" S i x t h Session TECHHICAL DISCUSSIONS

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UNITED NATIONS NATIONS UNlES

I

WORLD H E A L T H

ORGANIZ.ATI.ON

EASTERN MEDITERRANEAN

REGIONAL COhItfI'i'TEZ FOR THE

EASWRN ⁷ ^"

S i x t h S e s s i o n

TECHHICAL DISCUSSIONS

ORGANISATION MONDIALE +%?+A- SANTE

BUREAU REGIONAL DE LA M~DITERRAN~E ORIENTALE

~ l I / R ~ 6 / ~ e c h . ~ i s c . / 1 3 12 September 1956 ORIGINAL: ENGLISH

m L T H I 3 _PAKISTAN

Submitted by t h e E l l n l s t r y o r Health, Government o f P a k i s t a n

1. f i e major o b j e c t i v e s cf t h e h e a l t h . e d u o a t i o n programme The majcr o b j e c t i v e s of t h e h e a l t h e d u c a t i o n p r o s r m e a r e : ( a ) To make t h e g e n e r a l p u b l i c h e a l t h conscious;

(b) t o e n l i g h t e n them about t h e e x i s t i n g h e a l t h problems i n t h e country and t h e s t e p s t o be adopted f o r t h e i r p r e v e n t i c n ;

( c ) t o e n l i s t t h e c o o p e r u t i o n of t h e p u b l i c i n c a r r y i n g c u t t h e p u b l i c h e a l t h measures.

2. ~ h c .major problems around which p e s e n t a c t i v i t i e s a r e p r i m a r i l y devoted The r a j o r problems around which t h e p r c s e n t a c $ i v i t i c s a r e b e i n g devoted a r e : ( a ) Ccnmon communicable d i s c a s c s l i k c r.lalaria, smallpox, c h o l e r a , t u b e r c u l o s i s ,

typhgid and d y s e n t c r y eta.;

( b ) environmental s a n i t a t i o n ; ( c ) m a t e r n a l and c h i l d . h e a l t h ; ( d ) s c h o o l h e a l t h ;

( e ) n u t r i t i o ~ .

3. P o p u l l t i o n groups b e i n g approached

The f o l l o v ~ i n ~ p o p u l a t i o n groups a r e b e i n g approached f o r . t h e purpose of h e a l t h e d u c a t i o n :

( a ) General p u b l i c ; ( b ) s c h c o l population;

( c ) medical, p r a o t i t i o n e r s ;

( d ) vclunta,ry s o c i a l w e l f a r e c r p . n i z a t i o n s .

3.1. qrpe of s t a f f used: Professional h e a l t h e d u c a t o r s , medical g r a d u a t e s w i t h p u b l i c h e a l t h q u a l i f i c a t i o n , s a n i t a r y i n s p e c t o r s , h e a l t h v i s i t o r s and nurees.

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EM/R~6/Tech.~isc./l3 page 2

3.2 Main methods used: Audio-visual a i d s such a s p o s t e r s , pamphlets,

e x h i b i t i o n s , meetin$sr,, l e c t u r e s , r a d i o - t a l k s , masic l a n t e r n s l i d e s , essay c m p a t i t i o n g , c l e a n l i n e s s d r i v e s , films and f i l m s t r i p s , e t c .

4. The needs f o r t r a i n i n ; personnel

The n o e d s f o r t r a i n i q personncl a r e advanced t r a i n i n g i n t h e f i e l d of h e a l t h e d u c a t i c n t o onable personncl t o h e l p bring about ^8.chanpe i n h e a l t h h a b i t s and a t t i t u d e of people i n the most e f f e c t i v e manner.

5. Technical supervision a t d i f f e r e n t l e v e l s

Tho t e c h n i c a l supervision ^{9 f} . - i - l t k , cducation i s c a r r i c d cut by the d i r e c t o r s of h a a l t f t - e r v f m s . i n tfre -p- w i n r r i a l - l e v e l and B y t h e d i s t ' r i c t lioalth o f f i c e r s / c i v i l surEeons a t t h e d i s t r i c t level. The D i r e c t o r of Health Services i s a s s i s t c d by t h e A s s i s t a n t Directors of Health Services and other s e n i o r o f f i c e r s . I n t h e c i t i e s , t h e municipal h e n l t h o f f i c e r s supervise t h e h e a l t h education progremne.

6. Budgetary p r o v i s i o n f o r h e a l t h education

The budgetary ; r o v i s i s n made f o r t h e purcose v a r i e s from year t o year a s may be necessary.

7. S p e c i a l u n i t r e s p m s i b l e for h e a l t h education

There i s a bureau of h e a l t h education i n tho Central Ministrv of Health. This bureau p r e p a r s s i n s t r u c t i v c posters. pamphlets, bcoklets and f i l m s on h e a l t h and hygiene t o s s s i s t the P r o v i n c i a l Smermaents and l o c a l organizations i n t h e propat;a- t i o n of h e a l t h knowledge a m o q s t t h ~ public. I n tho provinces, t h e r e arc; no s e p a r a t e u n i t s f o r h e a l t h education. The various branches of the h e a l t h d i r e c t c r a t e and

the f i c l d s t a f f a t the d i s t r i c t l e v e l c a r r y out the work.

8. Health education a s p e c t s of work o f other I ~ z e n c i e s

Other acencies l i k e cducation and voluntary a s s o o i a t i c n s etc., rcnder sane a s s i s t a n c e t o the h e a l t h education prosramme. But t h c major r e s p o n s i b i l i d f r e s t s on t h e h e a l t h department.

9. Traininc of teachers i n h e a l t h education

The medical s r c d u a t e s desirous cf having a p u b l i c h e a l t h c a r e e r a r e given t r a i n i n s i n h e a l t h cducation a s p a r t of t h e i r post-grodunte course f o r t h e Diploma i n Public Health i n the I n s t i t u t e of Hygiene and Preventive Medicine, Lahsre. The s a n i t a r y i n s p o c t c r s and h e a l t h v i s i t o r s are a l s o civen such t r a i n i n s , Thcre i s p r o v i s i o n f o r t r a i n i n g of teachors i n h e a l t h and hysiene i n tho teachers t r a i n i n i :

i n s t i t u t i o n s .

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EiM/R~6/~ech.~isc./13 page 3

10. The needs

and

possibilities f o r s t r e n ~ t h e n i n g h e a l t h cducation i n schools

-3Torts hr.w bcen made t o s t r e n e t h e n the h e a l t h education measures i n schools and f o r t h i s purpose school h e a l t h s e r v i c e s have bcen provided i n s e l e c t e d a r e a s , so t h a t t h e students m d t h e t e a c h e r s can p a r t i c i p a t e i n the h e a l t h education pro~ramme. The s u b j e c t of hygiene has been included i n thc curriculum of primary and secondary educa- t i o n f o r educatinz t h e school population i n r u l e s of health.

11. Opportunities and d i f f i c u l t i e s f o r l o c a l p a r t i c i p a t i c n on t h e v i l l a g e l e v e l i n h e a l t h education

There i s a country-wide v i l l a g e - a i d programme i n operation. It provides a n opportunity of p a r t i c i p a t i o n i n t k !;i;nlth education pro&r--~.w a t t h e v i l l a g e levol.

I l l i t e r a c y , isnorance and prejudice amongst t h e v i l l a z e s a r e some of the d i f f i c u l t i e s which a r e now being t a c k l e d t o . M e t h e programme a success.

1 2 . Role of h e a l t h education i n mass campaigns

To a s s i s t mass campaigns i n r e s p e c t of malaria, t u b e r c u l o s i s etc., p o s t e r s , l e a f l t t s and pamphlets a r e d i s t r i b u t e d f o r dissemfnation of h e a l t h knowledre among t h e public. Lectures, h e a l t h t a l k s and radio speeches a r e a l s o given from time t o