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Adolescent Sexual and Reproductive Health (ASRH)Public Health

An open call from WHO ! Seeking feedback to develop a population-representative sexual health survey instrument

by Public Health Update October 19, 2019
written by Public Health Update

An open call from WHO ! Seeking feedback to develop a population-representative sexual health survey instrument

Are you a sexual/reproductive health researcher or advocate? Passionate about sexual health in practice or research? The WHO and partners need your feedback on a survey instrument assessing sexual practices, behaviours, and outcomes worldwide.

Background

To date, there is no standard, globally-agreed upon instrument to measure sexual practices, behaviours and sexual health-related outcomes. Instead, many population-representative surveys use their own items and domains, making comparisons and collaboration difficult. To encourage the inclusion of transparent and comparable sexual health-related measures on population-representative surveys, and in response to calls from leading sexual health researchers, the WHO seeks to develop a standard instrument for assessing sexual practices, behaviours, and sexual health-related outcomes worldwide. This instrument could then serve as a ‘module’ for use in national and sub-national data collection, as well as allow for needed comparative research.

The purpose of this open call is to solicit examples of existing survey instruments, domains related to sexual health, implementation considerations, and creative ideas for related measures or analyses. People with high-scoring submissions will be supported to join an in-person hackathon (72-hour event with expert faculty) to finalize a standardized sexual health survey instrument in January 2020.  

Who can participate?

This call is open to anyone with professional interest, experience and/or expertise in sexual practices/behaviours and sexual health-related outcomes. This experience can be related to certain populations or the general population.

Why should I submit?

Your submission will help to develop this standard instrument for assessing sexual health practices, behaviours, and outcomes, and also encourage transparent and comparable sexual health items on population-representative surveys across the globe.

People providing eligible submissions will be given a commendation certificate from the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) to recognise participation. A selected group of 10-20 people whose overall contributions receive the highest scores from judges will be invited to join the hackathon. People who submit any idea or measure(s) that is used in the final standardized instrument will be recognized in the publication as an instrument co-developer.

 

Format and guidelines for submission

All submissions should be related to sexual and reproductive health. We are particularly interested in items that can be used in a broad range of settings, especially low and middle-income countries (LMICs).

All measures and any comments can be provided in any of the six official WHO languages (these are Arabic, Chinese, English, French, Russian and Spanish): where possible, English is preferred.

Submission categories include the following:  

  1. Feedback on which domains to include, exclude, or modify in the standardized survey instrument (see initial list here).
  2. Feedback on which implementation considerations related to doing population-representative surveys to include, exclude, or modify (see initial list here).
  3. Examples of existing survey instruments. Please provide as much information as possible on any instrument provided and our current list of submitted instruments here. Note that full instruments should be either focused on sexual/reproductive health or have an entire module focused on sexual and reproductive health.
  4. Creative ideas. This could be a new measure or analysis method that has been or has not been published.

Files can be uploaded as Word documents or PDFs. All entries should be submitted via the website submission portal by 11:59 GMT on October 24th, 2019

More Information

More details about the call and who is involved, as well as answers to some frequently asked questions can be found here.

Got a question? Send an email to Lianne Gonsalves at gonsalvesl@who.int and use the subject line: ‘Sexual Health Survey Open Call’.

Official Announcement link Submission Link

 


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Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

by Public Health Update October 17, 2019
written by Public Health Update

Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

WHO has published a global TB report every year since 1997. The main aim of the report is to provide a comprehensive and up-to-date assessment of the TB epidemic, and of progress in prevention, diagnosis and treatment of the disease, at global, regional and country levels. This is done in the context of recommended global TB strategies and targets endorsed by WHO’s Member States, broader development goals set by the United Nations (UN) and targets set in the political declaration at the first UN high-level meeting on TB (held in September 2018) .

7 million people receive record levels of lifesaving TB treatment but 3 million still miss out

TB remains one of the top 10 causes of death worldwide. Millions of people continue to fall sick from TB each year. The Global TB Report 2019 provides a comprehensive and up-to-date assessment of the TB epidemic, and progress in the response, at global, regional and country levels. It features data on disease trends and the response to the epidemic in 202 countries and territories.

58,000,000 lives saved between 2000 and 2018 by global efforts to end TB
10,000,000 people fell ill with TB in 2018
1,500,000 people died of TB in 2018
484,000 people fell ill with drug-resistant TB in 2018

The Global Report includes trends in TB incidence and mortality, data on case detection and treatment results for TB, multidrug-resistant TB (MDR-TB), TB/HIV, TB prevention, universal health coverage as well as financing. It presents progress towards targets set at the first-ever United Nations General Assembly high-level meeting on TB in 2018, that brought together heads of state, as well as the targets of the WHO End TB Strategy and the Sustainable Development Goals.

The report also includes an overview of pipelines for new TB diagnostics, drugs and vaccines. Additionally, it outlines a monitoring framework that features data on SDG indicators that can be used to identify key influences on the TB epidemic at national level and inform the multi-sectoral actions required to end the TB epidemic.

DOWNLOAD FULL report
Download the Executive Summary

factsheet global 1 factsheet global 2

 


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7 million people receive record levels of lifesaving TB treatment but 3 million still miss out

by Public Health Update October 17, 2019
written by Public Health Update

7 million people receive record levels of lifesaving TB treatment but 3 million still miss out

Severe underfunding, lack of access to care jeopardize at-risk populations

17 October 2019
News release, Geneva I Washington DC

More people received life-saving treatment for tuberculosis (TB) in 2018 than ever before, largely due to improved detection and diagnosis. Globally, 7 million people were diagnosed and treated for TB – up from 6.4 million in 2017 – enabling the world to meet one of the milestones towards the United Nations political declaration targets on TB.

WHO’s latest Global TB Report says that 2018 also saw a reduction in the number of TB deaths: 1.5 million people died from TB in 2018, down from 1.6 million in 2017.  The number of new cases of TB has been declining steadily in recent years.However, the burden remains high among low-income and marginalized populations: around 10 million people developed TB in 2018.

“Today we mark the passing of the first milestone in the effort to reach people who’ve been missing out on services to prevent and treat TB,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General.

“This is proof that we can reach global targets if we join forces together, as we have done through the Find.Treat.All.EndTB joint initiative of WHO, Stop TB Partnership and the Global Fund to Fight AIDS, TB and Malaria”.

WHO’s latest Global TB Report, released today, highlights that the world must accelerate progress if it is to reach the Sustainable Development Goal of ending TB by 2030. The report also notes that an estimated 3 million of those with TB still are not getting the care they need.  

Recommended: Global Tuberculosis Report 2019: Latest status of the tuberculosis epidemic

 

The role of Universal Coverage

In many countries today, fragile health infrastructure and workforce shortages make it difficult to provide timely diagnosis and the right treatments for TB. Weak reporting systems are another problem: health providers may treat people but fail to report cases to national authorities, leaving an incomplete picture of national epidemics and service needs. Further, up to 80 per cent of TB patients in high burden countries spend more than 20 per cent of their annual household income on treating the disease.

Dr Tedros added: “Sustained progress on TB will require strong health systems and better access to services. That means a renewed investment in primary health care and a commitment to universal health coverage.”

Last month heads of state agreed a political declaration on Universal Health Coverage at the United Nations in New York, highlighting the importance of expanding service coverage and committing specifically to strengthen efforts to address communicable diseases like HIV, TB, and malaria.

 

7 million people receive record levels of lifesaving TB treatment but 3 million still miss out

7 million people receive record levels of lifesaving TB treatment but 3 million still miss out

One way to improve coverage is to adopt more people-centered comprehensive approaches. Better integrated HIV and TB programmes already mean that two thirds of people diagnosed with TB now know their HIV status. In addition, more people living with HIV are taking treatment.

But child health programmes still do not always focus adequately on TB: half of children with TB do not access quality care and only a quarter of children under the age of 5 in TB-affected households currently receive preventive treatment.

Tackling drug resistance

Drug resistance remains another impediment to ending TB. In 2018, there were an estimated half a million new cases of drug-resistant TB. Only one in three of these people was enrolled in treatment.

New WHO guidance aims to improve treatment of multidrug resistant TB, by shifting to fully oral regimens that are safer and more effective. The guidance is part of a larger package of steps released on 24 March 2019 — World TB Day — to help countries speed up efforts to end the disease.  

“WHO is working closely with countries, partners and civil society to accelerate the TB response,” said Dr Tereza Kasaeva, Director of WHO’s Global TB Programme. “Working across different sectors is key if we are to finally get the better of this terrible disease and save lives.”

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Funding

The fight against TB remains chronically underfunded. WHO estimates the shortfall for TB prevention and care in 2019 at US$3.3 billion. International funding (which is critical for many low- and middle-income countries) amounts to US$0.9 billion in 2019, with 73% coming through the Global Fund. Last week’s successful replenishment of the Global Fund will be critical to strengthen international financing.

The largest bilateral donor is the US government, which provides almost 50% of total international donor funding for TB when combined with funds channeled through and allocated by the Global Fund.

There is an urgent need for funding of TB research and development, with an annual shortfall of US$1.2 billion. Priority needs include a new vaccine or effective preventive drug treatment; rapid point-of-care diagnostic tests; and safer, simpler, shorter drug regimens to treat TB.

“To accelerate TB research and innovation, WHO is developing a global strategy,” adds Kasaeva. “We are collaborating with academia, research networks such as the BRICS TB Research network, and partners including the Bill & Melinda Gates Foundation, UNITAID and others in a quest to bring innovations into practice to break the trajectory of the TB epidemic”.

WHO PRESS RELEASE 



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National Tuberculosis Programme Annual Report 2018

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World Food Day 2019! Our actions are our future

by Public Health Update October 16, 2019
written by Public Health Update

World Food Day 2019! Our actions are our future

Healthy Diets for a #ZeroHumger World.

World Food Day is an annual event celebrated on 16th October. World Food day is a day to raise a voice and do collective action to tackling global hunger. In this occasion, World Food Day calls for action across sectors to make healthy and sustainable diets affordable and accessible to everyone.

Theme 2019

The theme for World Food Day 2019 is ”Our Actions Are Our Future. Healthy Diets for a #ZeroHunger World.”

 

Facts

  • While over 800 million suffer from hunger, over 670 million adults and 120 million boys and girls (5–19) are obese and over 40 million children under five are overweight.
  • Over 150 million children under five are stunted and over 50 million are affected by wasting.
  • Unhealthy diets, combined with sedentary lifestyles, have overtaken smoking as the world’s number one risk factor for disability and death worldwide.
  • Most of the world’s population live in countries where overweight and obesity kill more people than hunger.
  • Different forms of malnutrition can co-exist within the same household and even the same individual during their life and can be passed from one generation to the next.
  • An estimated USD two trillion is spent each year to treat health problems caused by obesity.
  • Billions of people lack the nutrients their bodies need to lead an active and healthy life.
  • Environmental damage caused by the food system could increase 50 to 90 percent, due to the increased consumption of processed foods, meat and other animal-source products in low and middle-income countries.
  • Of some 6 000 plant species cultivated for food throughout human history, today only eight supply more than 50 percent of our daily calories. We need to eat a wide variety of nutritious foods.
  • Climate change threatens to reduce both the quality and quantity of crops, lowering yields. Rising temperatures are also exacerbating water scarcity, changing the relationship between pests, plants and pathogens and altering the size of fish.

Source of Info: Communication tool kit FAO


The 2019 Global Hunger Index Report (2019 GHI)

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7th Annual Feed the Future Innovation Lab for Nutrition Scientific Symposium on Agriculture

World Food Day 2019! Our actions are our future

World Food Day 2019! Our actions are our future

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The 2019 Global Hunger Index Report (2019 GHI)

by Public Health Update October 16, 2019
written by Public Health Update

The 2019 Global Hunger Index Report (2019 GHI)

 

The latest data available show that while we have made progress in reducing hunger on a global scale since 2000, we still have a long way to go.

Of the 117 countries with GHI scores, levels of hunger are still serious or alarming in 47 countries and extremely alarming in one country. This year’s report focuses on climate change—an increasingly relevant threat to the world’s hungry and vulnerable people that requires immediate action.

 

Formula

The GHI scores are based on a formula that captures three dimensions of hunger—insufficient caloric intake, child undernutrition, and child mortality—using four component indicators:

  • UNDERNOURISHMENT: the share of the population that is undernourished, reflecting insufficient caloric intake
  • CHILD WASTING: the share of children under the age of five who are wasted (low weight-for-height), reflecting acute undernutrition
  • CHILD STUNTING: the share of children under the age of five who are stunted (low height-for-age), reflecting chronic undernutrition
  • CHILD MORTALITY: the mortality rate of children under the age of five.

 

Data on these indicators come from the Food and Agriculture Organization of the United Nations (FAO), the World Health Organization (WHO), UNICEF, the World Bank, Demographic and Health Surveys (DHS), and the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). The 2019 GHI is calculated for 117 countries for which data are available and reflects data from 2014 to 2018.

 

The GHI ranks countries on a 100-point scale, with 0 being the best score (no hunger) and 100 being the worst, although neither of these extremes is reached in actuality.

  • Values less than 10.0 reflect low hunger
  • values from 10.0 to 19.9 reflect moderate hunger
  • values from 20.0 to 34.9 indicate serious hunger
  • values from 35.0 to 49.9 are alarming
  • and values of 50.0 or more are extremely alarming.

Nepal

Nepal ranks 73rd out of 117 qualifying countries with a score of 20.8. Nepal suffers from a level of hunger that is serious.

Nepal Trend for Indicator Values Nepal

 


Country Rank

Screen Shot 2019 10 16 at 19.28.55 Screen Shot 2019 10 16 at 19.29.19


OFFICIAL LINK

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WHO mhGAP toolkit for community providers launched

by Public Health Update October 16, 2019
written by Public Health Update

WHO mhGAP toolkit for community providers launched

The mhGAP community toolkit: field test version is an integral part of WHO’s Mental Health Gap Action Programme (mhGAP), and aims at scaling up services for people with mental health conditions to achieve universal health coverage. 

Communities contain a wide range of resources that can be used to promote mental health, prevent mental health conditions and support care and recovery of people with mental health conditions.

The mhGAP Community Toolkit is now available for field testing. Sections include an informational guide for programme managers and a practical manual for anyone wishing to promote and address mental health in their community.

The toolkit provides guidance for programme managers on how to identify local mental health needs and tailor community services to match these needs. It offers practical information and necessary tools for community providers to promote mental health, prevent mental health conditions and expand access to mental health services.

DOWNLOAD: TOOLKIT READ MORE


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PH Important DayPublic Health

Global Handwashing Day 2019: ”Clean Hands for All”

by Public Health Update October 15, 2019
written by Public Health Update

Global Handwashing Day 2019: ”Clean Hands for All”

October 15 is Global Handwashing Day. Global Handwashing Day a global advocacy day dedicated to increasing awareness and understanding about the importance of handwashing with soap as an effective and affordable way to prevent diseases and save lives. 

Theme for 2019

This year’s the theme for Global Handwashing Day is “Clean Hands for All”. The follows the push to leave no one behind in the Sustainable Development Agenda. Inequalities in handwashing facilities and effective handwashing promotion programs can put individuals at higher risk for diseases that impact their health, education, and economic outcomes.

Facts

  • 272 million school days are missed each year because of diarrhea. Good #handwashing habits can help #DefeatDDand ensure all kids are able to thrive
  • Only 1 in 6 health facilities have access to handwashing stations. All patients deserve quality, safe, and clean care
  • Good #handwashingwithsoap = key part of the fight against undernutrition Handwashing with soap keeps food clean, safe, and delicious for all
  • Poor hygiene behavior doubles a baby’s risk for diarrhea. These deaths can be significantly reduced if all children, mothers, and caregivers consistently practice good handwashing
  • NTDs affect more than 1 billion of the world’s poorest and most vulnerable populations. #Handwashing efforts are needed on the ground if we want to #BeatNTDs

More info

About 8 in 10 facilities have an improved water source and client latrine. Only about half of facilities have both soap and running water. – (The 2015 Nepal Health Facility Survey)
#GlobalhandwashingDay

 

GHD Poster A4 English 1

 


‘Our Hands, Our Future’ – Global Handwashing Day 2017

Global Handwashing Day

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7th annual Global Handwashing Day 2014

Global Handwashing Day 

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Delhi Declaration on Emergency Preparedness in the South-East Asia Region

by Public Health Update October 13, 2019
written by Public Health Update

Delhi Declaration on Emergency Preparedness in the South-East Asia Region

We, The Health Ministers of the Member States of the WHO South-East Asia Region, were participated in the Seventy-second Session of the WHO Regional Committee for South-East Asia in New Delhi, India on Third Day of September, Two Thousand and Nineteen and they declared the followings for Emergency Preparedness in the South-East Asia Region;

International Day for Disaster Risk Reduction 2019

Concerned that health risks posed by emerging and re-emerging diseases, outbreaks caused by high-threat pathogens, epidemics, pandemics, natural and man-made disasters are increasing and that the population, in particular, of the Region is highly vulnerable to these,

Aware of the fact that member states of the South East Asia Region need to be well prepared to respond to major epidemics, pandemics and natural disasters, increase investment in disaster risk management, emergency preparedness to keep pace with the increased emerging risks and the need for effective multi-sectoral responses,

Acknowledging that drivers of these risks such as rapid unplanned urbanization, ease of travel and massive international movement of people, and most of all, threat of climate change are increasingly global and unprecedented in scope and scale,

Recognizing the need for accelerating progress in the implementation of various instruments, in response to these threats, such as the International Health Regulations (IHR) (2005), Sendai Framework for Disaster Risk Reduction (2015–2030), Paris Agreement (2015), and the Global Health Security Agenda 2024,

Recalling that strengthening emergency risk management in countries has been identified as a priority under the Regional Flagship Programmes of the WHO South-East Asia Region since 2014,

Confirming that disaster risk management and emergency preparedness, in parallel with effective multi-sectoral response systems, are important to achieve health security, and to protect and sustain health development gains in the Region,

Appreciating the fact that the International Health Regulations (2005) core capacities have significantly improved in the SouthEast Asia Region over the last decade, but noting that certain core capacities in areas such as zoonoses, food safety, health service provision, risk communication, points of entry, chemical, biological and radionuclear events preparedness and management, need further strengthening,

Acknowledging that accelerating of implementation of IHR (2005) through wider use of mandatory and voluntary optional tools under the IHR Monitoring and Evaluation Framework will strengthen and sustain the IHR core capacities and is the foundation for health security in the Region,

Noting that the WHO South-East Asia Region has developed a ‘Five-Year Regional Strategic Plan to Strengthen Public Health Preparedness and Response (2019–2023), a Regional Risk Communication Strategy (2019–2023), and the Regional Knowledge Network of IHR National Focal Points (NFPs) and relevant experts,

Prioritizing multi-hazard approaches to disaster risk reduction, preparedness and operational readiness for favourable outcomes of risk management and recognizing that implementing all aspects of disaster risk management and emergency preparedness are urgently required by the Region, DO HEREBY agree to the following:

Reaffirming our continued commitment to the people of the Region for disaster risk reduction through the application of multi hazard approach and emergency preparedness, commit to:

A. IDENTIFY risks
1 Take cognizance of the existing identified, assessed and mapped risks, natural and cyclical hazards, and vulnerabilities for more evidence informed planning and implementation of activities for disaster risk reduction, preparedness and operational readiness;

B. INVEST in people and systems for risk management
2. Continue the momentum to strengthen IHR core capacities including strengthening IHR National Focal Points through establishing and sustaining the Regional Knowledge Network, compiling and sharing IHR-related best practices, and other technical documents by creating a regional knowledge repository;
3. Encourage, facilitate and promote the building and strengthening of resilient health systems and infrastructure through safety assessment of health facilities in line with local prevailing hazards and risks, ensure their functionality in emergencies by:
(a) addressing structural and non-structural gaps,
(b) ensuring essential health services delivery through health workforce development in all areas of emergency risk management, and
(c) ensuring that the logistic and supply chain management of health products is intact before, during and after emergencies;

4. Continue building surge capacity through strengthening of national emergency medical teams- as adopted in the Resolution SEA/RC71/R5 of the Seventy-first Session of the WHO Regional Committee for South-East Asia – and national rapid response teams;
5. Continue our support as appropriate to sustain the preparedness stream of the South-East Asia Regional Health Emergency Fund as adopted in the Regional Committee resolution SEA/RC69/R6;


C. IMPLEMENT
plans

6. Develop, implement and monitor national action plans on disaster risk management, emergency preparedness and response through allocating sufficient resources;
7. Test these plans regularly for the assessment of operational readiness;
8. Advocate, develop and implement contingency and business continuity plans and conduct simulation exercises to test the operational readiness; and


D. INTERLINK
sectors and networks

9. Develop, support and implement intersectoral coordination mechanisms following the ‘One Health’ approach and bridging the gap among diverse sectors including human, animal, environment, for the prevention and control of emerging and re-emerging diseases, and reducing the adverse impact of climate change;
10. Encourage, promote and facilitate engagement of other sectors – nongovernmental organizations, academic institutions, philanthropic foundations and private sector entities, through collaborative partnerships in areas of applied information technology, logistics and supply chain management in emergencies, research and innovations for strengthening emergency preparedness;

All the Health Ministers of the Member States of the WHO South-East Asia Region, welcomed and appreciated the support of the WHO Director-General and the Regional Director for South-East Asia Region to scale up capacities in disaster risk management and emergency preparedness in South-East Asia, urge them for continued leadership and technical support in further strengthening these capacities, as well as in forging stronger partnerships across sectors, development partners, UN and other international agencies, as well as civil society, to jointly work towards a safer and more secure Region. 


Member countries of WHO South-East Asia Region pledge to strengthen Emergency Preparedness

Nepal ??and China ?? signed MoU on Cooperation on Traditional Medicine

International Day for Disaster Risk Reduction 2019

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International Day for Disaster Risk Reduction 2019

by Public Health Update October 13, 2019
written by Public Health Update

International Day for Disaster Risk Reduction 2019 

International Day for Disaster Risk Reduction held every year on 13 October.  This day is focused on raising awareness about the importance of reining in the risks that they face.

 

Delhi Declaration on Emergency Preparedness in the South-East Asia Region

 

Theme for 2019

Reduce disaster damage to critical infrastructure and disruption of basic services. 

International Day for Disaster Risk Reduction 2019 is focused to reduce disaster damage to critical infrastructure and disruption of basic services. 

This year, International Day for Disaster Risk Reduction focused on target (d) of the Sendai Framework for Disaster Risk Reduction 2015-2030. target (d} is  “Substantially reduce disaster damage to critical infrastructure and disruption of basic services, among them health and education facilities, including through developing their resilience by 2030.”

The Sendai Framework for Disaster Risk Reduction 2015-2030

The Sendai Framework for Disaster Risk Reduction 2015-2030 outlines seven clear targets and four priorities for action to prevent new and reduce existing disaster risks:

  1. Understanding disaster risk;
  2. Strengthening disaster risk governance to manage disaster risk;
  3. Investing in disaster reduction for resilience and;
  4. Enhancing disaster preparedness for effective response, and to “Build Back Better” in recovery, rehabilitation and reconstruction.

DOWNLOAD: Sendai Framework for Disaster Risk Reduction 2015 – 2030


Nepal ??and China ?? signed MoU on Cooperation on Traditional Medicine

Develop and implement strategies to prevent suicide and promote mental health

World Mental Health Day 2019: A day for ”40 seconds of action”

Delhi Declaration on Emergency Preparedness in the South-East Asia Region

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Nepal ??and China ?? signed MoU on Cooperation on Traditional Medicine

by Public Health Update October 13, 2019
written by Public Health Update

Nepal ??and China ?? signed MoU on Cooperation on Traditional Medicine

October  13, 2019

The Federal Democratic Republic of Nepal and the People’s Republic of China signed 18 Memoranda of Understandings (MoUs) and two letters on Sunday. 

MoU on Cooperation on Traditional Medicine was signed between the Ministry of Health and Population of the Government of Nepal and the National Administration of Traditional Chinese Medicine of the People’s Republic of China. 


Screen Shot 2019 10 13 at 16.19.12


Nepal ??and China ??

Nepal ??and China ??


 

Screen Shot 2019 10 13 at 16.44.37

Nepal ??and China ??



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尼泊尔和中国??签署了《关于传统医学合作的谅解备忘录》

十月13,2019

尼泊尔联邦民主共和国和中华人民共和国周日签署了18项谅解备忘录(MoUs)和两封信。

尼泊尔政府卫生和人口部与中华人民共和国国家中医药管理局签署了中医药合作。


感谢您的光临。 再次见到习近平主席。 再见,安全飞行。 继续支持我们。

#XiJinping #XiJinpingNepalVisit

 

 

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