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Collection's Items (Sorted by Submit Date in Descending order): 1 to 19 of 19
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Climate change and health
World Health Organization, Regional Office for South-East Asia ( 2008-06-18 )
Abstract

The warming of the planet will be gradual but the frequency and severity of extreme weather events, such as intense storms, heat waves, droughts and floods could be abrupt - the consequences for health will be dramatic. Populations of Member countries in the South-East Asia (SEA)Region are disproportionately more vulnerable to the impacts of climate change. The Sixty-first World Health Assembly adopted a resolution requesting WHO and Member States to take urgent action on climate change. The SEA Region has developed a regional action plan to protect human health from the effects of climate change. The goal of the regional action plan is to build capacity and strengthen health systems. Mitigating the effects of climate change can have direct and immediate health benefits. Adaptation is needed: failure to respond will be costly in terms of disease, health-care expenditure and lost productivity. The views and recommendations of the ACM on this agenda item will be submitted to the Twenty-sixth Meeting of Ministers of Health for its consideration.

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Millennium development goals
World Health Organization, Regional Office for South-East Asia ( 2008-06-16 )
Abstract

The Fifty-fifth World Health Assembly in 2002 reaffirmed its commitment to the UN Millennium Declaration and the related Millennium Development Goals (MDGs)through Resolution WHA 55.19. In 2002, the Fifty-fifth Session of WHO Regional Committee for South-East Asia discussed the MDGs and the commitment of the Member countries to these development goals. The Twenty-second Meeting of Ministers of Health of countries of the South-East Asia Region in September 2004 reviewed the progress made towards achieving MDGs in the Region and recommended that Member States should identify specific challenges and develop appropriate intervention programmes, with the support of all partners in health, that focus on the health needs of the underprivileged and poorest segments of the population. A High-Level Forum on the MDGs in Asia and the Pacific met in Tokyo in June 2005 and reviewed the progress made and challenges faced by countries in Asia and the Pacific and highlighted actions that can be initiated at the country level. The Fiftyeighth World Health Assembly in May 2005 requested Member States to reaffirm the MDGs as critical for health development, and to develop nationally relevant “roadmaps” that incorporate the actions as a guide to accelerating progress towards achieving health-related MDGs. The work of WHO on MDGs has not only formed an integral part of its activities but has also contributed to the collective efforts of the UN. Ten out of the 11 SEA Region Member countries have submitted at least one country report on the progress in achieving MDGs to the UN Secretary-General. The Inter-Agency and Expert Group on MDGs revised the monitoring framework of MDGs and some of their targets and indicators in November 2007 to facilitate better monitoring of progress in achieving MDGs (Annexure 1). Agenda Item 11.2 of the WHA 61 was on monitoring of the achievements of the health-related Millennium Development Goals. Observing the slow progress in achieving health-related MDGs, the resolution on “monitoring of the achievements of the health-related Millennium Goals” was passed (Annexure 2). The views and recommendations of the ACM on this agenda item will be submitted to the Twenty-sixth Meeting of Ministers of Health for its consideration.

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Reports by country representatives on their attendance at the meeting of the coordinating bodies of WHO's global programmes, i.e.: UNDP/World Bank/WHO special programme for research and training in human reproduction: policy and coordination committee (PCC)
World Health Organization, Regional Office for South-East Asia ( 2008-06-30 )
Abstract

The Twenty-first Meeting of the Policy and Coordination Committee of the UNDP/UNFPA/ WHO/World Bank Special Programme for Research, Development and Research Training in Human Reproduction (“the Programme"), was held in Buenos Aires, Argentina on 23-25 June 2008. Representatives from three Member countries of the South-East Asia (SEA) Region, namely Bangladesh, India and Indonesia attended the meeting. The attached document is a brief report on the deliberations of the meeting.

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Reports by country representatives on their attendance at the meeting of the coordinating bodies of WHO's global programmes, i.e.: UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases: Joint Coordinating Board (JCB)
World Health Organization, Regional Office for South-East Asia ( 2008-07-02 )
Abstract

The Thirty-first meeting of the Joint Coordinating Board (JCB) was held in Rio-de Janeiro, Brazil, from 16 to 18 June 2008. Representatives from the three JCB Member countries of the South-East Asia (SEA) Region, namely Bhutan, India, and Thailand attended the meeting. In addition, Nepal attended the meeting as an Observer. The attached document contains a brief report on the deliberations of the above mentioned meeting.

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Follow-up on selected resolutions/decisions of the last three years: update on scaling up prevention and control of chronic noncommunicable diseases and alcohol consumption control.
World Health Organization, Regional Office for South-East Asia ( 2008-06-10 )
Abstract

Part A The WHO Regional Committee for South-East Asia (SEA) through resolution SEA/RC60/R4 on scaling up prevention and control of chronic noncommunicable diseases (NCDs) (Annex 1) endorsed the Regional Framework for Prevention and Control of NCDs and urged Member States to initiate appropriate steps to formulate, update and strengthen national policies, strategies and programmes and to establish suitable infrastructure and appropriate funding mechanisms for integrated prevention and control of NCDs. The resolution also requested the Regional Director to provide technical assistance to Member countries, and to mobilize necessary resources for developing the capacity to implement national policies, strategies and programmes for integrated prevention and control of NCDs, and to facilitate and coordinate international support of development partners. In addition, in May 2008, the Sixty-first World Health Assembly endorsed the Action Plan for the Global Strategy for the Prevention and Control of NCDs that set up six objectives and corresponding actions to be taken by Member States, the WHO Secretariat and international partners, for the period 2008-2013. The resolution SEA/RC60/R4 also requested the Regional Director to report to the Sixty-third session of the Regional Committee in 2010 on the progress achieved in implementing the Regional Framework. This document reports on the initial action undertaken by Member States and WHO, on implementation of the resolution and considers regional implications of the global NCD action plan 2008-2013.

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Follow-up on selected resolutions/decisions of the last three years: regional strategy for health promotion
World Health Organization, Regional Office for South-East Asia ( 2008-06-05 )
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Follow-up on selected resolutions/decisions of the last three years: international migration of health personnel: a challenge for health systems in developing countries
World Health Organization, Regional Office for South-East Asia ( 2008-06-28 )
Abstract

International migration of the health workforce is a challenge for countries as it impedes the momentum of strengthening health systems. In response to Regional Committee Resolution SEA/RC60/R9 and to sustain the health workforce in a health system, the Regional Office is developing tools to assess and explore the trend or pattern of migration and categories of health workforce that migrate from and to the South-East Asia (SEA) Region. It is also developing a database for health workforce in the SEA Region that will include the yearly output of health workforce, as well as the proportion that migrates and its categories. The database will contribute towards crafting of policies and strategies for health workforce retention and setting up forums for discussion and exploration to develop a regional code of practice for the ethical recruitment of health workers that will enable government-to-government exchange of the health workforce without incapacitating the health system in the country of origin and collaboration with Global Alliance for Health Workforce, World Trade Organization, Asia Pacific Action Alliance for HRH, International Organization for Migration, Organization for Economic Cooperation and Development for technical and policy dialogue. The views and recommendations of the Meeting of Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Follow-up on selected resolutions/decisions of the last three years: challenges in polio eradication
World Health Organization, Regional Office for South-East Asia ( 2008-06-05 )
Abstract

Despite major challenges, the polio eradication efforts in India successfully eliminated subtype-P1 polio cases from western Uttar Pradesh (UP) and also recorded the lowest number of P1 cases due to sustained efforts with the use of mop-ups in successive rounds of supplemental immunization in the two endemic states, i.e Bihar and UP. However, this strategy also led to lowering of population immunity in UP and Bihar against the type 3 polio virus that had led to a P3 outbreak in 2007. Fortunately, with the use of monovalent type 3 vaccine (mOPV3) in the last few months of 2007 and in early 2008, the outbreak seems to have been brought under control. Intensified efforts are under way to achieve the goal of sequential elimination of subtype P1 poliovirus in 2008, and P3 in 2009. However, appropriate rounds with sufficient size for mop-ups are essential to keep the pressure on the virus in India, particularly in UP and Bihar. In all countries, efforts to sustain high-level acute flaccid paralysis (AFP) surveillance are crucial to ensure timely detection of any case of polio and for appropriate response when a case, either indigenous or imported, is detected. Also, to sustain the gains of polio eradication, it is critical that countries achieve and sustain high routine coverage for all antigens, particularly against poliomyelitis. The views and recommendations of the Meeting of the Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Follow-up on selected resolutions/decisions of the last three years: South-East Asia regional health emergency fund
World Health Organization, Regional Office for South-East Asia ( 2008-06-09 )
Abstract

The South-East Asia Regional Health Emergency Fund (SEARHEF) has been established to provide immediate financial assistance to Member countries for meeting their health requirements following an emergency. As a first step, a contribution of US$ 100 000 was received for the Fund from the Royal Thai Government in October 2007. Additionally, US$ 1 000 000 (one million US dollars) were approved and allocated in January 2008 under the Regular Budget for the 2008-2009biennium. Efforts are on to mobilize resources through voluntary contributions from partner agencies to enhance the corpus of the Fund. For oversight and governance of SEARHEF, a Working Group represented by each of the Member countries of the WHO South-East Asia Region has been established, the first meeting is of the group scheduled to be held on 5 July 2008. With SEARHEF in operation, WHO successfully met the immediate financial needs of populations affected by the Cyclone Nargis in Myanmar (May 2008) and floods in Sri Lanka (June 2008). The views and recommendations of the Meeting of the Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Governing bodies: review of the draft provisional agendas of the 124th session of the WHO Executive Board and the sixty-second World Health Assembly
World Health Organization, Regional Office for South-East Asia ( 2008-06-27 )
Abstract

The Draft Provisional AGenda of the 124th session of the WHO Executive Board to be held from 19 to 27 January 2009 is attached for review by the Meeting of Advisory Committee ACM). The Provisional Agenda of the Sixty-second World Health Assembly is not yet available at the time fo the ACM.

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Governing bodies: review of the decisions and resolutions of the sixty-first World Health Assembly and the 122nd and 123rd sessions of the Executive Board.
World Health Organization, Regional Office for South-East Asia ( 2008-06-19 )
Abstract

The attached working paper highlights the most significant and relevant decisions and resolutions emanating from the Sixty-first World Health Assembly (held from 19-24 May 2008) as well as the 122nd and 123rd Sessions of the Executive Board (held from 21-26 January 2008 and on 26-27 May 2008 respectively). These decisions and resolutions are particularly relevant to the Member States of the WHO South-East Asia (SEA) Region, have obvious and immediate implications for them, and would merit follow-up action by both Member countries as well as WHO at the Regional Office and Country Office levels. During the Sixty-first World Health Assembly, Member countries of the SEA Region made consolidated statements on behalf of the Region on seven agenda items, which they themselves identified after considerable discussion among themselves. This was the first time that such an exercise had been undertaken. The background of the selected decisions/ resolutions, highlights from the main operative paragraphs of these selected decisions/ resolutions, as well as the regional implications of each decision and/or resolution, as applicable, and actions proposed for Member States and WHO have been presented. The working paper is submitted for consideration by the Meeting of the Advisory Committee (ACM) to review technical matters to be discussed at Sixty-first Session of the Regional Committee in 2008, with particular reference to the regional implications and actions proposed to be taken towards implementation of the recommendations contained in the selected decisions/ resolutions. The ACM may wish to consider the decisions/ resolutions as relevant (details of these decisions/ resolutions are provided in the Annex to this paper). The views and recommendations of the ACM will be submitted to the Sixty-first Session of the Regional Committee in New Delhi for review and noting, as appropriate.

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Technical discussions: selection of a subject for the technical discussions to be held prior to the sixty-second session of the Regional Committee
World Health Organization, Regional Office for South-East Asia ( 2008-06-02 )
Abstract

This document lists the subjects of the Technical Discussions held since 1994 in conjunction with the sessions of the Regional Committee. It also provides a list of proposed subjects for the Technical Discussions to be held prior to the Sixty-second session of the Regional Committee in 2009. The Meeting of the Advisory Committee (ACM) is requested to review the proposed subjects for the Technical Discussions and select the subject to be submitted to the Regional Committee for consideration at its Sixty-first Session.

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UN reform process and health partnerships: progress and development
World Health Organization, Regional Office for South-East Asia ( 2008-06-10 )
Abstract

The WHO Regional Committee for South-East Asia deliberated and provided guidance on the subject of WHO and Reforms of the UN System during its Sixtieth session, held in Bhutan in 2007. This paper provides a comprehensive analysis of the developments that have occurred since. It focuses on: - the ongoing inter-governmental negotiation on the Report of the UN Secretary-General’s High Level Panel on UN System-wide Coherence: “Delivering as One”. - the triennial comprehensive policy review of operational activities for development of the UN system 2007 and the UN General Assembly resolution 62/208 on the review. - the developments observed at global, regional and country levels including the integration of UN Development Group under the Chief Executives Board and its restructuring; changes in regional UN coordination; lessons from “Delivering as One” pilot initiative; and emergence of the “New UNDAF” for 2008 and 2009. The paper also presents WHO’s role in the harmonization and alignment of development activities, as well as the approch the Organization is taking towards health partnerships. The views and recommendations of the Meeting of the Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Regional Initiative on Environment and Health
World Health Organization, Regional Office for South-East Asia ( 2008-06-04 )
Abstract

WHO’s global Strategy for Health and Environment was formulated in 1993 as a response to the mandate given by the Global Commission for Sustainable Development for WHO to be the task master for coordinating the implementation of Chapter 6 of Agenda 21, on human health. A regional strategy followed soon after and countries in the South-East Asia (SEA) Region embarked on preparing their National Health and Environment Action Plans (NEHAPs) to delineate national-level operational actions. Since then, nine countries have prepared their NEHAPs and carried these through various stages of implementation. With partnerships for health development becoming ever important, it is timely that Member countries in the Region review the progress in implementing their NEHAPs and chart new ground by including newly formulated global developmental and environmental compacts such as the Millennium Development Goals (MDGs), and various other framework conventions that reflect new partnerships in environmental management and coordination. New opportunities for collaboration between and among regions of WHO and with other UN partners are also opening up, as exemplified by the Regional Ministers’ Environment and Health Initiative unveiled in Bangkok last year. These need to be expanded and pursued vigorously in order to address the impending health challenges from climate change and to achieve the MDGs. The WHO collaborative programmes reflect the continuity of this mandate and would need the concerted support of Member countries to reach the achievable targets. The views and recommendations of the Meeting of the Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Public health approach to combating HIV/AIDS
World Health Organization, Regional Office for South-East Asia ( 2008-06-25 )
Abstract

The HIV epidemic continues to take its toll in the SEA Region. Yet countries have demonstrated that implementing an effective response is feasible, both to halt and reverse epidemics and to provide services to those in need. To date, efforts to scale up HIV/AIDS programmes have involved a variety of different service delivery models, guidelines and tools for multiple HIV/AIDS interventions. Countries seeking to scale up HIV/AIDS health services to achieve universal access will benefit by adopting a service delivery model that brings together the best of these approaches and helps to compensate for the significant health systems challenges that many of them face. Accordingly, WHO promotes a public health approach to the delivery of health services for HIV/AIDS, drawing upon the successful experiences of other health programmes. A public health approach is one that is directed to address the health needs of a population, or the collective health status of the people, rather than just individuals. This paper discusses the four steps of the approach: • Define the problem and the risk factors; • Find out what works to control the disease; • Scale up effective interventions in a wide range of settings; and • Monitor/evaluate the impact and cost-effectiveness of these interventions. The key lessons for a public health approach to HIV include: • The health sector’s role is central in the overall national response to the epidemic; • A scaled-up integrated package of prevention, treatment, care and support services is necessary to halt and reverse the epidemic and mitigate its impact; • Implementing a scaled-up response to the HIV epidemic requires effective programme management, trained human resources and robust health systems. The points for discussion on how the public health approach to HIV can be strengthened further are proposed in this paper. The views and recommendations of the Meeting of the Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Responding to emerging and re-emerging vector-borne diseases
World Health Organization, Regional Office for South-East Asia ( 2008-06-25 )
Abstract

The paper outlines the growing burden of emerging and re-emerging vector-borne diseases in the South East Asia Region. To prevent the emergence of new vector-borne diseases and re-emergence of those already under control, it is essential to strengthen national vector control programmes. Regional guidelines and activities are in place to bring together to combat vector control against malaria, lymphatic filariasis, leishmaniasis, dengue, Japanese encephalitis and chikungunya etc. Most Member countries of the SEA Region have in place appropriate surveillance system for the vector borne diseases which includes monitoring of drug resistance in the case of malaria and kala-azar. The WHO regional integrated vector control strategy has been developed. Global climate changes, emerging drug resistance and development of pediatric dengue vaccine etc. are the main challenges of the future. The WHO is playing a pivotal role in capacity building, advocacy, partnerships and operational research. The views and recommendations of the Meeting of the Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Managing human resources for accelerating reduction of maternal and neonatal mortalities
World Health Organization, Regional Office for South-East Asia ( 2008-06-06 )
Abstract

The Fifty-eighth session of the Regional Committee in 2005 endorsed a resolution on Skilled care at every birth that urges Member countries, among others: “to review the gaps in human resources for skilled care at birth and, as appropriate, to develop or modify human resource policies for skilled care at birth, which includes planning, production, placement, retention and career development”. Human resources for maternal and newborn health (MNH) include formal health-care providers or health professionals and informal health-care providers. The formal providers include community-based health providers for MNH, community-based midwife, professional nurse/nurse-midwife/midwife, medical doctors, specialists obstetrics and in neonatology and other supporting providers. In some countries of the South-East Asia (SEA) Region, community-based health providers for MNH are often insufficient in numbers, as well as in their midwifery skills. As a result, there is limited access to skilled care at birth, especially for marginalized communities. Also, specialists are very limited in number and are usually concentrated in urban areas. This has resulted in inequities for the rural community in accessing emergency obstetric and special newborn care, when needed. The proposed way forward for Member countries in the SEA Region at the policy level includes: strengthening national database on human resources for MNH; development of a long-term national plan to address the gaps for each category and ensure adequate resources and effective implementation; strengthening of human resource management for MNH services; and working with partners, nongovernmental organizations and stakeholders in developing a clear policy and plan on skilled birth attendants. The following steps need to be taken at the entry level: building strong institutions for education; assuring educational quality; and revitalizing recruitment capabilities. At the workforce level, the following measures need to be taken: bolstering the system of supervision; strengthening critical support systems; ensuring lifelong learning; and improving the collaboration between MNH health providers at community level and informal heath providers. At the exit level, migration of health workers needs to be managed, while retirement and succession planning needs to be enhanced. The role of WHO is to advocate for increasing the investment in human resources for MNH and to work together with Member countries at the policy level; assist them in strengthening human resource management for MNH services; promote the use and implementation of evidence-based policies, standards and tools for improving human resources for MNH; facilitate collaboration among stakeholders; catalyse knowledge and learning exchange; and support studies/research in the area of human resources for MNH. The attached working paper is submitted to the Meeting of the Advisory Committee (ACM) for review and recommendations on this agenda item. These recommendations will be submitted to the Sixtyfirst Session of the Regional Committee for its consideration.

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Tobacco control: progress and plans for implementing the framework convention on tobacco control (FCTC)
World Health Organization, Regional Office for South-East Asia ( 2008-06-09 )
Abstract

The tobacco epidemic is one of the major global public health problems today, which is being fuelled by a variety of complex factors. The tobacco epidemic killed 100 million people worldwide in the twentieth century and it could kill one billion people during this century if effective control measures are not taken. Out of 5.4 million global deaths from tobacco every year, 1.2 million occur in the Region. However, it is the single most preventable cause of death in the world today. Tobacco use is fast increasing in developing countries due to weak tobacco control measures.Member countries of WHO’s South-East Asia Region are not only major tobacco producers; also a majority of males in these countries are users of some form of tobacco. In order to respond to this epidemic, Member States had developed, negotiated and adopted unanimously the WHO Framework Convention on Tobacco Control (FCTC) at the Fifty-sixth World Health Assembly in May 2003 (WHA56.1). At present 168 Member countries are signatory to the Convention and 154 are party to it. Ten out of eleven Member countries of the SEA Region are parties to the Convention. In order to implement the WHO FCTC effectively, five Member countries in the Region have comprehensive tobacco control legislation, while others are in the process of formulating the same. This brief paper focuses on the progress of implementation of the concrete measures for tobacco control in the Region based on the provisions of the Convention. The views and recommendations of the Meeting of the Advisory Committee (ACM) on this agenda item will be submitted to the Sixty-first Session of the Regional Committee for its consideration.

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Meeting of advisory committee (ACM) to review technical matters to be discussed at the sixty-first Session of the Regional Commiittee
World Health Organization, Regional Office for South-East Asia ( 2008-08-03 )
Collection's Items (Sorted by Submit Date in Descending order): 1 to 19 of 19

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