Annual Report of the Director 1996



Table of Contents

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MESSAGE OF THE DIRECTOR: HEALTHY PEOPLE, HEALTHY SPACES xi
 
THE HEALTH SITUATION
1
 
Healthy Spaces in the Americas
1
 
Methodology
2
 
Healthy People as a Function of Health Status
6
 
Healthy Spaces as a Function of Living Conditions
9
 
Healthy People in Healthy Spaces: An Integrated Approach to Equity in Health
13
 
Promoting the Analysis of Healthy Environments in the Region
14
 
THE TECHNICAL COOPERATION PROGRAM
49
 
Strategic and Programmatic Orientations
51
 
* Health Promotion and Protection
52
 
      Healthy Spaces
52
 
      Health throughout the Life Cycle
59
 
      Health Communication
65
 
      Food Safety
66
 
* Environmental Protection and Development
67
 
      Promotion of Healthy Spaces
70
 
         Work Environments
71
 
         Environmental Waste Management
73

      Adequate Sanitation for Communities
 74
 
          Safe Water in the Home
 75
 
          Healthy Communities
 77
 * Health in Human Development  78
 
      Women, Health, and Development
 78
 
      Health Situation Analysis
 79
  
      Bioethics
 80
 
      Health Policy and Sector Financing
 81
 
      Health and Tourism
 84
 
      PAHO and Religious Groups
 85
 * Health Systems and Services Development  86
  
      Policies and Institutional Organization of Health Care
 86
 
      Organization of Health Service Delivery
 87
 
      Planning, Analysis of Health Spending, and Promotion of Investment in Health
 88
 
      Information Systems for Health Systems and Services
 89
 
      Development of Human Resources for Health
 90
 
      Essential Drugs and Technology
 92
  
      Research and Development in the Field of Vaccines
 97
 * Disease Prevention and Control  100
 
      Disease Elimination and Eradication Programs
 101
 
          Measles
 101
 
          Neonatal Tetanus
 103
 
          Leprosy
 104
 
          Chagas' Disease and Triatoma infestans
 105
 
          Onchocerciasis
 106
 
          Diseases Transmitted through Blood Transfusions
 107
 
          Foot-and-Mouth Disease
 108
  
      Disease Control Programs
 109
 
         Diseases Prevalent in Childhood
 109
 
         Vaccine-preventable Diseases
 111
 
         Emerging and Re-emerging Diseases
 112
 
         AIDS and Other Sexually Transmitted Diseases
 113
 
         Foodborne Diseases
 115
 
         Rubella
 117
 
         Tuberculosis
 118
 
         Dengue and Aedes aegypti
 119
 
         Malaria
 121
 
         Cholera
 122
 
         Human Rabies
 123
 
         Plague
 124
 
         Equine encephalitides
 125
 
      Noncommunicable Diseases
 126
 
         Cancer
 128
 
         Diabetes
 129
 
         Injury Prevention
 130
 
         Mental Health
 130
 
         Smoking, Alcoholism, and Drug Abuse
 131
 
         Nutrition-related Problems
 132
 MAJOR ACCOMPLISHMENTS OF TECHNICAL COOPERATION AT THE COUNTRY LEVEL  135
 
      Antigua and Barbuda
 136
  
      Argentina
 136
 
      Bahamas
 137
 
      Barbados
 138
 
      Belize
 139
 
      Bolivia
 140
 
      Brazil
 140
 
      British Dependent Territories
 141
 
         Anguilla
 141
 
         Bermuda
 142
 
         British Virgin Islands
 142
 
         Cayman Islands
 142
 
         Montserrat
 142
 
         Turks and Caicos Islands
 143
 
      Canada
 143
 
      Chile
 144
 
      Colombia
 145
 
      Costa Rica
 146
 
      Cuba
 148
 
      Dominica
 149
 
      Dominican Republic
 149
 
      Ecuador
 150
 
      El Salvador
 151
 
      French Departments in the Americas: French Guiana, Guadeloupe, and Martinique
 152
 
      Grenada
 153
 
      Guatemala
 153
 
      Guyana
 154
 
      Haiti
 155
 
      Honduras
 155
 
      Jamaica
 157
 
      Mexico
 157
 
      Netherlands Antilles and Aruba
 159
 
      Nicaragua
 159
 
      Panama
 160
 
      Paraguay
 162
 
      Peru
 162
 
      Puerto Rico
 163
 
      Saint Kitts and Nevis
 163
 
      Saint Lucia
 164
 
      Saint Vincent and the Grenadines
 165
 
      Suriname
 165
 
      Trinidad and Tobago
 167
 
      United States of America
 167
 
      Uruguay
 168
 
      Venezuela
 168
 
      Field Office/United States-Mexico Border
 169
 
      Caribbean Program Coordination
 170
  
EVALUATION OF TECHNICAL COOPERATION AT THE COUNTRY LEVEL
 173
 
      Antigua and Barbuda
 175
 
      Belize
 177
 
      Brazil
 180
 
      Costa Rica
 182
 
      Dominican Republic
 184
 
      Jamaica
 186
 
      Mexico
 187
 
      Netherlands Antilles and Aruba
 190
 
      Saint Kitts and Nevis
 191
 
      Trinidad and Tobago
 193
 
      Venezuela
 195
 THE SECRETARIAT  199


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