WORLD HEALTH ORGANI ZA TION
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU RtGIONAl DU PACIFIOUE OCCIDENTAL
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ORGANISATION MQNDIALE , DE LA SANTE
REGIONAL COMMITTEE Thirty-second session Seoul 22-28 September 1981 Provisional agenda item 12
WPR/RC32/6 31 July 1981
ORIGINAL:
ENGLISH
REPORT OF THE SUB-COMMITTEE OF THE REGIONAL COMMITTEE ON THE GENERAL PROGRAMME OF WORK PART II Strategies for Health for All by the Year 2000
Part II of the Report of the Sub-Committee on the General Programme of Work presents for consideration by the Regional Committee the Sub-Committee's recommendations with regard to the updating of the Regional Strategy for health for all by the year 2000 in the light of the Global Strategy (document WPR/RC32/6 Add.1), as well as a draft plan of action for implementing the Regional Strategy after having commented on the plan of action developed by the Executive Board for implementing the Global Strategy (document WPR/RC32/6 Add.2). The Committee is invited (a) to consider, with a view to adopting, the revised and updated Regional Strategy for health for all by the year 2000 (Annex 1 of document WPR/RC32/6 Add.!); (b) to comment on the proposed plan of action for implementing the Global Strategy for health for all by the year 2000 (document WPR/RC32/6 Add.2); and (c) to consider with a view to adopting the proposed plan of action for implementing the Regional Strategy for all by the year 2000 (incorporated in document WPR/RC32/6 Add.2). Annex 1 of document WPR/RC32/6 Add.1 constitutes the original Regional Strategy adopted by the Regional Committee 1n September 1980, with the revisions proposed by the Sub-Committee on the General Programme of Work in the light of its review of the Global Strategy set out in double spacing with an explanatory annotation in the margin. The attention of the Regional Committee is drawn particularly to the new Chapter 5, Section 7.1, Section 9.3.1, (a) to (j) of Section 10.4.3, and the timetable contained in Chapter 11.
WPR/RC32/6 page 2
In relation to its mandate from the Regional Committee to review, monitor and evaluate regional strategies for the achievement of health for all by the year 2000, the Sub-Committee on the General Programme of Work had, at its meeting from 29 June to 3 July 1981, three main tasks. The first was to review the Global Strategy for health for all by the year 2000 adopted by the World Health Assembly in May 1981; 1 the second was to review and update the Regional Strategy in the light of the Global Strategy; the third was to review the draft plan of action for implementing the Global Strategy, to be presented to the Executive Board in January 1982, and to prepare a regional plan of action for implementing the Regional Strategy. /I
In considering the updating of the Regional Strategy, after reviewing the Global Strategy, the Sub-Committee had before it the Revised Report on Regional Policies and Strategies for Health for All by the Year 2000,2 adopted by the Regional Committee at its thirty-first session, the Global Strategy for health for all by the year 2000, adopted by the Thirty-fourth World Health Assembly,3 and the report on visits to countries by its members in April 1981, during which inquiries were made with respect to The recommendations of the Sub-Committee to the Regional indicators. 4 Committee are contained in document WPR/RC32/6 Add.l. In developing a regional plan of action, the Sub-Committee used as a basic document, and commented on, the draft Plan of Action for Implementing the Global Strate~y for Health for All by the Year 2000, prepared by the Execu~ive Board. S The recommendations of the Sub-Committee to the Regional Committee are contained in document WPR/RC32/6 Add.2. In both these tasks, the Sub-Committee took note of the salient provisions of the following World Health Assembly resolutions, copies of which are attached: WHA34.14 - Organizational study on the role of WHO in training in public health and health programme management, including the use of country health programming WHA34.36 - Global Strategy for health for the year 2000 all by
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WHA34.37 - Resources for strategies for health for all by the year 2000. ISee resolution WHA34.36. 2See document WPR/RC3l/l5, Annex 2, Rev.l. 3Global Strategy for Health for All by the Year 2000, WHO, Geneva, 1981 ("Health for All" Series No.3). 4See document WPR/RC32/5. 5See document EB68/6 Rev. 1.
THIRTY-FOURTH WORLD HEALTH ASSEMBLY
WHA34.14 20 May 1981
ORGANIZATIONAL STUDY ON THE ROLE OF WHO IN TRAINING IN PUBLIC HEALTH AND HEALTH PROGRAMME MANAGEMENT INCLUDING THE USE OF COUNTRY HEALTH PROGRAMMING
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The Thirty-fourth World Health Assembly, Having examined the Executive Board's report on its organizational study on the role of ~IO in training in public health and health programme management, including the use of country health programming; 1 Reaffirming resolutions WHA23.61. WHA26.35, WHA28.88, WHA29.72, WHA31.12, WHA31.43 and WHA32.30 concerning the development of national health service systems and primary health care, and the need for suitable management methods and a unified managerial proces.s for national health development and training; Recognizi.ng that, to reorient their health systems towards the attainment of the social goal of health for all by the year 2000, countries will have to apply a systematic managerial process for national health development; Convinced that the development and application of a systematic managerial process depends on political will as well as on appropriate managerial competencies, and that such competencies can be generated through appropriate and systematized management training activities; Noting the experience in management training accumulated by a number of countries, as well as the experience of WHO; RecogniZing that the strengthening of management and related training forms an integral part of the global strategy for health for all by the year 2000; 1. 2. CONGRATULATES the Executive Board on its study; ENDORSES its conclusions and recommendations;
3. URGES Member States to include, as essential components of their strategies for health for all by the year 2000, strategies for strengthening management and management training fur various categories of personnel and for developing suitable career structures for those trained and, as part of these strategies; (1) to identify their specific needs for training in health management, and to appraise, as a matter·of urgency, the status of their management traini.ng resources, both human and material; (2) to establish a permanent mechanism, including the organization of a national network for health development, as appropriate, for developing, applying, and providing training in the managerial process for national health development and related health services research; 1
Documen t EB6 7/1981/ REC/ 1, Annex 5.
WHA34.14 page 2 (3) to develop appropriate training activities in health management, including the provision of in-service training in institutions that are developing and applying the country's managerial process for health development, and the strengthening of the management training component of baSiC, postbasic, and continuing education programmes for health personnel, including schools of public health, medicine, nursing, other health personnel and teacher training centres; 4. REQUESTS the regional committees to review the implications of the study's findings for their respective regions and to develop, in support of national efforts, regional strategies for the implementation of the study's recommendations; 5. REQUESTS the Director-General: (1) to impl~mellt, as part of WHO's role in implementing the global strategy for health for all, a coherent strategy in support of training in health management, along the lines proposed in the Executive Board's report; (2) to facilitate technical cooperation among developing countries and foster cooperation between developed and developing countries in this area; to seek extrabudgetary funds for this purpose, and to assist in channelling bilateral and other funds to where the needs are greatest; (3)
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6. REQUESTS the Executive Board to monitor progress in the implementation of the recoomendations of the study.
Fourteenth plenary meeting, 20 May 1981
A34/VR/14
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THIRTY-FOURtH WORLD HEALTH ASSEMBLY
WHA34.36 22 May 1981
GLOBAL STRATEGY FOR HEALTH FOR ALL BY THE YEAR 2000 The Thirty-fourth World Health Assembly, Recalling WHO's constitutional objective of the attainment by all peoples of the highest possible level of health, the Declaration of Alma-Ata, and resolutions WHA30.43, WHA32.30, and WHA33.24 concerning health for all by the year 2000 and the formulation of strategies for attaining that goal, as well as resolution 34/58 of the United Nations General Assembly concerning health as an integral part of development; Having reviewed the Strategy submitted to it by the Executive Board in the document entitled ''Global Strategy for Health for All by the year 2000"; 1 Considering this Strategy to be an invaluable basis for attaining the goal of health for all by the year 2000 through the solemnly agreed, combined efforts of governments, people and WHO; 1. ADOPTS the Global Strategy for Health for All by the year 2000;
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2, PLEDGES WHO's total commitment to the fulfilment of its part in this solemn agreement for health; 3. DECIDES to monitor the progress and evaluate the effectiveness of the Strategy at regular intervals; 4. INVITES Member States: (1) to enter into this solemn agreement for health of their own volition, to formulate or strengthen, and implement, their strategies for health for all accordingly, and to monitor their progress and evaluate their effectiveness, USing appropriate indicators to this end; (2) to enlist the involvement of people in all walks of life, including individuals, families, communities, all categories of health workers, nongovernmental organizations and other associatic~s of people concerned; 5. REQUESTS the Executtve Board: (1) to prepare without delay a plan of action for the immediate implementation, monitoring and evaluation of the Strategy, and submit it, in the light of the observations of the regional committees, to the Thirty-fifth World Health Assembly; (2) to monitor and evaluate the Strategy at regular intervals;
(3) to formulate the Seventh and subsequent General Programmes of Work as WHO's support to the Strategy;
1 Document A34/5.
WHA34.36 page 2 6.
REQUESTS the Regional Committees: (1) to review their regional strategies, update them as necessary in the light of the Global Strategy, and monitor and evaluate them at regular intervals; (2) to review the Executive Board's draft plan of action· for implementing the Strategy and submit their comments to the Board in time for it to consider them at its sixty-ninth session in January 1982;
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REQUESTS the Director-General: (1) to ensure that the Secretariat at all operational levels provides the necessary support to Member States for the tmplementation. monitoring and evaluation of the Strategy; (2) to follow up all aspects of the implementation of the Strategy on beha~f of the Organization's governing bodies, and to report annually to the Executive Board on progress made and problems encountered; (3) to present the Strategy to the·United Nations Economic and Social Council and General Assembly in 1981. and report to them subsequently at regular intervals on progress made in implementing it as well as resolution UNGA34/58.
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Sixteenth plenary meeting, 22 May 1981 A34/VR/16
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THIRTY-FOURTH WORLD HEALTH ASSEMBLY
WHA34.37 22 May 1981
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RESOURCES FOR STRATEGIES FOR HEALTH FOR ALL BY THE YEAR 2000 (Draft resolution proposed by a working group)
The Thirty-fourth World Hpalth Assembly, Recalling resolution WHA30.43, which defined the goal of health for all by the year 2000, resolutions WHA32.30 and WHA33.24, which endorsed the Declaration of Alma-Ata and urged Member States to formulate national strategies for attaining health for all through primary health care as part of a comprehensive national health system, and resolution 34/58 of the United Nations General Assembly concerning health as an integral parr of development; Also recalling resolutions WHA27.29 and WHA29.32, which requested the DirectorGeneral to strengthen WHO's mechanisms for attracting and coordinating an increasing volume of bilateral and multilateral aid for health; Noting with satisfaction the decision taken by the Executive Board at its sixty-seventh session concerning the establishment of a Health Resources Group; Aware that some countries have encountered difficulties in developing and implementing thei~ national strategy for health for all, and convinced that these countries urgently require special support to enable them to overcome their difficulties; 1. WELCOMES the efforts being made by Member States to prepare and implement national strategies for health for all through the development of health systems based on primary health care; 2. URGES all Member States tc allocate adequate resources for health and in particular for primary health care and the supporting levels of the health system; 3. URGES Member States that are in a position to d; so to increase substantially their voluntary contributions, whether to WHO or through all other appropriate channels, for activities in developing countries that form part of a well-defined strategy for health for all, and to cooperate with these countries and suppor~ them in overcoming the obstacles impeding the development of their strategies for health for
all; 4. INVITES the relevant agencies, programmes and funds of the United Nations system, as well as other bodies concerned, to provide financial and other support to developing countries for the implementation of national strategies to achieve health for all by the year 2000; 5. URGES those r1ember States that, for the implementation of their str~~egies for health for all, require external sources of funds in addition to their own resources, to identify those needs and report thereon to their regional committees;
WHA34.37 page 2 6. INVITES the regional committees to review regularly the needs of Member States in the Region for external resources in support of well-defined strategies for health for all and report thereon to the Executive Board; 7. REQUESTS the Executive Board to review regularly the international flow of resources in support of the strategy for health for all, to ensure that such resources are effectively and efficiently used for that purpose, and to report thereon to the Health Assembly; 8. DECIDES that the World Health Assembly will review from time to time the international flow of resources for health and will encourage those Member States that are in a position to do so to ensure an adequate level of transfer; 9. REQUESTS the Director-General: (1) to support developing countries as required in preparing proposals for external funding for health; (2) to take appropriate measures for identifying external resource requirements in support of well-defined strategies for health for all, for matching available resources to such needs, for rationalizing the use of such resources, and for mobilizing additional resources if necessary; (3) to report regularly to the Executive Board on the measures he has taken and the results he has obtained.
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