Paho Coll Od 234

PAHO COLL OD 234 Ial:ui Published also in Spanish with the title: Informe del Director: Cuadrienal 1986-1989, Anual 1989 ISBN 92 75 37234 9 ISBN 92 75 17234 X © Pan American Health Organization, 1990 Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. For rights of reproduction or translation of PAHO publications, in part or in toto, application should be made to the Editorial Service, Pan American Health Organization, Washington, D.C. The Pan American Health Organization welcomes such applications. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the Pan American Health Organization concerning the legal status of any country, territory, city, or area of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the Pan American Health Organization in preference to others of a similar nature that are not mentioned. Co¿' - J/ Report of the Director Quadrennial 1986-1989 Annual 1989 Official Document No. 234 PAN AMERICAN HEALTH ORGANIZATION Pan American Sanitary Bureau · Regional Office of the WORLD HEALTH ORGANIZATION 525 Twenty-third Street, N.W. Washington, D.C. 20037, U.S.A. TO THE MEMBER COUNTRIES OF THE PAN AMERICAN HEALTH ORGANIZATION In accordance with the Constitution of the Pan American Health Organi- zation, I have the honor to submit the 1986-1989 quadrennial and 1989 annual report on technical cooperation activities of the Pan American Sani- tary Bureau, Regional Office of the World Health Organization. Within the context of regional health-for-all strategies and of policies set by the Pan American Health Organization's Governing Bodies, the report analyzes the salient activities in the Organization's technical cooperation program during the quadrennium. This report is complemented by other documents that are also submitted for the consideration of the XXIII Pan American Sanitary Conference: Health Conditions in the Americas (1990 edition) and the Financial Report of the Director and Report of the External Auditor, 1988-1989. This report has been produced with the same structure as the biennial Program Budgets in order to facilitate the analysis of the activities carried out by the Organization. Respectfully, Carlyle Guerra de Macedo Director CONTENTS PAN AMERICAN HEALTH ORGANIZATION: HISTORY AND STRUCTURE ..... vii INTRODUCTION ............................................................ xi 1. GOVERNING BODIES .................................................... 1 Pan American Sanitary Conference ........................................... 1 Directing Council .......................................................... 2 Executive Committee ....................................................... 4 II. GENERAL PROGRAM DEVELOPMENT AND MANAGEMENT .............. 5 Executive Management ...................................................... 5 Regional Director's Development Program ..................................... 5 General Program Development ............................................... 5 External Coordination for Health and Social Development ....................... 6 Information Coordination ................................................... 7 III. HEALTH SYSTEMS INFRASTRUCTURE ................................... 9 Introduction ................................................................ 9 Managerial Process for National Health Development ............................ 10 Technical Cooperation among Countries and Projects at the Country Level ......... 11 Health Situation and Trend Assessment ................... 1....................11 Health Policies Development ................................................. 14 Organization of Health Services Based on Primary Health Care ................... 17 Health Services Development ............................................... 17 Essential Drugs and Vaccines ............................................... 21 Oral Health .............................................................. 23 Clinical, Laboratory, and Radiological Technology for Health Services ............ 26 Health Education and Community Participation .............................. 28 Women, Health, and Development ............................................ 30 Emergency Preparedness and Disaster Relief Coordination ........................ 31 Human Resources Development .............................................. 36 Policy and Coordination ................................................... 37 Human Resources Administration .......................................... 38 Human Resources Training ................................................ 38 Health Information Support ................................................. 39 Official and Technical Publications .......................................... 39 Scientific and Technical Information ........................................ 39 Information and Public Affairs .............................................. 43 Research Promotion and Development ........................................ 45 IV. HEALTH PROGRAMS DEVELOPMENT .................................... 48 Introduction ............................................................... 48 Food and Nutrition ......................................................... 49 iv Report of the Director Environmental Health ...................................................... 51 Maternal and Child Health, Including Family Planning .......................... 55 Communicable Diseases ..................................................... 61 Acquired Immunodeficiency Syndrome (AIDS) ................................. 63 Health of Adults ........................................................... 67 Veterinary Public Health .................................................... 68 V. ADMINISTRATION ....................................................... 75 Budget and Finance ......................................................... 75 General Services and Headquarters Operating Expenses .......................... 76 Personnel ......................................... 77 Procurement . ............................ .................................. 78 VI. PAHO/WHO TECHNICAL COOPERATION AT SUBREGIONAL AND COUNTRY LEVELS .................................................... 79 Introduction .............................................................. 79 Caribbean Area ........................................................... 80 Caribbean Cooperation in Health .......................................... 80 Antigua and Barbuda .................................................... 81 Bahamas ............................................................... 82 Barbados ............................................................... 85 Bermuda ............................................................... 86 British West Indies ....................................................... 87 Cayman Islands ......................................................... 87 Cuba ................................................................ 88 Dominica ............................................................... 90 Dominican Republic ..................................................... 91 French Antilles and French Guiana ........................................ 93 Grenada ................................................................ 94 Guyana ................................................................ 95 Haiti ................................................................... 97 Jamaica ................................................................ 99 Netherlands Antilles and Aruba ........................................... 100 Saint Kitts and Nevis ..................................................... 101 Saint Lucia ............................................................. 101 Saint Vincent and the Grenadines ......................................... 102 Suriname ............................................................... 103 Trinidad and Tobago ..................................................... 104 Turks and Caicos Islands .................................................. 107 Central America ........................................................... 107 Plan for Priority Health Needs in Central America ............................ 107 Belize ................... 1..............................................110 Costa Rica .............................................................. 111 Contents v El Salvador ............................................................ 113 Guatemala .............................................................. 114 Honduras ............................................................... 116 Nicaragua ............................................................ 117 Panama ........................................ .................... 119 South America ............................................................ 121 Andean Cooperation in Health ............................................ 121 Bolivia ................................................................. 122 Colombia ............................................................... 124 Ecuador ........................................ .................... 126 Peru ........................................ ...................

Load more