hope, under the guidance of the general policy of opening to the outside world and reform, the cooperation and exchanges between China and WHO, as well as other agencies will be further strengthened. Dr Han has been promoting further the cooperation and he has made great contribution in this regard. I believe during his tenure, a new chapter will be written with our common efforts. During the past years, the perceptual knowledge and experiences have been gained and the implementation rate of programmes of cooperation has always been high. Nevertheless, there are still rooms for improvement in programme management and reviews, the full usafe of S&E furnished by WHO, and in bringing about full pay of returned
- 14 -
fellows. It is requested the technical departments of this Ministry to have full knowledge of the development of the programme, therefore they can sum up the experiences and identify the rooms for improvement. If it is necessary, coordination meetings in specific fields can be conducted. We should also learn from other countries about their experiences of cooperation with WHO, 80 that we can broaden our vision. In the meantime, I sincerely wish that WHO staff could give comments and suggestions in this respect. In this connection, I would like to particularly mention WHO office in Seijing. I appreciate their active role in bringing about close relationship and cooperation between WHO and China. Finally, may the meeting be fully successful and that everyone will enjoy a happy stay in Beijing.
- 15 -
Annex 4
STATEMENT BY KR SONG YUNFU DIRECTOR, DEPARTMENT OF FOREIGN AFFAIRS MINISTRY OF PUBLIC HEALTH, BEIJING AT THE OPENING CEREMONY OF THE ELEVENTH MEETING ON CHINA/WHO PROGRAMME OF COOPERATION
Respected Dr Han, Minister Chen and Vice Minister Cao, Colleagues and friends, First of all, please allow me to extend my warm welcome to you, Dr Han and friends of WHO to attend the 11th meeting of China/WHO programme of cooperation. This is the first time for Dr Han to visit China, as well as to attend the meeting of China/WHO programme of cooperation after he became the Director of WPRO. Dr Han is a new Regional Director, but a veteran WHO staff with rich experience and an old friend of ours. We are sure that a new chapter of WHO/China cooperation will be opened through efforts. I believe, with Dr Han's support, the meeting will be successfully conducted. During the meeting, we shall review the implementation status of 1988/1989 programae, consider 1990-1991 programme budget, discuss new proposals for 1989-1990 and exchange ideas on several administrative matters.
We are very pleased to note that most of the programme of 1989-1990 biennium have been and will be implemented. Very few of them have not yet been implemented as scheduled due to various reasons. Both sides are taking active steps to effect the implementation. I am convinced that, with joint efforts, and the experiences of cooperation, we will be able to implement all the programmes. The 1990-1991 programme budget document is now ready. It is an outcome of numerous discussions and revisions. Our friends from the regional office have done a great deal in regards to the document which will serve as a guidance for our cooperation in the next two years. Our meeting will culminate in the signture of document by our Minister Chen and Dr Han. Also over 30 new proposals are to be presented for consideration and approved during the meeting.
- 16 -
This meeting is being held at a time when a decisive victory has been made after putting down a turmoil. Since the participants presenting here are either medical doctors or health administrators, we all know that when a person falls ill, he should not deny the disease and refuse treatment. In contrary, he should seek medication, even surgical intervention when necessary. As you have seen for yourselves that the order in Beijing has returned to normal. China's policy of reform and opening to the outside world will remain unchanged for boosting our economy. We hope we could expect your support and understanding and the cooperation between China and WHO will be further strengthened and developed. I would like to take this opportunity to express my heartfelt thanks to Dr Han and his staff, the representatives from other United Nations age~cies for their valuable efforts in promoting the cooperation between China and WHO as well as other UN agencies. My thanks also go to the staff in WHO/Beijing's Office and Dr Kean in particular, for his hard work and dedication to his post during the unrest in Beijing. As soon as the turmoil was put down, Dr Kean came to our Ministry to discuss the rearrangement of programme activities, resulting in the smooth resumption of the programme.
- 17 -
Annex 5
STATEMENT BY DR S.T. HAN, REGIONAL DIRECTOR WORLD HEALTH ORGANIZATION WESTERN PACIFIC REGION AT THE OPENING CEREMONY OF THE ELEVENTH MEETING ON CHINA/WHO PROGRAMME OF COOPERATION BEIJING, 1 AUGUST 1989
Minister ~ Minchang, Vice Minister ~ Zeyi, Mr ~ Yunfu. Officials of the Ministry of Public Health, Colleagues from UN Agencies, Ladies and Gentlemen,
It is a great pleasure for me to be here in Beijing to attend the 11th Meeting on China/WHO Programme of Cooperation. Actually this is my first JCC as Regional Director. At the outset, I wish to acknowledge my appreciation for the efficient and cordial collaboration the Ministry of Public Health had with WHO since the last JCC as in the past. During the next few days, we will review our collaboration on current projects and activities as well as the detailed programme of the biennium 1990-1991. I anticipate, with our customary open and frank dialogue, we will be able to overcome all issues and a smooth beginning of future collaboration. Since becoming Regional Director in February, I have made several changes in the programming mechanisms. These changes include better planning and simplification of procedures in order to facilitate better collaboration between WHO and Member States. Later this week, Minister Chen and I will sign an agreement covering Regular Budget project activities of the entire biennium 1990-1991. This has required extra work on both sides at this stage, however, it will facilitate smooth implementation of activities and avoid piecemeal procedural difficulties. It also will give a two years prospective plan of work.
- 18 -
The number of projects at the commencement of the next biennium will be 47, an increase over the 38 projects at the beginning of last year, although the budget provision is of the same level. Something I would like you to consider for the future is to focus increased attention to fewer priority areas for our collaboration. This can be done by choosing target issues and building all the infrastructure necessary around these issues. For example, a focus on occupational health would have elements of health education, laboratory diagnosis, training, health systems research, and more. I have discussed this approach with some Ministers of HeaJth in the Western Pacific Region, and I have been encouraged by their interest. I look forward to similar discussions with Minister Chen and his colleagues in China. During 1988-1989, there was some financial uncertainty for WHO. Hopefully, those difficulties are now behind us, as Member States have very strongly renewed their commitment to the importance of WHO's activities over other considerations. During the past year or so, there has been an increasing evidence of other UN agencies collaborating with the Chinese government in the health field. It is encouraging to see such collaboration, particularly when agencies other than our more traditional partners UNDP, UNICEF, and UNFPA, are involved. The potential for collaboration is great and I wish to reiterate WHO's commitment to working in cooperation with its UN colleagues and Member States. I warmly welcome the participation of our colleagues from 6 UN agencies in this meeting. Minister Chen, I thank you for your warm welcome and for providing the facilities for this meeting. I look forward to working together over the next few days.
- 19 -
Annex 6
STATEMENT BY KR R. PILLAY UNDP, BEIJING
Mr Chairman, I would like to start by saying how delighted we at UNDP are to participate in this meeting on the health sector. Public health is a sector of great importance in a country of the magnitude of China and presents a daunting challenge to both the government and the agencies present here today, all of whom have a deep and abiding interest in seeing improved delivery of health care in an equitable and widespread manner throughout the nation. Over the past five years, WHO, UNICEF, UNFPA, WFP and we at UNDP, have been involved in implementing projects for improving health care services to mothers and children, strengthening the pharmaceutical industry and increasing the availability of essential drugs, training health administrators and health administrator trainers, introducing advanced medical apparatus in select hospitals and other medical facilities, and increasing the availability of clean drinking water to sections of the rural population. In these efforts, UNDP's own assistance has drawn heavily upon the technical expertise and backstopping of WHO, both directly in projects executed by them and indirectly in an advisory role in projects executed by the Government of China. Much has been achieved in the last decade of partnership between the United Nations Agencies and the Government of China in this sector, but it is clear that even more still needs to be done. In the forthcoming months, the UNDP will be embarking upon preparations for its next country programme for the People's Republic of China. For this reason, we shall be following the proceedings of this meeting with keen interest. While a decision has not yet been taken on the magnitude of IPF resources to be allocated to the health sector, we at UNDP recognize that our resources are very small in relation to the task at hand. Targetting of these resources to achieve maximum impact, therefore, takes on additional importance. We· are particularly interested in projects aimed at raising administrative and management capabilities of health care providers at all levels with special emphasis on those in remote and poor areas. In order to maximize the benefits to China of an organization such as ours, we shall pay particular attention to projects
- 20 -
which are output rather than capital input oriented; projects which truly take advantage of the vast reservoir of international expertise available to the UN system rather than those which consume meagre IPF resources on the purchase of large quantities of "high-tech" equipment. We will be looking at innovative and more effective training modalities, raising the proportion of on-the-job instruction and interactive training sessions and increasing in-country training components with the provision of international expertise. The aim is to ensure that technical knowledge is transferred effectively so that it is fully institutionalized in the operations of the recipient unit. We will be looking with particular interest at projects which are aimed at adapting foreign techniques and technologies to the needs of existing health care facilities in China. We will be looking for mutual reinforcement with projects financed by other bilateral and multilateral donor agencies. We urge the government to use its coordinating role to jointly focus the assistance of UNDP and other agencies on areas of key concern within the sector in order to maximize impact. We will also be looking, as we always do, at government commitment to the projects proposed. In concluding, I would like to re-emphasize the importance we at UNDP attach to this meeting. We will be paying particular attention to the project proposals put forward by the government to WHO with a view to developing a "wardrobe" of project ideas some of which could eventually receive UNDP IPF financing once the overall directions of the third country programme for China have been jointly determined with the Ministry of Foreign Economic Relations and Trade.
- 21 -
Annex 7
STATEMENT BY DR R.L. PARKER UNICEF, BEIJING
I. Current UNICEF Actiyities in th' H,alth and Nutrition Areats UNICEF if completing its curr,nt 5 year cycle of cooperation with' China this year with a total input of over 70 million USD. The main activities have been: 1. Strengthening of services and programmes related to the health and survival of children and women. This includes: a) EPI, our largest project, involved in support of EPI activities in general and the cold chain and vaccine production in particular. Strengthening MCH programmes through special inputs in over 100 countries. Other activities in CDD, parasitic disease, K-B disease, IDD control, anemia, nutrition, oral health, school health, health education, mental health and childhood disabilities. Production of pediatric drugs including ORS and pediatric antibiotics for ARI.
b) c)
d) 2.
Training of health staff, including: a) b) c) d) Epidemic prevention in 5 centres MCH in 7 centres Pediatricians from minority areas in 15 centres Community health field training in selected health demonstration areas.
3.
Applied research, including: a) b) Disease related topics such as diarrhea, pneumonia, anemia, rickets, neonatal hypothermia, and K-B disease. Programme related topics such as growth monitoring and financing of MCH/preventive services.
The majority of these activities have been in collaboration with the MOPH, but have also included the SEC (Pediatric training), MCA (Disabilities), SPAC (Drugs), ACWF (CDCC, etc.), MOFERT (Basic Services in poor areas), and others.
- 22 II. Plans for ebe Next Five Years In our 1990- 94 coope ration with China the ~ajor empha sis will be on impro ving the healt h and survi val of child ren and women in disad vanta ged ~ of China . We will be movin g from many proje cts to a more integ rated overa ll progra mme in the healt h area focus sing on 4 major conce rns: 1. Impro ving MCH servic es in 300 high IMR count ies in 27 provi nces, in colla borat ion with UNFPA and WHO. Stren gthen ing overa ll capac ity in manage~ent, super vision and traini ng at all MCH level s will be an integ ral part of this effor t. Conti nued input s into EPI and epidem ic preve ntion to assur e curre nt achiev ement will be susta ined, to assis t in polio eradi catio n, and impro ve surve illanc e and traini ng. Stren gthen ing healt h educa tion prima rily throug h instit ution build ing, traini ng and produ ction of mater ials. Impro ving nutri tion surve illanc e, interv entio ns, traini ng and educa tion.
2.
3. 4.
III. Colla borat ion with 1.
WHO and
Other
UN
Aienc ies
There has been excel lent colla borat ion in the past with WHO, espec ially in the areaS of EPI, CDD and ARI. We can truly say WHO and UNICEF worke d as one team in assis ting China in its monum ental achiev ement s in EPI. We look forwa rd to a simil ar close worki ng relati onshi p in these areas in the futur e. New oppo rtunit ies for colla borat ion includ e the joint UNICEFjUNFPA/WHO under taking suppo rting MCH. This will be a major oppor tunity for close coope ration invol ving joint finan cial and techn ical input s. As part of the ICC/SCN suppo rt for the food and nutri tion surve illanc e proje ct in China we have incor porat ed the secon d phase of its fundin g into our suppo rt for nutri tion activ ities and look forwa rd to this colla borat ion with WHO and FAO. In the past year UNICEF in colla borat ion with WHO and UNESCO produ ced the intern ation al versio n of the bookl et "Fact s-For -Life ". This bookl et conta ins messa ges on 10 major prOble m areas , impor tant for the survi val and healt h of child ren aroun d the world . Local ly in China these 3 agenc ies have coope rative ly encou raged the trans lation and adapt ation of the bookl et for China which was compl eted and forma lly prese nted to the MOPH this sprin g. UNICEF has funde d an initia l publi catio n of 500 000 copie s which are curre ntly being distri buted . We will contin ue to work for its use and adapt ation as a signi fican t part of our healt h educa tion effor ts. me assur e you that UNICEF will work hard to our intera ction s with WHO and other agenc ies in the long run shoul d incre ase the effici ency and of our colle ctive effor ts here in China .
2.
3.
4.
In closin g, let incre ase and impro ve futur e, which in the effec tiven ess of all
- 23 -
Annex 8
STATEKENT BY KR NG NGEK-BOOK INTERNATIONAL LABOUR ORGANISATION, BEIJING
Mr Chairman, Distinguished Guests, Colleagues, Ladies and Gentlemen,
In the outset, may I express my sincere thanks for inviting me to attend your meeting and to make a brief statement. The lLO and the WHO have eatablished very close working relationship. We collaborate not only at the Heauquarters level, but also in our technical cooperation projects and other operational activities in developing countries. The ILO Medium Term Plan for 19901995, for example, has described our cooperation in many technical areas. I would like to make use of this opportunity to highlight the major areas which are of particular relevance to our future cooperation in China. Firstly, under our major programme for improving working conditions and environment, we emphasize our assistance in formulating laws and regulations for improving occupational safety and health, and in organizing safety and health services at the work place. Our work on occupational health services focuses on periodic medical examination and other aspects of the organization and functions of such services. We also cooperate with WHO in implementing our programme for the training of occupational health personnel in developing countries. One of our major objectives is to promote improvement in sectors and types of activities which are particularly hazardous, such as mining, construction, agriculture and the use of chemicals. Secondly, our major programme on social security accords top priority of our work in developing countries to the contribution that social security can make to achieving the goal of health care for all by the year 2000. Many developing countries have not made much progress in recent years in compulsory health insurance. Again, we will collaborate closely with the WHO and the Ministry of Health and social security institutions in promoting health care and health insurance.
- 24 -
Thirdly under our major programme on technical training and skill development,' we shall continue to strengthen our technical assistance on community-oriented vocational rehabilitation, especially in rural areas where projects will be carried out with full involvement of the communities and the disabled people themselves. We plan to expand our information services on vocational rehabilitation, training, employment and social reintegration of the disabled. We also pay attention to the need of the mentally handicapped and to people with drug and alcohol problems. In China, we have several technical cooperation projects related to occupational health and safety, such as coal mine safety training with the Ministry of Energy, and labour protection and social security staff development programmes with the Ministry of Labour. Over the last few years, we had organized seminars and training programmes on construction safety and labour inspection in chemical industries. We hope to implement soon a management training project for enterprises employing disabled, in collaboration with the Ministry of Civil Affairs. These activities are financed mainly by the UNDP as well as our Regular Budget for Technical Cooperation. I am confident that we have ample scope for promoting cooperation between the WHO and the Ito in China. I believe that by closer collaboration we shall be able to improve our services to the people of China. Our cooperation may be developed in areas highlighted earlier, especially in health insurance, improving health and safety in rural enterprises and small industries, use of chemicals in agriculture, and community-based vocational rehabilitation of disabled. Finally, may I wish you every success in your deliberation. Thank you.
I
- 25/26 -
Annex 9
STATEMENT BY DR H.L. TELLER UNESCO, BEIJING
Mr Chairman, Your Excellency, Minister Chen, Dr Han, ladies and gentlemen. I would first like to thank WHO and the Ministry of Public Health for giving UNESCO the opportunity to say a few words this morning. In general terms, UNESCO's involvement in international programmes that deal specifically with the field of medicine can be said to be peripheral, considering the very broad range of its major responsibilities such as education, science and culture. I will therefore limit my brief remarks this morning to two specific activities in which UNESCO works with WHO worldWide, namely, the WHOjUNESCO AIDS-Education Activity and the UNICEFjWHOjUNESCO publication, "Facts for Life." Over the past two years, WHO's Global Programme on AIDS has worked with UNESCO in stressing the important role of national education authorities in the implementation of AIDS prevention and control plans. UNESCO's Regional Offices have been requested to assist national education authorities in their collaboration with national AIDS Committees, particularly where AIDS education in school systems has been identified as a priority. An attempt is to be made to involve local groups such as teacher'S unions, parent-teacher associations and school medical staff in the planning and implementation of AIDS education activities in school systems. I am not aware of any specific involvement of UNESCO in actions of this nature in China todate, but the potential for enhanced educational programmes in'this field certainly exists. You have just heard from my colleague, Dr Parker of UNICEF, about the excellent little booklet called, "Facts for Life." UNESCO is very pleased to have been associated with this important publication and will try to ensure that its ten key messages find their way into the teaching agenda of curriculum development centres, textbook writers, teacher training colleges and literacy centres of Member States. With these two examples, I conclude my statement and wish you all a most productive meeting. Thank you very much.
- 27 -
Annex 10
NOTE FOR THE RECORD
Meeting of the Sub-Co•• ittee ~n Feliowships of the Eleventh MeeLing on China/WHO Prograsse of Collaborallon Beijing. 2 August 1989
Present: Dr Dr Mr Ms Or Ms Ms Dr
Hongshan. Departsent of Science and Technoiogy. MOPH SYn Ting. Department of Science and Technology. MOPH ~~1 Guanghai. Departmenl of Foreign ACfalrs. MOPH IIna Xlnylng. Department of Foreign AfCalrs. MOPH Alberto Rosualdez. Jr .• HMD/WPRO M. Kho.ln. AOP/WPRO P. Topaclo. B&F/WPRO Hly Sheng I I. AA/WHO. BeijIng The
Ll
The aeetlng convened al 2.00 p .•. On 2 Augus~ 1989. following topIcs were discussed as follows:
1. A review oC lhe discussions on fellowship policies during lhe Meeling of WHO/WPRO Fellowship UnIt and lhe China delegation to the Regional Meeting of Nalional Fellowships OffIcers In Manila. 23 June 1989 was made. No major changes were proposed on polIcIes related lo requesls for exlension allhough MOPH agreed lo consIder providIng 18 monlhs fellowshIps for excepllonal cases where degree courses (e.g. Maslers progras.es) are JustlCied. 2. The 1988-1989 WHO fellowshIps program.e Cor ChIna was revIewed. The great majorIty of lhe studies (about 88%) have been Implesenled or awarded. There were a Cew probless wllh some fellowshIps due lo lhe following reasons: 2.1 Non-passing of English Language Tesls.
2.2 ConCirsation of acceplance from receiving inslitutlon delayed. 2.3 Difficulties In obtaining visas.
It Is anticipated thal aleosl all of these probleMS can be resolved before the end of lhe blenniua.
- 28 -
3. The Proposed 1990-1991 WHO Fellovshlp Proar•••e lor Chin. was Clnallzed. Tarset dates were set Cor all the proposed Ceilowshlps. .Seven Cellowshlp slots were tr.nsCerred fro. the project CHN/RPD/OOl to CHN/HHD/099. 4. The efforts of China to evaluate the i.pact of its fellowships prosra ••e were discussed. Drs ~l~ Xulvlns and ~ Welhua of BeIJlns Medical Unlversltv described their meLhodolo8Y and prell.laary results lndlc.tlns so•• po.ltlv. effects on the develop.ent of the careers oC return Ins fellows. It vas as reed that the p.r.llel efforts of WHO-WPRO to assess Its reslonal prosr•••e vould be enhanced bV coordination with the Chin. studV. The fe.slbllltv of future Joint discussions was expiored and wiii be studied.
Dq:.kr:. . :t·oA. R.;. O.- ,ld). ~ZI.vt:?j '!. ....... HHD/WPRO
- 29 -
Annex 11 REVIEW OF THE IMPLEMENTATION OF ACTIVITIES FUNDED FROM CHINA'S COUNTRY ALLOCATION UNDER THE WHO REGULAR BUDGET (1988-1989) AND EXTRABUDGETARY SOURCES Comments made during JCC/XI
Project I.
No. MPN 002
Status
1988-1989 Regular Budget MOPH will provide further justification for the two personal computers for the Planning and Finance Department of MOPH. The rest of the project provisions have been implemented or in process. MOPH has agreed to a ten-day visit by Dr Y.T. Kuo in September 1989 immediately after the PHC workshop in Harbin. to cover the request for an STC for upgrading of public health services in Shaanxi. MOPH has no objection to the UNV's resignation, with one semester left. corresponding budget provision is considered fully implemented. The
PHC 010
HMO 007
HMO 009
Another STC candidate will be recruited to continue assignment started by Dr Liu Yuen Chou. The remaining one month STC will be used for a workshop on medical education assessment to be held in Kunming in October 1989, supplemented by additional 88-89 funds (see new proposals). After discussion between HMO/WPRO and MOPH, implementation will now proceed, based on the new proposal submitted by Xian Medical University. Two STCs will visit Xian in November 1989 to conduct a workshop on curriculum implementation; fellowships will be prearranged so that the fellows may go to the University of New Mexico in January 1990; the S&E list has been received and is being processed.
HMO 012
HMO 013
- 30 -
Project No.
Status
HMD 014
Implementation has been delayed due to transfer of responsibility for project from the Department of Medical Administration of MOPH to the Depertaent of Education. As discussed between HMDjWPRO and MOPH, the project will now involve new project implementors from the China Medical Association. MOPH will submit its comments on the S&E list prepared by the two STCs (Clark/Korton) and will expedite submission of fellowship application forms. WPRO will explore with Australia the possibility of arranging a special programme on educational methOdology for four fellows from China. WPRO will try its best to have this done by January 1990. Anhui Medical University will propose new dates for STC implementation. MOPH will submit FAFs for 2x2 months fellowships and S&E lists. Local cost proposal for dental public health project at Reijing Stomatological Institute will be submitted by MOPH very soon.
HMO 015 ORM 002
OCH 001
MOPH has advised that if another STC to replace Dr Prokopengko is desired, TOR will have to be revised. New starting date for the fellowship on geriatric immunology to be established. S & E specifications awaited from MOPH. FAFs awaited for fellowships on toxicology aspects of food hygiene. MOPH agreed to hold the course on physiotherapy and speech therapy on 326 August 1989. MOPH agreed to repro gramme STC to S&E component. MOPH is considering S & E list proposed by WPRO. MOPH proposes to hold workshop on cancer immunology on 19-25 September 1989.
HEE 001 ADA 002 FOS 001 RHR 001
VPH 002 CDS 004 CAN 001
- 31/32 -
Project No. CVD 001
Status MOPH proposes to hold training course on appropriate diagnostic teChnology in developing countries on 9-23 October 1989; WPRO is exploring STC candidates.
II.
Other Sources for China MCH 011
MCR 012 MCR 013 MCR 014 MCH 015 MCR 016 (UNFPA) CWS 001 (UNFPA) CPA 012
Since UNFPA-funded projects are regularly reviewed during TPR, it was decided not to review the projects during JCC. DPP will discuss with MOPR and SFPC staff on 5 August.
The project was completed in 1988; balance of $10 086 to be used for fellowships. Programme on AIDS control to be determined after policy meeting on 5 August 1989.
NOTE: 1988-1989 projects not included in this Annex have either been implemented or are in process of beiag implemented and no specific comments were made during the meeting.
- 33 -
Annex 12
REVIEW OF THE IMPLEMENTATION OF ACTIVITIES FUNDED FROM ALL FUNDS (EXCEPT CHINA'S COUNTRY ALLOCATION UNDER THE WPRO REGULAR BUDGET - 1988-1989) Comments made during JCC/XI Item No. 2.4(c) Description Study tour on emergency preparedness and response English language training WPRO Status MOPH agreed to WHO/HQ's comments to reduce number of participants from 6 to 4 for the study tour now scheduled to take place in September/October 1989. MOPH expressed appreciation to WHO for conducting this activity which has benefited MOPH participants not only in improving their English language skills but also in better understanding of WHO's work. MOPH is considering revised proposals prepared by STC, Dr Y.T. Kuo. Draft UNDP project document under consideration.
3.2(d)(i)
4(d) (U)
Supplies and equipment for Guan County Strengthening of nursing services and education in China Media seminar on health for all through PHC, Harbin
5(a)
6(b)
MOPH will do its best to support Heilongjiang Province in carrying out urban PHC activities. The Director of the Provincial Health Bureau gives high priority to PHC; it would like to publish a booklet but no WHO financial support required at this stage.
7(a)(11)
Workshop on research design and methodology, Guangzhou WHO/UNICEF IFNS support for food and nutrition surveillance to China
New workshop dates proposed either 5-16 February or 12-23 February 1990.
8.1(b)
This is part of the agreement stipulating quarterly inter-agency meetings (FAOjWHO/UNICEF). WHO will convene the meeting. This will become a UNICEF project next year.
- 34 -
Item NOt
Description Workshop on epidemiology of aging, Tongj i Training course on drinking water quality surveillance WHO/China meeting on Kaschin Beck disease: publication of report National training course on
Status The workshop will now be held in November 1989; Government has signed the EL. MOPH to obtain detailed proposal from Sichuan and Shaanxi Provincial AntiEpidemic Stations. MOPH will provide WHO with 350 printed copies free of charge.
9.4(a)
1l.1(b)
11.3(d)
12.1(b)
Other STC candidates being considered.
bacterial isolation, identification, antibiotic susceptibili ty testing and quality control, Beijing 12.2(a) WHO/DAP/WPRO Joint visit to major producers of pharmaceutical raw materials in China China-Japan Symposium on the standardization of the location of acupuncture points EPI evaluation MOPH will coordinate with State Pharmaceutical Administration in preparing a plan for this activity, now to be rescheduled to November 1989. SATCM comments on detailed plan for this activity awaited.
12.4(b)
13.1(a)
The results of the 1989 evaluation showed that China has reached 85% coverage at provincial level by end 1988. The next national EPI review will take place in 1991. MOPH would welcome participation by the RD in the 1991 activity. The 1989 review will be translated into English for international distribution. Details of this activity will be discussed by TDR/HQ staff with Chinese officials concerned in Shanghai in October 19~9.
13.5(d)
Development of a master's degree course in epidemiology
- 35/36 -
Item No. l3.6(a)(11)
Description Establishment of diarrhoeal treatment centres (DTC) Training courses on ARI case management Research in chemotherapy of tuberculosis Leprosy workshops Fellowships on HIV
StatUI
The first DTC to be established in Kunming; second DTC to be designated later. Government requeat awaited. $170 000 to be allocated for WHO support for Chengdu. Jiangsu and Tianjin Municipality. TORs for WHO Collaborating Centre on Chemotherapy of Tuberculosis accepted by Government. MOPH will submit statements of account for various workshops held in China. FAFs will be submitted by MOPH. MOPH suggested 1-14 November 1989 for visit of STC (Beijing. Heilongjiang and Jejiang provinces).
13.7(b)(11)
13.8(b)
13.9(a) 13.l3(c)
l3.l3(a)(1ii) Consultant (lxl month) on viral haemorrhagic fever with renal syndrome 13 .14(b)(ii) Training course on the use of simplified assessment of
The time period for one of the courses should coincide with visit of Dr K. Konyama.
trachoma in field evaluation 13.15(a)(1) National seminar on cancer control
MOPH agreed to reschedule the seminar to November 1989. Tianjin would like to have more cooperation with Finland. An STC from Finland would be preferred. Delayed due to STC problems. MOPH reiterated its request for a foreign STC.
strategies 13.l6(a) STC on integrated non-communicable disease programme development Workshop on advanced cardiovascular disease epidemiology National seminar on health 11terature and information Contract between World Health Magazine and Jian Kang Bao
13.16(b)
14(b) (i)
MOPH will provide new dates for the seminar.
14(d)
HQ may wish to review the project further before deciding on 1990 activities. Jian Kang Bao to contact HQ through WR.
- 37 -
Annex 13
PROPOSALS FOR NEW ACTIVITIES IN 1989-1990
pes NO. Programme Classification and Activity
Remarks
Proposed by:
Proposed
Source of fll'ds
Decisions made at the Eleventh Heeting on China/WHO Programme of Cooperation
Z.
GENERAL PROGRAMME DEVElOPMENT Health~for~811
2.5
strategy coordination This is a continuation of an English language trainlng programme organlted by VPRO for nationals handling UHO activities in the Ministries of Health of selected countries in the Region. A total of thirty· one Chinese fellows have been trained; Thirteen are presently attending the fourth course in W9RO from May 1989 to March 1990. WPRO
( .)
English language training in WPRO fellowships in 1990 (13 _ 10 months)
'CP/OSC/ Ex ICP/MPriiQo4
MOPH will administer preliminary examinations to prospective candidates in order to come up with better quatified candidates for the programme in 1990.
3. 3.1
OEALTH SYSTEM DEVELOPMENT Health situation and trend assessment ( .)
Oevelopment of Field Epidemiology Training Programme (Consultant· lx1m) (Fourth quarter of 1989)
This wa$ discussed during the visit of Dr Hark Malison, ODe, to China in April 1989 between Chinese officials and ~PRO staff. The STC will collaborate in the development of the Field Epidemiology Training Programme (FETP) with an MeH orientation.
H'N
'CP/OST/ODS
The development of the field epidemioLogy training programme needs to be further discussed particularly the invol~ement of CDC. In the meantime, there is no objection to the assignment of 8 consultant in late 1989 to consider the feasibility of establishing such a programme. Issues to be considered include funding. staffing and collaboration with different Chinese agencies. MOPH prefers to have the consultant during the tatter part of the fourth quarter in 1989 and would 1 ike to have the curriculum vitae of the candidate as soon •• possible.
'"
CD
~cs
NO. Programme Classification and Activity
Remarks
Proposed by,
Proposed Source of Funds
Decisions made at the Eleventh Meeting on Chin8/~HO Programme of Cooperation
3.Z
"anagerial process for national health development (a)
Computer tralnlng for HOPH and WR's Office Staff, November 1989 (Computer programme educator 1.0.5m)
Provision of 1 e.ptrienced computer programme educator to train key HOPH (Department of Foreign Affairs and other) staff in the use of one word processing software package (preferably Microsoft ~ord) and other software suitable for HOPH use, e.g. lotus, half day in MOPH and half day in WR;s office to update skills on the RIS software, for a total of 58 working days. Personnel involved in auditing activities and one interpreter. WPRO comment: Study tour supported but this should not be understood to commit WHO to also support future consultancies lhe investigation will be divided into 2 stages: Stage 1 - questionnaire study and investigation in selected provinces {second half of 1989; Stage 2 • visit by an investigation team (1990). Official Government request awaited from HOPH.
MOPHI WR/Beijing
WPRO
Agreed. Arrangements to be made for a WPRD staff member to undertake this assignment in mid&February 1990.
(b)
Study tour (4xlm) on internal auditing within heal th system USA and Canada, 1990 Estimated cost: USS23 200
HOPH
\!PRO
(1990-1991 additional flK'ldS)
Agreed, in principle, for implementation in 1990, if the budgetary situation permits. (Priority 8)
"" '"
(c)
local costs for investigation of results of the Changsha MPNHD worKshop Estimated cost: US$8COO
Or Cai Jinming, Pol icy Research Division, HOPH
\!PRO
(1988-1989 additional funds)
Agreed for 1989_
impl~ntation
in
Proposed PCS NO. Programme Classiflcation and Activity Remarks by:
Proposed Source of FWIds
Decislons ~de at the Eleventh MeetIng on China/~HO Programme of cooperation
4.
ORGANIZATION OF HEALTH SYSTEMS BASED ON PRIMARY HEALTH CARE (a) Technical visit (
;)
ICP/PHC/016 Consuttant (lx1m) For the review of 1989 project activities and plan of work for 1990 (first quarter 1990)
The consultant will visit MOPH, Guan County, Hebei and Jiading County, Shanghai, to COllaborate in the review of 1989 project activities and ptan of work for 1990. Funds from UNDP intercountry project ICP/PHC/016 (RAS/861064)_ On maintenance and repair of
OMP
ICPIPMC/016 (RAS/861064 )
Accepted.
(i i)
Consultant (lxlm) 1990
OMC OMC
ICP/PKCI003
Accepted. ACCepted. Local cost c~nent of S5000 has been added, to be charged to lCP/PHC/OO3 19901991 budget. Funding for 1990·1991 agreed, in principle, if budgetary situation peroits. (Priori ty 4)
biomedical equipment
RI ICP/P"C/003 01
(b)
National workshop on hospital manag.-.nt and llIaintenance. 1990 (Consultant lxl.) CLocll cost ~ S5000) Research and Development for Daowa; District Health System in support of Urban PHC in Harbin Estimat~
To collaborate in a national workshop on hospital management and maintenance. ACtivities covering 1989-\991 include SOT, health education and information, dissemination in PHC, training, workshops, surveys. etc. Proposal prepl!red during visit by Or K.S. Lee. (Funds available from ICPIPHCI013 (RB) for 1989 - USS30 000 _)
(0)
MOPH
WPRO (1990- 1991 additional flllds)
o
.
cost:
1989
S30 000
1990- 1991 - S56 000
Proposed pes NO. Programme Classification and Activity Remarks by:
Proposed Source of Funds
Decisions rade at the Eleventh Meeting on China/WHO Programme of Cooperation
(d)
Exchange of e.perts on urban primary health care Staff from urban PHC, Harbin City (3 • 1 month) Staff from Taegu urban PHC in Korea (3 x 1 month) (1990/1991)
Three persons from the urban PHC in Harbin City will be sent to Taegu City, Rep. of Korea for one month to observe , exchange infonmation and experience in the development of urban PKC in that area.
PHe
IIPRO (1990·1991
additional fonds)
Estimated cost:
US$16 200
On the other hand, three project staff from Taegu urban PHC in Rep. of Korea witt visit Harbin urban PHC project for the e.change of infon.ation and ex"perience in 1990/1991.
Accepted, in principle, subject to reformulation of the proposal in order to include other countries, possibly the Philippines. MOPH also requested that information materials on other countries' experience in urban PHC be sent to Harbin in advance. (Priority 8)
(e)
Suppl ie-s and equipment
0)
To support the project for preparation of essential drug list, Jiading Estimated cost: US$12 000
It is proposed to provide 8 photocopy machine ($5000) and a personal computer with word processor (S7000) to support the project for preparation of essential drug list that Ji~ing is undertaking. It involves data processing and nuch docunentation wort. The list thus produced will benefit PHC development in China and other developing countries.
A/HSD
IIPRO (1988·1989
Accepted, for implementation in 1989.
additional fundS)
,...
...
(i i)
Strengthening prevention and health care in Fufeng and Oien Counties Estimated cost: $150 000
A proposal from MOPH for instruments and equi~t for two anti-epidemic stations. Continuation of existing project CHN/PHC/010 in Shaanxi Province for 1990-1991 should be reviewed by Dr Y.T. Kuo in September 1989. Video camera and spare parts. (Detailed requirements awaited.)
MOPH
1/PRO (1990- 1991
additional funds)
Accepted, in principle, for implementation in 1990-1991 if the budgetary situation permits. (Priority B or C)
(i i i )
for Turfan City. Xinjiang Estimated cost: USS6000
~O"H
UPRO (1988-1989
additional funds)
Accepted, in principle, for implementation in 1989 if the S&E list can be submitted to UPRQ as Soon as possible.
pes
Proposed NO. Programme Classification end A~t;vity
Remarks
by:
Proposed Source of Flrds
Decisions made at the Eleventh Keeting on China/~HO Programme of Cooperation
5.
HEALTH HANPO\IER (a)
CH"/MHD/007 English Training Center, Hunan Medical University (Feltowship -. 21(12m USA) (EstiNted coit -~'·S48 400)
To train two teachers in reading skills and grammar test and in teaching methodology and writing skillS, 1989 if possible. This is ~sed on report of Dr 8. Lindauer (STC). (21(12 months fellowships also included in 1990-1991 R8.) To train 60 heads of secondary medical schools and health ad.inistrators fro. provincial heal th bureaus. One SIC III.
MOPH
IIPRO (1988·1989
additional f..-.ds)
MOPH has no objection tD these fellowships being covered, through advance implementation of the 1990·1991 fellowship provision under this project. FAFs should be sul:lmhted by MOP" to YfRO so that 1989 placement can be arranged, if possible. ACCepted for 1989. i~letlentatlon
(b)
CHN/HIIO/OIZ \Iorkshop of medica' educat i on assessment,. (unaing Oc:tobe. 19a9
MOP.
IIPRO (1988-1989
in
additional f..-.ds)
(consultant - 211.1.) (local costs - 16500) Estillllted cost: USS13 000 (e)
left in 198&-1989 budget. Other resources needed for local costs and seccwd 5TC. ~ctiYity already planned. HMO/HO
Training course/workShop u(juidel inet for Health Manpower Plaming" STC 111.10 days HO St.ff 1.10 days RO St.ff 1.10 days CSA preparation of teaching materials for workshop, Local cost $4000 4000 2300 1000 1000
This course aies at strengthening health ~r plaM,ing by disseminating ;ts principles and plamil'll _thods by means of workshops. Workshop participants ere from health, education and related sectors (provincial level) who mke plans and decisions on metters related to health INInpower development. This course consists of 12 half·day sessions and emphasizes group wort (for 25-30 participants).
HHO/HO
HICI/IIPRO
Accepted in principle. Specific d.te in 1990 and other iq:tleeenting details Meet to be worked out between HOP" and WHO.
.. N
Proposed ~CS
NO. Programme Classification and Activity
Remarks
by:
Proposed Sour-ce of Floonds
Decisions made at the Eleventh Meeti"9 on China/WHO Programme of Cooperation
(d)
Human Resources Policy Analvsis
in China, Proposed Natlonal workshop on Alternative Financing Mechanisms for Health Personnel Education, Beijing. end of 1989 two consul tants CSA for background paper local cost NQ stiff RO staff
saooo 3000 2000 3500 2000
The objectives of the proposed workshop are (1) to review the financial mechanisms for health personnel education in China and (2) to develop the possible options for financing health persomel education in China. Participants would be from the Ministry of Public Health and the Ministry of Education. It is proposed to recruit two
HI40/Hfl
HHOIH. HMOI""'O
ACCepted in principle. speoc i fie dates and o.thel'" deU; Ls need to be wol"'ked out between MOPH and UHO.
consultants: one with experience in innovattve f inaneing IleChani . . end the other with expertise in financial analysis of the hutth sector.
In order to design the workshop wi th • probla solving
orientation, • WHO secretariat mecnber and a consul tent "i II arrive in China well in advance of the workshop. The extensive discussion and collection of relevant information "ill be made in collaboration with the Ministry of Public Health and the WHO Representative. On this basis. the appropriate theory and experience of the consultants will be introduced during the workshop.
... '"
pes
Proposed NO. Programme Classification and Activity
ReNrkl
by:
Proposed Source of h,nds
Decisions made at the Eleventh Meeting on China/WHO Progrllfl'llll! of Cooperation
6.
PUBLIC INFCRMATIOO AND EOUCATIOO FOR HEAL ,.
-
(.)
for health education development at the Beijing Health Eellcation Institute.. PrOlr~
The Beijing Health Education Institute submitted a detailed proposal for a four-year programme for health education devel~t. which was the result of Dr I. Soetjahjia's visit to Chi.,. in Kay 1989.
MOPH
UPRO 11990·1991
be
ackfitionat funds)
Activities (i) to (iii) need to refonnulated. in order to have a CoordiMtMi progr8lllle for the three health education institutes· National, Shanghai and Bei jlng. The r.fonnulated proposal. if KC."ted in WPRO. un be i..,leMnted in 1990 from oddltl .... ' funds (USS1Z 300>, if the budgetary situation pt:Mliti. (Prl .... ity .)
(1)
.pl .... ing and _ _ t
Training Course on
30 aonag.rla' Itaff and
of health education OCtober '989 (7 days)
(KED (if )
+
loeal cosU -
S5OOO)
decisfon ..ker, of health education at lU'"Iicipel. district and county level wilt be trained. Dr 1. Soetjahj ia will be the principal lecturer. JUi~e
..-
Training course on health education at district level
30 professionall for providing on h•• lth education will be trained.
March '990 (1 days) (Loeal costs • S5000) (fi i)
Uorkshop on ~lescent health education OCtober 1990 (7 days) (Local c .. ts • SSOOO)
30 to 50 health workers of school clinici will participate.
(iv)
Study tour In schoo' health education In the Philippi ... (3 • 2 voets In '989) EstiNted cost: U$SI100
Short tent vi lit on schoo' health educatfon in the "'llIppl....
~
wag CGllMintl::
11981·1989 oddltl ....' fundsl
Proposal shollid be refonulated in order to
the pr_ed Study tour (oc:tivlty Ivl is accepted for i"",,_totlon In 1919. MOP" p r _ ' to Incr..... the . . - r of study tour particlponto f~
have a coordfnated pt'OIr_ for the 3 NEIl institutes • Natl_I, Shenghai Ind .el jlng.
2 to 3, in order to include one partlclpont f~ eech of the "ED Instltut.. , _ oc:cepted.
pes MO.
P~ogramme
Classification and Activity
R. . rks
Proposed by:
Proposed Source of FLn:ts
Decisions made at the Eleventh Meeting on China/~HO Programme of Cooperation
1.
RESEARCH PROMOTION AND OEVELOPMENT (0)
Study tou~ of tKhnolOSlY transfer (4xlm). Japan.nd Auttratia May 1990
Estimated cost: 8. 8.1
USS26 400
Operational MChan;s",. procedure and theory of technology transfer. consultation service and infonNttion.
MOPH
hn:ls to be sought f ....
ICP/PHC/014
This proposal may be considered for funding 'rom the Special Prograsme on Technology Transfer. subject to MOPH submission of more details.
GENERAL HEALTH PROTECTION ANO PROMOTION Nutrit ion (I)
Technical visit
(0
Consultant (1x2m) October'November 1989
To review nutrition surveillance activities in selected cOI.61tries. including China. The SfC (Or lurgess) will vi.it in October/November 1989. To review nutrition luryeillanee activities and studies on nutrition and infection.
NUT
ICP/NUT/OOI
Accepted.
~
VI
(i 1)
Consultant (1xlm) on nutrHion surYei Uance. nu,trition and infection 1990
NUT
ICP/NUT/ocl
Accepted.
~Ort:
!olePH request for WRD support to participation of Or Shi Ani i of the Department of Sciente and Technology at the elOMS meeting in Geneva, 2·3 November 1989 Jas withdrawn by HOPH during Jet.
Proposed PCS NO. P~og~~
P~oposed
Classification and Activity
R_rks
by:
Souree of f.,...;s
Decisions Nde at the Eleventh Meeting on China/vHO Programme of Cooperation
(i i i)
Consul tant (b1.) on ~e.st·feeding, 1990 Estillllted cost: USS7000
To enelyze the prOble.s of NUT brent-feeding in selected MCH Clinics and hospitals; test the proposed intervention and eVlluete end set up guidel ines and policies of the project with selected ad.inistrators and medical doctors of hospitals and MeH clinics for fI,.,'_nt.tlon. I t is plemed to hold. workshop/selinar to develop I'IIItiONl nutrition proor..... and activities.
11'10
( 1990·1991 • dcliti~l lunds)
Accepted. in principle, for illlPleMntation in 1.990, if the budgetary situation permits • (Priority B)
(b)
local cost Wo~kshop/seMinar
NUT
ICP/IUT/OOI
ACCepted.
on nutrition S5000
progrannes Est i_ted cost:
8.Z
aral health (0)
technical visit (i)
Consut tant (hel.) Review of orat h.. lth project in Chooy.,.. Countv. Guongdonf lrd or 4th quarter 1990
China ha. high fluoride content in wlter in sever.l rural Irea, nuslng flurOlis. Sflpl. technology suiteble for rural application available. This STC wi II review project now developing in GUIII'IlIdong Province and advise on strengthening the project. At present, preventive
ORH
ICP/OR"/OO1
ACCepted.
.... I
I
(ii)
Consultant (lxl.) to advile on further dt¥tlapoont of eooaunity· booed pr.-tive activiti .. perticullrly lor school children In ..rlS of Chi .... to be suggested by _H 1990
ORH
ICP/ORH/OOI
Aceopted.
activities are very li.ited in Chino. This activity i •• iood Ot prOOlOting toothbrushing end pit end fissure seel..t _lieotlon _ schoolehltdr. . . . lob III II be t ...... t end ........"lsecI by t • .cher. with .inl .. l dentist ..rtici~tion. fi.i,. "ill depend on the ilpl-.tation of
the WIst ,.ijlng project.
Proposed PCS NO. Programme Classification and Activity Remarks by:
Proposed Source of Funds
Decisions made at the Eleventh Heeting on China/uHO Programme of Cooperation
(iii)
Consultant (lxlm) for technical support to dental auciliary training 3rd and 4th quarter 1990
To visit Beijing and Yuncheng. Chine has two dental auxiliary schools, one in Beijing to train personnel for urban deployment and the other in Yuncheng for rural deployment. These institutions should be strengthened in education technologies and course contents. The school in Yuncheng is currently being supported by ~HO through supplies and equipment only.
ORM
leP/ORN/001
Accepted.
(b)
Oral Health UHO Collaborating Centre, Yuncheng Study of r~tion of fluorine density of drinking water (Suppl ies & equipment • $11 000)
Fluorine fitter, 4,000 sets. YPRO comments: This proposal is supported. However, the success of the project will be greatly enhanced if provisions are also made for: ca) two fellows to visit Thailand for two weeks to study the organizational and monitoring aspects of such a project and (b) a two men· month consultant to advise on the .ost economical method of preparing bone-char and the feasibility of constructing defluoridation devices with locally available materials. Preparation of teaching materials, demonstration, slide projector, video tapes, table and charts. Electric dental chair for treatment. photo·sensitive dental unit and seal .. terials.
MOPM
\/PRO
(1990-1991
additional funds)
Proposals (b) to (f) need f~rther discussion and, possibly, revisions during the visit of the RA/ORH to China in early 1990. The revised proposal, if approved in WPRO, can be fl.X\ded in 1990, (,f the budgetary situation permits, up to a total amount of USS58 100. (Priority B)
... ...
(e)
Establishment of oral health curriculum for nursery teaching school (Local cost· 511 00,0) Oental care research on pit and furrcw sealant for primary middle school students (Supplies' equipment - SII 000)
MOPM
\/PRO
(1990-1991
additional funds) MOPN \/PRO
(d)
( 1990-1991
additional funds)
pes HO.
Pro~ramme
Classification and Activity
RemarKs
Proposed by:
Proposed Source of Funds
Elevent~
Oecisions made at the Meeting on China/VHO Programme of Cooperation
comments: This proposal is also strongLy supported. However, instead of the use of electric dentaL chairs and high intensity light to cure the sealant, it is proposed that simple dental chairs and chemically activated sealants be used. The use of these will lead to substantial savings. (e)
~P~O
Study tour (3x1m) to Chiang Mai Centre In Thailand Estimated cost: USS8 100
Proposal for study tour to
MOPH
come.
IJPRO ( 1990-1991 addi tional funds)
(I)
Vehicle for project 26 seat bus
Prevention, treatment, heaLth education, transport of students.
HOPH
IJPRO (1990· 1991
Estimated cost:
USS17 000
additional funds)
S.l
Accident orevention (a)
....
'"
Technical visit Consultant (lxlm) of national road traffic accident prevention policies and progralQ1leS October 1990 Develo~nt
Technical support to road traffic accident prevention in China.
MNH
ICP/APR/OOl
Accepted.
(b)
Local cost (55000)
To support national workshop for prevention and rehabilitation of road traffic accidents (November 1990).
HNH
ICP/APR/OOl
Accepted.
PCS NO. Programme Classification and Activity
Remarks
Proposed by:
Proposed Source of funds
Decisions made at the Eleventh Meeting on China/YHO Programme of Cooperation
9. 9.1
PROTECTION AND PROMOTION OF THE HEALTH Of SPECifiC POPULATION GROUPS Maternal and child health including fami Iy planning (a)
Meet ings/courses/workshops (i)
National workshop on home' based maternal records (Consultant 2xlm) (local cost $5000) Estimated cost: $19 000
The Ministry of Public Health indicated their interest in holding a nationaL workshop on home' based maternal records. Detailed proposal has been requested from the Government. Seminar to promote premarital counselling in Shanghai. Host to be China Family Planning Technical Instruction Centre, Shanghai. Activity already planned. UPRO comments: In principle, a workshop on premarital counselling and on adolescent sexual behaviour is supported. The workshop has to be planned with more details on subjects to be discussed. It should be a review of ongoing efforts in China and a consultant who could provide a review of activities in this area outside of China. There is also a need to have a realistic costing of the workshop. The dates proposed are too close for proper planning and to locate a suitable consultant. It would be proper to postpone the activities to later part of the year or in 1990.
A/MCH
ICP/MCH/OOI (RAS/88/Pll) (UNfPA)
Accepted, in principle.
(i i )
Seminar on premarriage counselling. Shanghai October 1989 (Consultants· 2x1m '14 000) (local costs . $5000) Estimated cost: US$19 000
MOPH
HD
The seminar will be postponed to 1990, as recoomendecl by UPRO. funding from other sources, possibly UHO/HO. will be sought.
.,. '"
Proposed PCS NO. Programme Classification and Activity Remarks by:
Proposed Source of Funds
Decisions made at the Eleventh Heeting on China/~HO Programme of Cooperation
(b)
St.q:Il ies and equipaent
The Beijing University Medical College requested temperature recorder for the study on temperature control in the newborn babies. The proposal has been sutmi tted to MG. (Estimated cost: USS10 000) For translation, printing and evaluation of the textbooks on training programmes of women's health. ,,"0 corrments: I t would be IIIOre appropriate and would serve
HCH
HO
Accepted.
(e)
National Health Education Institute Estimated cost: USS20 000
MOPH
~PRO
(lCP)
UPRO suggestion accepted. Fu~in9 of up to USS5000 from lep funds in 1990·1991 can be
provided.
health workers more if Chinese experts would develop a textbook based on their experiences. using various publications frCIII abroad as reference .. terials rather than translate a textbook which hi' been developed ina foreign context.
:s
pes NO. Programme Classification and Activity
Proposed Remarks by,
Proposed Source of FU'lds
Decisions made at the Eleventh Meeting on China/UHO Programme of Cooperation
(d)
Evaluation of perinatal high risk management project Application of computer workshop, Beijing Medical University October 1989
(Consultants (local costs Estimated cost:
4xllR) $4000) uSSlO 000
Five projects will be reviewed (Shunyi, Heping, Jixian, Kingpins and Suzhou). Uorkshop for 30 participants, October 1989, UNO Collaborating Centre at Beijing Medical University. The risk approach project is becoming more and .are a research effort instead of expanding the knowledge already gained to other parts of China. A review of the risk approach five projects could be l.Ildertaken if funds are available and with one consultant, who is an epidemiologist with Chinese obstetrician and gyneecologist as team members. There is a need for only one consultant. After the review and the report studied in detail, only then any further workshop on microcomputer course would be justified. Hence the proposal IRiIY be deferred to 1990.
MOPH
(1990-1~1
""RO
additional hnlo)
WPRO comment:
The proposal should be adjusted and deferred to 1990, in accordance with the comments made by ~PRO. US510 000 (one month consultant and local costs of US5]000) can be provided in 1990, if the budgetary situation permits. (Priority C)
..... '"
9.3
Yorke-rs' health (a) Technical visit
(i)
Consultant (lxlm) Control of occupational diseases in agriculture l~O
Technical support on control of occupational diseases in agriculture.
(]He
leP/OCH/OOI
Agreed.
(i 1)
Consultant (tx1m) 1~0
To develop a regional occupational health programme and to evaluate the progress of UPRo·supported research projects.
(]He
lep/oc./OOl
Agreed.
PCS NO, Programme ClassifIcation and Activ1ty
~~rks
Proposed by:
Proposed
Source of F~s
D~cis1ons made at the Eleventh He~ti"g on China/WHO Programme of Cooperation
(b)
Supplies and equipment for diagno~is of pneumoconiosis, Beijing Medical univ~rsity Estimated cost: USS15 000
Fibro·optic bronchosc~ and spate parts 1T 20-K. Beijing Medica' university to provide detlils. Apparently initill money not sufficient.
HOPH
\!PRO
Accepted, for 1989.
i~lementation
in
11988-1989
Denils of s&E should be
additional funds)
Submitted IS soon as possible.
9."
Health of the elderly (0)
Development of conmunity based care of the elderly programme in selected countries 2nd half of 1989 (Consultants· 2xlm) (Iesearch grant • S10 000) Development of geriatric services July·Noy~r 1990 (Consultant· lxlm) H~AlTH
STC for Chinl project forn.Jlltion. Research grant for developing communttypbased care of the elderly. For review and further development of project.
NUl
lep/HEE/OOl
Accepted.
(b)
NUT
lep/HEE/OOl
Accepted.
10.
PROTeCTION AND PROHOTION OF MENTAL Prev~tion and treatment ~rolD9ical disorders (it)
'" N
10.3
of mental and
Heet i ngs/courses/workshops ( i)
Uorkshop on social psychological rehabilitation of mentally disabled, Shanghai October 1989 (local costs - 55000)
To introduce the latest trends and advlnces on psychosocial
HOPH
\!PRO
rehabilitation for 60 professionals engaged in research and science and rehabilitation for the mentally disabled. ~orkshop planned for October 1989 at Shanghai Municipal Kental Mealth Centre (VNO Collaborating Centre). Eight foreign experts to be invited.at their own expense or through bilateral arrangeMents.
(1988-1989 addi tional funds)
Accepted, for implementation in 1989.
Proposed pes
NO. Programme Classification and Activity
Remarks
by:
Proposed Source of F\rIds
Oecisions made at the Eleventh Heeting on China/YHO Programme of Cooperation
OJ)
Training of personnel in the field of psychiatry prevention and control in rural comruntty, Epidemiology of psychiatry. Health Bureau of Tantli City. Shandong Province (local costs· S15 000) (Training course - SSOOO) Estimated cost: USS20 000
Training programme for primary medical workers in community mental health care and workshop on the effect evaluation of community metnal health care and computer statistics used in mental health. April 1990.
MOP.
\/PRO <1990-1991
additional funds)
Accepted, for implementation in 1990, if the budgetary situation permits. (priority C)
(b)
Research on epilepsy cerebrovascular disease control and treatment in rural areas (Supplies &equipment· SZO 000)
Ambulance YHSO coaster EEG-7209 ECG-8110J/K Shipping 7.000 2,300 2,600
8.500
MOP.
""RO <1990-1991
additional funds)
Accepted, for implementation in 1990, if the budgetary situation permits. (Priority 8)
for research in Ningxia Hui Autonomous Region. Beijing Neurosurgical Institute proposal. This is additional to CHN/MNO/001 budget for 1990· 1991. (e)
w '" HOP"
Study of early identification and treatment of mentally retarded children (Consultant . l~lm S7000) (Fellowship - lKlam. USA $25 lOa) (Supplies & equipment· S100 000) (local cost . 15000) Estimated cost: US$137 100
CO2 incubator ••••••... (Yomato 11 62) vision screening .•••• hearing screening .•... instrt..ment automatic aminoacid •.. analyzer automatic absorption ..
SID 000
I/PRO (1990-1991
5 000 5 000 50 000 20 000 5 000 5 000 5 000
additional hJrlCls)
spectrophotometer (Backman) instruments for •••... physical therapy and rehabilitation laboratory reagents •.. and kits Field survey ..••..•..
DeCision deferred, pending reformulation of the proposal. This can be discussed further during the visit of RA/MNH/YPRO and Director, KNH/HO to China in eady August 1990. If reformulated proposal is accepted in ~PRO, funding to be provided in 1990 if budgetary situation permits. (Priority C)
Shanghai Medical University
Children's Hospital. Survey to be done in Shanghai for 1990.
proposed PCS NO. Programme Classification and ACtiyity
Proposed Sourc~
Remarks
by;
of F\Jnds
Decisions made at the Eleventh Meeting ~ China/UHO Programme of Cooperation
11. 11.1
PRQMOl'lON OF ENVIRON"ENUl HEALTH
Community water supply and sanitation (a)
Technical yisits Consultant (lxlm) To COllaborate on treatment of rural water supplies (1990)
Seyeral areas of China haye severe health problems due to excess fluorides, etc. the consultant will advise on recent technologies on the removal of fluoride, iron and salinity of water supplies.
PEPAS
ICPIRUOIOOI
Accepted. This should be coo,.-dinated "'ith activitv B.ZCb).
(b)
"eet i ngs/ courses/workshops Provincial workshop on water supply and sanitation information systems. 1990/1991 (consult'"ts 2xO.75.)
This activity i$ a follow·up to the WHO/DAN1DA workshop scheduled in Beijing. 10-20 Hay 1989. The workshop will be held in a province to be selected by Chinese authorities to Strengthen water and sanitation information system at the proYincial leyel.
PEPAS
ICP/RUO/OOI
ACCepted.
ond OANIO>
... '" I
11.2
Environmental health in roral and urbaln develC!F!!!!mt and housing
Co)
Uor~shop
on systems analysis for unagtflllent and plaming of urtwin environmental systems 10·14 days in first half of199O (Consultants· 2.0.75.)
To provide participants with Systems an,lytic techniques for design, management and planning of ur~ environmental systems with special emphasis on economic evaluation and aicroca.puter application.
IEHE/ CAPK
ICP/RUO/OOI
Accepted.
PCS NO. Progranme Classification and Activity
Remark.s
Proposed by:
Proposed Source of Funds
Decisions made at the ELeventh Meeting on China/WHO Programme of Cooperation
11.3
Control of environmentaL health hazards (a) Technical visit (i)
PEPAS Staff/Consultant (I.1m)
Solid waste management in small·siled cities in China (1990)
The Institute of Environmental Health and Engineering (lEHE), Chinese Academy of Preventive Medichle (CAPM), requested one man/month consul taney (PEPAS staff) to assess solid waste management practices in China and recommend the future course of action. This activity was verbally discussed with the concerned agencies during a past assignment by a PEPAS staff. The objective of the consultancy is to collaborate with BMRIEP and NEPA in designning a statistical analysis programme for air quality data. To visit Xian and Guangzhou to discuss design of audit and comparison study for air monitoring stations. This was discussed verbalLy by a PEPAS staff with MOPH staff. In addition to the consultant, financial assistance will be required for development of promotional materials, posters and palJ1)hlets for primary health care units. Offic;al Government request including information on amount of funds required for development of materials awaited.
PEPAS
lCP/RUO/OOl
Accepted.
ni)
ConsuLtant or PEPAS Staff (1.0.T5m)
On air quality data analysis (1989/1990)
PEPAS BMRlEP/ NEPA
lCP/RUD/OOl
Accepted.
'" '" PEPAS/ NEPA lCP/RUO/OOl
Ciii)
Consul tant or PEPAS Staff (1.0.T5m)
Accepted.
Audit of GEMS Air monitoring stations, 1989/1990
( iv)
Consultant (1x1m) To prepare legislation for management of consumer product chemical substances (e.g. cosmetic preparations), 1989/1990 Estimated cost for materials: US$SOOO
PEPASI MOP"
lCP/RUD/001 (for STC) WPRO (1990·1991
Accepted, in principle, for implementation in 1990. (Priority A)
additional funds . for
materials)
PropoSed PCS NO. Programme Classificatton and Activitv Remarks by:
Proposed Source of hnds
Decisions made at the Eleventh Meeting on China/UnO Programme of Cooperation
(b)
Meetings/courses/workshops Nationa' training course on hazardous waste management, 2 weeks in 1990 (Consultants 2xlm) (local cost - S5000) This was originally proposed by with request for S5S 000 local costs, but was not supported by HOPH. PEPAS will check with NEPA whether they still wish to go ahead with the course with PEPAS providing two consultants and 55000 local costs. ~EPA
PEPASI NEPA
ICP/RUO/OOI
Accepted. This should be coordinated between HOPH and NEPA.
Ie)
Project proposal on preventive measures by rwoinen aga i ns t co. l smoke induced endemic fluorosis
The objectives of this project are to infonm women of prophylactic measures to prevent the occurrence of fluorosis due to ingestion of food contaminated by coal smoke, and to alert women to the danger of prolonged close exposure to coal smoke during cooking. A draft proposal has been prepared by IEHE/CAPK and submitted to PEPA$ for comments. The project will consist of: (1) A field visit by PEPAS staff to review the design for a survey of affected COl'llftllit ies:
PEPASI IEHEI CAP"
ICP/RUO/OOI (for field visits) Funds
Decision deferred until final proposal is submitted by the Chinese Government.
to
be sought
for
other activities
'"
VI
PCS NO. Programme Classification and Activity
Remarks
Proposed by:
Proposed Source of funds
Et~venth
Decisions made at the Meeting on China/~HO Programme of Cooperation
(Z)The conduct of the survey; and (3) A one-week workshop on fluorosis control for health education offic;als. The work.shop wi II requi re i npJt by WHO staff and 8 consultant (0.75 m/m). The draft proposal calls for a 540 000 contribution from WHO for the development of various educational materials (audiovisual maurials, leaflets and posters) and to cover local costs for the survey.
Government will submit final proposal to UPRO. 11.4
food
saf~ty
.... ~orkshop
U>
en)
Meetings/courses/workshops on shellfish sanitation, 1989/1990 (Consultants 2xO.7Sm) (local costs - S3000)
As a result of the outbreak of hepatitis A in Shanghai in early 1988, a PEPAS staff discussed with the Institute far Food Safety Controt and Inspection the possibility of holding a workshop on shellfish sanitation in Shanghai. A draft programme was prepared by PEPAS and forwarded to the institute on 3 March 1989. PEPAS will provide 2 consultants for 2 weeks each and S3000 local costs.
PEPAS
lep/RUD/DDI
Accepted, for implementation in 1989.
P~oposed
pes NO.
Prog~~
Classification and Activity
Retl\itrk.s
by,
Proposed Source of Funds
oecisions made at the Eleventh Meeting on Ch;na/YMO Progr __ of Cooperation
(b)
project proposal on pesticide residues
During the visit of a PEPAS stiff to Cuengdong Province in July 1988, he agreed to prepare a dr.ft UNOP's Project lo~lltion framework (PIF) for the Provincial Health Department. The draft was preplI"'ed in late 1988 and was revised by GUlngdOng Health De~~tment in March 1989. During 8 PEPAS staff ~r's meeting with the Institute for Food Safety Control and tNpection in July 1988, he agreed to prepare a draft Project Formulation Framework. The draft has been prepared and forwarded to the Institute. This project is to rl'ise
PEPASI Guangdong
FlMlds to
be sought
Heal th Department
from
UNOP
Noted. HOPH to propose through CleElE for UNOP funding. In principle, UNOP Ny be interested in s~rting this proposal.
(0)
Project proposal on street foods
IJHO/UNDP
FWlds
to
be sought fr...
UNOP
Noted. MOPH to propose through CICETE for UNOP funding. In principle, UNOP Illy be interested in supporting this proposal.
(d)
Project proposal on Inte-gratiftg food sefety into primary health care delivery systems '(\,h)rkshop and suppl in , ~ipment for training ~teri.ts) Utimatc.od cost! '20 000
PEPAS
awareness among primary health care workers concerning the need to educlte hOlMfMkers, especially .others and pregnant women, in proper food handl ing in the home. The project viii consist of a workshop to ~ held in Shaanxi Province attended by directors of c:~try Epidemic Prh'ention Stltions to discuss the i~rtence of food safety and to develop. plan for integrating food safety into PHC delivery systetlll. Training
.....0 <1988·1989
ACCepted, for impleMentation in This will be included . under CHN/PHC/010. UNOP moy be 1989.
.... CI>
additional funds)
interested in supporting further development of this project.
and pt'QIOtiOf\llI .. terflls will be cW•• lcped and distributed t.
country Epidetnic Prevention SUtions for sl.bsequtnt use at loc •• PHe unitl4
Proposed pes NO. Programme Classification and Activity Remarks by:
Proposed Source of Funds
Decisions made at the Eleventh Heeting on China/WHO Programme of Cooperation
'2. 12.1
DIAGNOSTJC. THERAPEUTIC AND REHABILITATIVE TECHNOLOGY pinical. laboratory and radiological technolosy for health systems based on primary health care (I)
Technical visit Consultant 1990 (h1m)
OevelopmMt of national basic radiologica' services. UHO support is requested for 4 temporary advisers from USA, Australia and Japan for a training course on the use of etectrone .fcrO$cope. Proposed to be held at the Capital Institute of MediCine, Beijing. Local cost requested to cover travel expenses of 80 participants from allover China, supplies and printing.
lilt
ICP/CLOI003
Accepted. Accepted.
(b)
National training course on the use of electron microscope for health science research, Beijing 9-14 Apr i I 1990
LAB
RD's Develop:nent Fund
(Temporary Advisers-4xO.Sm) (local cost - S5000)
'" '" LA8 ICP/CLO/002
(e)
Suppl ies and equipment (i)
Collection and analysis of data on antimicrobial resistance
Computer for collection and analysis of data on antimicrobial resistance. The foctl point for antimicrobial surveillance' Institute of Antibiotici, HUB Shan Hospital, Sh.nghai. 4th quarter )990. To be i~lemented
Accepted.
( it)
Further support to basic radiological services "OS)
in 1990.
OMC
ICP/CLR/003
Accepted.
Propos~
PCS NO. Programme Classification and ACtIvity
Remarlts
by:
Proposed Source of funds
Deers-ions made at the Eleventh Meeting on China/WHO Programme of Cooperation
12.3
Drug. vaccine quality. safety and efficacy (a)
Study tour (4xO.15m) on surveillance and management of cosmetic hygiene, USA and Japan Oecember 1989 • Estimated cost: U$520 000
To observe management and surveillance practices for cosmetics in USA and Japan. Institute of Environmental Health Monitoring, Chinese Academy of Preventive Medicine.
HOP"
WPRO (1988·1989
Accepted, for implementation in 1989.
additional funds)
12.5
Rehabilitation (a)
Technical visit Consultant (1.1m) on cOITIIlJni ty' based rehabi I i tat i on 1990 to eva\uate the progress of community·based rehabilitation in China. Ql!C
ICP/RHB/001
Accepted.
(b)
Research Grant Epidemiology of disabled and disformed caused by I~prosy Esti~ted
cost:
USS21 000
Research proposal submitted by Dr li Wenzhong, Oirector of Leprosy Research Department, Chinese Acad~ of Medical Sciences. UPRO comnents: Supported in principle, subject to revision of th~ proposal to include not only a survey on leprosy disability but also provision of rehabilitation car~ services.
MOPH
WPRO (1990·1991
additional funds)
Support to this proposal to be decided in accordance with the usual research grant procedur~s.
o '"
13.
DISEASE PREVENTION AND CONTROL
13.1
I!!!I!Jr!izat ion
'a)
'raining courses on surveillance for polio eradication (local costS . S5000 each course) Estimated cOlt: U5$20 000
Training courses will be held for provincial level staff four times in 1990. Participants fra. provincial surveillance team. S5000 per course.
\/PRO
EPI/HQ'
Accepted, for iMplementation in 1990. The Government gives high priority to this activity.
! .
Proposed pes NO. Programme Classification and Activity
Remarks
by,
Proposed Source of funds
Decisions made at
the
eleventh Heeting on CJ\·ina/WHo
Programme of Cooperation
(b)
iranslation and printing of WHO manual on poliomyelitis eradication
To print 10 000 copies for distribution to provincial prefecture and county level surveillance teams.
"".0
EPI/HQ
ACCepted, for implementation in 1990. 'he Government gives high priority to this activity.
estimated cost: 13.2 Disease vector control (e)
USS20 000
Fellowship (lxlm) On mosquito control technology in the airport. Philippines Estimated cost: 05$2700
Biological characterization and control of mosquitos. Philippines. Proposed by Or Qu Xulu, National Quarantine Administration. Candidat~ already identified.
HOPH
IJPRO (1988-1989
additional funds)
Accepted, for implementation in 1989. FAFs should be submitted to UPRO as soon as possible.
13.4
Parasitic diseases (e)
Workshop on epidemiology. control and treatment of schistosomiasis Nanchang City. November 1990<Consultants ·Z~1m '14 000) (local cost • \SOOO) Estimated cost; USS19 000
Seminar, field guidance and discussion on patterns of epidemics for 40 doctors in charge of schistosomIasis control. To be held in Henchang City, Jiangxi Province, (not the new WHO Collaborating Cntre). Collaboration with Hebei and Hunan should be encouraged. The original request also includes S8000 S&e for Jiangx; Provincial Institute of Parasitic Diseases and S72 200 S&e for Hubei Institute of Schistosomiasis. ~PRO
HOPH
\/PRO
(1990-1991
additional funds)
Proposed workshop accepted, in prinCiple, for implementation in 1990, if the budgetary situation permits. (Priority A) The request for S&e can be discussed at a later stage.
..... '"
comments: Supported if funds Can be made available. HQ staff are prepared to travel to China to participate in the workshop. Alternatively. one STC to assess and advise on future collaboration could be provided.
pes
Proposed NO. Programme Classification and Activity
Remar'r.s
by:
Proposed Source of Funds
Decisions made at the Eleventh Meeting on China/~HO Programme of Cooperation
13.6
Diarrhoeal dinases (a)
Technical visit Consultant ('~lm) On Health Education and C()fImJI"I i cat i ons 1t was proposed that at least a year, one short term consultant will visit the COO Health Education and Propaganda Centre. COS(M)
CDO/HQ
Accepted.
once
(b)
Heetings/courses/wor't.shops lnter·provincial training courses on supervisory skills
1n 1990, 20 such courses will be supported nationwide (S2500
CDS (H)
COOIHO
Accepted.
local cost per course). One outside expert (UHO staff/S1C) will take part in the first course to act as facilitator. 0N
(e)
Supplies and equipN!nt Ci)
Reproduction of training materials
Training materials to be used during the training courses will be supported to • maximum of S10 000 to S15 000. Supplies to a maximum of $150 000 will be provided. The centre's main functions will ~:
COS(")
COO/HO
Accepted.
(i
i)
Establishment of the National Centre for information of health professionals on COD in fujian Province AES
COSt")
COO/HO
Accepted. HOPH gives high priority to this activity.
To improve the basic knowledge of health professionals on CDDj • To keep this knowledge up to date.
PCS NO. Programme Classification and Activity
Remark.s
Proposed by:
Proposed Source of funds
Decisions made at the Eleventh Meeting on China/~HO Programme of Cooperation
(d)
Evaluation Household (H.H.> Survey on proper Diarrhoea Case Management In 1989. UHO H.H. surveys will be supported in Fujian and
CDS(M)
COD/HO
Acce-pted.
Shandong ($15 000 each). In 1990, two more H.H. surveys can be supported ;n two more provinces.
(e)
Establishment of Diarrhoeal Training Units (DTU)
By the end of 1988, two units
CDS/HO
CDO/HO
Accepted.
were established - one in Jinan (Shandong Province) and one in Fuzhou. In 1989. one more unit wi II be supported in .cunning Provincilll Hospital. In 1990, twO more units would be identified. The same support (S15 000) will be provided.
13.8
Tuberculosis (a)
'" '" Consultant (lxlm) On management of 18 control programme lWO
Technical visit To collaborate with the National Tuberculosis Control and Research Centre. Beijing on strengthening management aspect of control programme. CHO ICP/TUS/OOl Accepted.
13.9
leprosy (a)
Technical viSit
(0
Consoltant (lxlm) 1990
To collaborate with China's programme to achieve baSic eradication by year 2000. (proposed candidate: Dr Robert Uorth. USA). Funds available under ICP/lEP/OOl (JS1').
CHD
ICP/LEP/DOI {JSIF
Accepted.
PropoSed ~cs
NO. Programme Ctassificatlon and Activity
Remarks
by:
Proposed Source of Funds
Oecisions made at the Eleventh Heeting on China/lJHO Programme of Cooperation
(ii)
Consultant (lxlm) Prornotion of HOT regimens 1990
Short term consultant on the promotion of MOT regimens and evaluation of MDT programmes in selected provinces. (Proposed candIdate: Dr Robert Jacobson) Funds available under ICP/LEP/001 (JSIF) Computer, printer, hard card, statistical programmes to China Leprosy Control and Research Center to provide statistical back·up for the basic eradication programme. Funds avaiLable under ICP/lEP/001 (JSIF).
CHO
ICP/lEP/001
Accepted.
(JSIF)
(0)
Suppt ies and equip-nent
CHO
ICP/LEP/OOl (J5I')
Accepted.
(c)
Others Publication of Health Education material for leprosy Translation into Chinese and publication of TRS 768, TRS 716 and A Guide to leprosy Controt, 2nd edition was also proposed. fuods available under ICP/lEP/OOl (JSIF). CHO
ICP/lEP/001 (JS IF)
Accepted.
'" HOPH agrees to ",PRO's proposal for a national training course. However, if the results of the training course are not satisfactory. HOPH would like to proceed with the study tours. Funding for the study tour to be decided later.
.
13.1\
S~x.ually
transmitted diseases Study tour (4xlm) on vcn~real diseases diagnostic reagents and quality control, Jap~n , USA or Japan &Denmark Oec~r
(0 )
1989
Proposed by the Institute of Ouality Control on Pharmaceutical and Biological Products. Dates very soon. Candidates proposed. UPRO
HOPH
"'PRO (1988-1969
additional funds)
Estimated cost:
USS20 000
comments: Instead of a study tour, a national training course on quality control of diagnostic reagents of sexually transmitted diseases including KIV. ~KO can provide one·month consultant and minimum laboratory supplies and ~ipment (USS12 000) from other sources (ICP/GPA/012).
Propos«i pes NO. Programme Classification and Activity
Remarks
by,
Proposed Source of FLnds
Decisions IA&de at the Eleventh Meeting on Ch:inalt.lHO Programme of Cooperation
13.13
Other communicable disease prevention and control activities (a) ~orkshop
on laboratory diagnostic technique of yello~ fever March 1990 (Consultant - 1x1m S7000 (Local costs • $5000) Estimated cost: USS12 000
To train 20 senior and middlelevel technicians working in the airport or seaport, 5 researchers from research institutes in south China, 10 trainees can be enrolled from other WPR countries. Total: 35 persons. Intercountry funds needed to support other YPR countries.
National Quarantine Service
Funds to be sought
from ICP 1990·1991
Decision deferred untH further technical review of the proposal in YPRO. If found to be technicalLy justifieble, lCP 1990-1991 funds can be explored laier.
(b)
Sub'regional meeting on infectious diseases control (Local costs)
The second infectious diseases control meeting for the areas of Hong Kong, Guangzhou and Hainan, 13 participants. Hong Kong, March 1990. Should come out of intercountry funds.
HOPH
FlSIds to be sought frOll ICP
1990-1991
This is an intercountry activity which should first be discussed between health authorities of Hong Kong, Macao, Guangzhou and Ha,inan. Jf agreed, UPRO may provide support through ICP. MQPH gives high priority to this activity and will initi.ate contacts ~i th Hong Kong and Maceo.
a-
vo
13.14
Bl indness (a) 1echnical visit (1)
Consultant (lx1m) 1990·1991
Development of blindness information system and applied research.
NUT (RB)
ICPIPBDI001
Accepted.
(ii)
Consultant (lxlm) Assessment of extent and causes of deafness/development of primary prevention programmes/promotion of health education activities 1990·1991
NUT
ICPIPBOIOOI (RB)
Accepted.
Proposed pes NO. Programme Classification and Activity Remarks by:
proposed Source of Funds
Decisions made at the Eleventh Meeting on China/WHO Programme of CooperlttOn
13.16
Cardiovascutar diseases (0)
Suppl ies and equipment for. the Red Cross Association of China
Many requests made previously. mannequin suppl ied by CHN/MPN/200.
100 CPR mannequins.
HOPH
UPRO
(1990-1991
additional funds)
Estimated cost: USSSO 000
MOPH agreed to explore other funding sources for this activity. Failing this, UPRO may consider funding in 1990, if the budgetary situation pe~its. (Priority C)
1'.
HEALTH INFCNlHATION SUPPORT (0)
Health union catalogue management system by computer in Shanghai (Supplies & equipment· S27 000)
To establish a database of health union catalogue management system, Shanghai Health Information Institute. Large microcomputer and training (list provided), UPRO comments; Recommend defenment of thiS proposal, pending review and discussion of alternate ~oaches during the next visit to China of RA/HIN.
MOP"
IIPRO
(1990-1991
additional funds)
Decision deferred pending review and discussion during RA/HIN'S visit.
... ... MOP,..
(b)
Th. establishment of health information network system, Insti!ute of Information, Academy of Medicil Sciences 19'1O-199Z
(Consultants· 4xl.) (Local costs • S20 000) (S\.q)l .s , _ipnoent (Suppl es , equipment (Suppl _ipment
S70 000) SZOO 000)
o. ,
SID DOD)
To establish a Chinese Medical Information Network (Chinese MEDlARS in Beijing with termintls in every province and municipality). TIC of Network Establishment x 3. long distant controlltr, software and spare parIs and equipment; 30 microcomputers for national network; 35 .adell.
\lPRO
(1990-1991 add i t i Or'Ia I
funds)
Accepted, as recommended by YPRO, i.e. support to ~ year of activities initially amountini to USSS1 000 in t99O, if budgetary situation peNmits. (Priority B)
Further support to be reviewed at 8 later stage.
Proposed PCS NO. Programme Classification and Activity Remarks by:
Proposed Source of Funds
Decisions made at the Eleventh Meeting on China/~HO Programme of Cooperation
Proposed by Dr Lu Rushan. Budget adjusted according to current collaboration (original reques t was for USS460 000). \#PRO connents: R~omnend support to only one year of activities intiatty (3 STC months, 3 microcomputers, 3 modems, one workshop) total USSS1 000. Networking is suggested to be tested initially between only 3 institutions in order to identify and solve operational problems, prior to commitment to a nationwide system.)
.... '"