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INTERNATIONAL
HEALTH AGENCIES
Presented by:
Ramvilas Reddy Jaidupally
1
• INTRODUCTION
• HISTORY
• FIRST INTERNATIONAL SANITARY CONFERENCE
• PAN AMERICAN SANITARY BUREAU
• OFFICE OF INTERNATIONAL D’HYGIENE PUBLIQUE
• THE HEALTH ORGANIZATION OF THE LEAGUE OF
NATIONS 2
• THE UNITED NATIONS RELIEF AND REHABILITATION
ADMINISTRATION
• WORLD HEALTH ORGANIZATION (WHO)
• UNITED NATIONS INTERNATIONAL CHILDREN’S
EMERGENCY FUND (UNICEF)
• UNITED NATIONS DEVELOPMENT PROGRAM (UNDP)
• UNITED NATIONS FUND FOR POPULATION ACTIVITIES
(UNFPA) 3
• FOOD AND AGRICULTURE ORGANIZATION (FAO)
• INTERNATIONAL LABOR ORGANIZATION (ILO)
• WORLD BANK
• UNITED STATES AGENCY FOR INTERNATIONAL
DEVELOPMENT (USAID)
• THE COLOMBO PLAN
• SWEDISH INTERNATIONAL DEVELOPMENT AGENCY (SIDA)
• NON-GOVERNMENTAL AND OTHER AGENCIES
• ROCKEFELLER FOUNDATIONS
4
• FORD FOUNDATION
• COOPERATIVE FOR ASSISTANCE AND RELIEF
EVERYWHERE (CARE)
• INTERNATIONAL RED CROSS
• CONCLUSION
• REFERENCES
5
introduction
• Health and disease have no political or geographical
boundaries.
• Disease in any part of the world is a constant threat to other
parts.
• History is replete with plague and cholera, along trade routes.
• In order to protect against the spread of the disease from one
country to another, many attempts were made in the past by
individual rulers and state the barriers against infection.6
• Issues like the global spread of infectious diseases, the
consequences of the HIV/AIDS, the growing antibiotic
resistance, and the increasing the strengthening of the fight
against poverty related diseases, have led to an increasing
importance of health issues both at national and international
level.
• International conferences were held and organizations were
set up for discussion, agreement and cooperation on matters
of international health.
7
HISTORY
• The moves behind international involvement in health matters
have been varied and complex over the centuries, starting
around the 1300s.
– Preventing plague– Safeguarding global commerce & the slave
trade– Protecting soldiers and colonists overseas– Protecting
workers and improving colonial relations– Religious, humanistic &
social justice motivations
8
Pre-1800s
Bubonic plague (mid‐1300s,1630s), cholera, smallpox were
prevailing. Disease spread due to increasing global
commerce. Bubonic plague killed 20‐50% of affected
populations. Quarantine first created in Venice in 1348
requiring ships to wait 40 days before entering port.
9
• Quarantine failed in its objective because of the lack of
scientific knowledge regarding the causation and mode of
spread of disease.
• Quarantine was opposed because the detention of the ships
obstructed and caused serious inconveniences to
international trade and travel.
• It became necessary for international agreement and
cooperation on quarantine matters to control communicable
10
Flag for quarantine
11
Types of quarantine
• "Mandatory quarantine" separates (by legal order) people
who may have been exposed to the virus from others who
have not.
• "Voluntary quarantine" refers to members of the public who
voluntarily follow restrictions on activities as recommended
by their federal, provincial or local health department.
12
• Self-Quarantine – In a pandemic, many people or families may
choose to "self-quarantine" by staying at home (not go school and
work). They will also avoid social contacts such as groups or sports
events. Self-quarantine is an effective way to reduce individual and
family risk.
• Sequestering - Because limiting face-to-face contact is also a
proven way to reduce the spread of disease, businesses may
consider the unusual option of having groups of essential "core"
staff live temporarily either at the workplace or at a nearby hotel.
13
1800- mid 1900’s
• Industrial revolution further increased the trade and
commerce, with parallel increase in the spread of
communicable diseases.
• Imperial conquests led to colonization and exploitation;
• Invaders brought smallpox measles, TB,etc., and in turn were
felled by malaria, dysenteries, sleeping sickness.
• Slave trade became extensive with high mortality rates.
• Efforts to protect health of colonists, workers, missionaries has
been started. 14
• International conferences were held and organizations were
set up for discussion, agreement and cooperation on matters
of international health.
15
First international sanitary conference
• Was held during 1851, lead to the origin of international health
cooperation.
• The conference was attended mainly by European countries.
• The objective was to introduce order and uniformity in the
quarantine laws, which varied from country to country.
• The conference lasted for six months with no lasting results.
16
• Despite the many difficulties involved, an international
sanitary code was prepared comprised of 137 articles dealing
with cholera, plague and yellow fever.
• It was ratified by only three countries- France, Portugal and
Sardinia of which Portugal and Sardinia withdrew in 1865.
• This conference was followed in rapid succession between
1851-1902 but they were equally unable to reach an
agreement on quarantine measures.
17
Pan American sanitary bureau
(Pasb)
• Establishment of PASB in America during the year 1902 was
important milestone in the international health work.
• In 1924 an important document was signed by the American
Republic namely “The Pan American Sanitary Code” which is
in force between the states.
• In 1947, the bureau was recognized and the organization was
called the Pan American Sanitary Organization (PASO).
18
• Now the PAHO has grown from a small information center to a
major health agency with its headquarters in Washington.
• The PASB was the world’s first international health agency.
19
Office international d’hygiene
publique
• In the year 1907, the “Office International d’hygiene Publique”
(OIHP), generally known as Paris office was created to
disseminate information on communicable diseases and to
supervise international quarantine measures.
• It was predominantly European, but later on a considerable
degree of cooperation grew up between OIHP and PASB.
• 60 countries including British India joined, giving the office an
international character.
20
• In spite of no field staff to investigate the epidemics it did a
remarkable work in disseminating knowledge of
communicable diseases and their control.
• The OIHP continued to exist until 1950, by that time its
responsibilities had been taken over by WHO.
21
The health organization of the league of nations
• After the world war I, the league of nations was established to
build a better world and to take steps in matters of
international concern for the prevention of disease.
• It was established during the year 1923.
• It branched out into nutrition, housing, rural hygiene, the
training of public health workers and standardization of certain
biological preparations.
22
• This league analyzed the epidemiological information received,
and started the series of periodical epidemiological reports.
• One more eastern bureau was established at Singapore.
• It had laid down regulations for studies (expert committee
reviews) which are substantially followed by the WHO.
• In 1939, the league of nations was dissolved but its health
organization in Geneva continued.
23
The united nations relief and rehabilitation
administration (unrra)
• It was set up in 1943 with a purpose of organizing recovery
from the effects world war II.
• This organization had done an outstanding work in preventing
typhus and other diseases.
• It has assisted in malaria control in Greece and Italy, where
war had disrupted peace time and anti-malaria services.
24
• The renowned anti-malarial campaign was a joint effort of
UNRRA, the Rockefeller foundation and the Italian
government.
25
World health organization
• The WHO has its origin in April 1945, during the conference
held at San Francisco to set up the United Nations.
• The constitution was drawn up at an international health
conference in New York in 1946.
• The ratifications were secured by April 1948; the formal
existence of the WHO as a specialized agency began on that
date.
26
• WHO is the specialized, non-political, health agency of the
United Nations, with headquarters at Geneva.
• In 1946, the constitution was drafted by the “Technical
Preparatory Committee” under the chairmanship of Rane
Sand, and was approved by an International Health
Conference of 51 nations in New York.
• A World Health Day theme is chosen every year to focus
attention on a specific aspect of public health.
27
objective
• Is “attainment by all people’s of the highest level of health”
• The current objective is “ attainment by all people of the world a
level of health that will permit them to lead a socially and
economically productive life.
• The preamble of the constitution states that;-
• Health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity.
28
• The enjoyment of the highest attainable standard of health is
one of the fundamental rights of every human being without
distinction of race, religion, political belief, economic and
social condition.
• The health of all peoples is fundamental to the attainment of
peace and security and is dependent upon the fullest
cooperation of individuals and states.
29
• Unequal development in different countries in the promotion of health
and control of disease, especially communicable disease, is a
common danger.
• Healthy development of the child is of basic importance; the ability to
live harmoniously in a changing total environment is essential to
such development.
• The extension to all people of the benefits of medical, psychological
and related knowledge is essential to the fullest attainment of health.
30
• Governments have a responsibility for the health of their
peoples which can be fulfilled only by the provision of
adequate health and social measures.
31
membership
• Membership is open to all countries, most of the countries are
members of both the UN and WHO except few differences.
• For example, Switzerland is a member of WHO, but not of the
united nations.
• Territories which are not responsible for the conduct of their
international relationships may be admitted as associate
members.
32
Work of who
1. Prevention and control of specific diseases.
• The global eradication of smallpox is an outstanding example
of international health cooperation.
• WHO is now directing the global battle against AIDS.
• An important activity of WHO is epidemiological surveillance
of communicable diseases.
33
• Member States can also make use of the "WHO Emergency
Scheme for epidemics" whenever necessary.
• The aim of International health Regulations is to ensure
maximum security against international spread of diseases
with the minimum interference with world traffic.
• Immunization against common diseases of childhood
expanded (Program on Immunization) is now a priority
program of the WHO.
34
Development of comprehensive services
• To promote and support national health policy development
and the development of comprehensive national health
programs.
• This includes wide variety of activities such as organizing
health systems based on primary health care, the
development of health manpower and utilization, building of
long-term national capability, particularly in the areas of health
infrastructure development and health services research.
35
• Appropriate Technology for Health (ATH) is another new
program launched by the WHO to encourage self-sufficiency
in solving health problems.
• The new program is part of WHO's efforts to build up primary
health care.
36
Family health
• Family health is one of the major program activities of WHO
since 1970, and is broadly subdivided into maternal and child
health care, human reproduction, nutrition and health
education.
• The chief concern is improvement of the quality of life of the
family as a unit.
37
Environmental health
• WHO advises governments on national program for the
provision of basic sanitary services.
• A number of programs have been developed such as the
'WHO Environmental Health Criteria Program and WHO
Environmental Health Monitoring Program towards improving
environmental health.
38
Health statistics
• From 1947, WHO has been concerned with the dissemination
of a wide variety of morbidity and mortality statistics relating
to health problems
• The data is published in the (a) Weekly Epidemiological
Record (b) World Health Statistics Quarterly and (c) World
Health Statistics Annual.
39
Biomedical research
• It has established a world-wide network of WHO collaborating
centers, besides awarding grants to research workers and
research institutions for promoting research.
• There are Regional Advisory Committees on health research
which define regional health research priorities and a Global
Advisory Committee, which in close collaboration with the
regional committee deals with policy issues of global import.
40
Health literature and information
• WHO acts as a clearing house for information on health problems.
• Its publications comprise hundreds of titles on a wide variety of
health subjects.
• The WHO library is one of the satellite centers of the Medical
Literature Analysis and Retrieval System (MEDLARS) of the U.S.
National Library of Medicine.
• The WHO has also a public information service both at
headquarters and each of the six regional offices.
41
Cooperation with other organization
• WHO collaborates with the UN and with the other specialized
agencies, and maintains various degrees of working
relationships.
• Besides, WHO has also established relations with a number
of international governmental organizations.
42
structure
• The WHO consists of three principal organs :
1) World Health Assembly
2) Executive Board and
3) Secretariat.
43
World health assembly
• This is the "Health Parliament" of Nations and the supreme
governing body of the organization.
• It meets annually, usually in May, and generally at the
headquarters in Geneva, but from time to time in other
countries. (The 14th World Health Assembly met in New Delhi
in 196I).
• The Assembly is composed of delegates representing
Member States, each of which has one vote.
44
• The main functions of the Health Assembly are :
(I) to determine international health policy and programs
(ii) to review the work of the past year
(iii) to approve the budget needed for the following year
(iv) to elect Member States
(v) to designate a person to serve for three years on the
Executive Board, and to replace the retiring members.
45
The executive board
• The Board had originally 18 members, each designated by a
Member State.
• Subsequently, the number was raised to 24 and 30. The Health
Assembly (I976) increased the membership from 30 to 31, providing
that no fewer than three are to be elected from each of the WHO
regions
• The main work of the Board is to give effect to the decisions and
policies of the Assembly. The Board also has power to take action
itself in an emergency, such as epidemics, earthquakes and floods
where immediate action is needed.
46
The secretariat
• The secretariat is headed by the Director General who is the
chief technical and administrative officer of the Organization.
• The primary function of the WHO secretariat is to provide
Member States with technical and managerial support for their
national health development programs.
• At WHO headquarters in Geneva, there are 5 Assistant
Director Generals each of whom is responsible for the work of
such divisions as may from time to time be assigned to him by
the Director General. On 31st December, 1,985.
47
• Division of epidemiological surveillance and health situation
and trend assessment.
• Division of communicable diseases.
• Division of vector biology and control.
• Division of environmental health.
• Division of public information and education for health
• Division of mental health.
48
• Division of diagnostic, therapeutic and rehabilitative
technology.
• Division of strengthening of health services.
• Division of family health.
• Division of non-communicable diseases.
• Division of health manpower development.
• Division of information systems support.
• Division of personnel and general services.
• Division of budget and finance.49
regions
50
• These regional committees meet once a year to review health
work in the region and plan its continuation and development.
• Regional plans are amalgamated into overall plans for the
organization by the Director General at WHO’s headquarters
in Geneva.
51
The south east Asia region
• The headquarters of the South East Asia Regional Office
(SEARO) is in New Delhi, the official address being World
Health House, Indraprastha Estate, Delhi. The Region has
now 11 members.
52
• WHO's emblem was chosen by the first World Health
Assembly in 1948. The emblem consists of the United
Nations symbol surmounted by a staff with a snake coiling
round it. 53
United nations international children’s
emergency fund
• It was established in 1946 by the United Nations General Assembly
to deal with rehabilitation of children in war ravaged countries
• In 1953, when the emergency functions were over, the General
Assembly gave it a new name "U.N. Children's Fund" but retained
the initials, UNICEF.
• UNICEF's regional office is in New Delhi; the region 's known as
the South Central Asian Region which covers Afghanistan, Sri
Lanka, India, the Maldives, Mongolia and Nepal.
54
• UNICEF works in close collaboration with WHO, and the
other specialized agencies of the United Nations like UNDP,
FAO and UNESCO.
• In the early years, UNICEF and WHO worked together on
problems such as malaria, tuberculosis and venereal
diseases.
• More recent times UNICEF had turn away from campaigns
for the eradication of specific diseases unless they are of
55
• UNICEF is giving greater attention to the concept of the
"whole child”.
• This approach is also known as ‘country health programming'
in which UNICEF is currently interested so as to meet the
needs of children as an integral part of the country's
development effort.
• Its headquarters is located in New York.
56
Emblem of unicef
57
Services by UNIcef
CHILD HEALTH
• UNICEF has provided substantial aid for production of
vaccines and has supported BCG vaccination program in
India.
• It has also assisted in building a penicillin plant near Pune.
• Assisted environmental sanitation programs emphasizing safe
and sufficient water for drinking and household use in rural
areas.
• The purpose is not only to reduce child illness and death, but
to improve the quality of life in the villages.58
Child nutrition
• It gives high priority to improving child nutrition.
• In collaboration with FAO, UNICEF also began aiding
"applied nutrition" programs through such channels as
community development, agricultural extension, schools and
health services so as to stimulate and help the rural
population to grow and eat the foods it required for better
child nutrition.
• Supplied equipment for modern dairy plants in various parts
of India, viz. Maharashtra, Gujarat, Karnataka, Uttar Pradesh,
West Bengal, Andhra Pradesh
59
Family and child welfare
• The purpose is to improve the care of children, both within
and outside their homes through such means as parent
education, day-care centers, child welfare and youth
agencies and women's clubs.
• These services are carried out not as separate projects but
as part of health, nutrition and education or home economics
extension programs.
60
Education
• In collaboration with UNESCO, UNICEF is assisting India in
the expansion and improvement of teaching science in India.
Science laboratories' equipment, workshop tools, library
books, audiovisual aids are being made available to
educational institutions.
• Emphasis is placed on the kind of schooling relevant to the
environment and future life of the children.
61
Currently, UNICEF is promoting a campaign known as GOBI
campaign to encourage 4 strategies for a "child health revolution”
 G for growth charts to better monitor child development
 O for oral rehydration to treat all mild and moderate dehydration
 B for breast feeding, and
 I for immunization against measles, diphtheria, polio, pertussis,
tetanus and tuberculosis.
62
• Since 1976, UNICEF has been participating in Urban Basic
Services (UBS).
• The aim of the UBS projects is to upgrade basic services
(e.g., health, nutrition, water supply, sanitation and education)
especially for children and women - in selected cities and
towns.
• The overall objective is to improve the degree and quality of
survival and development of the children of urban low-income
families. 63
undp
• The United Nations Development Program (UNDP) was
established in 1966 and is the main source of funds for
technical assistance..
64
United nations fund for population activities
(UNFPA)
• The United Nations Fund for Population Activities (UNFPA)
has been providing assistance to India since I974.
• The UNFPA inputs are designed to develop national
capability for the manufacture of contraceptives, to develop
population education programs, to undertake organized
sector projects, to strengthen program management as well
as to improve output of grass-root level health workers and
introduction of innovative approaches to family planning and
MCH care 65
66
Food and agriculture organization (FAO)
• was formed in 1945 with headquarters in Rome
• The chief aims of FAO are :
(1) to help nations raise living standards
(2) to improve nutrition of the people of all countries
(3) to increase the efficiency of farming, forestry and fisheries
(4) to better the condition of rural people and, through all these
means, to widen the opportunity of all people for productive work.
67
• FAO's prime concern is the increased production of food to keep
pace with the ever-growing world population.
• FAO has organized a world Freedom from Hunger Campaign
(FFHC) in 1960. The main object of the Campaign is to combat
malnutrition and to disseminate information and education.
• The joint WHO/FAO expert committees have provided the basis for
many cooperative activities - nutritional surveys. training courses,
seminars and the coordination of research programs on brucellosis
and other zoonosis 68
69
International labor organization (ILO)
• In 1919, the International Labor Organization (lLO) was
established as an affiliate of the League of Nations to improve the
working and living conditions of the working population all over the
world.
• The purposes of ILO are :
 to contribute to the establishment of lasting peace by promoting social
justice.
 to improve, through international action, labor conditions, and living
standards.
 to promote economic and social stability.
70
• The International Labor Code is a collection of international
minimum standards related to health, welfare, living and
working conditions of workers all over the world.
• There is a close collaboration between ILO and WHO in the
field of health and labor.
• The headquarters of ILO is in Geneva, Switzerland.
71
72
WOrlD bANK
• It was established with the purpose of helping less developed
countries raise their living standards.
• The powers of bank are vested in a Board of Governors.
• Health and environmental components have been added to
many projects. Cooperation programs exist between WHO
and the Bank. e.g.. projects for water supply, World Food
Program, Population Control, and the control of
onchocerciasis program in West Africa
73
74
United States Agency for Internationa.
Development (USAID)
• The US Government presently extends aid to India through
three agencies
(1) United States Agency for International Development (USAID)
(2) The Public Law 480 (Food for Peace) Program
(3) The US Export-Import Bank.
• USAID was created in 1961, it is in charge of activities
previously administered by the Technical Cooperation Mission
(TCM).
• A USAID mission functions in New Delhi. Both grants and
loans are extended by the Agency.
75
• The US has been assisting in a number of projects designed
to improve the health of Indian population.
• The recent trend in assistance from the USA is increasingly in
the support of agricultural and family planning programs, with
some reduction in aid in the general public health field.
76
77
THE Colombo plan
• The bulk of Colombo Plan assistance goes into industrial and
agricultural development but some support has also been
given to health development, mostly through fellowships.
• The All India Institute of Medical Sciences at New Delhi was
established with a assistance from New Zealand.
• The Plan provides visits to countries by experts who can offer
advice on local problems and train the local people.
• Colombo plan seeks to improve living standards of the people
of the area by reviewing developmental plans and
coordinating development assistance.
78
Swedish international development
agnecy (SIDA)
• Assisting the National Tuberculosis Control Program since
I979.
• The SIDA assistance is usually spent on procurement of
supplies like X-ray unit, microscopes and anti-tuberculosis
drugs.
• SIDA authorities are also supporting the Short Course
Chemotherapy.
79
Danish international developmental
agency (DANIDA)
• The Government of Denmark is providing assistance
for the development of services under National
Blindness Control Program since 1978.
80
Rockefeller foundation
• The Foundation was active chiefly in public health and
medical education. Subsequently, its interest was expanded
to include the advancement of life sciences, the social
sciences, the humanities and the agricultural sciences.
• The work of the Rockefeller Foundation in India began in
1920 with a scheme for the control of hookworm disease in
the then Madras Presidency.
81
• The establishment of the All India Institute of Hygiene and
Public Health at Kolkata was in a large measure due to the
cooperation of the Rockefeller Foundation.
• At present the Foundation is directing its support to the
improvement of agriculture, family planning and rural training
centers as well as to medical education
82
Ford foundation
• The Foundation has been active in the development of rural
health services and family planning.
• The Ford Foundation has helped India in the following
projects
• Orientation training centers
• Research-cum-action projects
• Pilot project in rural health services, Gandhigram Tamil Nadu) :
Among a rural population of 100,000 people, an attempt was made
to develop and operate a coordinated type of health service which
will provide a useful model for health administrators in the country.
83
• Establishment of NIHAE
• Calcutta water supply and drainage scheme
• Family planning program : The Foundation is supporting
research in reproductive biology and in the family planning
fellowship programs.
84
CARE
• CARE (Co-operative for Assistance and Relief Everywhere)
was founded in North America in the wake of the Second
World War in the year 1945.
• It is one of the world's largest independent, non-profit, non-
sectarian international relief and development organization.
• It provides emergency aid and long term development
assistance.
85
• CARE began its operation in India in 1950, till the end of
1980s, the primary objective of CARE - India was to provide
food for children in the age group of 6-11 years.
• CARE-India works in partnership with the Government of
India, State Governments, NGOs etc. Currently it has projects
in Andhra Pradesh, Bihar, Madhya Pradesh, Maharashtra,
Orissa, Rajasthan, Uttar Pradesh and West Bengal.
86
Red Cross
• The Red Cross is a non-political non-official international
humanitarian organization devoted to the service of mankind
in peace and war.
• In the book "Un Souvenir de Solferine" and in countless
interviews with eminent persons, throughout Europe, Dunant
urged that voluntary national societies be founded "which in
time of war would render aid to the wounded without
distinction of nationality".
87
• The First Geneva Convention took place in 1864 and a treaty
was signed for the relief of the wounded and the sick of the
armies in the field.
• Thus came into being the International Committee of the Red
Cross (ICRC), an independent, neutral institution, the founder
organization of the Red Cross
88
Role of Red Cross
• The work of the Red Cross was extended to other programs
which would prevent human suffering. These comprise
service to armed forces, service to war veterans, disaster
service, first aid and nursing, health education and maternity
and child welfare services.
89
Red cross emblem
90
conclusion
• Health has long been an important part of development
assistance, foreign policy and education- but motivations
priorities and mechanisms have changed over time.
• Development assistance accomplishments over most of the
past 60 years have generally disappointing.
• Since the latter 1990s there has been a rapid rise in the
number, variety and capabilities of organizations involved in
and funding available for improving global health.91
• New assistance approaches can program development in
the future. These collaborative partnerships are seeking
better, more transparent ways to set priorities.
92
References
• Park K. International Health. In: Preventive And Social
Medicine. 23rd ed. Jabalpur: Banarsidas Bhanot; 2015.p.916-
923.
• http://www.ccohs.ca/pandemic/documents/quarantine.html. Last
accessed on 3rd January 2016.
• http://www.who.int/about/licensing/emblem/en/. Last
accessed on 3rd January 2016.
• Hall TL, Gundersen ET, Jensen TP. Global Health Actors and
Their Programs. Consortium of Universities For Global
Health. 93
• Hiremath SS. International and National Health Agencies. In:
Textbook of Preventive and Community Dentistry.2nd ed. New
Delhi: Elsevier; 2011. p. 97-111.
• Kohlmorgen L. International Organizations and Global Health
Governance. The Role of WHO,WB,UNAIDS.
94
95

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International Health Agencies Guide

  • 2. • INTRODUCTION • HISTORY • FIRST INTERNATIONAL SANITARY CONFERENCE • PAN AMERICAN SANITARY BUREAU • OFFICE OF INTERNATIONAL D’HYGIENE PUBLIQUE • THE HEALTH ORGANIZATION OF THE LEAGUE OF NATIONS 2
  • 3. • THE UNITED NATIONS RELIEF AND REHABILITATION ADMINISTRATION • WORLD HEALTH ORGANIZATION (WHO) • UNITED NATIONS INTERNATIONAL CHILDREN’S EMERGENCY FUND (UNICEF) • UNITED NATIONS DEVELOPMENT PROGRAM (UNDP) • UNITED NATIONS FUND FOR POPULATION ACTIVITIES (UNFPA) 3
  • 4. • FOOD AND AGRICULTURE ORGANIZATION (FAO) • INTERNATIONAL LABOR ORGANIZATION (ILO) • WORLD BANK • UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT (USAID) • THE COLOMBO PLAN • SWEDISH INTERNATIONAL DEVELOPMENT AGENCY (SIDA) • NON-GOVERNMENTAL AND OTHER AGENCIES • ROCKEFELLER FOUNDATIONS 4
  • 5. • FORD FOUNDATION • COOPERATIVE FOR ASSISTANCE AND RELIEF EVERYWHERE (CARE) • INTERNATIONAL RED CROSS • CONCLUSION • REFERENCES 5
  • 6. introduction • Health and disease have no political or geographical boundaries. • Disease in any part of the world is a constant threat to other parts. • History is replete with plague and cholera, along trade routes. • In order to protect against the spread of the disease from one country to another, many attempts were made in the past by individual rulers and state the barriers against infection.6
  • 7. • Issues like the global spread of infectious diseases, the consequences of the HIV/AIDS, the growing antibiotic resistance, and the increasing the strengthening of the fight against poverty related diseases, have led to an increasing importance of health issues both at national and international level. • International conferences were held and organizations were set up for discussion, agreement and cooperation on matters of international health. 7
  • 8. HISTORY • The moves behind international involvement in health matters have been varied and complex over the centuries, starting around the 1300s. – Preventing plague– Safeguarding global commerce & the slave trade– Protecting soldiers and colonists overseas– Protecting workers and improving colonial relations– Religious, humanistic & social justice motivations 8
  • 9. Pre-1800s Bubonic plague (mid‐1300s,1630s), cholera, smallpox were prevailing. Disease spread due to increasing global commerce. Bubonic plague killed 20‐50% of affected populations. Quarantine first created in Venice in 1348 requiring ships to wait 40 days before entering port. 9
  • 10. • Quarantine failed in its objective because of the lack of scientific knowledge regarding the causation and mode of spread of disease. • Quarantine was opposed because the detention of the ships obstructed and caused serious inconveniences to international trade and travel. • It became necessary for international agreement and cooperation on quarantine matters to control communicable 10
  • 12. Types of quarantine • "Mandatory quarantine" separates (by legal order) people who may have been exposed to the virus from others who have not. • "Voluntary quarantine" refers to members of the public who voluntarily follow restrictions on activities as recommended by their federal, provincial or local health department. 12
  • 13. • Self-Quarantine – In a pandemic, many people or families may choose to "self-quarantine" by staying at home (not go school and work). They will also avoid social contacts such as groups or sports events. Self-quarantine is an effective way to reduce individual and family risk. • Sequestering - Because limiting face-to-face contact is also a proven way to reduce the spread of disease, businesses may consider the unusual option of having groups of essential "core" staff live temporarily either at the workplace or at a nearby hotel. 13
  • 14. 1800- mid 1900’s • Industrial revolution further increased the trade and commerce, with parallel increase in the spread of communicable diseases. • Imperial conquests led to colonization and exploitation; • Invaders brought smallpox measles, TB,etc., and in turn were felled by malaria, dysenteries, sleeping sickness. • Slave trade became extensive with high mortality rates. • Efforts to protect health of colonists, workers, missionaries has been started. 14
  • 15. • International conferences were held and organizations were set up for discussion, agreement and cooperation on matters of international health. 15
  • 16. First international sanitary conference • Was held during 1851, lead to the origin of international health cooperation. • The conference was attended mainly by European countries. • The objective was to introduce order and uniformity in the quarantine laws, which varied from country to country. • The conference lasted for six months with no lasting results. 16
  • 17. • Despite the many difficulties involved, an international sanitary code was prepared comprised of 137 articles dealing with cholera, plague and yellow fever. • It was ratified by only three countries- France, Portugal and Sardinia of which Portugal and Sardinia withdrew in 1865. • This conference was followed in rapid succession between 1851-1902 but they were equally unable to reach an agreement on quarantine measures. 17
  • 18. Pan American sanitary bureau (Pasb) • Establishment of PASB in America during the year 1902 was important milestone in the international health work. • In 1924 an important document was signed by the American Republic namely “The Pan American Sanitary Code” which is in force between the states. • In 1947, the bureau was recognized and the organization was called the Pan American Sanitary Organization (PASO). 18
  • 19. • Now the PAHO has grown from a small information center to a major health agency with its headquarters in Washington. • The PASB was the world’s first international health agency. 19
  • 20. Office international d’hygiene publique • In the year 1907, the “Office International d’hygiene Publique” (OIHP), generally known as Paris office was created to disseminate information on communicable diseases and to supervise international quarantine measures. • It was predominantly European, but later on a considerable degree of cooperation grew up between OIHP and PASB. • 60 countries including British India joined, giving the office an international character. 20
  • 21. • In spite of no field staff to investigate the epidemics it did a remarkable work in disseminating knowledge of communicable diseases and their control. • The OIHP continued to exist until 1950, by that time its responsibilities had been taken over by WHO. 21
  • 22. The health organization of the league of nations • After the world war I, the league of nations was established to build a better world and to take steps in matters of international concern for the prevention of disease. • It was established during the year 1923. • It branched out into nutrition, housing, rural hygiene, the training of public health workers and standardization of certain biological preparations. 22
  • 23. • This league analyzed the epidemiological information received, and started the series of periodical epidemiological reports. • One more eastern bureau was established at Singapore. • It had laid down regulations for studies (expert committee reviews) which are substantially followed by the WHO. • In 1939, the league of nations was dissolved but its health organization in Geneva continued. 23
  • 24. The united nations relief and rehabilitation administration (unrra) • It was set up in 1943 with a purpose of organizing recovery from the effects world war II. • This organization had done an outstanding work in preventing typhus and other diseases. • It has assisted in malaria control in Greece and Italy, where war had disrupted peace time and anti-malaria services. 24
  • 25. • The renowned anti-malarial campaign was a joint effort of UNRRA, the Rockefeller foundation and the Italian government. 25
  • 26. World health organization • The WHO has its origin in April 1945, during the conference held at San Francisco to set up the United Nations. • The constitution was drawn up at an international health conference in New York in 1946. • The ratifications were secured by April 1948; the formal existence of the WHO as a specialized agency began on that date. 26
  • 27. • WHO is the specialized, non-political, health agency of the United Nations, with headquarters at Geneva. • In 1946, the constitution was drafted by the “Technical Preparatory Committee” under the chairmanship of Rane Sand, and was approved by an International Health Conference of 51 nations in New York. • A World Health Day theme is chosen every year to focus attention on a specific aspect of public health. 27
  • 28. objective • Is “attainment by all people’s of the highest level of health” • The current objective is “ attainment by all people of the world a level of health that will permit them to lead a socially and economically productive life. • The preamble of the constitution states that;- • Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. 28
  • 29. • The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic and social condition. • The health of all peoples is fundamental to the attainment of peace and security and is dependent upon the fullest cooperation of individuals and states. 29
  • 30. • Unequal development in different countries in the promotion of health and control of disease, especially communicable disease, is a common danger. • Healthy development of the child is of basic importance; the ability to live harmoniously in a changing total environment is essential to such development. • The extension to all people of the benefits of medical, psychological and related knowledge is essential to the fullest attainment of health. 30
  • 31. • Governments have a responsibility for the health of their peoples which can be fulfilled only by the provision of adequate health and social measures. 31
  • 32. membership • Membership is open to all countries, most of the countries are members of both the UN and WHO except few differences. • For example, Switzerland is a member of WHO, but not of the united nations. • Territories which are not responsible for the conduct of their international relationships may be admitted as associate members. 32
  • 33. Work of who 1. Prevention and control of specific diseases. • The global eradication of smallpox is an outstanding example of international health cooperation. • WHO is now directing the global battle against AIDS. • An important activity of WHO is epidemiological surveillance of communicable diseases. 33
  • 34. • Member States can also make use of the "WHO Emergency Scheme for epidemics" whenever necessary. • The aim of International health Regulations is to ensure maximum security against international spread of diseases with the minimum interference with world traffic. • Immunization against common diseases of childhood expanded (Program on Immunization) is now a priority program of the WHO. 34
  • 35. Development of comprehensive services • To promote and support national health policy development and the development of comprehensive national health programs. • This includes wide variety of activities such as organizing health systems based on primary health care, the development of health manpower and utilization, building of long-term national capability, particularly in the areas of health infrastructure development and health services research. 35
  • 36. • Appropriate Technology for Health (ATH) is another new program launched by the WHO to encourage self-sufficiency in solving health problems. • The new program is part of WHO's efforts to build up primary health care. 36
  • 37. Family health • Family health is one of the major program activities of WHO since 1970, and is broadly subdivided into maternal and child health care, human reproduction, nutrition and health education. • The chief concern is improvement of the quality of life of the family as a unit. 37
  • 38. Environmental health • WHO advises governments on national program for the provision of basic sanitary services. • A number of programs have been developed such as the 'WHO Environmental Health Criteria Program and WHO Environmental Health Monitoring Program towards improving environmental health. 38
  • 39. Health statistics • From 1947, WHO has been concerned with the dissemination of a wide variety of morbidity and mortality statistics relating to health problems • The data is published in the (a) Weekly Epidemiological Record (b) World Health Statistics Quarterly and (c) World Health Statistics Annual. 39
  • 40. Biomedical research • It has established a world-wide network of WHO collaborating centers, besides awarding grants to research workers and research institutions for promoting research. • There are Regional Advisory Committees on health research which define regional health research priorities and a Global Advisory Committee, which in close collaboration with the regional committee deals with policy issues of global import. 40
  • 41. Health literature and information • WHO acts as a clearing house for information on health problems. • Its publications comprise hundreds of titles on a wide variety of health subjects. • The WHO library is one of the satellite centers of the Medical Literature Analysis and Retrieval System (MEDLARS) of the U.S. National Library of Medicine. • The WHO has also a public information service both at headquarters and each of the six regional offices. 41
  • 42. Cooperation with other organization • WHO collaborates with the UN and with the other specialized agencies, and maintains various degrees of working relationships. • Besides, WHO has also established relations with a number of international governmental organizations. 42
  • 43. structure • The WHO consists of three principal organs : 1) World Health Assembly 2) Executive Board and 3) Secretariat. 43
  • 44. World health assembly • This is the "Health Parliament" of Nations and the supreme governing body of the organization. • It meets annually, usually in May, and generally at the headquarters in Geneva, but from time to time in other countries. (The 14th World Health Assembly met in New Delhi in 196I). • The Assembly is composed of delegates representing Member States, each of which has one vote. 44
  • 45. • The main functions of the Health Assembly are : (I) to determine international health policy and programs (ii) to review the work of the past year (iii) to approve the budget needed for the following year (iv) to elect Member States (v) to designate a person to serve for three years on the Executive Board, and to replace the retiring members. 45
  • 46. The executive board • The Board had originally 18 members, each designated by a Member State. • Subsequently, the number was raised to 24 and 30. The Health Assembly (I976) increased the membership from 30 to 31, providing that no fewer than three are to be elected from each of the WHO regions • The main work of the Board is to give effect to the decisions and policies of the Assembly. The Board also has power to take action itself in an emergency, such as epidemics, earthquakes and floods where immediate action is needed. 46
  • 47. The secretariat • The secretariat is headed by the Director General who is the chief technical and administrative officer of the Organization. • The primary function of the WHO secretariat is to provide Member States with technical and managerial support for their national health development programs. • At WHO headquarters in Geneva, there are 5 Assistant Director Generals each of whom is responsible for the work of such divisions as may from time to time be assigned to him by the Director General. On 31st December, 1,985. 47
  • 48. • Division of epidemiological surveillance and health situation and trend assessment. • Division of communicable diseases. • Division of vector biology and control. • Division of environmental health. • Division of public information and education for health • Division of mental health. 48
  • 49. • Division of diagnostic, therapeutic and rehabilitative technology. • Division of strengthening of health services. • Division of family health. • Division of non-communicable diseases. • Division of health manpower development. • Division of information systems support. • Division of personnel and general services. • Division of budget and finance.49
  • 51. • These regional committees meet once a year to review health work in the region and plan its continuation and development. • Regional plans are amalgamated into overall plans for the organization by the Director General at WHO’s headquarters in Geneva. 51
  • 52. The south east Asia region • The headquarters of the South East Asia Regional Office (SEARO) is in New Delhi, the official address being World Health House, Indraprastha Estate, Delhi. The Region has now 11 members. 52
  • 53. • WHO's emblem was chosen by the first World Health Assembly in 1948. The emblem consists of the United Nations symbol surmounted by a staff with a snake coiling round it. 53
  • 54. United nations international children’s emergency fund • It was established in 1946 by the United Nations General Assembly to deal with rehabilitation of children in war ravaged countries • In 1953, when the emergency functions were over, the General Assembly gave it a new name "U.N. Children's Fund" but retained the initials, UNICEF. • UNICEF's regional office is in New Delhi; the region 's known as the South Central Asian Region which covers Afghanistan, Sri Lanka, India, the Maldives, Mongolia and Nepal. 54
  • 55. • UNICEF works in close collaboration with WHO, and the other specialized agencies of the United Nations like UNDP, FAO and UNESCO. • In the early years, UNICEF and WHO worked together on problems such as malaria, tuberculosis and venereal diseases. • More recent times UNICEF had turn away from campaigns for the eradication of specific diseases unless they are of 55
  • 56. • UNICEF is giving greater attention to the concept of the "whole child”. • This approach is also known as ‘country health programming' in which UNICEF is currently interested so as to meet the needs of children as an integral part of the country's development effort. • Its headquarters is located in New York. 56
  • 58. Services by UNIcef CHILD HEALTH • UNICEF has provided substantial aid for production of vaccines and has supported BCG vaccination program in India. • It has also assisted in building a penicillin plant near Pune. • Assisted environmental sanitation programs emphasizing safe and sufficient water for drinking and household use in rural areas. • The purpose is not only to reduce child illness and death, but to improve the quality of life in the villages.58
  • 59. Child nutrition • It gives high priority to improving child nutrition. • In collaboration with FAO, UNICEF also began aiding "applied nutrition" programs through such channels as community development, agricultural extension, schools and health services so as to stimulate and help the rural population to grow and eat the foods it required for better child nutrition. • Supplied equipment for modern dairy plants in various parts of India, viz. Maharashtra, Gujarat, Karnataka, Uttar Pradesh, West Bengal, Andhra Pradesh 59
  • 60. Family and child welfare • The purpose is to improve the care of children, both within and outside their homes through such means as parent education, day-care centers, child welfare and youth agencies and women's clubs. • These services are carried out not as separate projects but as part of health, nutrition and education or home economics extension programs. 60
  • 61. Education • In collaboration with UNESCO, UNICEF is assisting India in the expansion and improvement of teaching science in India. Science laboratories' equipment, workshop tools, library books, audiovisual aids are being made available to educational institutions. • Emphasis is placed on the kind of schooling relevant to the environment and future life of the children. 61
  • 62. Currently, UNICEF is promoting a campaign known as GOBI campaign to encourage 4 strategies for a "child health revolution”  G for growth charts to better monitor child development  O for oral rehydration to treat all mild and moderate dehydration  B for breast feeding, and  I for immunization against measles, diphtheria, polio, pertussis, tetanus and tuberculosis. 62
  • 63. • Since 1976, UNICEF has been participating in Urban Basic Services (UBS). • The aim of the UBS projects is to upgrade basic services (e.g., health, nutrition, water supply, sanitation and education) especially for children and women - in selected cities and towns. • The overall objective is to improve the degree and quality of survival and development of the children of urban low-income families. 63
  • 64. undp • The United Nations Development Program (UNDP) was established in 1966 and is the main source of funds for technical assistance.. 64
  • 65. United nations fund for population activities (UNFPA) • The United Nations Fund for Population Activities (UNFPA) has been providing assistance to India since I974. • The UNFPA inputs are designed to develop national capability for the manufacture of contraceptives, to develop population education programs, to undertake organized sector projects, to strengthen program management as well as to improve output of grass-root level health workers and introduction of innovative approaches to family planning and MCH care 65
  • 66. 66
  • 67. Food and agriculture organization (FAO) • was formed in 1945 with headquarters in Rome • The chief aims of FAO are : (1) to help nations raise living standards (2) to improve nutrition of the people of all countries (3) to increase the efficiency of farming, forestry and fisheries (4) to better the condition of rural people and, through all these means, to widen the opportunity of all people for productive work. 67
  • 68. • FAO's prime concern is the increased production of food to keep pace with the ever-growing world population. • FAO has organized a world Freedom from Hunger Campaign (FFHC) in 1960. The main object of the Campaign is to combat malnutrition and to disseminate information and education. • The joint WHO/FAO expert committees have provided the basis for many cooperative activities - nutritional surveys. training courses, seminars and the coordination of research programs on brucellosis and other zoonosis 68
  • 69. 69
  • 70. International labor organization (ILO) • In 1919, the International Labor Organization (lLO) was established as an affiliate of the League of Nations to improve the working and living conditions of the working population all over the world. • The purposes of ILO are :  to contribute to the establishment of lasting peace by promoting social justice.  to improve, through international action, labor conditions, and living standards.  to promote economic and social stability. 70
  • 71. • The International Labor Code is a collection of international minimum standards related to health, welfare, living and working conditions of workers all over the world. • There is a close collaboration between ILO and WHO in the field of health and labor. • The headquarters of ILO is in Geneva, Switzerland. 71
  • 72. 72
  • 73. WOrlD bANK • It was established with the purpose of helping less developed countries raise their living standards. • The powers of bank are vested in a Board of Governors. • Health and environmental components have been added to many projects. Cooperation programs exist between WHO and the Bank. e.g.. projects for water supply, World Food Program, Population Control, and the control of onchocerciasis program in West Africa 73
  • 74. 74
  • 75. United States Agency for Internationa. Development (USAID) • The US Government presently extends aid to India through three agencies (1) United States Agency for International Development (USAID) (2) The Public Law 480 (Food for Peace) Program (3) The US Export-Import Bank. • USAID was created in 1961, it is in charge of activities previously administered by the Technical Cooperation Mission (TCM). • A USAID mission functions in New Delhi. Both grants and loans are extended by the Agency. 75
  • 76. • The US has been assisting in a number of projects designed to improve the health of Indian population. • The recent trend in assistance from the USA is increasingly in the support of agricultural and family planning programs, with some reduction in aid in the general public health field. 76
  • 77. 77
  • 78. THE Colombo plan • The bulk of Colombo Plan assistance goes into industrial and agricultural development but some support has also been given to health development, mostly through fellowships. • The All India Institute of Medical Sciences at New Delhi was established with a assistance from New Zealand. • The Plan provides visits to countries by experts who can offer advice on local problems and train the local people. • Colombo plan seeks to improve living standards of the people of the area by reviewing developmental plans and coordinating development assistance. 78
  • 79. Swedish international development agnecy (SIDA) • Assisting the National Tuberculosis Control Program since I979. • The SIDA assistance is usually spent on procurement of supplies like X-ray unit, microscopes and anti-tuberculosis drugs. • SIDA authorities are also supporting the Short Course Chemotherapy. 79
  • 80. Danish international developmental agency (DANIDA) • The Government of Denmark is providing assistance for the development of services under National Blindness Control Program since 1978. 80
  • 81. Rockefeller foundation • The Foundation was active chiefly in public health and medical education. Subsequently, its interest was expanded to include the advancement of life sciences, the social sciences, the humanities and the agricultural sciences. • The work of the Rockefeller Foundation in India began in 1920 with a scheme for the control of hookworm disease in the then Madras Presidency. 81
  • 82. • The establishment of the All India Institute of Hygiene and Public Health at Kolkata was in a large measure due to the cooperation of the Rockefeller Foundation. • At present the Foundation is directing its support to the improvement of agriculture, family planning and rural training centers as well as to medical education 82
  • 83. Ford foundation • The Foundation has been active in the development of rural health services and family planning. • The Ford Foundation has helped India in the following projects • Orientation training centers • Research-cum-action projects • Pilot project in rural health services, Gandhigram Tamil Nadu) : Among a rural population of 100,000 people, an attempt was made to develop and operate a coordinated type of health service which will provide a useful model for health administrators in the country. 83
  • 84. • Establishment of NIHAE • Calcutta water supply and drainage scheme • Family planning program : The Foundation is supporting research in reproductive biology and in the family planning fellowship programs. 84
  • 85. CARE • CARE (Co-operative for Assistance and Relief Everywhere) was founded in North America in the wake of the Second World War in the year 1945. • It is one of the world's largest independent, non-profit, non- sectarian international relief and development organization. • It provides emergency aid and long term development assistance. 85
  • 86. • CARE began its operation in India in 1950, till the end of 1980s, the primary objective of CARE - India was to provide food for children in the age group of 6-11 years. • CARE-India works in partnership with the Government of India, State Governments, NGOs etc. Currently it has projects in Andhra Pradesh, Bihar, Madhya Pradesh, Maharashtra, Orissa, Rajasthan, Uttar Pradesh and West Bengal. 86
  • 87. Red Cross • The Red Cross is a non-political non-official international humanitarian organization devoted to the service of mankind in peace and war. • In the book "Un Souvenir de Solferine" and in countless interviews with eminent persons, throughout Europe, Dunant urged that voluntary national societies be founded "which in time of war would render aid to the wounded without distinction of nationality". 87
  • 88. • The First Geneva Convention took place in 1864 and a treaty was signed for the relief of the wounded and the sick of the armies in the field. • Thus came into being the International Committee of the Red Cross (ICRC), an independent, neutral institution, the founder organization of the Red Cross 88
  • 89. Role of Red Cross • The work of the Red Cross was extended to other programs which would prevent human suffering. These comprise service to armed forces, service to war veterans, disaster service, first aid and nursing, health education and maternity and child welfare services. 89
  • 91. conclusion • Health has long been an important part of development assistance, foreign policy and education- but motivations priorities and mechanisms have changed over time. • Development assistance accomplishments over most of the past 60 years have generally disappointing. • Since the latter 1990s there has been a rapid rise in the number, variety and capabilities of organizations involved in and funding available for improving global health.91
  • 92. • New assistance approaches can program development in the future. These collaborative partnerships are seeking better, more transparent ways to set priorities. 92
  • 93. References • Park K. International Health. In: Preventive And Social Medicine. 23rd ed. Jabalpur: Banarsidas Bhanot; 2015.p.916- 923. • http://www.ccohs.ca/pandemic/documents/quarantine.html. Last accessed on 3rd January 2016. • http://www.who.int/about/licensing/emblem/en/. Last accessed on 3rd January 2016. • Hall TL, Gundersen ET, Jensen TP. Global Health Actors and Their Programs. Consortium of Universities For Global Health. 93
  • 94. • Hiremath SS. International and National Health Agencies. In: Textbook of Preventive and Community Dentistry.2nd ed. New Delhi: Elsevier; 2011. p. 97-111. • Kohlmorgen L. International Organizations and Global Health Governance. The Role of WHO,WB,UNAIDS. 94
  • 95. 95

Editor's Notes

  1. 2) A brief account of these endeavors and of the early health organizations which preceded the formation of world health organization.
  2. 4) Ships, crews travellers and cargoes are suspected of harboring infection were detained for a 40 day period. The underlying idea was that the passage of time would give dormant disease to manifest itself or die out. Quarantine soon became an established practice in many countries and different countries adopted different quarantine procedures. This was the origin of the international health work.
  3. 2) The Medical Officer of Health has the authority under legislation to introduce these types of control steps that could include canceling public gatherings (meetings, social events, etc.) or ordering a mandatory quarantine. Andrew Speaker was placed under U.S. federal quarantine in 2007 after flying to Europe while knowing he had tuberculosis. He is the first person since 1963 to be under federal quarantine It is generally recommended that anyone infected with the influenza virus during a pandemic should stay at home or be isolated at the hospital.
  4. Kaci Hickox nurse from Maine. 21 day quarantine imposed by the states of New Jersey and Maine after returning home from treating Ebola patients in Sierra Leone. 'Hickox was sequestered in a medical tent for days because New Jersey announced new Ebola regulations the day she arrived. She eventually was allowed to travel to Maine, where the state sought to impose a "voluntary quarantine" before trying and failing to create a buffer between her and others
  5. At Paris, First of its kind 2) Austria France Great Britain, Greece, Portugal Russia Spain and four sovereign states (Sardinia two slices, the papal states, Tuscany), united Italy, turkey also participated 3) Some members opposed quarantine, some took an intermediate position
  6. Sanitary never came into existence Thus the conference was regarded as the failure
  7. It was primarily intended to coordinate quarantine procedures in the American states. 3) In 1949, an agreement was reached whereby the PASO would serve as the WHO regional Office for the Americas In 1958, the name was changed to Pan American Health Organization PAHO
  8. 0) during 1903 international sanitary conference was initiated to establish a permanent international health bureau
  9. 1) And also information on a variety of health problems of world wide interest.
  10. 2) Although it was a failure on political side. It did not confine itself to quarantine regulations and epidemiological information or even larger problems of epidemic diseases.
  11. Like now issued by WHO 4) To deal as best it could requests for information and the publication of the weekly Epidemiological record was never suspended.
  12. 1) By the end of 1946, this organization was terminated its official existence and its health activities and financial assets were taken over by the Interim Commission on the WHO.
  13. The representatives of Brazil and China proposed that an international health organization should be established and that a conference to frame its constitution should be convened The same conference set up an "interim Commission" to prepare for the new organization and to carry out urgent tasks until the WHO constitution had been accepted by the required number of UN Member States. The formation of WHO represents the culmination of efforts to establish a single worldwide inter-governmental health agency.
  14. 2) The constitution came into force on 7th April 1948 which is celebrated every year as “World Health Day”
  15. Which is set out in the preamble of the constitution.
  16. The WHO is unique among the UN Specialized Agencies in that it has its own constitution, own governing bodies, own membership and own budget. It is part of, but not subordinate to, the United Nations.
  17. 0) In recent years, two major policy developments have influenced the WHO. First, the Alma-Ata Conference in 1978 on primary health care which provided both WHO and UNICEF with a common charter for health, and secondly, the Global Strategy for Health for All by 2000. Both WHO and UNICEF are striving towards the goal of HFA by the year 2000 through health system based on primary health care. 3) Associate members participate without vote in the deliberations of the WHO.
  18. 0) Almost all communicable diseases are have been at sometime the subject of WHO activities 3) The WHO collects and disseminates epidemiological information on diseases subject to International Health Regulations and occasionally other communicable diseases of international importance through an Automatic Telex Reply Service (ATRS) and the weekly Epidemiological Record" (WER).
  19. 2) The WHO has also paid attention in its programme of work :tr non-communicable disease problems such as cancer! cardiovascular diseases, genetic disorders, mental disorders, drug addiction and dental diseases.
  20. 2) WHO's main activities in 1980 were towards promoting national, regional and global strategies for the attainment of Health for All by 2000 A.D.
  21. 0) Promotion of environmental health has always been an important activity of WHO 1) Recent activities are directed to protection of the quality of air, water and food: health conditions of work, radiation protection and early identification of new hazards originating from new technological developments.
  22. 2) In order that statistics from different countries may be comparable, WHO publishes 'international Classification of Diseases' which is updated every 1Oth year. The Tenth Revision of ICD came into effect from 1st January 1993
  23. 0) The WHO does not itself do research, but stimulates and coordinates research work. 2) Six tropical diseases (malaria, schistosomiasis, trypanosomiasis, filariasis, leishmaniasis and leprosy) are the target of the WHO Special Programme for Research and Training in Tropical Diseases to develop new tools, strengthen research institutions and training workers in the countries affected.
  24. 3) MEDLARS is the only fully computerized indexing system covering the whole of medicine on an international basis.
  25. 2) . The members of the Board are to be "technically qualified in the field of health"; they are designated by, but do not represent their governments. One- third of the membership is renewed every year The Executive Board meets at least twice a year, generally in January and shortly after the meeting of the World Health Assembly in May
  26. 2) . While in 1948, WHO staff counted 250 persons, the Organization in 1985 counted 4475 international public servants
  27. 0) the WHO Secretariat comprised of the following divisions
  28. 0) in order to meet the special health needs of different areas, WHO has established six regional organizations These regional organizations are the integral part of the WHO, the regional office is headed by the regional director who is assisted by the technical staff and administrative officer. The regional committee is composed of representatives of the member states in the region.
  29. Bangladesh, Bhutan, Korea, India, Indonesia, Maldives, Maynmar, Nepal, Srilanka, Thailand, Timor leste
  30. 1) The WHO activities in South East Asia Region cover a wide range of subjects such as malaria eradication, tuberculosis control. control of other communicable diseases, health laboratory services and production of vaccines, health services. public health administration and rural health ’services. maternal and child health, nursing, environmental health and water supply, health education, nutrition, mental health. dental health, medical rehabilitation, quality control of drugs and medical education.
  31. The staff with the snake has long been a symbol of medicine and the medical profession It originates from the story of Asclepius who was revered by the ancient Greeks as a god of healing and whose cult involved the use of snakes. (Asclepius, incidentally, was so successful at saving lives that, the legend goes, Hades the god of the underworld complained about him to the supreme god Zeus who, fearing that the healer might make humans immortal, killed Asclepius with a thunderbolt.
  32. 0) UNICEF (United Nations International Children's emergency Fund) is one of the specialized agencies of the United Nations.
  33. 2) Later, its assistance to countries covered such fields as maternal and child health, nutrition, environmental sanitation (especially the provision of water supplies to rural communities), health centers and health education and programs which would directly or indirectly, benefit child health
  34. means that assistance should hence forward be geared not only to health and nutrition, as before, which are of immediate benefit to children, but also to their long-term personnel development and to the development of the countries in which they live.
  35. The current version of the UNICEF logo consists of four distinct elements. These include the image of a mother and child, a globe, olive branches and the organization’s name “unicef. The use of blue color in the UNICEF logo stands for approachability, prosperity and grace of the organization, whereas the white color depicts nobility, peace and purity.
  36. 4) Currently, UNICEF is focusing attention on providing primary health care to mothers and children. emphasis is placed on immunization; infant and young child, the family planning aspects of family health; safe water and adequate sanitation.
  37. 3) . Specific aid is also given for intervention against nutritional deficiency diseases, viz. provision of large doses of vitamin A in areas where xerophthalamia is prevalent; enrichment of salt with iodine in areas of endemic goitre; provision of iron and folate supplements to combat anaemias and enrichment of foods. b) . More recently, FAO, UNICEF and WHO have been encouraging the development of national food and nutrition policies that make provision for child nutrition.
  38. 3) In short, UNICEF activities cover programs assisting in child survival, protection and development; interventions like immunization, improved infant feeding practices; child growth monitoring, home based diarrhea management, drinking water, environmental sanitation, birth spacing, education of girls and income-generating activities for women.
  39. The member countries - rich and poor - of the United Nations meet annually and pledge contributions to the UNDP The basic objective of the UNDP is to help poorer nations develop their human and natural resources more fully The UNDP projects cover virtually every economic and social sector -agriculture, industry, education and science, health, social welfare, etc.
  40. 1) In addition to funding national level schemes, Area Projects for intensive development of health and family welfare infrastructure and improvement in the availability of services in the rural areas have been under implementation in eleven districts of Bihar and 4 districts of Rajasthan.
  41. 0) It was the first United Nations Organization specialized agency created to look after several areas of world cooperation.
  42. 1) The most important aspect of FAO's work is towards ensuring that the food is consumed by the people who need it, in sufficient quantities and in right proportions, to develop and maintain a better state of nutrition throughout the world 3) The FAO is also collaborating with other international agencies in the Applied Nutrition Programs.
  43. FAO emblem with its Latin motto, Fiat panis ("Let there be bread")
  44. 0) Soon after the First World War, it was recognized that problems of industry, like disease, know no frontiers.
  45. 1) The ILO also provides assistance organizations interested in the betterment of living and employment standards
  46. 0) specialized agency of united nations 2) The Bank gives loans for the projects that will lead to economic growth (e.g.. India’s Population Projects). The projects are usually concerned with electric power, roads, railways, agriculture, water supply. education, family planning, etc.
  47. 1) These are malaria eradication (2) medical education (3) nursing education (4) health education (5) water supply and sanitation (6) control of communicable diseases (7) nutrition and (8) family planning.
  48. 0) At a meeting of the commonwealth Foreign Minister at Colombo in January 1950, a program was drawn up a cooperative economic development in South and South East Asia. Membership comprises 20 developing countries within the region and 6 non-regional members - Australia. Canada. Japan, New Zealand, UK and USA. 2) The contribution of Canada in supplying Cobalt Therapy Units to medical institutions India was an important item of aid under the Colombo plan.
  49. 3) Drug Regimens under pilot study, which were introduced in 18 districts of the country during 1983-84, and pilot phase-l of the Revised strategy of NTP in 5 sites namely Delhi. Bangalore, Mumbai, Kolkata and Mehsana (Gujarat) since 1993 The logo has been designed as part of our transparency guarantee and provides greater opportunities for transparency and accountability by increasing the visibility of Swedish aid.
  50. The organisation's name was originally DANAID. In Greek mythology, Danaids were daughters of Danaus who killed their husbands and were condemned to fill a bathtub with water to wash away their sins Because the buckets they were given to do this were actually sieves, they worked for all eternity in Tartarus without making any progress. For this reason, the aid agency's name was changed from DANAID to DANIDA at the last minute when this unfortunate connotation was discovered. The term Danida appeared in 1963
  51. 0) The Rockefeller Foundation is a philanthropic organization chartered in 1913 and endowed by Mr. John D. Rockefeller. its purpose is to promote the well-being of mankind throughout the world. 2) the Foundation has been associated with several medical and public health programmes in India
  52. 1) The Foundation's program included the :raining of competent teachers and research workers; training abroad of candidates from India through fellowships and :ravel grants; the sponsoring of visits of a large number of medical specialists from the USA: providing grants-in-aid to selected institutions: development of medical college libraries; population studies; assistance to research projects and institutions (e.9., National Institute of Virology at Pune and more recently the setting up of a field demonstration area Ballabhgarh) in connection with a department of preventive and social medicine, as well as to the All India Institute of medical Sciences.
  53. 0) Whereas the Rockefeller Foundation earlier concentrated most of its assistance on universities and post-graduate institutions, on professional education and on research 2.1) The orientation training centers at Singur, Poonamalle and Najafgarh were set up with help from the Ford Foundation. The centres provide training courses in public health for medical and paramedical personnel from all over India. 2.2) : These projects are aimed at solving some of the basic problems in environmental sanitation, e.g., designing and construction of :and-flushed acceptable sanitary latrines in rural areas
  54. In the last few years. the Ford Foundation has supported the establishment of the National Institute of Health Administration and Education at Delhi. The Institute provides a senior staff-college type training for health administrators. The Foundation has helped in the preparation of a master plan for water supply, sewerage and drainage for the city of Calcutta in collaboration with other international agencies
  55. From mid 1980s, CARE-India focused its food support in the ICDS program and in development of programs in the areas of health and income supplementation. It is helping in the following projects : Integrated Nutrition and Health Project; Better Health and Nutrition Project; Anaemia Control Project; Improving Women's Health Project; Improved Health Care for adolescent Girl's Project; Child Survival Project; Improving Women's Reproductive Health and Family Spacing Project; Konkan Integrated Development Project etc
  56. 1) It was founded by Henry Dunant, a young Swiss businessman, who when travelling through North Italy in 1859 happened io be on the scene of one of the most savage battles of history, the battle of Solferino. Appalled by the neglect of thousands of the wounded and dying soldiers, Dunant recruited volunteers from nearby villages to help relieve their suffering
  57. 0) He proposed further that these societies should have a protective emblem and trained workers and their services to the wounded should be protected by international treaty. 2) It has since grown into a mighty mission with branches all over the world symbolizing the spirit of compassion and universal brotherhood. In 1919, the League of the Red Cross Society was created with headquarters in Geneva to coordinate the work of the national societies. which now number more than 90.
  58. 0) In the beginning, the role of the Red Cross. as conceived by Dunant, was largely confined to humanitarian service on behalf of the victims of war. Soon thereafter, it was realized that natural disasters too bring in their wake great human suffering and that on such occasions there is equally great need for help among nations "as good neighbors"
  59. The Red Cross emblem is an inversion of the Swiss flag (the flag is a white cross on a red background). This recognizes the historic connection between Switzerland and the original Geneva Convention of 1864.The Red Cross on white background was the original protection symbol declared at the 1864 Geneva Convention. The red cross symbolizes as an identifier for medical personnel during war time. the 1949 Geneva Convention ("For the Amelioration of the Condition of the Wounded and Sick in Armed Forces in the Field").