Protecting and Promoting Human Health Commitments

Chapter 6: Agenda 21 and UN Commission on Sustainable Development

Contents :

1. Stakeholders: Governments
1.1 Control of communicable diseases
1.1.1 Activities
1.1.1.1 National public health systems
1.1.1.2 Public information and health education
1.1.1.3 Intersectoral cooperation and coordination
1.1.1.4 Control of environmental factors that influence the spread of communicable diseases
1.1.1.5 Primary health care system
1.1.1.6 Support for research and methodology development
1.1.1.7 Development and dissemination of technology
1.1.2 Means of implementation
1.1.2.1 Scientific and technological means
1.1.2.2 Human resource development
1.1.2.3 Capacity-building
1.1.3 Finance and cost evaluation
1.2 Reducing health risks from environmental pollution and hazards
1.2.1 Finance and cost evaluation
1.3 Meeting primary health care needs, particularly in rural areas
1.3.1 Finance and cost evaluation
1.4 Protecting vulnerable groups
1.4.1 Finance and cost evaluation
1.5 Meeting the urban health challenge
1.5.1 Finance and cost evaluation

2. Stakeholders: Governments with international assistance

2.1 Reducing health risks from environmental pollution and hazards
2.1.1 Activities
2.1.1.1 Urban air pollution
2.1.1.2 Indoor air pollution
2.1.1.3 Water pollution
2.1.1.4 Pesticides
2.1.1.5 Solid waste
2.1.1.6 Human settlements
2.1.1.7 Noise
2.1.1.8 Ionizing and non-ionizing radiation
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
2.1.1.9 Industry and energy production
2.1.1.10 Monitoring and assessment
2.1.1.11 Injury monitoring and reduction
2.1.1.12 Research promotion and methodology development
2.1.2 Means of implementation
2.1.2.1 Scientific and technological means
2.1.2.2 Human resource development
2.1.2.3 Capacity-building

3. Stakeholders: Governments and local authorities, with the support of relevant non-governmental organizations and international
organizations
3.1 Meeting primary health care needs, particularly in rural areas
3.1.1 Activities
3.1.1.1 Build basic health infrastructures, monitoring and planning systems
3.1.1.2 Support research and methodology development
3.1.2 Means of implementation
3.1.2.1 Scientific and technological means
3.1.2.2 Human resource development
3.1.2.3 Capacity-building

4. Stakeholders: Governments, in cooperation with local and non-governmental organizations

4.1 Protecting vulnerable groups
4.1.1 Activities
4.1.1.1 Infants and children
4.1.1.2 Youth
4.1.1.3 Women
4.1.1.4 Indigenous people and their communities
4.1.2 Means of implementation
4.1.2.1 Scientific and technological means
4.1.2.2 Human resource development
4.1.2.3 Capacity-building

5. Stakeholders: Local authorities, with the appropriate support of national governments and international organizations
5.1 Meeting the urban health challenge
5.1.1 Activities
5.1.1.1 Develop and implement municipal and local health plans
5.1.1.2 Survey the existing health, social and environmental conditions
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
5.1.1.3 Strengthen environmental health services
5.1.1.4 Establish and maintain city networks for collaboration and exchange of models of good practice
5.1.2 Means of implementation
5.1.2.1 Scientific and technological means
5.1.2.2 Human resource development
5.1.2.3 Capacity-building
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1. Stakeholders: Governments

1.1 Control of communicable diseases

1.1.1 Activities
1.1.1.1 National public health systems
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government developed programmes to identify environmental hazards in the causation of communicable diseases?
Art 6.13a.i
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government developed monitoring systems of epidemiological data to ensure adequate forecasting of the introduction, spread
Art 6.13a.ii or aggravation of communicable diseases?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government created intervention programmes, including measures consistent with the principles of the global AIDS strategy?
Art
6.13a.iii 1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government working on vaccines for the prevention of communicable diseases?
Art 6.13a.iv 1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Has the government strengthened the health infrastructure of your country? Governments
Art. 96
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Has the government aided developing countries with the strengthening of their health infrastructures? Developing countries
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Art. 96 1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.1.2 Public information and health education
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government provided education and disseminating information on the risks of endemic communicable diseases?
Art 6.13b
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government built awareness on environmental methods for control of communicable diseases to enable communities to play Regional and local
Art 6.13b a role in the control of communicable diseases? communities
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Has the government updated the Consolidated List of Products Whose Consumption and/or Sale Have Been Banned, Withdrawn, Consumers
Art. 102 Severely Restricted or Not Approved by Governments"?

Has the government undertaken further measures to broadly disseminate information contained in that list?

Has the government assisted countries to implement the set of guidelines within the list, for consumer protection?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.1.3 Intersectoral cooperation and coordination
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government developed guidelines for effective coordination in the areas of professional training, assessment of risks and
Art 6.13c.ii development of control technology?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.1.4 Control of environmental factors that influence the spread of communicable diseases
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government applied methods for the prevention and control of communicable diseases, including water supply and sanitation
Art 6.13d control, water pollution control, food quality control, integrated vector control, garbage collection and disposal and environmentally
sound irrigation practices?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.1.5 Primary health care system
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government strengthened prevention programmes, with particular emphasis on adequate and balanced nutrition?
Art 6.13e.i
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government strengthened early diagnostic programmes and improved capacities for early preventative/treatment action?
Art 6.13e.ii

1.) If yes: a.) How and When?

b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government reduced the vulnerability to HIV infection of women and their offspring? Women and children
Art
6.13e.iii
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.1.6 Support for research and methodology development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government intensified and expanded multidisciplinary research, including focused efforts on the mitigation and Populations living in
Art 6.13f.i environmental control of tropical diseases? tropical areas
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government carried out intervention studies to provide a solid epidemiological basis for control policies and to evaluate the
Art 6.13f.ii efficiency of alternative approaches?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government undertaken studies of the population and among health workers to determine the influence of cultural, Health workers
Art 6.13f.iii behavioural and social factors on control policies
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.1.7 Development and dissemination of technology
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government developed new technologies for the effective control of communicable diseases?
Art 6.13g.i
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government promoted studies to determine how to optimally disseminate results from research?
Art 6.13g.ii
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government ensured technical assistance, including the sharing of knowledge and know-how? Whole population
Art
1.) If yes: a.) How and When?
6.13g.iii
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.2 Means of implementation
1.1.2.1 Scientific and technological means
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government included investigations of social and economic bases for the development of more effective national strategies to
Art 6.15 prevent and control diseases?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government adapted cost-effective methods of environmental control to local developmental conditions? Local populations
Art 6.15
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.2.2 Human resource development
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government promoted broad intersectoral approaches to prevention and control of communicable diseases, including training
Art 6.16 in epidemiology and community prevention and control, immunology, molecular biology and the application of new vaccines?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government developed health education materials for use by community workers and for the education of mothers for the Community workers
Art 6.16 prevention and treatment of diarrhoeal diseases in the home? and mothers
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.2.3 Capacity-building
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government developed, within the health sector, adequate data on the distribution of communicable diseases?
Art 6.17
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government developed the institutional capacity to respond and collaborate with other sectors for prevention, mitigation and
Art 6.17 correction of communicable disease hazards through environmental protection?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government increased advocacy at policy- and decision-making levels, mobilized professional and societal support, and Communities
Art 6.17 organized communities in developing self-reliance?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.1.3 Financing and cost evaluation
Source Recommendation Target Group Target Date Reference
Agenda 21 How much has the government contributed to the $4 billion estimated average total annual cost of implementing the activities with
Art. 6.14 $900 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.2 Reducing health risks from environmental pollution and hazards
1.2.1 Finance and cost evaluation
Source Recommendation Target Group Target Date Reference
Agenda 21 How much has the government contributed to the $3 billion estimated average total annual cost of implementing the activities with
Art 6.42 $115 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.3 Meeting primary health care needs, particularly in rural areas
1.3.1 Finance and cost evaluation
Source Recommendation Target Group Target Date Reference
Agenda 21 How much has the government contributed to the $40 billion estimated average total annual cost of implementing the activities with
Art 6.6 $5 billion from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.4 Protecting vulnerable groups
1.4.1 Finance and cost evaluation
Source Recommendation Target Group Target Date Reference
Agenda 21 How much has the government contributed to the $3.7 billion estimated average total annual cost of implementing the activities with
Art 6.28 $400 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
1.5 Meeting the urban challenge
1.5.1 Finance and cost evaluation
Source Recommendation Target Group Target Date Reference
Agenda 21 How much has the government contributed to the $222 million estimated average total annual cost of implementing the activities with
Art 6.35 $22 million from the international community on grant or concessional terms?

Has the government decided upon any specific strategies and/or programmes?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?

2. Stakeholders: Governments with international assistance

2.1 Reducing health risks from environmental pollution and hazards

2.1.1 Activities
2.1.1.1 Urban air pollution
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed appropriate pollution control technology on the basis of risk assessment Urban populations
Art 6.41a.i and epidemiological research for the introduction of environmentally sound production processes and suitable safe mass transport?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed air pollution control capacities in large cities, emphasizing enforcement Urban populations
Art 6.41a.ii programmes and using monitoring networks, as appropriate?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.2 Indoor air pollution
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) supported research and development programmes for applying prevention and
Art 6.41b.i control methods to reducing indoor air pollution, including the provision of economic incentives for the installation of appropriate
technology?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed and implemented health education campaigns to reduce the health
Art 6.41b.ii impact of domestic use of biomass and coal?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.3 Water pollution
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government (with international assistance) developed appropriate water pollution control technologies on the basis of health
Art 6.41c.i risk assessment?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed water pollution control capacities in large cities? Urban populations
Art 6.41c.ii 1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.4 Pesticides
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed mechanisms to control the distribution and use of pesticides in order to
Art 6.41d. minimize the risks to human health by transportation, storage, application and residual effects of pesticides used in agriculture and
preservation of wood?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.5 Solid waste
Source Recommendation Target Group Target Date Reference
Agenda 21
Has the government (with international assistance) developed appropriate solid waste disposal technologies on the basis of health risk
Art 6.41e.i
assessment?

1.) If yes: a.) How and When?

b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Urban populations
Has the government (with international assistance) developed appropriate solid waste disposal capacities in large cities?
Art 6.41e.ii
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.6 Human settlements
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed programmes for improving health conditions in human settlements, in Slums and non-tenured
Art 6.41f particular within slums and non-tenured settlements, on the basis of health risk assessment? settlements
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.7 Noise
Source Recommendation Target Group Target Date Reference
Agenda 21
Has the government (with international assistance) developed criteria for maximum permitted safe noise exposure levels?
Art 6.41f
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21
Has the government (with international assistance) promoted noise assessment and control as part of environmental health programs?
Art 6.41f
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.8 Ionizing and non-ionizing radiation
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed and implemented appropriate national legislation, standards and
Art 6.41h.i enforcement procedures on the basis of existing international guidelines towards combating the effects of ultraviolet radiation?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) researched the effects on human health due to the increasing ultraviolet radiation
Art 6.41h.ii reaching the earth's surface?

Has the government (with international assistance) developed and implemented appropriate national legislation, standards and
enforcement procedures on the basis of existing international guidelines on the basis of the outcome of this research?

Has the government (with international assistance) considered taking appropriate remedial measures to mitigate the above-mentioned
effects on human beings?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.9 Industry and energy production
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) established environmental health impact assessment procedures for the planning Industry
Art 6.41i.i and development of new industries and energy facilities?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) incorporated appropriate health risk analysis in all national programmes for Industry
Art 6.41i.ii pollution control and management, with particular emphasis on toxic compounds such as lead?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendati on Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) established industrial hygiene programmes in all major industries for the Industry
Art 6.41i.iii surveillance of workers' exposure to health hazards?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) promoted the introduction of environmentally sound technologies within the Industry
Art 6.41i.iv industry and energy sectors?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Has the government (with international assistance) taken steps to control the use of chemical substances with potential health hazards Industry and consumers
Art. 103 that are widely used in industry, consumer products and food production and processing?

Has the government (with international assistance) minimized the emission of hazardous chemicals to prevent increasing
concentrations in the environment?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.10 Monitoring and assessment
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) established adequate environmental monitoring capacities for the surveillance of
Art 6.41j environmental quality and the health status of populations?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.11 Injury monitoring and reduction
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government (with international assistance) supported the development of systems to monitor the incidence and cause of injury
Art 6.41k.i to allow well-targeted intervention/prevention strategies?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed, in accordance with national plans, strategies in all sectors (industry,
Art 6.41k.ii traffic and others) consistent with the WHO safe cities and safe communities programmes, to reduce the frequency and severity of
injury?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendati on Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) emphasized preventive strategies to reduce occupationally derived diseases and Workers
Art diseases caused by environmental and occupational toxins to enhance worker safety?
6.41k.iii 1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.1.12 Research promotion and methodology development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) supported the development of new methods for the quantitative assessment of
Art 6.41l.ii health benefits and cost associated with different pollution control strategies?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developed and carried out interdisciplinary research on the combined health effects
Art 6.41l.ii of exposure to multiple environmental hazards?

Has the government (with international assistance) partaken in epidemiological investigations of long-term exposures to low levels of
pollutants, using biological markers capable of estimating human exposures, adverse effects and susceptibility to environmental
agents?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.2 Means of Implementation
2.1.2.1 Scientific and technological means
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government (with international assistance) undertaken research within an intersectoral framework to develop technology to Business sector
Art 6.43 prevent or abate pollution?

If so, have you collaborated with the business sector?

1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) developing cost/effect analysis and environmental impact assessment methods
Art 6.43 through cooperative international programs?

Has the government (with international assistance) applied them towards the setting of priorities and strategies in relation to health and
development?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) facilitated developing countries’ efforts by allowing access to and transfer of Developing countries
Art 6.44 technology, know-how and information, from the repositories of such knowledge and technologies, in conformity with chapter 34?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.2.2 Human resource development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) designed comprehensive national strategies to overcome the lack of qualified Environmental and
Art 6.45 human resources, which is a major impediment to progress in dealing with environmental health hazards? health officials at all
levels —from managers
Has the government (with international assistance) included environmental and health officials at all levels from managers to to inspectors
inspectors, during training?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) placed more emphasis on including the subject of environmental health in the Secondary schools and
Art 6.45 curricula of secondary schools and universities and on educating the public? universities
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
2.1.2.3 Capacity-building
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government (with international assistance) developed the knowledge and practical skills to foresee and identify
Art 6.46 environmental health hazards, and the capacity to reduce the risks?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) included knowledge about environmental health problems and awareness on the
Art 6.45 part of leaders, citizens and specialists in developing the capacity to reduce risks?

Has the government (with international assistance) included operational mechanisms for intersectoral and intergovernmental
cooperation in development planning and management and in combating pollution, as a part of your basic capacity requirements?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (with international assistance) made arrangements for the involvement of private and community interests in Private and community
Art 6.45 dealing with social issues? groups
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Gr oup Target Date Reference
Agenda 21 Has the government (with international assistance) delegated authority and distributed resources to intermediate and local levels of Intermediate and local
Art 6.45 government to provide front-line capabilities to meet environmental health needs? government
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?

3. Stakeholders: Governments and local authorities, with the support of relevant non-governmental organizations and international
organizations

3.1 Meeting primary health care needs, particularly in rural areas basis for action
3.1.1 Activities
3.1.1.1 Build basic health infrastructures, monitoring and planning systems
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) developed and Health care systems
Art. 6.5a.i strengthened primary health care systems that are practical, community-based, scientifically sound, socially acceptable and
appropriate to their needs and that meet basic health needs for clean water, safe food and sanitation?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) supported the use and Health-related
Art. 6.5a.ii strengthening of mechanisms that improve coordination between health and related sectors at all appropriate levels of government, organizations and
and in communities and relevant organizations? community-related
organizations
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) developed and
Art. 6.5a.iii implemented rational and affordable approaches to the establishment and maintenance of health facilities?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Social services
Has the government (and local authorities, with the support of relevant NGO’s and international organizations) ensured and, where
Art. 6.5a.iv
appropriate, increased provision of social services support?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) developed strategies,
Art. 6.5a.v including reliable health indicators, to monitor the progress and evaluate the effectiveness of health programs?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) explored ways to
Art. 6.5a.vi finance the health system based on the assessment of the resources needed?

Has the government (and local authorities, with the support of relevant NGO’s and international organizations) identified various
financing alternatives?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Schools
Has the government (and local authorities, with the support of relevant NGO’s and international organizations) promoted health
Art.
education in schools, information exchange, technical support and training?
6.5a.vii
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Vulnerable groups
Has the government (and local authorities, with the support of relevant NGO’s and international organizations) supported initiatives
Art. 6.5.iix
for self-management of services by vulnerable groups?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21
Has the government (and local authorities, with the support of relevant NGO’s and international organizations) integrated traditional
Art. 6.5a.ix
knowledge and experience into national health systems, as appropriate?

1.) If yes: a.) How and When?

b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) promoted the Rural populations
Art. 6.5a.x provisions for necessary logistics for outreach activities, particularly in rural areas?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) promoted and Rural handicapped
Art. 6.5a.xi strengthened community-based rehabilitation activities for the rural handicapped?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
3.1.1.2 Support research and methodology development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) established Regional and local
Art. 6.5b.i mechanisms for sustained community involvement in environmental health activities, including optimisation of the appropriate use of populations
community financial and human resources?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) conducted Vulnerable populations
Art. 6.5b.ii environmental health research, including behaviour research and research on ways to increase coverage and ensure greater utilization
of services by peripheral, underserved and vulnerable populations, as appropriate to good prevention services and health care?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21
Has the government (and local authorities, with the support of relevant NGO’s and international organizations) conducted research
Art.
into traditional knowledge of prevention and curative health practices?
6.5b.iii
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Regional and local
Has the government (and local authorities, with the support of relevant NGO’s and international organizations) pursued community
Art. 104 communities
health development, undertaking health promotion and protection as part of more holistically conceived community-based
development programs?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Has the government (and local authorities, with the support of relevant NGO’s and international organizations) pursued health sector
Art. 104 reform, increasing the allocation of resources to the most cost-effective health protection and promotion programmes as seen in the
longer run and in the interest of attaining sustainable development?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Has the government (and local authorities, with the support of relevant NGO’s and international organizations) pursued environmental
Art. 104 health, increasing the understanding of the impact of policies and programmes of other sectors upon human health and mobilizing
financing and action in those sectors accordingly?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
CSD II Has the government (and local authorities, with the support of relevant NGO’s and international organizations) pursued national Governments
Art. 104 decision-making and accounting, for the means of implementing health impact assessments, accounting and other means of promoting
the integration of health, the environment and sustainable development?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
3.1.2 Means of implementation
3.1.2.1 Scientific and technological means
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) supported research on
Art. 6.7 ways of integrating appropriate technologies into health infrastructures?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) developed Local populations
Art. 6.7 scientifically sound health technologies, which have increased adaptability to local needs and maintainability by community
resources?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) maintained and Health care equipment
Art. 6.7 repaired equipment used in health care?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) developed
Art. 6.7 programmes to facilitate the transfer and sharing of information and expertise, including communication methods and educational
materials?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
3.1.2.2 Human resource development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) strengthened Health care
Art. 6.8 intersectoral approaches to the reform of health personnel development to ensure its relevance to the “Health for All” strategies? professionals
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) supported the District level
Art. 6.8 enhancement of managerial skills at the district level, with the aim of ensuring the systematic development and efficient operation of management
the basic health system?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) developed intensive, Local personnel
Art. 6.8 short, practical training programs with emphasis on skills in effective communication, community organization and facilitation of
behaviour in order to prepare the local personnel of all sectors involved in social development for carrying out their respective roles?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) developed special Women
Art. 6.8 health education programs in cooperation with the education sector, focusing on the role of women in the health-care system?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
3.1.2.3 Capacity-building
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) considered adopting, Regional and local
Art. 6.9 enabling, and facilitating strategies to promote the participation of communities in meeting their own needs in addition to providing communities
direct support to the provision of health-care services?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) prepared community- Local communities
Art. 6.9 based health and health-related workers to assume an active role in community health education, with emphasis on teamwork, social
mobilization and the support of other development workers?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (and local authorities, with the support of relevant NGO’s and international organizations) covered district health Urban, peri-urban and
Art. 6.9 systems in urban, peri-urban and rural areas, the delivery of health programmes at the district level, and the development and support rural populations
of referral services, within national programmes?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?

4. Stakeholders: Governments, in cooperation with local and non-governmental organizations

4.1 Protecting vulnerable groups

4.1.1 Activities
4.1.1.1 Infants and children
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) strengthened basic health-care services for Infants and children
Art 6.27a.i children in the context of primary health-care delivery, including prenatal care, breast-feeding, immunization and nutrition programs?
1.) If yes: a.) How and When?
CSD II b.) What was the impact?
Art. 100 c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) undertaken widespread adult education on the use Infants and children
Art 6.27a.ii of oral rehydration therapy for diarrhoea, treatment of respiratory infections and prevention of communicable diseases?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) promoted the creation, amendment and Infants and children
Art enforcement of a legal framework protecting children from sexual and workplace exploitation?
6.27a.iii 1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) protected children from the effects of Infants and children
Art 6.27a.iv environmental and occupational toxic compounds?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
4.1.1.2 Youth
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) strengthened services for youth in health, Youth
Art 6.27b education and social sectors in order to provide better information, education, counselling and treatment for specific health problems,
including drug abuse?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
4.1.1.3 Women
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) involved women's groups in decision-making at Women
Art 6.27c.i the national and community levels to identify health risks and incorporate health issues in national action programmes on women and
development?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) provided concrete incentives to encourage and Women
Art 6.27c.ii maintain attendance of women of all ages at school and adult education courses, including health education and training in primary,
home and maternal health care?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) carried out baseline surveys and knowledge, Women
Art attitude and practice studies on the health and nutrition of women throughout their life cycle, especially as related to the impact of
6.27c.iii environmental degradation and adequate resources?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
4.1.1.4 Indigenous people and their communities
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) strengthened, through resources and self- Indigenous people and
Art 6.27d.i management, preventative and curative health services? their communities
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) integrated traditional knowledge and experience Indigenous people and
Art 6.27d.ii into health systems? their communities
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
4.1.2 Means of implementation
4.1.2.1 Scientific and technological means
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) strengthened educational, health and research Vulnerable groups
Art 6.29 institutions to provide support to improve the health of vulnerable groups?

Has the government (in cooperation with local and non-governmental organizations) explored pragmatic solutions to the specific
problems of these groups, with emphasis on preventative measures?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) provided technical support to governments, Youth, women, and
Art 6.29 institutions and non-governmental organizations for youth, women and indigenous people in the health sector? indigenous people
NGO’s
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
4.1.2.2 Human resources development
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) developed human resources for the health of Children, youth, and
Art 6.30 children, youth, and women including the reinforcement of educational institutions, promotion of interactive methods of education for women
health and increased use of mass media in disseminating information to the target groups?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) improved overall education by training Education
Art 6.30 community health workers, nurses, midwives, physicians, social scientists and educators, teaching mothers, families and communities, organizations
and strengthened the ministries of education, health, population etc?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
4.1.2.3 Capacity-building
Source Recommendation Target Group Target Date Reference
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) promoted, where necessary, the organization of National,
Art 6.31 national, intercountry and interregional symposia and other meetings for the exchange of information among agencies and groups? intercountry and
interregional
symposis
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Has the government (in cooperation with local and non-governmental organizations) promoted, where necessary, women's Children, youth,
Art 6.31 organizations, youth groups and indigenous people's organizations to facilitate health and consult them on the creation, amendment women and
and enforcement of legal frameworks? indigenous peoples
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?

5. Stakeholders: Local authorities, with the appropriate support of national Governments and international organizations

5.1 Meeting the urban health challenge

5.1.1 Activities
5.1.1.1 Develop and implement municipal and local health plans
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) established or
Art 6.34a.i strengthened intersectoral committees at both the political and technical level, including active collaboration on linkages with
scientific, cultural, religious, medical, business, social and other city institutions, using networking arrangements?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) adopted or Local populations
Art 6.34a.ii strengthened municipal or local "enabling strategies" that emphasize "doing with" rather than "doing for" and create supportive
environments for health?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) ensured that public Regional and local
health education in schools, workplace, mass media etc. is provided or strengthened? populations
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Art 1.) If yes: a.) How and When?
6.34a.iii b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) encouraged Local populations
Art 6.34a.iv communities to develop personal skills and awareness of primary health care?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) promoted and Urban and peri-
Art 6.34a.v strengthened community-based rehabilitation activities for the urban and peri-urban disabled and the elderly? urban disabled and
elderly
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
5.1.1.2 Survey the existing health, social and environmental conditions
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) surveyed, where Urban populations
Art 6.34b necessary, the existing health, social and environmental conditions in cities, including documentation of intra-urban differences?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
5.1.1.3 Strengthen environmental health services
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) adopted health impact
Art 6.34c.i and environmental impact assessment procedures?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 New and existing
Have local authorities (with the appropriate support of the national government and international organizations) provided basic and in-
Art 6.34c .ii health service
service training for new and existing personnel?
personnel
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
5.1.1.4 Establish and maintain city networks for collaboration and exchange of models of good practice
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) established and Urban populations
Art 6.34d maintained city networks for collaboration and exchange of models of good practice?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
5.1.2 Means of implementation
5.1.2.1 Scientific and technological means
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) further developed
Art 6.36 decision-making modes, and more widely used them to assess the costs and the health and environmental impacts of alternative
technologies and strategies?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) utilized better national Urban populations
Art 6.36 and municipal statistics based on practical, standardized indicators, as a means of improving urban development and management?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) made a priority of Intra-urban and
Art 6.36 developing methods for the measurement of intra-urban and intra-district variations in health status and environmental conditions? intra-district
populations
If so, have you applied this information in planning and management?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
5.1.2.2 Human resources development
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) implemented Urban populations
Art 6.37 programmes that supply the orientation and basic training of municipal staff required for the healthy city processes?

Have local authorities (with the appropriate support of the national government and international organizations) initiated basic and in-
service training of environmental health personnel?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
 Protecting and Promoting Human Health Commitments
Chapter 6: Agenda 21 and UN Commission on Sustainable Development
5.1.2.3 Capacity-building
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) improved planning Government, private
Art 6.38 and management capabilities in the municipal and local government and its partners in central Government, the private sector and sector and
universities? universities
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?
Source Recommendation Target Group Target Date Reference
Agenda 21 Have local authorities (with the appropriate support of the national government and international organizations) focused on obtaining
Art 6.38 sufficient information, improving coordination mechanisms linking all the key actors, and making better use of available instruments
and resources for implementation?
1.) If yes: a.) How and When?
b.) What was the impact?
c.) How was it measured?
2.) If not: Why not?