text: balanced middaymealsareservedsixdaysaweektochildren uptotheageofsix, allofwhomareeligible toreceive them,andonmedical grounds toolderchildren, sickadults.andthedestitute. InLebanon, theauthority givenin1982forthe issueofthemiddaymealstoallrefugee children uptotheageof15wasextended through 1984andresulted inalargeincrease inthenumberofrecipients, from about3,500toabout12,800. From1January 1985thenumberofrecipients was limited to10,000. "Ill.Aspecial high-protein, high....calorie dietisalsoavailable dailyforinfants andchildren suffering fromdiarrhoea andmalnutrition. Theyreceive vitamin Aand " 0capsules withtheirmeals. Wholeandskimmilkpowderaredistributed to ;'; Inon-breast-fed infants uptosixmonths andtoallchildren fromsixto36months attending thechildhealthclinics, atotalofmorethan75,000children (see annex l~t~ble7).J JI ;] j te ah ~al lah !l0 ~ct In a ~ ~ i1 )n, t-19-Gaza d dat in e aI, 1001 the Lld ring iren lWA led ts and s d113.IntbeWestBank,foodcentremanagers andassistant managers attended a training courseinMarch1985designed toupgrade standards andtoprovide guidelines forsupervi~crs ofgroupfeeding programmes. 7.Medical andpara-medical education andtraining 114.In1984/85, theAgencymaintained andfurther developed itsprogramme of education andtraining inhealth. Some134refugee students heldUNRWAmedical university scholarships (seeannexI,table5)and223refugee trainees were enrolled incourses forlaboratory technicians, publichealthinspectors and assistant pharmacists inAgencytraining centres. Ofthese, 26university students and114trainees eithersuccessfully completed theircourses ofstudyorwere expected topasstheirqualifying examinations. 115.Scholarships forbasicuniversity education comefromdonations madeby voluntary agencies. Whiletheneedfornursing staffinUNRWAisverygreat,the Agencyhasnomeansofproviding basicnursing training itselfandreliesentirely onoutside sources. Itisbecoming moreandmoredifficult tofillvacantnursing postswithproperly qualified staff. 116.Intensive in-service training wascarried outbytheDepartment ofHealthfor itsownstaffinthevarious disciplines oftheprogramme. IntheSyrian Arab Republic, training courses organized withtheco-operation ofUNICEF wereconducted forselected localstaffitheyfocused ontheneedtoimprove primary healthcare. InJordan, newapproaches havebeenmade,including thetraining ofteachers tobe healtheducation tutors, withtheobjective ofpromoting awareness ofpersonal hygiene amongrefugee children. 117.Withintheframework ofWHO-sponsored training andfellowship programmes for healthpersonnel,-two fellowships weregranted byWHO/EMRO intheacademic year 1984/85 totwomedical officers fromJordan -oneforaneleven-month, post~graduate training courseleading toadegreeinpublichealthadministration attheHighInstitute ofPublicHealthinAlexandria, Egypt, andtheotherto pursue aone-year post-graduate training courseleading toamaster's degreein clinical tropical medicine attheLondonSchoolofHygiene andTropical Medicine. WHO/EMRO alsogranted twoshort-term fellowships in1984/85 -onetotheField HealthOfficer fromJordanforasix-week training courseinpersonnel andfiscal management attheDepartment ofCommunity Medicine, UsherInstitute, Edinburgh, and theothertoadentalsurgeon fromSyriatoattendtheWHO/DANIDA courseindental publichealthattheDemonstration Training andResearch Centre, Damascus. 118.Inaddition, WHO/EMRO sponsored aone-month refresher courseforeleven supplementary feeding staffmembers fromallfieldsexcept Lebanon. Threestaff members whoweregranted WHO/EMRO fellowships intheacademic year1983/84 have successfully completed theirstudies -onemedical officer fromSyriaincommunity healthattheSchoolofTropical Medicine, Liverpool, United Kingdom, in December 1984ioneseniorsanitarian fromJordaninpublichealthattheDepartment '
analysis: This text appears to be a report on the activities and services provided by the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) in the fields of health and education. It discusses the provision of midday meals to refugee children, medical and para-medical education and training, scholarships, and in-service training for health staff. The text also mentions the challenges faced by UNRWA in providing basic nursing training and filling vacant nursing posts.