text: access toantibiotics, whileatthesametimeensuring theirrational usewasalso recognized, aswastheneedforincreased affordability ofthedrugsprescribed. 92.Several delegations stressed theimportance offurther developing preventive strategies related tothecontrol ofARI.Although themajorriskfactors forARI wereknown(including malnutrition, lowbirthweight, smokeinhalation, etc.), much lesswasunderstood abouttheirrelative importance and/orspecific relationship to -69-theprevention ofpneumonia. Continued operational research inthisarea,aswell asintensified workonanappropriate vaccine, wasdescribed asessential. 93.Onedelegation requested thatannualreports besubmitted totheUNICEF Executive BoardonUNICEF assistance tonational ARIcontrol programmes, while another delegation requested thatthesecretariat prepare acomprehensive strategy paperonARIcontrol, including anevaluation ofthethreecountry study,forthe 1992session oftheExecutive Board. Itwasalsosuggested thatresearch and results fromnational programmes bedisseminated aspartofaglobal co-ordination effort. 94.Alldelegations encouraged continued closeco-operation withWHOatnational, regional andgloballevels. Therecommendations contained inparagraph 24ofthe reviewalsoreceived strong endorsement fromtheExecutive Board. 95.Thesecretariat expressed itsappreciation forthesupportive comments and underlined UNICEFinterest inpreventive strategies related toARI,butalso emphasized thatmoreresearch wasnecessary beforeeffective programme strategies couldbedeveloped. Thedanger ofthemisuse ofantibiotics wasrecognized andthe secretariat concurred withdelegations thatthebestwaytoguardagainst this problem wasthrough careful training andsupervision ofhealth workers whodiagnose andtreatpneumonia. Finally, delegations wereassured thatcloseco-operation withWHOinallaspects ofARIcontrol wouldcontinue atbothglobal andcountry levels. ' XII.UNICEF PARTICIPATION INUNITED NATIONS OPERATIONAL ACTIVITIES FORDEVELOPMENT 96.TheDeputy Executive Director (Programmes) introduced thepaperonUNICEF participation inUnited Nations operational activities fordevelopment (E/ICEF/1990/L.8), emphasizing thespecial roleandresponsibility ofUNICEF to support newopportunities formultilateral actionthatwouldrequire moreconcerted inter-agency action. Several delegations emphasized theimportance of strengthening theco-ordination capacity ofrecipient countries. Somedelegations statedthattheleadership oftheUnited Nations Development Programme (UNDP) should berecognized foroverall co-ordination, whiledifferent agencies should havesectoral responsibilities. UNICEF, withitsmultisectoral programmes, should participate fullyinco-ordination efforts. Theneedforcollaboration withother United Nations agencies suchasWHOandUNFPAonAIDS,essential drugsandfamily planning wasespecially stressed. Delegations alsosupported theemphasis onthe humandimension ofdevelopment asabasisforinter-agency action andnotedUNICEF achievements inthisarea. 97.Onedelegation urgedthesecretariat toestablish closerlinkswiththe Non-Aligned Movement, particularly atanupcoming (May1990)meeting onhealth issues. Another delegation supported theUNICEF approach andstressed theprimary roleoftherecipient Government inco-ordinating activities oftheUnited Nations system. Yetanother delegation commended UNICEF foritswidespread collaborative efforts andencouraged further action, particularly instrengthening country-level mechanisms. Thesamedelegation alsostressed theneedforgreater collaboration withtheOffice oftheUnited Nations HighCommissioner forRefugees (UNHCR); urged thattheConsultative Committee onSubstantive Questions (Operations) should strengthen itsfocusoncommon themes; andstrongly encouraged UNICEF toworkwith
analysis: The text discusses the role of UNICEF in controlling Acute Respiratory Infections (ARI) and the need for increased collaboration between UNICEF, WHO, and other United Nations agencies. It also touches on the importance of preventive strategies, research, and training for health workers. The text does not mention economic development, natural resources, agriculture, forestry, fishing, industry, transport, communication, international trade, employment, or culture. It is primarily focused on health, humanitarian aid, and relief.