tion of political systems and a greater participation of people in determining their own future.

  • Growing concern is expressed about the adverse health effects of environmental degradation, pollution, diminishing natural resources, and global climatic change.

  • Gains in health status and coverage are notable worldwide. Still, although the disparities between developed and developing countries are narrower, those between developing and least-developed countries have widened.

  • The increasing costs of health care, coinciding with global economic problems, have prompted many countries to explore new financing mechanisms.

RECOMMENDATIONS FOR POLICY AND ACTION
  1. Collaborative efforts must be intensified if disease elimination and control targets for the year 1995 (neonatal tetanus) and targets for the year 2000 (poliomyelitis, dracunculiasis, leprosy, and measles) are to be met.

  2. Three types of more specific regional and national disease control targets for the most common health problems will need to be set within the framework of the Ninth General Programme of Work:

    • health status targets for reducing mortality, morbidity, disability, and health risks;

    • health services targets for good-quality care and services; and

    • policy targets for all countries for adopting policies and strategies and implementing action plans in areas that also act as health determinants: living and environmental conditions, behavior favoring health, and health systems.

  3. Sustained world action is called for if the following four aspects of policy are to be realized:

    • integrating health and human development;

    • ensuring equitable access to good-quality health care;

    • promoting and protecting health; and

    • preventing and controlling specific health problems.



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