INTERNATIONAL HEALTH AGENCIES AND THEIR CONTRIBUTION TO THE DEVELOPMENT OF NURSING SERVICES - NURSING ASSIGNMENT

INTRODUCTION

          Health and disease knew no boundary on the globe.  Sir Paul. Russel Says Nothing on the earth is more international than disease.  If the disease breaks in the form of epidemic in one part of the world, it is a treat to other parts of the world too.  Some of the international health agencies are WHO, UNICEF, UNDP, International Redcross, CARE, Ford Foundations, Rock Feller foundation, Colombo plan.  These all agencies help the world to prevent disease and promotion of health.  Today the international health work is established on every solid scientific basis.  It is essential to briefly consider some of the international agencies which are of great importance to India in promoting health process.



WORLD HEALTH ORGANIZATION [WHO]

          WHO is one of the specialized agencies of United Nations, also it is a non-political health agency, with headquarters in Geneva.

          The WHO is not the World Health Service, but helps governments at their request and in accordance with policies laid by world Health Assembly.




OBJECTIVES

          The main objective of the WHO is “the attainment by all people of the highest level of health” which is set out in the preamble of the constitution.  The preamble of the constitution states.

          “Health is a State of complete, physical, mental and social well being and not merely the absence of disease or infirmity.  The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic and social condition.

          The health of all people is fundamental to the attainment of peace and security and is dependent upon the fullest co-operation of individuals and states.

          The achievement is the promotion of health and control of disease.

FUNCTIONS

Ø     To assist in strengthening National Health Services.
Ø     It directs and co-ordinates the health rate throughout the world.
Ø     To maintain epidemiological statistical services.
Ø     To estimate sporadic, endomic and other diseases.
Ø     To promote the prevention of accidental injuries by improvement of nutrition, housing, sanitation, recreation and other aspects of environmental hygiene.
Ø     To propose international connection and regulation on health.
Ø     To see that people who travel from one country to another are protected against disease such as small pox.
Ø     Promote maternal and child health services.
Ø     To promote and conduct research to improve in standards of education in health promotion.
Ø     To promote international standards of food, biological and pharmaceutical products.
Ø     To bring about uniform standard of strength by purity of medical substances to drugs vaccine.
Ø     To assist in developing public opinion on health matters and health statistics.

WHO CONTRIBUTION TO INDIA

Ø     Control of communicable diseases.
Ø     Strengthening the public health administration.
Ø     Improving the environment sanitation.
Ø     Improving the quality of life of family by MCH care nutrition and health education.
Ø     Provision of education and training of all types of professional and auxiliary health workers.
Ø     Assist in Biomedical Research Programme including research in family planning methods.
Ø     WHO functions within the country, WHO works with and through the ministry of health.


CONTRIBUTIONS OF WHO IN THE DEVLEOPMENT OF NURSING SERVICES

          The main objective of the WHO is the attainment of by all people of the highest level of health.  The achievement is the promotion of health and control of disease so the
WHO helps the nursing services more.  Some of its functions are promote maternal and child health services.  To see that people who travel from one country to another are protected against disease such as small pox and also to estimate sporadic, endemic and other disease and to bring about uniform standard of strength by purity and medical substance to drug vaccine. So WHO help in the development of nursing services.






UNICEF (UNITED NATIONS INTERNATIONAL CHILDREN’S EMERGENCY FUND)

          UNICEF was established in 1946 as United Nations International Children’s Emergency Fund. To deliver post war relief to children, later renamed as United Nations Children Fund. It concentrates its assistance on developmental activities aimed at improving the quality of life for children. The headquarters of UNICEF are at New York in USA and regional office for South East Asia is established at New Delhi in India. UNICEF got close collaboration with WHO, UNO, UNDP, FAO and UNESCO.

          In 1949 UNICEF begins work in India and is now in its fifth decade of co-operation with the government of India. India is UNICEF’S largest country programme.


FUNCTIONS OF UNICEF

1.    UNICEF started functioning in close collaboration with other specialized agencies of UNO and assisted in the prevention and control of communicable diseases like malaria, tuberculosis, leprosy, trachoma etc which were more prevalent in children.
2.    In India, UNICEF supported the BCG immunization program from the start. It also assisted in the manufacture of DPT vaccine. Subsequently, UNICEF shifted its attention to primary health care with focus on MCH services. It laid stress on immunization, supplementary feeding of children and control of deficiency diseases by the provision of vitamin A solution, iodized salt and iron and folate tablets.
3.    UNICEF took considerable interest in the provision of piped water supply, basic sanitation and formal and non-formal education. It provided substantial aid to primary health centres in India, by way of equipment, vehicles, bicycles, delivery kits, drugs, milk and other supplies.


ACTIVITIES OF UNICEF

a) Child Health:
          UNICEF has provided substantial aid for the production of vaccines and sera in many countries. UNICEF has supported India’s BCG vaccination programme from its inception. It has also assisted in the erection of a pencillin plant, near Pune, donated a DDT plant, two plants, two plants for the manufacture of triple vaccine and iodized salt. UNICEF has also assisted environmental sanitation programmes emphasizing safe and sufficient water for drinking and household use in rural areas. The purpose is not only to reduce child illness and death, but to improve the quality of life in the villages. Currently, UNICEF is focusing attention on providing primary health care to mothers and children.  Emphasis is placed on immunization, infant and young child care, family planning aspects of family health, safe water and adequate sanitation.


b) Child Nutrition:
          UNICEF gives high priority to improving child nutrition. Its aid for child nutrition, which first took the form of supplementing child feeding began to expand in mid-1950s with the development of low cost protein rich food mixtures.
          In collaboration with FAO, UNICEF also began aiding “Applied Nutrition” programmes through such channels as community development, agricultural extension, schools and health services so as to stimulate and help the rural population to grow and eat the foods it required for better child nutrition. The UNICEF has supplied equipment for modern dairy plants in various parts of India, viz. Maharashtra, Gujarat, Karnataka, Uttar Pradesh, West Bengal, Andhra Pradesh, specific aid is also given for intervention against nutritional deficiency diseases, viz. provision of large doses of vit A in areas where xerophthalmia is prevalent, enrichment of salt with iodine in areas of endemic goiter, provision of iron and folate supplements to combat anaemias and enrichment of foods. More recently FAO, UNICEF and WHO have been encouraging the development of national food and nutrition policies that make provision for child nutrition.


c) Family and Child Welfare:
          The purpose is to improve the care of children, both within and outside their homes through such means as parent education, day care centres, child welfare and youth agencies and women’s clubs. These services are carried out not as separate projects but as part of health, nutrition and education or home economics extension programmes.

d) Education:
          Formal and non formal. In collaboration with UNESCO, UNICEF is assisting India in the expansion and improvement of teaching work shop tools, library books, audio visual aids are being made available to educational institutions. Emphasis is placed on the kind of schooling relevant to the environment and future life of the children.
 


STRATEGRY BY UNICEF

          UNICEF is promoting a campaign known GOBI campaign to encourage 4 strategies for a “Child Health Revolution”.
·        G for growth charts to better monitor child development
·        O for oral rehydration to treat all mild and moderate dehydration
·        B for breast feeding
·        I for immunization against measles, diphtheria polio, pertussis, tetanus and tuberculosis.

But now 3F has added to GOBI that;
F       -        Female Literacy
F       -        Family Planning
F       -        Food



CONTRIBUTION OF UNICEF IN THE DEVELOPMENT OF NURSING SERVICES

          UNICEF concentrates its assistance on developmental activities aimed at improving the quality of life for children. UNICEF helps in the prevention and control of communicable disease like malaria tuberculosis, leprosy etc which were more prevalent in children, UNICEF supported the BCG immunization program and manufacture of DPT vaccine. It also control of deficiency diseases by the provision of vitamin A solution, iodized salt and iron and folate tablets. UNICEF is focusing attention on providing primary health care to mother and children.


FAO (FOOD & AGRICULTURE ORGANIZATION)

          The Food and Agriculture Organization (FAO) was formed in 1945 with head quarters in Rome. It was the first United Nations Organization specialized agency created to look after several areas of world cooperation.
          FAO’s prime concern is to increases production of food to keep face with rising population.
Functions:
1.    To help nations raise living standards
2.    To improve nutrition of the people of all countries
3.    To increase the efficiency of farming, forestry & fisheries
4.    To better the condition of rural people and through all these means to widen the opportunity of all people for productive work.

The WHO & FAO carry out various activities such as;
·        Nutritional Surveys
·        Training Courses
·        Seminars
·        Research Programmes


          The FAO has organized a world freedom from hunger campaign (FFHC) in 1960. The primary objective of FAO is towards ensuring that the food is consumed by the people who need it in sufficient quantities and in right proportions to develop and maintain a better state of nutrition through out the world.


UNDP (UNITED NATIONS DEVELOPMENT PROGRAMME)

          UNDP was established in 1966. The basic objective of the UNDP is to help poorer nations to develop their human and natural resources more fully.

AIMS:
·        Improve the agricultural committees
·        Extension and modernization of industry
·        Improve the basic essential facilities for education, health care, housing, employment, administrative and social services.
·        Rural development and urban renewal.



CARE (CO-OPERATIVE FOR ASSISTANCE AND RELIEF EVERYWHERE)

          CARE is a non-governmental organization which was started in 1946. It began working in India in 1950. CARE was founded in North America in the wake of the Second World War in the year 1945. It is one of the worlds largest independent, non-profit, non-sectarian international relief and development organization.

Objectives of CARE in India
          The primary objective of CARE – India was to provide food for children in the age group of 6 to 11 years. From mid 1980’s CARE – India focused its food support in the ICDS program and in development of programs in the areas of health and income supplementation.

Objectives
CARE India is helping the following projects;
1.    Integrated nutrition and health project
2.    Better health and nutrition project
3.    Anaemia control project
4.    Improving women’s health project
5.    Improved health care for adolescent girls project
6.    Child survival project
7.    Improving women’s reproductive health and family spacing project
8.    Konkan Integrated Development Project

It has been helping with the school midday meal scheme. Apart from this, it also provides help in the fields of medicine, literacy vocational training and agriculture.

     CARE – India works in partnership with Government of India, State Governments, Non-governmental Organizations etc.


UNITED NATIONS EDUCATIONAL SCIENTIFIC AND CULTURAL ORGANIZATION

     UNESCO came into being on 4th Nov 1946. The main purpose of UNESCO is contributes to peace and security by promoting close collaboration among nations through education, science and culture. If further universal respect for justices rule and law, human rights and fundamental freedoms.

Activities:
          The activities of UNESCO fall under the following broad heads education, natural sciences, social sciences, human sciences, communication, co-operation with non governmental organization and publication. Typical activities of UNESCO includes the organization in various part of the world of conferences and meeting of experts, co-ordination of international scientific effort clearing house services, assistance to non governmental organizations a wide range of publication and the establishment of international agreements to which states are invited to adhere or confirm.


COLOMBO PLAN

          Colombo plan was drawn in January 1950 at a meeting of common wealth foreign ministers at Colombo for cooperative economic development in South and South East Asia.

          It assists in industrial and agricultural development and also in health promotion.

          The plan provides for visits to countries by experts who can offer advice on local problems and train the local people.

          Colombo plan seeks to improve living standards of the people of the area by reviewing developmental plans and coordinating development assistance. Canada is supplying Cobalt Therapy Units of India is an important aid under Colombo Plan.


SWEDISH INTERNATIONAL DEVELOPMENT AGENCY (SIDA)

Contribution in the Development of Nursing
          The Swedish International Development Agency is assisting the National Tuberculosis Control Programme since 1979. The SIDA assistance is usually spent on procurement of supplies like X-ray unit, microscopes and anti-tuberculosis drugs. SIDA authorities are also supporting the short course chemotherapy drug regimens under pilot study, which were introduced in 18 districts of the country during 1983-84, and pilot phase-I of the Revised strategy of NTP in 5 sites namely Delhi, Bangalore, Mumbai, Kolkata and Mehsana (Gujarat) since 1993.

DANIDA

          The Government of Denmark is providing assistance for the development of services under National Blindness Control Programme since 1978.


FORD FOUNDATION

          Ford foundation started in 1936. It has been active in the development of rural health services and family planning. Ford foundation has helped India in the following project;
1. Orientation Training Centers
          The orientation training centers at Singur, Poonamalle and Najafgarh. The centers provide training courses in public health for medical and paramedical personal from all over India.
2. Research cum Action Projects
          These projects were aimed at solving some of the basic problems in environmental sanitation, eg. designing and construction of hand flushed acceptable sanitary latrines in rural areas.
3. Pilot project in rural health services, Gandhigram (Tamil Nadu)
4. Establishment of NIHAE (National Institute of Health Administration and Education): It provide training for health administration.
5. Calcutta Water Supply and Drainage Scheme
6. Family Planning Programme
          The foundation is supporting research in reproductive biology and in the family planning fellowship programmes.
ROCKEFELLER FOUNDATION

          The Rockefeller foundation is a philantheopic organization started in 1913 and endowed by Mr. John.D. Rockfeller. The work of Rock Feller foundation in India began in 1920 with a scheme for the control of hook worm diseases. The foundation has been associated with several medical and public health programmes in India. The establishment of All India Institute of hygiene and public health at Kolkata was in a large measure due to co-operation of Rockfeller Foundation.
Purpose of Rockfeller Foundation
          The purpose of Rockfeller foundation are
1.    To promote the well being of mankind throughout the world.
2.    To include the advancement of life sciences, the social sciences, the humanities and the agricultural sciences.
3.    Providing grants-in-aid to selected institutions
4.    Development of medical college libraries
5.    populations studies
6.    Assistance of research projects and institutions
Eg: National Institute of Virology at Pune
7.    Support to the improvement of agricultural family planning and rural training as well as to medical education.
INTERNATIONAL RED CROSS

          It was founded by Henry Dunant, a young Swiss businessman, who when travelling through North Italy in 1859. The Red Cross is a non-political non-official international humanitarian organization devoted to the service of mankind in peace and war. It was started in 7th August 1859 to help the neglected thousands of the wounded and dying soldiers.
          Later in the work of the Red Cross was extended to other programme which would prevent human suffering. These comprise service to armed forces, service to war veterans, disaster service, first aid and nursing, health education and maternity and child welfare services.
Indian Red Cross
          In 1920, the Red Cross society of India was established by an act of the Indian legislature with the three objectives of the improvement of health, prevention of disease and mitigation of suffering. And it also provide medicines and vitamin tablets.


INTERNATIONAL COUNCIL OF NURSING (ICN)

          The international council of nursing is a federation of non political and self governing national nurses association. It was founded by Mrs.Bedford Fenwick in cooperation with nursing traders from many countries. In 1900, the council constitution was adopted and the first meeting was held at the world exposition in Buffalo New York. Its head quarter is established at Geneva in Switzerland.
The aim of ICN
·        To develop self governing principles among nurses under nurse leadership
·        To develop a profession that would raise the ethical and social status of nurses
The purpose of ICN
          The main purpose was to provide a means through which the national association can share there interest in the promotion of health and care of the sick.
The objective of ICN
·        To promote the development of strong national nurses association
·        To assist national nurses association to improve the standards of nursing and the competence  of nurses
·        To serve as authovitative voice for nurses and nursing internationally
The Governing Body
          The council of national representations which consist of ICN honorary officers and president of the national member association. International exchange privileges for nurses have been provided through the ICN. This gives the individual nurse the opportunity to observe and obtain employment in other countries and also contributes to improvement of standards.
The activities of ICN
·        Making the code of nurses
·        The world wide accepted definition of a nurse
·        A book of ethics the nurse Dilemma
·        Policy statement on health and social issue
·        Arrange exchange program for study and employment
·        Maintain a register on professional qualification of people
·        Conducting seminars around the world to maintain relationship.


The International Relationships
          The international council of nursing has close relationship with many of the world’s major international organizations such as WHO, ILO, UNESCO, UNICEF, RED CROSS and its allied leagues. This relationship helps ICN to have related concerns in the health care field and allows keeping abreast of trends affecting the future of nursing.
Functions of ICN
·        The division of nursing education
·        The division of nursing services
·        The division of social and economic welfare


CONCLUSION

          International health agencies are WHO, UNICEF, UNDP, International Red Cross, CARE, FORD FOUNDATION, ROCK FELLER FOUNDATION, COLOMBO PLAN. These all agencies help the world to prevent disease and promotions of health. Today the international work is established on every solid scientific basis. It is essential to briefly consider some of the international agencies which are of great importance to India in promoting health process.


BIBLIOGRAPHY

1.    B.T. Baswanthappa
“Text Book of Community Health Nursing”
Edition: 2nd
Page No. 950-955
2.    K. Park
“Text Book of Community Health Nursing”
Edition: 19th

          Page No. 762-766

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