•

-

WORLD HEALTH ORGANIZATION

ORGANISATION MONDIALE DE LA SANTE

REGIONAL OFFICE FOR THE WESTERN PACIFIC

BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL

REGIONAL COMHITTEE

Twenty-first Session Uani1a 1-8 September 1970

Provisional agenda item 17

WPR/RC21/10 26 August 1970

ORIGINAL: ENGLISH

REPORTS BY GOVEmn1ENTS ON THE PROGRESS

1

OF CURRENT PROGRAMMES RECEIVING WHO ASSISTANCE (RESOLUTION WPR/RC20.R5)

QUESTIONNAIRE SENT TO GOVERm!ENTS

The Regional Committee at its twentieth session adopted resolution

WPR/RC20.R5 which requested the Regional Director to include in the

agenda for future meetings of the Committee reports by governments on

the progress of current programmes receiving ~mo assistance. A

questionnaire was sent to governments to obtain the information

required. The questions were framed broadly in the context of this

resolution, so that the completed questionnaires could serve as govern­

ment reports on the progress and evaluation of WHO-assisted country

projects currently in operation.

The WHO-assisted country activities are referred to as projects

rather than programmes, as the activities normally undertaken are con­

cerned with achieving in particular areas specific objectives within

a limited time-span.

In content, the questionnaire included consideration of the place

and priority of projects in the national health programmes, the aptness

and attainability within a time constraint of their objectives, the

local applicability and effectiveness of the methods (transferable

technology) used, the availability of resources, the flexibility given

Ito planning and •••

WPR/RC2l/10 page 2

to planning and implementation, and their impact on the population.

WHO-assisted activities dealing with fellowships not connected

with projects were not included in the questionnaire because they are

periodically evaluated.

Copies of the questionnaire were sent to fourteen countries in

the Region which had WHO-assisted projects in operation. In these

countries there were currently a total of 130 projects re~eiving WHO

assistance.

2 SUMMARY OF THE REPORTS SUBI1ITTED BY GOVERNl1ENTS

Two of the fourteen countries did not return the questionnaires.

Reports were submitted on 92 of the 130 WHO-assisted projects currently

in operation. The questionnaire was not completed in respect of ten

projects because they were in too early a stage for assessment. The

response rate was therefore 12/14 or 85.7% for countries, and 92/120 or

76.7% for projects, excluding the ten projects recently initiated.

There were two boxes, yes and no, for each question so that either

one or the other could be ticked. The affirmative replies to the

questions are summarized in Table 1 by country and in Table 2 by subject.

The figures in these tables denote the number of projects on which

affirmative replies were received. The difference between 92 and the

totals given in the Tables denotes the number of projects on which

negative replies were received.

The questionnaire included three other points which are not

presented in the above two tables. They are (1) whether the country

has a national socio-economic development plan, (2) whether the country

has a national health plan, and, if so, (3) whether this national health

plan is incorporated as a sector of the national socio-economic develop­

ment plan. The twelve countries which sent in completed questionnaires

replied to these three questions in the affirmative.

It will be noted from Tables 1 and 2 that 83.7% of the 92 projects

are based on or are related to national health plans. The ~ajority of

Ithe projects •••

•

-

s

I , . I

"

I I

~ -~

WPR/RC2l/l0 page 3

the projects (95.7%) have objectives clearly related to specific

problems intended to be solved.

The objectives of 56 of the projects can be translated into

quantifiable targets. Thirty-six are without such targets, but have

appropriate criteria \~hich provide a basis for determining if the

objectives have been met. In 62 of the projects it is believed that

the targets can be achieved or the criteria satisfied during their

life span.

In 78.3% of the projects, baseline data are available to measure

project progress. In 59.8% of the projects the results of the activities

are considered satisfactory.

Transferable technology had been introduced before the inception

of 65 projects. In all of these projects it was considered that WHO

assistance would promote the use of the technology in the country; this

expectation has been confirmed during the operation of 60 or 92.3%.

H~ever, in 26 of the remaining 27 projects (96.3%) in which transfer­

able technology had not been introduced prior to their inception, it

is believed that the assistance provided by WHO will ensure the conti­

nuous use of the technology after international assistance has been

completed.

The efficacy of the methods used has been assessed (a) by employing

performance standards on which to base estimates of target accomplish­

ments, (b) by determining the cost-effectiveness of the results obtained,

(c) by using criteria on quality of the results, or (d) by two or all of

these measures. Among these measures, (a) was used in 9.8%, (b) in 1.1%,

(c) in 10.9% and (d) in 33.7% of the projects. Five of the 9 projects

employing (a), the only project using (b), 5 of the 10 projects utilizing

(c) and 23 of the 31 projects using (d) found the results of assessment

satisfactory.

Government commitments covering local resources are being fully

met in 53 of the 92 projects (57.6%). Local resources are being fully

land effectively

WPR/RC21/l0 page 4

and effectively utilized in 47. In 39 projects, government commit­

ments are not being fully met. It is believed that this deficiency

may be solved by the more efficient use of the resources! available in

4 projects, by adding resources in 10, and by employing both of these

means in 23.

In the implementation of projects, non-resource constraints have

been encountered due to (a) political and social climate. (b) existing

legislation, (c) physical environment, (d) institutional structure,

(e) supplies system and (f) others, or a combination of two or more of

these causes. Among them, (a) is the cause of non-resource constraints

in 40.2%, (b) in 25.0%, (c) in 30.4%, (d) in 30.4%, (e) in 27.2%, and

(f) in 20.7%. It is believed that from 63.2 to 85.7% of these causes

can be minimized or eliminated.

Non-resource constraints on the part of WHO are also encountered

due to its policies, supplies system or others, or due to two or all of

these causes. l~IO policies were said to be the cause of non-resource

constraints in 10.9%, its supplies system in 9.8%, and others in 10.9%.

The replies indicated that from 70.0 to 90.0% of the causes can be

minimized or eliminated.

The project plan of action is regularly revie'ved in 73.3% of the

projects to conform to budgetary and other resource constraints, in

81.5% to introduce changes required as a result of progress in techno­

logy and management, and in 70.7% to incorporate modifications resulting

from substantive changes in the projects' objectives, methods and/or

targets.

A country project can help satisfy the population's needs through:

(a) accomplishment of its specifiC objectives, (b) its clontribution to

the broader objectives of the programme to which it is linked and/or

(c) its relation to the national socio-economic development plan;

(a) is applicable in 83.7%, (b) in 75.0% and (c) in 70.7% of the

projects on which reports were received.

/3 OBSERVATIONS •••

• •

,

~~ .

3 OBSERVATIONS

vIPR/RC21/10 page 5

The questionnaire used in this evaluation had its limitations.

It can only furnish general information on the projects assessed to

indicate trends, problems and progress. In-depth evaluation for each

project would be necessary to determine more precisely the difficulties

encountered, the results of the methods used, and the targets met.

In the present study the rate of response is 76.7% (92 out of 120

projects). which leaves undetermined the situation prevailing in the

remaining 23.3%. The present evaluation is. therefore. based on

information collected on approximately three-fourths of the ~iHO-assisted

projects in the Region. It is hoped that with the co-operation of

I1ember States, coverage can be increased in future evaluation exercises.

Although the importance of collecting baseline data at the

beginning of a project is generally recognized as a basis for future

assessment, such data are not available in 21.7% of the projects.

Steps should, therefore, be taken as soon as possible to obtain the

information needed and, if this is not feasible, to establish new' base­

line data corresponding to a fixed time from which further project

progress can be measured. The findings also underscore the necessity

of establishing baseline data in each new project being started.

Due to the limitations of the questionnaire it was not possible

to obtain precise and detailed replies; hence the difficulty in

tabulating some of the answers received. Such details may be obtained

in thein-depth evaluation of individual projects which is normally

undertaken by project staff. Further efforts should nevertheless be

undertaken in the future to improve the frame and content of the

questionnaire in order to secure as much information as possible.

4 CONCLUSIONS

It is encouraging to note that every country in the Region

considers that it has a national health plan which is incorporated

las a sector •••

WPR/RC2l/l0 page 6

as a sector of its national socio-economic development plan.

The great majority of WHO-assisted projects in the Region are based

on national health plans and their objectives are clearly related to the

specific problems intended to be solved.

Three-fifths of the projects have objectives w~ich are translated

into quantifiable targets, while the remaining two-fifths have appro­

priate criteria which provide a basis for determining whether objectives

have been met. In 67% of the projects, the reports indicate that the

targets can be achieved or the criteria satisfied during their life span.

Since about one-fifth of the projects have no baseline data upon

which to measure project progress, every effort should be made to obtain

or establish them in projects in operation and to ensure that baseline

information is available in all new projects.

The local applicability and effectiveness of the methods used have

been confirmed in tllTo-thirds of the projects.

The findings that government commitments are fully met in only

57.6% of the projects leave a large number for further sqrutiny, since

attainment of the objectives will be jeopardized by the shortage of

available resources and other unsatisfied requirements. Although this

deficiency can be covered fully in some projects, and partly in others,

by making more efficient use of the resources available, it is important

to determine whether the additional resources required can be met by

governments. If not, the targets or plans of action would have to be

revised so that they fit more realistically the resources available.

In more than half of the projects, government commitments covering

local resources are fully met and these resources are fully and effi­

ciently utilized. Non-resource constraints on the part of countries are

due to various factors, mostly political and social, about four-fifths

of which can be minimized or eliminated.

Non-resource constraints on the part of WHO are encountered in

a small percentage of projects and it should be possible to explore

/ areas l.,here •••

. -

HPR/RC2l/l0 page 7/8

areas where they can be minimized within the frame of WIlO policy and

regulations. Constraints necessarily arising from WHO policy should

be taken into account in preparing project plans of operation. If l~O

policy changes are felt necessary by governments, representations can

be made by them at the appropriate levels of the Organization.

The plan of action is regularly revievled in about three-fourths

of the projects in order to give flexibility to planning and imple­

mentation.

The majority of the projects help directly or indirectly to satisfy

the needs of the population.

This is the first attempt at an overall evaluation of WHO-assisted

activities on the basis of about three-fourths of the projects currently

in operation in the Region. It is believed that with an improved

questionnaire and the co-operation of Hember States more useful informa­

tion can be obtained from future evaluations •

+ \ ,;:, ¥ t \

TABLE 1. WHO-ASSISTED PROJECTS IN COUNTRIES FURNISHING AFFmMAl'IVE REPl.lES

1"" ~uery I No. of No. of WHO· NHP Project Project's objec- Objectives No quantifiable

~ I WHO_ ..... , aubted proj8CQ related to based on t1 ves related to translated into targets but with

projects on which rep- project NHP solution of quantifiable criteria for

"-lies were specific problems targets determining

Country '" received accomplishments

~::.-. -.. .-

British Solomon Islands

Protectorate 3 1 1 1 1 1

China (Taiwan) I 17 15 10 10 15 12 3

Gilbert & Ellice Islands 2 2 2 2 2 2

Laos 14 11 10 9 11 3 8 \

Malaysia I 17 16 15 15 16 12 4

I New Hebrides 3 2 2 2 2 2

Philippines 17 15 14 13 14 11 4

! I Republic of Korea 10 10 10 9 10 4 6

. I s.

I I lngapore 14 9 7 7 7 4 5

, . I 2 2 2 2 1 1 I Tonga 2 , i

Viet-Nam 15 6 4 4 6 4 2

Western 5 amoa 4 3 3 3 2 2 1

TOTAL 118 92 80 77 88 56 36 --~ ----1------1----- -- I---- -:

Per cent, 100.0 87,0 83.7 95.7 l 60.9 39.1

,------------------------ -.. -------'---.. _._-------- ."- - -.. ---------------- '--- -- . _. __ . __ ._-._--_. --------- -- ._------_.-

Targets and 1 criteria to be achieved during life of project

--

13

1

6

7

2

14 !

8

5

2

3

1

62 __ -1 67.4 I

! -------j

>-

'g ~ CJ<I ::tI CD ....... \Q~

N .... ....... S

T ;tile 1. (continued)

Query No. of WHO No. of WHO- Baseline data Results of assisted assisted projects available to project activi-projects on which measure project ties satisfac-

replies were progress tory Country received

I

SHtish Solomon Islands I Protectorate 3

I 1 1 I

I China (Taiwan) 17 15 12 12

I G libert & Ellice Islands Z 2 2 2

Laos 14 11 7 8

Malaysia 17 16 12 7

New Hebrides 3 2

Philippines 17 15 14 9

Republlc of Korea 10 10 8 3

I Singapore 14 9 7 7

Tonga Z 2 2 2

Viet-Nam 15 6 4 2

Western Samoa 4 3 3 3

TOTAL 118 92 I 72 55 ,

Per cent. 100.0 78.3 69,8

• I -I -"

Transferable WHO assistance technology would promote introduced use of techno-previously logy In the

country

1 1

14 14

1 1

4 4

10 10

2 2

12 12

7 7

7 7

2 2

4 4

1 1

65 66

70.6 (lOO.W

-65/65

~

This expectatlol

confumed

during operation of project

1

14

1

4

7

2

11

6

7

2

4

1

60

92.S-

-60/65

--WHO assistance would ensure con-tinuous use of

technOlogy after end of project

1

1

7

6

3

3

1

2

2

26

92.9* "26/(92-64)

i

I

'2 ~ OQ ~ ~ .... .... ~ ON .... .... ....

o

~-, ('

Table 1. (continued)

Efficacy of the methods Query I No. of WHO- \ No. of WHO- 1 ________ ~~~:~~---

assisted assisted projects. Target _ Cost- : QUality

projects \ on which repli~ accomplish- ! effectiveness i of the I I were received ! ment i of the i results _ Countrv , 'i results t---~,,------ ----===1- t== -,-!-_____ - I I ".

British Solomon Islands \ 1 : Protectorate 3! I I

17 I 15 I China (Taiwan)

Gilbert & Ellice Islands

Laos

Malaysia

New Hebrides

philippines

Republic of Korea

Singapore

Tonga

Viet-Nam

Western Samoa

TOTAL

Per cent

2 \ 2 \

I 11 14

17

3

17

10

14

2

15

4

118

I I 16

! 1

I

I \ I j !

2

15

10

9

2

6

3

92

100.0

1

1

1

I 1 i I

I \

1

3

i

1

\ 9

I

! 9.8

2

1

4

1

1

1

1

1 10

1.1 10.9

• ... • Results of assessments satisfactory

as regards:

'"

2 Target Cost- Quality 2 :::1 ---- ~

or all accomplish-, effectiveness I of the or all of these ment I of the results of these'

iI~~= I . I I I I i I

5

5 I 3 1

10

2

4 1

1 I

) 2

1 1

31 5

33.7

2

1

1

1

1 5

_---L--_~ --r=--

5

3

2

7

2

2

1

1

23

'g ~ OQ I'Q III ......

I-'~ I-' N

I-' ...... b

J..., I I~ I;. .. , '....... ~ I, .... i , ~ Query No. of WHO- No. ci WHO- Government

C-, -~ assisted projects assisted projects commitments on

on which replies local resources

were received fully met

British Solomon Islands Protectorate 3 1

China (Taiwan) 17 15 10

Gilbert & Ellice Islands 2 2 2

Laos 14 11 5

Malaysia 17 16 10

New Hebrides 3 2 2

Phlllppines 17 15 9

Republic of Korea 10 10 2

Singapore 14 9 6 .

Tonga 2 2 2

Viet-Nam 15 6 . 4

Western Samoa 4 3 1

TOTAL 118 92 53

I Per cent. 100.0 57.6 I i \

~ Local resources

fully and effectively

utilized

10

2

5

9

2

7

1

6

2

3

47

51.1

•

Deficienc~ i\8over~ent commitments n met y:

Efficient use Adding Both of these

of resources more means

provided ~lOUICes

1

1 1 1

1 1 4

1 1 4

6

6 2

1 2

1 1

2

4 10 23

(l0.3)- (25.6)- (59.0)-

Decominator '" 92 - 53 = 39

'g~ 0<1 l:'d 1Il_

.... ~ "., N .... -.... o

'x." • ,~. Table 1. (continued)

--------TN'~ of Il!!!l of ~ Noo_ ._ .... """""" .... In Query' 0- country due to:

WHO- ass ted __ _ .. _._ . d groJegI~lt Po~tical ~xi'ting Pltlflcal l!JStitu-~PPlies I h asSlste n if an e§: a- n ron- tional Ot ers . reg, es ~ yCial tl ment structure system

Country prOjects ~lJived i mate

f Bri",' Solomon ''''''& ~

3 1 1 1 1 I Protectorate

I China (Taiwan) 17 15 3 4 1 4 1

I I I

: Gilbert & Ellice Islands 2 2 1 1

Laos 14 11 9 3 4 1 5 5

Malaysia 1'1 16 3 1 4 5 1 4

New, Hebrides 3 2 2 2 2 2

Phili ppines 17 15 'f 4 8 '1 9 1

Republic of Korea 10 10 '1 2 3 4 1 3

Singapore 14 9 1 1 1 2 1 2

Tonga 2 2 2

Viet-Nam 15 6 6 5 1 1 2 3

Western Samoa 4 3 1 2 1 1

TOT A L U8 92 3'1 23 28 28 25 19

Per cent. 100.0 40.2 25.0 30.4 30.4 27.2 20.'1

~ '!-'{ ,~

Non-resource c~trl!inU An country can be minimized or mIDate from:

Poatical Existing ~cal Institu- Supplies an ~~sla- ron- tlonal Others sYfal !ment structure system C mate

1 1 ! 1 ! I

3 4 1 4 I 1 i I

1 . I 1

I 6 1 3 1 ! 4

3 1 3 3 1 4

2 2 2 2

5 4 6 7 I 9 1

7 2 3 3 2

1 1 1 2 1 2

2

3 3 2

1 2 1 1

28 19 23 24 21 12

- - • (85. '1)- (84.0)- (63.2)-('15.7) (89.,6) (82.1)

* 28/37 *19/23 *23/28 *24/28 ~26 *12/19

("'I

'2 ~ aq l>:I II> .......

~~ "" N ~ ....... ~ o

Query

~ountry

~tish Solomon ~ds Prorectorate

:biaa (T*,wan)

;Ubert & ElUce Islands

AlII

falaylia

'ewHebddef

ldUpplDel

"public of Korea

<rIgapore

0118·

iet-Nam

'estern Samoa

TOTAL .

Per cent,

~ ,

No, of WHO­_bted

projecu

3

17

2

14.

17

3

I'!

10

14

2

15

4

U8

Table I, (continued)

Non-resource constrainU on Non-resource COIIIUatlllS Cll'I I

No, of WHO- the pan of WHO due to: the pan of WHO can be mini-! Project plaa of action reviewed regularly to:

IIIiIted pro mlzed or eUm1nated as r~ds: I _---on whlch WHO Supplies Othen WHO i Supplies Othen 1 j,orm ~nd Introduce Incorporate 11 ~ replies were policies IY'tem policfes j.ystem I ~ relevant mod1ficatiollS III ;;

constraUlU I n received innovations , ~ N

1

15 1 1 1 1

2 1

11 2 3 1

16 2 1 2

2 2 2

15 3 1 3

10 6 5

9 1 1 1

2

6 1 3

3

92 I 10 I 9 I 10 I 9 I 7 I

100,0 10,9 9.8 10.9 (90.0)", (1'1.8)",

• linn - 'f /9 .,. • ~

1

12

1 2

1 9

1 11

2

1 13

'I

1 6

1

2 6

2

'I I 72 I

'10.0-1 78.3 I - 1flll. I I

1

10

2

9

13

2

13

9

'I

1

5

3

75

81.5

10

2

6

13

2

12

5

7

1

5

2

65

70,7

I-' ..... b

~ i ,\.' Table 1. (continued)

,f 1', " .

""---~-~~-rl No. of WHO"_' I No. ~f WHO-_.:;! Pro"'" bd""" ""'" ......... tioo· ....... ""oo;;-~ projects projecu on which

repUes were received

Accomplishment of l iu specific object! ves I lU contribution to

broader objecti vel of lu relation to the

national socia-economic

development plan , the programme to

which it is linked \- Caun~ =-~:.-=-'=""=' "====i=======jFr===== I _

British Solomon Islands

Protectorate

China (Taiwan)

Gilbert & Ellice Islands

Laos

Malaysia

New Hebrides

Phill ppines

Republic of Korea

Singapore

Tonga

Vier-Nam

Western Samoa

TOTAL

Pel cent,

3

17

2

14

17

3

17

10

14

2

15

4

U6

1 1 1

15 12 12

2 2 1

u 9 8

16 13 11

2 2

15 13 12

10 8 6

9 9 8

2 1 1

6 6 1

3 3 2

92 77 69

100,0 83.7 75.0

1

10

1

8

14

2

13

8

7

1

65

70.7

...

1~ OQ~ (1)_

f-'~ VI N _f-' f-'-"'E;

'1\ l , "

, ,\ 't(

TABLE 2. WHO-ASSISTED PROJECTS ACCORDING TO SUBJECT FURNISHING AFFIRMATIVE REPLIES

~~ No. of WHO- No. of WHO- I Project's ob-I

NHP Project Objectives No quantifiable Targets and assisted assisted projects related based on I jeeti ves rela- translated targets but with criteria to bE projects on which replies to project NHP ted to solutim into criteria for achieved

. "~ were received of specific quantifiable determining during life of ,Project problems targets accomplishments project

al Communicable Diseases- 12 9 9 9 9 6 3 7

Tuberculosis and Leprosy 8 8 8 8 8 6 2 8

Malaria and Filariasis 9 7 7 5 7 5 2 4

Environmental H~alth 17 9 7 7 9 7 2 7

bl Public Health Services- 42 34 29 28 31 16 18 19

Maternal and Child Health and

Nutrition 10 8 5 5 7 4 4 5

cl Health Protection aIld Promotion- 11 10 8 8 10 8 2 8

Education and Training 9 7 7 7 7 4 3 4

TOTAL 118 92 80 77 88 56 36 62 .

I Per cent. 100.0 87.0 83.7 95.7 60.9 39.1 67.4 I t ._-_. --

!I Includes: Venereal Diseases, Tracheima and Epidemiological Surveill ance, International Quarantine

ty Includes: National Health Planning, Health Laboratory Servic~ Medical Care, Nursing, Health Education. Rehabilitation, and Vital and Health S tatlstles

Sl Includes : Occuptaional Health, Mental Health. Dental Health, Radiation Health, Cancer and Goitre

'g ~ O<I~ ~ ..... ..... ~ " N ..... ..... ..... o

Table 2. (continued)

--.--Query No. of WHO- No. of WHO- Baseline data Results of

assisted assisted projects available to project projects on which replies measure activities

were received project satisfactory Project progress

-

al Communicable Diseaser 12 9 '/ '/

Tuberculosis and Leprosy 8 8 8 5

Malaria and Filariasis 9 '/ 6 3

Environmentai Health 1,/ 9 6 6

Public Health Servicel-I 42 34 25 19

Maternal and Child, and Nutrition 10 8 5 3

Health Protection and Promotiog.1

11 10 9 6

Education and Training 9 '/ 6 6

TOT A L 118 92 ,/2 55

:

Per cent. 100.0 '/8.3 59.8

. --

• 1

Transferable WHO assistanc'!

technology would promote

introduced use of techno-

previously logy in the country

5 5

'/ '/

5 5

'/ '/

25 25

3 3

.

8 8

5 5

~5 65

'/0.6 100.0·

°65/65

•

This expectation

confirmed during operation

of project

5

'/

5

6

23

2

'1

5

60

(92.3)·

·60/65

WHO assistance would ensure continuous use

of technology after end of the Dlolect

4

1

2

2

9

5

2

1

26

92.9·

"26/(92-64)

'2 ~ 00 ~ 11>-

.... ~ OON .... -b

'~ • ~

No. of WHO-QUery

No. of WHO- assisted (11'0:'

assisted eets on wbid

pIo;ects epUee were

Project Ireceived

al Communicable Diseases- 12 9

Tuberculosis and Leprosy 8 8

Malaria and Filariasis 9 'I

Environmental Health 1'1 9

bl Public Health ServiCes- 42 34

Maternal and Child Health and

Nutrition 10 8

c Health Protection and PromotiOir 11 10

Education and Training 9 'I

TOT A L 118 92

I Per cent. 100.0

" Table 2. (continued)

Efficacy of the methods assessed by:

Target Cost- Quality 2

accomplishments effectiveness of the or all of

of the results results these

2 3

2 6

2 1 3

I 3

8 8

1 1 2

2 5 I ,

1 1

9 1 10 31

9.8 1.1 10.9 33.'1

,), 'r,

Results of assessment satisfactory as regards:

Target Cost- Quality 2 accomplish- effective- of the or all of

ment ness of the results these results

2 2

5

2 1 2

1

4 5

1 2

1 5

1

5 1 :; 23

I

,

"d :I III ~

00 1'1 II> "'

~~ t 8

Query No. of WHO- No, of WHO-

assisted assisted project

projects on which rep-

liea were Project tecei~

h al ~ommunicable Diseaser 12 9

TubereubUacd ~ 8 8

!Malaria and Filariasis 9 7

!Environmental Health 17 9

bl Public Health Services- 42 34

tvtaternal and Child Health and t-Iutrition 10 8

~I _ cl ealth Protection and PromotioJl 11 10

ducation and Training 9 7

-~----- -,,,.- ~- _.. - -~.- -~-- "- - --- - ---_._ ... _---

TOTAL 118 92

-- --

Per cern:. 100.0

.~ j

Table 2. (continued)

Government Local resources

commitments on fully and

local resources effectively

fully met utilized

6 5

6 5

5 5

5 4

17 16

2 1

6 5

6 6

53 47

57.6 51.1

Deficiency in government commitments can be met by:

Efficient use of Adding more Both of

resources provided resources these means

3

1 1

1 1

1 2

5 11

1 5

1 3

1 ----

4 10 23

(10.3)· (25.6)" (59.0)·

"Denominator = 92 ~ 53 = 39

l. , ,

-

1 ~ G~ ::a (1)_

N~ ON .... ...... ....

o

« , \ Table 2. (continued) ~ _1. ~\

•

No. of ~~8! Non-resource constraints encountered in country due to: Non-resource constraints in country can be minimized or eliminated trOIT

~ WHO- nss~ted- political ExIsting Physical - lnst1tu- Supplies

~ eets assisted ;\'lhich and legisla- environ- tional system

re~ iR.5 projects "'''' e social tion ment structure

_ receilred climate

eet - .. ~ -- -

'lm~rble ~ 12 9 3 4 1 4 2

<ereulosis and 8 8 5 4 1 3

.rosy

'aria and Filariasis 9 7 2 1 3 2 1

ironmental-Health 17 9 4 5 3 3 2

~I 42 34 15 9 11 10 10 .lie Health ServiceS'

temal and Child

lIlth and Nutrition 10 8 3 1 3 4 3

dth Pt,::tFtion and ,motiorr" 11 10 4 3 3 4 4

lClItion and Training 9 7 1

rOT A L 118 92 37 23 28 28 25

'er cent. lOO.O 40.2 25.0 30.4 30.4 27.2

. ~ ________ --________ . ____ . ____ .. ______________ 1--____ ._._~ __ •• --. ________ --\---

Political Existing Physical

Othen and legisla- environ-. !OCial tion ment

~mate

3 2 3 1

2 4 2

1 2 1 2

1 3 5 3

10 11 6 11

1 2 1 3

3 3 1

1 1

19 28 19 23

20.7 (75.7)" • (82.6) (82.1)'

*28/37 *19/23 *23/28

Institu- Supplies

tional .yttem

structure

3 1

1 2

1 1

2 2

10 9

4 2

3 4

24 2l

(85.7)' (84.0)*

*24/28 *21/25

Othen

2

1

1

7

1

1

l2

(63.2)*

*i2/19

'2 ~ 00 :>:t

11> ......

N~ .... N .... ...... ....

o

I

Table 2. (continued)

~ QUery-, I Non-resource constraints on

""'- No. of WHO- No. of WHO- the part of WHO due to :

c-~~~ assisted assisted projec '-projects on which WHO I Supplies Others

replies were poliCies 1 system received

i

al Communicable Diseaser 12 9 I 1 1

TuberculoSis and Leprqsy 8 8

Malaria and Filariasis 9, 7 2

Environmental Health 17 9 1 1. bl

Public Health Services- 42 34 5 5 6

Maternal and Child Health and NUtrition 10 8 1 1

Health Pr~ru'Oll and· Promotion- l.l 10 1 2

Education and Training 9 7 1 1.

TOT A L 1.18 92 10 9 10

Per cent. 100.0 10.9 9.8 10.9

I 1~~_,-

.4

Non-resource constraints on I the part of WHO can be mini-mized or eliminated as regards:

WHO Supplies Others

poUcies system

--1

1

1 1.

5 4 4

1 1.

1 2

1

9 7 7

(90.0)" (77.8)' • (70.0)

"9/10 "719 '7/10

:S ~

...--.

Project plan of action

reviewed regularly 10:

Conform to Introduce Incorporate budgetary and

relevant modifica-other resource constramts

innovations tions .- -

6 7 7

7 8 6

6 7 7

7 8 6

28 26 24

3 4 3

9 9 9

6 6 3

72 75 65

78.3 81.5 70.7

.. ~

~~ OQ 1:0 (I) .....

N~ NN ..... ..... .....

o

-----------~------~--~~ ----------I, r

Table 2. (continued)

~ Query

No, of \"HO- No.. of WHO-assisted

assisted pro jeets projects on which

...... '-...... ............... replies were I received I Project ~

al Communicable Diseases-" 12 9

Tuberculosis and ~y 8 8

Malaria and Filatiasis 9 7

Environmental Health 17 9

bl 42 34 Public Health ServiceS

Maternal and Child Health and

Nuttltion 10 8

. c/ ~ealth Protection and Promotiorr 11 10

Education and Training 9 7

TOT A L 118 92

.

Per cent, 100.0

---,;--............... ---

i~ ,', ','

..

------ --------

Project helping satisfy the population's needs through:

Accomplishment Its conttlbution to Its relation to of specific broader objectives the national objectives of the programme to socio-economic

which il is ll.oked develo!Klleot plan

8 6 6

8 6 6

6 6 4

9 7 8

25 23 22

5 7 6

9 9 7

7 5 6

77 69 65

83.7 75.0 70.7

I ,

,

L.

'2 ~ OQ ~ III .....

N~ WN ....

'" b