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SEA/RC60/23 - Nomination of a Member State to the Policy and Coordination Committee (PCC) of the WHO special programme for research, development and research training in human reproduction
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

The Policy and Coordination Committee (PCC) of the Special Programme of Research, Development and Research Training in Human Reproduction acts as the governing body of the Special Programme and is responsible for its overall policy and strategy. This document describes the background and composition of the PCC and includes a brief report of the Twentieth meeting of the PCC held in Geneva on 28-29 June 2007. At present, Bangladesh, Myanmar and Nepal from the South-East Asia Region are members of the PCC. The term of office of Nepal ends on 31 December 2007. The Regional Committee is requested to elect a Member State from the Region to serve on the PCC for a three-year term of office from 1 January 2008.

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SEA/RC60/19 - Follow-up action on selected resolutions/decisions of the last three years: strengthening the health workforce in South-East Asia
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

This document highlights the progress made regarding the South-East Asia Regional Strategic Plan for Human Resource Development which was endorsed by the Fifty-ninth session of the Regional Committee, along with amendments made by members, to ensure equitable access to effective health services through an adequate and balanced distribution of sufficient, competent, and highly motivated health workforce. The Committee also requested the Regional Director to facilitate several actions in relation to regional health workforce development. The progress made by the Region on implementation of resolution SEA/RC59/R6 is mentioned in detail in the document. This document was discussed at the Joint Meting of Health Secretaries and the Consultative Committee for Programme Development and Management held in the Regional Office, New Delhi from 2-6 July 2007. The Joint Meeting made the following recommendations: Action by Member States To propose the agenda item “International Migration of Health Personnel: a challenge for health system in developing countries”, for discussion at the Sixtieth session of the Regional Committee. Action by WHO-SEARO To take steps to intensify the intercountry cooperation and collaboration among Member countries in support of strengthening the health workforce in Member countries of the Region. The document is now submitted to the Sixtieth session of the Regional Committee for its consideration.

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SEA/RC60/8 - Tuberculosis control: progress and plans for implementing the new stop TB strategy
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

The attached working paper is a summary of the progress and plans for implementing the new Stop Tuberculosis (TB) Strategy. The South-East Asia (SEA) Region as a whole achieved a case detection rate of 64% in 2005, while treatment success rates in excess of 85% have been consistently achieved since 2003. A fall in TB prevalence and mortality rates are being reported in a few Member countries in the Region, while the estimates for TB prevalence and mortality for the Region have decreased by an overall 30% and 22% respectively since 1990. WHO and its partners have endorsed the new Stop TB Strategy which constitutes the core of the Global Plan to Stop TB (2006-2015). The Regional office, in consultation with national programmes and partners, has developed a Regional Strategic Plan for TB Control 2006-2015, based on the Strategy and focusing on the priorities in the SEA Region. The interventions mentioned in this plan towards achieving the TB targets under the Millennium Development Goals (MDGs) are grouped under four strategic approaches: sustaining and enhancing DOTS to reach all TB patients, improving case detection and treatment success; establishing interventions to address TB/HIV and MDR-TB; forging partnerships to ensure equitable access to an essential standard of care to all TB patients, and contributing to strengthening health systems. Member countries have also developed national plans in line with the Stop TB Strategy and the Regional Plan. There is a very close link between implementing these plans and good laboratory practices, procurement systems, coordination with related programmes, particularly national HIV/AIDS programmes, health infrastructure and human resource development. Resolution WHA 60.19 adopted by the Sixtieth World Health Assembly calls on Member States to fulfil their commitments to implement long-term plans for TB prevention and control in line with the new Stop TB strategy, aimed at accelerating progress towards halving TB prevalence and deaths by 2015. WHO was requested to take a leadership role in spurring implementation and intensifying support to Member countries towards reaching these targets. The Joint Meeting of Health Secretaries and the Consultative Committee for Programme Development and Management reviewed the actions proposed for the consideration of the Regional Committee. The Joint Meeting made the following recommendations: Action by Member States (1) To fully implement national TB programmes in line with the Regional Strategic Plan 2006-2015, in order to achieve the goal of halving TB prevalence and mortality by 2010 and reaching the MDGs by 2015. (2) Build adequate human resources and infrastructure to deliver effective TB services, including laboratory services under primary health care systems, and take into account the pivotal role of the private sector in service provision. (3) Collect, analyse and use data at the sub-national level for planning and implementing appropriate interventions. (4) Carry out operations research in order to devise appropriate strategies and effective interventions and to improve programme effectiveness. (5) Mobilize additional resources, both domestic as well as external, to sustain the achievements and to expand services such as TB-HIV and DOTS-Plus for the management of drug-resistant TB, to ensure no diversion of financial resources from the routine to new services. Action by WHO-SEARO (1) To mobilize additional resources required for implementing and strengthening TB programmes in the Region. (2) To facilitate continued support of the Global Drug Facility to countries, particularly DPR Korea and Myanmar, for which the Global Fund support is not available. (3) To convene a working group to urgently assess the XDR-TB situation in order to recommend mechanisms to monitor and contain it.. The working paper is now submitted to the Sixtieth session of the Regional Committee for its consideration.

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SEA/RC60/20 - Follow-up action on selected resolutions/decisions of the last three years: health information system development relating to millenium development goals (MDGs) and health metrics network (HMN)
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

The WHO Regional Committee for South-East Asia (SEA) through resolution SEA/RC59/R10 on health information system development relating to Millennium Development Goals (MDGs) and Health Metrics Network urged Member States to consider using the Health Metrics Framework as a tool for health information systems assessment and in enhancing harmonization of country efforts related to the strengthening of health information systems. The resolution also urged Member States to draw up and implement action plans and to use the Regional Strategic Framework and the Health Metrics Framework in data collection to track progress and measure achievements with regard to MDGs and the health status at national/sub-national levels, and requested the WHO Regional Director to assist countries in this endeavour. In addition, in May 2007, the Sixtieth World Health Assembly through resolution WHA60.27 urged Member States to recognize, establish and operationalize health information systems as a core strategy for strengthening their national health systems. This progress report highlights the status of Health Metrics Network support in six countries in the SEA Region, particularly with regard to assessment of national health information systems. It also focuses on content, recommendations and country-specific options to be considered after the Regional Strategy for Strengthening Health Information in countries of the SEA Region is disseminated. It describes some important regional activities already conducted (e.g. Regional Consultation on Mortality Statistics) or planned, particularly in the field of health statistics reporting and training on international classification of diseases. This report was discussed at the Joint Meeting of Health Secretaries and the Consultative Committee for Programme Development and Management held in the Regional Office, New Delhi, 2-6 July 2007. The Joint Meeting made the following recommendations: Action by Member States (1) To build information systems that include disaggregated and evidence-based health information for policy formulation and effective interventions, particularly at subnational levels. Action by WHO-SEARO (1) To proactively support Member countries to strengthen national health information systems and to build countries’ capacity in collection, analysis and dissemination of the data, particularly at sub-national levels. The report is now submitted to the Sixtieth session of the Regional Committee for its consideration.

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SEA/RC60/18 - Follow-up action on selected resolutions/decisions of the last three years: promoting patient safety in health care
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

“Promoting patient safety at health care institutions” was the topic for Technical Discussions at the Forty-third Meeting of the Consultative Committee for Programme Development and Management (CCPDM) held in 2006. This paper documents the progress made in the Region in the area of Promoting Patient Safety in Health Care through various activities such as advocacy, capacity building, country visits and research. Furthermore, the Regional Office is working with Member countries of the Region to ensure patient safety in the areas of blood safety; injection and immunization safety; health care waste management and drug safety. Programmes like Making Pregnancy Safer, Child Health and Strengthening Human Resources for Health continue to support the Region’s activities in this regard. This document was discussed at the Joint Meting of Health Secretaries and the CCPDM, held in the Regional Office, New Delhi from 2-6 July 2007. The Joint Meeting made the following recommendations: Action by Member States (1) To implement programme activities as stipulated in SEA/RC59/R3 on promoting patient safety in health care. (2) To develop/strengthen programmes on patient safety through intra- and intersectoral collaboration, including private sector. Action by WHO-SEARO (1) To support/facilitate Member States in the implementation of programme activities as stipulated in SEA/RC59/R3 on promoting patient safety in health care, including South–South collaboration. (2) To develop a minimal data set of patient safety indicators for the Region, in close collaboration with Member States. (3) To document and share the rich country experiences from the Member States. The document is now submitted to the Sixtieth session of the Regional Committee for its consideration.

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SEA/RC60/16 - Review of the draft provisional agendas of the 122nd session of the WHO executive board and the sixty-first World Health Assembly
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

The 122nd session of the Executive Board will be held in Geneva from 21 to 26 January 2008. The draft provisional agenda for the 122nd session of the Executive Board was submitted to the Joint Meeting of Health Secretaries and CCPDM, held in New Delhi, during 2-6 July 2007 for review. The procedure for developing this draft provisional agenda complies with the amendment to Rule 8 of the Rules of Procedure of the Executive Board, adopted by the Board at its 121st session. Any proposal from a Member State to include an item on the agenda should reach the Director-General not later than 12 weeks after circulation of the draft provisional agenda or 10 weeks before the commencement of the session of the Executive Board, whichever is earlier. The proposals should therefore reach the Director- General by 13 September 2007. The Provisional agenda of the Board will be dispatched to the Member States with the letter of convocation eight weeks before the commencement of the session. The provisional agenda of the Sixty-first World Health Assembly will only be discussed during the 122nd session of the Executive Board in January 2008. The Joint Meeting of Health Secretaries and CCPDM recommended to add an agenda item on “International Migration of Health Personnel: a Challenge for Health System in Developing Countries” and requested the Sixtieth session of the Regional Committee to further discuss this issue. The draft provisional agenda of the 122nd session of the Executive Board is placed before the Regional Committee for its review, comment and noting, as appropriate.

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SEA/RC60/14 - Progress reports requested by member states: WHO and reforms of the UN system: impact at country level
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

This paper reviews the reform agenda of the United Nations with implications on health and WHO activities at the country level, and reports on the status of WHO’s involvement in support of Member countries of the South-East Asia Region. The paper recognizes the significant impact the various UN reform agendas have on WHO activities and on its relations with national authorities. Also noting that none of the eight “One UN” pilot countries are in the South-East Asia Region, the paper highlights that keeping Member countries informed on developments in these eight countries would facilitate informed decision while Member countries consider their reaction to UN reforms and to the enlargement of the list of pilot countries. The paper suggests that the impact of UN reforms will depend on Member countries’ reaction to three interlinked processes: consultations on the UN Secretary-General’s Highlevel Panel on UN System-wide Coherence (HLP-SWC) report; evaluation of “One UN” pilot programmes; and the Triennial Comprehensive Policy Review of Operational Activities of the United Nations Development System (TCPR) in 2007. At the country level, an inter-sectoral dialogue mainly between officials of ministries of foreign affairs and health will enable the health sector to gain optimally from the UN reform process. Such dialogue will facilitate coherent reform policies and directions for better health and development outcomes to be presented and agreed upon at the UN and WHO governing body forums. The Regional Office is planning to organize a meeting to facilitate such a dialogue between officials of the ministries of foreign affairs and health to explore areas of synergy. This paper was reviewed by the Joint Meeting of Health Secretaries and the Consultative Committee for Programme Development and Management held in the Regional Office, New Delhi, 2-6 July 2007. The Joint Meeting made the following recommendations: Action by Member States To actively participate in the regional meeting planned by the Regional Office in October 2007 with the aim of facilitating dialogue between Health officials and Foreign Affairs officials and contributing to the UN reform debates; and to propose to set up a WHO Executive Board Working Group to investigate the implication of UN reform and the work of WHO and provide recommendations through the Executive Board on UN reform. Action by WHO-SEARO To facilitate capacity building in Member States towards understanding and actively participating in UN reform and its implication on health; and to communicate to Member States on the progress made and lessons learnt from UN reform and the work of WHO, including updates from the eight “One UN” pilot countries. The document is now submitted to the Sixtieth session of the Regional Committee for its consideration.

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SEA/RC60/2 - The work of WHO in the South-East Asia Region: Report of the Regional Director 1 July 2006 - 30 June 2007
World Health Organization, Regional Office for South East-Asia ( 2007-10-08 )
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SEA/RC60/7 - Scaling up prevention and control of chronic noncommunicable diseases in the South-East Asia region
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

Chronic noncommunicable diseases (NCDs) are assuming alarming proportions in the South- East Asia (SEA) Region. Almost half of the 89 million NCD-related deaths projected in the Region during the next 10 years will occur prematurely, thus hindering social and economic development of Member countries. There is strong evidence that significant reduction in NCDs can be achieved by the introduction of simple public health interventions addressing major NCD risk factors and their socioeconomic determinants at population, community and individual levels. Member countries of the SEA Region are in the process of strengthening their public health response to ongoing epidemics of NCDs by initiating national policies, plans and programmes for prevention and control of NCDs. The Health Secretaries of Member countries of the SEA Region, at their Eleventh Meeting held in June 2006, endorsed the WHO Regional Framework for Prevention and Control of NCDs. The Joint Meeting of Health Secretaries and the Consultative Committee for Programme Development and Management (CCPDM) held in the Regional Office, New Delhi from 2–6 July 2007 further considered and endorsed the Framework. The priorities for its implementation were also identified. The Joint Meeting made the following recommendations: Action by Member States (1) To set up mechanisms to promote multilateral, multisectoral, multidisciplinary and multilevel collaboration in applying evidence-based and cost-effective interventions for prevention and control of NCDs. (2) To ensure that the integration of NCD programmes should correspond to the stage of epidemiological transition and existing health infrastructure, and meet the health needs of the population. Action by WHO-SEARO (1) To submit to the Sixtieth session of the Regional Committee the draft resolution on the Regional Framework for Prevention and Control of Noncommunicable Diseases, identifying priorities for its implementation. (2) To support the establishment of the Regional NCD Network (SEANET-NCD). The Sixtieth session of the Regional Committee is invited to consider the Regional Framework for Prevention and Control of NCDs and provide guidance on strategies for its implementation.

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SEA/RC60/5 - Consideration of the recommendations arising out of the technical discussions on 'nutrition and food safety'
World Health Organization, Regional Office for South East-Asia ( 2007-07-13 )
Abstract

This paper is a summary of the Technical Discussions on Nutriton and Food Safety, held in New Delhi, during 11-13 April 2007. The summary includes the key issues involved, consensus obtained during the Technical Discussions and the recommendations emanating therefrom. The report of the Technical Discussions is being submitted as information document. The paper is now submitted to the Sixtieth session of the Regional Committee for consideration of the recommendations arising out of the Technical Discussions on “Nutrition and Food Safety”.

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