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

Page 18 text:

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

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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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William Morris Schmidt, S.B., M.D., A.M. (hon.) . . Societies place a high value . . WHO