RESUMO
Rather than providing a comprehensive overview of the sexually transmitted disease (STD) picture in the Americas, this presentation contrasts the STD problem in Latin America and the Caribbean with the situation in both less developed and more developed regions of the world. It also points out three areas of opportunity for improving preventive and curative STD services, specifically: (1) more effective utilization of social security institutions in Latin America, (2) incorporation of STD services into primary health care programs, and (3) development of pilot projects in the smaller Caribbean territories. It is noted, in addition, that the more developed countries of the region are showing increased interest in sexually transmitted diseases. Among other things, the recruitment of a PAHO epidemiologist in venereal diseases on Jamaica--to assist in the development of a national STD program--opens up a new area for PAHO technical assistance which, if successful, may be extended elsewhere.
Assuntos
Infecções Sexualmente Transmissíveis/epidemiologia , América Central , Atenção à Saúde , Feminino , Gonorreia/epidemiologia , Humanos , América Latina , Masculino , América do Norte , Organização Pan-Americana da Saúde , Infecções Sexualmente Transmissíveis/prevenção & controle , Previdência Social , Sífilis/epidemiologia , Índias OcidentaisRESUMO
PIP: The Pan American Health Organization (PAHO) is offering help to individual countries to: 1) eliminate maternal and child deaths caused by repeated pregnancies at short intervals, 2) improve the situation of large families in poor areas by improving nutrition and health care, 3) helping to avoid the many deaths caused by disease coupled with malnutrition both through health care and by helping families to space their children, 4) control health problems caused by pregnancy among very young and older women, and 5) reduce the large number of illegal abortions which often end in injury or death to the women. These services are designed to help member states formulate national policies on food and nutrition, reduce illness and death among women and children, and formulate plans to provide adequate information and services regarding fertility and sterility. Specific activities in these areas include: analyses of present programs in the Caribbean area and the Andean countries, a similar study in Central America, work with medical and public health schools of the region to revise curricula to include maternal and child health and human reproduction, help to national governments in formunation or execution of maternal and child health and family planning programs, and implementation of an ambitious regional program to train family planning program administrators.^ieng