Action Plan For Environmental Health Services In Central And Eastern Europe And The Newly Independent States

This publication is intended to serve as a practical guide to the development of relevant curricula for the education and training of environmental health professionals. This book aims to: (1) set out principles for developing policies on education and training for environmental health professionals at national and subnational levels; (2) formulate proposals for curricula that aid in conferring the necessary competencies to environmental health professionals; (3) support the upgrading of national capacities for education and training to facilitate national self-reliance in the prevention and control of environmental hazards; and (4) promote the harmonization of international efforts to upgrade the environmental health workforce in Europe. (WRM).

A practical guide to concepts, methods, and instruments for conducting an evaluation of environmental health services. Noting that managers frequently overlook the importance of evaluation, the book also performs a persuasive function, serving to illustrate the advantages of evaluation for purposes ranging from the justification of continuing expenditure to assurance that public health is being adequately protected from hazards in food, air or water. Throughout the book, examples of evaluations conducted in European countries are used to show how different approaches work to resolve specific practical problems. The book has six chapters. The first provides a general introduction to the purpose, principles and components of evaluation, as well as procedures that are frequently used. Chapter two applies these general principles to the specific setting of environmental health services, where process, impact, relevance, and adequacy of services may need to be assessed. Factors that make such services difficult to evaluate through traditional mechanisms are also briefly discussed. Against this background, a chapter on data and indicators provides detailed advice on the choice of indicators, concentrating on the use of process, environmental health, and urban indicators. Chapter four, on instruments for evaluation, outlines the strengths and weaknesses of several methods of data collection, giving particular attention to tools for economic analysis and qualitative evaluation. The remaining chapters cover the use of results in management decisions and set out five case studies of evaluations recently conducted in Europe.

Clay’s Handbook of Environmental Health, since its first publication in 1933, has provided a definitive guide for the environmental health practitioner, or reference for the consultant or student. This 21th edition continues as a first point of reference, reviewing the core principles, techniques and competencies, and then outlining the specialist subjects. It has been refocused on the current curriculum of the UK’s Chartered Institute of Environmental Health but should also readily suit the generalist or specialist working outside the UK.

This report draws on lessons learned in urban development lending to build a conceptual framework for improving the delivery of services. This framework looks beyond local governments alone as the cause of poor performance and points toward reforming the incentives they face. The report examines key issues in service delivery, such as the need to clarify the division of functional responsibilities between levels of government, to make revenue sources correspond to functional responsibilities, and to establish a governmental system that balances central regulation with local incentives for responding to constituents. The book seeks to begin a global dialog on ways of improving urban service delivery and to serve as a catalyst for further learning from the rich experience of reform underway in many developing countries. The issues addressed in the report especially pertain to countries undertaking decentralization. Also available: French (ISBN 0-8213-3314-3) Stock No. 13314; Spanish (ISBN 0-8213-3315) Stock No. 13315.

The environmental crisis in Eastern Europe - air and water pollution, toxic waste dumps, and unsafe nuclear facilities - has been vividly documented since the revolution of 1989. Not only did the communist states have an abysmal record of environmental destruction, but the issue of environmental protection and safety proved to be one of the msot powerful catalysts of unified opposition to these regimes. This collection of essays by both Western and East European experts examines the efforts to develop strategies for dealing with the crisis, both by governments and at the grassroots level of newly emerging Green movements. Among the countries represented here are Poland, Hungary, Czechoslovakia, Lithuania, Slovenia and the Commonwealth of Independent States.