Harvard School of Public Health - Yearbook (Cambridge, MA)

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Are there enough personnel...? - Phe following conversation between Dr. Wil- liana M. Schmidt and Dr. William M. Moore was recently overheard by the editors of the year¬ book. Moore: What should people in Maternal and Child Health (MCH) in the United States be aiming for in the next decade? Schmidt: You recall that three major goals were formulated in a 1962 conference on Professional Education for Maternal and Child Health: 1) the reduction of maternal mortality rate to 1 10,000 live births (it is now 3.7 10,000), 2) the reduc¬ tion of perinatal mortality rates to below 20 1000 births (it is now 33-3 1000), and 3) the habi¬ tation or rehabilitation of children with handi¬ capping conditions. Moore: Wouldn’t you agree that high calibre comprehensive family-centered preventive and curative health services must be made available to everyone throughout the nation? In addition to meeting purely physical needs, emotional and social problems must be dealt with and all of this will require considerable imagination and effort. Schmidt: I suppose no one would disagree, but are there enough personnel? Moore: Presently there are insufficient numbers of trained personnel in virtually all the categories of work having to do with MCH. This is com¬ pounded by the trend of increasing specialization and maldistribution. More people must be trained to meet the needs of a growing population. Great emphasis should be placed on improved distribu¬ tion of personnel and facilities, increased effi¬ ciency in the delivery of services, and the utiliza¬ tion of auxiliary personnel. Schmidt: Well, I do not think there are enough personnel if we continue to practice the way we have in the past. Different methods of organization are being studied and will be tested in action. Moore: What changes in the format of administra¬ tion and delivery of MCH services seem desirable in the next decade? Schmidt: In moving toward greater availability of professional and technical resources where and when they are needed, eligibility restrictions such as means tests, residency requirements, and other limitations will have to become things of the past. 13

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Thomas Durant Perhaps some workable answers to these ques¬ tions would come from experimentation and re¬ search in metropolitan Boston. Boston could tell us. Its challenges to public health are many: a serious tuberculosis problem, the decay of a city hospital, budget and personnel problems. A step in the right direction for public health in Boston was the plan worked up by the School of Public Health for the re-organization and merger of the city’s Depart¬ ments of Health and Hospitals. Now the School’s job is to see that the plan is used and that some good comes from it. Other problems must be at¬ tacked: urban renewal, programs for the poor, ob¬ stetrical high-risk” care, regional planning of hos¬ pital services. Students from this country and abroad need to sharpen their sense of community action. Schools of public health should lead the way. Tom Durant d wlipri It tested, he- 1 flashlights m 1 ed, •The diesel engine pjiai and all n that morning. Asked ■ SWB e wet s» BOSTON Si M,v A Crisis ft P isvwD TV Viewpoint iudaet Head To City Hospital a Uvomc Disease City Hospital Budget C ® Boston City Hoshitnl ka d il m i • j M , vliV a (as pitai May Be the Unkinde -.5, ' - BCT. Avoid PoUtio. : 1f a ? T) , - crisis for tb -, he- t the progT» ' T HW I J 1 • •jS 1 C ' V ■« ' «’• 113 E5 1! J I °ston hat morning, A the circuits were he smd, “J couWn’i kiios? X CPU in T Invite LORETTA M ' l-At ' GHLlN corner, b, LOht- und the r for our becoming . Can very hail homes in the state. In say he, ten per cent of the i homes shout 70 homes, serv- i«it 2.100 patients 1 need constant iiance. NURSDSC HOME OPERATORS in the state, tea, admit there are some bad apples in the bushel. ' There are some profiteering bijj hi t -•?=? .■ S SSs2k ' B ' StfKsyarssra «..« .. model in determining ,ne . and Hosplta TpBiTeoi % »• £ 322 t if ' 1 Pare OSph °lFund 1 ’««b. tun iJrSs srs ® ■ - ••a .fesrias—- T “ Tb PERSONNEL Regular employes including nurses Physicians mji eon J3B +o DO patients 1 need constant ‘There are some protitcerinc bray nr hi e of he state’s worst homes in a . Cq(;6S ,, Bonn, were p tai r 1-kP M® 0 ® s 3 rt=«: ' c«rdi™i « ” i,h C “T ' . .,»■ Merger of a and » . ' ‘•■ed in d ,i«al ' , a •» -■ ,l to W r C ot frulb -Kiie lVb - V st»vuv •“» Th jc.v s »». »»«• cl , Zfrth ZZ? v ' • V™ 1 • IT. ■» 5; fe” -•S. the y 00 ' ' jfjper ® v THfi ,.e ligh d no caofui . vrgency m«S« r tul r c ttJE ,easf »Vidn Se r «hc l,,, . Sm I! ' 1 ’ 1 v ,) idn £? “Kin. ’’nSL ? . hiptSK?. Mw B 5H, ■‘ wtitujion, r 0 • ' « ' i Tetley • n vei„i„ , “• Htn(j( 0 | S -■ -••• ' V »■ c • a»e M IL MO short -■35 V o a MVetno C a ' a - VJ ’ vonfta. 1 ! fkT opO tit ’ T -.i • ’ -% •t’ll rr» k t V -i i ‘. ' A‘ ., - lOV ' t ' Cf QA»t ... gat- SSC ' . i- a ‘ ‘ r vef ‘ ' i-tt - oi vihtT 1 D 5Tt vw»„ g .ta? assy? sS;» rrr • »«- r, ?A. st . . • on on thfi ,■ p ' « ' . ol td ' (4 Jfc„i.i, ,, »r,t oven like tj r . Than h ini her, tesUffa, ■ ySrua Br-- aSSsp 1 - ' lUotx Dr. »( Boynn liihs ,w ;:r v? qua e?j ... er - Do 1 1,? i j, d. ,f Pt»6(Jo Medical Beponer h arrir. on f kf nA-hl Bi ;on Ci - Horpti ' ‘ gran . ( CWmw . „ •’ » c ■ouJ? ’ 1 Ml- ' ralb ' f ro 0 Di f w Bh 2 un udS rt , . 6 a; -s u r - n,i --»i “• ' •b Ar r r Il’tH r .. Ih,u „ All l «•« » (or nr,. Pfwtwd»d i - , .« i , r- 1 ,e t —xuiaano yve Qa BCH Gets $100,000 Grant »e CARL M. COBB [{, ar.,iiher wrfo of rt 1. Meeinai Bep rtrr Ballon City Kojpiultw Oi Cnj ® ttaBWI; Al| en, Rnxbur , lw (mn «rf c 4 ■’’ •• Ba% tnj E » »; itol ’.Mr P». .. ” •od M ' • resf.lsnf l ties r

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Back Row —Olivia Brum, Myra Lichtman, Ann F. Weisman, Phyllis Paskauskas, Gertrude McCarthy, Rachel Papo, Leon Sternfeld, Michiko Tomita, Peggy M. Maloney, Anthony J. Zangara, Carmina M. Gordon, Sheila Rockoff, F. Joan Crichton, James E. Teele, Joan C. White, Bonnie J. Walling, Margaret B. Hoff. Front Row —Ruth A. Cowan, Miriam C. Ekdahl, Elizabeth P. Rice, William M. Schmidt, Isabelle Valadian, Helen Mitchell, Ruth Landfield, Ruth M. Butler, Sharon Soper. Do you see any differences in MCH goals between the United States and other countries? Moore: Goals for MCH may not be identical, but should be similar from one country to another. Un¬ doubtedly there will be a time difference in the attainment of these goals. The schedule for the in¬ dustrialized countries will be more advanced than ones for developing nations. Strong leadership must come from the countries with abundant resources while the others will have to be careful not to adopt inapplicable or inefficient techniques. Schmidt: No group of countries has a monopoly of leadership, and I believe all societies place a high value on the health and welfare of mothers and We can’t continue like this. Smith, Kline, and French— Philadelphia Museum of Art children. Governments are showing increasing rec¬ ognition of the problem of inadequacies of health and social services and are expanding their efforts to cope with it. Expansion of MCH services, in¬ cluding family planning, will take place with the assistance of international agencies and bilateral aid. Moore: MCH personnel and those of us entering the profession were pleased to see UNICEF receive the Nobel Peace Prize for service to the children of the world. This should be viewed not only as an award for past achievement, but as a challenge for future progress in providing for material needs and promoting international understanding. The Vaccination—Leopold Mendez Smith, Kline, and French— Philadelphia Museum of Art