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E M / I E H / ~ - E April 1987

REGIONAL WORKSHOP FOR NATIONAL

PUBLIC INFORMnTION/PUBLfC RELATIONS OFFICERS Amman, Jordan, 21-24 J u l y 1986

( M e e t i n g R e f e r e n c e : EM/HEG.WKP.NAT.INF.OFF/~)

WOHLI) HRAI,TII ORGAN EXA'L'IUN

REGIONAL OFFICE FOR 'L'tlE EASTIZHN ME1)T'rERRANEAN 13/37

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EDITORIAL NOTE

The issue of this document does not constitute formal publlcation.

The manuscript has only been modified to tho extent necessary for proper comprehension. The views oxpressed, however, do not necessarily reflect the

official policy of the World Health Organization.

The designations employed arid Llie presentation of tho material in this document do not imply the expression of any opinion whatsoover on the part of the Secretarint of the Organization concornin& the l e e o l sknkun of any country.

territory, city or area or of its authoritles, or concerning the delimitation of its frontiers or boundaries.

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A b s t r a c t This Regional Workshop was the first of its kind in the Eastern Mediterranean R e ~ i o n . It sought Lo enhance awareness of the role of Information in the achievement of Lhe conunon goal of 1iealt.h for A11 by the Year 2000. The objective of Llle Workshop was that participants would be able to:

1. obtain a clear understanding of primary health care (PHC) and Health for I

All (IIFA) ;

2. develop a system for collaboration with WHO in advocacy for health;

3. propose plans of action within national Information and Education for Health (1k:H) activities.

Papers were presented in plenary session on: Advocacy foc Hcnlth, Working wiLh the Media, and Information/Communication in IIFA.

A long discussion followed with parLicipants informing Lhe meeting of health information acLiviLies in their counLries. Three working groups were set up to discuss Lhe same Lopics. Reports by the three groups were presented and discussed in plenary session. Guidelines were reviewed and finalized on

Lhe basis of these reports and reconunendations for futurc action wcrc formulated before the Workshop was concluded.

Observers Erorn l J N I C E P took part in all plenary and working group sessions.

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EM/IEH/7-E

TABLE OF CONTENTS

AbsLracL

1

.

INTRODUCTION

. . .

1

3

.

PARTICIPATION

. . .

1

4

.

Vk'ISNINO U P Tltli WORKSHOP

. . .

1

. . .

4 . 1 . E l e c t i o n o f o f f i c e r s 1

4 . 2 A d o p t i o n o f Agenda and Programme

. . .

1

. . .

4 . 3 Language of t h e Workshop 2

5

.

STRUCTUE OF THE WORKSHOP . PLENARY SESSIONS AND WORKING GROUPS

.

2

6

.

PLENAHYSESSION

. . .

2 6 . 1 Agenda i t e m 4 . I n t r o d u c t i o n t o H e a l t h F o r A l l by t h e Y e a r

2000 (HYA/2000) a n d t h e P r i m a r y H e a l t h C a r e ( P I C ) a p p r o a c h 2 6 . 2 Agenda i t e m 5 . I n f o r m a t i o n / C o n u n u n i c a t i o n i n HFA S t r a t e g i e s

. . .

p l a n n i n g , i m p l e m e n t a t i o n a n d e v a l u a t i o n 3 6 . 3 Agenda item b . Advocacy t o h e a l t h

. . .

3

6 . 4 Agenda iLem 7 . Working w i t h t h e m e d i a

. . .

3

6 . 5 Sunuoary o f d i s c u s s i o n s

. . .

4

. . .

7

.

W O R K I N G GROUP DISCUSSlONS . AGENDA ITEM 8 6

. . .

7 . 1 S c o p e o f p r e s e n t d u t i e s 6

7 . 2 P u L s n L i a l C o n t r i b u t i o n t o i n f o r m t o i o n s u p p o r t o f HYA

. . .

7

. . .

7 . 3 C o n s t r a i n t s t o e f f e c t i v e i n f o r m a t i o n progranunes 8

. . .

7 . 4 Needs of a d v o c a c y 9

7 . 5 T h e r o l e o f W H O

. . .

9

. . .

8

.

RECOMMENDATIONS 1 0

. . .

9

.

PHESS CONFERENCE 11

. . .

ACKNOWLEDGEMENT 11

A N N E X 1 AGENDA

. . .

1 3

. . .

ANNEX I1 PROGRAMME 1 4

. . .

ANNEX I11 LIST OF PARTICIPANTS 16

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1. INTRODUCTION

The need tc involve information officers in the ministries of health in advocacy of Health for All goals has been felt for some time. Information gathered from Member States on who carries out the tasks normally assigned to an information officer revealed that not all ministries of health in the Reeion have a hlhlic Information Officer (PIO) post. Some have a Public Relations Officer (PRO) who looks after their information work. Others have the PI0 functions distributed among a number of officials. In order to provide impetus to advocacy activities in ministries of health, a Workshop was organized with the collaboration of the Jordanian Ministry of Health. It was held in Anman during the period 21-24 July 1986. PI/PR Officers in Ministries of Health in WHO Eastern Mediterranean Region ( E m ) Member States

wero invi t p d .

2. OBJECTIVES

The objectives were that by the end of the Workshop participants should be able to:

(a) obtain a clear understanding of the concept of Health for All by the Year 2000 (HFA/2000) and the primary health care approach;

(b) develop a system of collaboration with WHO in the area of Information and Education tor Health (1EH);

(c) prepare plans of activities which they would integrate within the framework of national IEH activities.

3. PARTICIPATION

The Workshop was attended by 22 participants representing 19 Hember States and one international organization. They were supported by one WHO staff member and two WHO consultants (one each from WHO Headquarters and EMRO). A list of participants and WHO Secretariat is given as Annex I11 of this report.

4. OPENING OF THE WORKSHOP

The Workshop was opened in one of the reception halls of the Jordan Intercontinental Hotel. It was inaugurated by H.E. The Minister of Health of Jordan, Dr 2. Hamza. The messaee of nr Hussein A. Gezairy. Re~ional Director, WHO EMRO, was delivered by Dr Habiba Wassef, former Public Information Officer, EMRO and currently WHO Representative in Djibouti.

4.1 Election of Officers

Mrs N. El-Sayegh Swaiss (Jordan) was elected as Chairperson and Dr U. Abdcl Honcim (Egypt) as Vice-Cheirman. Dr F. Arshad Malik (Pakistan) was elected as Rapporteur and Dr M. Voniatis (Cyprus) as Co-Rapporteur.The working sessions were opened by Dr H. Wassef (WHO, EMRO).

4 . 2 Adoption of the Agenda and P r o g r m e

The Agenda and Programme were adopted (see Annex 1 and 2 respectively) following agreement on the suegestion to start the afternoon sessions earlier. that is. at 15.00 hours instead of 18.00. as from the zecond day.

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4.3 Language of the workshop

While the official language of the workshop was English. Arabic was also used as a working language. Running translation by the WHO Secretariat allowed for discussions in the two languages. Arabic was the working language of two working groups. The third group worked in English.

5. STRUCTURE OF THE WORKSHOP - PLENARY SESSIONS AND WORKING GROUPS

Plenary sessions held during the first day of the Workshop served to introduce the participants to the social goals of Health for All by the Year 2000 and the principles of the primary health care approach. The role of information within Health for All strategies and the subject of advocacy for health were reviewed. The subject of the broad arca of working with the media ended the presentations of the plenary session of the first day of the Workshop.

Three working groups were then formed. All three groups discussed the same five issues, taking stock of the actual scope of duties of a public information/relations or health education officer in a ministry of health.

The working groups then went on to discuss Che poter~tial role in the area of advocacy/information support to national Health for All strategies for such an officer. The main constraints to the execution of an effective advocacy/information programme to facilitate the realization of national Health for All objectives formed the third issue. Needs for the planning and implementation of a comprehensive prograrmne of advocacy, in the light of the presentations and the discussions during the first day of the Workshop, and the possible role of WllO therein completed the issues discussed by L h e

working groups. The reports of the three groups were incorporated into one summary report for the group discussions of the five issues and formed the basis for formulating the recommendations of the Workshop.

6. PLENARY SESSIONS

6.1 Agenda item 4 - Introduction to Health for All by the Year 2000 and Primary health care approach

The subject of Health for All by the Year 2000 (HFA/2000) and the primary health care (PHC) approach were introduced by Dr H. Wassef. The common social goal of HFA was described as a process leading to progressive improvement in the health of people, not as a single finite target. Each country interprets it differently in the light of its social and economic characteristics, the health status and morbidity patterns of its population, and the state of development of its health system. The success of PHC, the key approach to attaining the social goal of HFA. depends on full partnership of the people and the communities in their own health care. It was stressed that PHC is not seen as an entity in itself but as an integral part of the comprehensive health system in any country. Without political commitment from the highest level as well as commitment of the masses themselves PHC becomes an empty slogan. Some examples of the areas in a HFA strategy which can, for their realization, gain impetus from an advocacy-type support were discussed.

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6.2. Agenda item 5

-

Information/Cormmmication in HFA strategies: planning.

implementation and evaluation

The role of information in llsalth for All strategies a3 a facilitating function that cuts across all programmes was presented by Dr H. Wassef, giving examples of how information can act as a facilitating factor in several areas of a health development plan. The wide variety of the modes of comunication that can be effectively utilized to reach the designated target groups has become apparent. The usefulness of a comprehensive programme of planned activities for advocacy/information support, in contrast to isolated ad hoc interverrtiur~s, was siressed. The design and structure of such a programme should reflect the health profile and the national health development plan and be guided by the results of the recent evaluation of the progress achieved in the realization of the HFA strategies. Discussing strategies and approaches of such a plan, the training of journalists, media producers and communication specialists in dealing with health issues and training health personnel in the techniques of comunication, were important components of a lorig-term sLraLegy. Availability and accessibility of information to PI/PR Officers was a prerequisite for the development of an effective information support programme. Importance was giver. to the dov~loprn~nt. of a "pool" of relay advocates within the health sector.

6.3. Advocacy for health

A paper on advocacy in support of HFA/2000 was presented by Mr Anthony Curnow (WHO Consultant). Weakness in advocacy at various levels was a major reason why HFA/2000 strategies were not achieving the hoped-for results. The thrust of advocacy must come from governments: through regional and global strategies WHO was collaborating with them.

There was consciousness of the need for novel forms of action, for changes in attitudes to health and health services from the government level through to the general public and in the inadequacies of present systems and resources, so as to meet the targets of HFA. However, progress must be made if the health prohlems vhirh undermine the capacity of vast numbers of human beings to realize their potential were not to become graver by the turn of the century and the response of governments was not to be even less adequate than it is today.

The starting point of advocacy was to obtain insights into the beliefs, practices and perceptions of the consumers of health services, so that the messages of HFA would secure genuine popular involvement in PHC programmes.

6.4. Agenda item 7 - Working with the media

The problem of the public health sector in coming to grips with the realities of mass communication, and of the media in dealing with health issues, were described in a paper presented by Mr Anthony Curnow (WHO consultant) under the title "Working with the Media". Without the involvement of the media the health sector could not hope to inform the general public on health issues in such a way that a process of community involvement was stimulated. Without the technical input of the health sector the media could not fulfil their obligation to the public interest in health matters.

WHO was working with governments to strengthen their capacities and also suuglrL Lo improve its o m petformancc in thin 3 ~ ~ 3 .

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6.5. summary of discussions

A time for discussion was given at the end of each presentation. As the subjects treated in all the presentations are all closely interrelated, more time was consecrated to general discussions on the subject as one entity (or one whole) at the end of the first day of plenary.

The view was expressed that health professionals, particularly at the senior levels, did not have a sufficient knowledge of PHC or of the objectives of HFA. Orientation should start at home before going to the people.

Health information through the media, it was suggested, could change knowlcdgc end attitudes, but changes in behaviour Look n w l y year-s to accomplish. If coordinated with health education by workers using face-to- face communication at the community level, better results could be achieved.

However, even this was a lengthy process.

The role of "leaders" in getting messages across to the public, both through the media and at community level, was of fundamental importance.

Entertainment programmes, it was noted, had proved very successful as vehicles for health messages in several countries. However, powerful commercial interests often promoted messages which ran exactly counter to health messages, often in the same medium of public information. This commonly happens in the areas of breastfeeding and smoking, especially in countries which do not have legislation banning powdered milk and tobacco advertising.

The question arose: what qualifications were required by persons responsible for formulating health messages? In one country. journalists were not legally permitted to report on health issues unless they had had special training. In the same country close collaboration between the public health sector and the media was achieved by radio and TV journalists working part-time as ministry of health staff.

It was agreed that health workers at all levels should receive some training in communication techniques. It was reported that courses appropriate to different levels had been introduced in health training institutions and certain medical schools in some countries of the Region.

In some countries public information and health education were handled separately and were often attached to separate administrations at different levels. The final conclusion was that close and mutually supportive collaboration. at the very least, should be developed hetween the two services. This was, fnter a l i a , a means of avoiding duplication of effort and unnecessary wastage of resources.

The point was made that resources for health education and information were sometimes ill-managed or under-used. Participants noted that it was in the spirit of HFA to make the best possible use of available resources, however limited they might be.

Attention was drawn to the enormous discrepancy between expenditure on tertiary care and on health education.

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The successful execution of programmes, it was emphasized, depended in all cases on good information support. Information must make a substantive contribution to operative programes. It was the natural ally of health education. Information must on no account be considered as a passive function. ~nformation officers should not adopt bureaucratic attitudes.

It was impossible for an information officer to give proper support to the operational programmes of the ministry of health if it did not receive the necessary cooperation within-house. More two-way collaboration was called for between information units and technical p r o g r m e s .

A public information officer in a ministry of health was not in a position to lend useful support to his ministry's programmes in instances when the scope of his activities was unduly restricted. In some countries.

public information/relations enjoyed an elevated status and wide responsibi- lities which permitted it, potentially, to provide greater services to advocacy.

Evaluation of health information and education activities, it was stressed, had to be conducted on a scientific basis. In two countries, units existed to follow up on the implementation of health development strategies.

One view expressed was that evaluation should be carried out by a third party.

In the discussion, the view was expressed that the Minister of Health of each country should be encouraged by his public information officer to cultivate good relations with the media.

Thc nosumption that ordinary health promotion did not make interesting copy for the media was challenged. If stories demonstrated change for the better, and if they were presented in such a way that the intended audience could identify with the principal characters, they would interest the media.

It was important to encourage the media to prepare their own stories, documentaries and programmes in ways that editors and journalists understood would offer the maximum interest to their audiences. The importance of lively, well-illustrated reportages on health matters undertaken by the media was brought out.

Popular personalities in the media should be won over, with the aim of conveying health messages to their audiences and readerships.

It was important for information officers in ministries of health to develop personal relationships with the media, so as to build bridges in the interests of health advocacy.

The low status accorded by the media to reporting on health issues was acknowledged as a conunon problem and something should be done about it. The emergence of a new generation of journalists and media producers trained in dealing with health issues would raise the status of health reporting. WHO might have a role in supporting such t~oining, pcrhnps in collaboration with regional media organizations.

Advance information on a calendar of health events had proved to be a useful tool for the media as much as for information officers themselves.

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7. WORKING GROUP DISCUSSIONS - AGENDA ITEM 8

After the presentation and discussion of the papers in plenary session.

the participants were divided into three working groups. Each group was made up of six or seven country representatives. The two UNICEF Information Assistants joined in groups A and C. Group A used English as a working language and groups B and C worked in Arabic. Each croup elected its o m moderator and rapporteur.

Five issues were given to each group for discussion in the light of the presentations and discussions of the first day of plenary.

The report of each group discussion was presented in a meeting of the group moderntors and rapporteurs with the WHO Secretariat. The reporte were then consolidated into a summary report which formed the basis for formulating the recommendations of the Workshop.

The consolidated group discussions were as follows:

7.1. Scope of present duties

Participants in the Workshop represented a variety of disciplines and responsibilities. Some had as their principal or only responsibility the direction of public information in ministries of health. Others had a combination of duties involving public information and public relations and in certain cases health education as well; there were some cases in which the participants carried the responsibility for health education and public information. A few had duties combining public relations and foreign health relations. The Workshop also included a number of national directors of health education.

Group discussions revealed that, generally speaking, the duties of a national public information officer in a ministry of health were as follows:

- to arrange for media coverage of activities and health programmes undertaken by the ministry;

- to supervise the production of periodic bulletins and audio-visual materials on ministry activities for selected national audiences and the media and to prepare articles, programmes, etc., on health issues;

- to serve as a link between the various dcparLn~a~lLs and programmes of his/her ministry on the one hand, and the media on the other;

- to prepare information campaigns on specific health issues and occasions and to evaluate the results;

- to confer regularly (cases of daily consultation were mentioned) with the minister of Health iri ur-dcr- Lu prujrcL an accurate image of the ministry and its work;

- to provide feedback on items published by the media on the work of the ministry and to transmit it to the appropriate departments for response and action;

- to distribute public information materials received by the ministry.

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7.2. Potential contribution to information support of HFA

In one country a start had been made and it was hoped to continue providing information on HFA at meetings: party, political, military, or for agricultural officials, for example, where the ministry of health was allotted a day for lectures on national health policy. Meetings were organized by the ministry for vulnerable groups, e.g. youth, at which information was given on the practical application of HFA as it affected the group concerned.

Health workers did not know enough about HFA. More could be done in providing information to health education workers and in mobilizing the support of social organizations and cooperatives. It was necessary for ministries of health to give a very thorough distribution to materials they received from WHO. There were gaps to be filled in research related to the identification and monitoring of health needs. Although some work had been started with the media more could be done.

The role of the private health sector was discussed. Advocacy programmes should reach the private sector, to bring it fully into the implementation of a HFA strategy. In countries where the private sector and government medical service were separated, the former played a valuable role in providing health services to people who chose to pay. Efforts should not be made in such cases to isolate the private sector from participation in PHC.

A major target group of advocacy was the medical profession. The majority of doctors were not well enough informed on the concept of primary hcnlth care. Young doctors in n~ral hea1t.h centres, in particular. needed to know more.

The intersectoral nature of HFA was stressed. On the one hand, a common approach had to be established among health-related agencies of government.

On the other, information support to HFA should address workers in health- related disciplines such as education, nutrition, environment protection, water and sanitation.

Advocacy through NGOs and community and religious leaders should be developed, as their value to HFA had already been demonstrated. Successful examples of information and advocacy in mobilizing financial support for HrA

from voluntary organizations were reviewed.

Regular mcctings between information officers and other ministry staff were needed to review progress, identify obstacles and the means of overcoming them, and to determine future activities towards HFA goals.

Information officers of ministries of health should be permitted to taKe an active part in the work of committees concerned with health education and the research and planning of health development programmes.

Reference was made to the predominant role of women as receivers and communicators of health information. It was felt that their involvement in the planning of health education and information activities made health information more effective for women.

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7.3. Constraints to effective information programmes

Constraints existed in every aspect of information activity. There were shortages of equipment, facilities and specialized sLaff. Even where community-level workers existed in sufficient numbers, they lacked training in person- to-person communication and the resources for expert direction from the central level were exceedingly limited.

Poor surface communication limited the coverage of information programmes in some parts of the Region. Many of the difficulties of under- taking an effective health information/education programme arose from having limited support staff or inadequate resources for distribution.

Training bras not enough: staff had to be motivated and in countries where saLaries were very low motivation suffered. Ministerial requirements absorbed resources which should be used for programme purposes.

The content of healtn education and information programmes was not being adapted rapidly enough to reflect changes in epidemlologial patterns an6 the emergence of the "diseases of civilization".

The low status accorded to public information in ministries of health arose from a poor understanding on the part of decision-makers of the role and functions of information services. Their inferior position in the hierarchy prevented informatlon services from taking necessary decisions and engaging in useful HFA activities.

More intensive efforts should he madp to orient all prcfessionals in ministries of health on the information and public relations aspects of HFA and PHC.

The simple fact that health education and information received minimal funds meant that their requests for additional help received scant attention.

It was a vicious circle, in which obtaining additional funds for curative medicine, which already received the "lion's share", was easier than increasing resources for preventive medicine.

Much time and effort was wasted because information materials were not pretested before use and thus often had little or no impact.

It was reported that radio and TV programmes on health issues were frequently broadcast in off-peak periods. Efforts should be made to secure more prime time for health.

There was lack of coordination leading to duplication of materials and programmes issued respectively by public information/public relations officers and health education services.

Thc withholding of information from, and the reluctance of departments of ministries of health to collaborate with, information services was commented upon.

In countries with plentiful financial resources, the position of health education did not seem to be attractive even when good salaries were offered.

One of the reasons was thought to be that health education results were slow

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in materializing; the discipline, therefore, offered less sense of professional reward and incentive to those engaged in it.

7.4. Needs of advocacy

The need for information/communication specialists was still crucial, especially in rnt~ntries that were less well-off for trained staff.

It was unrealistic to expect greater external financial assistance for advocacy. Agencies other than ministries of health, the communities, and social organs should be involved. Reliance on local resources should be the basis of a national HFA strategy.

A sreator commitment h y t.he media to HFA could lead to the inclusion of HFA messages in the normal output of programmes. This commitment could only be achieved with the backing of the top managers of the media as well as the support of programme producers. Health education/information services should be equipped to carry out regular evaluation of the impact 01 their activities.

The Workshop had revealed that in many cases information specialists in ministries of health need to acquire more skills to contribute to the success of HFA advocacy programmes.

7.5. The role of WHO

WHO could help to demonstrate how worthwhile results could be achieved with limited resources. Training through short visits abroad would enable national staff to bencfit from the knowledge and experience of other countries with similar problems. Health information published by WHO offered a Region-wide view and demonstrated the value of EMRO as a clearinghouse of ideas, which enabled those who were aware of constraints and weaknesses to benefit from the experience of others.

WHO'S assistarice in organizing national workshops in countries of the Region would extend the benefit of the present Workshop.

WHO might be called upon to advise governments on possible alternative sources of assistance

-

international, governmental, and private organizations - in developing practical activities in support of advocacy.

Greater collaboration between WHO and UNICEF at the country lcvel was particularly important in arriving nt o coordinated approach to communiratinn and information.

National contributions to joint WHO/Government Programme Review Missions should include both health education and health information inputs.

In certain areas of PHC which particularly needed IEH support, such as natior~al E P I programmes, somc participants noted the ahsence of a health

information and education officer at the planning stage.

1t was proposed that WHO should encourage the production of its materials in non-official languages used in the Region.

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EM/IEH/7-E

page 10

Attention was drawn to difficulties encountered with Arabic translations of WHO reports, which did not result in the communication of the messages.

UNICEF gave a good example in one country of the Region by arranging for local writers to proofread the Arabic version of state of the World's Children. This ensured that it was easily understood.

communication between WHO and national authorities was often slow. There were, for example, prolonged time-lags between notification and supply of materials, which might not arrive in time to be translated, processed, and distributed. The process should be accelerated in the interests of advocacy.

WHO should, in the view of certain participants, adopt a uniform policy on communication channels with governments, so that international focal points at the national level were always involved.

8. RECOMMENDATIONS

Participants agreed that by virtue of their positions in the ministries of health and their good working relations with the media, they were well placed to lend va111ahl~ infnrmatinnIadvncary srrpport to facilitate tho achievements of national HFA plans and that this could be done in many ways.

For the full realization of this role, it was recommended that:

1. Member governments should improve the performance, for health advocacy purposes, of their public information services by ensuring that their position in the hierarchy is commensurate with what is expected of thcm;

improving information support called for better utilization and management of existing resources and ensuring continued feedback on the results achieved.

2. Information services should concern themselves, on a day-to-day basis, with HFA. PHC and helping the media to report on achievements realized in health development. They should seek to give greater prominence to national health development and the role of the people thcmsclves in making HFA a

reality.

3. Information services were capable of playing a greater role than at present in the execution of HFA programmes, provided they participated at all stages from planning onwards. The need to extend the possibilities of active participation by information services in HFA programmes was stressed.

". Information services should strive to gain a multiplier effect by forming a "pool of advocates" which would include religious leaders, teachers, influential social writers and community organizations.

5. Governments should seek the help of WHO in introducing appropriate training in the curricula of existing training institutions for rnedia/communication and arrange for on-the-job training of media producers and media/communication specialists who will be responsible for the design of messages of advocacy. WHO help should also be sought in making sure that health workers receive training in communication techniques as part of their health education training.

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EM/fEH/7-E page 11

6. Governments, possibly with WHO assistance as needed, should foster research with the object of finding technically sound information/advocacy activities and means for the evaluation of their effectiveness.

7. Governments are urged to consider integrating information and health education services in the interests of advocacy in one department under the title of Health Tnfnrmation and Education of the Public, placing this service in the appropriate position in the organizational chart to enable it to carry out its expected duties and responsibilities. Integration should extend to joint involvement in the various areas of activity.

9. PRESS CONFERENCE

Half an hour after the Workshop was over, a press conference was held to brief media correspondents on the results. The media were informed at the end of the inauguration session of the press conference and a reminser was sent through the Public Relations Officer of the Jordanian MinisLry of H e a l t h . A pre-prepared statement was read and copies of it were given to every correspondent. Their questions were answered.

1. A radio interview with Dr H. Wassef was recorded by the Jordanian Radio for broadcasting later that day.

2. All three Jordanian dailies carried items on the Wurkshup with quotations from the distributed statement and the recommendations.

3. Although a representative of the Jordanian News Agency was present there is no confirmation that the Agency has included in its output any item or story on the Workshop.

ACKNOWLEDGEMENT

At the e l ~ d u Z t h e Workshop, d c c p appreciation and thanks were expressed to its host, the Government of Jordan, and the Ministry of Health, Ammar,, who spared no effort in contributing to the Workshop's success.

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EM/IEH/7-E page 13

ANNEX I AGENDA

1. open in^ Session

2 . Election of Officers

3. Adoption of the Agenda

4. ~ntroduction to HFA/2000 and the Primary Health Care Approach

5. Information/Communication in HFI! strategies: planning, implementation and evaluation

6 . Advocacy for h e a i t h

7. Working with the media

8. The contribution of Public Information/Public Relation Officers towards information support for HFA strategies within the national progrmamrres of information and education for health (Group work)

9. Presentation of summaries of group discussions

lo. Conclusions and Recommendations 11. Closing Session.

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EM/IEH/7-E page 14

Ifonday, 21 J u l y 1986 08.30

-

09.00

09.00

-

09.30

ANNEX I1 PROGRAMME

: R e g i s t r a t i o n

: Opening S e s s i o n : P l e n a r y (Agenda i t e m ' 1)

-

I n a u g u r a l A d d r e s s by H . E . The M i n i s t e r o f I!calLh, J o r d a u

-

Message o f D r R u s s e i n A . G e z a i r y , R e g i o n a l

Director for the Eastern Mediterranean R e g i n n , W H C

: R e c e s s

: E l e c t i o n o f o f f i c e r s (Agenda i t e m 2 ) A d o p t i o n o f Agenda (Agenda i t e m 3)

I n t r o d u c t i o n of Programme o f Work

: I n t r o d u c t i o n t o H e a l t h f o r A l l by t h e Y e a r 2000 a n d t o t h e p r i m a r y h e a l t h c a r e a p p r o a c h

-

(Asenda i t e m 4 )

: I n f o r m a t i o n / c o m u n i c a t i o n i n H e a l t h f o r A l l S t r a t e g i e s (Agenda i t e m 5 )

-

New p o l i c i e s a n d a p p r o a c h e s

-

P l a n n i n g , i r p p l e m e n t a t i o n and e v a l u a t i o n : R e c e s s

: D i s c u s s i o n

(18)

EEI/IEH/7-E page 15

T u e s d a y , - 22 J u l y 1986 08.30

-

09.00

IJcdnesday, 23, J u l y 1986 08.30

-

10.00

10.00

-

10.30

10.30

-

13.30

T h u r s d a y , 2 4 J u l y 1986 OF.30

-

09.30

: I n t r o d u c t i o n of Group Work and d i v i s i o n i n t o g r o u p s

,

p l e n a r y (Agenda i t e m 8 )

: Group Work

: R c c c s s

: Group Work

: Group Work

: Group Work

: R e c e s s

: Group Work

: P r e p a r a t i o n o f Group R e p o r t s (Group L e a d e r s and Rapporteurs on':')

: P r e s e n t a t i o n of s u m r i e s o f g r o u p r e p c r t s i n p l e n a r y (Agenda item 9 )

: D i s c u s s i o n and a d o p t i o n o f c o n c l u s i o n s a n d reconunendetions ( ~ i i t e r n ~ ~10) d ~

: R e c e s s

: C l o s i n g S e s s i o n (Agendr i t e m 11)

(19)

EM/IEH/7-E page 16

AFGHANISTAN

BAHRAIN

CYPRUS

DEMOCRATIC m N

EGYPT

ANNEX I11

LIST OF PARTICIPANTS

Mr Ghawsodeen Mushfiq D i r e c t o r

G e n e r a l Health Education I!ealth E d u c a t i o n Department M i n i s t r y of P u b 1 . i ~ R e a l t h Kah111

--

M r I s m a i l I b r a h i m Akbari D i r e c t o r

Arab and I n t e r n a t i o n a l P u b l i c R e l a t i o n s

M i n i s r r y of H e a l t h Manama

D r Michael V o n i a t i s S e n i o r Medical O f f i c e r P l i n i s t r g of H e a l t h N i c o s i a

Mr A l i Yaslem B a d u r a i s A s s i s t a n t D i r e c t o r

R e a l t h E d u c a t i o n and I n f o r m a t i o n Ministry of Public nealth

Aden

D r Mohammed Abdel Moneim Abu Suleiman D i r e c t o r o f I n f o r m a t i o n Department M i n i s t r y of H e a l t h

C a i r o

-. .

(20)

EH/IEH/7-E page 17

IRAQ

JORDAN

Hr Kassim Yehia Allawi Director

Irlformation DepnrtKhent

Ministry of Health Daghdad

Mrs Nadia Alsayegh Svaiss Director

I'ublic International Relations ):inistry of Health

fi:aman

Hr Ali Gaafar Khuraibet

D i r e c t o r Pl~hl ic Relations Department

Ninistry of Public Health Kuwait

--

Mr George Maalouf Ministry of Health and

Social Affairs

Ecirut

LIBYAN ARAB JknAHIRIYA M I Ramadan Mousa A 1 Ts'eb Director

Ilealth Education and Guidance G~neral People-s Committee for

IIralth Tripoli

PAKISTAN

>Lr Walfan Bin Aziz Ai-Akhzaroy Director of Public Relations Ministry of IIezlLh

Mnsce t

--

Dr Pahirn Arshad k l i k

Assistant Erector-General of

lIeal t k r

Ministry of Health Government of Pakistan

Islamabsd

--

(21)

EMIIEHII-ti page 18

QATAR

SAUDI ARABIA

SOMALIA

SUDAN

Mr Salem Rashed Al-Muhannadi Ministry of Public Health Doha

-

Mr Abdullah Ali Manea Al-Kahtani

Acting Director-General of Public Relations Office Ministry of Public Health

Riyadh

Mr Mayeh Abu Omar Ministry of Health Ho~adishu

Mr Moustafa Fathi Ibrahim Director. Public Relations Ministry of Health

Khartoum

SYRIAN ARAB REPUBLIC Mr Nader Makansi

Responsible Information Officer Ministry of Health

Damascus

TUNISIA

WHO SECRETARIAT

Dr H. Wassef

Mr A. Salahi

Mr Anthony Curnow

Mr Mohammed Zeine Amara

Charge de Mission responsable du Service de Presse Ministere de la Sante Publique

Tunis

Mr Ali Mohammed El-Sewary Director-General of

Health Education and Public Information Ministry of Health

Sana'a

Mr Khaled Al-Sakkaf Directur

International Health Relations Department Ministry of Health

Sanala

WHO Representative in Djibouti and former

Public Information Officer WHO Consultant. Information

WHO Consultant

WHO Eastern Mediterranean Region

WHO Eastern Mediterranean

R e g i u ~ l

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