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P a R T 111 Activities Undertaken By PART 111 ACTIVITIES UNDERTAKEN BY GOVERNMENTS WITH THE HELP OF WHO SEA(RC30/2 Page 89 PROJECT LIST This part of the report contains a list of the projects for which WHO has given assistance during the whole or part of the period under review, listed by country. Inter-country and inter-regional projects are listed at the end. In the first column (under "Project Number - codes in parenthesis denote old numbers - Source of Funds, Co-operating Agencies") "R" means the Regular budget; "UNDP" the United Nations Development Programme; "KSFPA" the United Nations Fund for Population Activities; "FUNDWI" the Fund of the United Nations for the Development of West Irian; "UNICEF" the United Nations Children's Fund, and "US AID" the United States Agency for Inter- nati~ndlDevelopment. Names of LO-operating agencies, except for UNICEF, whether or not they have contributed funds, are given in parenthesis. In the second column, under the title of the project, the starting and, where relevant, finishing dates are shown within brackets. The projects are listed in accordance with the programme classification. The "Aim of the project" states the purpose for which it was undertaken by the government concerned, and is not related to the form or extent of WHO'S assistance. Projects entitled "Fellowships" list those fellowships which do not form part of assistance to a larger project; other fellowships are shown under the projects concerned. SEA/RCU)/2 Page 91 1. BANGLADESH Agencies Title BAN PPS 001 (SHS 001) Organization of Health Semices. Planning R and Hospital Administration (Jan. 1973 - ) Aim of the project. To establish and strengthen a sound organization for health planning in the Ministry of Health, to train personnel in health planning, to develop a health information system, including evaluation, to plan efficient integrated rural health services, including the development of a referral system, and plan health and manpower studies with the aim of improving the delivery of medical care, especially to rural areas. Assistance provided by WHO during the year. (a) A public health administrator, a statistician and a secretarial assistant; (b) a twelve-month fellowship for study in the United States of America; (c) supplies and equipment. Probable duration of assistance. A nlrmber of years. Work done during the year. Under this project, a WHO task force on primary health care was constituted to develop a project document in close co-operation with various government departments as well as other United Nations agencies. Assistance was provided in collecting health and family planning data from the field for the preparation of a UNICEF report with particular reference to the setting of priori- ties and the allocation of resources for the Ministry of Health. A working paper on "Proposals for UNICEF assistance to the health sector during the Second Five- Year Plan period" was prepared in connexion with the formulation of detailed proposals for UNICEF assistance. Another paper entitled "Primary Health Care - Bangladesh" was prepared for an ESCAP-IRDP Workshop on Integrated Rural Development. A scheme for the establishment of a central indexing system for nurses was developed and sample vital registration areas were established. The preliminary collection of available information and data was undertaken in connexion with the country health programming exercise, which started in April 1977. The thana health complex scheme was finally approved by the National Economic Council and plans for the training of statistical assistants were formulated and their training initiated. A plan of action to undertake a survey of selected health problems was drawn up. In collaboration with a national team of civil and assistant civil surgeons,a scheme for the development of a health information system and a training programe, vas developed. BAN HSD 001 (SHS 002) Development of Health Services and Training R of Auxiliaries (Oct. 1972 - ) Aim of the project. To develop further and strengthen integrated health programmes for rural areas (thana health centre, etc.), by planning, implementing and evaluat- ing training and re-orientation prograrmnes for professional staff and auxiliary health and allied workers. Assistance provided by WHO during the year. (a) A medical officer, an auxiliary health training officer and a public health nurse educator; (b) three fellowships - two for six months for studies in India. Nepal, Sri Lanka and Thailand and one for twelve months for studies in the United Kingdom and India; (c) supplies and equipment. SEAlRC3012 Page 92 Probable duration of assistance. A number of years. Work done during the year. A public health nurse educator joined the project in December 1976 and is stationed in Rajshahi. She will be collaborating in the development of the nursing-midwifery component of the rural health services and in the educational prograrmne. In particular, she will co-ordinate the activities of nursing and midwifery personnel with those of other members of rural health teams. The WHO medical officer and the WHO auxiliary training officer continued to collaborate in the training of various categories of auxiliary health personnel and, in addition, in progrmes for the refresher or field training of field super- visors, family welfare workers, sanitary inspectors and laboratory technicians. Assistance was also given in the teaching of cornunity medicine in field practice areas to medical students, and in the training of pharmacists-B. BAN HSD 002 (SHS 005) Development of Health Laboratories and R Allied Laboratory Services (July 1975; Sept. 1975; Dec. 1975 - April 1976; Aim of the project. To organize a network of public health laboratories throughout the country at district and sub-divisional levels attached to the existing hospitals for both clinical as well as public health, including sanitary laboratory work; also to strengthen further the Institute of Public Health to function as a central labora- tory and produce and control the following vaccines: smallpox, TAB and beta-propio- lactone inactivated rabies and DPT. haistance provided by WHO during the year. (a) A microbiologist and a consultant; (b) a onewnth fellowship for study in Switzerland. Work done during the year. A microbiologist was assigned to the project in December 1976. He revieved the state of laboratories at different levels and is helping with plane to extend laboratory services. Towards this end the Institute of Public Health in Dacca is being vested with greater responsibility for developing labora- tories at divisional and district levels, for meeting the requirements of laborato- ries at the thana health complexes for surveillance work, and for providing references for typhoid, cholera, polio and dysentery. Laboratories at thana complexes are being strengthened for use as practice areas in community medicine by graduates and undergraduates. In order to improve the efficiency of peripheral laboratories, manuals are being drafted in clinical pathology, bacteriology and clinical chemistry. The production of vaccines was streamlined at the Institute of Public Health. The quality of the production has considerably improved since the establishment of a separate unit for testing the vaccines. Plans are in hand to manufacture the D and T components of DPT vaccine. The Institute should acquire consistency in quality before the D and T vaccine could be used in Bangladesh. The laboratory facilities were surveyed by the microbiologist and his counterpart from the Institute of Public Health. With a view to improving the efficiency of the services, they suggested (i) laying emphasis on manpower training, particularly of doctor trainees and technicians; (ii) better utilization of staff and equipment, and (iii) streamlining of procedures for the procurement of laboratory supplies. A consultant reviewed the clinical and research activities at the Institute of Diabetes Research and Rehabilitation, Dacca, assessed the research potential of the Institute, and advised on formulating plans for enhancing its role as a national institute for training, services and research. He also advised on the training of health and paraprofessional groups, the strengthening of clinical and laboratory services and the organization of research on problems related to diabetes prevention SEAlRC3012 Page 93 and rehabilitation. He identified the problems and assisted in developing research projects in order to mobilize external resources for these activities. With the termination of WHOIUNICEF assistance to the production of rehydration fluid, the responsibility for the project "Production of Rehydration Fluid" (BAN ISB 001) has been taken over by the Institute of Public Health and that project has been merged with this project. The staff trained through WHO fellowships in the production of intravenous fluid as well as in control and maintenance engineering is in position. The Government has plans to expand the premises and the plant in order to double its present capacity to 1000 000 bags a year. BAN MCH 001 Development of Family and Child Health Services R (Jan. 1973; Apr. - Aug. 1973; Oct. 1973 - ) Aim of the project. To develop maternal and child health services in a phased manner, with special emphasis on the retraining of health personnel in maternal and child care and the training of specialist manpower for maternal and child health work, and to establish a referral system for maternal and child care in support of rural health services. Assistance provided by WHO during the year. A consultant. Work
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