WORLD HEALTH ORGANIZATION A32/B/conf.Paper No. 15 ...

WORLD HEALTH ORGANIZATION A32/B/conf.Paper No. 15

ORGANISATION MONDIALE DE LA SANTÉ 23 May 1979

THIRTY-SECOND WORLD HEALTH ASSEMBLY

Agenda item 2.7.1

WHO LONG-TERM PROGRAMME FOR MATERNAL AND CHILD HEALTH

(Draft resolution proposed by the delegations of Benin，

Botswana, Canada， Denmark， Finland， Iceland, Kenya， Netherlands，

New Zealand， Nigeria, Norway， Sudan， Swaziland,Sweden and United States of America)

The Thirty-second World Health Assembly,

Recalling resolutions WHA27.43, WHA31.47

Referring to the social target of health regarding primary health care adopted in 1978

and WHA31.55;

for all by the year 2000 and to the principles at the conference in Alma-Ata;

Recognizing that maternal and child health care including nutrition, family planning and immunization are essential aspects of primary health care;

Convinced that a rapid development and determined strengthening of maternal and child health care are of paramount importance for attaining the goal of health for all by the year 2000;

Realizing that one-third of the world1 s population in the year 2000 is not yet born;

Recognizing also that maternal and child health is an important health priority, firmly interrelated with the social and economic development of every country;

Recognizing that definite improvements in the health of mothers and children have been achieved where special efforts and resources have been committed to this area of health development;

Convinced that it is important to ensure continuation of the emphasis on the welfare of children started during the International Year of the Child; and

Thanking the Director-General for his comprehensive and informative report providing the background for action now,

1. URGES Member States：

(1) to further develop their overall health and socioeconomic planning giving special attention to factors influencing the development of mothers, children and the family;

(2) to promote the development of primary health care programmes with concrete plans for maternal and child health care as one of its essential elements;

(3) to ensure, with the people and their communities, the deyelopment and utilization of maternal and child health care that includes care during pregnancy and childbirth, family planning, infant and child care with appropriate programmes on nutrition, and education for family life;

(4) to develop, as appropriate, related social services such as day-care services, school health, adolescent services and relevant social legislation in support of mothers

______ and children;

This Conf.Paper was originally distributed as document A32/A/conf.Paper No.2 on 17 May1979.

А32/в/соп£.Paper No. 15

page 2

(5) to review present utilization of all health personnel including traditional health workers in order to ensure a better use of existing resources also for maternal and child health;

(6) to develop and strengthen the information support necessary for the planning and implementation of maternal and child care at different levels of the health care system;

(7) to include in the planned efforts for maternal and child health in all countries, specific attempts to reach high risk and underprivileged groups of mothers and children and their families;

(8) to consider in their distribution of national resources for health development the needs of mothers, children and families;

(9) to support all efforts at improving the nutrition of pregnant women and children; and

(10) to support research and development as well as evaluation in the area of maternal and child health as part of health services research;

2. REQUESTS the Director-General:

(1) to support, in collaboration with UNICEF and UNFPA, Member States to formulate and implement long-term maternal and child health programmes as part of the development of their strategies to reach the goal of health for all by the year 2000;

(2) to support Member States in setting quantifiable targets and in the utilization of suitable indicators for monitoring the effectiveness of their activities in maternal and child health;

(3) to support Member States in developing training programmes for all categories of health workers as well as others involved with the view to increasing their understanding of the relation between health, social and economic factors with particular reference to the development of children;

(4) to further develop the Organization’s activities for the development of appropriate technology in maternal and child health care and promote health services research in this field;

(5) to intensify efforts for providing additional support for the Organization*s programme in maternal and child health and to mobilize scientific and financial resources in this field; and

(6) to report progress of this work to a future World Health Assembly.

A32/B/Conf.Paper N o .15 A d d .1

23 May 1979

WORLD HEALTH ORGANIZATION

ORGANISATION MONDIALE DE LA SANTÉ


Agenda item 2.7.1


(Amendments proposed by the delegation of the Union of Soviet Socialist Republics to the draft resolution contained in A32/^/conf.Paper No .15)

The amendments proposed by the delegation of the Union of Soviet Socialist Republics have been inserted in the original text and are indicated by underlining ; those words which

it is proposed to delete are shown in square brackets.


Recalling resolutions WHA27 .43 , WHA31.47 and WHA31.55 ;

Referring to the social target of health for all by the year 2000 and to the principlesregarding primary health care adopted in 1978 at the conference in Alma-Ata ;

Recognizing that maternal and child health care including nutrition, family planning and immunization are essential aspects of primary health care ;

Convinced that a rapid development health care are of paramount importance

2000;

Realizing that more than one-third yet born ;

Recognizing also that maternal and firmly interrelated with the social and

and determined strengthening of maternal and child for attaining the goal of health for all by the year

of the world * s population in the year 2000 is not

child health is [ax\ important/ the health priority, economic development of every country ;

Recognizing that definite improvements in the health of mothers and children have been achieved where special efforts and resources have been committed to this area of health

development ;

Convinced that it is important to ensure continuation of the emphasis on the welfare of children started during the International Year of the Child ;

Thanking the Director-General for his comprehensive and informative report providing the background for action n o w ,

1 . URGES Member States :

(1) to further develop their overall health and socioeconomic planning giving S p e c i a l / due and explicit attention to ^factors influencing the development/ meeting health and other needs of mothers, children and the family, and to ensure appropriate distribution of national resources to this end ;

(2) to promote the development of primary health care programmes with concrete plans for maternal and child health care as ^one of its essential elements/ its essential component that includes care during pregnancy and childbirth， family planning, infant and child care with appropriate focus on improvement of nutrition, prevention of infections，physical and psychological development of the child a and education for

family life ;

(3) to ensure the development of appropriate supportive, referral and training services in paediatrics， obstetrics and other related subjects in line with principles of primary health care ; —

A 3 2/B/conf .Paper No .15 A d d .1

page 2

(4) to ensure /7with the people and their/ active participation of individuals, families and communities in the development and utilization of maternal and child health care /that includes care during pregnancy and childbirth, family planning, infant and child care with appropriate programmes on nutrition, and education for family lifej7

(5) to develop, as appropriate, health and related social services such as day-care services, school health, adolescent services and relevant social legislation in support of mothers and children ;

(6) to review present utilization of all health personnel including traditional health workers in order to ensure a better use of existing resources ¿also/ for maternal and child health ;

(7) to develop and strengthen the information support necessary for the planning and implementation of maternal and child care at different levels of the health care system ;

(8) to include in the planned efforts for maternal and child health /in all countries/, specific attempts to reach high risk and underprivileged groups of mothers and children and their families, and to specifically support all efforts at improving the nutrition of pregnant and lactating mothers and children ;

/(8) to consider in their distribution of national resources for health development the needs of mothers, children and families J

to support all efforts at improving the nutrition of pregnant women and children ;and/

(9) to support research and development as well as evaluation in the area of maternal and child health as part of health services research ;

2. REQUESTS the Director-General :

(1) to support, in collaboration with UNICEF and UNFPA, Member States' /to formulate and implement/ formulation and implementation of long-term maternal and child health programmes as part of the development of their strategies to reach the goal of health for all by the year 2000 ;

(2) to support Member States in setting quantifiable targets and in the utilization of suitable indicators for monitoring the effectiveness of their activities in maternal and child health ;

/ (3) to support Member States in developing training programmes for all categories of health workers as well as others involved with the view to increasing their understanding of the relation between health, social and economic factors with particular reference to

the development of children

(3) to further support Member States in development of training programmes for all categories of workers in the health sector as well as other sectors aiming at the increase of their awareness of the relationship between health and socioeconomic factors with particular reference to the development of children ;

(4) to further develop the Organization's activities for the development of appropriate technology in maternal and child health care and promote health services research in this

field ;

(5) to intensify efforts for providing additional support for the Organization's programme in maternal and child health and to mobilize scientific and financial resources in this field ; and

(6) to report progress of this work to a future World Health Assembly .

^ WORLD HEALTH ORGANIZATION

f ORGANISATION MONDIALE DE LA SANTÉ


Agenda item 2.7.1

A32/B/conf.Paper No.15 Add.2

23 May 1979


(Amendments proposed by the delegation of the German Democratic Republic to the draft resolution contained

in document А32/в/Conf.Paper No.15)

The delegation of the German Democratic Republic has proposed the following amendments to the draft resolution contained in document А32/в/Conf.Paper N o .15:

(a) after preambular paragraph 6，add a new paragraph as follows :

"Emphasizing that for the implementation of healthy and happy life of the coming generations international security and progress in disarmament are necessary prerequisites ;!f

(b) in operative paragraph 2 . ， replace operative paragraph 2. (3) ， (4) and (5) by the following:

(3) assist Member States in implementing the Expanded Programme on Immunization as an integral part of MCH services for the prevention of diphtheria, tetanus, whooping cough, tuberculosis, measles and poliomyelitis ;

(4) assist Member States in implementing systematic and planned chloroquine chemoprophylaxis of malaria for children and pregnant mothers in highly malarious areas ;

(5) promote specific governmental regulations and laws to provide free health services at least during periods of high risk： pregnancy, delivery and the first years of life when breast feeding, immunization and treatment of infectious and parasitic diseases are crucial for survival;**

THIRTY-SECOND WORLD HEALTH ASSEMBLY А32/В/C o n f .Paper No. 15 A d d . 3

24 May 1979

Agenda item 2 •7 • 1


(Amendments proposed by the delegation of Turkey and accepted by

the delegation of the Union of Soviet Socialist Republics to the

draft resolution contained in document A32/l3/Conf. Paper No. 15 Add. 1)

The amendments read as follows:

a) operative paragraph 1. (6), add just before the words "to review present

u tilization’’ the words :

’’to encourage new approaches for s i m p l e r , more direct and massive actions

to bring to those families, mothers and children most in need those

essential health and educational services which are still unavailable

to them and to’1

b) operative paragraph 2. (1), add just after the words "UNFPA, Member States*'

the words :

" and c o m p e t e n t non-governmental organizations in official relations w ith

the World Health Organization**

c) operative paragraph 2. (3), add just before the words иto further support

Member States" the words :

"to support Member States in curricular revisions in teaching medical and

health sciences to give wider coverage to family health and maternal and

child health and,’

WORLD HEALTH ORGANIZATION

ORGANISATION MONDIALE DE LA SANTÉ


Agenda item 2.7.1

A32/в/Conf.Paper No.15 Add.4

25 May 1979


(Draft resolution prepared by a working group)


Recalling resolutions WHA27.43, WHA31.47 and WHA31.55;

Referring to the social target of health regarding primary health care adopted in 1978

for all by the year 2000 and to the principles at the conference in Alma-Ata;

Recognizing that maternal and child health care including nutrition, family planning and immunization are essential aspects of primary health care;

Convinced that a rapid development health care are of paramount importance 2000;

and determined strengthening of maternal and child for attaining the goal of health for all by the year

Realizing that more than one-third of the world's population in the year 2000 is not yetborn;

Recognizing also that maternal and child health is the health priority, firmly interrelated with the social and economic development of every country;

Recognizing that definite improvements in the health of mothers and children have been achieved where special efforts and resources have been committed to this area of health development;

Convinced that it is important to ensure continuation of the emphasis on the welfare of children started during the International Year of the Child;

Thanking the Director-General for his comprehensive and informative report providing the background for action now,

1. URGES Member States :

(1) to further develop their overall health and socioeconomic planning giving due and explicit attention to meeting health and other needs of mothers, children and the family, and to ensure appropriate distribution of national resources to this end;

(2) to promote specific governmental regulations and laws to provide free health

services at least during periods of high risk: pregnancy, delivery and the first years of life when breastfeeding, immunization and treatment of infectious and parasitic diseases are crucial for survival;

(3) to promote the development of primary health care programmes with concrete plans for maternal and child health care as its essential component that includes care during pregnancy and childbirth, family planning, infant and child care with appropriate focus on improvement of nutrition, prevention of infections, promotion of physical and psychological development of the child, and education for family life;

(4) to ensure the development of appropriate supportive, referral and training services

in paediatrics, obstetrics and other related subjects in line with principles of primary health care;

A32/в/Conf.Paper No. 15 Add.4 page 2

(5) to ensure active participation of individuals, families and communities in the development and utilization of maternal and child health care;

(6) to develop, as appropriate, health and related social services such as day-care services, school health, adolescent services and relevant social legislation in support of mothers and children;

(7) to encourage new approaches for simpler, more direct and massive actions to bring to those families, mothers and children most in need those essential health and educational services which are still unavailable to them and review when appropriate present utilization of all health personnel including traditional health workers in order to ensure a better use of existing resources for maternal and child health;

(8) to develop and strengthen the information support necessary for the planning and implementation of maternal and child care at different levels of the health care system;

(9) to include in the planned efforts for maternal and child health specific attempts to reach high-risk and underprivileged groups of mothers and children and their families, and to specifically support all efforts at improving the nutrition of pregnant and lactating mothers and children;

(10) to support research and development as well as evaluation in the area of maternal and child health as part of health services research;

2. REQUESTS the Director-General:

(1) to support, in collaboration with UNICEF and UNFPA, and competent nongovernmental organizations in official relations with the World Health Organization and with Member States formulation and implementat ion of long-term maternal and child health programmes as part of the development of their strategies to reach the goal of health for all by the year 2000;

(2) to support Member States in setting quantifiable targets and in the utilization of suitable indicators for monitoring the effectiveness of their activities in maternal and child health;

(3) to assist Member States in implementing the Expanded Programme on Immunization as an integral part of MCH services;

(4) to assist Member States in implementing systematic and planned chloroquine chemoprophylaxis of malaria for children and pregnant mothers in highly malarious areas;

(5) to further support Member States in curricular revisions in teaching medical and health sciences to give wider coverage to family health and maternal and child health and in development of training programmes for all categories of workers in the health sector as well as other sectors aiming at the increase of their awareness of the relationship between health and socioeconomic factors with particular reference to the development of children;

(6) to further develop the Organization* s activities for the development of appropriate technology in maternal and child health care and promote health services research in this

field;

(7) to intensify efforts for providing additional support for the Organization's programme in maternal and child health and to mobilize scientific and financial resources in this field;

(8) to report progress of this work to a future World Health Assembly.

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