International Health Regulations and Global Health
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Questions and Answers

Which of the following best describes the primary focus of International Health Regulations (IHR) as set by the WHO?

  • Promoting health education and awareness programs in developed countries.
  • Establishing guidelines for pharmaceutical companies to ensure drug safety and efficacy on a global scale.
  • Preventing and responding to the international dissemination of diseases across borders. (correct)
  • Providing healthcare services to underserved populations in developing countries.

What is the main objective of Port Health Services in the context of international health?

  • To regulate tariffs and customs duties on imported goods.
  • To promote tourism and facilitate international travel.
  • To control and prevent the spread of infectious diseases through international travel and trade. (correct)
  • To provide medical care to travelers arriving at international ports.

In enhancing global health security, which strategy is most crucial for mitigating health threats?

  • Increasing funding for basic scientific research.
  • Stockpiling large quantities of vaccines and medications.
  • Imposing travel bans on individuals from countries with disease outbreaks.
  • Implementing rapid detection, coordinated response, and effective communication among countries. (correct)

What is the primary role of quarantine and isolation in controlling the spread of infectious diseases at international entry points?

<p>To separate and monitor individuals who may have been exposed to a contagious disease, thus preventing further transmission. (A)</p> Signup and view all the answers

Which of the following is a key function of international health organizations like the WHO concerning global disease outbreaks?

<p>To coordinate international responses, provide technical assistance, and disseminate information to member states. (A)</p> Signup and view all the answers

How did colonial and post-colonial contexts influence the development of international health practices in Africa, Asia, and Latin America?

<p>They shaped the economic and political interests and cultural assumptions that influenced international health ideas and practices. (D)</p> Signup and view all the answers

What role do non-governmental organizations (NGOs) play in international health?

<p>NGOs complement governmental efforts by providing services, advocacy, and expertise in specific health areas. (D)</p> Signup and view all the answers

Why is understanding the history of international health efforts important for current global health practitioners?

<p>Understanding past successes and failures provides valuable insights for addressing contemporary health challenges and avoiding repeating mistakes. (D)</p> Signup and view all the answers

Which of the following best describes the primary focus of international health professionals in practice?

<p>Controlling infectious diseases, addressing health and economic development interactions, and improving medical care in poorer countries. (C)</p> Signup and view all the answers

Which of the following is an example of an underlying factor contributing to health problems in international health?

<p>Cultural practices (A)</p> Signup and view all the answers

According to the International Health Regulations (IHR), what is the primary aim regarding international traffic and trade?

<p>To prevent, protect against, control, and respond to the international spread of disease while avoiding unnecessary interference with international traffic and trade. (D)</p> Signup and view all the answers

Which of the following scenarios would most likely trigger a coordinated international response under the International Health Regulations (IHR)?

<p>The declaration of a Public Health Emergency of International Concern (PHEIC) by the WHO due to a novel pathogen spreading across borders. (C)</p> Signup and view all the answers

What is the role of Port Health Services (PHS) in global health security?

<p>To prevent, detect, and respond to potential public health threats associated with the movement of people, goods, and conveyances across international borders. (D)</p> Signup and view all the answers

Which activity is most likely to be undertaken by Port Health Services (PHS) to control the spread of infectious diseases?

<p>Implementing quarantine measures for individuals exposed to a contagious disease. (B)</p> Signup and view all the answers

A country is experiencing a surge in cases of a rare, highly contagious disease. In accordance with the International Health Regulations (IHR), what is the country's immediate responsibility?

<p>To notify the WHO promptly and share relevant information about the event. (D)</p> Signup and view all the answers

What is the significance of national capacity building in the context of the International Health Regulations (IHR)?

<p>It enables countries to detect, assess, notify, and respond to public health events effectively. (A)</p> Signup and view all the answers

Which of the following scenarios highlights the importance of coordination between Port Health Services and other agencies?

<p>A traveler arrives at an airport displaying symptoms of a contagious disease and is identified by PHS in collaboration with customs and immigration. (B)</p> Signup and view all the answers

What public health measure falls under the purview of Port Health Services?

<p>Administering or requiring proof of vaccination for certain diseases. (A)</p> Signup and view all the answers

A region is experiencing a humanitarian crisis due to war. What immediate health concerns are most likely to arise, requiring intervention from international health organizations?

<p>Outbreaks of diseases such as typhus and tuberculosis, coupled with mental health challenges. (A)</p> Signup and view all the answers

What is the primary scope of the International Health Regulations (IHR)?

<p>To cover the international spread of diseases, including those that pose a public health risk by potentially crossing borders. (A)</p> Signup and view all the answers

Port Health Services discover a shipment of goods infested with disease-carrying vectors. What action would they most likely take?

<p>Engage in vector control activities to prevent the spread of diseases. (C)</p> Signup and view all the answers

Which of the following reflects the primary goal of Port Health Services in the context of international travel and trade?

<p>Balancing the facilitation of international travel and trade with the protection of public health. (D)</p> Signup and view all the answers

Which revision was implemented to enhance global health security and better address emerging threats under the IHR?

<p>The IHR were revised in 2005 to enhance global health security and better address emerging threats (D)</p> Signup and view all the answers

What measure do states take in order to assess the risk of the international spread of disease?

<p>Implement public health actions like surveillance, contact tracing, and travel restrictions, as deemed necessary. (B)</p> Signup and view all the answers

What was a major contributing factor to the failure of early quarantine measures to prevent the spread of disease?

<p>Limited understanding of how diseases spread and their causes. (B)</p> Signup and view all the answers

How did John Snow contribute to controlling the 1854 cholera outbreak in London?

<p>By identifying the source of the outbreak through mapping and interviews. (C)</p> Signup and view all the answers

What is the role of international health regulations, such as the International Health Regulations (IHR)?

<p>To establish guidelines for preventing and responding to the international spread of diseases. (D)</p> Signup and view all the answers

Why was the First International Sanitary Conference (1851) considered a failure?

<p>Because the sanitary code it produced was ratified by only a few countries and never enforced. (B)</p> Signup and view all the answers

How did the emergence of H1N1 Swine Flu exemplify the interconnectedness of global health?

<p>It showed how a disease outbreak in one country can quickly spread to others. (B)</p> Signup and view all the answers

What is the primary role of Public Health Education, as conducted by Port Health Services?

<p>Raising awareness about health risks and preventive measures. (C)</p> Signup and view all the answers

What was the main reason for opposition to early quarantine measures?

<p>They caused significant disruptions and inconveniences to international trade and travel. (D)</p> Signup and view all the answers

How does the structure of PAHO (Pan American Health Organization) relate to the WHO (World Health Organization)?

<p>PAHO serves as the WHO Regional Office for the Americas. (D)</p> Signup and view all the answers

In what way do modern sewage and water treatment facilities contribute to global health security?

<p>They help eradicate diseases like cholera in some countries. (D)</p> Signup and view all the answers

What principle underlies the practice of quarantine, introduced in Europe in the 14th century?

<p>The idea that the manifestation or resolution of a disease would occur over time. (D)</p> Signup and view all the answers

Which action exemplifies the emergency response role of Port Health Services?

<p>Implementing contingency plans to manage disease outbreaks. (D)</p> Signup and view all the answers

Why is interdisciplinary collaboration considered essential for an effective response to health threats?

<p>It ensures a comprehensive approach, utilizing diverse expertise and resources. (A)</p> Signup and view all the answers

What action is most effective at preventing cholera, according to the information provided?

<p>Regularly washing hands with soap and water and avoiding contaminated water. (C)</p> Signup and view all the answers

What was the primary objective of the 1851 First International Sanitary Conference?

<p>To introduce uniformity into quarantine measures across different countries. (C)</p> Signup and view all the answers

Which historical event marked one of the earliest efforts to control the international spread of disease?

<p>The implementation of the first recorded quarantine legislation for the prevention of rodent transhipment in Europe. (C)</p> Signup and view all the answers

What distinguishes global health from international health?

<p>Global health addresses health issues that transcend national boundaries and have global political and economic impact, whereas international health focuses on developing nations and foreign aid. (C)</p> Signup and view all the answers

Why is international collaboration crucial in addressing global health challenges?

<p>Diseases can easily spread across borders, and collaboration ensures a coordinated and effective response. (C)</p> Signup and view all the answers

What is the primary focus of travel medicine, a subset of international medicine?

<p>Preparing travelers for health risks with immunizations, preventive medications, and post-travel care. (D)</p> Signup and view all the answers

Which of the following represents a critical aspect of environmental health in port areas?

<p>Implementing measures to ensure a healthy living and working environment by addressing environmental factors that can affect public health. (A)</p> Signup and view all the answers

How do resistance to medicines and global health intersect?

<p>Rising resistance to medicines like antibiotics and antimalarials complicates the treatment of diseases worldwide, posing a significant global health challenge. (B)</p> Signup and view all the answers

What was the primary goal of the United Nations Relief and Rehabilitation Administration (UNRRA) when it was established in 1943?

<p>To organize recovery efforts from the impact of the Second World War. (D)</p> Signup and view all the answers

Which factor is considered within the systematic consideration of international health that affects human populations?

<p>The genetic, ethnic, and cultural makeup of individuals and groups. (C)</p> Signup and view all the answers

What role did the UNRRA play in global health immediately following World War II?

<p>It managed the distribution of medical supplies and personnel to combat epidemics. (A)</p> Signup and view all the answers

How did the UNRRA's health-related responsibilities transition after its dissolution in 1946?

<p>They were assumed by the interim commission of the World Health Organization (WHO). (D)</p> Signup and view all the answers

What role do comparative studies play in the methodology of international health?

<p>They provide a framework for assessing the effectiveness of different healthcare systems and health statuses across different regions. (A)</p> Signup and view all the answers

What was the key proposal made during the San Francisco conference in 1945 that eventually led to the establishment of the World Health Organization (WHO)?

<p>The establishment of an international health organization and a conference to create its constitution. (C)</p> Signup and view all the answers

In what way does climate change relate to international health?

<p>Climate change is an international problem that can affect people's health, leading to new health challenges and exacerbating existing ones. (B)</p> Signup and view all the answers

When is World Health Day observed each year, and what does it commemorate?

<p>April 7th, celebrating the date the WHO constitution came into force. (D)</p> Signup and view all the answers

How does the economic aspect of international health influence healthcare systems?

<p>By addressing public health expenditure, out-of-pocket expenditure, and the introduction of national health insurance schemes. (A)</p> Signup and view all the answers

What significance do vector-borne diseases hold in the context of international and port health?

<p>They pose health risks associated with vectors like mosquitoes and require strategies to prevent the spread of diseases such as Malaria, Dengue, and Zika Virus. (C)</p> Signup and view all the answers

According to the WHO's constitution, what constitutes 'health'?

<p>A state of complete physical, mental, and social well-being. (B)</p> Signup and view all the answers

Which of the following statements best describes the relationship between the WHO and the United Nations?

<p>The WHO is a specialized agency of the UN, with its own constitution, governing bodies, membership, and budget. (C)</p> Signup and view all the answers

What is the 'one-health approach' in the context of international health?

<p>A collaborative, multisectoral, and transdisciplinary approach—working at the local, regional, national, and global levels—to achieve optimal health outcomes recognizing the interconnection between people, animals, plants and their shared environment. (A)</p> Signup and view all the answers

Which of the following is NOT an emphasis of Global Health?

<p>Focusing primarily on the health issues within developed nations. (C)</p> Signup and view all the answers

How does the WHO address global health priorities and policies?

<p>By allowing member states to collectively identify health problems and define strategies and programs to address them. (C)</p> Signup and view all the answers

How does globalization influence the spread of infectious diseases?

<p>Globalization accelerates the spread of infectious diseases due to increased travel, urbanization, and interconnectedness. (A)</p> Signup and view all the answers

What is the significance of the WHO's role in establishing international standards in the field of health?

<p>It provides a framework for global cooperation and consistency in health practices and regulations. (A)</p> Signup and view all the answers

Why is understanding the root cause of ill-health important in international health?

<p>It ensures that health interventions are tailored to address the underlying issues contributing to disease prevalence. (C)</p> Signup and view all the answers

Which of the following is an example of the WHO's work in the prevention and control of specific diseases?

<p>The global eradication of smallpox. (A)</p> Signup and view all the answers

In addition to communicable diseases, what other health problems does the WHO address in its programs?

<p>Non-communicable diseases such as cancer, cardiovascular diseases, and mental disorders. (A)</p> Signup and view all the answers

How does the WHO disseminate information about epidemiological surveillance of diseases?

<p>Through an Automatic Telex Reply Service (ATRS) and the “Weekly Epidemiological Record” (WER). (A)</p> Signup and view all the answers

What is the ultimate objective of the WHO, as outlined by "Health for All by the Year 2000"?

<p>To enable all people to achieve the highest possible level of health, allowing them to be socially and economically productive. (C)</p> Signup and view all the answers

Why is the active participation and informed opinion of the public considered crucial for improving people's health, according to the WHO?

<p>Because health initiatives are more effective when the public is knowledgeable and cooperates. (C)</p> Signup and view all the answers

Which of the following best summarizes a government's responsibility for the health of its people, according to the principles of the WHO?

<p>To provide adequate health and social measures that promote and protect the health of its population. (A)</p> Signup and view all the answers

Which activity is NOT directly supported by WHO through funding and coordination, but rather indirectly through information dissemination and collaboration?

<p>Direct health research. (D)</p> Signup and view all the answers

Which of the following is NOT a direct function of the World Health Assembly?

<p>Implementing the decisions and policies set by the Assembly. (A)</p> Signup and view all the answers

What is the primary role of the WHO Secretariat in supporting member states?

<p>Offering technical and managerial support for health development programs. (D)</p> Signup and view all the answers

Which area of health is NOT specifically listed as a component of the WHO's Family Health program?

<p>Environmental Health. (B)</p> Signup and view all the answers

A country is experiencing a widespread outbreak of a novel infectious disease. According to the text, which WHO body has the authority to take immediate action?

<p>The Executive Board. (D)</p> Signup and view all the answers

If a researcher needs access to a comprehensive, computerised index of medical literature on an international scale, which resource would be most appropriate, based on WHO's affiliations?

<p>MEDLARS (Medical Literature Analysis and Retrieval System). (D)</p> Signup and view all the answers

What is the most accurate description of the relationship between the WHO and the United Nations?

<p>WHO is a specialized agency within the UN system responsible for directing and coordinating health matters. (C)</p> Signup and view all the answers

Which of the following scenarios best exemplifies WHO's role in 'stimulating, supporting, funding and coordinating' biomedical research?

<p>WHO providing grants to research institutions working on solutions for neglected tropical diseases. (A)</p> Signup and view all the answers

What is the main purpose of the 'technical discussions' that are organized during each World Health Assembly?

<p>To discuss subjects of global interest. (C)</p> Signup and view all the answers

Which of the following is NOT a mechanism through which WHO disseminates health-related statistics?

<p>Monthly morbidity reports. (C)</p> Signup and view all the answers

How does the composition of the Executive Board ensure a broad and consistent geographical representation?

<p>The Health Assembly ensures that at least three members are elected from each WHO region. (B)</p> Signup and view all the answers

What is the MOST accurate reflection of how WHO promotes environmental health?

<p>By advising governments and promoting basic sanitary services. (C)</p> Signup and view all the answers

What is the Expanded Program on Immunization's objective, as described in the text?

<p>To immunize against common childhood diseases. (B)</p> Signup and view all the answers

Which of the following best describes how WHO contributes to improving drug quality and safety worldwide?

<p>By engaging in drug evaluation and monitoring, and quality control of drugs and biological products. (C)</p> Signup and view all the answers

What is the WHO's primary objective concerning Family Health?

<p>To improve the quality of life of the family as a unit. (C)</p> Signup and view all the answers

Which of the following best describes the primary focus of UNICEF's early collaborations with WHO?

<p>Addressing urgent health crises like malaria and tuberculosis. (D)</p> Signup and view all the answers

A community is experiencing a high incidence of dehydration among children due to diarrheal diseases. Which UNICEF initiative would be most effective in directly addressing this issue?

<p>Implementing oral rehydration therapy programs. (A)</p> Signup and view all the answers

A nation wants to improve its educational resources, particularly in science. What specific assistance could UNICEF provide, potentially in conjunction with UNESCO?

<p>Procurement of science lab equipment and library books. (C)</p> Signup and view all the answers

If a local community has a high prevalence of goiter, which of the following interventions could UNICEF support to address this health issue?

<p>Enrichment of salt with iodine. (D)</p> Signup and view all the answers

Which of the following is the most accurate descriptor of UNICEF's overall approach to aid?

<p>Addressing the 'whole child' through comprehensive support. (A)</p> Signup and view all the answers

Which of the following is NOT a division within the WHO Secretariat as of December 31, 1985?

<p>Division of Pharmaceutical Research and Development. (B)</p> Signup and view all the answers

What is the primary role of the Assistant Director Generals at WHO headquarters in Geneva?

<p>To manage the work of assigned divisions as directed by the DG. (D)</p> Signup and view all the answers

How is UNICEF primarily funded?

<p>Primarily through government contributions and private donations. (A)</p> Signup and view all the answers

Which of the following best describes the GOBI campaign?

<p>A strategy focused on growth monitoring, oral rehydration, breastfeeding, and immunization. (D)</p> Signup and view all the answers

What is the role of UNICEF regarding disease-specific eradication programs?

<p>UNICEF focuses on disease eradication if the disease disproportionately affects mothers and children. (D)</p> Signup and view all the answers

Which of the following is a service provided by UNICEF, geared towards family and child welfare?

<p>Parent education. (A)</p> Signup and view all the answers

Which of the following regions has its WHO headquarters in Harare, Zimbabwe?

<p>Africa. (B)</p> Signup and view all the answers

A country is facing challenges in building capacity for its health workforce. Which division of WHO might it collaborate with to address this issue?

<p>Division of Health Manpower Development. (A)</p> Signup and view all the answers

What was UNICEF's original purpose when it was established in 1946?

<p>To rehabilitate children in war-ravaged countries. (D)</p> Signup and view all the answers

What is the role of Growth charts regarding UNICEF efforts?

<p>Growth charts help monitor child development. (B)</p> Signup and view all the answers

Which of the following scenarios exemplifies UNDP's focus on democratic governance?

<p>Offering technical support to improve electoral processes and promote political dialogue. (B)</p> Signup and view all the answers

How does UNDP contribute to poverty reduction at the macro level?

<p>By reforming trade policies, encouraging debt relief, and promoting foreign investment. (C)</p> Signup and view all the answers

Which activity best illustrates UNDP's work in crisis prevention and recovery?

<p>Supporting the disarmament, demobilization, and reintegration of ex-combatants. (D)</p> Signup and view all the answers

How does UNDP address environmental issues to improve developing countries’ abilities to develop sustainably?

<p>By providing innovative policy advice and linking partners through environmentally sensitive development projects. (B)</p> Signup and view all the answers

What distinguishes UNDP from other international health organizations?

<p>Its broad mandate encompassing democratic governance, poverty reduction, crisis prevention, environment, and HIV/AIDS. (B)</p> Signup and view all the answers

How does UNDP's structure within the UN system affect its operations?

<p>It functions as an executive board within the UN General Assembly, influencing its advocacy and development work. (D)</p> Signup and view all the answers

In what way does UNDP ensure its activities align with national priorities?

<p>By linking and coordinating global and national efforts to achieve goals set out by host countries. (C)</p> Signup and view all the answers

What is a critical distinction between UNDP and bilateral aid agencies like USAID or UKAID?

<p>UNDP is funded by voluntary contributions and has a broader, multi-sectoral development focus. (C)</p> Signup and view all the answers

Which of the following strategies represents UNDP's approach to promoting gender equality?

<p>Integrating the empowerment of women into all of its programs. (B)</p> Signup and view all the answers

How did the merger of EPTA and the Special Fund influence the creation of UNDP?

<p>It sought to avoid duplication of activities and enlarge the scope of UN technical assistance. (D)</p> Signup and view all the answers

What role does the Human Development Report (HDR) play in UNDP's mission?

<p>It measures and analyzes developmental progress, informing policy and strategies. (A)</p> Signup and view all the answers

How does UNDP ensure the sustainability of its development projects?

<p>By developing local capacity and working with local governments to meet development challenges. (B)</p> Signup and view all the answers

Considering UNDP's focus on poverty reduction, which approach aligns with its on-the-ground strategy?

<p>Sponsoring developmental pilot projects and coordinating efforts between governments, NGOs, and outside donors. (D)</p> Signup and view all the answers

How does UNDP's work in 'Environment and Energy' relate to its goal of poverty reduction?

<p>UNDP addresses environmental issues because the poor are disproportionately affected by environmental degradation and lack of access to clean resources. (A)</p> Signup and view all the answers

What is the significance of UNDP working in 177 countries?

<p>It demonstrates UNDP's global presence and commitment to addressing development challenges worldwide. (C)</p> Signup and view all the answers

How does UNDP contribute to sustainable land management?

<p>By providing assistance to countries in combating desertification and land degradation. (A)</p> Signup and view all the answers

What is the significance of the UNDP Administrator also serving as the Chair of the UN Development Group?

<p>It ensures better coordination and effectiveness of UN development activities. (A)</p> Signup and view all the answers

Which of the following interventions directly addresses Millennium Development Goal 4 (reducing child mortality) and Goal 6 (combating diseases like malaria)?

<p>Comprehensive child healthcare in the earliest years, including antenatal care and malaria control. (C)</p> Signup and view all the answers

Which of the following is a core focus area of UNFPA's work?

<p>Improving reproductive health and advocating for gender equality. (C)</p> Signup and view all the answers

A community is experiencing a measles outbreak. Which UNICEF intervention would be MOST effective in immediately addressing this crisis?

<p>Providing measles vaccinations and vitamin A supplements. (C)</p> Signup and view all the answers

Which UNICEF initiative demonstrates a commitment to both Millennium Development Goal 2 (achieving universal primary education) and Goal 3 (promoting gender equality)?

<p>Supporting water, sanitation, and hygiene improvements in schools, creating a child-friendly learning environment. (C)</p> Signup and view all the answers

What was the original name of UNFPA when it began operations in 1969?

<p>United Nations Fund for Population Activities (C)</p> Signup and view all the answers

How does UNICEF contribute to the prevention of HIV/AIDS transmission, aligning with Millennium Development Goal 6?

<p>By organizing gender-sensitive prevention education, skills, and service campaigns, particularly targeting adolescents. (A)</p> Signup and view all the answers

How do the Sustainable Development Goals (SDGs) relate to UNFPA's mission?

<p>UNFPA contributes directly to achieving several SDGs, particularly those related to health, education, and gender equality. (A)</p> Signup and view all the answers

What is UNICEF's primary role in the context of 'sector-wide approaches (SWAPs)' and 'Poverty Reduction Strategy Plans (PRSPs)'?

<p>To provide input, participate in developing these plans, and ensure children's rights are considered. (C)</p> Signup and view all the answers

What is the primary aim of the UNFPA-led global campaign to end fistula?

<p>To prevent obstetric fistula and support women affected by this condition. (B)</p> Signup and view all the answers

A region is experiencing chronic drought, leading to widespread malnutrition among children. Which combination of interventions aligns best with UNICEF's priorities in this emergency?

<p>Distributing immediate food aid, providing access to clean water, and implementing therapeutic feeding programs. (B)</p> Signup and view all the answers

Which of the following strategies does UNFPA use to achieve its goals?

<p>Working in partnership with governments, NGOs, and other UN agencies. (D)</p> Signup and view all the answers

Which of the following statements accurately reflects UNICEF's approach to child protection?

<p>UNICEF concentrates on raising government awareness, promoting child protection laws, and strengthening community resources. (C)</p> Signup and view all the answers

What is the role of the five countries on the UNDP board in the selection of the Administrator?

<p>They have some influence over the selection of the Administrator. (B)</p> Signup and view all the answers

In what way does UNICEF's work extend beyond immediate emergency response to promote long-term, sustainable development?

<p>By advocating for policies that address the root causes of poverty and inequality affecting children. (B)</p> Signup and view all the answers

Why is it important for UNFPA to work with countries internationally?

<p>To promote reproductive health and gender equality on a global scale. (B)</p> Signup and view all the answers

How does UNICEF leverage partnerships to achieve its goals for children?

<p>By collaborating with governments, NGOs, religious groups, and private sector entities to maximize reach and impact. (A)</p> Signup and view all the answers

How does UNDP address the issue of HIV/AIDS?

<p>By helping countries prevent its spread and reduce its impact. (D)</p> Signup and view all the answers

What is the significance of UNICEF's involvement in promoting 'birth spacing' and 'educated family planning schemes'?

<p>It contributes to child survival and well-being by improving maternal health and family resources. (A)</p> Signup and view all the answers

Which of the following best describes UNFPA's approach to addressing female genital mutilation?

<p>Working to end the practice through various programs and initiatives. (D)</p> Signup and view all the answers

What is meant by UNFPA promoting the right to 'reproductive health'?

<p>Ensuring physical, mental, and social well-being in matters related to reproduction and the reproductive system. (C)</p> Signup and view all the answers

Many children are missing school due to a recent natural disaster. Which initiative would UNICEF likely prioritize?

<p>Back-to-School programs providing school supplies and temporary learning spaces. (B)</p> Signup and view all the answers

How does UNICEF address the challenges faced by children orphaned by HIV/AIDS?

<p>By strengthening the capacity of schools, communities, and families to care for them. (B)</p> Signup and view all the answers

What is the significance of UNFPA’s work in more than 150 countries, territories and areas?

<p>It demonstrates a commitment to addressing reproductive health needs on a broad, global scale. (B)</p> Signup and view all the answers

How does UNDP’s environmental strategy address water governance?

<p>By focusing on effective water governance, including access to water supply and sanitation. (B)</p> Signup and view all the answers

What is the role of UNICEF in supporting breastfeeding, even in situations where mothers are HIV-positive?

<p>UNICEF promotes breastfeeding for all mothers, including those HIV-positive, while also supporting interventions to reduce the risk of transmission. (C)</p> Signup and view all the answers

How has campaign to end fistula contributed to achievement of the goals of UNFPA?

<p>The campaign helps achieve mission to promote the rights and health of women and young people. (A)</p> Signup and view all the answers

Which of the following best describes UNICEF's approach to promoting child survival and development?

<p>Focusing on comprehensive programs that include healthcare, nutrition, education, and protection. (C)</p> Signup and view all the answers

In emergency situations, what is a key distinction that sets UNICEF apart from other aid organizations?

<p>UNICEF is often first on the ground to deliver life-saving interventions such as fresh water and medical supplies. (D)</p> Signup and view all the answers

Which of the following best describes the World Bank's approach to addressing poverty in developing countries?

<p>Collaborating with the country's government to create and support strategies tailored to its specific needs. (D)</p> Signup and view all the answers

What is the primary responsibility of the World Bank President?

<p>Chairing meetings of the Boards of Directors and overseeing the Bank's operations. (C)</p> Signup and view all the answers

How does the Board of Directors of the World Bank influence its operations?

<p>By approving loans, guarantees, new policies, and country assistance strategies. (A)</p> Signup and view all the answers

What was the main outcome of the 2010 changes to the World Bank's voting powers?

<p>Increased representation and voting power for developing countries, especially China. (B)</p> Signup and view all the answers

What distinguishes Non-Governmental Organizations (NGOs) from governmental bodies or for-profit businesses?

<p>NGOs operate independently from any government and are typically non-profit. (D)</p> Signup and view all the answers

In what capacity do NGOs often function within countries like Nigeria, where governmental resources may be limited?

<p>As supplementary entities filling gaps in service provision and complementing government activities. (B)</p> Signup and view all the answers

Which factor contributes most to the high level of public trust often afforded to NGOs?

<p>Their perceived alignment with societal concerns and stakeholder interests. (B)</p> Signup and view all the answers

How are NGOs primarily classified based on their activities?

<p>By their orientation, referring to the type of activities they undertake (e.g., human rights, health). (C)</p> Signup and view all the answers

Which type of NGO orientation focuses on enabling beneficiaries to understand and influence the social, political, and economic factors affecting their lives?

<p>Empowerment (B)</p> Signup and view all the answers

What is the defining characteristic of 'participation' oriented NGOs?

<p>Self-help projects with local involvement through contributions of money, labor, or materials. (A)</p> Signup and view all the answers

City-wide organizations, state NGOs and international NGOs, are classified based on what aspect?

<p>Level of operation (C)</p> Signup and view all the answers

How do community-based organizations (CBOs) operate, and what is their primary aim?

<p>They operate at the grassroots level, raising awareness and providing services to the urban poor. (B)</p> Signup and view all the answers

Which of the following is an example of an international NGO?

<p>Save the Children. (B)</p> Signup and view all the answers

According to the World Bank, what are the two primary classifications of NGO activity?

<p>Operational and advocacy. (B)</p> Signup and view all the answers

In what ways can NGOs act to address societal challenges?

<p>As implementers, catalysts, and partners, mobilizing resources and driving change. (A)</p> Signup and view all the answers

An operational NGO focusing on environmental conservation aims to restore a degraded forest ecosystem. Which activity would be most directly aligned with their operational approach?

<p>Implementing a tree-planting project with local community involvement. (B)</p> Signup and view all the answers

A campaigning NGO is dedicated to promoting women's rights on a national level. What would be the most typical activity they would undertake?

<p>Organizing and hosting demonstrations to advocate for gender equality laws. (C)</p> Signup and view all the answers

An NGO is deciding whether to hire international staff or local employees for a project in a developing country. What is a primary disadvantage of hiring exclusively international staff?

<p>International staff may lack strong connections within the local community. (C)</p> Signup and view all the answers

An NGO seeks funding for a new healthcare initiative. Which funding source typically requires the most stringent reporting and accountability measures?

<p>Grants from national governments. (D)</p> Signup and view all the answers

An NGO has a high overhead cost relative to its total expenditures. What potential consequence could this have on its fundraising efforts?

<p>It could make it more difficult to generate funds due to public concern over resource allocation. (B)</p> Signup and view all the answers

What could be a negative consequence of solely focusing on minimizing an NGO's overhead costs?

<p>Starving the organization of necessary infrastructure to deliver its services. (C)</p> Signup and view all the answers

An international NGO wants to set up projects in Nigeria, which of the following is a good first step?

<p>Contacting ActionAid International Nigeria. (A)</p> Signup and view all the answers

How do campaigning NGOs primarily seek to achieve large-scale change?

<p>By influencing the political system through advocacy and public mobilization. (C)</p> Signup and view all the answers

What is a potential drawback of relying heavily on government funding for an NGO's operations?

<p>Potential conflicts of interest or constraints on advocacy efforts. (C)</p> Signup and view all the answers

What is a key difference in the typical staffing structure between operational and campaigning NGOs?

<p>Operational NGOs have a more hierarchical structure with fieldworkers, while campaigning NGOs need professional members to mobilize support. (C)</p> Signup and view all the answers

A rating agency evaluates NGOs based on financial data and also considers transparency and governance. What additional element is crucial for a comprehensive evaluation?

<p>An assessment of program effectiveness and impact. (C)</p> Signup and view all the answers

An NGO's mission is to alleviate poverty through sustainable agriculture. Which activity best exemplifies a focus on sustainable methods?

<p>Teaching farmers water conservation techniques and crop rotation methods. (A)</p> Signup and view all the answers

An NGO is struggling with public criticism due to its high overhead costs. What strategy could it employ to address these concerns effectively?

<p>Providing detailed explanations of overhead expenses and their contributions to organizational effectiveness. (B)</p> Signup and view all the answers

What action would an NGO take if they felt that their rating was unfairly represented by a rating agency?

<p>Formally responding to the evaluation and providing additional information or context. (A)</p> Signup and view all the answers

What is true of employees working at NGOs versus employees working at for-profit organizations and government jobs with the same qualifications?

<p>NGO Employees typically receive less in salary, but more in fringe benefits. (A)</p> Signup and view all the answers

What was the primary reason for the World Bank's initial cautious approach to lending in its early years (1945-1968)?

<p>Concern over maintaining financial stability and borrower repayment ability. (A)</p> Signup and view all the answers

Which factor most influenced the World Bank to shift its lending focus towards social services and poverty reduction in the late 1960s?

<p>The appointment of Robert McNamara as president and his policy changes. (A)</p> Signup and view all the answers

Which initiative represents the World Bank's current strategy for aiding developing countries?

<p>Meeting the Millennium Development Goals (MDGs) by promoting investment and sustainable growth. (D)</p> Signup and view all the answers

What is the key distinction between the World Bank and the International Development Association (IDA) in their lending practices?

<p>The World Bank primarily lends to middle-income countries, while the IDA provides loans and grants to the poorest countries. (C)</p> Signup and view all the answers

Which of the following is least aligned with the World Bank's stated key factors for economic growth?

<p>Implementing protectionist trade policies to shield domestic industries. (A)</p> Signup and view all the answers

How did the UNFPA respond to the discovery of coercive sterilization practices within Peru's reproductive health program?

<p>By calling for reforms and protocols to protect women's rights and continuing to work with the country to end the abuses. (A)</p> Signup and view all the answers

What is a potential risk associated with UNFPA's involvement in reproductive health programs in developing countries, according to some groups?

<p>Unintentionally supporting programs that may promote forced abortions or coercive sterilizations. (C)</p> Signup and view all the answers

Which of the following best aligns with UNFPA's stated position on abortion?

<p>Not providing support for abortion services and condemning coercion in reproductive health matters. (C)</p> Signup and view all the answers

What is the main goal of the UNFPA-UNICEF joint program concerning female genital mutilation (FGM)?

<p>To reduce the practice of FGM by 40 percent in 16 priority countries by 2015 and eliminate it within a generation. (C)</p> Signup and view all the answers

Which historical event significantly influenced the World Bank's decision to shift its lending focus from European reconstruction to developing nations?

<p>The implementation of the Marshall Plan, which provided aid to European countries. (A)</p> Signup and view all the answers

What key element did the United States State Department insist on regarding the French government before the World Bank granted them a loan?

<p>That France remove any communists from its governing coalition. (C)</p> Signup and view all the answers

Which statement accurately reflects a criticism or concern raised regarding the World Bank's activities from 1989 onwards?

<p>That its policies were contributing to environmental damage and social inequality. (A)</p> Signup and view all the answers

How does the World Bank prioritize its lending and aid strategies for the world's poorest developing countries?

<p>By implementing poverty reduction strategies tailored to each country's specific needs. (D)</p> Signup and view all the answers

What is the primary aim of UNFPA's Global Technical Consultation?

<p>To encourage communities worldwide to end the practice of female genital mutilation. (B)</p> Signup and view all the answers

Which of the following best describes the relationship between the World Bank and NGOs since 1989?

<p>The World Bank has actively sought out and funded NGOs to address environmental and social concerns. (A)</p> Signup and view all the answers

Flashcards

International Health (History)

Efforts by Western nations to improve health in developing countries, evolving from tropical medicine to modern global health initiatives.

International Health Organizations

Organizations, both government and private, that play a significant role in international health initiatives and funding.

International Health Regulations (IHR)

A WHO framework designed to prevent and respond to the international spread of diseases.

Port Health Services

Health services at ports that monitor, inspect, and control the spread of infectious diseases from international travel and trade.

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Global Health Security

Strategies to improve global health security through early detection, response and coordination among nations to minimize health risks.

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Quarantine and Isolation

Practices used to control infectious disease spread, especially at entry points, by separating and restricting the movement of individuals.

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Basic Health Services

Basic health services provides immediate care with minimal resources.

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Global Immunization Programs

Global immunization programs help with preventing and managing highly infectious diseases.

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Vector Borne Diseases

Health risks from vectors (e.g., mosquitoes) and strategies to prevent the spread of diseases.

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Environmental Health in Ports

Environmental factors impacting public health in port areas and measures to ensure a healthy environment.

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International Collaboration (Health)

Collaboration between countries and organizations to address global health challenges.

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Recognized International Health Organizations

WHO, UNICEF, UNFPA.

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Diseases Without Boundaries

Diseases do not respect borders, spreading rapidly across international lines.

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1377 Quarantine Legislation

First recorded quarantine legislation in 1377 to prevent the transshipment of rodents in Europe.

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International Health Definition

Public health with an international dimension; health issues transcending national boundaries.

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International Health

A field of health care dealing with health across regional or national boundaries, often with a public health emphasis.

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Perspective of International Health

Protecting populations from illness across international borders.

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Components of IH

It uses the principles of epidemiology while appreciating the root cause of ill-health in the world in general.

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Economic aspect of IH

It deals with public health expenditure and out –of- pocket expenditure and the introduction of NHIS.

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Methods of IH

Comparative studies of health care system and studies of health status.

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Global Health

The health of populations in a global context, prioritizing health equity for all people worldwide.

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International Health / Global Health

A systematic consideration of all factors affecting human population health, including genetic, environmental, and socioeconomic aspects.

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International Health Skills

Health or behavioral sciences, economics, anthropology, communications, management, or a wide variety of other fields.

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International Health Focus

Focuses on controlling diseases, health & economic development, education & training, and medical care in poorer countries.

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International Health Concerns

Control of illnesses/injuries and provision of medical/public health services.

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Origins of Health Problems

Poverty, culture, behavior, and aging populations.

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Health Crises Origins

War, civil unrest, or economic downturns leading to outbreaks of diseases and psychological stress.

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IHR Aim

To prevent, protect against, control, and respond to the international spread of disease.

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IHR Scope

Covers the international spread of diseases, including potential public health risks.

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IHR Notification

Member states must inform WHO of events that may be a 'Public Health Emergency of International Concern'.

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IHR Risk Assessment

Countries must assess the risk of international disease spread and respond with measures like surveillance and travel restrictions.

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IHR Coordination

Emphasizes countries working together and sharing information to strengthen global health security.

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Public Health Emergency of International Concern (PHEIC)

An extraordinary event that poses a public health risk to other countries through the international spread of disease.

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IHR National Capacity

Countries should develop the ability to detect, assess, notify, and respond to public health events.

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Port Health Services (PHS)

Specialized public health services at points of entry to prevent and respond to health threats.

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PHS Disease Surveillance

Screening, health assessments, and monitoring of disease trends at ports and airports.

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PHS Quarantine

Isolating individuals exposed to contagious diseases to prevent further transmission.

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UNRRA (1943)

Established in 1943 to organize recovery from WWII's effects, focusing on displaced persons' health and epidemic disease control.

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UNRRA's health activities

Prevented the spread of typhus and other diseases, and assisted with malaria control in countries like Greece and Italy.

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WHO's takeover of UNRRA

WHO took over UNRRA's health activities, financial assets, and liabilities.

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Interdisciplinary Collaboration (Health)

Collaboration across different fields to effectively address and manage health threats.

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Origin of WHO

Originated from a proposal in 1945 at the San Francisco conference where the UN was established.

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Birth of WHO

The constitution was drawn up in 1946, with formal existence beginning on April 7, 1948.

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Public Health Education Campaigns

PHS conduct these campaigns to educate travelers and the public about health risks and preventive measures.

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WHO

A specialized, non-political health agency of the UN, headquartered in Geneva.

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Emergency Response (Port Health)

PHS are prepared to quickly handle public health crises with plans, trained staff, and resources.

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WHO's main objective

To achieve the highest level of health for all people by the year 2000, enabling socially and economically productive lives.

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WHO definition of 'Health'

Complete physical, mental, and social well-being, not merely the absence of disease.

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International Nature of Disease

Health issues don't respect borders, making international cooperation essential.

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WHO Membership

Open to all countries; members contribute yearly and receive services and aid.

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WHO's Primary Function

Directing and coordinating international health work, including defining policies and strategies.

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John Snow's Cholera Work

Identified contaminated water as the source of a cholera outbreak.

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Quarantine (Historical)

A procedure introduced in Europe in the 14th century involving detaining ships, crews, travelers, and cargoes suspected of harboring infection for 40 days.

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WHO's role

Establishing and promoting international standards in health.

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Major functions of WHO

Prevention and control of specific diseases, development of comprehensive health services, and family health.

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Rationale Behind Quarantine

The basic idea was, given sufficient time, to allow a disease to either manifest and be identified, or to die out.

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First International Sanitary Conference

The origin of international health dates back to 1851, when an intl sanitary conference--------the first of its kind was convened in Paris.

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More major functions of WHO

Environmental health, health statistics, and biomedical research.

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More functions of WHO

Health literature and information, and cooperation with other organizations.

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Objectives of the 1851 Conference

Aimed to create some order and uniformity into quarantine measures which varied from country to country.

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Outcome of the 1851 Conference

The prepared international sanitary code, comprising 137 articles dealing with cholera, plague and yellow fever.never came into force as it was ratified by only three countries-France, Portugal and Sardinia of which Portugal and Sardinia withdrew in 1865.

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Outstanding achievement of WHO

Global eradication of smallpox

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Pan American Sanitary Bureau (PASB)

Established in 1902 to coordinate quarantine procedures in the USA.

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Pan American Sanitary Organization (PASO)

Reorganized in 1947 and called the Pan American Sanitary Organization (PASO).

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PASO & WHO

In 1949 PASO would serve as the WHO Regional office for the Americas.

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WHO's Extended Activities

Focuses on vector biology, immunology, drug quality control, and health lab tech to combat diseases.

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Expanded Program on Immunization (EPI)

A WHO priority program focused on vaccinations against common childhood diseases.

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Comprehensive Health Services

Involves organizing health systems, developing health manpower, and building national capabilities.

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Family Health

A major WHO program to improve family well-being, including maternal/child health, reproduction, nutrition, and education.

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Environmental Health

WHO's effort to promote air/water quality, food safety, workplace health, and radiation protection.

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Health Statistics

Collection and dissemination of global morbidity and mortality statistics.

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Biomedical Research (WHO)

Stimulates, supports, and coordinates research through centers and grants.

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WHO/TDR Programme

Addresses malaria, schistosomiasis, filariasis, trypanosomiasis, leishmaniasis, and leprosy through research and training.

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Health Literature and Information

Serves as an information hub, publishing widely and housing the WHO library.

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WHO's Primary Role

Directs and coordinates international health within the UN system.

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World Health Assembly

The annual meeting of member states to determine policies, review work, approve budgets, and elect board members.

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Functions of the Health Assembly

Reviews past work, approves budgets and elects board members.

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Executive Board (WHO)

A board of technically qualified members that enacts the assembly's decisions and policies.

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Main work of the Board

To give affect to the decisions and policies of the assembly.

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The Secretariat (WHO)

Headed by the Director-General, it provides technical and managerial support to member states.

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What is UNICEF?

A UN program providing humanitarian and developmental assistance to children and mothers in developing countries.

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UNICEF's original purpose

Established in 1946 to rehabilitate children in war-ravaged countries, providing emergency food and healthcare.

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UNICEF's governing body

A 30-nation executive board.

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UNICEF Headquarters

New York City.

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Early UNICEF/WHO focus diseases

Malaria, tuberculosis, and venereal disease.

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UNICEF's assistance areas

Maternal and child health, nutrition, environmental sanitation.

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UNICEF's program emphasis

Promoting community-level services for children's health and well-being.

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UNICEF's Funding Sources

Contributions from governments and private donors.

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UNICEF's service content

Child health, child nutrition, family and child welfare, education, and GOBI.

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What does GOBI stand for?

Growth chart, oral rehydration, breastfeeding, immunization.

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UNICEF and Child Health

Supporting BCG vaccination programs and providing vaccines and iodized salt.

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UNICEF and Child Nutrition

Supplementing child feeding with low-cost protein-rich mixtures.

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UNICEF's Family Welfare Support

Parent education and child welfare centers.

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UNICEF and Education

Assisting developing countries in expanding and improving science teaching and providing educational materials.

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Purpose of Family and Child welfare

To improve care of children both within and outside their homes.

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Breastfeeding Promotion

Promoting breastfeeding even in HIV/AIDS positive mothers to ensure infant nutrition and immunity.

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Child Immunization

Providing vaccinations against measles, diphtheria, polio, pertussis, tetanus, and tuberculosis.

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Child Survival and Protection

Reducing mortality rates in children through key interventions and preventative healthcare measures.

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Child Growth Monitoring

Monitoring the growth and development of children to identify and address health or nutritional issues early.

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Home-Based Diarrhea Management

Educating families on managing diarrhea at home to prevent dehydration and complications.

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Portable Water and Sanitation

Making clean water accessible and improving environmental conditions to prevent disease spread.

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Educating the Girl Child

Teaching girls to help improve health outcomes in the future.

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Income Generation for Women

Creating opportunities for women to earn income for family support and improved well-being.

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Young Child Survival and Development

UNICEF supports initiatives in healthcare and nutrition for young children to give them the best start in life.

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Support for Education and Intervention Programs

Providing financial and technical aid to education programmes focused on health and nutrition.

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Vaccine Provision

Supplying about 40% of the world's children in developing countries with life-saving preventive medicines.

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WASH in Schools

Improve learning environments via improved water, sanitation, and hygiene practices.

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HIV/AIDS Prevention Education

Educating people, especially young people. This raises awareness about the disease, develops skills, and establishes support services.

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Child Protection Programs

Working to protect children from violence, exploitation and abuse via awareness and improved legal protection.

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Policy Advocacy for Children's Rights

Creating national policies and promoting global investments focused on survival and well-being of children.

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UNDP

A United Nations global development network.

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UNDP Headquarters

Headquartered in New York City.

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UNDP's Primary Support

Expert advice, training, and grant support to developing countries.

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UNDP's Status

An executive board within the United Nations General Assembly.

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UNDP's Core Focus Areas

Poverty reduction, HIV/AIDS, democratic governance, energy/environment, social development, crisis prevention.

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UNDP's Cross-Cutting Themes

Protection of human rights and empowerment of women.

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Human Development Report

An annual report measuring developmental progress globally.

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UNDP's Funding Source

Voluntary contributions from member nations.

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UNDP's Operational Reach

Works with local governments in 177 countries.

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UNDP's Predecessor Organizations

Expanded Programme of Technical Assistance (EPTA) and the Special Fund.

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Rationale for UNDP's Formation

To avoid duplication of activities.

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UNDP's Budget (2013)

Approximately US$5 billion.

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UNDP's Role in Democratic Governance

Supporting democratic transitions, improving institutional capacity, and advocating for reforms.

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UNDP's Poverty Reduction Strategies

Expanding access to economic opportunities, linking poverty programs, and ensuring a voice for the poor.

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UNDP's Crisis Prevention and Recovery Efforts

Reducing the risk of conflicts/disasters and promoting early recovery.

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UNDP's Environmental Strategy

Focuses on water governance, sustainable energy, land management, biodiversity conservation, and pollution control.

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UNDP & HIV/AIDS

UNDP's efforts to prevent the spread of HIV/AIDS and reduce its impact on society.

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UNDP Administrator

Head of UNDP, holding the rank of an Under-Secretary-General of the UN; also chairs the UN Development Group.

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UNFPA's Goal

Ensuring every pregnancy is wanted, childbirth is safe, and young people reach their full potential.

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UNFPA's Work

Improvement of reproductive health, creating national strategies, and providing services and supplies.

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UNFPA Campaigns

Campaigns against early child marriage, obstetric fistula, and female genital mutilation.

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UNFPA's Origins

Began in 1969 as the United Nations Fund for Population Activities.

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Sustainable Development Goals

Eliminate poverty, discrimination, abuse, preventable deaths, address environmental destruction.

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UNFPA & SDGs

Goal 3 (health), Goal 4 (education), and Goal 5 (gender equality).

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UNFPA Funding Role

Largest multilateral source of funding for population and reproductive health programs.

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UNFPA Programs

Voluntary family planning, safe childbirth, STI prevention, decrease violence and increase equality.

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Reproductive Health

Physical, mental, and social well-being in all matters related to reproduction.

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UNFPA & Fistula

Prevent obstetric fistula, treat affected women, and help them return to their communities.

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Female Genital Mutilation

Partial or total removal of external female genital organs for non-medical reasons.

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UNFPA's FGM Goal

UNFPA aims to reduce and eventually end the practice of female genital mutilation (FGM).

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UNFPA's Abortion Stance

UNFPA states that it does not support abortion services and condemns coercion in reproductive health programs.

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World Bank's Purpose

The bank provides financial and technical assistance to developing countries for purposes such as infrastructure development and poverty reduction.

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World Bank Founding

The World Bank was formed at the Bretton Woods Conference in July 1944.

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World Bank's Evolving Focus

Initially, the World Bank focused on reconstruction and development projects, but later expanded to address poverty, social services, and other needs.

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Early World Bank Lending

The World Bank initially screened loan applications carefully and prioritized repayment to maintain trust and financial stability.

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McNamara's World Bank Shift

Robert McNamara shifted the World Bank's focus to address basic human needs like education, health, and agriculture in poorer countries.

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World Bank & Environment

Since 1989, the World Bank has incorporated environmental concerns into its projects.

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World Bank Goals

The bank helps developing countries to develop and become a better place for investments.

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IDA's Role

The International Development Association (IDA) offers low or no-interest loans and grants to the poorest countries.

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Key Factors for Economic Growth (World Bank)

Capacity building, infrastructure, financial systems, combating corruption and research.

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WB's Poverty Reduction

The World Bank employs poverty reduction strategies in its plans for the poorest developing countries.

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WB's Capacity Building

These include making governments stronger, improved business laws, and protecting individual and property rights.

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Development of Financial Systems (WB)

These are robust systems for lending and for borrowing in many different situations.

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Combating Corruption (WB)

Eliminating corruption in government, promoting accountability and transparency.

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World Bank Strategy

Develops strategies based on local needs and collaborates with governments to combat poverty.

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World Bank President

The President leads meetings, manages the Bank's operations, and is traditionally a US citizen.

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Executive Directors

Represent member countries and approve loans, policies, and budgets.

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World Bank Voting Power Shift (2010)

Changed to give developing nations, like China, a greater voice.

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Non-Governmental Organization (NGO)

A non-profit, voluntary citizens' group operating independently from government.

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NGO Role (Nigeria)

Filling service gaps, complementing government efforts.

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NGO Characteristics

Organizations independent of government, not for profit.

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NGO Orientation

Activities related to human rights, environment, health or development

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NGO Level of Operation

Operate on a community, city-wide, state, national, or international level.

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NGO Charities (Orientation)

Meeting the needs of disadvantaged people, often a top-down effort.

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NGO Service (Orientation)

Providing healthcare and education services.

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NGO Participation (Orientation)

Self-help projects with local community involvement.

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NGO Empowerment (Orientation)

Helping people understand and control their social, political, and economic lives.

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Community-based Organizations (CBOs)

Popular initiatives, with providing service and raising consciousness of the urban poor

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NGO Activities

Operational activities involve implementation, while advocacy focuses on driving change.

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Operational NGOs

NGOs that aim to achieve change directly through projects at a local level.

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Campaigning NGOs

NGOs that influence change indirectly through the political system, defending a specific cause.

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NGO Staffing Models

NGO structure relying on paid staff, volunteers, or a mix of both, impacting expertise and costs.

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NGO Funding Sources

NGOs are funded through donations, membership dues, grants, and sales of goods/services.

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NGO Overhead

Money spent on running an NGO, including salaries and office expenses, not direct project costs.

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Acceptable Overhead

A low percentage is generally considered good, suggesting more funds go directly to programs.

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Overhead Measurement Issues

Focusing solely on overhead can disincentivize essential infrastructure investments in NGOs.

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Alternative NGO Ratings

Transparency, governance, program effectiveness, and beneficiary feedback.

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Action Health Incorporated (AHI)

This NGO is located in Lagos State, Nigeria and focuses on health initiatives.

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ActionAid International Nigeria

This NGO, located in Abuja, Nigeria, focuses on fighting poverty and injustice.

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Breast Cancer Association of Nigeria (BRECAN)

Located in Ibadan, Nigeria, this NGO focuses on breast cancer awareness and support.

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Mobilizing Resources (NGOs)

Financial resources, materials, and volunteers are deployed locally.

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HQ Professional Duties (NGOs)

Planning projects, creating budgets, keeping accounts, and reporting to fieldworkers.

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NGO Focus Areas

Delivery of services, environmental issues, emergency relief, and public welfare.

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Attracting Media (NGOs)

They actively engage with supporters by hosting events to attract media attention.

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Study Notes

  • The course examines Western efforts to promote health in the "developing world," from tropical medicine's beginnings and colonial health services to more recent efforts like disease eradication, alternative health delivery systems (basic health services, primary health care, and selective primary health care), population programs, child survival, and global immunization programs.
  • Course also includes multilateral and bilateral organizations such as WHO, UNDP, UNICEF, UNFPA, USAIDS, DFID, and the World Bank; Public and Private NGOs, Bill & Melinda Gates Foundation, and the Rockefeller Foundation.
  • These initiatives are examined within the context of colonial and post-colonial development in Africa, Asia, and Latin America.
  • The course explores economic and political interests, as well as cultural assumptions, that have shaped the development of ideas and practices associated with international health in "developing" countries.

Topics in International and Port Health

  • International Health Regulations (IHR): Framework and regulations set by the WHO to prevent and respond to the international spread of diseases.
  • Port Health Services: Health services at ports, including surveillance, inspection, and control measures to prevent infectious diseases through international travel and trade.
  • Global Health Security: Strategies and measures to enhance global health security, including early detection, response, and coordination among nations to mitigate health threats.
  • Quarantine and Isolation: Principles and practices of quarantine and isolation as tools in controlling the spread of infectious diseases, particularly at international entry points.
  • Vector Borne Diseases: Addresses health risk associated with vectors (e.g., mosquitoes) and strategies to prevent the spread of diseases such as Malaria, Dengue, and Zika Virus.
  • Environmental Health in Ports: Understanding the environmental factors that can affect or impact public health in port areas and implementing measures to ensure a healthy living and working environment.
  • International Collaboration: Importance of collaboration between countries, international organizations, and stakeholders in addressing global health challenges and ensuring a coordinated response.
  • Recognized International Health Organizations: WHO, UNICEF, UNFPA.

Preambles

  • Diseases know no boundaries, e.g., Ebola across W/Africa.
  • Malaria: The disease without borders.
  • History of International Health
  • 1377: First recorded quarantine legislation for prevention of transhipment of rodents in Europe.
  • 1902: US Pan American Sanitary Bureau coordinates quarantine procedures.
  • Definition of International Health:
    • Public health with an international dimension.
    • Health problems, issues, and concerns that transcend national boundaries.

Concept of International Health

  • Also called geographic medicine or global health, is a field of health care, usually with a public health emphasis, dealing with health across regional or national boundaries.
  • One subset of international medicine, travel medicine, prepares travelers for exotic illnesses with immunizations, prophylactic medications, preventive techniques, in-transit care, and post-travel care.
  • International health refers to health personnel or organizations from one area or nation providing direct health care or health sector development in another area or nation.

Perspectives of International Health

  • Protection of population from illness.

Components of International Health

  • Applies epidemiology principles while appreciating the root causes of ill-health globally.
  • Deals with public health expenditure, out-of-pocket expenditure, and the introduction of National Health Insurance Schemes.
  • Comparative studies of health care systems.
  • Comparative studies of health status.

Global Health

  • The health of populations in the global context. It is the area of study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide".
  • Problems that transcend national borders or have a global political and economic impact are often emphasized.
  • About worldwide health improvement (including mental health), reduction of disparities, and protection against global threats that disregard national borders.
  • Not to be confused with international health, which is defined as the branch of public health focusing on developing nations and foreign aid efforts by industrialized countries.
  • Can be measured as a function of various global diseases and their prevalence in the world and threat to decrease life in the present day.

International Health

  • Public health experts have become interested in global processes that impact on human health.
  • Globalization and Health illustrates the complex and changing sociological environment within which the determinants of health and disease express themselves.
  • The spread of a disease doesn't stop at a country's borders.
  • With more people traveling to other countries and living in crowded cities, it's easier for germs to spread. Infectious diseases that start in one part of the world can quickly reach another.
  • Resistance to medicines such as antibiotics and antimalarial are on the rise. This makes it harder to treat certain diseases. Natural and man-made disasters create refugee populations with immediate and long-term health problems.
  • Some of the major diseases currently affecting countries around the globe include HIV/AIDS, Malaria, Zika, Dengue, and tuberculosis.
  • Climate change is also an international problem which can affect people's health.
  • Many countries and health organizations are working together (one-health approach) and sharing information on these and other health issues.

International Health / Global Health

  • Systematic consideration of all the factors that affect the health of human populations.
  • Among these factors are the genetic, ethnic, and cultural makeup of individuals and groups; the natural environment, including biologic, physical, and climatologic aspects; the political and economic environment; and special circumstances such as population migration, warfare, and violence.
  • Also within the definition is a study of the structure, policies, and functions of the varied components of the health sector.
  • In any one country, the health sector is made up of national and local governmental public agencies, commercial private enterprises, and the many non-governmental organizations that contribute to improving health.

International Health (Continued)

  • Persons interested in international health may seek specific training and skills in health or behavioral sciences, economics, anthropology, communications, management, or a wide variety of other fields.
  • Specialists are employed in colleges and universities, schools of medicine and public health, international or government agencies, humanitarian or charitable organizations, or commercial companies.
  • Some may be self-employed as individual consultants. They may work in fields as diverse as basic biomedical research, immunization policy, implementation of programs in remote communities, or studies of international agencies concerned with health.
  • Some scholars may analyse and compare the medical care systems of the industrialized countries of North America, western Europe, Japan, Australia, or New Zealand.

Responsibilities of an International Health Specialist

  • Concerned with issues like the control of infectious and other diseases, interactions of health and economic development, education and training, and the financing and operation of medical care institutions in poorer countries.

Problems Confronted by International Health Workers

  • Control of illnesses, injuries, and other threats to individual health.
  • Provision of medical care services to individuals, and public health services to communities and nations.
  • Regions ravaged by war, civil disturbance, or economic downturn often have outbreaks of typhus, diphtheria, or tuberculosis, as well as manifestations of psychological stresses.

International Health Regulations (IHR)

  • Legally binding international instrument adopted by all 196 Member States of the World Health Organization (WHO).
  • Aims to prevent, protect against, control, and respond to the international spread of disease while avoiding unnecessary interference with international traffic and trade.

Key Features of the International Health Regulations include

  • Scope: The IHR cover the international spread of diseases, including those that pose a public health risk potentially crossing borders. The regulations are not limited to specific diseases and are designed to be flexible to address emerging health threats.
  • Notification and Reporting: Member States are required to notify the WHO of certain public health events, including those that may constitute a public health emergency of international concern (PHEIC). The notification and reporting mechanisms facilitate timely information exchange and coordinated responses.
  • Risk Assessment and Response: States are expected to assess the risk of the international spread of disease and respond accordingly. This may involve implementing public health measures, including surveillance, contact tracing, and travel restrictions, as deemed necessary.
  • Coordination and Collaboration: The IHR emphasize collaboration and coordination between countries and with international organizations. States are encouraged to share information and expertise to strengthen global health security.
  • Public Health Emergency of International Concern (PHEIC): The declaration of a PHEIC by the WHO is a significant aspect of the IHR. This declaration is made when an extraordinary event poses a public health risk to other states through the international spread of disease and requires a coordinated international response.
  • National Capacity Building: Member States are encouraged to build and maintain the capacity to detect, assess, notify, and respond to public health events. This includes developing infrastructure, laboratories, and human resources for effective disease surveillance and response.
  • The IHR were revised in 2005 to enhance global health security and better address emerging threats. The revisions reflected the lessons learned from events such as the SARS outbreak in 2002-2003.
  • The IHR are a crucial component of the global health architecture, promoting cooperation and coordination to address public health threats that transcend national borders.

Port Health Services

  • Specialized public health services that operate at ports, airports, and other points of entry into a country.
  • The primary goal is to prevent, detect, and respond to potential public health threats associated with the movement of people, goods, and conveyances across international borders.
  • Play a crucial role in safeguarding public health by implementing measures to control the spread of infectious diseases and ensuring compliance with international health regulations.

Some Key Aspects of Port Health Services

  • Disease Surveillance and Monitoring: PHS conduct surveillance and monitoring activities to identify individuals or cargo that may pose a risk of carrying infectious diseases. This may involve screening passengers and crew members for symptoms, conducting health assessments, and monitoring trends in disease occurrence.
  • Quarantine Measures: When necessary, PHS may implement quarantine measures to prevent the spread of infectious diseases. Quarantine involves isolating individuals who may have been exposed to a contagious disease to prevent further transmission.
  • Health Documentation Checks: PHS verify and enforce compliance with health-related documentation requirements. This includes checking international certificates of vaccination, health declarations, and other relevant documents to ensure that travelers and cargo meet health standards.
  • Vaccination and Immunization: PHS may administer or require proof of vaccination for certain diseases. This helps prevent the importation and exportation of vaccine-preventable diseases and contributes to global health security.
  • Vector Control: In regions where vector-borne diseases are a concern. This includes measures to control and prevent the spread of diseases transmitted by vectors such as mosquitoes or ticks.
  • Coordination with Other Agencies: Port Health Services collaborate with various agencies, including customs, immigration, and transportation authorities, to ensure a coordinated approach to public health at points of entry. This interdisciplinary collaboration is essential for an effective response to health threats.
  • Public Health Education: PHS may conduct public health education campaigns to raise awareness among travelers and the public about health risks, preventive measures, and the importance of compliance with health regulations.
  • Emergency Response: Port Health Services are equipped to respond rapidly to public health emergencies. This includes having contingency plans in place, trained personnel, and the necessary resources to manage outbreaks or other health crises.
  • Overall, Port Health Services contribute to global health security by implementing measures that balance the facilitation of international travel and trade with the protection of public health.
  • These services operate within the framework of international health regulations, such as the International Health Regulations (IHR), which provide guidelines for preventing and responding to the international spread of diseases.

Historical Background of International Health

  • "Nothing on earth is more international than disease"------------Paul Russel.
  • Health and disease have no political or geographical boundaries.
  • Disease in any part of the world is a constant threat to other parts e.g., emergence and outbreak of H1N1 Swine flu in Mexico that eventually crept into some part of California in USA.
  • Cholera outbreak in London: English physician John Snow published his “On the Mode of transmission of Cholera” in 1849, updating it in 1855 with lessons he’d learned the year before.
  • During the 1854 Broad Street cholera outbreak in the Soho district of London, Snow had—based on his theory that cholera was transmitted by exposure to contaminated water—used extensive interviews and intricately plotted maps to trace the source of the outbreak to a single water pump.
  • Disabling the pump ended the outbreak almost immediately, in a poignant example of an early, effective public health intervention.
  • Cholera still causes nearly 130,000 deaths a year worldwide, according to the CDC.
  • Modern sewage and water treatment have helped to eradicate cholera in some countries, but the virus is still present elsewhere.
  • You can get a vaccine for cholera if you’re planning to travel to areas that are high-risk. The best way to prevent cholera is to wash hands regularly with soap and water, and avoid drinking contaminated water.
  • The spread of pestilences, particularly of plague and cholera along trade routes is documented.
  • In order to protect against the spread of disease from one country to another, many attempts were made in the past by individual, rulers, and government at the 3 health system levels to place barriers against infection by detection and isolation of incoming travelers.
  • In the 14th century, a procedure known as “quarantine” was introduced in Europe to protect against the importation of plague.
  • Ships, crews, travelers, and cargoes, suspected of harboring latent 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 international health work.

Quarantine Measures: Success or Failure?

  • Quarantine failed because of the lack of knowledge regarding the causation and mode of spread of diseases.
  • Opposition to quarantine came from several quarters because the 40-days detention obstructed and caused serious inconveniences to international trade and travel.
  • Necessary for international agreement and co-operation on quarantine matters to control communicable diseases.
  • International conferences were held and organizations set up for discussion, agreement and co-operation on matters of international health.
  • Brief account of these endeavors and of the early health organizations which preceded the World Health Organization is stated below:

First International Sanitary Conference (1851)

  • The origin of international health dates back to 1851, when an international sanitary conference, the first of its kind, was convened in Paris.
  • The conference was attended mainly by European countries such as Austria, France, Great Britain, Greece, Portugal, Russia, Spain and 4 sovereign states (Sardinia, the two Sicilies, the Papal States, Tuscany) that were later to form a united Italy.
  • Turkey also participated in this conference.

Objectives of the Conference

  • To introduce some order and uniformity into quarantine measures which varied from country to country.
  • The conference lasted for 6 months with no lasting results.
  • Some members opposed quarantine, and some took an intermediate position.
  • Despite many difficulties involved, an international sanitary code was prepared, comprising 137 articles dealing with cholera, plague and yellow fever.
  • But, the sanitary code never came into force as it was ratified by only three countries-France, Portugal and Sardinia of which Portugal and Sardinia withdrew in 1865.
  • Thus the conference was generally regarded as having ended in failure.
  • The 1851 conference was followed in rapid succession by further conferences-no less than 10 conferences took place between 1851 and 1902, but they were equally unable to reach an agreement on quarantine measures.

Other Milestones in International Health

  • Establishment of Pan American Sanitary Bureau (PASB) in 1902 in USA.
  • It was primarily intended to coordinate quarantine procedures in the USA.
  • In 1947 the bureau was reorganized and the organization and was called the Pan American Sanitary Organization (PASO).
  • In 1949, an agreement was reached whereby PASO would serve as the WHO Regional office for the Americas.
  • In 1958, the name was changed to PAHO (Pan American Health Organization) and remain world first intl health agency.

The United Nations Relief and Rehabilitation Administration (1943)

  • UNRRA was set up in 1943 with the general purpose of organizing recovery from the effect of the second world war.
  • UNRRA had a health division to care for the health of the millions of displaced persons / refugees, to restore and help services and to revive the machinery for international interchange of information on epidemic diseases.
  • UNRRA did outstanding work of preventing the spread of typhus and other diseases so that they never reached serious epidemic levels anywhere.
  • UNRRA offers assistance to malaria control in countries as Greece and Italy, where war had disrupted peace-time antimalarial services, was on immense scale.
  • At the end of 1946, UNRRA terminated its official existence and its health activities and financial assets and liabilities were taken over by the interim commission of WHO.

Birth of WHO

  • It has its origin in April 1945, during the conference held at San Francisco to set up the United Nation.
  • Representatives of Brazil and China proposed that an intl health organization should be established and that a conference to frame its constitution should be convened.
  • The constitution was drawn up at an intl health conf. in New York in 1946.
  • The conf. set up an “interim commission” to prepare the ground for new organization and to carry out urgent tasks until the WHO had been accepted by the required number of UN Member States.
  • The ratifications were secured by 7 April 1948; the formal existence of the WHO as a specialized agency began on that date.
  • The formation of WHO represents the culmination of efforts to establish a single worldwide inter-governmental health agency.

WHO

  • Specialized, non-political health agency of the United Nations, headquartered in Geneva.
  • In 1946, the constitution was drafted by the “Technical Preparatory Committee” under the chairmanship of Rene Sand, and was approved same year by an international health conf. of 51 nations in New York.
  • The constitution came into force on 7th April 1948 and is celebrated every year as “World Health Day”.
  • A world health day theme is chosen each year to focus attention on a specific aspect of public health.

Objective of WHO

  • The current objective of the WHO is “the attainment by all people of the world by the year 2000AD of highest level of health that will permit them to lead a socially and economically productive life-also known as health for all by 2000AD.

The preamble of the constitution states:

  • Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
  • 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 co-operation of individuals and states.
  • The achievement of any state in the promotion and protection of health is of value to all.
  • Healthy development of the child is of basic importance; the ability to live harmoniously in a changing total environment is essential to such development.
  • Informed opinion and active co-operation on the part of the public are of the utmost importance in the improvement of the health of the people.
  • Government have a responsibility for the health of their peoples which can be fulfilled only by the provision of adequate health and social measures.
  • The WHO is unique among the UN Specialized Agencies in that it has its constitution, own governing bodies, own membership and own budget.
  • It is part of, but not subordinate to the United Nations.

Membership of WHO

  • Membership is open to all countries.
  • While most countries are members of both UN and of WHO, there are some 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 relations may be admitted as associate members.
  • Members participate without vote in the deliberations of the WHO.
  • Each member state contributes yearly to the budget and each is entitled to the services and aid the organization can provide.
  • In 1948, the WHO had 56 members. By 1996 WHO had 190 Member States and two Associate Members.

Work of WHO

  • First constitutional function is to act as the directing and coordinating authority on all international health work.
  • This function permits WHO’s Member States to identify collectively priority health problems throughout the world.
  • To define collective health policies and targets to cope with them,
  • To devise collectively strategies, principles and programmes to give effect to these policies and to attain the targets.
  • The WHO also has specific responsibilities for establishing and promoting international standards in the field of health, which comprise the following broad areas:

Major Functions of WHO

  • Prevention and control of specific diseases
  • Development of Comprehensive health services
  • Family health
  • Environmental health
  • Health statistics
  • Biomedical research
  • Health literature and information
  • Cooperation with other organizations.

Prevention and Control of Specific Diseases

  • Global eradication of smallpox is an outstanding example of international health co-operation.
  • With the same energy and commitment with which WHO eradicated smallpox, it is now directing the global battle against HIV/AIDS.
  • WHO conduct epidemiological surveillance of communicable and non-communicable diseases and report such activities through an Automatic Telex Reply Service (ATRS) and the “Weekly Epidemiological record” (WER)
  • WHO has also paid attention in its programme of work on non-communicable disease problems such as Cancer, cardiovascular diseases, genetic disorders, mental disorders, drug addiction and dental diseases.
  • The activities of WHO have also branched out into the fields of vector biology and control, immunology, quality control of drugs and biological products, drug evaluation and monitoring and health laboratory technology as these activities are relevant to the control of both communicable and non-communicable diseases.
  • Immunization against common diseases of childhood e.g., acute diarrheal diseases, cholera, diphtheria, Hepatitis A, Hepatitis B, Measles, meningitis, polio, yellow fever etc (Expanded prog. On Immunization) is now a priority prog. Of WHO.

Development of Comprehensive Health Services

  • This involved a wide variety of activities such as organizing health systems based on primary health care, development of health manpower and utilization, building of long-term national capability, particularly in the areas of health infrastructure development and managerial capabilities(including M&E)

Family Health

  • Is one of the major programme activities of WHO since 1970.
  • It is broadly divided into:
  • Maternal and Child health care,
  • Human reproduction,
  • Nutrition and
  • Health Education
  • The chief concern is the improvement of the quality of life of the family as a unit.

Environmental Health

  • Promotion of environmental health is a priority of WHO.
  • WHO advises govt on national programmes for the provision of basic sanitary services.
  • Responsible for protection of the quality of air, water and food; health condition of work, radiation protection and early identification of new hazards originating from new technological development.

Health Statistics

  • WHO since inception has been concerned with the dissemination of a wide variety of morbidity and mortality statistics relating to health problems.
  • The data are published in
  • Weekly epidemiological record
  • World health statistics quarterly
  • World health statistics annual.

Biomedical Research

  • WHO does not conduct research per say, but stimulates, support, fund and co-ordinates research work.
  • It has established a world-wide network of WHO collaborating centre's, besides awarding grants to research workers and research institutions for promoting research.
  • The 6 tropical diseases (Malaria, schistosomiasis, filariasis, trypanosomiasis, leishmaniasis and leprosy) are the target of WHO/TDR special programme for research and training in tropical diseases to deveopl new tools, strengthening research institutions and training health workers in the affected countries.

Health Literature and Information

  • It acts as a clearing house for information on health problems.
  • Its publishes hundreds of titles on a wide variety of health subjects.
  • WHO library is one of the satellite centres of the Medical Literature analysis and Retrieval system (MEDLARS) of the U.S National Library of Medicine.
  • MEDLARS is the only fully computerised indexing system covering the whole of medicine on an intl basis.

Cooperation with Other Organizations

  • WHO collaborates with the UN and with the other specialized agencies and maintains various degrees of working relationships.
  • Besides, WHO also established relationship with a number of international governmental organizations.
  • The World Health Organization (WHO) is the body of the United Nations (UN) responsible for directing and coordinating health.
  • Since its inception in 1947 WHO has been at the forefront of many breakthroughs in the field including, most notably, what has come to be described as one of the greatest humanitarian achievements of the 20th century, the elimination of Smallpox in 1979.
  • However WHO’s inability to control the spread of HIV/AIDS, particularly in Africa has cast doubt on its effectiveness

Structure of WHO

  • The WHO consists of three principal organs:
  • The world health assembly
  • The executive board
  • The secretariat.

The 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 1961.
  • The assembly is composed of delegates representing Member States, each of which has one vote.

Functions of the Health Assembly

The main functions are:

  • To determine international health policy and programmes
  • To review the work of the past year.
  • To approve the budget needed for the following year and
  • To elect Member States to designate a person to serve for 3 years on the executive board and to replace the retiring members.
  • The Health Assembly also appoints the Director General on the nomination of the Executive board.
  • It is now the practice to organize on the occasion of each health assembly, “technical discussions” on some subjects of world interest.

The Executive Board

  • Had originally 18 members, each designated by a member state.
  • Subsequently the number was raised 24 and 30.
  • The health assembly (1976) increased the membership from 30 to 31, providing that no fewer than 3 are to be elected from each of the WHO regions.
  • The members of the board are to be “technically qualified in the field of health”.
  • One-third of the membership is renewed every year.
  • The Executive board meets at least twice a year, January and shortly after the meeting of the World health assembly in may.
  • The main work of the Board is to give effect to the decisions and policies of the assembly.
  • The board also has sole power to take action in case of emergency such as epidemics, earthquake, and floods where immediate action is needed.

The Secretariat

  • 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 programme.
  • In 1948, WHO staff counted 250 persons, in 1985 counted 4475 international public servants / staff.
  • At WHO headquarter 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 DG.

On 31 December, 1985, the WHO Secretariat comprised of the following divisions:

  • 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
  • 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.

WHO Regions

  • In order to meet the special health needs of different areas, WHO has established six regional organizations:

Other UN Agencies

  • UNICEF
  • UNDP
  • FAO
  • ILO
  • WORLD BANK
  • UNFPA

UNICEF

  • Is one of the specialized agency of the UNs.
  • It was established in 1946 by the United nations General Assembly to deal with rehabilitation of children in war ravaged countries to provide emergency food and healthcare.
  • UNICEF is governed by a 30 nation executive board.
  • The headquarters of the UNICEF is at United Nations, New York.
  • UNICEF works in close collaboration with WHO and the other specialized agencies of the United Nations like UNDP, FAO and UNESCO.
  • It is a member of the United Nations Development Group.
  • In the early years, UNICEF and WHO worked together on urgent problems such as malaria, tuberculosis and venereal disease.
  • Later its assistance to countries covered such fields as maternal and child health, nutrition, environmental sanitation (especially provision of water supplies to rural communities), health centres and health education and programme which would directly or indirectly benefit child health.
  • UNICEF is not only concern about campaign for the eradication of specific diseases unless they are of greater concern to mothers and children.
  • They are most concern about the “whole child” meaning that assistance should be geared not only to health and nutrition which are of immediate benefit to children, but also to their long-term personnel devt and the devt of their countries.
  • Funding and Support
  • UNICEF relies on contributions from governments and private donors, UNICEF's total income for 2015 was US$5,009,557,471.
  • Governments contribute two-thirds of the organization's resources.
  • Private groups and individuals contribute the rest through national committees.
  • It is estimated that 92 per cent of UNICEF revenue is distributed to programme services.
  • UNICEF's programmes emphasize developing community-level services to promote the health and well-being of children. UNICEF was awarded the Nobel Peace Prize in 1965 and the Prince of Asturias Award of Concord in 2006.

Content of Services of UNICEF

  • Child health.
  • Child nutrition
  • Family and child welfare
  • Education-formal and non-formal.
  • GOBI Campaign

UNICEF Initiatives

  • Child health: UNICEF has provided substantial aid for the production of vaccines and sera in many countries.
  • UNICEF is supporting BCG vaccination programme in some African Countries.
  • Supplies of triple vaccines and iodized salt.
  • She is also assisting environmental sanitation programmes 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 community.
  • Currently, UNICEF is focusing attention on providing primary health care to mothers and children.
  • Emphasis is placed on immunization, infant and young child care, family planning aspects of family health(Distribution of condoms); provision of safe portable water(Drilling of borehole);
  • Child Nutrition: UNICEF supports and aid child nutrition in form of supplementing child feeding with the devt of low-cost-protein-rich food mixtures.
  • Specific aid is provided for intervention against nutritional deficiency diseases e.g., provision of large doses of vitamin A in areas where xerophthalmia is prevalent.
  • Enrichment of salt with iodine in areas / individual suffering from endemic goitre.
  • Provision of iron and folate supplements to combat anaemias.
  • Family and child welfare: The purpose is to improve care of children, both within and outside their homes
  • Education-formal and non-formal: in collaboration with UNESCO, UNICEF is assisting developed countries in the expansion and improvement of teaching sciences, science lab equipment procurement, workshop tools, library books, audio-visual aids to educational institutions.
  • GOBI Campaign: To encourage 4 strategies for a “child health revolution”
  • G= growth chart to better monitor child development.
  • O= oral rehydration to treat all mild and moderate dehydration.
  • B= Breast feeding (even HIV/AIDS positive mothers)
  • I= immunization against measles, diphtheria, polio, pertussis, tetanus and tuberculosis.
  • UNICEF Activities covers:
  • Child survival and protection-reduction in child mortality. Interventions like immunization, improved infant feeding practices formulation by Prof Balogun-University of Ilorin.
  • Child growth monitoring.
  • Home-based diarrhoea management.
  • Portable water provision and environmental sanitation.
  • Birth spacing through educated family planning scheme.
  • Educating the girl child.
  • Income generating ventures for women.

UNICEF's Priorities

  • UNICEF contributes effectively to reducing poverty, through advocacy and partnerships that create sustained investments in children’s survival, development and protection.
  • Promotes Young Child Survival and Development: In support of Millennium Goal 4 – reducing child mortality – and Goal 6, malaria control, among others, UNICEF works toward comprehensive child health care in the earliest years, including the antenatal period before birth.
  • UNICEF advocates for and gives financial and technical support to national- and community-based education and intervention programmes on health care and nutrition.
  • Priority areas include immunization, preventing and controlling malaria, controlling and treating diarrhoeal and respiratory diseases, eradicating guinea worm and preventing anaemia.
  • Health programmes ideally include antenatal care of pregnant women, and neonatal care in the first four weeks after birth, including promoting breastfeeding.
  • UNICEF also shares advocacy, social mobilization, and research work in a supporting role to help other agencies provide emergency obstetrics.
  • UNICEF provides vaccines to 40 per cent of children in developing countries, and provides technical support on the complicated process of delivering them. Millions are protected from diseases like measles, polio, diphtheria and tuberculosis with vaccines that cost an average of only 50 cents per child.
  • Vaccination programs ideally include supplements of vitamin A and micronutrients that further boost immunity and help prevent malnutrition-related disorders.
  • UNICEF is also often first on the ground in declared emergencies to deliver these and other life-saving interventions, like fresh water and basic medical supplies.
  • Along with the World Health Organization (WHO), UNICEF supports local programmes that improve access to basic water and sanitation, which are in turn vital for health, development and education initiatives.
  • Basic Education and Gender Equality: In support of MDG 2 and 3, UNICEF collaborates with countries, donor governments and other UN agencies to promote, fund and facilitate universal primary education and gender equality.
  • This includes improving children’s developmental readiness for school, especially for excluded children and among disadvantaged groups, via community-sponsored childhood education and health initiatives.
  • In all stages of this process, through advocacy and local programmes, UNICEF works to reduce the gender gap and other disparities in access to, participation in and completion of basic schooling. This includes` supporting water, sanitation and hygiene improvement in schools to create a child-friendly environment for learning.
  • Using practical demonstrations and evidence-based advocacy, UNICEF seeks to help national and local governments and groups improve educational quality and retention.
  • Finally, UNICEF also delivers school supplies and tents in emergencies as part of its Back-to-School programme, helping children return to a more normal, safe environment and protecting their right to basic education.
  • HIV/AIDS and Children: This disease crisis brings poverty and social devastation along with death. To combat it – which helps reach MDG 6 -- UNICEF works with nations, non-profit organizations and religious groups, youth organizations and many other partners to organize gender-sensitive prevention education, skills and service campaigns aimed particularly at adolescents.
  • UNICEF also works via advocacy and community outreach to help governments, communities and families support children orphaned by HIV/AIDS.
  • UNICEF also supports programmes that help prevent mother-to-child transmission of HIV/AIDS and that increase the number and proportion of women and children receiving antiretroviral drugs.
  • Child Protection: In support of Millennium Summit Declaration Section 6 – Protecting the Vulnerable UNICEF advances protective environments to help prevent and respond to violence, exploitation, abuse and discrimination, and for children made vulnerable by emergencies.
  • Focus areas include raising government awareness of child protection rights and situation analysis, as well as promoting laws that punish child exploiters. Working through advocacy and its local offices worldwide, UNICEF helps strengthen the resources of schools, communities and families to care for marginalized children, including those orphaned by HIV/AIDS.
  • Policy Analysis, Advocacy and Partnerships for Children’s Rights. Reducing child poverty is a critical part of fulfilling these rights. To that end, and to accomplish MDG 1, UNICEF promotes sustained national and global investments that leverage resources and results for children’s well being, including in emergency situations. Working with a wide range of partnerships including governments, regional bodies, and private and civil society groups, UNICEF provides input and participates in developing sector-wide approaches (SWAPs), Poverty Reduction Strategy Plans (PRSPs)and budgets.

Health work of Bilateral Agencies

  • USAID
  • UKAID
  • DFID
  • SIDA
  • DANIDA

Non-Governmental Organizations & other Agencies

  • Rockefeller Foundation
  • Ford Foundation
  • Care Foundation
  • International Red Cross
  • Family Health International (FHI 360)
  • Save Blood International etc.,

UNDP: United Nations Development Programme

  • The United Nations Development Programme (UNDP) is the United Nations' global development network.
  • Headquartered in New York City, UNDP advocates for change and connects countries to knowledge, experience and resources to help people build a better life.
  • It provides expert advice, training and grants support to developing countries, with increasing emphasis on assistance to the least developed countries.
  • The status of UNDP is that of an executive board within the United Nations General Assembly. The UNDP Administrator is the third highest-ranking official of the United Nations after the United Nations Secretary-General and Deputy Secretary-General.

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Explore the primary focuses of International Health Regulations (IHR) set by the WHO, the role of Port Health Services, strategies for mitigating health threats. Also learn about the role of NGOs play including the influence of colonial and post-colonial contexts.

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