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Agencies
The scope and intensity of global health challenges are multitude in nature. No single country
or agency can tackle or find solutions for this. Multiple international agencies and institutions
extend their help and cooperation in shaping the global health policies, funding,
implementation and evaluation of the programs that work for international health.
Health is a complete state of physical, mental and social well-being and not merely
the absence of disease or infirmity
Attainment of highest standard of health is the fundamental right without
discrimination
The health of people is fundamental for attainment of peace and security
Achievement of any state in promotion and protection of health is of value to all
Unequal development in different countries in promotion and control of disease is
danger to all
Extension to all people of the benefits of medical, psychological and related
knowledge is essential to the fullest attainment of health
Informed opinion and active cooperation of public is at most importance to improve
the health of people
Governments have a responsibility on people's health that can be achieved by
provision of adequate health and social measures.
MAJOR POLICIES AND WHO-The two major policies that have influenced WHO are the
Alma-Ata conference in 1978 on "primary health care" and the "global strategy for health for
all in 2000 AD" and the millennium development goals. More recent "sustainable
development goals" is a comprehensive one, which may also have strong influence on
activities of WHO.
WORLD HEALTH ASSEMBLY-This is the highest governing body and the "health
parliament of nations." Holds annual meeting in the month of May, usually at the
headquarters, Geneva. However, it holds meetings in other countries too. The assembly is
composed of delegates representing member states each has one vote.
EXECUTIVE BOARD-
SECRETARIAT- The Director General who functions as the chief technical and
administrative officer of the organization chairs the Secretariat.
o To provide technical and managerial support to member states for their national
development programs.
o Five Assistant Director Generals deal with different divisions.
o There are following components in Secretariat and each deals with specific function.
They are:
Epidemiological surveillance and health situation and trend assessment
Communicable diseases.
Vector biology and control.
Environmental health.
Mental health.
Diagnostic and rehabilitation
Strengthening of health services
Family health.
Non-communicable diseases.
Information systems support
Personnel and general services.
Budget and finance.
WHO REGIONAL CENTERSTo meet the special health needs of different areas, WHO
established its regional centers in six places:
2. Africa-Brazzaville-Congo.
4. Europe-Copenhagen (Denmark).
UNICEF-
United Nations Children's Emergency Fund (UNICEF) was one of the specialized agencies of
United Nations formed in 1946 to provide relief to children of devastated countries of World
War II. After 1950, once the relief functions were over, the fund was utilized for helping the
children's welfare, in less developed countries. In 1953, the general assembly renamed it as
"United Nations Children Fund" and retained the initials UNICEF. UNICEF was awarded
with the Nobel Prize for Peace in 1965. UNICEF has its headquarters in New York. UNICEF
works in close collaboration with WHO, FAO, UNDP and UNESCO
GOALS-
SERVICES OF UNICEF-
CHILD HEALTH: UNICEF provides extensive support in the field of maternal and
child health. UNICEF gives higher level priority to child health, nutrition, family and
child welfare, breastfeeding and growth monitoring, prevention of vaccine
preventable diseases, prevention of diarrhea and oral rehydration.
Supported India's BCG vaccination program from the time of its inception.
Provided assistance in establishing penicillin plant near Pune.
Donated DDT plant.
Provided two plants for manufacturing triple vaccine and iodized salt.
Assistance in water supply in rural areas.
Assistance in safe drinking water.
Primary health care to mothers and children.
Child care
Immunization.
Family planning services.
Safe water and adequate sanitation.
Motivation on community participation.
CHILD NUTRITION: Supplementing child feeding as measure to improve the
nutritional status of children began in 1950 and slowly reached the level of preparing
low-cost protein rich foods.
UNICEF in collaboration with FAO started "Applied nutrition program" (Food and
Agricultural Organization) as a part of community development.
Took initiative in supplying equipment for modern dairy plants in various parts of
India
Provision of large doses of vitamin A in areas where xerophthalmia was prevalent.
Iodization of salt in goiter endemic areas.
Provision of iron and folate supplements to combat anemias.
FAMILY AND CHILD WELFARE:
UNICEF aimed at improving the care of children not only at home but also outside
their homes.
UNICEF had taken efforts to attain the above objective through provision of
education to parents, day care centers, child welfare and youth welfare agencies and
women's clubs. These projects are merged with other programs on health, nutrition
and education.
EDUCATION-
Formal and non-formal education: UNICEF in collaboration with UNESCO helps
India in the expansion and improvement of teaching science.
UNICEF provides support in supplying laboratory equipment, library books, and
audio-visual aids to the institutions.
Promotion of "GOBI-FFF campaign" to encourage four basic strategies for a "child
health revolution."
G-Growth charts to better monitor child development O-Oral rehydration to treat
all mild and moderate C dehydration.
B-Breastfeeding is the best possible food which gives great immunity to fight
against common infections that occur in the first six months of life.
I- Immunization against measles, diphtheria, pertussis, tetanus, poliomyelitis and
tuberculosis.
F-Female education-educating females is the vital instrument to reduce under five
mortality. A child born of a mother with no education has twice the chance to die
in infancy than a child born of a mother. who has four years of schooling
F - Family spacing-Infant and child deaths have been found to be, on average,
twice as high when the interval between births is less than two years.
F - Food supplements-Provision of a handful of extra food each day for at-risk
pregnant women has been shown to reduce the risk of low birth-weight. The
babies of low-birthweight are at two or three times of greater risk to die in
infancy. Since 1976, UNICEF participates in urban basic services (UBS)-this also
focuses on health, nutrition, water supply, education and basic sanitation.
o United Nations Development Program (UNDP) was established in the year 1966.
o The main goal of UNDP is to help poorer nations develop their human and natural
resources more fully.
o The UNDP projects provide support to every economic and social sector like
agriculture, industry, education and science, health, social welfare, etc.
ACTIVITIES OF UNDP-
o UNDP's network links and coordinates global and national efforts to attain the above
said goals.
o UNDP helps countries to build and share solutions to meet the challenges in the fields
of:
Democratic governance.
Poverty reduction.
Crisis prevention and recovery.
Environment and energy.
HIV/AIDS
The Food and Agriculture Organization (FAO) was formed in the year 1945 with
headquarters in Rome. This United Nations Organization looks after several areas of world
cooperation. FAO is the lead United Nations (UN) agency for agriculture,fisheries, forestry
and rural development.
The International Labor Organization (ILO) was established in the year 1919 as an affiliate to
League of Nations to improve the living conditions of the working populations all over the d
world. The headquarters of ILO is in Geneva, Switzerland.
In 1969, the organization received the Nobel Peace Prize for improving peace among classes,
pursuing justice for workers, and providing technical assistance to other developing nations.
PURPOSES OF ILO-
SERVICES-
The ILO is a United Nations Agency that deals about labor issues. ILO specifically
observes international labor standards to provide decent work for all.
It also extends assistance to organizations interested in improving living and
employment standards.
ILO collaborates with WHO in matters related to health and labor.
WORLD BANK-
The World Bank was established in the year 1944 with the headquarters in Washington, DC.
This is a specialized agency of United Nations. The World Bank functions as a main source
of financial and technical assistance to developing countries, globally. World Bank's
controlling authority is the Board of Governors.
OBJECTIVES-
(1)Investments in education,
(2) Health,
(4) Infrastructure,
(7) Agriculture,
The United Nations Fund for Population Activities (UNFPA) is an international development
agency, created in 1968 to support the execution of projects and programs in the area of
population and sexual and reproductive health. UNFPA has been providing assistance to
India since 1974.
Training health workers to deliver quality family planning services and supply
contraceptives in emergency situations.
Ensuring youth-friendly reproductive health care.
Providing counseling to women who want to avoid or delay pregnancy.
Educating men on the benefits of birth spacing.
SUPPORT TO PROMOTE MATERNAL HEALTH-
The main objective of UNESCO is to contribute peace and security in the world by
promoting international collaboration through education, science, culture and communication
irrespective of race, sex, language or religion.
United Nations Government extends its help and support to Indian projects through three
agencies, they are: (1) USAID, (2) The Public law 480 program; (3) US export-import bank.
The USAID is the United States Government Agency that is responsible for administering
civilian foreign aid. In 1961, President John F Kennedy created the USAID. USAID's
mission statement highlights two goals. They are: (1) ending extreme poverty, (2) promoting
the development of resilient, democratic societies that are able to realize their potential.
Malaria eradication.
Medical education.
Nursing education.
Health education.
Water supply and sanitation
Control of communicable diseases
Nutrition
Family planning
Most recently high-level support is extended on agriculture and family planning by reducing
on general health fund.
MISSION-The JHPIEGO creates and delivers transformative health care solutions that save
lives. In partnership with national governments, health experts and local communities,
JHPIEGO builds health providers' skills and develops systems that save lives now and
guarantee healthier futures for women and their families.
VISION- Self-reliant countries, healthy families and resilient communities. All women and
families, regardless of where they live, having equitable access to high-quality, lifesaving
health care delivered by competent and caring providers.
AIM
ACTIVITIES-
FOCUSED AREAS-
JHPIEGO IN INDIA
In 2009 JHPIEGO established office in India and has been closely collaborating with
MoHFW at the national and state levels. It is providing Technical Assistance (TA) in the
areas of:
Strengthening FP services.
Strengthening the Human Resources for Health (HRH).
Improving the quality of maternal and newborn health (MNH) care
JHPIEGO works closely with the Government of India, at the national and state level,
providing technical assistance in strengthening FP services in the country.
The National Technical Support Unit-Family Planning (NTSU-FP) provides support
in strengthening voluntary high-quality FP services in India.
Scaling-up Postpartum IUCD in India: Leveraging the Confluence of Positive Factors
for National Impact.
Provides Postpartum Family Planning (PPFP) and Postpartum Intrauterine
Contraceptive Device (PPIUCD) services beyond the district level to the sub-district
level facilities.
Training doctors and nurses in providing PPFP services.
JHPIEGO is providing technical assistance at National and State levels for strengthening the
delivery of Comprehensive primary health care (CPHC) services in HWCs.
Gol envisages creation of midwife led "Certified Birthing Centers" in 89 districts across nine
high focus states to improve availability of quality midwifery services at the sub-district
level. Specialist midwives will independently function in these birthing centers. JHPIEGO
will support the establishment and operationalization of "Certified Birthing Centers" in three
high focus states (Assam, Jharkhand and Madhya Pradesh).
This project aims to assess and improve the skills and competencies of frontline health
workers and their supervisors to provide quality care.
ROCKEFELLER FOUNDATION-
ACTIVITIES
The establishment of All India Institute of hygiene and public health at Kolkata.
Setting up of field demonstration area to department preventive and social medicine
and All India Institute of Medical Sciences.
Provision of training to competent teachers and research workers.
Training of Indian candidates abroad through fellowships and travel grants.
Sponsoring of large number of medical students from USA to visit India.
Provision of grant in aids to selected institutions
Development of medical college libraries.
Assistance to research projects.
Currently this foundation provides support in the activities related to agriculture,
family planning, medical education and rural training.
FORD FOUNDATION-
The Foundation established its office at New Delhi, India in 1952, following the receipt of an
invitation from Prime Minister Jawaharlal Nehru. This is Foundation's first program outside
the United States and the largest among overseas operations. The office in New Delhi, also
serves in Nepal and Sri Lanka.
Environment development.
Community-based natural resource management.
Promotion and utilization of local knowledge and appropriate technology for better
management of resources.
Making micro-finance more accessible to people.
Promoting peace and social justice.
Encouraging appropriate strategies for poverty reduction.
Cooperative for Assistance and Relief Everywhere (CARE), was formerly known as
"Cooperative for American Remittances to Europe" CARE is the world's largest independent,
nonsectarian, nongovernmental organization founded in 1945. CARE is a major international
humanitarian agency that extends emergency relief and assistance to long- term international
development projects. CARE is currently working in 79 poor and developing countries. The
main aim is to help poorest people.
MISSION OF CARE-
The CARE places women and girls as the core of their service because they believe that to
overcome poverty all people should have equal rights and opportunities
SERVICES IN INDIA
The CARE was in operation since 1950 in India. Until 1980, the primary focus of "CARE" in
India was providing food to children of 6-11 years. From 1980, it started to support ICDS
project and showed interest in developing health programs and income supplementation
schemes. CARE-India works in partnership with Government of India, state governments and
NGOs.
Jean Henry Dunant was a young Swiss businessman. He happened to see the wounded
soldiers in the battle field of Solferino, Italy in 1859 during the Franco-Austrian war. He was
shocked to see the conditions of the soldiers and tried arranging for relief services by getting
the help of the local community His experience compelled him to write the book "Memory of
Solferino" In the book, he suggested for establishing a neutral organization to aid the
wounded soldiers in times of war. Just a year after the release of the book, an international
conference was held in Geneva. In this conference, suggestions of Henry Dunant were
considered and this made the pavernent for the birth of Red Cross Movement. Geneva
Convention of 1864 established international "Red Cross Movement". The International
Committee of Red Cross (ICRC), the independent neutral institution developed. The name
and the emblem of the movement are derived from the reversal of the Swiss national flag, to
honor the country in which Red Cross was found. In 1919, the League of the Red Cross
Society was created which functions at Geneva to coordinate the work of national
societies.Its mission is to alleviate human suffering, protect life and healthand uphold human
dignity, especially during armed conflicts and other emergencies.
SERVICES-
Initially, it was confined to humanitarian services focused on serving the victims of war.
Later, the services extended to meet various challenges: Services to armed forces.
RELIEF WORK
During disasters (earthquake, floods, drought, epidemics, etc.) as an immediate response, the
Red Cross mobilizes its sources to extend help in rescuing people in disaster affected areas.
Red Cross provides assistance to hospitals, dispensaries, maternity and child welfare centers,
schools and orphanages every year, in the form of milk powder, vitamins, medicines and
other supplies.
ARMED FORCES
Its primary function is to care sick and wounded people from military services. Red Cross
Society runs its own hospital (Red Cross Home) in Bengaluru for permanently disabled Ex-
service-men.
Currently, there are many maternal and child welfare centers run by Red Cross all over
India.The Bureau of Maternity and Child welfare provides technical advice and finance aids
for starting modern maternity and child welfare centers
FAMILY PLANNING
The Hind Kusht Nivaran Sangh was founded in 1950. Indian Council of the British Empire
Leprosy Relief Association (BELRA) was renamed as LEPRA in 1950 which was considered
the precursor of this sangh. It has the headquarters at New Delhi, and branches all over India.
ACTIVITIES
Indian Council for Child Welfare (ICCW) was established in 1952. It is affiliated with
International union for child welfare. It has state and district councils all over India. It is the
single largest agency, promoting development services for children. The administration
includes President, Vice President, Secretary, Joint secretary, Treasurer and 15 elected
members. ICCW adopts the UN Convention on the Rights of the Child (UN CRC) as a
framework to guide the work. ICCW helps vulnerable and disadvantageous children by
providing direct services.
ACTIVITIES-
ACTIVITIES
Bharat Sevak Samaj (BSS) is a nonofficial, nonpolitical organization started in 1952BSS has
branches in all the states and in all the districtsThe basic aim of this samaj is to make people
realize their potentials and help to achieve health by own efforts and actions. The main work
of BSS is to improve basic sanitation in villages.
The Central Social Welfare Board (CSWB) was established in August 1953 by Government
of India. The founder Chairperson of the Board, was Dr Durgabai Deshmukh. It is an
autonomous body that functions under Ministry of Education.
FUNCTIONS
The Kasturba Memorial Fund was created in the name of Smt Kasturba Gandhi after her
death in 1944. The principal objective was to improve women's status in rural areas through
Gram-Sevikas. The fund aimed at solving various issues of women in rural India.
The Family Planning Association (FPA) was formed in 1949 basing its headquarters at
Mumbai. Currently FPA India functions in 17 states and in 1 Union Territory. FPA India
covers about 10% of the district population and helps in fertility reduction. It has 42
branches/projects, 39 static clinics, 23 Urban Welfare Centers (funded by the Government of
India), 78 outreach units and 148 adolescent's youth friendly centers/clinics.
The FPA India has made extensive contribution in the area of family planning. Now, FPA
India is devoted to promote - knowledge on family planning and to advocate for sexual and -
reproductive health (SRH), rights and choices through its youth friendly centers.
ACTIVITIES
The only women's voluntary welfare organization of India was established in 1926. It has got
branches all over India. This works for a society with the principles of social justice, personal
integrity and equal rights and opportunities for all.
SERVICES
o MCH clinics.
o Medical centers.
o Adult education center to improve female literacy.
o Milk centers.
o Family planning clinics.
All India Blind Relief Society established in 1946. It focuses on coordinating different
institutions that work with the same goal.
MAIN FUNCTIONS
o Coordination with different institutions that work for the blind relief.
o Eye camps for identification of preventable blindness.
o Camps for cataract screening and surgery (recently with IOL implantation).
o Distribution of free spectacles for refractory correction.
PROFESSIONAL BODIES
The professional bodies of India like Indian Medical Association, Indian Dental Association,
and Trained Nurses Association of India are voluntary agencies who are qualified in their
field and possess licenses to practice in their domain. These professional bodies conduct
research, publish journals, and organize scientific sessions, setup standards for professional
education and works with great involvement in relief camps during disasters.
INTERNATIONAL AGENCIES
Rockefeller foundation, Ford foundation and CARE are examples for it and these were
explained in detail in previous Paragraphs