World Health Organization [WHO] - Liaison File - Volume 01

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Folder Title: World Health Organization [WHO] - Liaison File - Volume 01

Folder ID: 1056032

Series: Liaison with external organizations

Dates: 01/03/1972 - 03/31/1972

Fonds: Records of the Office of External Relations

ISAD Reference Code: WB IBRD/IDA EXT-08

Digitized: 3/23/2021

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THE WORLD BANKWashington, D.C.@ International Bank for Reconstruction and Development / International Development Association orThe World Bank1818 H Street NWWashington DC 20433Telephone: 202-473-1000Internet: www.worldbank.org

PUBLIC DISCLOSURE AUTHORIZED

LI W RLD HEALTH OMfiNIZTION (WH) 1

AraITI. 1056032Al 994-081 Other#35 Box A 210324B

Word Health Organization [WHO] - Liaison File - Volume 011

THIS FILi IS CL52D AS OF

roi rmT3 ooRfmsoU PZASE S6

RECORDS HANAGOIKI SECIION

Mah 31t 1972

Yr. Paul RiearwbeinMae, ?it-nnlestnl en PlannlingDiv'TsAn of Environmeutal Hialthworld Awatit Grgazdssmen1211 Genv 27

Dow ?=1*/In reply to ymur letter dated Mardi 21, we bmv p1loa"no

in uamad you two caplas each of the follAwig 4obliatin:

0) Electric BMWr Setor wwkiMa Paper, DWan 1971

1) Tra 1ou tim cakter wok'ing gw, Jama7y 1972

Although in your lettr y *at&t. 'Wrld ao* Sector StW - Trwwpwteli=StwdyI ioe thln yon meset the siboe.

N&SIS do met heaItato to requnet aw furter tosplae if vawfind 7= now t .

V*ry talr yrS

Harold R. Shpsa*deft Vater ftpp4r DiisioA IFablic Utilities Projecs Depaartment

/gplControl So. WHO/203

March 30, 1972

Mr. Paul EiersteinCh ef, Pr-Investment PlanningDIvision of Bairemeatal Health*rld Health Organisation1211 Geneva 27Switserland

Dear Pauls

Thank yoa for your letter to Peter Oallejas dated March 9, 1972aboat Mr. Jack R. ftead and AID's Naaual Order 419.4.

You are right about the X.0., a typical piece of nearly incompre-heasible AID writing. As far as Mr. Snead is eonerned, oar purpose insending information on him to you earlier was to see if you had anyvacaacies which you are having a hard time filling and, therefore, mightfind the proposed 'IetaiU" or "transfer ' arrangomat for Suead aeceptable.Ybar reply stresses that the arrangement might be acceptable only if therewere no costs to 1S).

Apparently it is possible, bat it seem to as unlikely that AIDweuld agree to pay all salary, travel expenses and other all.uwnces of aneMoloyee detailed to an international agency. However, before gettingbogged down in trying to find oat what the U.S. Goverment would actuallyagree to do in this case, it seem that we ought to decide whether r. Saeadwould be a vorthile addition to our staff or yoars, regardless of thefinancial arrangements. Yon have given no indication of your reaction tothe preliminary bio-data already seat to you.

We have just now received Sead's personal history form which wesent to him through Jim Cassans in ftbruary, and which we are circalatingfr commeat within the hank. Soon we expect to be in a positiom to ..uqparehim with a niusher of other potential staff members 1*1se names we have onfile. A copy of the personal history is attached. mauld you let as knowyour reaction.

Siserely uqwrs,

Ikrofd R. &mpaanChief Water Spply Division I

Public Uilities Projects Department

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W 0 R L D H E A L T H ORGANISATION MONDIALEORGANIZATION DE LA SANTO

1211 GENEVA 27 - SWITZERLAND 1211 GEN@VE 27 - SUISSETelegr.: UNISANTE-Geneva T616gr.: UNISANT&-Geneve

Til. 346061 Tilex. 22335

In reply please refer to:

Priere de rappeler la reference: W2/372/2 29 March 1972

Date Rec'd.

Date Ack'd. -2-

A!Ssigned to

Dear Ship and Charlie,

You will recall that we have discussed several times, m66-~recently during Ship's visit to Geneva, the initiation of sector studiesby WHO.

We have requested the regional offices to indicate countriesof their region to which they would assign priority for sector studiesin 1972.

On the basis of this information and the judgement of PIPstaff, we are proposing, through the regional offices, to initiatereconnaissance missions to Ecuador, Egypt and Malawi. These would bethe first of a series of such missions. The purpose of the mission wouldbe to discuss with responsible government officers the meaning of sectorstudies and their usefulness in national economic development planning,UNDP country programming and the identification of priority projects forinvestment.

We trust that these countries would be acceptable to the Bankfor the purposes of the Co-operative Programme and would be grateful tohave your reactions as soon as possible.

Best personal regards.

Yours sincerely,

Paul BiersteinChief, Pre-investment PlanningDivision of Environmental Health

Mr H. R. ShipmanChief, Water Supply Division IPublic Utilities Projects DepartmentInternational Bank for Reconstruction and

Development1818 H Street N.WWashington, D.C. 20433

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Richard ii. Demuth

Letter from Dr. Canda re: Trainin of Public Health Personnel

You should be aware of the attacited letter from Dr. Candaubefore you Lee him in London.

With respect to the last paragraph about development of healtimanpower, I had previously received a letter from Dr. Bellerive onte same subject which I restonded to affirmatively on {arch 24,after discussing tue matter with esr%. Chadunet and Ballantine.Attached for your information, is a copy of my exciange of corre-apondence with Dr. Bellerive.

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28 March 1972

Dr. H. MahlerAssistant Director-GeneralWorld Health Organization1211 Geneva 27Switzerland

Dear 1r. Mahler:

May I thank you for your letter of the 17th of March1972 and also for the enclosures, under separate cover of thedocumentation which we discussed in Geneva. We are now look-ing at these documents with considerable interest, and I feelsure that we shall learn a great deal from your work in thisarea.

I would like to say how much I appreciated meeting youagain in Geneva and sorry that my other duties there did notpermit me to have more extended conversations with you andyour colleagues. I hope to be able to do so on a futureoccasion.

Yours sincerely,

E. K. HawkinsChief

Population & Human Resources DivisionEconomics Department

EKHawkins:gah

INTERNATIONAL DEVELOPMENT INTERNATIONAL BANK FOR INTERNATIONAL FINANCEASSOCIATION RECONSTRUCTION AND DEVELOPMENT CORPORATION

OFFICE MEMORANDUMTO: Files DATE: March 27, 1972

FROM: Harold R. Shipman 1_

SUBJECT: WHO - Telephone conversation with Mr. Paul Bierstein concerning:

(i) Mr. Weiner's proposed visit(ii) Kenya - Nairobi Sewerage

(iii) Yemen (PDR) - Aden Sewerage(iv) Israel Sewerage

On 24 March I talked by phone with Mr. Bierstein of WHO inconnection with several matters . The substance of this conversation ispresented in the following paragraphs:

1 . Mr. Dieterich had not yet received the letter from Mr. Weinerenquiring as to the most favorable time for the visit to WHO Headquarters.However, Mr. Dieterich is quite agreeable to a visit beginning on 10 Apriland would be available on that afternoon, all day on 11th and on the morningof 12th. I informed Mr. Bierstein that I would convey this information toMr. Weiner.

2. I informed Mr. Bierstein of the letter received from Mr. Rajagopalanin connection with the provision of two experts for groundwater studies underthe UNDP project for Nairobi sewerage. I conveyed Mr. Rajagopalan's recommend-ation that the sub-contractors selected for the UNDP study should be instructedto supply the two consultants to undertake the groundwater study at the verybeginning of the assignment and that this ought to be carried out on an urgentbasis. Mr. Bierstein indicated agreement with the recommendation and requestedthat we provide him with a copy of Mr. Rajagopalan's letter. I am arrangingto forward this to WHO together with a copy of the back-to-office report sentin by Mr. Rajagopalan and Mr. Smith and which carries further information inconnection with the recommendation.

3. I asked Mr. Bierstein about the action being taken in connection withAden sewerage and he stated that they had received word from EMRO (RegionalOffice for the Eastern Mediterranean) that action was being taken to expeditethe entire project. Three firms had been listed by WHO who could be consideredfor the assignment. John Taylor, Engineers of UK who had done the preliminaryengineering work and whose report is being used as the basis for the project,are at the top of the list. Mr. Bierstein indicated that the proposal would beto negotiate with Taylor to find out if they would undertake the updating of thereport and additional studies required within the amount of money availablethrough the UNDP office in Yemen (US$ 100,000). Mr. Bierstein indicated that hehad some doubts that all of the work that was being listed could be done under theceiling established. I told him that I wondered whether they were not extendingthe scope of the project beyond the limits which were required for a first stageoperation and in this connection Mr. Bierstein requested that Mr. Spanglerprepare a minimum list of actions which ought to be provided by the consultantto serve as further guide in limiting the work. I indicated that this wouldbe done and that we would forward it to him shortly.

Files - 2 - March 27, 1972

4. In connection with the Israeli mission, I told Mr. Biersteinthat after further conversation with Mr. Reekie it had been decided thateven though Mr . Stevens could be available only for nine days forassistance on the appraisal mission, Mr. Reekie felt that this would bebetter than breaking in another engineer if it turns out that Mr. Jacksonis not available. Mr. Bierstein had talked with Jackson by phone buthad not as yet had any reply as to the decision of his employer on releasefor the consultantship. Mr. Bierstein indicated that Mr. Laugeri, whentaking up employment with WHO, had noted two commitments which he feltobligated to keep, one of which involved the presentation of a lecturein early May. WHO had accepted this condition and informed me thatMr. Laugeri would be available for consultation with Mr. Jones in Genevaon 18th and 19th and would proceed with him on 20th to Tel Aviv, leavingTel Aviv on the evening of May 1st for the lecture, returning on 4th May.I indicated to Mr. Bierstein that I felt in view of the shortness of theinterruption this should create no particular problems for the missionand therefore unless he heard to the contrary we would offer no objectionto this proposal. I reconfirmed that the appraisal mission was proceedingas now scheduled. Mr. Reekie has stated that the interruption will notcause any serious problems.

cc: Mr. Paul Bierstein (WHO, Geneva)

cc: Messrs. WeinerMorseRajagopalan, SmithReekie, JonesSpangler

Miss de Castro Silva

HRShipman:gpl

March 27, 1972

Mr. Paul BlersteinChief, Pre-investment PlanningDivision of Enviroumental Health1211 Geneva 27Swritzerland

Dear Paul,

Thank you for your letter of March 16 emlosing a copy of apersonal history form completed by Mr. M.G. Speedie for the Food andAgriculture Organization. We note your caoments on Mr. Speedie'sexperiene on dam design and construction and have put this informationin our relevant file.

Thank you for sending this to us.

Very truly your

Harold R.Chief, Water Supply Division IPublic Utilities Projects Department

cc: Mr. van Gent (w/incoming)Mr. MorseMiss de Castro Silva

HRS/cma

Control No. WHO/202

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FORM~ N.7INTERNATIONAL BANK FORFO o 75 RECONSTRUCTION AND DEVELOPMENT

INTERNATIONAL FINANCE INTERNATIONAL DEVELOPMENTCORPORATION ASSOCIATION

DateROUTING SLIP March 24, 1972

NAME ROOM NO.

4r- hadonzt C303

To Handle Note and FileAppropriate Disposition Note and Return

x Approval Prepare Reply

Comment Per Our Conversation

Full Report Recommendation

Information Signatureinitial Send On

REMARKS

Fro-Richard H. Demuth

MaC 24 1972

Dr. A. :le11erive~ "irectorDiviion of ,o ordination an valuationWorid Halith Organization1211 Geneva 27, Switzerland

Dear Dr. 3ellerive

I want to fpolo iza for my log delay in ansiin n your let-tsr of TJanuary su estin that contacts be initiated between ourtwo or anizations to discuss the education and traininT of hal throfessionale and the osaitilities for further collaboration

between our agencies in this field. This matter has been underconsideration in our technical 3 epartents since shortly after yourletter arrived and I have just now received their views.

In brie! we agree that the contacts which you have ug2ested sould be initiated. e Aave been moving rathrer slowly and

indirectly into the field of health training through our activitiesin the populatio rural development and education sectors. All ofus on the staff now agree that the time has coe to face the prob -lem of trainin health peronel I a -roader context. therefore welcoMCI your initiative.

e are quite repared to arran-L for anpropriat members ofour staff to corx to Geneva for the initial discussions, ould youlet me know wihen you an est they might conveniently he held? Per-haps we can talk over this whole matter in a preliminary fashion'urinr, the course of th London meetings.

with kind regards,

Sincerevl yours,

iic'iarc A. ' uthiree r

Develo nent Se ces aepartment

1D' tf

Cleared with and cc, Mr. Chadenet

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WTERNATIONAL DEVELOPMENT INTERNATIONAL BANK FOR INTERNATIONAL FINANCEASSOCIATION RECONSTRUCTION AND DEVELOPMENT CORPORATION

OUTGOING WIRE

TO: CANDAU ATE: MARCH 24, 1972UNISANTEGENEVA CLASS OF

SERVICE: Ir

COUNTRY: SWITZERLAND

TEXT:Cable No.:

WOULD YOU AND MESSRS. PETERSON 44D BOERMA

COORDINATIO 0 WHO, UNDP, FAO AND IBRD EFFORTS TO PUSH FORWARD PROGRAM

OF WORK AND MOBILIZATION OF NECESSARY FINANCE FOR CAMPAIGN TO CONTROL

RIVER BLINDNESS IN WESTERN AFRICA AND PREPARATION OF DEVELOPMENT

PROJECTS FOR AREAS TO BE MADE HABITABLE BY CONTROL CAMPAIGN. SUGGEST

WE MIGHT MEET IMMEDIATELY FOLLOWING CONCLUSION OF IACB MEETING IN

LONDON ON APRIL SEVEN. PLEASE LET ME KNOW IF THIS CONVENIENT TO YOU

INTBAFRAD

NOT TO BE TRANSMITTED

AUTHORIZED BY: CLEARANCES AND COPY DISTRIBUTION:

NAME Robert S. McNamara cc: Office of the President (2)

DEPT.OfieoPrs

SIGNATURE(SIGNATI OFIDV A TOIED TO APPROVE)

REFERENCE For Use By Communications SectionRHD:tf

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141

W O R L D HEALTH ORGANItATION MONDIALEORGANIZATION DE LA SANT9

1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSETelesr.: UNISANTE-Geneva TIIMsr.: UNISANT-Oen6"v

T61. 346061 T61ox. 22335

In reply please refer to: P13/372/5 22 March 1972

Pri6re de rappeler la rtf6rence:

Dear Mr McNamara,

No doubt Mr Hoffman, Dr Kanagaratnam and Mr Hawkins have informedyou of the detailed discussions they have had with Dr Mahler, Dr Zahra,Dr Sacks, and other WHO staff members on matters of mutual concern while

in Geneva for the meeting of the ACC Sub-Committee on Population. Iwas pleased to give my endorsement to the proposal which emerged from

these discussions that there be organized, between our staffs, regular

meetings on an ad hoc basis to undertake joint reviews of our operations

in the field of population and family planning in order to more closely

co-ordinate our work in this area. The visits of your collaborators in

recent months have been most valuable and I believe that such consultations,if regularly held, could contribute greatly to mutual understanding andbetter service.

I was also glad to learn that you have initiated a focal point in

the Population Projects Department for work in nutrition. As this field

has important repercussions for health planning at the country level, Ishould be pleased to work out such arrangements for collaboration as willbe mutually beneficial.

I had occasion to reiterate to your group the importance I attach tothe development of health manpower and the corresponding need for relevant

national infrastructures. I understand from Mr Hoffman that the Bank

would be prepared to make arrangements for a visit of your specialistsdealing with education and I would certainly welcome any steps that couldbe taken in that direction,

With kind regards,

Yours sincerely,

M. G. Cdau, M.D.Directo -General

Mr Robert S. McNamara

PresidentInternational Bank for Reconstruction

and Development

1818 H Street, N.W.

Washington, D.C. 20433United States of America

March 22, 1972

Mr. Paul BiersteinChief, Pro-investment PlanningDivision of Environmental HealthWorld Health Organisation1211 Geneva 27Switserland

Dear Paul:

Thank you for your letter AFRO 3202 of March 16, 1972. I amenclosing Mr. Prevost memorandum as requested. I regret the inconveniencethis might have caused you.

Sincerely,

Charles MorseChief, Water Supply Division II

Public Utilities Projects Department

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CMorse:acaIBRD

Control No. RWA-2-1

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W 0 R L D H EALTH ORGANISATION MONDIALEORGANIZATION DE LA SANT14

1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva T616gr.: UNISANTP-Genve

T61. 346061 T6Iex. 22335

In reply please refer to: PW5/4/2 21 X~rah 1972Priere de rappeler ]a refdrence:

Dear Mr Ganzin,

Thank you for your letter of 29 February andthe draft letter of instructions to the PAG Seertary.

We have no comments to make concerning the latter.The new title of the PAG Secretary and the outline ofhis responsibilities ax stated in this letter areperfectly aeceptable to us. As far aa the title ofDr P. S. Venkataahalam is eoncerned, we are inagresment with his now title of "Assistant SeientifieSearetary of the PAO".

We shall appreelate that you forwar this letteras soon as possible after agreement has been reoehedwith all the sponsoring agencies.

With kind regards,

Youra sincerely,

E. M. DeaMsyer, M.D.Medical OffIcer

trition .Researeh

Mr M. Garsin,DireetorNutrition DivisionFAORome

Mr H. 3raves ,e.- p BMr M1. Milngr , PAdDr L. J. Toply, MalCEF

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Form No. 27(6-69)


OUTGOING WIRE (WHO Moroco &Israel &Nigeria)

TO: UNISANTE DATE: March 21, 1972

CLASS OFGENEVA SERVICE:

COUNTRY: SWiITZERLAND

TEXT:Cable No.:

FOR BIERSTEIN REURGAB MARCH 21

PRIRO NO OBJECTION LAGER1 VISIT MOROCCO

SEGUNDO URLET 16 MARCH NOT RECEIVED STOP WgiRE IS BATHURST ?

TERTIO ISRAELIT MISSION IS ON

QUARTO NIGERIA MISSION SCRATCHED FOR PRESENT

MREAND S~-A


AUTHORIZED BY: Mr. Harold R, Shipman CLEARANCES AND COPY DISTRIBUTION:

Chief, Water Supply Division INAME Nblic Utilitie Prjets Dprtmnt

DEPT.Miss do Cate Silva

(SIGNATURE OF INDIVf IAL AUTHORIZED To APPROVE)

REFERENCE HRhipmantgpy Gntwrol No.* NDV20 For Use By Commuions Section

ORIGINAL (Fie Copy)(IMPORTANT: See Secretaries Guide for preparing form) Cecke for Dispatch

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1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSE

Telegr.: UNISANTE-Geneva T16gr.: UNISANTt-GenrveTil. 346061 T6e. 23

Date Re -d.In reply please refer to:

Priere de rappeler la r6ference: 4213(2/2 I L.. rcl q1 72Date AcVd.

-- - - - - - - --------

Dear Jerry,

You will have received our cable in responze to your letter7 MjarCh 1772 in at Mr ilohrt Saunders and yourself ill

)e vi siting Geneva.

Both 31 March and 3 April are o ficial WO holdays and ileyou will, of course, Both be welcome personally there will no opportunityno meot staff on the 3rd. We hope in t>is ease that you will extend youroimn visit beyond C April.

All of our staff have road your paoer on the role of economicsin municipal water supply and I am proposing that ,- ' vote several hoursto a zeminar-type meeting, to w 1 _ol iS invitd all the professionalfstaff memBers of the Division of Environmental IHeal' -nd a fe u staI.uembers outside that Diviioin for a discussion of :r p- aper.

I booe that this -ill be agreeable to you and in anticipationo:. your agreement we are arran in' to obtai a suitable eeting place on

the th,6thl or 7t'h April.

e s-hall all be loohing forward to seeing you and to the discussionson rural water smplies research, c -mputer Program for investment plannin.;and the role of economics in water suppL%

Best :7erronal re-arcs,

Yours sin-erely,

Paul BiersteinChief, Pro-investment PlanningDivision of Environmntal Health

Er J. J. WarfordEconomistInternational Bank for Reconstructi on ard Development1318 IH Street i.s.Waihington, D.C0 2O0433United States of America

cC: i-r C. MorseMr 1i l ihip:m

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FORM No. 26(4-69)


INCOMING CABLE

DATE AND TIME R 0 U T I N GOF CABLE: M 1972

LOG NO.: I TELW21 ACTION COPY: P. U. WATER UPLY II

TO: INFORlIATION P. U. WATER SUPPLY I

FROM. ENEVACOPY:DECODED PY: PUBLIC UTILTIES PROJECTS

TEXTr:

2012 FOR MORSE AND SHIPMAN.

RE MOROCCO GAMBIA AND NIGERIA.

PRD(O LAUGERI VISIT MOROCCO FOUR TO SEVEN APRIL IS PROPOSED TO RECONCILE

SUB CONTRACTORS MAAEMNT REPORS. GRATEF YOU AGE INCLU THIS VISIT

COOPERATIVE PROGRAM

SECUNDO LAUGERI iOUIL PROCEED TO BATHURST MEETING CUTIEL FOR VISIT NN

TO FOUREEN APRIL PROPOED MILET 16 MARCH RETURNING GENEVA TO JOIN ISRAEL MISSION

TERTIO IF ISRAEL MISSION POSTPED LAGERI WLP EED NERIA AS SUGGEED

MYLET 16 MARCH.

QUARTO GRATEFUL YOUR URGENT GABLED REPLY ENABLE US PROCEED GOVERNMENT CIEARANCES.

BIERSTEIN UNISANTS

FR INFORiMATION REGARDING INCOMING CABLES, PLEASE CALL THE (MJNICATICNS SECION, EXT. 2021

ORIGINAL

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W O R L D H E A L T H ORGANISATION MONDIALE

ORGANIZATION DE LA SANTE

1211 GENEVA 27 - SWITZERLAND 1211 GEN VE 27 - SUISSETelegr.: UNISANTE-Geneva T6]6gr.: UNISANTS-Geneve

Tel. 346061 T61ex. 22335

In reply please refer to: 21 March 1972Priere de rappeler la reference:

Dear Ship,

We have received information on two studies prepared by theWorld Bank and would appreciate receiving one copy each of thesepublications. They are:

1. World Bank Sector Paper - Power Projects Serve asChannel for Financial, Technical Assistance

2. World Bank Sector Study - Transportation StudyForecasts Five Year Expansion of Lending,Technical Assistance

Kind regards.

Yours sincerely,

P. BiersteinChief Pre-investment PlanningDivision of Environmental Health

Mr H. Sipman Dste Ack'd.Chief Water Supply Division IPliblic Utilities Projects Department Agsigned toInternational Bank for Reconstruction

and Development1818 H Street N.W.Washington D.C. 20433 - -United States of America

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March 21, 1972

Mr. Paul BiersteinChief, Pre-investment PlanningDivision of Environmental HealthWorld Health Organivation1200 Genwva 27Switzerland

Dear Paul,

This is to acknowledge receipt of your letters dated March 6,1972, your reference W2/372/2, the Weekly Timesheets and your letterdated February 29, 1972, your refarence W2/372/2 all covering reporting.

The timesheets were copleted correctly so far as we can de-termine.

Regarding the summary, would it be too much trouble to includeanother column for the total of mun-hours spent in the field?

The second letter refers to your couents and suggested modifi-cations in the W1O/IBRD Black Book.

Your item number (1)1 Part I - AJ.C. We agree with listingthe projects alphabetically by country.

(2)' Part I -ABC. We agree with yoursuggestion that changes should be addod directjy to the form, with thewhole form being changed only after sufficient number of additions haveoccurred: Your attention is called to the fact that there are two dif-ferent things being called by the same name. Thwe in the "Work Plan"referred to in the Cooperative Agreement and which appears in the chartand all updatings of the chart. There is also the VIMV (Special Fund)report which carried a title "Work Plan". See for example "Water Supplyfor Sana'a and Hodeida" Yemen, "Work Plan". In order to avoid futuremisunderstanding, I suggest that if we can't change the latter's name,we refer to the two as "Cooperative Work Plan" and "'MP Work Plan."

(3)t Part I - D. We agree with your suggestion of includingthe categories "Locatlon" and "Purpose".

(4): Part I - D. We agree with your suggestion of adding thewords "Semin rs, Training Courses" and deleting the word "Managament"in item I-D.

(5): Part I - A. We agree with changing the word "Number"to"Name".

Mr. Paul iersteiri - 2 - Marh 21, 972

(6): Pa 11 - A. In order to avoid confusion, we suggest thewords "Counterpart Assiatance" be changwed to "14D Pernnel".

M) Part Il - A. ]i order to clarify this item, the word "Nm"should be added to 7%e".

(8): Part TT - B. Pate of commencmt and of Project Cmpltionare desired.

(9)t Part Il - B. The word P1inal" should be added af ter theword "Draftt. the item thus referring to th Final Report.

(10): Part II - B. We agree with identification under the title"Project Document" and vith proper chronological sequance, this motionoccurring before the section 'roject Description".

(11): Part I - B. We agrese ith the words "terms of referenc*for ubontractor", Gmdtly after "Project Descriptimn".

(12) Part II - B. Space will be made available on this formfor Vhw inclusion of- the s hort-listod firms.

(13)t Part III. The words "Chief PIP" will be added befaro"Team Leader inforaed".

(14): Part . Forms are being prepared and wO will forwardym a supply as soon as they are ready.

(15): A copy of the Black Book, with the pertinent intormationshould be redy by the beginning of next i7eek.

Beat regards,

Sincerely yours,

Harold R. ShipranChief,,ter Stpply Division IPublic Uti1itiWs Projecto Dpartont

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Aarch 20, 1972

Daekr Dr. Caudau:

,i bahalf of .r. dclarra, I an writing to acknowIedgeand thank you for your letter of - 3rc, 1972 (Ref: 13/87/1(25))invi in, the Internitionail ank for 4econutruction and Develop-ment to appoint a representative to ttend the Twnty--fifthsorld L&ith Assembly to be held in Geneva fom Hay 9 to 26, 1972.

I regret to inform you that due to heavy comitments in MAythe 1 nk i unable to send a representative to attend this meeting.Pleasm accept our good wishes for a folt luccesful Assembly.

Yours sincerely,

L. Peter ChatenayDeputy Special Representative

forUnited Nations Organizations

Dr. M.G. CandauDirector-GeneralWorld Health Organization1211 Genev. 27Switzerand

Cleared in substance & cc: Mr. ArmstrongCentral Files with incoming letter

MFoulon:mmed

I NTERNATIONAL BANK FORFoRM No. 75 RECONSTRUCTION AND DEVELOPMENT(2.60)

INTERNATIONAL FINANCE INTERNATIONAL DEVELOPMENTCORPORATION ASSOCIATION

DateROUTING SLIP

NAME ROOM NO.

To Handle Note and FileAppropriate Disposition Note and ReturnApproval Prepare Reply


Full Report RecommendationInformation !SignatureInitial __ Send On

REMARKS

WkO

W 0 R L D H E A L T H ORGANISATION MONDIALEORGANIZATION DE LA SANTA

1211 GENEVA 27 - SWITZERLAND 1211 GEN&VE 27 - SUISSETelegr.: UNISANTE-Geneva T616gr.: UNISANT&-Gen6ve

T61. 34 60 61 T6Iex. n2335

In reply please refer to: F15/W4 20 March 192Priere de rappeler la rdfdrence:

Dear Max,

Thank you for your mem of 2$ February oonserningthe PAG Ad Hoo Working Group on Feeding the PresohoolChild, Meeting proposed for 1972, Matters regardingPlanning.

It may be too late to change the agenda of theMeeting, but I am struck by its heterogeneity. Onepart of the agenda is strictly coerned withnutritional matters and the other with legislativeproblems which suppose a quite different background ifone wishes to discuss intelli gently this part of theagenda. Until now, ad hoo PA groups have alwaysconcentrated on one problem such as marketing, orsingle-cell protein, and so on, but this time it seemsto me that this group may try to do too many things atonce and may find itself in difficulty because of thelack of expertise to handle every topio of the agonda.This being said, we have no strong views oncerningthe attendance of Dr Debry , and it FAO has bettersuggestions to make zonerning experts on legislationaspeets, we are ready to accept their proposals.

Dr Usilarin has always been an aotive participantin these meetings and we believe that if it is possibleto ame for his attendance once more , it woulA bea good thing to do.

Concerning industry representation, we trust thatUNICEF and PAO will agme an suitable names.

With kind regards,Yours sincerely,

Z. M. Deseyer, M.D.Medical OfficerNutrition Researah

Mr M. MilnerSecretary 0 mr . Qarisin, FMProtein Advisory Group of the r . G5oV5, INZW

Unitred Nati JsUystemUnited Nations

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Mach 20,. 1972

Mr. Paul BierateinChief, Pre-irw timt Pmming

Div1ion of Enviromontal HealthWorld UEslth Organization211 Gen

Dear Paul,

Refaseoe to your letter W2/372/2 of )Irwh 6, IM2 comoingr. Deker's vsit to Vam gtcn.

We aree with Yxxw sumetion of his stpping at the Bank forbrIefing and would awreciate Your letting us know wen this will likrlbe.

We are forwarding directl7 to Mr. Decker sow Informationconcerning the Ban's qation, includinr a co" of the CooperativwAgreewiantad a set of tables *hich win1 couoes MD-MM S3ack Book,

Very truly yours,

Rarold R. ShIpwanChief, 1"ter Supiy Division 3:PUblic UUiltiaw Project Department

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FORM No. 75.03 INTERNATIONAL BANK FOR(11-71) RECONSTRUCTION AND DEVELOPMENT

INTERNATIONAL DEVELOPMENT ASSOCIATION

DateROUTING SLIP IAN 2 1 1972

INCOMING MAIL

Mr. Adler D630 Mr. Paijmans D1018

Mr. Aldewereld A1226 Mr. Rayfield G1053

Mr. Alter A837 Sir Den is Rickett A1230

Mr. Baum C303 Mr. Ripman C303

Mr. Benjenk A712 Mr. Rotberg A1042

Mr. Blaxall D628 Mr. Stevenson D532

Mr. Broches A813 Mr. Twining D1029

Mr. Cargill A613 Mr. Votaw A613

Mr. Chadenet C303 Mr. Wiese A837

Mr. V.C. Chang H702 Mr. Williams B1210

Mr. Chaufournier C702 Mr. Wright Al136

Mr. Cheek C702 __ -

Mr. Chenery A1221

Wm. Clark D928

Mr. Clarke D1022

Mr. Cope B1210

Mr. Demuth D1128

Mr. D.A. de Silva D1029

Mr. Diamond D829

Mr. El Emary AlL43

Mr. Fontein C602

Mr. Fowler A1219

Mr. Gabriel H700

/kr. Goodman C602

Mr. Goreux H314s D1122

'Ar. Gutierrez Al136

r. Hartwich A712

Mr. Hayes D429

Mr. Henderson D529

Mr. Hittmair A1042

Mr. Hoffman D1123

Mr. Husain A1013

Mr. Knapp A1230

Mr. Lejeune A1013

Mr. Lerdau

Mr. McNamara A1230

Mr. Mendels A1219

Mr. Muller G1053

Mr. Nurick A802

From: Communications Section, Room C219, Extension 2023

W 0 R L D HEALTH /ORGANISATION MONDIALEORGANIZATION DE LA SANTE

1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva Tl]gr.: UNISANT-Genhve

T61. 346061 T6Iex. 22335

In reply please refer torr I T .h 1W2Priere de rappeler ]a r6f6rence:

Dear Dr vea*atashalam,

Thank you for your memorandm of 18 January*onarning the microbiological testing of dry proteinrich foeds for us* in supplmutary fooding.

The following coments have been made in W1O:*It ae* that tme autor of this docment believesthat testing for salneuouwa is a reasonable substitutefor an exam ination of faaoal ooliforms. In an earliersection, on page 3, he indicates that the fuastion oftesting for faseal soliform is to give an indication offaulty sanitation ontral in the plant. sincesalmonella can eoe inherently from the products usedin production as well as enviromeznmtal eonteminants itwould seem that the utilization of salesnolla testingalone oanst be used as a substitute for tosting forthe presene of fassal soliforms. It would be importantas a matter of fast to run both tests."

With kind regard$,Yours sincerely,

5. M. De~aeyer, M.D.Ndioal OfficerNutrition Researeh

Dr P. 8. Venkatawhala.Assistant SeeretaryProtein Advisory Group of the United Nations SystemUnited NationsNw York

es Mr X. Ganin, PAOMr R. Graves, 1MW1RDr L. J. Teply, UNICEF

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o VLIXV Oki o eeyy Tgorese segarTutot u eamger~o oggesgy cy~gome y g agyrI

W 0 R L D H E A L T H ORGANISATION MONDIALEORGANIZATION DE LA SANTE

1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSETelegr.: UNISANTE-Geneva T6lgr.: UNISANTA-Gen6ve

Til. 346061 T61ex. 22335

In reply please refer to: 17 March 1972Pribre de rappeler la rtfirence:

Dear Mr Hawkins,

I am enclosing separate cover the documentation I promised

you when you were recently in Geneva. It consists of (a) a

number of attempts we have made at cost-effectiveness analysis

for specific communicable diseases, (b). a description of the

approach we are taking in Yugoslavia relative to using operations

research in planning and evaluation of health services, and (c)

a description of the PSA project planning method with an example

of its actual application in planning the development of hospital

services for Rizal province in the Philippines. I trust these

documents will be of assistance to you in your present work.

Best regards,

Yours sincerely,

H. Mahler, M.D.

Assistant Director-General

Mr Edward K. Hawkins

International Bank for Reconstruction

and Developsent1818 H. Street, N.W.

Washington D.C., 20433

USA.

WOR L D HEALTH ORGANISATION MONDIALEORGANIZATION DE LA SANTd

1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSETelegr.: UNISANTE-Geneva T61. 346061 T61ex. 22335 Tekgr.: UNISANT-Gen6ve

In reply please refer to: W2/372/2 EMR 17 March 1972Pritre de rappeler la rtftrence:

Dear Ship,

With reference to Chuck Spangler's recent visit to WHO/HQ,I attach herewith for your information a "Note for the Record"on our meeting in connexion with the Aden project, and also a

... copy of the revised "Terms of Reference". An extra copy of

... each is also attached for Chuck's information.

We very much enjoyed Chuck's informative and productivestop-over and anticipate that the Aden project will proceedsmoothly.

Would you please review ,the "Terms of Reference" andgive us your comments so that we can proceed with assistanceto the Government in the implementation of the project on

our proposed time schedule.

Kind regards,

Paul BiersteinChief, Pre-Investment PlanningDivision of Environmental Health

Mr H. ShipmanChief, Water Supply Division IPublic Utilities Projects DepartmentInternational Bank for Reconstruction

and Development1818 H Street, N.W.Washington, D.C. 20433United States of America

ENCLS: as mentioned above

March 16, 1972

Dr. Bernd H. DieterichDirectorDivision of Environmental HealthWorld Health Organization1211 Geneva 27Switzerland

Dear Bernd:

I am in the process of firming up plans to visit Turkeyduring the latter half of April and wonder whether it would beconvenient to take advantage of this opportunity to visit with youfor a day or so on the way there or back.

Apart from the merit of just keeping in touch as oppor-tunities present themselves, I would like particularly to hear yourviews about the bases on which the present work program is currentlybeing scheduled: (i) the time needed for carrying out particularsector reviews, completing draft reports, reviewing them to ourmutual satisfaction, and then discussing these drafts with thecountries concerned; (ii) priorities for sector missions.

I also hope it would be possible to meet briefly with thePIP staff as a group to hear from them how they view the CooperativeProgram and what, if any, questions or concerns they may have aboutthe way it is evolving. I would like to meet the people and givethem an opportunity to inquire about current Bank objectives andpractices.

Although the timing of the Turkish visit may change, sincewe have yet to receive confirmation about the proposed dates, onpresent plans I would be able to visit during Monday and Tuesday,April 10 and 11, subject to the constraints of travel schedules toreach Ankara on the 12th, or the beginning of the week of April 24.If you have no preference, I would plan for the earlier date, butyour convenience will be determining.

With warm regards,

Sincerely yours,

Mervyn L. WeinerDirector


cc: Messrs. Armstrong: Shipman/Morse

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1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva Tklkgr.: UNISANT-Geneve

T4i. 346061 Telex. 22335

In reply please refer to: SlO/372/2 APR 16 March 1972

Priire de rappeler ]a reference:

Dear Ship,

The Government of Gambia is planning to build a sewerage system forBathurst and adjacent communities and has requested UNDP/WHO help in pre-investment studies. The firm OVE ARUP (London) has already made anoutline proposal to the Government for carrying out this work. It alsoappears from the information available that an application to the WorldBank for financing is under consideration.

The Government wished to have the pre-investment study ready beforethe rainy season beginning in June. This appears unrealistic. We are

presently considering sending a short mission in April to define the

project and plan on starting the main study after the rains in late summer.

If this is accepted as a UNDP project and WHO is designated Executing Agent,we would select a consulting firm for carrying out the study according to

our usual procedure. The mission would consist of an engineer and a

financial analyst. It would require one to two weeks.

Please let us know if the Bank will agree to include this mission in

the Cooperative Programme.

Yours sincerely,

P. BiersteinChief, Pre-Investment PlanningDivision of Environmental Health

Mr Harold R. ShipmanChief, Water Supply Division IPublic Utilities ProjectsDepartmentInternational Bank for Reconstruction

and Development1818 H. Street N.W.WASHINGTON, D.C. 20433

U.S.A.

Original tol 4z

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23- -- VO.

March 16, 1972

Mr. Paul BiersteinChief, PreaInvestment PlanningDivision of PEnvironmental HealthWorld Health Organization1211 Geneva 27Switzerland

Dear Paul:

In your letter of March 6 you inquire about a report ona pollution study in Botsewana. A copy of the report is attached.

The Government requested the abattoir to abate thepollution and they have retained a consultant engineer from SouthAfrica who is now designing a treatment facility; its mainelement will be a stabilization pond. In the meantime they areattmitdng to eliminate the limited amomts of brine and bloodstill getting into the waste within the plant. The treatedeffluent is to be used for irrigation. The detailed designproposals are not yet available but they are to be ready byMay and it is anticipated the treatment works can be finishedin a year.

Very truly yours,

Harold R. ShipmanChief, Water Supply Division I


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CONTROL NO. BOT-2".72

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INTERNATtONAL 8ANV FORFORM No. 75 RECON STRUCTION AND DEVELOPMENT

(2.60)INTERNATIONAL FINANCE INTERNATIONAL DEVELOPMENT

CORPORATION ASSOCIATION

DateROUTING SLIP 3/20/72

NAME ROOM NO.

Mr. oops B-502

XX To Handle Note and File

Appropriate Disposition Note and ReturnApproval Prepare Reply


Full Report Recommendation

Information SignatureInitial Send On

REMARKS

FromLuis Escobar

PAN AMERICAN HEALTH ORGANIZATION

Pan American Sanitau Bureau, Re3 ional Office ef the jWORLD HEALTH ORGANIZATION

525 TWENTY-THIRD STREET, N.W., WASHINGTON, D.C. 20037, U.S.A. CABLE ADDRESS: OFSANPAN

IN REPLY REFER TO: PER/CONF-CL-6-72 TELEPHONE 223-4700

16 March 1972

Dear Mr. McNamara:

I have the honor to refer to the V Inter-American Meetingon Foot-and-Mouth Disease and Zoonoses Control, which will be heldin Mexico, D.F., Mexico, from 10 to 13 April 1972.

I am pleased to inform you that the Bureau has provision-ally reserved accommodations for participants in the followinghotels in Mexico City: Hotel Francis (Reforma 64), Hotel FiestaPalace (Reforma 80), and Hotel Reforma (Reforma and Paris).

However, because of the demand for accommodations at thistime of the year in Mexico City, it would be advisable for partic-ipants to complete the attached form and return it to the Bureau assoon as possible. The managers of the above-mentioned hotels haveasked us to confirm reservations before 1 April.

I should therefore be grateful if, as soon as the personsconcerned have completed their travel arrangements, they wouldinform our Zone Office in Mexico by cable addressed to OFSANPAN,Mexico, D.F., (Mexico), of their date of arrival, airline, andflight number.

Luis Larrea A a r., iefersonnel and conference Se tion

o Attachment

Mr. Robert S. McNamaraPresidentInternational Bank for Reconstruction

and Development1818 H Street, N.W.Washington, D.C. 20433

cc: Mr. Don StoopsChief, Agricultural Credit

and Livestock Section

c

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V INTER-AMERICAN MEETING ON FOOT-AND-MOUTH DISEASEAND ZOONOSES CONTROL

Mexico, D.F., Mexico, 10-13 April 1972

ATTENDANCE FORM

Given name and surname

Official position

Address

Is attending as:

Representative

Alternate

Adviser

*Reservation starting

**Choice:

Hotel Fiesta Palace: Single Room / / US$17.65(Reforma 80) Double Room / / US$21.25

Hotel Reforma: Single Room / 7 US$12.80(Reforma and Paris) Double Room / / US$16.00

Hotel Francis: Single Room / 7 US$ 8.80(Reforma 64) Double Room / / US$12.00

Accompanied by: Wife / 7 Children / / Others / /

*Hotels have requested that all reservations be confirmed by 1 April 1972;consequently, we would very much appreciate it if you would remit this form tous by 28 March 1972.

**In view of the limited number of rooms reserved in each of the abovehotels,and in the event that we are unable to obtain your first choice,please indicate your second preference.

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BATE SIAM NUMBER

PAN AMERICAN HEALTH ORGANIZATIONROUT TO intTAL ATE ACTION lACER

Pan American Sanitary Bureau, Regional Ofice of the

WORLD HEALTH ORGANIZATION . REROUTE FOR: ACT INFO

INTER-OFFICE MEMORANDUM --

READY FOR FILINI

In Reply Refer to: ES-Colombia-2202/28/1 14 de marzo de 1972

To: Ing. Charles Morse, Jr., Banco Mundia

From: Mario Espinosa, ES/PAH <ie

subject: Asistencia Tecnica a Colombia

Con respecto a la copia de carta 0065 del Ing.Rafael ParedesInfante, Director del INSFOPAL, al Representante de la OPS enColombia, Dr. Ramon Alvarez Gutierrez, y en la cual se pide lareduccion y la accion de la OPS con respecto a la asesorla a laOficina de Credito Externo y para el plan de la de 8 ciudades,me es grato comunicarle que nuestra oficina en Colombia informoal Ing. Paredes que esta Organizaci~n podria demorar el recluta-miento de uno de los puestos pero que considera necesario el man-tener las 3 posiciones en el presupuesto. Convendria, por tanto,que el Banco Mundial hiciera su pronunciamiento oficial al respectoa fin de obtener una decision lo mas pronto posible de parte delINSFOPAL.

Inc.

COPIA

Ministerio de Salud P1iblica

INSTITUTO NACIONAL DE FOENTO MUNICIPAL

BOGOTA, FEBRERO 12 DE 1972

0065

DoctorRAMON ALVAREZ GUTIERREZOrganizaci 6 n Panamericana de la SaludMinisterio de Salud - Piso 6QBogoti

En consideraci6n a las conclusiones sacadas en las reuniones fina-les de la evaluaci6n de proyectos, celebradas con el Banco Mundial,Planeaci6n y la Subdirecci6n de Financiamiento y Cradito Externo,entre Octubre y Noviembre del ajio pasado, se convino que con la co-laboraci6n de la Organizaci6n Panamericana de la Salud se procedieraa diagnosticar cada una de las ciudades estudiadas en dicha ocasi6n.

Con el prop6sito de dar comienzo a tan importante actividad, soli-citamos la ayuda de la Organizacion a su cargo, para lo relacionadocon la preparaci6n de los formularios de diagn6stico, capacitaci6ny entrenamiento del personal y supervisi6n de trabajos, rendici6nde informe y elaboraci6n de t6rminos de referencia para los contra-tos de consultoria a que d6 origen esta investigaci6n.

Refiriandome a la Consultoria para la Subdirecci6n de Financiamientoy Cradito Externo, me permito poner a su consideraci6n, una nuevaconformaci6n del grupo asesor, consistente en la eliminaci6n de loscostos de la Jefatura de la misi6n, para que sea suministrada porquien desempeiia dicho cargo en la Asesoria masiva del Insfopal, Asimismo consideramos que en los tarminos de referencia debe especifi-carse que fuera de la asistencia general a las ciudades, se atiendala organizaci6n de Santa Marta y Buenaventura.

En las condiciones anteriores rogamos a ustedes, atender nuestroplanteamiento lo antes posible y es de desear se produzca un pro-

Ministerio de Salud Pniblica

INSTITUTO NACIONAL DE FOMENTO MUNICIPAL

Doctor Ram6n Alvarez Gutierrez - Ministerio de Salud.

- 2 -

nunciamiento a mis tardar el lunes pr6ximo, para un costo de laconsultoria igual al valor de su propuesta para los dos consul-tores permanentes, debiendo excluirse tambien lo correspondienteal item de suministros, equipos y gastos incidentales que serAnatendidos por Insfopal.

Atentamente,

RAFAEL PAREDES INFANTEDirector General

cc: Ing. Charles Morse - Banco MundialIng. Julio Roberto Jim6nez - Planeaci6nSubdirecci6n Financ. y Credito Externo

MAC/cig.

March 14, 1972

Dr. Alfred ZahraDirector, Division of Family HealthWorld Health OrganizationAvenue Appia1211 Geneva 27, Switzerland

Dear Dr. Zahra:

You will recall that during our discussions in Geneva on January 31I promised to keep you and Dr. Engstrom informed about any activities whichthe Bank might undertake in Iran. The enclosed letter to Mr. Namazi inTehran will inform you and Dr. Engstrom what the Bank presently has in mindfor the near-term future. I also enclose a memo summarizing a recent dis-cussion with UNFPA on the coordination of Bank/UNFPA work in Iran.

We do not feel that we have enough understanding of the functions ofIran's Health Centers to have confidence that they are the most appropriateway of delivering family planning services outside the Tehran metropolitanarea. Naturally we do not want to get started up a wrong road; therefore,if Dr. Engstrom, who I assume is the most knowledgeable man there about howthese Centers fit into the family planning delivery system, should have anyserious doubts about their role in family planning, we would certainly liketo know of them as early as possible. My memory is that when I mentionedin his presence the possibility of our considering assistance in this area,Dr. Engstrom saw no reason to raise any particular questions.

My letter to Mr. Namazi raises the possibility of a Bank appraisalmission, probably in June. Paragraph 9 of the UNFPA memo raises the hopethat Dr. Engstrom might be persuaded to join such a mission. While we havelearned that we should not ask for individuals by name, we would like to knowwhether "someone" from WHO, knowledgeable about the health and family planningdelivery systems in Iran, might be available and interested in joining anappraisal mission of three or four weeks, to be followed by two weeks ofreport-writing in Washington.

With kindest personal regards,

Sincerely yours,

George B. BaldwinDeputy Director

Population Projects DepartmentEnclosures

cc: Messrs. M.L. Hoffman; Eschenberg

Division Files GBBaldwin/jimIRAN

WJ R L D H E A L T H ORGANISATION MODC2ALEORGANIZATION DE LA SANT

1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva TkIdgr.: UNISANTP-Geneve

Til. 346061 T41ex. 22335

In reply please refer to: w2/372/2 SEARO 13 March 1972

Prire de rappeler ]a reference:

Dear Charlie,

Kindly refer to your 3 March 1972 letter in connection withthe sector survey proposed for India within the framework ofthe co-operative programme.

We are attaching horeto suggested draft terms of referencefor the mission and should be grateful for your corments. Wepresume, of course, that The Bank will handle governmentclearances for all mission members including Messrs. Jacobi andPinto.

Yours sincerely,

Paul Bierstein

/ Chief, Pre-Investment Planning,Division of Environmental Health

Mr C. MorseChief, ater Supply Division IIPublic Utilities Projects DepartmentInternational Bank for Reconstruction

and Development1818 H Street, N.W.,Iashington, D.C. 20433U.S.A.

ATT.

W 0 R L D H EALT H ORGANISATION MO LEORGANIZATION DE LA SANTO

1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSETelegr.: UNISANTE-Geneva TElgr.: UNISANTa-Genave

T61. 346061 T6lex. 22335

In reply please refer to: N5 5/348/2 10 March 1972Priere de rappeler Ia reference:

Dear Mr Hoffman,

I am sorry for the delay in replying to your letter of

9 December 1971 concerning the review you have undertaken of the

arrangements made by the Bank for the transmission to WHO of

country economic reports and Bank/IDA appraisal reports.

You will find attached the replies to your questionnaires.

I should add that generally speaking World Bank economic reports

and Bank/IDA appraisal reports on water supply projects are

circulated within the Environmental Health Division and reviewed

and kept for later reference by the Pre-Investment Planning unit.

The country economic reports, sector studies and pre-investment

studies programmes and similar documents are reviewed by the

Programme Evaluation unit, which uses them as a source of reference

for comparison and information in the compilation of its own basic

country data and appraisals of country situations. Where appropriate

a copy of these documents is sent to the Regional Office concerned.

We are completely satisfied with the arrangements for document

distribution and would appreciate their maintenance. However, if

the documents we receive are available in the future only in micro-

fiche form we could also use them in this form.

Finally, I should like to thank you for the initiative you take

of sending us regularly your appraisal reports on population projects.

Yours sincerely,

el

, Bellariveor, Division of Co-ordination

and Evaluation

Mr Michael L. HoffmanAssociate Director

Development Services Department


and Development

1818 H Street, N.W.

Washington, D.C. 20433

United States of America

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WHO'S REPLY TO THE QUESTIONNAIRE

"USE OF IBRD/IDA PROJECT APPRAISAL REPORTS IN

UNITED NATIONS AGENCIES"

1. Every professional staff member of the Pre-Investment Planning unit at

headquarters has the opportunity to routinely read World Bank country

economic reports.

2. Yes, there are three teams within the Pre-Investment Planning unit, each

covering a geographic area.

3. Occasionally.

4. These reports are used as sources of basic data in assisting governments

to evaluate their present and potential programmes for the construction ofwater supply and wastes disposal facilities and in providing assistance to

member governments in preparing requests for assistance on pre-investment

surveys in these fields.

5. Yes.

6. The reports' views and recommendations are very useful to WHO. They

dare taken into account in advising governments on the appropriateness ofvarious proposals in the sectors of water supply and wastes disposal. They

serve a further useful purpose in pointing out where WHO may be of assistance

in removing or minimizing these constraints.

7. The Community Water Supply and Sanitation unit of the Division of

Environmental Health at headquarters is presently gathering data on a global

basis on water supplies and wastes disposal and it is planned that this

material will, under the Collaborative Programme with the Bank, be routinely

checked for consistency with the Bank's statistics and also provided as

summaries of information to the Bank.

8. The feedback procedure is a constant one in view of the close

relationship which has been established by the Collaborative Programme.

9. These reports do have a regular and receptive "audience" and are

regarded as an important input for our professional work.

10 March 1972

WHO'S REPLY TO THE QUESTIONNAIRE

"USE OF WORLD BANK COUNTRY ECONOMIC REPORTS IN

UNITED NATIONS AGENCIES"

1. Country economic reports are reviewed by the Programme Evaluation unit

at headquarters.

2. Programme Evaluation unit uses them as reference and selected items

are integrated in country information.

3. A copy is forwarded to the Regional Office concerned.

4. Yes.

5. Yes, in economic matters related to public health.

6. Yes, as a guide for WHO assistance to countries.

7. Only occasional checks for consistency have been made up till now

between Bank and WHO statistics and projections.

8. No.

9. Bank reports are rated highly in WHO as a valuable source of

information, comparison and reference.

10 March 1972

March 10, 1972

Dr. B.H. DieterichDirectorDivision of Environmental HealthWorld Health Organization1211 Geneva 27Switzerland

Dear Berr&.:

I am sorry that we are late with the information you requestedin your letter W2/418Al(72) dated February 4, 1972, which incidentallywe received on February 14. The only date which can be guaranteed arethe counrry, the project, and the amount of the loan/credit or grant.

The total cost in some cases represents actual cost but in mostis still the estimated cost. The same applies to the percent of foreigncost. We have deliberately omitted axV estimates of the people benefit-ted because there is no uniform definition for this. In addition, someprojects are mall additions to large system*, others are expensive smallsystems. Therefore, arg average per Vapita cost can be very misleading.

I hope this information will be useful. With best regards.

Sincerely,

W. J. ArmstrongDeputy Director


YB/eta

encl:

INTERNATIONAL BANK & RECONSTRUCTION DEVELOPENT .TO O M - 0- -192NAME OF AGENCY INTERUNATIOUAL D7E7LOPYENT -kSSGCTTON DATE___EPT____h__,_97

LOANS AND GRANTS TO DEVELOPTN COUNTRIES FOR COMJNTTY WATER SUPPLY AND SEWAGE DISPOSAL- .PROJECTS: 1958 - 1971 INCLUS3VE (Millions of U.S. Dollars)

(Arranged alphabetically by name of country)

Total Amount of Grant or Loan Number ForeignCountry Date of Grant . Cost Total For For of cost %i I .Purpose of .. RemarksAssisted- Signature or of US$ Water Sewage People of

Loan Project millinoSupply Disposal Benefitted Total

Botswana Feb. 10/71 Credit Gaborone/Lobatse Water Supply 3.3 3.0 3.0 - 87

-Brazil Jun. 21/71 Loan Sao Paulo Water Supply and ) 59.8 22.0 22.0 - 37Brazil Jun. 21/71 Loan Sao Paulo Pollution Control) 81.5 15.0 - 15.0 18

Burundi Mar.-31/66 Credit Bujumbura Water Supply. 1.7 1.1 1.1 - 65

Camaeroon Jun. 2/69 Loan Douala & Yaounde Water Suoply 7.0' 5.0 5.0 - 71.5

China Sept. 6 / 61 Credit Taipei Regional Water Supply 8.1 4.0 4.0 - 49.5

Colombia Jun. 3/68 Loan Bogota Water Supply 35.3 14.0 14.0 - 49

Colombia May 28/71 Loan Second Bogota Water Supply 103.7 88.0 88.0 - 69

Colombia Jun. h/70 Loan Cali Water Supply & Sewerage 33.15 18.5 12.0 5.5 27

Colombia May 28/11 Loan Palmira Water Supply & Sewera e 3.78 2.0 1.5 0.5 24

Cyprus Apr. 5/71 Loan Nicosia Sewerage 6.3 3 5 - 3.5 47

Cyprus Apr. 5/7-1 Loan Famagusta Sewerage & Drainage 2.9 1.9 - 1.9 54

Ghana Aug. 28/69 Credit Accra/TemLa Water Supply & Sew. 5.9 3.5 1.9 1.6 52

Jamaica May 11/69 Loan Kingston Water Supply 9.05 5.0 5.0 - 55Jordan Dec. 22/61 Credit Aman Water Supply 3.05 1.5 1.5 - 60

JerusalemJordan Dec. 12/63 Credit Water Supply - Zarka h.O 2.5 2.5 - 62

Irbid

* fncludinc value of quipment, material a. scrvlces furnishcd

NAME OF ACLNCY IN'[TEkNPIATiNAL DEVELJfl0NI [WGI PTiON DATE OF REPORT March 10, 1972

LOANS AND ORANT)S TO DE-VELOPTN(T COUNFPT'r FOB CrOTFlUNTTY WA.TMRUPPLY AN SIFDAGE DTSPOSALI' Iop::2 0J' -:I J.! i:>,I:v WLC' I ! .2. 1i 1~

(Arrungud alphabetically by n:unc of cot,ry)

Total Amount of Grant or Loan Number ForeignCountry Date of Grant Cost IT For For of cot %Assisted' Signature or Purpose of US$ water Sewage People of Remarks

Loan PFroject ii upply Disposal Benefitted Total

Kenya Dec. 11/70 Loan Nairobi Water Supply 12.1 8.3 8.3 - 58Ma-laysia Sept.27/68 Loan Kuala Lumpur.Water Supply *7.7 3.6 3.6 - t7

Nicaragua Sept. 7/62 Credit Managua Water Supply 6.0 3.0 3.0 - 50

Pakistan Aug. 16/63 Credit Dacca W ter Supply.& Sewerage 33.5 13.2 6.9 6.3 39

Pakistan Aug. 16/63 Credit Chittagong Water Supply & Sew. 18.h 7.0 6.0 1.0 38

Pakistan May 12/67 Credit Lahore Water Supply & Sewerag 6.0 1.75 1.75 - 45

Philippines July 22/64 Loan Manila Water Project 48.2 19.7 19.7 - .i

Singapore Feb. 26/65 Loan Johore River Water 13.7 6.8 6.8 - 49

Singapore July 5/67 Loan Water and Power Project 16.oL 8.Or 8.0 - 50

Singapore July 3/68 Loan Singapore Sewerage 21.1 6.0 - 6.0 31

Tunisia Jan. 16/69 Loan Tunisia Water 32.8 15.0 15.0 - 51

Tunisia Jun. 30/70 Credit Second Water Supply 19.2 10.5 10.5 - 59

Venezuela Apr. 21/66 Loan Metropolitan Water Supply 57.7 17.1 17.1 - Lh

Ethiopia July 15/69 Grant Studies for Addis Ababa Water 0.225 0.18 - - s0and Sewerage Project

1/ Water omponent o t of a total loan of $2- million.

' :npludin value of ',yquipment, material an., -ervices furnihed

C-

A

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W 0 R L D H EALTH ORGANISATION MONDIALEORGANIZATION DE LA SANTO


Telegr.: UNISANTE-Geneva T616gr.: UNISANTA-Gen6veTil. 346061 T61ex. 22335

Date RO'd. ?74V1/-"In reply please refer to: -

Priere de rappeler la rnf~rence: 12/:'72/2 Date Ack'd. arc 1572

Assigned to

Dear Pcte, jf d -!3

T 7ank you for your letter of 25 Febr ary, which arrived here on7 Mareh. Tis is in referenco to your previous letter dated 17 Fiibruary

1972 concerning Mr Jack Snead.

I have cuaimned the current version of Manual Order 419.4 whichappears to be written S_ inure beaurocratice. On Paie 3 of this Order,under item VI.A.5 there is a sentence vmich states: "Details may be madewithout rei murscment ...... .t

As I have euplained in my letter of 2 March 1072, there is little<hanee that kHO would accept Mr Snead should there be any financial implicationsto l110. If I am assured that US Government would nay for his travel, salary,allowances - in fact everythin; - I would be prepared to take thesenegotiations a step further. Perhaps you cou ld di uss yiis with DaleSwisher and if such assurances are forthicomin , then oroach the matterinfornallv here in CHO.


Yours sincerely,

Paul BiersteinChief, Ure-invcstnent Plannirg;Diison o f Enironmental MealtI

!,f 9 ete' CallejasDeputy Chief, Water Supply Division IPuolic Utilities Projets DepartmenInternati ona Bank for leconstruction and Development18l8 H Street, N.

ainDton, . 2047Unitc" Stat' o' America

aH T

xe A:M 4

xI

~9

Your Refa P 45/2 1, 1972Dr. L.J. OlivierParaitic Diseases SectionDivision of Cossmmsmiale DiseaesWorld health OrgPniMation12U1 Ueneva 27Switzerland

Dear Louias

Dqft 22L tie A-N1MR01 rin a Arosa

I ws very pedata got your letter of Fruaz7 23, 1972.

The first meting of the StogrjM GroUp is to be bftld on Mednesay,March 29, 1972 probably in the PAHO Ndhagn in that this should giveyosufiint tim to obanofficlal cleaxwn". Mr. Townley's exp ne

I expect, to be attending a omferenme in Orenoblo, Franvo fromJaptwaber 10 th ough Soptember 17, 1972 and would LUMs to call in to mmeyo your colleag to discss the prqrese of the Workiqg QxwVWould either Fridaq, Septmaber 8 or Monday., september 18 be 0anaft?

Plwas 10t me know am soft -* official aleamam of the w*k withinWO has taken plae.

Yom*e siweroly,

YAs Berris

Inergy ant Pa.rPWAI*0 VbIlies Proeeto boyautertw

a Mr. Tuel.y, ANDp., W, saw YrkDr to*d Off Ift of fiftlth, fmlvhema Asatae',A M.

Dr.- WrIsht, ,64 3n Pmam R.ec V.,j whingtm, D .04

Messrs: Armstrong, Howell, Lee, Berrie,';arford, Hawkins (Economics)Dept. Files, Central Files, Chron. Files.

TWBerrie:jrIBRPD

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W O R L D H E A L T H ORGANISATION MONDIALEORGANIZATION DE LA SANT$


Telegr.: UNISANTE-Geneva TEligr.: UNISANT-GeniveTil. 346061 Telex. 22335

In reply please refer to: W3/87/1 (25) Geneva, 8 March 1972Pritre de rappeler Ia riftrence:

Sir,

I have the honour to inform you that the Twenty-fifth World Health

Assembly will be convened at 10 a.m. on Tuesday, 9 May 1972 in the Palais

des Nations, Geneva, Switzerland, and take pleasure in inviting you to

appoint a representative or representatives to attend on behalf of your

organization.

A copy of the provisional agenda for this session is enclosed.

I shall be pleased to forward relevant documentation on receipt of

advice as to the name and address of the person or persons appointed to

attend. It would be appreciated if this information could be communicated

at your earliest convenience, and, if possible, not later than 25 April next.

I have the honour to be,

Sir,

Your nt Servant,

for M. G.M.DDirector-General

The President


and Development1818 H. Street, N.W.



. ENCL: As mentioned ASS/72.1

W OR LD H E A L T ORGANISATION MONDIALEORGANIZATION D LA SANTO

1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva Date Ackd4- ------ 44grt UNISANT8-Genve

T'61. 346061 T6lex. 22335

Assigned to 41-In reply please refer to: W2/372/21Pribre de rappeler ]a rkference: - - -r-h-1972

Dear Charlie,

Dr Dieterich, Director of the EnvironmentgTi1"jlTh Kivision, haspassed to us your letter of 14 February 1972 and has asked us to conveyhis thanks to you.

We note with great interest your proposals for a cost-benefit studyof rural water supplies and need hardly assure you that we will be mosthappy to co-operate in any way possible.

In connexion with the literature survey to be carried out in Phase I... of the programme, we are pleased to send you under separate cover one copy

each of the Assessment Reports made on seven rural water supply andsanitation programmes jointly assisted by WHO-UNICEF in China (Taiwan),India, Kenya, Pakistan, Paraguay, Peru and Senegal. We are also sendinga copy of the comprehensive report summarizing the results of the sevenprojects, which was submitted to the Sixteenth Session of the UNICEF-WHOJoint Committee on Health Policy in 1969. We believe that these reportswill be of interest to the World Bank consultants.

We have also noted with satisfaction the assistance being offered inyour study by PAHO. We are sending copies of your letter and attachmentsto the other WHO Regional Offices asking them to submit to us their viewsand suggestions in respect of the manner in which they could collaboratein the proposed study, in particular during Phase II.

I shall be very pleased to see Mr Warford and Mr Saunders here inApril, and our Unit will give them any information possible. If theyhave any specific queries, or if we can be of assistance in making arrange-ments for them, please ask them not to hesitate to write to us. It wouldalso be useful if you could give us more details as to any further informationyou would like us to prepare for them.

With best personal regards,Yours s cer ly,

Lu A./ZrielaChief, Community Water Supply and Sanitation

Mr Charles Morse Division of Environmental HealthChief, Water Supply Division IIPublic Utilities Projects DepartmentIaternational Bank for Reconstruction


. United States of America UNDER SEPARATE COVER: Documents as above

MEMORANDUM

From Chief, Cw8/K To All Regional Offices Date 8 March 1972AMmdIm. (except AMRO)Attention: RA in EH

Our ref. W2/372/2 Subject: WORLD BNK RESARCH PROJVCT IN RURALWATER SUPPLY

Your ref.

Attaehed is a eopy of the letter reecived from PIr Charles Morseoutlining the World Bank proposals for undertaking a rural water supplyresearch project for the purpose of quantifying benefits and *osts from

... rural water supply projeets. Also atteehed is a description of themanner in whici the project will be earried out. You will note thatour Regional Office for the Amerieas will ce-eprate in this stuta byfurnishing the services of an epidemiologist and, during Phas II ofthe projeet, an engineer. For your infwrmation a oopy of our reply

... to Mr Morse is attached.

As we have indicated to Mr Merse, we believe that the proposedstudy would be of great benefit and that it would prove mest usefulto WO as well as to aginaies responsible for the planning and implementa.tion of rural water supply programmes. It is our hope that your Officewill consider providing any possible assistance to the World Bank missionduring Phae II of the projeet. In this regard we should be grateful ifyou would suggest to us any projects that the consultants could visit,and also provide any other relevant inoro tion.

We should appresoate roeivaing a reply to this memorandum if possiblebefore the arrival in Geneva of Messrs Warford and Saunders at the beginningof April.

ATTACHa Copies earrespondsnee as mentioned above

Copy to Mr C. Morse, World Bank, Washington

W O R L D H E A L T H ORGANISATION MONDIALEORGA WTION DE LA SANTt

1211 GENEVA 27 - SWITZERLAND 1211 GENLVE 27 - SUISSETelegr.: UNISANTE-Geneva T616gr.: UNISANTI-Genave

T61. 346061 T61ex. 22335/

In reply please refer to: W 1972Priore de rappeler ]a reference: Date ACk'd - ---------

ASSig 7e to

--------------------------------

Dear Mr Jackson

We have been Wormed by Mr ffold R. Mdpmn, Chief, WaterSuPply Division I, Public Utilities Projeeta Departvent, 1intarnationalBank for Reeonstruction ana Developmnt, that you may be interested andavailable for a possible position with the World Health Organisation.,

It would be approitod if you could complete ad return one. opy of th attached personal history form, which is a prerequisite toany omployment with WM.

An indiostion of your interest wnd availability for eithershort-tema or longer-tarma assigrents with )M would aIso be helpful.

It is possible that we may request you to travel to Genevafor an interview at WW's exper#e after reviewing your qualificationsand wxperience.

You will wnderstand tht this is an oxplomtory letter withoutcomitment on either side.

Yours sincerely,

P. BiweteinChief, Pr*-invewtmsnt PlewnnDivision of Snmir~oxWt Health

Mr J. M. Jack$=33 Succoth ParkEgnbRtM5 12scotl"n

aATTKCH. as stated

c(1 Mr H. R. ShipMan. Chief, Water Supply Division I, Public UtilitiesProjects Department, International Bank for Reconstruotion and

elopment., 1818 H Street, N.W., Washington, D.C. 2043, USA

GGT 1 4

110

W O R L D H E A L T H ORGANISATION MONDIALEORGANIZATION DE LA SANTO

1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSETelegr.: UNISANTE-Geneva Tilfgr.: UNISANTt-Genkve

TM. 346061 Tilex. 22335

In reply please refer to: W3/87/ 1(25) Geneva, 8 March 1972Priire de rappeler la rkfrrence:

Sir,

I have the honour to inform you that the Twent-fifth World Health

Assembly will be convened at 10 a.m. on Tuesday, 9 May 1972 in the Palais

des Nations, Geneva, Switzerland, and take pleasure in inviting you to

appoint a representative or representatives to attend on behalf of your

organization.

A copy of the provisional agenda for this session is enclosed.

I shall be pleased to forward relevant documentation on receipt of

advice as to the name and address of the person or persons appointed to

attend. It would be appreciated if this information could be communicated

at your earliest convenience, and, if possible, not later than 25 April next.

I have the honour to be,

Sir,

Your nt Servant,

for M. G. u, M.D.Director-General

The President


and Development

1818 H. Street, N.W.



ENCL: As mentioned ASS/72.1

n - --

I-CC

If 2

March 8, 1972

Mr. V. J. umanue1 Sanitsa7 11ginserWorld Health OranisatimSotheast Asia Regional OfficePost Office B= 2931Maila, Philippins

Dear Mr. 1numvs1:

We have read with interest your report dated 25 December 1971concering project India 0268, Village Water Supy. In that reportyou note that Mr. Ke4d, Area Representative, UNICEF, ztpressed, a needfor a suitable deep-well hand-pump for the drilled-well hand-pmp programin India.

You will be interested to know that th Battelle MemorialInstitute hae developed, under a contract from USAID, a hand-pump which=aW fulfill the need for the India project. May we suggest that youcmtact Battelle for further informatien concerning this pump. Theaddress is:

Battelle 1orial InstituteColcmbus Laboratories505 King AvenueColowbus., Ohio 43201

Attatiant Mr. D. W. Frink.

Very truly yours,

Charles Morse,Chief, Water Supply Divisima II

Public Utilities Projects Departmwnt

act Mesrs. Bierstein, WHO, GenevaGarrera, 10, Geneva

ABrue :safIBRD

cc: Mr. Frink, Battelle Memorial (Ohio)

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March 7, 1972

Mr. Paul BiersteinChief, Pre-investmant PlanningDivision of Environmental HealthWorld Health Organisation1211 Geneva 27Switserland

Dear Paul:

This is to let you know that I will be in Geneva from April 2 - 6,and will be accompanied by Mr. Robert Saunders, a consultant employedby us to work on the rural water supplies research project. Mr. Saunderswill probably stay in Geneva until April 11 or thereabouts.

In addition to discussions on this research project, describedbriefly in our letter to you of February 14, 1972, I should also liketo talk to you about the computer program for investment planning thatMr. Haag is working on, as well as the paper on the role of economicsthat I sent you last month.

With best wishes.

Sincerely yours,

J. J. Warford

JJWarford:pjkIBRD

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Hr. Paul MierateinChief, Pre-investmeut PlanningDivision of Euiiromental HealthWorld Health Organisation12U Genwa 27.%itsrland

Dear Pauli

In reply to your request dated 2, February, we havepleasure it mwlosing herewith 6) copies of our beet-sefler on WaterSpply and 2) copies each of our not-ao-popular water supply andseverage questionmires, in Engl13h, and 10 copies each of the somequestionnaires in Fronmh.

Very truly yours,

B-trold R. ShipmanChief, Water Supply Division I


Control Nb. eISC-2-110

Files March 7, 1972

Michael L. Hoffman

Notes on Meetings with the World Health Organization, February 29-March 1, 1972

In response to my letter of February 17, 1972, Dr. Candau invitedDr. Kanagaratnam, Mr. Hawkins and me to meet with him on March 1 beforethe day's session of the ACC Sub-committee on Population. Drs. Mahlerand Zahra were present.

1. I gave Dr. Candau a brief report on recent discussions in the Bank'sBoard of the cooperative arrangements (during the mid-year budget review)and on the importance of interagency cooperation generally during the dis-cussion of the Sector Program Paper on Population. I stressed the factthat both the President and the Executive Directors see great merit in ourassisting cooperative arrangements and are pressing the staff to extendinformal and eventually perhaps formal arrangements into other fields ofactivity. I referred briefly to Mr. McNamara's recent discussion withMr. Salas of UNFPA.

2. Dr. Candau said that he had always been concerned that the relativelynew emphasis around the world on family planning should not lead to a loss,through neglect, of the very important advances that had been made instrengthening health services. WHO must always be mindful of this danger.He talked about the increasing concern in WHO with education in the medicaland health fields. Several senior WHO officials are taking advanced de-grees in education to enable them to work more effectively in this area.Dr. Candau emphasized that doctors, in general, even medical professors,are notoriously ignorant of and uninterested in pedagogical and curriculummatters. He said he hoped that, in addition to visits from Bank missionsconcerned with the education sector of particular countries, several ofwhich have occurred, the Bank would be willing to have a more general re-view with WHO on the medical and health aspects of education in developingcountries. He said he would be quite prepared to send some of his seniorofficials to Washington for this purpose.

3. I told Dr. Candau that I had already agreed with Dr. Sacks andDr. Mahler to recommend to Mr. Ballantine to arrange an early visit toWHO for the purpose Dr. Candau had in mind. (I learned later fromDr. Bellerive that despite Dr. Candau's offer to send WHO staff to Washing-ton for the education discussions, they would very much rather have thefirst round in Geneva because of the large number of WHO officials invarious divisions interested in knowing more about the Bank's approach tofinancing educational projects. There is a letter to Mr. Demuth fromDr. Bellerive on this which I had not seen.)

4. I said that I felt we had reached a very satisfactory agreement on"next steps" in the population field in the course of a working lunch the

-2-

previous day at which Drs. Mahler, Zahra, Bengoa, Kaul and Sacks were pres-ent. In particular, we had agreed to establish regular joint across-the-board reviews of all planned and ongoing operations of the Bank in the pop-ulation sector and of related operational plans of WHO. We hoped that WHO,which plays a much larger role in population matters world wide than theBank, would be able to call the Bank's attention to developments in coun-tries in which we were not currently planning or carrying out operations,but which might be ripe for Bank attention at some later stage. These re-views would be at the Projec.s Department level, on the Bank side, and ata corresponding level for WHO. We would host the first review meeting inWashington in September. We had agreed to start on the assumption that wewould hold at least two review meetings a year.

Dr. Candau warmly welcomed these developments. I have the impressionthat Dr. Candau is very relaxed about his relations with the Bank at present.

5. Dr. Kanagaratnam gave Dr. Candau a brief report on the Bank's review ofits possible role in the area of nutrition and the decision to establish asmall nutrition unit in the Population Projects Department to be headed byAllen Berg (who is well known in WHO). Dr. Kanagaratuam said that we didnot intend to build up a large Projects staff. Rather we hoped to startworking with a few countries that might be capable of establishing realnutrition policies that would provide a framework for nutrition orientedprojects. He also emphasized that the Bank found many operational difficul-ties in trying to work out a strategy for making an impact on nutritionproblems. He said it seemed to be even more complex than the populationfield. Dr. Candau said that he was very pleased that the Bank had joinedthe PAG and, unlike so many agencies that were staking a claim for interestin the nutrition field, was prepared to contribute some money.

6. I said that the establishment of a small staff of nutrition specialistswas one of a number of steps being taken by the Bank to introduce new dimen-sions into our consideration of projects, sector programs, and developmentstrategies in general. I mentioned the addition to our staff of an adviserin environmental problems and an adviser on science and technology.

fLloffman/pnn

cc. Messrs. Demuth, Baum, Dr. Kanagaratnam, Messrs. Franco/Chatenay, Weiner,Hawkins, Ballantine

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INTERNATIONAL DEVELOP T INTERNATIONAL BANK FOR :NTERNATIONAL FINANCEASSOCIATION RECONSTRUCTION AND DEVELOPMENT I CORPORATION

OFFICE MEMORANDUMTO: Files DATE: Ma h 7 1972

FROM: Michael L. Hoffman

SUBJECT: Notes on Meetings with the World Health Organization, February 29-March 1, 1972

In response to my letter of February 17, 1972, Dr. Candau invitedDr. Kanagaratnam, Mr. Hawkins and me to meet with him on March 1 beforethe day's session of the ACC Sub-committee on Population. Drs. Mahlerand Zahra were present.

1. I gave Dr. Candau a brief report on recent discussions in the Bank'sBoard of the cooperative arrangements (during the mid-year budget review)and on the importance of interagency cooperation generally during the dis-cussion of the Sector Program Paper on Population. I stressed the factthat both the President and the Executive Directors see great merit in ourassisting cooperative arrangements and are pressing the staff to extendinformal and eventually perhaps formal arrangements into other fields ofactivity. I referred briefly to Mr. McNamara's recent discussion withMr. Salas of UNFPA.

2. Dr. Candau said that he had always been concerned that the relativelynew emphasis around the world on family planning should not lead to a loss,through neglect, of the very important advances that had been made instrengthening health services. WHO must always be mindful of this danger.He talked about the increasing concern in WHO with education in the medicaland health fields. Several senior WHO officials are taking advanced de-grees in education to enable them to work more effectively in this area.Dr. Candau emphasized that doctors, in general, even medical professors,are notoriously ignorant of and uninterested in pedagogical and curriculummatters. He said he hoped that, in addition to visits from Bank missionsconcerned with the education sector of particular countries, several ofwhich have occurred, the Bank would be willing to have a more general re-view with WHO on the medical and health aspects of education in developingcountries. He said he would be quite prepared to send some of his seniorofficials to Washington for this purpose.

3. I told Dr. Candau that I had already agreed with Dr. Sacks andDr. Mahler to recommend to Mr. Ballantine to arrange an early visit toWHO for the purpose Dr. Candau had in mind. (I learned later fromDr. Bellerive that despite Dr. Candau's offer to send WHO staff to Washing-ton for the education discussions, they would very much rather have thefirst round in Geneva because of the large number of WHO officials invarious divisions interested in knowing more about the Bank's approach tofinancing educational projects. There is a letter to Mr. Demuth fromDr. Bellerive on this which I had not seen.)

4. I said that I felt we had reached a very satisfactory agreement on"1next steps" in the population field in the course of a working lunch the

-2-

previous day at which Drs. Mahler, Zahra, Bengoa, Kaul and Sacks were pres-ent. In particular, we had agreed to establish regular joint across-the-board reviews of all planned and ongoing operations of the Bank in the pop-ulation sector and of related operational plans of WHO. We hoped that WHO,which plays a much larger role in population matters world wide than theBank, would be able to call the Bank's attention to developments in coun-tries in which we were not currently planning or carrying out operations,but which might be ripe for Bank attention at some later stage. These re-views would be at the Projects Department level, on the Bank side, and ata corresponding level for WHO. We would host the first review meeting inWashington in September. We had agreed to start on the assumption that wewould hold at least two review meetings a year.

Dr. Candau warmly welcomed these developments. I have the impressionthat Dr. Candau is very relaxed about his relations with the Bank at present.

5. Dr. Kanagaratnam gave Dr. Candau a brief report on the Bank's review ofits possible role in the area of nutrition and the decision to establish asmall nutrition unit in the Population Projects Department to be headed byAllen Berg (who is well known in WHO). Dr. Kanagaratnam said that we didnot intend to build up a large Projects staff. Rather we hoped to startworking with a few countries that might be capable of establishing realnutrition policies that would provide a framework for nutrition orientedprojects. He also emphasized that the Bank found many operational difficul-ties in trying to work out a strategy for making an impact on nutritionproblems. He said it seemed to be even more complex than the populationfield. Dr. Candau said that he was very pleased that the Bank had joinedthe PAG and, unlike so many agencies that were staking a claim for interestin the nutrition field, was prepared to contribute some money.

6. I said that the establishment of a small staff of nutrition specialistswas one of a number of steps being taken by the Bank to introduce new dimen-sions into our consideration of projects, sector programs, and developmentstrategies in general. I mentioned the addition to our staff of an adviserin environmental problems and an adviser on science and technology.

MLHoffman/pnn

cc: Messrs. Demuth, Baum, Dr. Kanagaratnam, Messrs. Franco/Chatenay, Weiner,Hawkins, Ballantine


1211 GENEVA 27 - SWITZERLAND j Reud 1211 GENtVE 27 - SUISSETelegr.: UNISANTE-Geneva Telegr.: UNISANTE-Gen6ve

T61. 346061 Telex. 22335

Date Ack'd. A

In reply please refer to: W2/372/2 7 March 1972Priere de rappeler ]a r6fdrence: Assigned t-

t --------

Dear Ship,

With reference to the recent telephone conversation between

... our Mr Kent and your Mr Krombach, we enclose for your information

a copy of a "note for the record", covering all the dates re the

missions as discussed.

Yours sincerely,

K_2A,9\ LuA/APaul BiersteinChief, Pre-Investment PlanningDivision of Environmental Health

Mr H. ShipmanChief, Water Supplies Division IPublic Utilities Project DepartmentInternational Bank for Reconstruction


ENCL: (1) As mentioned above

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NOTE FOR THE RECORD

On the afternoon of 1 Marsh 1972 a oall was reoived from

Mr Krombash of the World Bank to elear with WHO a letter which was

being sent to the Department of Zeonomie Affairs, Government of

India, coneerning the fortheoming resonnaissanee visit of a joint

BhRDMWAW mission an Sector Studies in seleted states ef India and

possibly the country as a whole. With only miner changes we

soneurred with the letter as read by Mr Krombach.

I then requested that he tenvey to Mr Shipman the contents of

a seble we ware planning to sned out that day in connexion with

missions to be mounted during the next several months. The

information provided was the following t

Malaysia Project Development Mission

Jacobi 16 Marsh - 16 April

Baebmann 20 March - 1 May

Go (WPRO) 2o March -

Nepal Projeet Ouidanee Mission - 17 April - 1 May

Bierstein - WHO

Jacobi WH

Pinto - WHO

Hydrogeologist - WHO

Krombaeh - IBRD

Mould - 1hR1

India Reconnaissance Mission - 2 - 17 May

Jacobi - WHO

Pinto I . WHO

Krombaoh IMD

Moald - IaD

Diseussed with Krombaeh and Mould during their Geneva visit in January

and telephone conversation 14 February 1972 India Sector Mission for

June/July/August impraeticable due to monsoon season but would take

plase in the fall.

Indonesia Pre-Appraisal Mission - 2 - 15 May

IBRD - to be named

Uakhman - WHO

This mission timing based an IMD needs.

so: Chief, PIPBaokman4 SUsiman, Jacobi PIP

- 2 -

sudan Projent Developmont Mission - 12 June - 3 July

Baehman - WHO)

Tansania follow-up on Seetor Study report - 29 May - 11 June

Follow-up with Government jointly with IBD.

IBRD - to be naod

Bachmann - WHO

To take advantage of the opportunity that these mission provide for

short supervisory or follow-up visits to other projeets, Mr Baehmanm

is scheduled to partisipate from 13-19 March in the Briefing for

engineering firms in Kenya on the Nairobi Sewerage Projeeti and an

his return trip to stop off at Colombo, Ceylon for fellow-up on the

Ceylon 0086 p'oJeOt, either 2-6 May or 15-18 May, depending an

whether the Indonesia Mission meterialize5.

Today (2 Marsh 1972) we received a table from Mr Shipman agreeing

to the above missions, but indicating that the Indonesia Mission had

been postponed. We are revising the Work Plan aseordingly.

P.S KentPre-Investment PlanningDivision of Environmental Health

2 Marsh 1972

W/372/2

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Date Ack'T. 0 34t1Tle 23

In reply please refer to: Assigned to 3 March 1972Priere de rappeler ]a r6ference:

Dear Ship, and Charlie,

It was fortunate that on Wednesday 1 March the t#lephone callfrom Jurgen Krombach was put through to my office during a timewhen we were having a PIP team leader's meeting. It was thuspossible for both Fred Kent and Prescott Stevens to talk with Jurgen.

Keeping this in mind you may wish to know that we have a regularmeeting of team leaders every Wednesday afternoon at 3.30 Geneva time.Most things being equal this would be a convenient time for us toreceive calls from Washington.

On the other hand we welcome your telephone calls at any time;however, since part of the unit is in the Annex it may be a littledifficult to get the necessary information in response to telephonequeries very quickly.

Best regards.

Yours sincerely,


Mr H. ShipmanChief Water Supply Division IPublic Utilities Projects DepartmentInternational Bank for Reconstruction


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March 3, 1972

Dr. Michael SachsWorld Health Organization1211 Geneva 27Switzerland

Dear Dr. Sachs:

According to my promise, I am happy to enclose four

copies of our recently issued Sector Working Paper on

Education. I hope these will be of interest to you and

your associates in WHO.

Sincerely,

Michael L. HoffmanAssociate Director


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MAR J 38 AH 1972

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Xarch 2, 972

Yr Ar sham HorwitsDirectorPan American Bealthor ganization

525 1avnty-Third St. N.W.Washington, D.U. 20037

Dear Yr. Uzvitst

Further to my letter of peruary I, I am pleased

to Wnorm you that f. 2mWAl N. Sutherland# Depty Chief

of the Livestock Division, will attend the V Inter-

AMerican veeting on Ftot-d-Noth Dine and Z*onoses

Control in bxico City next xonth, as represtntative of

the ibrld Bank.

With beat regarda.

T-Mra rincereey,

Dn StoopsChief, Livestook Division

Agriculture Projects Department

DNSutherland ma.

Oc: Messrs. HcNamaraGutierresEvansWapenhans

APAN AMERICAN HEALTH ORGANIZATION

Pan American Sanitau Bureau, Regional Office ef tieWORLD HEALTH ORGANIZATION

525 TWENTY-THIRD STREET, N.W., WASHINGTON, D.C. 20037, U.S.A. CABLE ADDRESS: OFSAN PAN

IN REPLY REFER TO: ES-E?/49/5 TELEPHONE 223-4700

2 March 1972

fRate Re/'.Mr. Charles MorseChief Water Supply Division Two ,Date AckJd.International Bank for Reconstructionand Development [43igned to

1818 H. Street N. W.R-523-NWashington, D.C. 20433

--------------------------------------------------Dear Mr. Morse:

1gsc-This is to confirm our telephone conversation inviting

you and any of your staff to participate in the inaugural sessionof the PAHO Expert Committee Meeting on Environmental HealthGoals for the 1970's. The inaugural session will be on Mondaythe 13th of March from 09:00 to 12:30. It is proposed that afterthe address of welcome of the Director of Pan American HealthOrganization and an introduction by Dr. Mark D. Hollis, theIDB and the IBRD make their presentations.

Our main interest is that the Expert Pannel gets an ideaof the possibilities of international finance for the watersupply, sewerage and solid wastes sectors in Latin America. Inthis context your proposal to introduce the subject presentingthe general situation and particularly an analysis of the avail-ability and competitive demand for capital among the varioussectors in developing countries is most appropriate. This couldbe followed by a more direct discussion of the various environ-mental health problems in Latin America.

Looking forward to your reply.

Sincerely yours,

Vice M. Wittegional Adviserand Environmental Sciences

5 ,.-,, A

AR 48 tH 191


1211 GENEVA 27 - SWITZERLAN t 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva dI Tel6gr.: UNlSANTE-Genove

T61. 34 To tx 233S

A5sine1 to

In reply please refer to: W2/372/2 29% February 1972Prire de rappeler la rfrence:

Dear Ship,

We have reviewed the suggested WHO/IBRD Black Book. In general, we

are in agreement with both the concept and format; however, we would

appreciate a three month trial and evaluation. The following represents

our specific comments, questions and suggested modifications to the Black

Book.

l) Part I - A, B, C. In what sequence (alphabetical by country or

chronologically by project date) will projects be listed? We favour

alphabetically by country.

2) Part I - A, B, C. How often, and what procedure is to be used for e

updating the forms? We suggest that changes should be added directly to

the form, with the whole form being changed only after sufficient number

of additions to the form have occurred. This will minimise unnecessary

typina, etc.

) Part I - D - Proposed Staff Exchanges. Suggest that a category

"Location" be added before the words "Length of Stay" and a category

"Purpose" be added after the section "Estimated Dates".

4) Part I - D - Proposed WHO/IBRD Meetings. Suggest that the words

"Seminars, Training Courses, etc" be added after the word "Meetings" and

the word "Management" be deleted.

T) Part 2A - Staffino Arrangements. Suggest the word "Number" be changed

to the word "Name" in order to identify the individuals assigned.

6) Part 2A - Counterpart Assistance. What is ac lly desired in this

section? Suggest that the word "Counterpart" be changed to reflect the

answer. WHO Regular and Country engineers would be listed under "Staffing

Arrangements" as WHO personnel.

Mr 1. R. ShipmanChief Water Supply Division IPublic Utilities Projects Departmentinternational Bank for Reconstruction

and Development17 H 7treet N.W.

Tashington D.C. WIN,5U.S.A.

B 3 G - - 3

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1) - - s - - -i

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Nir H. R. Shipman Page ..W2/372/2 29 February 1972

7) Part 2A - Mission Official Clearance. Is the "Contact" (Date)considered as date of letter, visit, telephone call, cable, etc. whichstarts clearance process?

5) Part 2B, Line 2 - Estimated Man Months, What is desired here? Durationof Projects? Would Date of Commencement and Date of Project Completion bemore appropri te?

)) Part 2B, Line 4 - Draft Report Expected. There are many reports. Isthe date of the final report the one which is desired?

10) Part 2B - Plan of Operations. As of January 1972, in new UNDP terminology,this should be identified as "Project Document". Also, for proper chronologicalsequence, this section should occur before the section entitled "Project Des-cription".

11) Part 2B - Project Description. As mentioned in Item 14, this section shouldoccur after the section identified as Project Document. In addition, the words"terms of reference for subcontractor" should occur immediately after "ProjectDescription" on the same line.

12) Part 2B. It is suggested that space for the names of the six short-listedfirms be made available on form, part 2B.

13) Part 3 - Team Leader Informed. The words "Chief PIP" should be added before"Team Leader Informed".

14) Part 3. If you are having the forms prepared for this section, please for-ward a supply of them to us.

15) When can we expect the Bank to forward a completed (i.e. one which has thepertinent information filled out on the forms) copy of the Black Book to WHO?

We anxiously await the start of this communication process as furtherfacilitating the accomplishment of the goals of the Co-operative Programme.

Yours sincerely,

P. BiersteinChief, Pre-investment PlanningDivision of Environmental Health

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1211 GENEVA 27 - .WTZ2RLAND 1211 GENNVE 27 - SUS6ETekr.:UNIMT& enea Tiog.: N1SANTf-Gen*ove; %

T6 . 346061 T6!ox. 22335

y p r 2/152/2 WP2L 29 February 1972rappeler "a rcfer &nc2:

iear 5hip

Ln r -ponse to Pete Callejas s request during my V.isit in Dece.ts 1he I, we attach the following background documents on Koreawhich have been providod by the Western Pacific WhO Regional Office

- '>t.. Water

(&) Copx, o. competed Natnal Datia on Comunity WaSupply questionnaire

(2) Copy o' -mlet Supply and Sewerage" prepared2y the Of Cotrution, epublic Koea.

(3) Copy of "Evonantal health Off icers informali noteson a field visit to Korea in October 1971.

in additon there are three reorts which are available froaI? staff, contained in their personal files, which include

(1) Seoul, Water Treatment Plant, exiension. A feasibility

study financed under AID procedure, made by Black & Veatchsome years ago.

(2) Seoul, Chong Gye Chun Sewerage Treatment Plant Project.An abstract is available.

(3) Pusan, Sewerage and Drainage Master Plan. AssignLamentreport is available in German, but an abstract in Englishcould easily be produced.

Also available in our office are two reports from the Asian

Development Bank, entitled :

(l) Economic Report on Korea

(2) Appraisal of Seoul Water Supply Project in the Republic

of Korea.

.1..

1r H. ShipmanChief, Water Supplies Division IPublic Utilities Projects DepartmentInternational Bank for Reconstruction

and Develop-ementlQ,8 H Snret, N.W.Was hrgton, D.C. 2047United States of America

ENL (5) As mentioned above

-i:: YE ShipmaW2/372/1' WIZ 29 February 19y2

NWevor, both theze reports are marked " Thib Report M7prepared for the exclusive use of the Bank". If you consider itappropriate to utilize any of the five reports in the latter EP3 upof documentz, please let me know and we will make arrangementsfor their transmittal to you.

Yourz cincere ly,

Paul BiersteinChief, Pre- Tnvestment Planning -Division of Environmental Ealth

pw ~u H

W 0 R L D H E A L T H ORGANISATION MONDIALE


1211 GENEVA 27 - SWITZERLANDDatO Reo'd. - 1211 GENEVE 27 - SUISSE

Telegr.: UNISANTE-Geneva TtAeg. 346061 T6Iex. 22335 T0gr.: UNISANT&-Geneve

Date Ack a- ------ --. ! _

In reply please refer to: W2/372/2 - " 29 February 1972Priere de rappeler la reference:

Dear Ship,

I am writing once again to ask if you would be good enough tosend us a further supply of the World Bank Water Supply and SewerageSector Working Paper. This paper seems to have reached "best-seller" heights and we have received several more requests from ourRegional Offices for additional copies of this document. It wouldbe appreciated, therefore, if you could send us a further 60 copiesof the sector working paper.

Our stock of the World Bank questionnaire for water supply andsewerage is also exhausted and we would appreciate receiving 20copies each of these questionnaires in English and 10 each in French.

With kind regards.

Yours sincerely,


Mr H.R. ShipmanChief Water Supply Division IPublic Utilities Projects DepartmentInternational Bank for Reconstruction

and Development1818 H Street N.W.Washington, D.C. 20433United States of America

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1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva T616gr.: UNISANTP-Geneve

T61. 346061 Telex. 22335

In reply please refer to: W2/372/2 AFRO & i MO 28 February 1972Prifre de rappeler la r6F6rence:

Deor Shin.

I enclose herewith copies of the "Back-to-Office" reports ofMessrs Bachmann and Jacobi, in connexion with their recent visitto Washington re the Tanzania Sector Study Report nnd the reporton the pre-appraisal mission to Aden. Also enclosed are theirreports on the pre-appraisal mission to Aden which took place inDecember 197], which inadvertently have not been sent to youbefore.

a eYours sincerely,

Date Hea''d. . ..-..--. 2

Date Ack'd.

&essgned to k7Paul BiersteinChief, Pre-Investment PlanningDivision of Environmental Health

Mr H. Shipman,Water Supries Division IPublic Utilities Projects DepartmentInternational Bank for Reconstruction

and Development1878 H Street, N.W.Washington, D.C 20433United States of America

.. . ENCL: (4) As mentioned above

1JAIGOQM MCdTA~ MA~O i iG9

BTA AJ CG TA A C4

* - - \ - - - -

C -

+ - - -

a U io

Feoruary 25, 1972

Mr. Paul BiersteinChief, Pre-investment PlanningDivision of Environmental HealthWorld Health Organization1211 Geneva 27Switzerland

re: TANZANIA - Sector Study

Dear Paul:

With respect to the draft of the above report dated February 9,1972, I would like to draw attention to paragraph 3.08 and Arnnox 9,in which unit development costs for rural distric-s with high populationdensities are consistently stated as being higher than those for lowdensity rural districts. This seems unlikely, as the quality of systemis not envisaged to vary according to density of population. I wouldbe grateful if this could be cleared up when you send us your connentson the draft.

Very truly ours,

Harold R. ShipiianChief, Water Supply Division IPublic Utilities Projects Department

JJgWarford :pjkIBRD

W O R L D H E A L T H ~ ORGANISATION MONDIALE

O RGANIZATION DE LA SANTO


T616gr.: UNISANTt, GENtVET6i. 346061 T1ex 22335

With the compliments

of the

Director- General

(for your information)

Mr Robert S. McNamaraPresident


and Development




oG bnu

2 .H8

W O R L D H E A L T H ORGANISATION MONDIALEORGANIZATION DE LA SANTt

1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSETelegr.: UNISANTE-Geneva Telgr.: UNISANTS-Genive

Tel. 346061 Telex. 22335

MAIL ADDRESSIn reply please refer to: E 11/87/4 (50) TO THEPriere de rappeler la relfrence: PRESIDENT

The Director-General of the World Health Organization has the honour

to inform the Secretary-General of the United Nations and the executive

heads of the specialized agencies and of the International Atomic Energy

Agency that the fiftieth session of the Executive Board of the World Health

Organization is to be convened on Monday, 29 May 1972 at the Organization's

headquarters, Geneva, Switzerland, and that the provisional agenda for

this session will be drawn up in accordance with Rules 8 and 9 of the

Rules of Procedure of the Board and dispatched to members of the Board and

to Members and Associate Members of the Organization not later than14 April 1972.

GENEVA, 25 February 1972

EB/72.2

* Record Removal Notice ____

File Title Barcode No.World Health Organization [WHO] - Liaison File - Volume 01

1056032

Document Date Document TypeFeb 23, 1972 Letter

Correspondents / ParticipantsL. J. Olivier, Parasitic Diseases, WHO to Thomas W. Berrie, Economic Advisor, IBRD

Subject I TitleUNDP release of employee to participate in meeting of Steering Committee

Exception No(s).

[ 1 [ 2 3 4 [:15 E 6 / 7 8 [ 9 [110 A-C 10 D Prerogative to Restrict

Reason for RemovalInformation Provided by Member Countries or Third Parties in Confidence

Additional Comments The item(s) identified above has/have been removedin accordance with The World Bank Policy on Accessto Information. This Policy can be found on the WorldBank Access to Information website.

Withdrawn by DateSherrine M. Thompson Feb 27, 2013

Archives 1 (May 2012)

- -- .--.

4'

February 17, 1972

Mr. Paul BiersteinChief, Pro-investment PlanningDvision of Environmental HealthWorld Health Organization1211 Geneva 27Switzerland

WHO PIP Unit Timesheets

Dear Paul:

We have received the Weekly Timesheets forwarded with yourW2/372/2 of February 2, 1972 and have sent them to Bob Jones inControllez Department.

He and his staff will be looking them over and would proposeto give you such comments as they might have when you visit us here theweek of February 28.

Sincerely yours,

Charles orseChief, Water Supply mvision II


CMorse:acaIBRD

cc: Mr. R. Jones (Controller's)Mr. H. Shipman

Control No. ISC-2-78

February 17, 1972

Dr. 1. G. CandauDirector-GeneralWorld Health Organization1211 Geneva 27, Switzerland

Dear Dr. Candau:

In the absence of Mr. McNamara, I am writing to acknowledge andthank you for your letter of February 4, 1972, in which you gave usyour thoughtiful comments on the Bank's Population Sector Paper.

You may be interested to know that this paper was discussed bythe Executive Directors on Tuesday, February 15. It was very wellreceived and the Board's response to the proposed plan of action waspositive. In the course of the discussions, Mr. McNamara, as well asseveral Executive Directors, stressed the need for the Bank to work veryclosely with the WHO, the UNFPA and other intergovernmental, nationaland non-governmental agencies in this complicated sector.

As you may know, Mr. G. B. Bildwin, Deputy Director of the Popula-tion Projects Department, recently reviewed tith your officials inGeneva all operation3 being considered for the next 12 months. We foundthis review very valuable and I would like to suggest that we plan tohold periodic joint reviews of this nature. I should think that wemight start by trying to do this about twize a year at times that wouldbe convenient from the point of view of staff movements and other ppera-tional responsibilities of our two organizations. Dr. Kanagaratnam andI will be in Geneva for the meeting of the ACC Sub-Cormittee on Populationweek after next and would be happy to discuss this subject with you andyour staff at abet time.

Sincerely,

Michael L. HoffmanAssociate Director


MLHoffman/pnn

cc: Dr. Kanagaratnam

W O LDH EA L T H OGNS~O a a

.- ' DE LA .NT

OFFICE OF THE WHO REPRESENTATIVE TO THAILAND

TELEGR WORLDHELTH, SANGKOKC;o Mjinjjstry oi Public Heaith TELEPHONE : 8 1 8 0 6Devavesm Palace

BANGKOKFeb uar V

in reply please reter to;

r. Charles ?. CpanglerinernatiOnl bank for RecnnstruCtiOn and DevelOpmc L

erasinaton, D-C.

Dear Chuck,

-San Old Chine-E cutm to cle

the books at the LU-na 1ow Y.ar . - o 1 am ur

this lon:-int.2Q ltter an en you a copy

of mT re ort on h Con 2Xi e prOjeCt.

Th Depa'rtment of *uli:n'Mnirip.L wok

is in no hurry to mlcm:nt.

The iO W5Il r, linE prOjcu is

finzlly activatd , undcr h! 3 -t0 Departmhnt e

Rural Schools Watr ,upply program. Wre have

several rigs u and ruady. C)TO Is bringing

a Philippine dr il here on karch first.

Drilling will cOOence upon his arrival.

I am alo enclosing c opy of mr

review of the Colombo Plan Report on Korat's

XWater Suuoly. The Japanse team of expertsis leaving, Thailand at the end of this month.

i am told it was your letter, rather than my

rerort which was effective. Wjorld Iank is a

magic word in these ca.rts.

With kindest Dersonal regards and

Chine se iew Year' creetingS, I remain

Yours sincerely,

2. ilverstoneWiRQ Consultant

~0

5e~O

-'Pa Ariitc,. a;i , Sreau, Recioa Q'ice tl

WORLD HEALTH ORGANTZA-ON

525 TWENTY-THIRD STREET, N.W., WASHINGTON, D.C. 20037, U.S.A. CASLE ADDRESS: OFSANPAN

IN REPLY REFER TO:ES/AMRO/22OO/28/1 TELEPHONE 223-47"Q

16 February 1972

Mr. Charles Morse, ChiefWater Supply Division toPublic Utilities Project DepartmentInternational Bank for Reconstruction


Dear Mr. Morse:

This Organization is very pleased to learn from your recentletter of the World Bank's interest in Rural Water Supply, as wellas your intention to initiate a research project in this area. Asyou are aware, we have had a deep and continuous interest in this

area for many years. Therefore, I have instructed our staff tocooperate with you to the fullest extent possible in the developmentof this project.

In a series of preliminary meetings with the Bank staff,details of the project, and the areas of our joint cooperation havebeen explored. As a result, we suggest for your consideration that

since the question of the health benefits to be derived from the rural

water supply is to be a major theme of the study, that you considerincluding the area of epidemiology within the study, as well as thatof engineering.

This suggestion has been discussed with, and is acceptable to

the project head Dr. Jeremy Warford.

In view of the fact that the design of the work program of

phases two and three will be prepared at the end of phase one (i.e.

around the end of June 1972), the following proposal has beendeveloped in conjunction with Dr. Warford:

OmmunicatioA

1. That PATHO hire a full time research assistant for athat would undertake the literature research under the direct, u.part-time supervision of two PATO professional staff memcer: a nepidemiologist and an engineer). As the survey develops its Swill be coordinated and integrated into the work being carriec.the Bank consultant economist.

2. Towards the end of Phase I it is suggested that theseprofessionals plus a biostatistician will work full time for aperiocof several weeks to assist in designing the work programis for Phase(field studies).

While you may rest assured of PATIO participation in Phasesand iII, we would appreciate having the opportunity of reviewiau arcscale of our participation at the end of each phase.

We accept your offer to reimburse our cost an this mate.Our p resent plan is to charge only for the services of the researcaassistant (full time) and such time that our professionals s<en -aime in assisting in the desii of the work program for Phase

services that will be required in future phases can best be aiscusaeaonce the program is designed.

We take this opportunity to thank you for your invitaion cocooperate with the World Bank in this matter. We have instructed courDepartment of Engineering and Environmental Sciences to coordinatePAHO's participation in the program and would appreciate your contactinEng. Efrain Ribeiro and/or David Donaldson for any further assistanceyou might require from us.

Very truly tIours,

Alfredo Ar z vuzminAssistant ecfo

February 16, 1972

Dr.Bichat RodriguesChief of Department of Communicable DiseasesPan American Health Organisation525, 23rd Street, N.W.Washington, D.C.

Dear Dr. Rodriguesa

You are no doubt amre. of the meting of a Working Group, organisedby Dr. Ansari, Head of the Parasitic Diseases Division of the World HealthOrganisation (WHO), and held at Geneva during October 1971 which dealtwith the "Development of a Methodology for Economic Assessment of ParasiticDisease Control Programs". A copy of the report of this Working Group isattached in case you have not received one.

One of the reauuezAeations of the Working Group was to set up a smallSteering Group which would met from time to time in lashington to adviseWO on the progress of the work. As a first step in this matter, Dr. narihas asked if I would act on his behalf to hold a meting of a possiblenucleus for this Steering Group in the immdiate future. He suggested thatthe meetings ahould take place at the Pan American Health Organisationbuilding, Washington, D.C.

The purpose of my letter is to ask if you could arrange for a room tobe made available from 10 a.m. to 1 p.m. on Wednesday, March 1, 1972 andto enquire whether tea and soffee san be provided. Participants at themeeting will be Dr. Wright (Consultant, 1WO), Mr. Townley (UmDP),Dr. Stookard (U.S. A.I.D.) and myself.

I would also very much like to make an appointment to see you sometimeconvenient to you before that date and also Dr. Charles William, to acquaintyou and Dr. William with sme of Dr. Ansarila plans for this work.

Yours sincerely,

T.W. Berrie

EnclosureTWBerrie:jr - IBRD

cc: Messrs: Weiner, Armstrong, Lee, Warford, Berrie

Dept. Files, Central Files, Chron. File

February 15, 1972

Mr. Bernd DieterichDirectorDivision of Envirormental HealthCommunity Water SupplyWorld Health Organisation1211 Geneva 27Switzerland

Dear Sir:

Enclosed is a copy of the section covering water and

sowerage projects from the "Progress of Operations" report

as at January 31, 1972.

Sincerely yours,

Harcld R. ShipMnChief, Water Supply Division I


Encl.

dc

Iad/IDA

Form No. 27 WHO(3-70)INTERNATIONAL DEVELOPMENT INTERNATIONAL BANK FOR INTERNATIONAL FINANCE

ASSOCIATION RECONSTRUCTION AND DEVELOPMENT CORPORATION

OUTGOING WIRE (WHO-IBRD COOPERATIVE PROGRAM)

TO: UNISANTE DATE: FEBRUARY 15, 1972

GENEVA CLASS OFSERVICE: LT

COUNTRY: (SWITZERIAD)

TEXT: ATTENTION BIERST ENCable No.:

DECKER SEEMS GOOD CANDIDATE ADMINISTRATIVE POST PIP UNIT STOP LETTER

SENT FEBRUARY SEVEN REGARDS

MORSE



NAME Charles MorseChief, Water Supply Division II

DEPT. Public Utilities Projects

SIGNATURE(SIGNATURE OF INDIVIDUAL AUTHoRIzED TO APPROVE)

REFERENCE: NOrsenac. For-Use y Com os SectonIBRD

ORIGINAL (File Copy)IMPORTANT: S Secetaries Guide for preparing form.) Chckd for Wrpaci

21 7

CU MU CATIONS

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Messr-v WTier, LfIe Armstrong, BerrieCentral Files , iDept. Files, Chron. Files

?ebunmwy 14, 1972

Dr. * a DieterichDireetwr, Pro-Lw estumit PromamWrld Health Organiatimn

1211 Gena 27Switsersand

Re World Bak Rosesvrb wtit *A Rara lbter g3agDear Barndt

We have rMnWItlY instituted a study to gamtr and evaluateexisting informtion on rural water suply. The atUna,which is beingundertaken by conmltantx and Bank staff, will emeentrat* an quantifyingbenefits and coat. from rural or viIage vutgr wspply Projects. Theinzeetitaon also hopes to identifY heters reqnaible for the succesor failure of alread impl mmted am . JWrO Wrford and es Ringskog,the eoem.t in the Water Supply 1 Division, are oaftinita-ing the study,which is being oarrted out by an *9=3.dc consultant, Mr. Robert Saunders.A copy of his term of rsfermese is eloged.

We A PrSM ty Preparing the study Md 4rO MU h mro thMat itssuccess dVpeNd to a large wrtent on how =mch we af bansfit from the ox-POrtis. and eWine from organizations active in the field of rural watervwply. To this and we are writing to various organiations. We wouldappeiate it if you could share your experismo with us, or re*Omend otherorganisatione or persna with eperimoe in rural water sply who UIght beof aemistanoe.

We have taked with ]PAD ad I melom a opy of our latter tothen. SUbsqutntlY we bad a meetiag ad they will provide us an spidew.o-logist sonsultant and sme statistical dvioe. They may alo assi anengioesr flr Phamo 1, and we also hap* to use the good offises of MM inPhase I in various parts of the world.

JsrOm Warford and Robert Saanders will aleo visit you in thefirst week of Aril. It would be onvwenient if you could have any relevantinforutiOn ready so that they Could discuss it with you during the enweek.

krAy thanks in advame for your kind oooperation.

Sincerely yours,

(enclosures (2) Charles Nore,Chief, Water $%nply Divisian I/ ingskogskrb PM2li. Utilitis Proeste Deprtmant

cct Mr. J. Warford, Mr. R. Saunders

By hand

February 10, 1972

Mr. Paul BiersteinChief, Pre-Investment PlanningDivision of Environmental HealthWorld Health Organisation1211 Geneva 27&witzerland

Dear Pauls

This will acknowledge receipt of your letter of January 21,1972 in which you refer to page 39, Document No. UCIA/CP/3, DraftUganda Country Program for UNDP assistance, 1972-1976, dated December15, 1971. We agree that the quoted statement on the Uganda WaterSupply and Sewerage Project does not reflect the correct position onthe assignment of the WID Project Manager.

We have recmeuended that the Uganda Government ask WHO forthe extension of his services for another year to achieve maximumco-ordination and expedite actions on the project during the difficultpreparation phase. It is not intended that the Bank will finance hisassignment.

We will contact you on hearing from the Uganda Government.

Yours sincerely,

Harald . Shipman,Chief, Water Supply Division I,Public Utilities Projects Department.

Afaravanapavan:bkd

cc: Messrs. Bashir Ahmad (Eastern Africa)Kapur

Miss. Hileen Powell (Development Services)

CONTROL No. UG-2-X

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Mr. Baldwin February 9, 1972

Harold Graves

Many thanks for letting me see your note on WHO/Geneva. I am getting

you copies of the papers you mention concerning nutritional rehabilitation

centers. Your Belgian friend spells his name with a capital M, thus:

DeMaeyer.

HG:ap

9

8 VDhi~r

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Record Removal Notice A___i_

File Title Barcode No.

World Health Organization [WHO] - Liaison File - Volume 01

1056032

Document Date Document TypeFeb 7, 1972 Letter

Correspondents / ParticipantsCharles Morse, Chief, Water Supply Division II to Paul Bierstein, Chief, PreOlnvestment Planning Division of Environmental Health, WHO

Subject I TitleRichard W. Decker

Exception No(s).

/ 1 [ 2 [:13 4 [:15 l 6 07 8 9 10 A-C 10 D 0 Prerogative to Restrict

Reason for RemovalPersonal Information




W O R L D HEALTH ORGANISATION MONDIALEORGANIZATION DE LA SANTE

R6gional Office for the Western Pacific Bureau regional du Pacifique occidental

United Nations Avenue Tel. 59-20-41 Telex 3260 United Nations Avenue

P. 0. Box 2932 B. P. 2932

MANILA, Philippines MANILLE, Philippines

Telegr, : UNISANTE. MANILA

in reply please refer to (WP)F2/60/5 4 February 1972Prire de rappeler Ia reference :

Dear Dr Kanagaratnam,

Thank you for your letter of 11 January 1972 which has been readwith great interest.

I am happy to know that the World Bank is planning to send amission to the Philippines to obtain information on the populationsituation with a vtew to determining the priorities which the Bankmight assist. WHO Headquarters has of course already contacted meconcerning this mission and the necessary arrangements have beenmade for WHO to participate in it.

I shall be delighted to see you in Manila and look forward bothto your visit and that of the team.

Yours sincerely,

fr Francisc , MDRegional Director

Dr K. KanagaratnamDirectorPopulation Projects DepartmentInternational Bank forReconstruction and Development1818 H StreetN.W., Washington, D.C. 20433United States of America

N 216 PH197

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1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva T6legr.: UNISANTt-Gencve

T61. 346061 Telex. 22335

In reply please refer to: P13/372/5 4 February 1972Pribre de rappeler ]a refbrence:

Dear Mr McNamara,

Thank you again for your most helpful letter of 17 December 1971,and for sending us subsequently the revised copy of the Population Sector

Program paper for comments.

In concluding your letter you referred to the need to establish a

working relationship satisfactory not only to our two institutions, but to

the developing member countries which are our primary concern. I am sure

that you will appreciate that the comments which follow are made in that

spirit.

I will not comment on the economic justification and effects of

fertility limitation, but propose to confine my remarks to the "third and

final" reason for the Bank's entry into the population field as set out in

paragraph 1.05 of the policy paper, namely the concern for human welfare,

and particularly health.

The rationale for health aspects of human reproduction, family planning

and population dynamics as defined in our mandate is gaining increasing

support in countries both with and without population policies. We are very

much aware that the basic questions centre round the most effective way of

planning, providing and following up family planning services. As the Bank

paper states, this cannot be done without the full involvement of the health

services. Where these are weak, effective and efficient family planning

services cannot be developed. The planning, organization and delivery of

acceptable health services is a lengthy and complex process, particularly in

the rural areas of developing countries, and the improvement of existing

programmes will require the collaboration and co-operation of a number of

central government departments within the country concerned in addition to

external aid.

Mr Robert S. McNamara

President


and Development




ENCL: Document JC19/UNICEF-WHO/72.3

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Mr Robert S. McNamara, President, Page .2International Bank for Reconstruction and Development 4 February 1972

The strategy of the Organization in this field has been to concentrate

on better planning for the strengthening of basic health services in order

to include family planning; the maternity-centred approach to family

planning; manpower development; continuous evaluation and adjustments,and research. Having closely observed the evolution - or perhaps rather

the disintegration - of some family planning programmes that were toohastily planned and executed, with large national and external financing

inputs but without proper preparation as to the acceptability andapplicability of the technology employed, I am more than ever convinced ofthe need for major investments in the areas of research, be it basic oroperational. In this connexion, you will already have received theOrganization's document dated January 1972 on Programme Strategy andImplementation of an Expanded Programme of Research and Research Trainingin Human Reproduction.

There are three main implications of the policy document on which Iforesee grave difficulties unless the Bank proposals are fully co-ordinatedwith our own activities and those of the related United Nations agencies.

The first is the danger of overlapping, resulting in duplication ofeffort; competition for limited staff, resources and facilities; and lackof cohesive planning among both donors and recipients of aid. I wasparticularly pleased, therefore, to note from your letter of 17 Decemberthat we both share these views. I appreciate that the section of thePopulation Sector Program paper on co-operation with other agencies(paragraphs 6.15 and 6.16) recognizes the above but felt that it could,perhaps, have given a more complete picture of the role and major

responsibilities of the World Health Organization. In this connexion, Iwould draw your attention to the report presented by WHO to the SixteenthSession of the Population Commission, entitled "WHO Assistance to HealthAspects of Human Reproduction, Family Planning and Population Dynamics"(ref. E/CN. 9/258 of 4 August 1971), of which you will already have copies.WHO also prepared a paper for the UNICEF-WHO Joint Health Policy Committee,held earlier this week, entitled "Review of Family Planning Aspects of

Family Health with special reference to UNICEFAHO assistance", of which

I am enclosing a copy.

The second main implication of the document relates to the statement

that the Bank "currently does not finance any health facility that cannot

be justifiedin terms of its direct contribution to family planning

objectives" (paragraph 6.06). Interpreted literally, such a policy would

imply a serious risk to the balanced development of health services which

nearly every country in the world has been working towards for many years.

In the developing countries, with their weak infrastructure, this could

have serious negative effects on the growth of general health services,and thus affect in turn the capability of the health services to deliver

family planning.

Mr Robert S. McNamara, President Page .. 3.....International Bank for Reconstruction and Development 4 February 1972

Thirdly, there is the question of the long-term implications in the

countries concerned after withdrawal of a relatively short period of

external assistance. The document refers to the building up over the

next five years of some 25 projects, as many as possible in countries

with large populations, at an average of four new projects a year, with a

total of loans and credits of about $ 150 million, in perhaps 19 to 20

countries. The possibility that the number of projects may increase after

the next two years is also mentioned. From your long experience I know

you will agree that the main problems arise in assuring the long-term

sustained growth of a project. The implementation and maintenance of such

projects will inevitably place considerable stress on the governments of the

countries assisted, and especially on those responsible for the integrated

planning and organization of health and welfare services. Experience has

repeatedly shown that "crash" programmes, limited in time, prove ineffective

in the long run.

You may recollect the statement I made to the United Nations Economic

and Social Council in the summer of 1970, when I endeavoured to rectify

the over-optimistic opinions held by some economists and administrators

concerning the basic world health problems. I therefore believe the

contribution of the World Bank in family planning to be potentially

extremely important. To this end, the combination of the Bank's unique

resources of funds and managerial skills with WHO's technical resources

should be complementary. The Organization therefore welcomes the prospect

of co-operation with the Bank both at secretariat level and in the field.

Withkind regards,

Yours sincerely,

M. G. Candau, M.D.

Dire tor-General

P.S. We have just received your letter of 26 January 1972, enclosing the

latest version of the Population Sector Program paper, dated 20 January.

We have greatly appreciated the amplification that has been made in the

chapter relating to Co-operation with Other Agencies, pagds 33 and 34 in

particular.

W O R L D HEALTH ORGANISATION MONDIALEORGANIZATION DE LA SANTO

1211 GENEVA 27 - SWITZERLAND 1211 GEN@VE 27 - SUISSETelegr.: UNISANTE-Geneva T1 gr.: UNISANT-Genve

T41. 34 60 6f Tlex. 22 5

jate Rec'd.-

In reply please refer to: SHIPPING Ack' d- - 4 February 1972Priare de rappeler la r6ference: SHiIP / c s

xtsigned to

Dear Sir

This is to inform you that, Nous avons l'avantage de vousfollowing instructions received _--inf-rmer que, suivant instructionsfrom: reques de:our Pre-Investment Planning Unit

we have despatched to ash4o tional 'P&p"'s exp6di6 h votre adresse,from: Geneva on the: 3/2 depuis: le:

by: airfreight par:AWB TW 6547 1000

the following material: les fournitures suivantes:

3 cartons, 72 kg, containing two sets of the Damoc Report and twosets of the Scandiaconsult Report on Turkey UNDP Project 20

We have covered insurance for this shipment, see attached slip

INSURED VALUE SF. 3550.--

We hope that this consignment will Nous vous en souhaitons bonne r6ceptionbe received in good condition, and et aimerions recevoir de votre part unewould appreciate your confirmation, confirmation d'arrivee. A cet effet, nouswhich may be given by returning the vous sugg~rons de nous retourner la copieduplicate copy of this letter duly de cette lettre diment sign6e.endorsed to this effect.

Yours faithfully, Veuillez agr4er, Mlt expression de nos sentiments distinguds.

Shipping Sices

Mr H. R. ShipmanChief Water Supply Division IPublic Utilities Projects DepartmentInternational Bank for Reconstruction

and Development1818 H Street, N.W.Washington D.C. 20433USA cc PIP

WHO 1202 - 5/71 - 15.000

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IMPORTANT NOTICEto Consignees of Insured Goods

The Goods are insured with the SWISS UNION, General InsuranceCompany Ltd., Geneva (Switzerland), whose Average

Agents is: . . oydS Agnt.......

Where the Insurance Company has no Average Agent, please applyto the nearest Llyod's Agent.Please carefully examine the outward appearance of all the packagesand have their weight checked before taking delivery.If you notice any irregularity (traces of damage or of packages havingbeen tampered with, or difference of weight), please Immediately askfor survey by the Insurance Company's Average Agent, and requestin a registered letter to the carriers (shipowner, airline, railway com-pany, post office, etc., as the case may be) the presence of theirrepresentative when packages fare opened and survey held.If on opening packages you find any loss or damage that had pas-sed unnoticed when taking delivery, please discontinue unpackingand immediately apply to the Average Agent for survey. In suchcases, reservations must be made, stating the nature of the loss or

ige, by registered letter to the carriers within three days afterdeivery.The Insurance Company is entitled to reject any claim for loss ordamage if same is not certified both by an official statement issuedby the carriers and by the Average Agent's survey report.The Insurance Company is only liable for theft or pilferage if outwardtraces of packages having been tampered with or differences inweight are duly certified and if the necessary steps have been takento secure the claim against the carriers.

Form. 2101 Ang. 1.70 10000

AC-1 3 (1-71) PRINTED IN U.S.A.

AIR WAYBILL NUMBER ECC CUGS CURCY FOR CARRIER USE ONLY

AIRLINE PREFX SERIAL NO. CEPAON GE ATH/E TC WAYBCODE ILLTAY FLHT/

ODE FIGH I AY FONSGNM T NOE/DAY admdeagozns

015- 654710 " * 1-AIRP IT OF DEPAR sT AND NG

TRANS WORLD AIRLNE TWAROUTING AND DESTINATION BOOKED

T I BY FlRt RIER TJ BY ITO SY CTOMS NOT NEGOTIABLE

I AIR WAY BIL L mAimm"u'ntC ONS IGNE E'S A CC OUN T NUMBER C ONSIG NE E'S N AME AJD AD DR ESS ( AIR CONSIGNME NT NO TE ) &MY A?& h ffbi e CWP bd/

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CUSTOMS DOCUMENT NOS.'

SHIPPER'S ACCOUNT NUMBER SHIPPER'S NAME AND ADDRESS The shipper certifies that the particulars on the face hereof ore correct and3/ Iagrees to the CONDITIONS ON REVERSE HEREOF.

SIGNATURE OF SHIPPER

BY BROKER /AGENT

Carrier certifies goods described below were received for carriage subject tothe. CONDITIONS ON REVERSE HEREOF, the goods then being in apparentgood order and condition except as noted hereon.

ISSUING CARRIER'S AGENT, ACCOUNT NO. ISSUING CARRIER 'S AGENT.NAME AND CITY

7s EXECUTED DN (Date) AT (Ilace)

TRANS WORLD AIRLINES, INC.AGENT'S IATA CODE SIGNATURE OF ISSUING CARRIER OR ITS AGENT

Copies f,2 and 3 of this Air Waybill are originals and have the same validity.

CURRENCY DECLARED VALUE DECLARED VALUE AMOUNT OF I-NSURANCE - IF'SHIPPER REQUESTS INSURANCE IN ACCORDANCE WITHFOR CA E FOC S I C4I NCE CONDITIONS ON REVERSE HEREOF, INDICATE AMOUNT TO-BE INSURED IN

SFIGURES IN BOX MARKED "AMOUNT OF INSURANCE'.

WEIGHT CHARGE AND ALL OTHER ACCOUNTING INFORMATIONVALUAT ON CHARGE HARGES AT OR IGINA N M

RPID COLLECT i 10 COLLEC' -_

NO.OFPACKAGES ACTUAL g. LATE COMMODITY CHARGEABLE NATURE AND QUANTITY OF GOODS

---- GROSS RATE/CHARGE TOTALC. CIGHT TINCL. DIMENSIONS OR VOLUME)

*Jkf04Tw

These commodities licensed by the United States for ulitimote destination............................ Diversion contrary to United S-::tes law prohibitedPREPAID WEIGHT CHARGE PREPAID VALUATION CHARGE TOTAL OTHER PREPAID CHARGES TOTA-L PREPAID

C DUE CARR IEf - DUE AGENT FONRECARRIE S

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W O R L D H E A L T H ORGANISATION MONDIALEORGANIZATION DE LA SANTt

1211 GENEVA 27 - SWITZERLAND Date.1 VE 27 - SUISSETelegr.: UNISANTE-Geneva UISANT

Til. 346061 Tilex. 22335

Date AcL'd.In reply please refer to: W2/418/1l (72) February 1972Priare de rappeler la reference: 8ssigneo to

Dear Mr Weiner,

In 1961 the World Health Organisation pubAlr T" rfTldi--HealthPaper No. 21, "Urban Water Supply Conditions and Needs in Seventy-fiveDeveloping Countries", evaluating urban water supply conditions as of1962 and estimating needs for the period from 1962 to 1977.

Now that about ten years have passed the Organization plans topublish a new Public Health Paper bringing the data for urban watersupply up-to-date and including information on rural water supplyconditions as well as on the urban and rural sewage disposal situationand needs in developing countries.

In the document we would like to include data on the amounts ofmoney made available during the period 1958-1971 by international andbilateral agencies as well as by national institutions for the designand construction of water supply and sewage disposal facilities. Wewould appreciate your co-operation in furnishing the details of thefunds that your organization has provided to developing countries forthis purpose, either through loans or through grants. Attached is aform indicating the information needed.

We would also appreciate receiving any information you may havedeveloped for various areas of the world concerning: (a) average percapita costs for water supply and sewage disposal installations ofdifferent types and sizes, such as with and without treatment plants,with different sources or methods of disposal; and, (b) the percentageof the cost of imported material to total cost of project giving arange of percentages for different types of projects.

Mr Mervyn L. WeinerDirectorPublic Utilities Projects SectionInternational Bank for Reconstruction

and Development1818 H. Street, N.W.Washington, D.C., 20433United States of America

Encl.

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Public Utilities Projects Section 4 February 1972

W2/418/l1 (72)

We should be grateful if you could provide this information by27 February 1972. We realize that this is rather short notice butwe would like to be able to include the information in the Director-General's progress report on the community water supply situation indeveloping countries, which is to be presented to the next Y orld HealthAssembly. This report is being prepared in accordance with the requestof the Twenty-fourth World Health Assembly (Resolution WHA24.55).

We feel sure that you will fully appreciate the benefits whichmay be derived by the countries and the bilateral and internationalorganizations for technical and financial assistance from the proposedupdated publication and report, to which the contribution of yourorganization is highly valued.

Yours sincerely,

Dr B.H. DieterichDirectorDivision of Environmental Health

NAME OF AGENCY DATE OF REPORT

LOANS AND GRANTS TO DEVELOPING COUNTRIES FOR CONXJNITY WATER SUPPLY AND SEWAGE DISPOSALPROJECTS: 1958 - 1971 INCLUSIVE (Millions of U.S. Dollars)

(Arranged alphabetically by name of -country)

Total Amount of Grant or Loan NmberCountry Date of Grant Cost I For For ofAssisted- Signature or Purpose of Total Water Sewage PeopleRemarks

Loan Project Supply Disposal Benefitted

* ~ Lnludin valke of kquipment, material and services furnished

NAME OF AGENCY DATE OF REPORT

LOANS AND GRANTS TO DEVELOPING COUNTRIES FOR CONUNITY WATER SUPPLY AND SEWAGE DISPOSALPROJECTS: 1958 - 1971 INCLUSIVE (Millions of U.S. Dollars)

(Arranged alphabetically by name of country)

Total Amount of Grant or Loan NumberCountry Date of Grant Cost For For oftur Pups RemarksAssisted Signature or -Furpose of Total Water Sewage People

Loan Project Supply Disposal Benefitted

* Including value of equipment, material and services furnished

March 10, 1972

Dr. B. H. Dot4richDirectorDivision of Environenbal HealthWorld Health Organiastion1211 Geneva 27&itaorland

Dear Berrmt:

I am sorry that we are late with the information you requestedin your letter W2AS/1L1(72) dated Fob'uary 4, 1972, which incide~nallywe received on February 14. The only date which can be guaranteed arethe c3rJty7, the project, and the mont of the loan/credit or pant.

The total cost in smo cases represent. acttal cost but in mostin still the estiamted cost. The same applies to the percent of foreigncost. We have deliberately omitted aqr etaates of the people benefit-ted because there is wo unifors definition for this. In addition, someprojects are inall additions to large systms,others ae epensive malsystems. Therefore, atw aveage per ppita ost can be very Mirsading.

I hope this information will be useful. With beat regards.

Sincrely,

W.J. ArmstrongDwputy Director

PNblio Utilities Projects Department

FB/eft

encl:

TNTEiiNAT I A T IK A I.r I:;AH: I ;j :(1 [1: :T!' 11i ttINAME1 OF AUENCY 1NTERNATIOIAL DiEoPmENT \ DATE OF REPORT March 10, 1972

LOANS AND GRANTS TO DEVELOPTING COUNTR7ES FOR COU.!UNTTY WATER SUPIPLY AND SEWAGE DISPOSALPROJECT : -7 1 lvi; lin Of .. Q)llart)

(Arrangvd alphaib-ol Ic:illy by name of countury)

Total Amount of Grant or Loan Number ForeignCountry Date of Grant Cost Total! For For of cost %

Assisted Signature or oPurpose o. U$ water Sewage People of Remarks

Loan Project millioSupply Disposal Benefitted Total

Botswana - Feb. 10/71 Credit Gaborone/Lobatse Water Supply 3-3 3.01 3.0 - 87

~,Brazil Jun. 21/71 Loan Sao Paulo Water Supply and ) 59.8 22.0 22.0 - 37Brazil Jun. 21/71 Loan Sao Paulo Pollution Control) 81.5 15.0 - 15.0 18

Burundi Mar. 31/66 Credit Bujumbura Water Supply. 1.7 1.1 1.1 - 65

Cameroon Jun. 2/69 Loan Douala & Yaounde ater Supply 7.0 5.0 5.0 - 71.5

China Sept. "6/61 Credit Taipei Regional Water Supply 8.1 4.0 4.0 -9.5

Colombia Jun. 3/68 Loan Bogota Water Supply 35.3 14.0 14.0 - 49

Colombia May 28/71 Loan Second Bogota Water Supply 103.7 88.0 88.0 - 69

Colombia Jun. 4/70 Loan Cali Water Supply & Sewerage 33.45 18.5 12.0 5.5 27

Colombia May 28/71 Loan Palmira Water Supply & Sewera e 3.78 2.0 1.5 0.5 24

Cyprus Apr. 5/71 Loan Nicosia Sewerage 6.3 3.5 - 3.5 . 47

Cyprus Apr. 5/71 Loan Famagusta Sewerage & Drainage 2.9 1.9 - 1.9 54

Ghana Aug. 28/69 Credit Accra/Tema Water Supply & Sew. 5.9 3.5 1.9 1.6

Jroaica May 11/69 Loan Kingston Water Supply 9.05 5.0 5.0 - 55

Jcordan Dec. 22/61 Credit Amman Water Supply 3.05 1.5 1.5 - 60Jerusalem

Jordan Dec. 12/63 Credit Water Supply - Zarka L. O 2.5 2.5 - 62Irbid

I fncludInG iue of bquipment, material ar- scrvfcees furn -I I j

IN TERNATIONAL BANK & RECONSTUCTIG DURELOPMENT

NANE OF AGENCY INTERNATIONAL DEVELOPENT. AJSfSOCIATION DATE OF REPORT March 10 1972

LOANS AND GRANTS TO DE1ELOPTNS COU'NTRTEf FOR C07T1UNTTY WAFTR SUPPLY AND SE",AGE DTSPOSAL- l'OJECT2: 1(8 - 171)/.i;:Liv :SUNV (1] Vno uf U.2. Doll ar')

(Arrangcd alphal-.etically by nam:ne of country)

Total Amount of Grant or Loan Number ForeignCountry Date of Grant Purpose Cost Total For For of cost %Assisted Signature or of US$ Water Sewage People of Remarks

Loan Project illiOupply Disposal Benefitted Total

Kenya Dec. 11/70 Loan Nairobi Water Supply 12.1 8.3 8.3 - 58Malaysia Sept.27/68 Loan Kuala LunpurWater Supply 1 7.7 3.6 3.6 47iragua Sept. 7/62 Credit Managua Water Supply 6.o 3.0 3.0 50

Pakistan Aug. 16/63 Credit Dacca W ter Supply & Sewerage 33.5 13.2 6.9 6-3 39Pakistan Aug. 16/63 Credit Chittagong Water Supply & Sew. 18.4 7.0 6.0 1.0 38Pakistan May f2/67 Credit Lahore Water Supply & Sewerage 6.0 1.75 1.75 - 45

Philippines July 22/64 Loan Manila Water Project 48.2 19.7 19.7 - 4i

Singapore Feb. 26/65 Loan Johore River Water 13.7 6.8 6.8 -9

Singapore July 5/67 Loan Water and Power Project 16.04 8.0 8.o - 50Singapore July 3/68 Loan Singapore Sewerage 21.1 6.0 - 6.0 31

Tunisia Jan. 16/69 Loan Tunisia Water 32.8 15.0 15.0 - 51

Tunisia Jun. 30/70 Credit Second Water Supply 19.2 10.5 10.5 - 59Venozuela Apr. 21/66 Loan Nctrypolitan Water Supply 57.7 17.1 17.1 -

Ethiopia July 15/69 Grant Studies for Addis Ababa Water 0.225 0.18 - - 80and Sewerage Project

1/ Water omponent out of a total loan of $2, million.:ncludIn!Z z a of quipment, material an< aerviccs furn! ...s

ct.J

Nj

W 0 R L D H E A L T H VORGANISATION MONDIALEORGANIZATION DE LA SANTE

1211 GENEVA 27 - SWITZERLAND TVI- s VE 27 - SUISSETelegr.: UNISANTE-Geneva c ACJ j T Ig.:r UNISANTE-Geneve

T61. 34 60 61 Th1ex. 22335 *

In reply please refer to: S10/372/2 Uganda (2) ebruary 1972Priere de rappeler ]a r6f6rence:

Dear Ship,

This refers to our letter of 1 February 1972 to Mr Morse forwardingcopies of the proposed Work Programme, which schi'es three successivemissions for.Mr Jacobi, namely, Uganda, China (Taiwan) and Ethiopia. Itappears now that the visit to Uganda, beginning 21 February 1972, is notpossible, since the necessary clearance and terms of reference have notyet been completed by the Bank. From our experience, we estimate thatthe recruitment process within WHO of Mr Annan, or any other consultant,might require a minimum of three to four weeks from the date of receiptof the agreed schedule.

Discussions with Messrs Krombach and Mould on 3 and 4 February havesupported that a high priority be given to a reconnaissance mission toIndia during the last two weeks of March, which would then be followedup by a three week initial Sector Study Mission in May. Messrs Jacobiand Vogel are scheduled for this mission. Therefore the timing on theTurkey special mission would also be affected.

In view of the above, we suggest that Mr Morse and you review ourWork Programme schedule on the basis of your priority for the variousmissions. The following schedule could be considered :

1. Reconnaissance mission to India 20 March - 3 April 1972

2. Re-scheduling the Uganda mission to commence 3 April 1972 0

3. Re-scheduling the Ethiopia mission to commence 24 April 1972

4. Re-scheduling India initial sector study mission for15 May 1972

5. Re-scheduling Turkey special mission to commence 3 April 1972

The mission to Taiwan, scheduled for April, which originallyincluded Mr Jacobi and Mr Adan, the WPRO country engineer, will requirea change in WHO representatives, Mr Cutinella, Project Officer forTaiwan, is being suggested as replacement for Mr Jacobi and Mr Hoge asreplacement for Mr Adan. As you may be aware our UNDP project"Comprehensive Water Supply and Sewerage Development Programme" forChina has been underway since the fall of 1971 with Mr Charles Hoge asthe Project Manager. Since this project involves a country-wide studyfor water supply and sewerage, it would be advantageous to carry outthe sector study in collaboration with the staff of this project.

Mr Harold ShipmanChief, Water Supply Division IPublic Utilities Projects DepartmentInternational Bank for Reconstructionand Development

1818 H Street, NW.Washington, D.C 20433

2Page .

Mr H. Shipman

Slo/372/2 Uganda (2) 4 February 1972

We look forward to your consideration and reaction to the abovesuggestions.

Yours sincerely,


121

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Form No. 27


OUTGOING WIRE (WHO Cooperative Program)

TO: Nk HAROLD R. SHIPAAN DATE: FEBRUARY 3 1972

HOTELOKURA CLASS OFSERVICE: L/T

TOKYO

COUNTRY: JAPAN

TEXT:Cable No.: THREE

CABLE RECEIVED DIETERIH QUOTE PRESENCE SHIR4AN TUESDAY

FIFTEIEN FEBRUARY FOR DISCUSSION OF URGENT STAFFING PROBLEKMS

MOST CRITICAL UNQUOTE STOP ARRANGEENTS MADE DEPART

WASHINGTON SATURDAY FEBRUARY TWELVE 19.30 HOURS VIA LONDON

STOP HAVE INFORED BIERSTEIN AND FMILY REGARDS

CALLEJAS


AUTHORIZED BY: M. Peter Oaljas CLEARANCES AND COPY DISTRIBUTION:

NAME DCputy Chdef, Water Spply M Armstrong

DEPT. b U i Pro jCts Departm.

SIGNATURE(SGNZUt$INDVIQUALWTO'E oAPOE

REFERENCE: MG s ULE For Use By Communications Section

ORIGINAL (File Copy)MPORTANT See Secretaries Guid for preparing form) Checkd f D isat

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Form No. 27(3-70)


OUTGOING WIRE (WHO Cooperative Program)

TO: UNISANTE DATE: FEBRARY 3s 1972



TEXT:Cable No.:

FOR DIETERICH REYOURCAB FEBRUARY 3 ARRANGETS MADE

SHIPMAN DEPARTING FEBRUARY TWELVE ARRIVING GENEVA

SUNDAY FEBRUARY THIRTEEN FLIGHT NO. ]E BEA580 AT 12.05 HOURS

CA.T.JA S

INTBAFRAD

NOT TO BE TRANSM TrED

AUTHORIZED BY: Mr . Peter Callejas CLEARANCES AND COPY DISTRIBUTION:

Deputy GhiefNAME Wat4 p.y Division I

o Utilities Projects DepartmentDEPT.

SIGNATURE(SIGNATURE OF INDIVIDUAL ORIZED TO APPROVE)

REFERENCE: POaUjO as:gpl COntrol No. M JSG-2-69 For Use By Communic Section

ORIGINAL (Fie Copy)(IMPORTANT: See Secrotaries Guie for preparing form) Chockd for Dispatc

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FORM NO. 26 L(4 69)


INCOMING CABLE

DATE AND TIME ftad- R 0U T I N GOF CABLE: FERn2, M$2 ------O4

LOG NO.: WUI1/2 Dat* Ack'd. -

TO: INBA.DkS~igned to------ -/-FR4TTO; RPMDAssined IN-ORIATION PUBLIC UTDIIS PR=JBTSCOPY:

FROM: DECDDED BY:

TEXT:

TWO FOR CALLEJAS

CABLE RSCEIME FWHt BI3RMTIN ON ARRIVAL MUMSING MY ATTENDANCE

MEETING WITH DIMET CH ON 14 AND 15 PItEDCING ACC ?=11IG. LO PANS

TO ARRIVE WASHINGTON EVENING ZQ NINTH. SUnM YOU ASK WO IF MEOTIN

POSSIBLE END OF ACC RITHER THAN BEFOHE IF NOT I HAVF NO OBJETION TO

METING ON 14 IF ARWLRONR AND YOU AN MUE IN IATR CASE PEPA

TRVEL MQUEST FOR DEPARU SATUVAX I AND ADWS WHO.

FAMILY NOTIFICATION BU TM DE

FUR INFORMATION REGARDING INCOMING CABLES, PLEASE CALL THE (MNICATIONS TSE ON, EXT. 2021

DUPLICATE

FORM No. 26(4-o9)


INCOMING CABLE

DATE AND TIME B U T I N GOF CABLE: FEBRUAIR 2, 1972 0957

LOG NO.: WUI 4/2 ACTION (nPY p.U. WATER SUPPLY I

T INTBA.FRAJ INFOBIATION PUBLIC UTILITIES PROJECTSCOPY:

FROM: BANGKOK DECDDED BY:

TEXT:

TWO FOR CALIEJAS

GABLE RECEIVED FROM( BIERSTEIN ON ARRIVAL REQUESTING MY ATTWDANE

MEETING WITH DIETERICH ON 14 AND 15 PREGE3DING ACO MEETING. M4 PLANS

TO ARRIVE WASHINGTON EVENING OF NINTH. SUGGEST YOU ASK WHO IF MEETIN

POSSIBIE END OF ACC RATHER THAN BEFORE IF NOT I HAVE NO OBJECTION TO

MEETING ON 14 IF ARMSTRONG AND YOU AGREEABLE. IN LATTER CASE PREPARE

TRAVEL REQUEST FOR DEPARTURE SATURDAY PM AND ADVISE WHO.

SHIPMAN

FAMILY NOT IFICATION BEING IADE

Sc

FOR INFORMATION REGARDING INCOMING CABLES, PLEASE CALL THE C(MUNICATIONS SECTION, EXT. 2021

ORIGINAL

AW00rm No. 2

(3-70)


OUTGOING WIRE (WHo)

TO: UNISANTE DATE: FEBRUARY 2, 1972



TEXT:Cable No.:

FOR BIERSTEIN SHIR4AN CABLED FROM BANGKOK STOP

PREFERS TO MEET WITH DIETERICH AFTER ACC MEETING

IF POSSIBLE STOP PLEASE REPLY BY RETURN

CALLEJAS


AUTHORIZED Y Mro Pter Oallejas CLEARANCES AND COPY DISTRIBUTION:

Deputy Division Chief, Water Supply INAME Public Utilities Projects Department Z=

DEPT.

SIGNATURE_____________________________SIGNATUR OF IND VID AUTHORIZED TO APPROVE)

REFERENCE P8allejatgp Control No. TH-2-09 For Use By Communications Section

ORIGINAL (Fie Copy)(IMPORTANT: See Seearies Guie for preparing fom) Cher Dispiaa

**

4r4

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FORM No. 26(4-69)


INCOM ING CABL E

DATE AND TIE ROU TIN G

LOG NO.: W ACTIJN ODPY: .U.WATER

TO: INFOMIATION PUBLIC UTILITIS PROJECTSCOPY:

FT4 DECODDED BY:

TEXT:

TWO FOR CALTAJAS

CABLE RCEIVED FROM BIERSTRIN ON ARRIVAL REQUESTING Mr ATTENDANC

MEETING WITH DIETERICH ON 14AND 35 PUZMDNG ACC MEXTING. MY PLANS

TO ARRIVE WASHINGTON EVENING OF NINTH. SUGGEST YOU ASK WHO IF MEETING

POSSIBLE END OF AOC RATHER THAN BFORE IF NOT I HAVE NO OBJECTION TO

MEETING ON 14 I ARMSTRONG AND YOU AGHMABL. IN LATTER GAS PEPAE

TRVEL REQUEST FOR DEPARTUR SATURDAY PM AND ADVI3E WHO.

FAMILY NOTIFICTICK BEIM MLDE

FOR INFO-MATION REGARDING INCOMING CABLES, PLEASE CALL ThE CXMUNICATIONS SEC ON, EXT. 2021

DUPLICATE

CA

ZN


1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva TEI6gr.: UNlSANT&-Geneve

T61. 346061 Telex. 22335

In reply please refer to: February 1972Priere de rappeler la rafarence:

Date Aatd. -

tO _ne

-- - - ------------

Dear Charlie,

We are forwarding the weekly timesheets (IBRD Form No. 21.06)for the professional staff of the PIP unit in WHO headquarters for theperiod 24 October 1971 through 2 January 1972.

Additionally, we are including the timesheets of Mr G. Bachmannand Mr T. Jacobi to cover the time spent on the Tanzania mission duringthe period 22 September through 24 October 1971.

I am also enclosing a copy of a memorandum from fir Walter Haagof the PIP unit to Chief, PIP with a breakdown for the period mentionedabove on both Co-operative Programme and Non-Co-operative Programmeactivities.

We would be very glad to have your comments as to:

1. whether we have completed the timesheets correctly;2. whether the Bank would wish to have such a summary and if

so whether a different breakdown would be desirable;3. any other comments.

You will recall that by agreement with MIr Shipman and yourself,Chief, PIP is arbitrarily alloting half of his time to the Co-operative

Mr C. MorseChief, Water Supply Division IIPublic Utilities Projects DepartmentInternational Bank for Reconstruction


.. ENCLS. as stated

7 -

j 3 -

B L3 N

Mr C. Morse Page .. 2_

'V2/372/2 2 February 1972

Programme. This is being done on the basis that no overtime is charged tothe Co-operative Programme, i.e. all overtime is charged to WHO activities,no leave of Chief of PIP is charged to the Co-operative Programme and shouldother activities such as WHO meetings take place over a major portion of theweek, none of this time is charged to CP activity. This means in effect thatChief, PIP, except when on mission or attending WH-IO/IBRD meeting, would never

ssign more than twenty hours a wee: to the CP.


Yours sincerel'T,

fc P. Bierstein{,~ Chief, Pre-investment Planin;

Division of Environmental Health

MEMORANDUM

From W. Haag To Mr. P. Bierstein Date 27 January 1972Attention:

Our ref. Subject: TIME SHEETS

Your ref.

This represents a summary of the enclosed IBRD WeeklyTimesheets which the professional staff of the PIP Unit in WHOhave completed during the period 24 October 1971 through 2 January

1972. In addition, it includes the time G. Bachmann (beginning26 September) and T. Jacobi spent on the Tanzania mission duringthe period 22 September through 24 October 1971.

1. Total time of all professional staff - 5127 hours

1.1 Regular - 4731 1.3 C.P. Activities - 2195 (4.3%)1.2 Overtime - 396 1.4 WHO Activities - 2932 (57%)

5127 5127

Overtime is that time greater than 40 hours which isrecorded to the time sheets. This includes workingat night and on weekends within the WHO building, athome, or location of travel. The recorded time is

assumed correct.

2. Total time of professional CP staff - 2040 hours

2.1 Regular - 1941 2.3 C.P. Activities - 1724 (85%)2.2 Overtime - 99 2.4 WHO Activities - 316 (15%)

2040 2040

CO-OPERATIVE STAFF TI'E SHEETS: Man Hours

Arrival Total Co-operative WHODate ___ ______

G. Bachmann 26. 9.71 627 597 30T. Jacobi 23. 9.71 631 587 44L. Laugeri 8.11.71 320 298 22A. Vogel 15.11.71 302 135 167A. Cutinella 6.12.71 160 107 53

Total 2040 1724 316

Page ........ 2..

Mr P. BiersteinChief PIP 27 January 1972

-3. Breakdown by activity codes

CO-OPERATIH

Activity Code Manhours %

WHO* 2932 57PRE 363 7

APR 9 -

SM 606 12

TVL 148 3

RES 137 3

MAA 163 3

TRG 301 6

CNF 34 -

LEV 176 3

HDY 120 2

GEN 138 3

Total 5127 (100)

- WHO 2932

2195

* Does not include Chief PIP

W 0 R L D H E A L T H ORGANISATION

ORGANIZATION DE LA SAYVa

1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSE

Telegr.: UNISANTE-Geneva T6eigr.: UNISANTL-GeneveT61. 346061 Tdlex. 22335

In reply please refer to: W27372/2 1 February 1972Priere de rappeler la reference:

Dear Charlie,

We refer to Mr Shipmans letter of 11 January 1972 regarding theWork Programme.

You will find attached, for your and Mr ShipmanTs information, twocopies of the proposed programme which reflects the activities which have

been agreed upon during my recent visit to Washington, as well as those

concerning the preparation of guide-lines, and country water supply data

collection4 This programme also includes the facilitative missions which

are for the purpose of moving the project closer towards financing. These

are the missions which were formerly the panel missions.

The proposed programme is presented both graphically according to staff

utilization and in a tabular form similar to the format 1-B of the proposed

IBRD/WHO BLACK BOOK. A summary of the programme is also presented on a

single page. In this summary the work programme has been divided into three

categories. Category A includes those activities which are projected by the

IBRD; category B includes those activities which are projected by WHO;

category C includes guide-lines, training and computer studies.

For convenience, the time has been reported in man-weeks rather than

man-months. You will note that for 1972 the total time available to the

Co-operative Programme has been estimated at 400 man-weeks. This reflects

our projection for the recruitment of five additional professional staff

whom we hope to have on the job by 1 March 1972.

We shall be grateful to receive your early comments and undoubtedly wewill discuss this subject with Mr Shipman during his visit to Geneva this month.

Yours sincerely,


Mr C. MorseChief, Water Supply Division IIPublic Utilities Projects DepartmentInternational Bank for Reconstruction

aAd--Development1818 H Street N WWashington D C 20433

'7'

W-H D)

January 28, 1972

Mr. Paul BiersteinChief, Pr.-investment PlanningDLvision of ]ivironmental HealthWorld Health Organisation121 Geneva 27Switzerland

Dear Paul:

Reference to your letter W2/372/2 of January 21, 1972, whichforwarded the personnel history form of Mr. Decker.

I have finally managed to get in touch with Mr. Decker who isin New York doing his Coast Guard Reserve.. Training and he can onlycome down to see me the afternoon of February 7.

Unless you advise me otherwise, we will go ahead with theinterview and we will let you know the result of the interviewimmediately thereafter.

Very truly yours,

Charles MorseChief, Water Suppy Division II


CMorse:acaIBRD

cc: Mr. H. Shipman

INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT

INTERNATIONAL DEVELOPMENT ASSOCIATION

OFFICE MEMORAfIlUM

TO: Juergen Krombach and Maurice Mould DATE: January 28, 1972

FRCK: Charles Morse

SUBJECT: INDIA - Discussions with WHO, Geneva, on futureWater Supply and Sewerage Sector Work.Terms of Reference

1. You are scheduled to meet staff of the WHO Pre-Investment PlanningUnit (PIP), Depnrtment of Fhvironmental Yenlth on Februarr 3 Pnd h, 07o??.

2. Following tp on your visitt to WHO, New Delhi on November 30, andWHO, Geneva, on December 10, 1971, the purpose of these meetings would beto:

() continue briefing PIP about the findings of yourdiscussions with Government of India (GOI) officialsand your reconnaissance visits to selected Indianstates in 1971;

(ii) review with PIP any information and documentationreceived from WHO, New Delhi, on sector data forindividual states or for the country;

(iii) discuss with PIP the possible objectives, scopeand development of future joint WHO/IDA sectorwork in India including initial reconnaissanceand subsequent full sector missions;

(iv) set up a tentative program of sector reconnaissancemissions commencing with an initial visit to NewDelhi to discuss the future sector work with variousGOI ministries involved (Health, Finance, PlanningCcimmission), to ascertain their-views and to obtaintheir agreement and cooperation.

3. Considering the size and complexity of the country and the resultantdifficulty of undertaking sector work on the one hand, and the likely interestof GOI and IDA in proceeding with the identification of projects for IDAfinancing before the results from a sector study are available, you shouldtherefore discuss the future activities of WHO and IDA in this field in Indiato provide for:

(i) the continuation of project identification (andappraisal) work - to be carried out primarily byBank staff, and

(ii) the development of sector work - to be carried outprimarily by WHO staff, in coordination with IDA.

Messrs. Krombach and Mould -2- January 28, 1972

4. As a result of your meetings, it is expected that a joint WHO/IDAletter would be sent to GOI, informing them of the proposed sector study -program and requesting their agreement for the initial visit to New Delhi.

5. A Back-to-Office and Pull Report should be prepared on your return,expected about February 8, 1972.

JKrombach/MCiould:cmn - IDA

cc. Messrs. ChadenetBaumRipmanLeevan der TakWeinerArmstrongHcize32lWarfordJenningsWhiteSaeedBmaniWillen (6)Grosvenor (Controller' s)Cabezas (Legal)Urquhart

cc. Central Files (2)Division FilesChronological Files

0

January 26, 1972

Dr. Marcolino G. CandauDirector-GeneralWorld Health Orinanization1211 Geneva 27, Switzerland

Dear Dr. Candau:

In Mr. McNamara's absence on a trip overseas, I ampleased to send You herewith a copy of the latest versionof our Population Sector Prograh Paper, dated January 20,1972. This paper has not yet been discussed by the Bank'sExecutive Directors and i? therefore to be treated, for

the time being, as confidential.

We would welcome any coavIents by WUH on this paper.With kind regards,

Sincerely yours,

Ric ard L4YruthDi ctor

Development S rvices Department

Enc.

RHD:tf

cc: Dr. Kanagaratnam

Form No. 27(3-70)


OUTGOING WIRE

TO: RICHARD WARREN DECKER DATE: JANUARY 25, 1972

CAREOF GEORGE HITTNER CLASS OFSERVICE: LT

RIVER ROAD

COUNTRY: WESTON CONNECTICUT

TEXT: RE APPLICATION WORLD HEALTH ORGANIZATION PLEASE CALL ME AREA CODE 202Cable No.:

EXECUTIVE 3-6360 EXTENSION 5595

CHARLES MORSE

WORLD BANK

NOT TO BE TRANSM11TTED

AUTHORIZED BY: CLEARA4CES AND COPY DISTRIBUTION:

NAME Chrle MorseChief., Water Supply 1T.

DEPT.Public Utlities Projects

SIGNATURE(SIGNATURE OF INDIVI13UAL AUTHORIZED To APPROVE)

REFEkENCE:0EC~ors e~at For Use By Communications SectionIBRD

ORIGINAL (File COPY)(IMPORTANT: See Secretaries Guide for preparing form) Checked for Dispatch:

IT~~~&f rzl 71 A Al~

A ++

U Q3 A A *WY" + 1 IX .+ T

AA

ThT

Fslip-S .ll .. ... .


ORGANIZATION DE LA SANTt

1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva Tilkgr.: UNISANT&-Geneve

T4i. 346061 Telex. 22335

In reply please refer to: W2/86/8 24 January 1972Priere de rappeler Ia r6firence:

Dear Ship,

For some years now the IWSA (International Water Supply Association)has been an NGO (non-governmental organization) in official relations withWHO. During this time we have been encouraging the ISA to extend theiractivities to the problems of developing countries.

Last year the IWSA set up Standing Committees, of which two are of

interest: (i) to deal with problems in developing countries; and (ii) to

deal with education and training of waterworks personnel.

At their next Congress, to be held in New York from 11-14 September 1972,

there will be a session on the problems of developing countries and the IWSA,and particularly Mr Fred Merryfield, Vice-Presideit, are keen that as much

representation as possible from developing countries be made at the Congress.

With this in view, they have enquired whether WHO can arrange a meeting in

New York close to that date, bringing in delegates to attend the WHO meetingand extend their stay and attend the I'SA Congress as well. This, in theory,agrees with what we have been suggesting to IWSA as a means of getting over

the financing problem with regard to bringing in delegates from developing

countries as the IWSA does not have sufficient funds to commit in this direction.

The difficulty is that they have given us very short notice and, as you know,

WHO meetings are arranged two years in advance* Besides, with seminars and the

like, such meetings tend to be arranged in Africa or Asia rather than in the

United Statos. We have requested our Regional Offices to encourage WHO

Fellowship holders with water supply interests to attend the Congress should

this be practicable.

Mr H. R. ShipmanChief, Water Supply Division I

Public Utilities Projects DepartmentInternational Bank for Reconstruction

and Development1818 H Street, N.W.

Washingrton, D.C. 20433United States of America

origin to:

aations

Page ....

Mr H. R. ShipmanW2/86/8 24 January 1972

The purpose of this letter is to find out whether IBRD can help inbringing together representatives from developing countries at the IftACongress.

You may perhaps kmow that Mr Fairall has taken over as SecretaryGeneral from Mr Millis who, we understand, will be the next President.

Yours sincerely,

L. OrihuelaChief, Community Water Supply

and SanitationDivision of Environmental Health

E.S. For your information, I am attaching a copy of a letter fromMr Fairall and a copy of our reply.

January 21, 1972

Mr. Paul BiersteinWorld Health Organisation121 Geneva 278witserland

Dear Paul:

I acknowledge receipt of your letter dated January 12, 1972,

your reference W2/372/2. 1* would suggest the week of February 28 for

the meeting on the Cooperative Program here in Washington.

Yours truly,

Charles MorseChief, Water Supply Mvision II


CMorse:acaIBRDcc: Mr. H. Shipman

Control No. NISC-2-h2

-o m No'.27 &

INTERNATIONAL DEVELOPMENT INTERNATIONAL BANK FOR INTERNATIONAL FINANCE

ASSOCIATION RECONSTRUCTION AND DEVELOPM /c t \ CORPORATION

OUTGOING WIRE

TO: G.B. BALDWIN (HOLD FOR ARIVAIAL) DATE: JANUARY 21, 1972

NLE HILTON HOTEL CLASSOFCAIRO

SERVICE: 7

COUNTRY: ARAB REPUBLIC OF EGYPT

TEXT:Cable No.: THREE

THANKS URCAB JANUARY EIGHTEEN

PRIMO INDONESIA NO LOAN COMMITTEE MEETING HELD AND APPROVAL BY CIRCULATION

HAS BEEEN OTAI!ED STOP PREPARATION OF LECAL POCTMENTS TN NAND AND NFGOTIATIONS

SCHEDULED FOR FEBRUARY SEVEN TO GET AkiEMENT WITH UNFPA ON DOCUMENTS STOP

SECUNDO MEETING WITH CHADENET AGRICULTURE SPECIAL PROJECTS AND OURSELVES

YESTERDAY TO CONSIDER NUTRITION RPIPORT DECIDED TO PLACE THIS IN POPPROJECTS STOP

TERTIO ZAIDAN RETURNED AND NUTRITION COMPONENT OF INDIAN PROJECT ALMOST

COMPLETE STOP

QUARTO FOLLOWING IS TEXT .OF CABLE OF JANUARY SEVENTEEN FROM BELLERIVE

HEAD OF POLICY AND COORDINATION WHO QUOTE AS YOU ARE AWARE WE ARE PLEASED

WHO WILL PARTICIPATE FORTHCOMING BANK MISSIONS PHILIPPINES MALAYSIA GHANA STOP

NOTWITHSTANDING SHORT TIME FOR PREPARATIONS WE ARRANGING SUITABLE WHO

REPRESENTATION HEALTH SECTOR AND SHALL INFORM YOU SOON DETAILS NAMES AND

RESPECTIVE AREAS OF EXPERTISE STOP UNDERSTAND BALDWIN PROPOSES VISIT GENEVA

END JANUARY STOP BALDWIN VISIT MOST WELCOME AND SUGGEST THAT IN ORDER FULLY.... con



NAME K. Kanagaratnam Cleared with & cc: Mr.M.Hoffman

DEPT. Population Project

SIGNATUlRE (SIGNATURE OF INDIVIDUAL AUTHORIZED TO APPROVE)

REFERENCE: IDA Indon., India For Use By Communications Section

WHO/BankKK:bli ORIGINAL (FIle Copy)

(IMPORTANT: See Secretaries Guide for preparing form) Checked for Dispatch:

iTERNATIONAL DEVELOPMENT INTERNATIONAL BANK FOR INTERNATIONAL FINANCE


OUTGOING WIRE

TO: G.B. BALDWIN DATE: JANUARY 21, 1972NILE HILTON HOTELCAIRO CLASS OF

SERVICE:

COUNTRY: ARAB REPUBLIC OF EGYPT

TEXT:Cable No.: PAGE TWO

UTILIZE THIS OPPORTUNITY YOU DEPUTE ADDITIONAL SENIOR STAFF AS YOU DEEM

FIT TO ASSIST IN DEFINITION OF TERMS OF REFERENCE INCLUDING MODALITIES

OF WHO PARTICIPATION IN MISSIONS AS INDICATED IN MCNAMARAS LETTER

DECEMBER SBVENTEEN AS WELL AS IN FUVT[:R PROGRAMME DEVELOPMENT STOP WE

ATTACH SPECIAL IMPORTANCE TO THESE INTERSECRETARIAT MEETINGS AND TRUST

YOU WILL AGREE STOP BELLERIVE .UNISANTE 22335X OMS CH UNQUOTE DEMUTH

SPOKE WITH BELLERIVE AND HAS REPLIED ON JANUARY EIGHTEEN AS FOLLOWS

QUOTE I UNDERSTAND THAT YOU ARE AGREEABLE TO PURSUING OUR DISCUSSION

OF MODALITIES OF WHO/BANK COLLABORATION ON MISSIONS COMMA AS WELL AS IN

FURTHER PROGRAM DEVELOPMENT COMMA IN TWO STAGES STOP DURING MR BALDWINS

VEIT TO GENEVA AT END JANUARY YOU WOULD PUT FORWARD AND DISCUSS ANY

PROPOSALS YOU MAY HAVE AS OF THAT DATE BUT WOULD NOT ENDEAVOR TO NEGOTIATE

AN UNDERSTANDING STOP THE POSITION COULD THEN BE REVIEWED IN THE BANK AND

.IF ALL GOES AS WELL AS I EXPECT IT TO MR HOFFMAN AND DR KANAGARATNAM WOULD

BE PREPARED TO NEGOTIATE AN UNDERSTANDING WHEN THEY ARE IN GENEVA FOR THE



NAME K. Kanagaratnam'

DEPT. Population Projects

SIGNATURE_(SIGNATURE OF INDIVIDUAL AUTHORIZED TO APPROVE)

REFERENCE: For Use By Communications Section

ORIGINAL (File Copy)(IMPORTANT: See Secretaries Guide for preparing form) Checked for Dispatch:

TERNATIONAL DEVELOPMENT INTERNATIONAL BANK FOR INTERNATIONAL FINANCE


OUTGOING WIRE

TO: G.B. BALDWIN DATE: JANUARY 21, 1972

NILE HILTON HOTELCAIRO CLASS OF

SERVICE:

COUNTRY:

TEXT: Cable No.: PAGE THREE

ACC SUBCOMMITTEE ON POPULATION WHICH MEETS FEBRUARY TWENTYEIGHT THROUGH

MARCH ONE UNQUOTE STOP ZAHRA SPOKE TO ME YESTERDAY AND SUGGESTED YOUR

GOING GENEVA MONDAY THIRTYONE JANUARY AS MOST SUITABLE AS OTHER DAYS ARE

HEAVY FOR THEM STOP IN, LIGHT ABOVE EXCHANGE WOULD LIKE YOU TO FIRM UP

YOUR VISIT TO GENEVA FOR THAT DATE AND CONFIRM TO BELLERIVE AND ZAHRA STOP

YOU SHOULD FAMILIARIZE Y)URSELF WITH THEIR OPERATIONS AND ALSO TAKE A

BRIEF ON THE MATTERS WHICH THEY WOULD LIKE TO RAISE STOP YOUR DISCUSSIONS

WILL NOT INVOLVE NEGOTIATION ON OUR POSITION ON SUBSTANTIVE ISSUES BUT

YOU MAY WISH TO DISCUSS ISSUES ON BASIS OF YOUR UNDERSTANDING OF BANK

OPERATIONS AND POLICY STOP TRY TO CALL ME FROM IRAN OR GENEVA IF POSSIBLE STOP

QUINTO JEAN HAS RECEIVED REQUEST THAT LIST OF TEXT BOOKS NEEDED FOR SAIS

CLASS HAS TO BE SUBMITTED IMMEDIATELY FOR CIRCULATION TO STUDENTS STOP

SPOKE WITH HARRIET STOP ALLAN IS FINE AND WAS EXTREMELY PLEASED WITH

YOUR CABLE ON HIS BIRTHDAY STOP -REGARDS:- PLAoE ACKNOWL1,DGE RECEIPT OF CABLE

REGARD6 KANAGARATNAM

NOJ TO BE TRANSMITTED


NAME K. Kanagaratnamn -

DEPT. Population Projects

SIGNATUREF(SIGNATURE OF INDIVIDUAL AUTHORIZED To APPROVE)

REFERENCE: For Use By Commnications Section

ORIGINAL (File Copy)(IMPORTANT: See Secretarics Guide for preparing form) Checked for Dispatch:




Telegr.: UNISANTE-Geneva T6I. 346061 Telex. 22335 T616gr.: UTJNM t--e$ e e

In reply please refer to: S1O/372/2 Uganda 2 21 January gPriere de rappeler la reference:

Dear Ship,

We refer to the Document No. UGA/CP/3, Draft Uganda CountryProgramme for UNDP assistance, 1972-1976, dated 15 December 1971. -

You will note that the document on page 39 referring to the UgandaWater Supply and Sewerage project states, "The assignments of the WHO

Project Manager and of other teehnical advisers to the new National

Water Board will probably be financed from the projected World Bank

loan."

We have some doubts on this statement, whether a WHO Project

Manager could be financed from the Bank loan funds and we would begrateful if you could clarify this point for us.

The document, as you know, was prepared by the Government of

Uganda and it may not reflect precisely the Bank's criteria.

Yours sincerely,


Mr H.R. ShipmanChief Water Supply Division IPublic Utilities Projects DepartmentInternational Bank for Reconstructionand Development

1818 H Street, N.W.Washington, D C 20433United States of America

0

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Record Removal Notice &isdiiFile Title Barcode No.


1056032

Document Date Document TypeJan 21, 1972 Letter

Correspondents / ParticipantsPaul Bierstein, Chief, Pre-Investment Planning Division of Environmental Health, WHO to Charles Morse, Chief, Water Supply Division II

Subject / TitleRichard Warren Decker

Exception No(s).

[ 1 12 [13 []4 [115 [ 6 E 7 1 8 [1 9 [ 1OA-C 10 D [ Prerogative to Restrict





PAN AMERICAN HEALTH ORGANIZATIONPa Amera Smffary wure, Rona(ffie e/*

WORLD HEALTH ORGANIZATION

823 TWENTY-THIRD STREET, N.W., WASHINGTON. 0. C. 20037. U.S.A. CABLE ADDRESS, OPSANPAN


JAN 2 0 1972

Dear Mr. McNamara:

In accordance with Resolution XIV, approved at the IV Inter-American Meeting on Foot-and-Mouth Disease and Zoonoses Control,held in Lima, Peru in April 1971, I take pleasure in inviting youto attend the V Meeting which will be held in Mexico City, Mexicofrom 10 to 13 April 1972.

The Provisional Agenda, which is attached, was prepared inagreement with the recommendations of the Ministers and partici-pants in the previous meetings. Upon review of it you will observethat items are included on the programs being developed in theAmericas for the control and prevention of foot-and-mouth diseaseand the zoonoses, as well as on the coordination of the activitiesof the Pan American Foot-and-Mouth Disease and Zoonoses Centers.You will also notice a topic on a current problem of great impor-tance, "The Effects of Pesticides in Human and Animal Health andtheir Action on the Environment," and the significant role ofhealth and agriculture agencies in the control of the use ofpesticides.

Worthy of mention also are the analyses that will be madeof bovine tuberculosis, the organization of laboratory services inanimal health, and the reports on the epidemiologic surveillanceof diseases of high incidence in man and animals and the negativeresults on the economy.

./.

Mr. Robert S. McNamaraPresidentInternational Bank for Reconstruction


-2-

I an confident you will agree with me, Sir, of the partieular significanee of this Meetiug, which motivates me to requestyour personal participation. If you find you will be unable toattend, I would appreciate your selection of a representative ofthe Bank.

I look forward to the pleasure of greeting you personallyin Mexieo City.

Sincerely yours#

Abraham HorwitzDirector

Enclba3osures

cet Mr. Don StoopsChief, Agricultural Credit

and Liventock Section

PAN AMERICAN HEALTH ORGANIZATIONPam Amernca Smdiary Bweau, RjonaOflee & F M0


525 TWENTY-TNIRD STREET, N.W., WASHINGTON, D. C. 20037. U.S.A. CABLE ADDRESS, OFSANPAN

IN REPLY REFER TO: TELEPHONE 23-4700

Dear Mr. MNamarat

In accordance with Resolution XIV, approved at the IV Inter-American Meeting on Foot-and-Mouth Disease and Zoonoses Control,held in Lina, Peru in April 1971, 1 take pleasure in inviting youto attend the V Meeting which will be held in Mexico City, Mexicofrom 10 to 13 April 1972.

The Provisional Agenda, which is attached, was prepared inagreement with the rec endations of the Ministers and partici-pants in the previous meetings. Upon review of it you will observethat items are included an the programs being developed in theAmericas for the control and prevention of foot-and-mouth diseaseand the soonoses, as well as on the coordination of the activitiesof the Pan American Foot-and-Mouth Disease and Zoonoses Centers.You will also notice a topic on a current problem of great impor-tance, "?he Effects of Pesticides in Han and Animal Health andtheir Action on the Environment," and the significant role ofhealth and agriculture agencies in the control of the use ofpesticides.

Worthy of mention also are the analyses that will be madeof bovine tuberculosis, the organization of laboratory services inanimal health, and the reports on the epidemiologic surveillanceof diseases of high incidence in man and animals and the negativeresults on the economy.

./..

Mr. Robert S. McNiaraePresidentInternational Rank for Reconstruction

and Development UATE1818 H Street, N.W.Washington, D.C. 20433

I as confident you will agree with me, Sir, of the partic-ular sipuifAmone of this Meeting, which motivates me to requestyour personal participation. If you find you will be unable toattend, I would appreciate your selection of a representative ofthe bank.

I look forward to the plesoure of greeting you peraonallyin WLxo City.

Sincerely yours,

Abraham UorwitzDirector

cot Mr. Don StoopeWif, Agrieultural Credit

and Livestook Section


_ INTER-AMERICAN MEETING ONFOOT-AND-MOUTH DISEASE AND ZOONOSES CONTROL

WORLD HEALTH ORGANIZATION MEXICO CITY, MEXICO, 10-13 APRIL 1972

RICAZ5/1 (Eng.)6 January 1972ORIGINAL: ENGLISH-SPANISH

PROVISIONAL AGENDA

1. Preliminary Session. Election of the President and Two Vice-Presidents

2. Inaugural Session. Presentations by the Secretary of Agriculture andLivestock Development and by the Director of the Pan American SanitaryBureau

3. Approval of the Provisional Agenda and the Program of Sessions

4. Pesticides. Their Effects on Human and Animal Health and on theEnvironment

A. Pesticides and the Environment

B. Benefits and Problems from the Use of Pesticides in the Protectionof Human Health

C. Benefits and Problems from the Use of Pesticides in the Protectionof Animal Health

D. Pesticides. Development and Research

E. Problems of Pesticides in the International Commerce of Food ofAnimal Origin

5. Present Situation of Foot-and-Mouth Disease and other Vesicular Dis-eases in Cattle in the Americas. Preventive and Control Programs.Country Reports

6. Research Program of the Pan American Foot-and-Mouth Disease Center

7. Program and Budget of the Pan American Foot-and-Mouth Disease Center

RICAZ5/1 (Eng.)Page 2

8. Program and Budget of the Pan American Zoonoses Center

9. Panel on Organization and Administration of Animal Health Services

A. Organization and Administration of Animal Health Services

B. Organization of Laboratory Services for Animal Health

C. Administrative Aspects of the Control Program for VenezuelanEquine Encephalitis in Mexico

D. Administrative Aspects and Development of the Foot-and-MouthDisease Campaign in Chile

E. Administrative Aspects of the Bovine Tuberculosis EradicationProgram in Canada

10. Presentation of the Guidelines and Criteria for the Control andEradication of Bovine Tuberculosis

11. Epidemiologic Surveillance of Rabies, Foot-and-Mouth Disease, VesicularDiseases and Equine Encephalitis

4V I


_V INTER-AMERICAN MEETING ON

FOOT-AND-MOUTH DISEASE AND ZOONOSES CONTROL



PROVISIONAL AGENDA














V INTER-AMERICAN MEETING ON

FOOT-AND-MOUTH DISEASE AND ZOONOSES CONTROL



PROVISIONAL AGENDA













January 20, 1)72

Dr. L. AnsariChief.L, Parasitic Disease UnitWorld Health OrganizationGeneva, Switzerland

Dear Dr. Ansari:

I wonder if you hove a figure for the total worldresearch budget on schistosomiasis, including development andfield testigg of molluscicides.

With best regards,

Sincerely yours,

Charles WeissCteiss/sks

... ... iI .7

. .. PAN AMERICAN HEALTH ORGANIZATION

Pan American Sanitary Bureau, Revional Office ef the


525 TWENTY-THIRD STREET, N.W., WASHINGTON, D.C. 20037, U.S.A. CABLE ADDRESS: OFSANPAN


JAR 2 0 1972

Dear Mr. McNamara:

In accordance with Resolution XIV, approved at the IV Inter-Amrian MootIIn on Votl-fud-Meutih I) tifatsl 1 utnoooninem Control,held in Lima, Ptieou In Airi I 1971, f It ito plosHw s In Invl 1 I'ug IIIIto attend the V Meeting which will be held in Mexico City, Mexteofrom 10 to 13 April 1972.

..e The Provisional Agenda, which is attached, was prepared in

agreement with the recommendations of the Ministers and partici-

pants in the previous meetings. Upon review of it you will oboerve

that items are included on the programs being developed in the

Americas for the control and prevention of foot-and-mouth disease

and the zoonoses, as well as on the coordination of the activities

of the Pan American Foot-and-Mouth Disease and Zoonoses Centers.

You will also notice a topic on a current problem of great impor-

tance, "The Effects of Pesticides in Human and Animal Health and

their Action on the Environment," and the significant role of

health and agriculture agencies in the control of the use of

pesticides.

Worthy of mention also are the analyses that will be made

of bovine tuberculosis, the organization of laboratory services in

animal health, and the reports on the epidemiologic surveillance

of diseases of high incidence in man and animals and the negativeresults on the economy.

./..

Mr. Robert S. McNamaraProsidentInternational Bank for Reconstructionand Development

1818 H Street, N.W.Wabhington, D.C. 20433

Tr IIZ rgi~1, j 1 __Z11

-2-

I am confident you will agree with me, Sir, of the partic-ular significance of this Meeting, which motivates me to requestyour personal participation. If, you find you will be unable toattend, I would appreciate your selection of a representative ofthe Baik.

I look forward to the pleasure of, greeting you personallyin Mexico City.

Sincerely yours,

7 Abrahan Horwitz,.,Director

Enclosures

cc:. Mr. Don StoopsChief, Agricultural Creditand Livestock Section

wt

January 20, 1972

Mr. Paul BiersteinChief, Pre-investment PlanningDivision of Environmental HealthWorld Health Organization1211 Geneva 27Switzerland

Dear Paul:

Thank you for your letter of January 12, 1972 concerning "TheRole of Economics in Municipal Water Supply."

In accordance with your request, I am arranging for copies ofthe paper to be sent to you right away.

With best wishes.

Yours sincerely,

J. J. WarfordEconomist


JWarford:pjk

CONTROL NO. MISC-2-39

January 19, 1972

Dr. Mark D. HollisPan American Health Organisation525 - 23rd Street, N. W.Washington, D. C. 20037

Dear Dr. Hollist

re: Rural Water Supply Research Program

As we have on occasion mentioned to Mr. Riber..o and Mr. Donaldson,the Bank intends to initiate a small research program in the field ofrural water supplies. The program would consist of three phases. Phase Iwould consist of a survey of the literature and experience of the benefits,or impact, of rural water supply programs or projects, and take about twomonths in the indiate future. Phase II would consist mainly of fieldsurveys of rural water supply schemes, the object being to determine thefactors responsible for their success or failure. Success or failure wouldbe judged in terms of their efficient operation, but during the course ofthe survey, any information or data pertinent to ascertaining the impactof rural water supplies would be collected. This would require about sixmonths in 1972/1973. The results would be used in Phase III,, which wouldattempt to define, or show what data has to be acquired in order to define,the benefits of rural water supplies. About three months would be requiredaround the middle of 1973.

A consultant economist would be principally responsible for carryingout the project, under the direction of Mr. Warford and Mr. Ringskog. Weanticipate that we shall do this in various areas of the world, and mWyvery well do it with the assistance of the PIP unit, WHO Geneva. We alsohope to have the cooperation of the Inter-Axwrican Development Bank.

We are writing to you to ask if you would be willing to cooperatewith us in this venture in the Americas. In particular we would begrateful if you could assign one of your engineers to work on the projectfor about two months in Washington during the period April 1 to June 30,1972, and for about four or five months, in periods of one month or sotraveling in Latin America during fiscal 1973. He would therefore assistboth in the literature survey and be responsible for the field work inLatin America. Costs related to this work would be reimbursed by theBank, including salary.

Dr. Mark D. Hollia - 2 - January 19, 1972

In addition, we would hope to be able to count on the collaborationof an epidemiologist aW a statistician from PAHO in the planning andevaluation of the program. The time involved would be minor.

May we have your reaction to this proposal?

Sincerely yours,

Charles MorseChief, Water Supply Division IIPublic Utilities Projects Department

" JJWarford:pjkIBRD

cc: Mr. Ringskog

18 de enero de 1972

Dr. Roberto Rueda-WilliamsonAsesor Regional de Nutrici6nOrganizacion Panam.ericana

de la Salud525 23rd Street N.W.Washington D.C. 20037

Estimado sefior Asesor:

En ausencia del Sr. Luis Escobar, me es grato acusar

recibo de su atenta carta del 6 del mes en curso, refe-

rencia HP-AX-U-h221-A, junto con los docunentos sobre el

Proyecto Interagencial para la ProiPocidn de Politicas Na-

cionales de Alimentacin y Nutrician en los pafses de

Amrica Latina.

Le saluda muy atentamente,

Secretaria del Sr. Escjbar

January 18, 1972

Mr. Harry G. HansonDepartment of Engineering and

Environmental SciencesPan-American Health Organization525 Twenty-third Street, N.W.Washington, D.C. 20037

Dear Mr. Hanson:

We thank you for your kind letter inviting us to send one ofour staff members to the International Seminar on "Policies and Techniquesfor the Selection and Purchase of Water Meters" which you organised jointlywith the Inter-American Development Bank.

Mr. Arthur Bruestle, Sanitary Engineer, will attend the seminaras the official observer for the World Bank.

Very truly yours,

Charles MorseChief, Water Supply Division IIPublic Utilities Projects Department

Afruestlega

Ir .

Contr'ol No. MISC-4-29

January 18, 1972

Dr. A. BelleriveDitectorDivision of Co-ordination and EvaluationWorld Health Organization1211 Geneva 27Switzrlad

Dear Dr. BelleTIVia

Thank you for your cable of January 17 and for the arrangements youare making for WHO participation in the planned Bank missions to thePhilippines, Malaysia and Ghana dealing with the population sector. Weare very pleased to have your cooperation in these important undertakings.

From our telephone conversation of today, I understand that you areagreeable to pursuing our discussion of modalities of WHO/Bank collabora-tion on missions, as well as in further program development, in two stages.During Mr. Baldwin's visit to Geneva at the end of January you would putforward and discuss any proposals you may have as of that date but wouldnot endeavor to negotiate an understanding. The position could then bereviewed in the Bank and if all goes as well as I expect it to, Mr. Hoffmanand Dr. Kanagaratnam would be prepared to negotiate an understanding whenthey are in Geneva for the ACC Sub-Committee on Population which meetsFebruary 28 through March 1.

Sinc yours,

Richard DemuthD tctor

Development/Services Department

MLHOffman/RHDemuth/pnn

Dr. KanagaratnamMr. Franco/Mr. Chatenay

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FORM No. 89 INTERNATIONAL BANK FOR(2F66) RECONSTRUCTION AND DEVELOPMENT

INTERNATIONAL DEVELOPMENT INTERNATIONAL FINANCEASSOCIATION CORPORATION

DateROUTING SLIP Jan. 20, 1972

N e Room No.

2.--4 D. anagarxinam ~ I3. Mr. McNamara o return

To handle Note and File

Apnropriate Disposition Note and ReturnApproval Prepare Reply,omment Per Our Conversation

_ Full Report Recommendation

XX nformat ion Signature_ Initial Send On

Remarks

Muriel Lee

Frf-

WORLD HEALTH GASATION MONDIALEORGANIZATION DE LA SANT9

1211 GENEVA 27 - SWITZERLAND 1211 GENtVE 27 - SUISSETelegr.: UNISANTE-Geneva T4xT gr.: UNISANTA-Genave

T61. 346061 T6lex. 22335


Pribre de rappeler la reference: P13/372/5 17 January 1972

Dear Mr McNamara,

I was pleased to receive your letter of 17 December, and wish to thank youfor your very helpful suggestions for future collaboration by the Bank and WHOin family planning projects. We, too, believe that, based on experience, practicaland effective collaborative arrangements can increasingly be developed in thisimportant field.

We have cabled your office about the arrangements we have made for WHO'sparticipation in the forthcoming sector/project identification mission to Egypt,and enquired about future joint missions so that timely steps can be taken. Yourclarification about the Indonesian project was greatly appreciated and I have nodoubt that our pooled resources will be put to the best use of the Indonesiangovernment and people.

Our coments on the Bankt s population sector programme paper will be sentas soon as possible.

Best wishes,

Yours sincerely,

M . G. C ndau, M. D." Directd -General

Mr Robert S. McNamaraPresidentInternational Bank for Reconstruction and DevelopmentInternational Development Association1818 H. Street, N.W.Washington D.C., 20433

cc: Mr R. M. Salas, Executive Director, United Nations Fund for PopulationActivities, New York

Mr H. R. Labouisse, Executive Director, United Nations Children's Fund,New York

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FORM No. 26(4 69)

INTERNATIONAL DEVELOPMENT INTERNATIONAL BANK FOR INTERNATIONAL FIASSOCIATION RECONSTRUCTION AND DEVELOPMENT CORPORATION

INCOMING CABLE

DATE AND TIME R O U GOF CABLE: JANUARY 17, 1972

LOG NO.: ITT TEEX/17 ACTION (DPY: MR. DEMUTH

TO INTAFRAD INFORIATIONCOPY:

FOM: GENEA DECODED BY:

TEXT: 362 FOR DEUTH

AS YOU AWARE WE ARE PLEASED WHO WIIL PARTICIPATE FORTHCCMING BANK MISSIONS

PHILIPPINES MALAYSIA GHANA. NOTWITHSTANDING SHORT TIME FOR PREPARATIONS

WE ARRANGIn SUITABLE WHO REPRESTATION HEALTH SECTOR AND SHALL INFORM YOU

SON DETA.ILS NAMES AND RESPECTIVE AREAS OF EXPERISE, UNDERSTAND BAlDWIN

PROPOSES VISIT GDWA XND JANUARY. BALTDIN VISIT MOST WEILCDE AND SUODEST

THAT IN OEFULLY UTILIZE THIS OPPORTUNITY YOU DEPUTE ADDITIONAL SENIOR STAFF

AS YOU DEEM FIT TO ASSIST IN DEFINITION OF TERMS OF REFERENCE INCLUDING M(DALITIES

CF WHO PARTICIPATION IN MISSIONS AS INDICATED IN MONAMARA'S LETTER 17 RCEMBR

AS WELL AS IN FURTHER PROGRAMME DEELOPMENT. WE ATTACH SPEIAL IMPORTANCE

TO THESE INTER-SECRETARIAT MEKINGS AND TRUST YOU WILL AGREE.

BELLERIVE UNISANTE

22335X ONS CH

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Priere do rappeler la rtfbrence: P23/372/5 17 January 1972

Dear Mr McNamara,

I was pleased to receive your letter of 17 December, and wish to thank youfor your very helpful suggestions for future collaboration by the Bank and WHOin family planning projects. We, too, believe that, based on experience, practicaland effective collaborative arrangements can increasingly be developed in thisimportant field.

We have cabled your office about the arrangements we have made for WHO'sparticipation in the forthcoming sector/project identification mission to Egypt,and enquired about future joint missions so that timely steps can be taken. Yourclarification about the Indonesian project was greatly appreciated and I have nodoubt that our pooled resources will be put to the best use of the Indonesiangovernment and people.

Our comments on the Bankts population sector programme paper will be sentas soon as possible.

Best wishes,

Yours sincerely,

M. G. C ndau, . ).Directp -General

Mr Robert S. McNamaraPresidentInternational Bank for Reconstruction and DevelopmentInternational Development Association1818 H. Street, N.W.Washington D.C., 20433

cc: Mr R. M. Salas, Executive Director, United Nations Fund for PopulationActivities, New York

Mr H. R. Labouisse, Executive Director, United Nations Children's Fund,New York

ate:- Colunaations

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File Title Barcode No.


1056032

Document Date Document TypeJan 13, 1972 Letter

Correspondents / ParticipantsHarold R. Shipman to Paul Bierstein, Chief, Pre-Investment Planning Division of Environmental Health, WHO

Subject / TitleInterview of candidates for post of economist

Exception No(s).

/ 1 [:12 [:3 [14 [:15 [:6 7 E 8 E 9 El10 A-C E] 10 D E] Prerogative to Restrict






_if Pan American Sanitau Bureau, ReionaI Office f theWORLD HEALTH ORGANIZATION


IN REPLY REFER TO: AMRO-2219 Guatemala 13 January 1972 TELEPHONE 223-4700

Mr. Charles A. Morse, Jr.Public Utilities Projects Date Ackp1iInternational Bank for Reconstructionand Development - World Bank Csn t-1818 H St., N. W.Washington, D. C. 20433

Dear Mr. Morse:

The Pan American Health Organization and the Inter rcanDevelopment Bank have jointly organized a program on water meters,which included the preparation of a Reference Manual on Water Meters,as well as a research project carried out simultaneously in three dif-ferent cities: Bogota, Guatemala, and Sao Paulo.

The third and last phase of this program will be the develop-ment of axwnternational Seminar on "Policies and Techniques for theSelection and Purchase of Water Meters" being organized with the col-laboration of the University of San Carlos of Guatemala, to takeplace at its Faculty of Engineering (ERIS), from 31st January to the

... 5th of February 1972, as per the information attached.

By this means we should like to extend to you our invitationto send one of your staff members representing the World Bank ,as anobserver to this event.

An early reply indicating the name of the person selected asyour official observer will be very much appreciated.

Sincerely yours,

Harry G. HansonDepartment of Engineering andEnvironmental Sciences

Encl.

PAN AMERICAN HEALTH ORGAN LZATON

SN Pan American Sanitary Bureau, Reaional &ice ef t'

4 WORLD HEALTH ORGANIZATION


IN REPLY REFER TO: AMRO-2219 Guatemala 13 January 1972 TELEPHONE 223-4700

Mr. Charles A. Morse, Jr.Public Utilities ProjectsInternational Bank for Reconstructionand Development - World Bank

1818 H St., N. W.Washington, D. C. 20433

Dear Mr. Morse:

The Pan American Health Organization and the Tnter-iriDevelopment Bank have jointly organized a program on water MCtrcs,which included the preparation of a Reference Manual on Water as well as a research project carried out simultaneously in three .dif-ferent cities: Bogoti, Guatemala, and Sao Paulo.

The third and last phase of this program will be the velop-ment of an International Seminar on "Policies and Techniques fcr theSelection and Purchase of Water Meters" being organized with the col-laboration of the University of San Carlos of Guatemala, to takeplace at its Faculty of Engineering (ERIS), from 31st January to the

- 5th of February 1972, as per the information attached.

By this means we should like to extend to you our invitationto send one of your staff members representing the World Bank ,as anobserver to this event.

An early reply indicating the name of the person selected azyour official observer will be very much appreciated.

Sincerely yours,

Harry G. HansonDepartment of Engineering andEnvironmental Sciences

... Encl.

0rginal to.

Datesn ''tion-----. S c ti on



1211 GENEVA 27 - SWITZERLAND 1211 GENEVE 27 - SUISSETelegr.: UNISANTE-Geneva Te16gr.: UNISANTE-Geneve

T61. 346061 T6lex. 22335


Priere de rappeler ]a reference:

Dear Jeremy,

Thank you for your letter of 29 December 1971, together with thefinal version of the paper "The Role of Economics in Municipal Water Supply:Theory and Practice".

You will recall that I brought back to Geneva from my visit toWashington several copies of the draft of this document, which have beenread with great interest in the Pre-investment Planning unit.

Mr Laugeri, of course, has been particularly interested and willundoubtedly discuss this paper with you during his visit to World Bankheadquarters from 17 - 28 January inclusive.

We would like to make a rather wide distribution of this paperto our staff, and wonder whether this would be possible before it appearsin printed form, which normally takes some time. If it would be possibleto provide us with twenty-five copies of this paper, it would be very muchappreciated.


Yours sincerely,


Mr J. J. WarfordEconomist, Public Utilities Projects DepartmentInternational Bank for Reconstruction and Development1818 H Street, N.W.Washington, D.C. 20433United States of America

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January 5, 1972

Mr. Paul BiersteinChiWf, Pre-invoitment PlanningDivision of Invironmental HealthWorld Health Organisation1211 GXNZVA 27Switserland

Dear Paul,

An requested in ymu letter of December 23, 1971 to Harold, I ansending under *eparate oover, 12 copies of the Handbook for Appraisalpackage. We hope to give you something on the cooperative program"Blaok Book" in the next few days.

Best Regards,

James H. Jennings

c: Messrso Shipman?brse

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Form No. 27(3-70)


OUTGOING WIRE

TO: BIERSTEIN DATE: JANUARYI , 1972

UNISANTE CLASS OFSERVICE: LT

COUNTRY: (Switzerland)

TEXT: REURTELEX CONCERNING LOUIS LA.UGERI HAPPY TO HAVE HIM SEVENEEN TOCable No.:

TGETYEIGHT JANUARY

MORSE

INTRAFRAD



NAME Charles Moreg) 4hike Water Supply Division II

DE. 1 Projects

SIGNATUlRESIGNATURE OF INDIVIDUAL AUTHORIZED TO' APPROVE)

REFERE ea Control No.M -2-05 For Use By Commun Section

ORIGINAL (File Copy)(IMPORTANT: See Secretaries Gude for preparing fom) d for Dispa*tch

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INCOMING CABLE

DATE AND TIME JANUARY 6, 1972 B O U T I N GOF CABLE:

ITT TUEU/6LOG NO.: ACIN COPY: P ION PROJECTS

INTIBAFRADTO: INFORMATION

GENETA CGPY:FWR4 DEWDED BY:

115 FOR KANAGATNM.

FZFZMGZ OR PHONE GOERSATION

GRATIM URLTMW INFORIQTION ON WEES AND COPMFSfON AND

OTHER REQUIRHENTS RZGARMNG FORTHCODO BANK ATE IPHnLPPIm

ZAHRA NU

22335Z 00S CH

FOR INFORMATION REGARDING INCOMING CABLES, PLEASE CALL IE 00MMUNICATITS SECTION, EXT. 2021

DUPLICATE


1211 GENEVA 27 - SWITZERLAND 1211 GEN@VE 27 - SUISSETelegr.: UNISANTE-Geneva Telegr.: UNISANT&-Genbve

T61. 346061 T61ex. 22335

In reply please refer to: N5 5/45 1/1Prifre de rappeler la reference: 6 January 1972

Dear Mr Demuth,

I should like to refer to the visit in November of your consultant,Mr James Pines, to examine, at your request, the possible involvement ofthe Bank in programmes in the field of nutrition, which was extremely bene-ficial. Arrangements were made for Mr Pines to meet with all relevanttechnical divisions and units and to acquaint him with both the direct andindirect implications for health of the promotion of adequate nutrition.

His quick grasp of the problems and opportunities was most impressive; itis hoped that his report will enable us to proceed to discussion of possible

future co-operation between WHO and the Bank in the nutrition field.

In addition Mr Graves' active participation in the work of the Protein

Advisory Group at its meeting in December enabled us to have a preliminary

exchange of views on the protein question. His statement to the PAG onthe Bank's concern with the protein problem, which alluded to the importanceof education and training, opens up perspectives for future collaboration.

While WHO welcomes the Bank's interest in education and training innutrition, the training of health personnel merits consideration in a wider

context and is indeedtimely. This would be in line with the Director-

General's thinking, as expressed in his report to the last World Health

... Assembly. As you will see from the attached document, attention is beinggiven to the training of health personnel of all categories including "para-

medical (i.e. middle level and auxiliary health) personnel. The World Health

Assembly gave strong support to the Director-General in this activity.

In order to provide a better understanding of the wide range of activities

of the Organization, we believe it would now be appropriate for direct contacts

to be initiated between our two organizations to discuss the education and

training of health professionals and the possibilities for further collaboration.

Mr R. H. Demuth

Director



and Development



... ENCL.

* -9

I,- , -- ,-.--

Mr R.H. Demuth page 2

N55/451/1 6 January 1972

Our technical staff involved would be happy to visit the Bank or,alternatively, for Bank officials responsible for education programmes to

visit WHO headquarters. We consider the latter preferable in view of the

many people in the Organization who would be involved.

I would be glad to discuss this further with you during my forthcoming

visit to New York.

Best personal regards,

Yours sincerely,

--- r A. Bellerie-1DIrectorK visio ofCo-ordination and Evaluation

OFFPRINT FROM

OFFICIAL RECORDS OF THE WORLD HEALTH ORGANIZATION No. 193

TRAINING OF NATIONAL HEALTH PERSONNEL


GENEVA

October 1971

RESOLUTION ADOPTED BY THE TWENTY-FOURTH WORLD HEALTH ASSEMBLY

WHA24.59 Training of national health personnel

The Twenty-fourth World Health Assembly,

Having examined the report of the Director-General 1 on the problems of training national health

personnel, prepared in pursuance of resolution WHA23.35 and in the light of the discussion at the forty-

seventh session of the Executive Board; and

Confirming once again the conclusions of the Twenty-first, Twenty-second and Twenty-third

World Health Assemblies in resolutions WHA21.20, WHA21.47, WHA22.51, WHA22.55 and WHA23.35

to the effect that extreme shortage of health personnel is one of the major obstacles to the development of

effective health services in many countries of the world, and that the training of national health personnel

and its rational utilization can have a decisive effect upon the progress of national systems of protection and

promotion of health of the population,

1. CONSIDERS that, despite the existing difficulties, the problem of training the necessary health personnel,

particularly for the developing countries, can and should be solved within a considerably shorter span of

time than has been the case in the developed countries;

2. BELIEVES a necessary condition for attaining this goal to be the greatest possible co-operation and co-

ordination of efforts of all Member States and of the relevant international organizations, on a bilateral,multilateral, regional and worldwide basis, for the purpose of securing the most effective utilization in the

interests of the developing countries of all the existing means and resources and of the accumulated experience

of training national health personnel of different levels and categories;

3. STRESSES the importance:

[i] firstly, of current and long-term planning of the training of national health personnel in accordance

with each country's objective needs and existing social and economic resources;

[ii] secondly, of the top priority development and strengthening of State and other educationalinstitu-

tions as an integral part of public health and educational systems, offering optimum conditions for the

training of health personnel drawn from all strata and social groups of the population, with the object

of satisfying as fully as possible the needs of the urban and the rural population for health care; and

[iii] thirdly, of the development of a flexible system for the training of health personnel that takes into

account on the one hand the contemporary achievements of science and technology together with, on the

other hand, the most recent methods for organizing the teaching process; which combines, in the best

possible manner, the learning of the basic science of medicine and biology with the vocational and

specialized training of personnel; and which takes into account also both fundamental international

standards in medical education and local circumstances that reflect the specific character of the state

of health of the population and of the public health services in different countries and regions;

4. CALLS upon all Member States to give priority attention in their social and economic development plans

to the problems of training and utilizing national health personnel for their own needs and where possible

for the needs of other countries, and also to the correct social orientation of such personnel towards active

participation in the activities of the public health services and institutions and towards serving the interests of

their own peoples and of the whole of society;

5. INVITES the Director-General to intensify study of the criteria for assessing the equivalence of medical

degrees and diplomas in different countries in which WHO has been engaged for five years and to suggestthe definition of the term " physician ", pursuant to resolution WHA22.42, to the Twenty-fifth World Health

Assembly; and

6. ALSO INVITES the Director-General:

(a) to proceed with the study, summarizing and publication of the existing information on the curricula

and syllabuses of medical schools, faculties and institutes in different countries with a view subsequently

to drawing up basic models of curricula, which can be of great help to new medical education institutions,

particularly in the developing countries;

See Annex 12.

(b) to proceed in compliance with resolution WHA22.51 with study of the phenomenon of the outflowof trained professional and technical personnel from developing to the developed countries (" braindrain ") which can be detrimental to the training of national health personnel and to the health servicesof the developing countries and to the prospects of international co-operation in that field;(c) to pay further special attention, in the current and long-term plans and programmes of WHO inthe field of the training of national health personnel, to the problems of the continuing education of suchpersonnel and to the training of teachers for the medical education institutions of the developingcountries;

(d) to continue and further extend co-operation with the governments of all Member States, with theinternational organizations and particularly with UNICEF, UNDP and UNESCO, on the problems oftraining national health personnel for the developing countries; and(e) to report on the progress of this work regularly to the sessions of the Executive Board and the WorldHealth Assembly.

Handb. Res., 1 Ith ed., 1.4.4; 1.4.5 Seventeenth plenary meeting, 20 May 1971(Committee B, sixth report)

82 TWENTY-FOURTH WORLD HEALTH ASSEMBLY, PART I

Annex 12

TRAINING OF NATIONAL HEALTH PERSONNEL 1

[A24/A/9-21 April 19711

REPORT BY THE DIRECTOR-GENERAL

CONTENTS

Page Page

Introduction . . . . . . . . . . . . . . . . . . . . 82 4. Expansion of inter-country and inter-regional activities 87

1. General considerations on health manpower . . . . 83 5. Additional resources to strengthen WHO assistancein the training of national health personnel . . . . . 88

2. Educational research . . . . . . . . . . . . . . 84 5.1 The United Nations Development Programme 883. Development of education and training programmes 85 5.2 The co-operative WHO/UNICEF education and

3.1 Training of auxiliary health personnel . . . . . 86 training programmes . . . . . . . . . . . . 893.2 Training of teachers in the health sciences . . . 86 5.3 Other sources of funds . . . . . . . . . . . 893.3 Educational technology and information . . . . 86 Conclusions . . . . . . .. . . . . . . . . . . . 89

The Director-General is presenting to the Twenty- for specific periods proposed by the Executive Boardfourth World Health Assembly a report incorporating and approved by the World Health Assembly, andthe substance of a document submitted to the Executive thus continuity in the Organization's efforts hasBoard at its forty-seventh session and the views ex- been ensured in this field. This was clearly reflectedpressed by the Board members.' In addition, the in a critical review, made for the Director-General inDirector-General has taken into account the recom- 1967, of education and training activities for the periodmendations adopted by the UNICEF/WHO Joint 1948-1966. Emphasis is given to health manpowerCommittee on Health Policy at its eighteenth session development in the fifth general programme of workheld on 1-2 February 1971; after having been con- now being submitted to the Twenty-fourth Worldsidered by the Executive Board of UNICEF in April Health Assembly.4

1971, the report of the Joint Committee will be sub- It is also worth mentioning that in 1968 the Twenty-mitted to the WHO Executive Board.: first World Health Assembly adopted resolution

WHA21.47 endorsing a report 5 of the Director-Introduction General regarding new measures of WHO assistance

n tto developing countries, and concurring with the viewsIn the field of health manpower, the most obvious expressed by the Board in its resolution EB41.R35

problem is the lack of trained personnel-a gap " on the policies to be followed, especially on thewhich needs to be filled as rapidly as possible. Self- fundamental importance of developing health man-sufficiency in the preparation of such personnel, the ,,training of health workers both in quantity and quality, In 1969 the Twenty-second World Health Assemblyparticularly in developing countries, and their effective adopted resolution WHA22.55 regarding the Secondutilization therefore have top priority in WHO's pro- United Nations Development Decade, which statesgrammes of technical assistance to countries during that " the training of health service personnel at allthe Second United Nations Development Decade levels, with emphasis on the education and training ofwhich commenced this year. national health cadres in the developing countries "

The education and training of medical and allied represents one of the global priority objectives withinhealth personnel has in fact been given due consider- the general framework of health promotion.ation in the successive general programmes of work Finally, in a statement made before the forty-ninth

I See resolution WHA24.59. The following resolutions on session of the Economic and Social Council, in Julythe training of national health personnel have also been recently 1970, the Director-General stressed the problem of theadopted by the World Health Assembly and the Executive Board: " world shortage of health manpower, which in theWHA21.20, EB45.R29, WHA23.35 and EB47.R36. developing countries is the most serious single obstacleI See summary records of the forty-seventh session of theExecutive Board (EB47/SR/13 Rev. 1, pp. 194-205; EB47/SR/14Rev. 1, p. 211). 4 See Annex 11.

3 Off. Rec. WId HIh Org., 1971, No. 195, Annex 2. 5 Off. Rec. Wd HIth Org., 1968, No. 168, Annex 11.

ANNEX 12 83

in the way of the creation and strengthening of the However, innovation depends on knowledge of theall-essential basic health services ".1 problems, and research is the basic instrument for

obtaining knowledge.

1. General considerations on health manpower It may be of interest to note here that a similarapproach in the field of general education was adopted

1.1 In the overall process of developing health man- by the General Conference of UNESCO at its sixteenth

power there can be no blueprint for the education of session, in 1970, when it adopted resolution 1.201

medical and allied health personnel: an approach authorizing the Director-General of UNESCO:which may be suitable in one situation may fail and " (a) to promote, in particular through the intro-even cause stresses in another. However, short- or duction of appropriate innovations and new ap-long-term programmes for the education and training proaches at all levels, the quantitative and quali-of health workers, both professional and auxiliary, tative development of school and higher educationmust be based on the needs of countries as their as a part of lifelong education, and its fullerrequirements are revealed. Experience indicates cer- adaptation to the needs of the community, both intain guidelines which could benefit such programmes developing and developed countries."during the current Development Decade.

First of all, since WHO should be projecting these 1.2 In rendering its assistance to Member countries,programmes into the future, it should advise countries WHO will actually be contributing, through thenot to model their educational institutions for medical improvement and strengthening of health services, toand allied health personnel on certain types that are the countries' national development. However, astill predominant although outmoded. Even in the strategy aiming at exerting an impact over particularmost developed countries there is dissatisfaction with aspects of a local system cannot be properly appliedpresent patterns, and in many cases systems are being unless countries are fully conscious of their problemsrevised and adapted to the specific health needs. and possess the institutional set-up that is necessaryThese programmes should be considered as a means for designing and implementing a national develop-towards the development of health services and not ment plan. The WHO " traditional " 3 action mustas a final goal in themselves. therefore be adapted to this kind of constraint and

Further, education in the medical and allied health remain primarily technical in nature; moreover, itsciences-a very expensive undertaking, especially for should not lead to expenditures in excess of the

developing countries-should, whenever possible, avoid normal budgetary resources of the Organization so as

fragmentation and subdivision, at least for the sake not to impair the overall balance of its programmes.

of economy, and should aim at bringing together This is why, when assisting countries in developingrelated teaching programmes, faculties and facilities their national health programmes-and particularlythrough multiprofessional schemes for the training of the training of health personnel-WHO should take

the various members of the health team. Such into account the availability of other resources, under

schemes, utilizing a multidisciplinary teaching ap- either multilateral or bilateral aid schemes.4

proach, should be closely integrated with the local 1 Ihealth services and thus related to the whole range of .3 In respect of training of health personnel, WHO

insttutonsproidig halthprootin ad cre. has therefore to face a number of specific situations,institutions providing health promotion and care. each one requiring a different form of assistance.Instead of being concentrated chiefly in the hospital, These situations can be well appraised only if reliablethe teaching of medicine and allied health sciences information is obtained on health manpower, andshould be " community-health- " (or " total-health "-) parti on te on basth mpoens:oriented, and should consider " the family as the particularly on the following basic components:smallest social unit, indivisible as far as its healthproblems are concerned "; 2 moreover, such teaching (i) manpower planning, including the projection ofshould take place in the environment in which the requirements;members of the health team will eventually be (ii) manpower development, i.e., the developmentworking. of skills, knowledge and capacities of people for

Innovation in the education and training of national health work, as well as the institutions involved inhealth personnel is needed in all Member countries. such a process;

I See WHO Chronicle, 1971, 25, 5. 3 See Off. Rec. Wld HIth Org., 1968, No. 168, p. 48, para. 2.3.2 See Wld HIth Org. techn. Rep. Ser., 1952, No. 55, p. 12. * See Off. Rec. WId Hlth Org., 1968, No. 168, p. 47, para. 1.2.


(iii) manpower utilization, usually involving such other health workers have been trained at great

factors as placement, spatial and occupational dis- expense to those countries.tribution, employment, the provision of incentives A number of measures, if taken by the Member

and the efficient use of those already employed. States, might reduce the dimensions of this disturbing

phenomenon. Difficult as it may be, the developingAlthough manpower studies and planning are still countries must seek to create, even if only on a modest

somewhat of an innovation, all countries should be level, some of those internal conditions which dis-encouraged to establish a permanent mechanism courage emigration: better conditions of work, greaterwithin their health administrations for the continuing chances of promotion, and the possibility for the health" surveillance " of their health manpower problem professionals to engage in certain forms of scientificand the ever-changing requirements in this field. work in which they may be interested. On the otherThis would enhance the collection of information and hand, countries which are attractive for health per-the formulation of recommendations regarding the sonnel from developing areas should make everyinterplay between the education and training systems effort to reduce the " brain drain " problem to afor health personnel and the health services. It would minimum. This could be achieved by accepting healthalso facilitate the forecasting of the quantitative and workers from other countries only for bona fidequalitative aspects of health manpower demand, and advanced training, and by collaborating with develop-the development of methods for the study of the prob- ing countries in. building up the latters' postgraduatelem that are conveniently adjustedl to local or regional educational programmes. Member States will thusconditions and duly integrated into the overall health be acting in consonance with resolution WHA22.51.planning process. Once health priority needs are WHO is prepared to offer its technical advice to coun-established and the personnel needed to staff the tries in connexion with this delicate problem.corresponding services has been determined, bothwith regard to numbers and in terms of the training 2. Educational researchrequired for the functions envisaged, such health man-

power " surveillance " should permit the tailoring of As recommended by a scientific group which met in

educational schemes to the requirements. Geneva in 1969, educational research is to be fosteredas a continuing component of WHO programmes,

1.4 The existence of a health manpower " surveil- both at headquarters and in the regions. The in-lance" system would also make it possible to study formation obtained, besides serving as feedback forfactors influencing the outflow of health personnel the Organization, represents an invaluable form offrom the developing countries-the so-called " brain indirect assistance to Member countries.drain " Research is needed not only in respect of the various

As stated by the Director-General at the forty- aspects of health manpower development mentionedninth session of the Economic and Social Council,' in paragraph 1.3 above, but also, and more particu-held in July 1970, it is gratifying that the Council is larly, regarding areas deserving special attention, suchtaking up the question of the so-called " brain drain ", as: the appropriate education that would ensure anwhich WHO realizes may adversely affect the outcome effective and economical distribution of functionsof many assistance programmes scheduled for the between the various members of the health team-Second United Nations Development Decade. i.e., the professional health workers and their aux-

The " brain drain " must be distinguished from the iliaries; teaching methods designed to overcome thefree international movement of scientists. This has qualitative and quantitative limitations of health per-long been a historical fact and, far from being detri- sonnel; the cost, management and administration ofmental, it has promoted the scientific and techno- the institutions responsible for their education andlogical exchange of ideas from which the world as a training; minimum requirements in installations, equip-whole has benefited. But the outflow of health pro- ment and staff for countries with limited financialfessionals must be deplored when it is a one-way resources; and bases for international equivalence oftraffic resulting in considerable gains for the countries degrees in medicine and allied sciences.to which the flow is directed and in corresponding UNESCO is studying 2 the problem of internationallosses for the countries which can least afford them. comparability and equivalence of titles and diplomas,The expression " brain drain " is in a certain sense a

misnomer, since generally what the developing coun- 2 The General Conference of UNESCO, at its sixteenth

tries are being deprived of are the usual but essential session, in 1970, adopted resolution 1.241, paragraph (b) ofservices for which the average physician, nurse, and !ihich authorizes the Director-General of that organization

to pursue and intensify activities designed to extend the compa-rability and equivalence of certificates, diplomas and degrees

'See WHO Chronicle, 1971, 25, 5. in higher education ".

ANNEX 12 85

and WHO is co-operating with it in so far as medical these health services and medical care programmesdegrees are concerned. The studies that the World are great absorbers and utilizers of the health man-Health Organization has been carrying out for some power produced by the institutions responsible for thetime have revealed certain interesting aspects of the preparation of such personnel, they do not contributequestion, particularly in respect of countries' require- to the students' training during just those formativements for licensing physicians trained abroad. Com- years when skills and technical competence need to beplementary studies are still needed to facilitate a better well adjusted to the future responsibilities and functionsunderstanding of the problem and to serve in the estab- of health workers. Except in countries with central-lishment of internationally acceptable standards on ized forms of administration, there is no evidence ofwhich to-base the content of the medical course, and also the combination of the three elements mentioned-in setting up comparable procedures for the evaluation educational institutions for health personnel, healthof students' knowledge. Through the development agencies, and health care services-towards a commonof studies on these two parameters-basic curricula goal beneficial to all three. A clear concept of theand reliable examination procedures-WHO will be possible lines of action in this fidld would certainlyable to help Member governments to compare their represent an important form of WHO technical assist-respective standards of medical education and to ance to Member countries.arrive at an appropriate definition for the term Although there is still a long way to go, the prospects

physician ".1 for significant changes are well illustrated by the tech-A solution of this complex matter has yet to be nical discussions held in May 1970 on the occasion

found even within the limited domain being studied of the Twenty-third World Health Assembly. Theseby WHO-i.e., the degrees awarded in medicine. It discussions actually endeavoured to clarify how coun-should be stressed that in any attempt to assess the tries could orient their programmes for the preparationquality of medical education offered in Member of health personnel in order to solve the problem ofStates one has to consider a number of additional expanding health services in the face of financial andfacets on which WHO has no authority to pass judge- manpower limitations. The discussions brought outment. Nevertheless, WHO should endeavour to several important points, namely: (a) health planning,assist countries along the lines mentioned above, thus including health manpower, must take into consider-contributing to the general solution of the problem ation local and regional characteristics; (b) co-ordi-through the building up of mutual confidence. nation at all levels should be closely maintained

between health agencies and educational institutions;3. Development of education and training programmes (c) the functions of each member of the health team,

at both professional and auxiliary levels, should beThe future WHO programmes of education and defined on the basis of the society's health needs and

training for the various categories and levels of health the requirements of teamwork; (d) the content andpersonnel will have to face the increasing complexities methods of training should be adapted to local circum-entailed in the development of health services and in stances; (e) continuing education of all members ofthe achievement of the objectives of national health the health team is essential for the good quality ofplanning as these become clearly defined in relation to health work; (f) the training of teachers of medicalnational progress. It is clear that the future health and allied health sciences, both from the quantitativeneeds of all countries will not decrease; in the develop- and qualitative angle, deserves high priority; and (g)ing countries such needs should be expected to increase evaluation and research are important factors inparallel with the population growth. This would orienting the adaptation of educational programmesresult in the necessity of taking urgent measures in to the conditions and needs of a given area. Theorder to meet pressing demands for a more corn- Organization is prepared to provide advisory servicesprehensive range of health services and for wider to Member governments regarding the training ofcoverage of the population's health needs, and hence health personnel following the guidelines mentionedfor health personnel training. in paragraph 1.1 above, and based on some principles

Unfortunately, in many countries the predominant that are emerging at present, particularly that of theeducational systems for health personnel have develop- joint education of the various members of the healthed in isolation not only from the local and national tedvshealth services, but also from the ever-growing medical In this wide area adequate technical assistancecare programmes of social security agencies and of should be provided by WHO, particularly in: (i) theprivate medical care. As a result, despite the fact the training of the complementary members of the health

' See Handbook of Resolutions and Decisions, 11th ed., team, usually called " health auxiliaries "; (ii) thepp. 28-30, including resolution WHA22.42. preparation of teachers able to meet the challenge of


new trends; and (iii) the adoption of methods for ance in the appropriate preparation of such personnelrendering teaching more effective through the utili- for teaching responsibilities is a basic element that willzation of appropriate equipment and aids. enable Member countries to develop adequate edu-

cational schemes.3.1 Training of auxiliary health personnel A large proportion of the teaching staff in developing

The acute shortage and maldistribution of profes- countries is still being provided through bilateral aid

sional health personnel, not only in developing but programmes and other forms of international assist-

also in developed countries, make it necessary to train ance. As most teachers are recruited for relatively

large numbers of auxiliary personnel to serve as short assignments, the frequent turnover of such per-r multipliers " of the professional staff. sonnel is sufficient justification for training local

The role of auxiliary health personnel thus has a teachers as rapidly as possible.

twofold aspect: to relieve professionals of simple tasks The traditional mechanisms by which a professional

which do not necessarily require their level of compe- health worker becomes a teacher need to be sub-

tence, and to cater for a population which would not stantially modified even in the developed countries.

otherwise be covered by health services. The training of teachers is more than the mere acqui-

The Director-General has stressed the fact that low sition of specialized knowledge; the study of pedagogy

standards of education will continue, for some time and behavioural sciences should be an integral part

to come, to perpetuate the lack of candidates fulfilling of their preparation.

the educational requirements for entry into the health ain rsnto eveon axlongnexprgrame inO tis

professions, and has emphasized that this problem can fie.t isdeseig fo onrine urgntly neing toi

only be partially solved by the training of auxiliaries. e i esgned for ounries urgenty to

t allocation staff newly created educational institutions in theIt is therefore necessary to re-examine the a ion health sciences, or to replace foreign teachers in exist-of responsibility for health activities to the various ing schools, but also for the preparation of teachersmembers of the health team. In the wealthier coun- in pedagogy as applied to the education and trainingtries there are many activities which are regarded as of health personnel at all levels. A characteristic ofthe sole responsibility of physicians, but which can the WHO teacher training programme now beingperfectly well be performed by other members of implemented is the utilization of already existingthe team, if they are suitably trained; the same may well-developed teaching institutions in the healthbe said of the responsibility of other professional sendeo-ed "ec nto x n t servthealth workers, such as nurses, dentists, environ- sciences, so-called "centres of excellence ",' to servemental health engineers, etc. In the developing coun-tries, owing to the impossibility of producing sufficient 3.3 Educational technology and informationnumbers of professional health personnel, certain of 3.3.1 Educational technologytheir duties have to be re-allocated.

The use of auxiliary personnel should thus be The use of modern educational technology can do

considered in relation to the nationwide coverage of much to compensate for the shortage of well-qualified

basic health services-i.e., the utilization of auxiliaries teaching staff and to accelerate the speed and improvemust be as carefully planned as the use of other cate- the quality of instruction.

gories of health personnel with whom they form the Although a great deal of teaching equipment and

national health manpower force. aids have been produced, the quality varies, co-ordi-

WHO is therefore prepared to assist Member States nation of production to meet actual needs is lacking,in defining the types of auxiliary health workers and evaluation procedures are non-existent. More-

required to meet their needs, for both urban and rural over, a large number of potentially valuable teachingareas, and in the appropriate planning of their training. processes and media remain restricted to the insti-

tutions that develop them, as no organized system of

3.2 Training of teachers in the health sciences exchange of information is available.WHO aid to Member States in overcoming this

The most urgent problem confronting the develop- problem could be developed along the following lines:ing countries is the insufficient number of physicians,dentists, sanitary engineers, nurses, etc., from whom (1) Evaluation of existing and new teaching aidsto draw future teachers in the health sciences. These of all types, using selected institutions as reference

academically trained health workers, besides having centres and also, where appropriate, WHO field

to play a key professional role in the development of teams.

local health services, should also be regarded as the 1 See Off. Rec. WId HIth Org., 1968, No. 168, p. 50, para.natural source for potential teachers. WHO assist- 4.3.4.

ANNEX 12 87

(2) Studies of available equipment and its appro- a classified order which takes into account modernpriateness for use, particularly in developing concepts of education. An account of the servicecountries. and of its classification was published in the WHO

(3) Provision of information on the evaluated Chronicle 3 and led to a number of requests for the

material and equipment. supply of selected lists of references.A further element in the supply of information is,

(4) Stimulation of production and provision of of course, the medical library. In many countriesadvice on the type of equipment and aids best there is an urgent need amongst students and teachersadapted to given requirements. alike in the health professions for up-to-date medical

literature. This deficiency can be met by taking stepsThis programme would enable WHO to serve as a to improve the quality and quantity of library col-

clearing-house for providing Member countries with lections, and some regions have established pro-information on the best use of teaching equipment grammes for the provision of books and periodicals.and aids in the education and training of health Another important contribution that WHO maypersonnel. offer to Member States is the promotion of a pro-

WHO might also promote the manufacture of gramme similar to that initiated by PAHO in 1968simple, low-cost scientific equipment for the teaching for the supply of low-cost textbooks to medical stu-of basic biomedical and health sciences at the under- dents. It would be advisable, however, to extendgraduate level. A project in this area was developed such a programme to students of other categoriesin a Member State with support from local and private and levels in the health sciences. In this respectsources, and also the sponsorship of UNESCO. Its consideration should be given to the sponsoring ofgreat success as a non-profit-making, self-supporting works of a multidisciplinary nature suitable for useinitiative may be repeated in other areas of the world, in faculties of health sciences designed for the jointproviding the initial financial backing is obtained from education of the various members of the health team.sources other than WHO's regular budget.. An obstacle to the development of adequate library

services is the lack of properly trained staff, and train-3.3.2 Information ing courses have been organized at regional level for

working librarians. There is also the question of theThrough its programme of publications the Organi- establishment and co-ordination of library facilities

zation has made available extremely valuable works within a given Region. Where local and even nationalwhich have been widely disseminated in teaching facilities are shown to be inadequate by moderninstitutions throughout the world. To date, 37 expert standards, consideration might be given to assistancecommittees and other advisory groups have dealt for setting up regional medical libraries. The feasi-with different aspects of the education of health per- bility of such a programme has been shown by thesonnel, and their reports have been published in the establishment in 1967 of a Regional Library ofTechnical Report Series. An important monograph Medicine for South America, with funds made avail-on the teaching of public health in Europe was publish- able by the government of the country where theed in 1969 1 and one of the Public Health Papers library was located, PAHO, the United States Nationalwhich aroused considerable interest in professional Library of Medicine, and a private foundation.circles concerned with medical teaching was devotedto a review of the nature and use of examinations inmedical education.2 Finally, WHO is publishing 4. Expansion of inter-country and inter-regionaldirectories of medical schools, dental schools, veteri- activitiesnary schools, post-basic and postgraduate schools ofnursing, schools of pharmacy, and schools of public 4.1 Inter-c'ountry activities in education and train-health, g are particularly useful where countries have

Since 1956 a continuing bibliography on medical similar problems and where WHO can render indirect

education has been maintained on cards and provides assistance by providing, for instance, occasions for

a comprehensive index to the professional literature. the exchange of views and experience. Such activities

It now contains nearly 10 000 references arranged in are often more effective than direct assistance tocountries and may also prove to be more economical.Inter-regional activities are concerned with problems

'Cottrell, J. D. (1969) The teaching ofpublic health in Europe, that are of wider international interest and for whichGeneva (World Health Organization: Monograph Series, No. 58). broader principles need to be formulated. WHO will

2 Charvit, J., McGuire, C. & Parsons, V. (1968) A review ofthe nature and uses of examinations in medical education, WorldHealth Organization, Geneva (Public Health Papers, No. 36). 3 WHO Chronicle, 1970, 24, 224-227.


continue to foster this kind of activity, using the inter- 5. Additional resources to strengthen WHO assistancecountry or inter-regional formula as appropriate. in the training of national health personnelMore travelling seminars, for example, should be As far as the budgetary resources have permitted,arranged for multinational groups of teachers or As Orga h beey resdrcica l asrit,administrators wishing to become acquainted with the Organization has been rendering technical assist-sdmeseinitraor wighinato xrecme naceaind wh ance to Member States in the field of health manpowersome specific or original experience in a certain coun- development. While such assistance has already con-try. These seminars permit a study in greater depth tributed to the strengthening of national health services,of the local programmes of education and training, its expansion during the Second United Nationsthe services for which these programmes prepare per- isepnindrn h eodUie ainsonnel, and the extent to which the programmes are Development Decade will require resort to othermeeting the needs of the population. The inter- sources of international financial support and assist-meetrand inter-regional exchange of teaching per- ance within or without the United Nations system,country snd aeso e cha ofteayh sr and also to the co-operation of private organizations,sonnel should also be further promoted by WHO s0 particularly those in official relations with WHO.as to enable teaching staff in educational institutions The former may provide financial support for specificto observe the work being done elsewhere, to compare t a inrer-oay od intrial prorecfihmethods, and in certain cases even to teach or give lattera countryate intergaysprojects; thespecialized advice. Since exchange means in fact a deer may co-operate in other ways-e.g., in thereciprocal act, the sending of a person may imply the development of educational research projects to bereceiving of another, thus benefiting both countries promoted and co-ordinated by WHO.or regions. The implementation of this programme Thus, the Organization should advise Member

orpr egios .nT e mplet a in o thei communi- countries in seeking financial assistance-e.g., frompromotes inter-country and inter-regional comn- the United Nations Development Programme, thecation and can substantially strengthen the education International Bank for Reconstruction and Develop-and training activities in Member countries. ItrainlBn o eosrcinadDvlpment, regional development banks, and the World

4.2 WHO should give advice to countries wishing to Food Programme-for the promotion, under WHO's

develop their own staff training schemes. Such advice techncal guidance, of educational projects i thehealth sciences representing new approaches and

may cover all types of health personnel, and particu- ge s s epresertin ne I andlarly the professional personnel with administrative voluntary contributions for the same purpose shouldresponsibilities. WHO is already providing limited be encouraged.advisory services in connexion with the introductionof newer methods for the management of health pro-grammes and institutions; it is also organizing sym- 5.1 The United Nations Development Programme

posia on these and related matters. The addition of The United Nations Development Programme has,these subjects to WHO's own staff training courses is in recent years, shown an increasing interest in assistingnow being developed. It would be desirable that the countries in their efforts for the training of healthOrganization extend assistance of this nature to coun- personnel, at times through projects on a large scale.tries in the training of their health personnel. Thus, support has been provided for the establishment

and initial phase of the University Centre for Health4.3 Fellowships are one of the principal means Sciences, in Cameroon, for the training of medicalwhereby WHO assists governments to provide ad- undergraduates as well as other members of the healthvanced studies for their personnel. They are intended team under conditions prevailing in Africa. A numberfor people who will play a leading part in the develop- of other projects in the field of education have been

ment of their countries' health services and who will approved or are being planned. With the intro-

apply their newly acquired knowledge 'in projects duction of country planning procedures, however,

planned in advance. These fellowships form an inte- very much will depend on the priority which ministries

gral part of health manpower development plans: and of health and education can obtain for this type ofgre prof er selection ofcandidevelopmhent plans:riand project within each government's overall request forthe proper selection of candidates, their appropriate assistance. The Organization is, of course, ready toplacement and their utilization on return home are provide on request all possible support and technicalprime elements in the evaluation of success or failure advice in this domain, since it is convinced that theof this programme. Since 1947 as many as 36 000 strategic location of newly designed model institutionshealth workers have benefited from the WHO fellow- would permit the formation of a network of educationalships scheme and a rising trend in the demand has centres whose existence should play an important partbeen noted. The Organization should develop even in stimulating changes and innovations. The Organi-further its programme in this respect. zation may legitimately hope that the implementation

ANNEX 12 89

in the years to come of a number of projects of this Such contributions would be earmarked specificallytype would exert a beneficial and long-lasting impact for the training of national health personnel in develop-on schemes for and approaches in the education and ing countries.training of all those who will be employed in the In addition, private contributions to the Worldhealth field. Health Foundations, made especially for the above-

mentioned purpose, should be encouraged by the5.2 The co-operative UNICEF/ WHO education and Federation of World Health Foundations.

training programmes

At the eighteenth session of the UNICEF/WHO Conclusions

Joint Committee on Health Policy, in February 1971, The General Assembly of the United Nations, ata comprehensive assessment report on jointly assisted its twenty-fifth session, adopted on 24 October 1970education and training programmes was discussed resolution 2626 (XXV) (" International Developmentwith a view to improving and expanding the assistance Strategy for the Second United Nations Developmentprovided by both organizations to their Member Decade "). In the health field, education and trainingStates. In examining the characteristics of the coun- programmes have been given the highest priority intries studied, it was noted that 60 % to 90 % of this strategy, and emphasis has been placed on teachertheir populations were living in rural areas where training programmes, new approaches in devisinghealth services are usually poor and often totally curricula, the use of modern equipment, technical andinadequate; hence the need to place greater emphasis vocational training and retraining, assistance byon training of personnel for health services in the rural developed countries and international institutions inareas, and even in " underdeveloped " areas of large extending and improving the systems of education incities or of their peripheries, developing countries, and the establishment in develop-

Among the recommendations made by the Joint ing countries of at least a minimum programme ofCommittee, a good number are concerned with future health facilities comprising an infrastructure of train-action by WHO and UNICEF with a view to continuing institutions.ing and expanding their aid for the education and Training of national health personnel is not a newtraining of health personnel, evaluating projects, field of activity for WHO, and important programmesconcentrating their aid on certain priorities, giving aid have already been developed in all parts of the world.to inter-country and inter-regional training centres Member States-especially in the developing areas-and for the establishment of demonstration areas, expect the Organization to continue and even toco-operating with national and international asso- increase its assistance to help them improve the effi-ciations of teaching institutions, and assisting in the ciency of their health personnel. The resolutions oforganization of refresher courses. Other recommen- the Twenty-first and Twenty-third World Healthdations include a request to WHO to assist govern- Assemblies were timely, as they have once morements in defining the types of auxiliary workers focused attention on this whole problem of meetingrequired to meet their needs, analyse the future roles the shortage of health manpower and the inadequacyof these workers in the health team, and produce of its preparation.appropriate job descriptions on the basis of which The comments made by members of the Executivethey can be trained. Finally, recommendations were Board during its forty-seventh session have provided,made in connexion with the publication of manuals on the one hand, support for certain WHO activitiesfor health auxiliaries; medical, nursing, sanitarian and now being implemented and, on the other hand,health auxiliary training; and supplies and equipment. suggestions for new WHO action. However, in ful-

filling this mandate of the Organization, it is necessary5.3 Other sources offunds to pay heed to the limitations of the Organization's

activities, as mentioned above in paragraph 1.2.In view of the top priority given to WHO's edu- Therefore, in developing measures for assisting further

cation and training activities during the Second United the training of national health personnel, WHO mustNations Development Decade, additional resources to seek additional resources under bilateral and multi-expand and accelerate the Organization's programme lateral schemes.in this field could be made available in the WHO As part of the International Development StrategyVoluntary Fund for Health Promotion. Member for the Second United Nations Development Decade,governments (in particular, those now providing developed countries and international institutions arebilateral aid), as well as other contributors, might invited to lend their aid to developing countries inmake funds available to WHO through this Fund. extending and improving their education systems for


health personnel. Countries in a better economic to attract outside financial resources, while at the samesituation should be encouraged to contribute to the time it would be complying with operative paragraph 2WHO Voluntary Fund for Health Promotion, as of resolution WHA22.51 of the Twenty-second Worldindicated in paragraph 5.3 above, for assistance in Health Assembly on the training of medical personnelthe training of national health personnel in developing and the " brain drain ". The strategy outlined in thecountries. By taking a step forward in this direction, present report should enable WHO to help all countriesWHO would be acting in accordance with the United in strengthening further their national health servicesNations recommendations for the Second Develop- by developing more adequate health manpowerment Decade, and would thereby put itself in a position schemes.

7


ORGAIZAIONDE LA SANTAt0 R G A N I Z A T 1 0 N E LA &ANT

1211 GENEVA 27 - SWITZERLAND 1211 GEN$VE 27 - SUISSE

Te1lgr.: UNISANT$, GENtVET41. 346061 Telex 22335

With the compliments

of the

Director- General

Dr K, K anagr'tn m

Intrnitioni Bank or Po onstruetion tn7 Develop>m entR8e Ft Street

Washin ton, D C V0f7

W O R L D HEALTH ORGANISATION MONDIALEORGANIZATION DE LA SANTO


Telegr.: UNISANTE-Geneva Tlgr.: UNISANTE-GeniveT61. 346061 T61ex. 22335

In reply please refer to: H9/286/4Priere de rappeler la rkf~rence:

3 January 1972

Dear Mr McNamara,

Please find enclosed a copy of a Report which incorporatesthe recommendations of the first Advisory Group meeting on theWHO Expanded Programme of Research, Development and ResearchTraining in Human Reproduction, that I have approved.

This report reflects the further development of the Programmethat has taken place since August 1971, and we felt you would beinterested in the actual framework in which the Programme was beinginitiated. In general, in the future, an Annual Report will beissued which will include a statement of financial expenditures andcommitments for the various "tracks" of the Programme and the overallbudget.

Yours sincerely,

M. G. Candau, M.D.Director-General

Mr Robert S. McNamaraInternational Bank for Reconstruction and Development1818 H StreetWashington, D.C.20433USA

Cc: K.r K. Kaiagaratnam -

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Mr. Peter Chatenay January 3, 1972

Charles Weiss

WHO: "The Contribution of Health Programs to Socio-Economic Development"

This is in response to your memo of July 28, 1971, to Mr.Henderson, asking for the comments of the Lconomics Department on thesubject WHO document. The following comments have been reviewed bythe Water Supply Divisions of Public Utilities Projects. Pleasesend a copy of any Bank camnunication to WHO regarding this documentto Messrs. Graves, Hoffman (DSD); J. Lee, Berrie, Shipman, Warfordand Mould (Projects); Weiss, Hawkins and Miss Brandenberg (Economics),

The purpose of the Congress is inter alia to "furnish healthplanners with arguments to justify expena3?Eiie on health programs,"and the questions for consideration on pages 14-15 are designed toseek out arguments that have been sugcessful in the past. The Bankis a potential "target" of such arguments, as are te various nationalfinance ministries. All, I suspect, share an uneasy skepticismregarding increased public health expenditures.

In order to compete for resources earmarked for development,advocates of public health must establish at least a qualitative casefor economic benefits of such expenditure. In particular, they mustface squarely the issues of overpopulation and unemployment. TheBank management has largely accepted in principle the argument thatresources must be invested inpproper nutrition for infants and youngchildren. The arguments in favor of such investment are the expecta-tion of a short-range increase inpproductivity, intelligence andinitiative of the working population, and an anti-natalist effect asparents gain confidence in government health services and, in thelong run, realize that their children are morellikely to survive totheir (the parents')old age bhan heretofore. Wone of these argumentsare firmly established empirically, but the risk of waiting for astunted generation to grow up is deemed too great to warrant delayingaction until all the evidence is in.

The Bank's interest in nutrition carries forward the Bank'sphilosophy that it is important to give proper weight to investmentin both capital and human resources. It is likely that approachessimilar to that used by proponents of nutrition intervention can betaken in support of actUp on at )ast some of the debilitatingdiseames. Bahasis wilVHave t6 6 t on attaching priorityproblems which adversely affect the economy. Provision will need tobe made for continuing reiearch even as measures are put into effect,to increase the chance that the economic goals will be realized. For

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Mr. Peter Chatenay - 2 - January 3, 1972

some diseases, research will need to precede any operational program.*

A second area for attention is the development and applicationof systewm techniques to the control of diseases. This was the subjeetof an ad hoc working group in October 1971, which recomuended to IOthat tesiTechniques should be first tested on the control of onedisease in the parasitic class. Iew methods of analysing the variousblends of the control measures raise the prospect that one most economicand effective can be established. If this project is successful, WHOmay ultimately wish to consider more extensive use of the techniquesof statistics and operations research in its planning and budgetinganalysis. Each disease needs to be considered as a separate system,and an economic decision made regarding the advisability of controldown to a certain level as opposed to eradication. It may turn outthat some parasitic diseases, being complicated epidesiological systems,may best be controllad by partial measures at several points in thesystem. The overall effect of a disease will have to be considered inthe context of the entire public health picture, so that a healthminister may have a means of estimating the overall public healthbenefits of alternative budgets at different levels of expenditure.

If public health is ever to be the subject of serious cost/benefit analysis, it will first be necessary to provide much betterdata on which to estimate the benefits of public health measures. TheBank staff has had great difficulty in measuring the benefits of itsinvestments in public water supply, in part because of the absenceof adequate data on the state of public health, let alone the effectsof improved public health on the econoay. It anticipates even greaterdifficulty in connection with any nutrition undertaking. If greaterpublic health expenditures are ever to be firmly justified on economicgrounds, priorities will have to be established among the differentdiseases according to the economic significance of the disease and ofhhe measures available against it. A comparison will have to be madeof the relative costs of preventive and curative measures. Thisimplies that collection of basic statistics regarding morbidity andmortality is a fundamental and important use of public health funds;an investment, as it were, in the efficient use of future moneys.Moreover, attention should be given to measures such as improved watersupply, sanitation and swamp drainage which may benefit other sectorsof the economr, such as tourism, agriculture or industry, in additionto their effects on public health.

* Mr. Shipman, Chief of a Water Supply Division in Public UtilitiesProjects, feels that the Bank paper should avoid reference to research.

Ceiss/ska

ce: Miss Brandenberg

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