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Contents :

1. Stakeholders: Governments

1.1 Control of communicable diseases

1.1.1 Activities1.1.1.1 National public health systems1.1.1.2 Public information and health education1.1.1.3 Intersectoral cooperation and coordination1.1.1.4 Control of environmental factors that influence the spread of communicable diseases1.1.1.5 Primary health care system1.1.1.6 Support for research and methodology development1.1.1.7 Development and dissemination of technology

1.1.2 Means of implementation1.1.2.1 Scientific and technological means1.1.2.2 Human resource development1.1.2.3 Capacity-building

1.1.3 Finance and cost evaluation

1.2 Reducing health risks from environmental pollution and hazards1.2.1 Finance and cost evaluation

1.3 Meeting primary health care needs, particularly in rural areas1.3.1 Finance and cost evaluation

1.4 Protecting vulnerable groups1.4.1 Finance and cost evaluation

1.5 Meeting the urban health challenge1.5.1 Finance and cost evaluation

2. Stakeholders: Governments with international assistance

2.1 Reducing health risks from environmental pollution and hazards2.1.1 Activities

2.1.1.1 Urban air pollution2.1.1.2 Indoor air pollution2.1.1.3 Water pollution2.1.1.4 Pesticides2.1.1.5 Solid waste2.1.1.6 Human settlements

2.1.1.7 Noise2.1.1.8 Ionizing and non-ionizing radiation

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2.1.1.9 Industry and energy production2.1.1.10 Monitoring and assessment2.1.1.11 Injury monitoring and reduction2.1.1.12 Research promotion and methodology development

2.1.2 Means of implementation

2.1.2.1 Scientific and technological means2.1.2.2 Human resource development

2.1.2.3 Capacity-building

3. Stakeholders: Governments and local authorities, with the support of relevant non-governmental organizations and international

organizations

3.1 Meeting primary health care needs, particularly in rural areas3.1.1 Activities

3.1.1.1 Build basic health infrastructures, monitoring and planning systems3.1.1.2 Support research and methodology development

3.1.2 Means of implementation3.1.2.1 Scientific and technological means

3.1.2.2 Human resource development3.1.2.3 Capacity-building

4. Stakeholders: Governments, in cooperation with local and non-governmental organizations

4.1 Protecting vulnerable groups4.1.1 Activities

4.1.1.1 Infants and children4.1.1.2 Youth4.1.1.3 Women4.1.1.4 Indigenous people and their communities

4.1.2 Means of implementation4.1.2.1 Scientific and technological means4.1.2.2 Human resource development4.1.2.3 Capacity-building

5. Stakeholders: Local authorities, with the appropriate support of national governments and international organizations

5.1 Meeting the urban health challenge5.1.1 Activities

5.1.1.1 Develop and implement municipal and local health plans5.1.1.2 Survey the existing health, social and environmental conditions

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5.1.1.3 Strengthen environmental health services5.1.1.4 Establish and maintain city networks for collaboration and exchange of models of good practice

5.1.2 Means of implementation5.1.2.1 Scientific and technological means5.1.2.2 Human resource development

5.1.2.3 Capacity-building

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1. Stakeholders: Governments

1.1 Control of communicable diseases

1.1.1 Activities

1.1.1.1 National public health systems

Source

Recommendation Target Group

Target Date

Reference

Has the government developed programmes to identify environmental hazards in the causation of communicable diseases?Agenda 21

Art 6.13a.i1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government developed monitoring systems of epidemiological data to ensure adequate forecasting of the introduction, spreador aggravation of communicable diseases?

Agenda 21Art 6.13a.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government created intervention programmes, including measures consistent with the principles of the global AIDS strategy?Agenda 21Art6.13a.iii 1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government working on vaccines for the prevention of communicable diseases?Agenda 21

Art 6.13a.iv 1.) If yes: a.) How and When?b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government strengthened the health infrastructu re of your country? GovernmentsCSD II

Art. 961.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

CSD II Has the government aided developing countries with the strengthen ing of their health infrastruct ures? Developing countries

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Art. 96 1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.1.2 Public information and health education

Source

Recommendation Target Group

Target Date

Reference

Has the government provided education and disseminating information on the risks of endemic communicable diseases?Agenda 21Art 6.13b

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government built awareness on environmental methods for control of communicable diseases to enable communities to playa role in the control of communicable diseases?

Regional and localcommunities

Agenda 21Art 6.13b

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government updated the Consolidated List of Products Whose Consumption and/or Sale Have Been Banned, Withdrawn,Severely Restricted or Not Approved by Governments"?

Has the government undertaken further measures to broadly disseminate information contained in that list?

Has the government assisted countries to implement the set of guidelines within the list, for consumer protection?

ConsumersCSD IIArt. 102

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.1.3 Intersectoral cooperation and coordination

Source

Recommendation Target Group

Target Date

Reference

Has the government developed guidelines for effective coordination in the areas of professional training, assessment of risks and

development of control technology?

Agenda 21

Art 6.13c.ii

1.) If yes: a.) How and When?b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.1.4 Control of environmental factors that influence the spread of communicable diseases

Source

Recommendation Target Group

Target Date

Reference

Agenda 21

Art 6.13d

Has the government applied methods for the prevention and control of communicable diseases, including water supply and sanitation

control, water pollution control, food quality control, integrated vector control, garbage collection and disposal and environmentallysound irrigation practices?

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.1.5 Primary health care system

Source

Recommendation Target Group

Target Date

Reference

Has the government strengthened prevention programmes, with particular emphasis on adequate and balanced nutrition?Agenda 21Art 6.13e.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government strengthened early diagnostic programmes and improved capacities for early preventative/treatment action?Agenda 21Art 6.13e.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government reduced the vulnerability to HIV infection of women and their offspring? Women and childrenAgenda 21Art

6.13e.iii1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.1.6 Support for research and methodology development

Source

Recommendation Target Group

Target Date

Reference

Has the government intensified and expanded multidisciplinary research, including focused efforts on the mitigation andenvironmental control of tropical diseases?

Populations living intropical areas

Agenda 21Art 6.13f.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government carried out intervention studies to provide a solid epidemiological basis for control policies and to evaluate the

efficiency of alternative approaches?

Agenda 21

Art 6.13f.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

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Has the government undertaken studies of the population and among health workers to determine the influence of cultural,

behavioural and social factors on control policies

Health workersAgenda 21

Art 6.13f.iii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.1.7 Development and dissemination of technology

Source

Recommendation Target Group

Target Date

Reference

Has the government developed new te chnologies for the effective control of communicable diseases?Agenda 21Art 6.13g.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government promoted studies to determine how to optimally disseminate results from research?Agenda 21Art 6.13g.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the government ensured technical assistance, including the sharing of knowledge and know-how? Whole populationAgenda 21

Art6.13g.iii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.2 Means of implementation

1.1.2.1 Scientific and technological means

Source

Recommendation Target Group

Target Date

Reference

Has the government included investigations of social and economic bases for the development of more effective national strategies toprevent and control diseases?

Agenda 21Art 6.15

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source

Recommendation Target Group

Target Date

Reference

Has the governmen t adapted cost-effective methods of environmental control to local developmental conditions? Local populationsAgenda 21Art 6.15

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.2.2 Human resource development

Source

Recommendation Target Group

Target Date

Reference

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Has the government promoted broad intersectoral approaches to prevention and control of communicable diseases, including training

in epidemiology and community prevention and control, immunology, molecular biology and the application of new vaccines?

Agenda 21

Art 6.16

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date ReferenceHas the government developed health education materials for use by community workers and for the education of mothers for the

prevention and treatment of diarrhoeal diseases in the home?

Community workers

and mothers

Agenda 21

Art 6.16

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.2.3 Capacity-building

Source Recommendation Target Group Target Date Reference

Has the government developed, within the health sector, adequate data on the distribution of communicable diseases?Agenda 21Art 6.17

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government developed the institutional capacity to respond and collaborate with other sectors for prevention, mitigation andcorrection of communicable disease hazards through environmental protection?

Agenda 21Art 6.17

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government increased advocacy at policy- and decision-making levels, mobilized professional and societal support, andorganized communities in developing self-reliance?

CommunitiesAgenda 21Art 6.17

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.1.3 Financing and cost evaluation

Source Recommendation Target Group Target Date ReferenceHow much has the government contributed to the $4 billion estimated average total annual cost of implementing the activities with$900 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?

Agenda 21Art. 6.14

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

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1.2 Reducing health risks from environmental pollution and hazards

1.2.1 Finance and cost evaluation

Source Recommendation Target Group Target Date Reference

How much has the government contributed to the $3 billion estimated average total annual cost of implementing the activities with$115 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?

Agenda 21Art 6.42

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.3 Meeting primary health care needs, particularly in rural areas

1.3.1 Finance and cost evaluation

Source Recommendation Target Group Target Date Reference

How much has the government contributed to the $40 billion estimated average total annual cost of implementing the activities with

$5 billion from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?

Agenda 21

Art 6.6

1.) If yes: a.) How and When?

b.) What was the impact?c.) How was it measured?

2.) If not: Why not?

1.4 Protecting vulnerable groups

1.4.1 Finance and cost evaluation

Source Recommendation Target Group Target Date Reference

How much has the government contributed to the $3.7 billion estimated average total annual cost of implementing the activities with

$400 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?

Agenda 21

Art 6.28

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

1.5 Meeting the urban challenge

1.5.1 Finance and cost evaluation

Source Recommendation Target Group Target Date Reference

Agenda 21

Art 6.35

How much has the government contributed to the $222 million estimated average total annual cost of implementing the activities with

$22 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2. Stakeholders: Governments with international assistance

2.1 Reducing health risks from environmental pollution and hazards

2.1.1 Activities

2.1.1.1 Urban air pollution

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) developed appropriate pollution control technology on the basis of risk assessmentand epidemiological research for the introduction of environmentally sound production processes and suitable safe mass transport?

Urban populationsAgenda 21Art 6.41a.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) developed air pollution control capacities in large cities, emphasizing enforcementprogrammes and using monitoring networks, as appropriate?

Urban populationsAgenda 21Art 6.41a.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.2 Indoor air pollution

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) supported research and development programmes for applying prevention and

control methods to reducing indoor air pollution, including the provision of economic incentives for the installation of appropriatetechnology?

Agenda 21

Art 6.41b.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date ReferenceHas the government (with international assistance) developed and implemented health education campaigns to reduce the healthimpact of domestic use of biomass and coal?

Agenda 21Art 6.41b.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.3 Water pollution

Source Recommendation Target Group Target Date Reference

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Has the government (with international assistance) developed appropriate water pollution control technologies on the basis of health

risk assessment?

Agenda 21

Art 6.41c.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date ReferenceHas the government (with international assistance) developed water pollution control capacities in large cities? Urban population sAgenda 21

Art 6.41c.ii 1.) If yes: a.) How and When?b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.4 Pesticides

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) developed mechanisms to control the distribution and use of pesticides in order tominimize the risks to human health by transportation, storage, application and residual effects of pesticides used in agriculture andpreservation of wood?

Agenda 21Art 6.41d.

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.5 Solid wasteSource Recommendation Target Group Target Date Reference

Has the government (with international assistance) developed appropriate solid waste disposal technologies on the basis of health riskassessment?

Agenda 21Art 6.41e.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) developed appropriate solid waste disposal capacities in large cities?Urban populationsAgenda 21

Art 6.41e.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.6 Human settlements

Source Recommendation Target Group Target Date Reference

Agenda 21

Art 6.41f

Has the government (with international assistance) developed programmes for improving health conditions in human settlements, in

particular within slums and non-tenured settlements, on the basis of health risk assessment?

Slums and non-tenured

settlements

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.7 Noise

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) developed criteria for maximum permitted safe noise exposure levels?Agenda 21Art 6.41f

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) promoted noise assessment and control as part of environmental health programs?Agenda 21Art 6.41f

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.8 Ionizing and non-ionizing radiation

Source Recommendation Target Group Target Date ReferenceHas the government (with international assistance) developed and implemented appropriate national legislation, standards andenforcement procedures on the basis of existing international guidelines towards combating the effects of ultraviolet radiation?

Agenda 21Art 6.41h.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) researched the effects on human health due to the increasing ultraviolet radiationreaching the earth's surface?

Has the government (with international assistance) developed and implemented appropriate national legislation, standards andenforcement procedures on the basis of existing international guidelines on the basis of the outcome of this research?

Has the government (with international assistance) considered taking appropriate remedial measures to mitigate the above-mentionedeffects on human beings?

Agenda 21Art 6.41h.ii

1.) If yes: a.) How and When?b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.9 Industry and energy production

Source Recommendation Target Group Target Date Reference

Agenda 21

Art 6.41i.i

Has the government (with international assistance) established environmental health impact assessment procedures for the planning

and development of new industries and energy facilities?

Industry

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) incorporated appropriate health risk analysis in all national programmes for

pollution control and management, with particular emphasis on toxic compounds such as lead?

IndustryAgenda 21

Art 6.41i.ii1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendati on Target Group Target Date Reference

Has the government (with international assistance) established industrial hygiene programmes in all major industries for thesurveillance of workers' exposure to health hazards?

IndustryAgenda 21Art 6.41i.iii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) promoted the introduction of environmentally sound technologies within theindustry and energy sectors?

IndustryAgenda 21Art 6.41i.iv

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) taken steps to control the use of chemical substances with potential health hazardsthat are widely used in industry, consumer products and food production and processing?

Has the government (with international assistance) minimized the emission of hazardous chemicals to prevent increasingconcentrations in the environment?

Industry and consumersCSD IIArt. 103

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.10 Monitoring and assessment

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) established adequate environmental monitoring capacities for the surveillance of

environmental quality and the health status of populations?

Agenda 21

Art 6.41j

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.11 Injury monitoring and reduction

Source Recommendation Target Group Target Date Reference

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Has the government (with international assistance) supported the development of systems to monitor the incidence and cause of injury

to allow well-targeted intervention/prevention strategies?

Agenda 21

Art 6.41k.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date ReferenceHas the government (with international assistance) developed, in accordance with national plans, strategies in all sectors (industry,

traffic and others) consistent with the WHO safe cities and safe communities programmes, to reduce the frequency and severity ofinjury?

Agenda 21

Art 6.41k.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendati on Target Group Target Date Reference

Has the government (with international assistance) emphasized preventive strategies to reduce occupationally derived diseases anddiseases caused by environmental and occupational toxins to enhance worker safety?

WorkersAgenda 21Art6.41k.iii 1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.1.12Research promotion and methodology development

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) supported the development of new methods for the quantitative assessment of

health benefits and cost associated with different pollution control strategies?

Agenda 21

Art 6.41l.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) developed and carried out interdisciplinary research on the combined health effects

of exposure to multiple environmental hazards?

Has the government (with international assistance) partaken in epidemiological investigations of long-term exposures to low levels of

pollutants, using biological markers capable of estimating human exposures, adverse effects and susceptibility to environmentalagents?

Agenda 21

Art 6.41l.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.2 Means of Implementation

2.1.2.1 Scientific and technological means

Source Recommendation Target Group Target Date Reference

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Has the government (with international assistance) undertaken research within an intersectoral framework to develop technology to

prevent or abate pollution?

If so, have you collaborated with the business sector?

Business sectorAgenda 21

Art 6.43

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) developing cost/effect analysis and environmental impact assessment methodsthrough cooperative international programs?

Has the government (with international assistance) applied them towards the setting of priorities and strategies in relation to health anddevelopment?

Agenda 21Art 6.43

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) facilitated developing countries efforts by allowing access to and transfer oftechnology, know-how and information, from the repositories of such knowledge and technologies, in conformity with chapter 34?

Developing countriesAgenda 21Art 6.44

1.) If yes: a.) How and When?

b.) What was the impact?c.) How was it measured?

2.) If not: Why not?

2.1.2.2 Human resource development

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) designed comprehensive national strategies to overcome the lack of qualifiedhuman resources, which is a major impediment to progress in dealing with environmental health hazards?

Has the government (with international assistance) included environmental and health officials at all levels from managers toinspectors, during training?

Environmental andhealth officials at alllevelsfrom managers

to inspectors

Agenda 21Art 6.45

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) placed more emphasis on including the subject of environmental health in thecurricula of secondary schools and universities and on educating the public?

Secondary schools anduniversities

Agenda 21Art 6.45

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

2.1.2.3 Capacity-building

Source Recommendation Target Group Target Date Reference

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Has the government (with international assistance) developed the knowledge and practical skills to foresee and identify

environmental health hazards, and the capacity to reduce the risks?

Agenda 21

Art 6.46

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date ReferenceHas the government (with international assistance) included knowledge about environmental health problems and awareness on the

part of leaders, citizens and specialists in developing the capacity to reduce risks?

Has the government (with international assistance) included operational mechanisms for intersectoral and intergovernmental

cooperation in development planning and management and in combating pollution, as a part of your basic capacity requirements?

Agenda 21

Art 6.45

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (with international assistance) made arrangements for the involvement of private and community interests in

dealing with social issues?

Private and community

groups

Agenda 21

Art 6.45

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?Source Recommendation Target Grou p Target Date Reference

Has the government (with international assistance) delegated authority and distributed resources to intermediate and local levels of

government to provide front-line capabilities to meet environmental health needs?

Intermediate and local

government

Agenda 21

Art 6.45

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

3. Stakeholders: Governments and local authorities, with the support of relevant non-governmental organizations and international

organizations

3.1 Meeting primary health care needs, particularly in rural areas basis for action

3.1.1 Activities

3.1.1.1 Build basic health infrastructures, monitoring and planning systems

Source Recommendation Target Group Target Date Reference

Agenda 21

Art. 6.5a.i

Has the government (and local authorities, with the support of relevant NGOs and international organizations) developed and

strengthened primary health care systems that are practical, community-based, scientifically sound, socially acceptable andappropriate to their needs and that meet basic health needs for clean water, safe food and sanitation?

Health care systems

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) supported the use and

strengthening of mechanisms that improve coordination between health and related sectors at all appropriate levels of government,and in communities and relevant organizations?

Health-related

organizations andcommunity-related

organizations

Agenda 21

Art. 6.5a.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) developed and

implemented rational and affordable approaches to the establishment and maintenance of health facilities?

Agenda 21

Art. 6.5a.iii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) ensured and, whereappropriate, increased provision of social services support?

Social servicesAgenda 21Art. 6.5a.iv

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) developed strategies,including reliable health indicators, to monitor the progress and evaluate the effectiveness of health programs?

Agenda 21Art. 6.5a.v

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommen dation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) explored ways tofinance the health system based on the assessment of the resources needed?

Has the government (and local authorities, with the support of relevant NGOs and international organizations) identified variousfinancing alternatives?

Agenda 21Art. 6.5a.vi

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

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Has the government (and local authorities, with the support of relevant NGOs and international organizations) promoted health

education in schools, information exchange, technical support and training?

SchoolsAgenda 21

Art.6.5a.vii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) supported initiatives

for self-management of services by vulnerable groups?

Vulnerable groupsAgenda 21Art. 6.5.iix

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) integrated traditionalknowledge and experience into nat ional health systems, as appropriate?

Agenda 21Art. 6.5a.ix

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) promoted the

provisions for necessary logistics for outreach activities, particularly in rural areas?

Rural populationsAgenda 21

Art. 6.5a.x

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) promoted andstrengthened community-based rehabilitation activities for the rural handicapped?

Rural handicappedAgenda 21Art. 6.5a.xi

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

3.1.1.2 Support research and methodology developmentSource Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) establishedmechanisms for sustained community involvement in environmental health activities, including optimisation of the appropriate use ofcommunity financial and human resources?

Regional and localpopulations

Agenda 21Art. 6.5b.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

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Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) conductedenvironmental health research, including behaviour research and research on ways to increase coverage and ensure greater utilizationof services by peripheral, underserved and vulnerable populations, as appropriate to good prevention services and health care?

Vulnerable populationsAgenda 21Art. 6.5b.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) conducted research

into traditional knowledge of prevention and curative health practices?

Agenda 21Art.

6.5b.iii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) pursued community

health development, undertaking health promotion and protection as part of more holistically conceived community-baseddevelopment programs?

Regional and local

communities

CSD II

Art. 104

1.) If yes: a.) How and When?

b.) What was the impact?c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) pursued health sector

reform, increasing the allocation of resources to the most cost-effective health protection and promotion programmes as seen in thelonger run and in the interest of attaining sustainable development?

CSD II

Art. 104

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) pursued environmentalhealth, increasing the understanding of the impact of policies and programmes of other sectors upon human health and mobilizingfinancing and action in those sectors accordingly?

CSD IIArt. 104

1.) If yes: a.) How and When?b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

CSD IIArt. 104

Has the government (and local authorities, with the support of relevant NGOs and international organizations) pursued nationaldecision-making and accounting, for the means of implementing health impact assessments, accounting and other means of promoting

the integration of health, the environment and sustainable development?

Governments

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

3.1.2 Means of implementation

3.1.2.1 Scientific and technological means Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) supported research on

ways of integrating appropriate technologies into health infrastructures?

Agenda 21

Art. 6.7

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) developed

scientifically sound health technologies, which have increased adaptability to local needs and maintainability by communityresources?

Local populationsAgenda 21

Art. 6.7

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) maintained andrepaired equipment used in health care?

Health care equipmentAgenda 21Art. 6.7

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) developedprogrammes to facilitate the transfer and sharing of information and expertise, including communication methods and educationalmaterials?

Agenda 21Art. 6.7

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

3.1.2.2 Human resource developmentSource Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) strengthenedintersectoral approaches to the reform of health personnel development to ensure its relevance to the Health for All strategies?

Health careprofessionals

Agenda 21Art. 6.8

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

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Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) supported theenhancement of managerial skills at the district level, with the aim of ensuring the systematic development and efficient operation ofthe basic health system?

District levelmanagement

Agenda 21Art. 6.8

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) developed intensive,short, practical training programs with emphasis on skills in effective communication, community organization and facilitation of

behaviour in order to prepare the local personnel of all sectors involved in social development for carrying out their respective roles?

Local personnelAgenda 21Art. 6.8

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) developed specialhealth education programs in cooperation with the education sector, focusing on the role of women in the health-care system?

WomenAgenda 21Art. 6.8

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

3.1.2.3 Capacity-building

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) considered adopting,enabling, and facilitating strategies to promote the participation of communities in meeting their own needs in addition to providing

direct support to the provision of health-care services?

Regional and localcommunities

Agenda 21Art. 6.9

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (and local authorities, with the support of relevant NGOs and international organizations) prepared community-based health and health-related workers to assume an active role in community health education, with emphasis on teamwork, social

mobilization and the support of other development workers?

Local communitiesAgenda 21Art. 6.9

1.) If yes: a.) How and When?

b.) What was the impact?c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Agenda 21

Art. 6.9

Has the government (and local authorities, with the support of relevant NGOs and international organizations) covered district health

systems in urban, peri-urban and rural areas, the delivery of health programmes at the district level, and the development and supportof referral services, within national programmes?

Urban, peri-urban and

rural populations

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

4. Stakeholders: Governments, in cooperation with local and non-governmental organizations

4.1 Protecting vulnerable groups

4.1.1 Activities

4.1.1.1 Infants a nd children

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) strengthened basic health-care services forchildren in the context of primary health-care delivery, including prenatal care, breast-feeding, immunization and nutrition programs?

Infants and childrenAgenda 21Art 6.27a.i

CSD IIArt. 100

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) undertaken widespread adult education on the useof oral rehydration therapy for diarrhoea, treatment of respiratory infections and prevention of communicable diseases? Infants and childrenAgenda 21Art 6.27a.ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) promoted the creation, amendment andenforcement of a legal framework protecting children from sexual and workplace exploitation?

Infants and childrenAgenda 21Art6.27a.iii 1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) protected children from the effects of

environmental and occupational toxic compounds?

Infants and childrenAgenda 21

Art 6.27a.iv

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

4.1.1.2 Youth

Source Recommendation Target Group Target Date Reference

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Has the government (in cooperation with local and non-governmental organizations) strengthened services for youth in health,

education and social sectors in order to provide better information, education, counselling and treatment for specific health problems,including drug abuse?

YouthAgenda 21

Art 6.27b

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

4.1.1.3 Women

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) involved women's groups in decision-making at

the national and community levels to identify health risks and incorporate health issues in national action programmes on women anddevelopment?

WomenAgenda 21

Art 6.27c.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) provided concrete incentives to encourage andmaintain attendance of women of all ages at school and adult education courses, including health education and training in primary,home and maternal health care?

WomenAgenda 21Art 6.27c.ii

1.) If yes: a.) How and When?

b.) What was the impact?c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) carried out baseline surveys and knowledge,attitude and practice studies on the health and nutrition of women throughout their life cycle, especially as related to the impact of

environmental degradation and adequate resources?

WomenAgenda 21Art

6.27c.iii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

4.1.1.4 Indigenous people and their communities

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) strengthened, through resources and self-management, preventative and curative health services?

Indigenous people andtheir communities

Agenda 21Art 6.27d.i

1.) If yes: a.) How and When?b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Agenda 21Art 6.27d.ii

Has the government (in cooperation with local and non-governmental organizations) integrated traditional knowledge and experienceinto health systems?

Indigenous people andtheir communities

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1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

4.1.2 Means of implementation

4.1.2.1Scientific and technological means

Source Recommendation Target Group Target Date ReferenceHas the government (in cooperation with local and non-governmental organizations) strengthened educational, health and research

institutions to provide support to improve the health of vulnerable groups?

Has the government (in cooperation with local and non-governmental organizations) explored pragmatic solutions to the specific

problems of these groups, with emphasis on preventative measures?

Vulnerable groupsAgenda 21

Art 6.29

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) provided technical support to governments,

institutions and non-governmental organizations for youth, women and indigenous people in the health sector?

Youth, women, and

indigenous peopleNGOs

Agenda 21

Art 6.29

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

4.1.2.2 Human resources development

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) developed human resources for the health of

children, youth, and women including the reinforcement of educational institutions, promotion of interactive methods of education forhealth and increased use of mass media in disseminating information to the target groups?

Children, youth, and

women

Agenda 21

Art 6.30

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) improved overall education by trainingcommunity health workers, nurses, midwives, physicians, social scientists and educators, teaching mothers, families and communities,and strengthened the ministries of education, health, population etc?

Educationorganizations

Agenda 21Art 6.30

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

4.1.2.3 Capacity-building

Source Recommendation Target Group Target Date Reference

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Has the government (in cooperation with local and non-governmental organizations) promoted, where necessary, the organization of

national, intercountry and interregional symposia and other meetings for the exchange of information among agencies and groups?

National,

intercountry andinterregionalsymposis

Agenda 21

Art 6.31

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Has the government (in cooperation with local and non-governmental organizations) promoted, where necessary, women'sorganizations, youth groups and indigenous people's organizations to facilitate health and consult them on the creation, amendment

and enforcement of legal frameworks?

Children, youth,women and

indigenous peoples

Agenda 21Art 6.31

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

5. Stakeholders: Local authorities, with the appropriate support of national Governments and international organizations

5.1 Meeting the urban health challenge

5.1.1 Activities

5.1.1.1 Develop and implement municipal and local health plans

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) established orstrengthened intersectoral committees at both the political and technical level, including active collaboration on linkages with

scientific, cultural, religious, medical, business, social and other city institutions, using networking arrangements?

Agenda 21Art 6.34a.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) adopted or

strengthened municipal or local "enabling strategies" that emphasize "doing with" rather than "doing for" and create supportiveenvironments for health?

Local populationsAgenda 21

Art 6.34a.ii

1.) If yes: a.) How and When?b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) ensured that publichealth education in schools, workplace, mass media etc. is provided or strengthened?

Regional and localpopulations

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Art

6.34a.iii1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) encouragedcommunities to develop personal skills and awareness of primary health care?

Local populationsAgenda 21Art 6.34a.iv

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) promoted andstrengthened community-based rehabilitation activities for the urban and peri-urban disabled and the elderly?

Urban and peri-urban disabled andelderly

Agenda 21Art 6.34a.v

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

5.1.1.2Survey the existing health, social and environmental conditions

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) surveyed, wherenecessary, the existing health, social and environmental conditions in cities, including documentation of intra-urban differences? Urban populationsAgenda 21Art 6.34b

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

5.1.1.3Strengthen environmental health services Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) adopted health impact

and environmental impact assessment procedures?

Agenda 21

Art 6.34c.i

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) provided basic and in-

service training for new and existing personnel?

New and existinghealth servicepersonnel

Agenda 21Art 6.34c .ii

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

5.1.1.4 Establish and maintain city networks for collaboration and exchange of models of good practice

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Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) established andmaintained city networks for collaboration and exchange of models of good practice?

Urban populationsAgenda 21Art 6.34d

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

5.1.2 Means of implementation

5.1.2.1 Scientific and technological means

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) further developeddecision-making modes, and more widely used them to assess the costs and the health and environmental impacts of alternative

technologies and strategies?

Agenda 21Art 6.36

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) utilized better national

and municipal statistics based on practical, standardized indicators, as a means of improving urban development and management?

Urban populationsAgenda 21

Art 6.36

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) made a priority of

developing methods for the measurement of intra-urban and intra-district variations in health status and environmental conditions?

If so, have you applied this information in planning and management?

Intra-urban and

intra-districtpopulations

Agenda 21

Art 6.36

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

5.1.2.2 Human resources development

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) implementedprogrammes that supply the orientation and basic training of municipal staff required for the healthy city processes?

Have local authorities (with the appropriate support of the national government and international organizations) initiated basic and in-service training of environmental health personnel?

Urban populationsAgenda 21Art 6.37

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?

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Protecting and Promoting Human Health CommitmentsChapter 6: Agenda 21 and UN Commission on Sustainable Development

5.1.2.3 Capacity-building

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) improved planning

and management capabilities in the municipal and local government and its partners in central Government, the private sector anduniversities?

Government, private

sector anduniversities

Agenda 21

Art 6.38

1.) If yes: a.) How and When?

b.) What was the impact?c.) How was it measured?

2.) If not: Why not?

Source Recommendation Target Group Target Date Reference

Have local authorities (with the appropriate support of the national government and international organizations) focused on obtainingsufficient information, improving coordination mechanisms linking all the key actors, and making better use of available instrumentsand resources for implementation?

Agenda 21Art 6.38

1.) If yes: a.) How and When?

b.) What was the impact?

c.) How was it measured?

2.) If not: Why not?