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[First Ladies] Ottawa Conference [1999]
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Nicole Rabner's Files
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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. memo
[Draft] Scotty Greenwood to Louise Leger re Credential/Accreditation
09/22/1999
P6/b(6), b(7)(C), b(7)(E),
Request for Conference (partial) (1 page)
b(7)(F)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Domestic Policy Council (Nicole Rabner)
OA/Box Number: 15408
FOLDER TITLE:
[First Ladies'] Ottawa Conference [1999]
2012-1035-S
kc1043
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - [5 U.S.C. 552(b)]
P1 National Security Classified Information |(a)(1) of the PRAJ
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRAJ
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute |(a)(3) of the PRA
an agency |(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute |(b)(3) of the FOIA]
financial information [(a)(4) of the PRA]
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA]
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
personal privacy |(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
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2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
Proposed changes to the draft Ottawa Declaration
ORIGINAL
PROPOSED PARAGRAPH
PROPOSED
BY
INTRODUCTION
We, the Spouses of Heads of State and Government of
We, the Spouses of Heads of State and Government of
COSTA RICA
the Americas and Delegates gathered in Ottawa, Canada
the Americas and Government Delegates gathered in
from September 29 to October 1, 1999 for our Ninth
Ottawa, Canada from September 29 to October 1, 1999
Conference, under the title "Women of the Americas:
for our Ninth Conference, under the title "Women of the
Agents of Change," in reaffirmation of our will and
Americas: Agents of Change," in reaffirmation of our
determination to contribute to the well-being of the
will and determination to contribute to the well-being of
people of our nations, subscribe to the following
the people of our nations, subscribe to the following
Declaration:
Declaration:
We, the Spouses of Heads of State and Government, and
CUBA
Representatives of Presidents of the Americas gathered
in Ottawa, Canada from September 29 to October 1,
1999 for our Ninth Conference, under the title "Women
of the Americas: Agents of Change," in reaffirmation of
our will and determination to contribute to the well-being
of the people of our nations, subscribe to the following
Declaration:
PARAGRAPH 1
PERU
We consider that the Conferences of Spouses of Heads of
We consider that the Conferences of Spouses of Heads
State and Government of the Americas represent a unique
of State and Government of the Americas represent a
opportunity to foster the exchange of ideas, build
unique opportunity to foster the exchange of ideas, build
hemispheric cooperation and integrate the efforts of our
hemispheric cooperation and integrate the efforts of our
respective countries in the fight against poverty and the
respective countries in the fight against poverty and the
attainment of equal rights and opportunities for all.
exercise of equal rights and opportunities for all.
PARAGRAPH 2
With the advent of the new millennium, all countries of
With the advent of the new millennium, the majority of
CUBA
the hemisphere face common challenges and share
the countries of the hemisphere face common challenges
common social goals. We reaffirm our determination to
and share common social goals. We reaffirm our
approach these in a vigorous and integrated way with the
determination to approach these in a vigorous and
participation, and for the benefit, of all sectors of society.
integrated way with the participation, and for the benefit,
of all sectors of society.
With the advent of the new millennium, all countries of
PERU
the hemisphere will face common challenges and will
share common social goals to achieve human
development. We reaffirm our determination to
approach these in a vigorous and integrated way with the
participation, and for the benefit, of all sectors of society
PARAGRAPH 3
We firmly believe that it is imperative to focus our efforts
We firmly believe that it is imperative to focus our
PERU
on behalf of those who are the most vulnerable, who
efforts on behalf of those who are the most vulnerable,
continue to face the challenges stemming from
particularly women, who continue to face the
discrimination and inequality.
challenges stemming from discrimination and inequality.
PARAGRAPH 4
Building on the existing global and hemispheric
Building on the existing global and hemispheric
CUBA
consensus on social development goals, we recognize the
consensus on social development goals, we recognize
achievements that have been gained to date, the need to
some achievements that have been gained to date, the
consolidate these, and our common desire to move
need to consolidate these, and our common desire to
forward by setting priorities among those social
move forward by setting priorities among those social
development issues that still require further attention.
development issues that still require further attention.
Building on the existing global and hemispheric
PERU
consensus on social development goals, we recognize
the achievements attained to date, and the need to
consolidate them; we affirm our common will to
continue advancing, giving priority to those groups,
themes and social services most in need of support.
PARAGRAPH 5
We recognize the need for enhanced participation of civil
We recognize the need for, and encourage, enhanced
EL
society, and women in particular, with regard to measures
participation of civil society with regard to measures
SALVADOR
to advance the political, social, economic and cultural
aimed at advancing the social and economic
development of our countries.
development of our countries.
We recognize the need for enhanced participation of civil
PERU
society, and women's groups in particular, with regard
to measures to advance the political, social, economic
and cultural development of our countries
PARAGRAPH 6
We reiterate our commitment to, and recognize the
We reiterate our commitment to, and recognize the
COSTA RICA
current validity of, the previous Declarations subscribed
current effectiveness of, the previous Declarations
to by Spouses of Heads of State and Government of the
subscribed to by Spouses of Heads of State and
Americas.
Government of the Americas.
PROPOSAL TO MOVE THIS PARAGRAPH TO THE
CUBA
POSITION AFTER PARAGRAPH 16
PROPOSAL TO MOVE THIS PARAGRAPH TO THE
PERU
BEGINNING OF THE DOCUMENT
PARAGRAPH 7
We continue to work toward the full inclusion and
We continue to work toward the full inclusion and
GUATEMALA
equality of women, particularly rural women. We salute
equality of women, particularly rural women. We
the significant progress made in establishing regional and
recognize the significant progress made in establishing
national plans in support of rural women and endorse the
regional and national plans in support of rural women
proposed cooperation fund developed for their
and endorse the proposed cooperation fund developed for
implementation.
their implementation.
We reiterate our commitment to continue working for
PERU
the full inclusion and empowerment of women,
particularly rural women. We salute the significant
progress made in establishing regional and national plans
in support of rural women and endorse the proposed
cooperation fund developed for their implementation.
PARAGRAPH 8
We continue to strive toward the promotion of better
We continue to strive toward the promotion of better
CUBA
health through preventive measures, the reduction of
health through preventive measures, the reduction of
violence, and more equitable and available access to
violence, and more equitable and available access to
health care. We applaud the achievement of those
health care. We applaud the achievement of those
countries who have successfully eliminated measles
countries who have successfully eliminated measles and
within their borders and encourage the continued efforts
other preventable diseases within their borders and
of others to meet our common goal of eradicating measles
encourage the continued efforts of others to meet our
throughout the Americas by the year 2000.
common goal of eradicating measles throughout the
Americas by the year 2000.
PARAGRAPH 9
We reiterate our support for the promotion of the well-
We reiterate our support for the promotion of the well-
CUBA
being of women and children. We recognize that many
being of women, teenagers and children. We recognize
fundamental issues still need to be addressed, including
that many fundamental issues still need to be addressed,
reproductive health, violence prevention, equitable access
including reproductive health, violence prevention,
to appropriate health services, and comprehensive early
equitable access to appropriate health services, and
childhood development programs. Therefore, our themes
comprehensive early childhood development programs.
for this year's conference are: "Women's Health" and "A
Therefore, our themes for this year's conference are:
Healthy Start: Investing in Children 0 to 6."
"Women's Health" and "A Healthy Start: Investing in
Children 0 to 6."
We reiterate our support for the promotion of the well-
GUATEMALA
being of women and children. We recognize that many
fundamental issues still need to be addressed, including
the health of women during all stages of their life,
violence prevention, equitable access to appropriate
health services, and comprehensive early childhood
development programs. Therefore, our themes for this
year's conference are: "Women's Health" and "A
Healthy Start: Investing in Children 0 to 6."
PARAGRAPH 10
We declare our firm intention to continue to raise
We declare our firm intention to continue to raise
CUBA
awareness and mobilize public support in our societies on
awareness and mobilize public support in our societies on
behalf of effective local initiatives to prevent the spread
behalf of effective local initiatives to prevent the spread
of HIV/AIDS, particularly among women and children.
of HIV/AIDS, particularly among women, teenagers,
and children.
We declare our firm intention to continue to raise
EL
awareness and mobilize public support in our societies on
SALVADOR
behalf of effective local initiatives to prevent the spread
of HIV/AIDS, particularly among mothers and their
children.
PARAGRAPH 11
We accept the universally recognized inalienable and
We defend the universally recognized inalienable and
CUBA AND
immutable rights of children to receive love, protection
immutable rights of children to receive love, protection
PERU
and understanding from their parents and to freely
and understanding from their parents and to freely
develop spiritually and socially, independent of cultural
develop spiritually and socially, independent of cultural
and political circumstances.
and political circumstances.
We accept the universally recognized inalienable and
EL
immutable rights of children to receive love, protection
SALVADOR
and understanding from their parents and to (freely)
develop spiritually and socially, independent of cultural
and political circumstances.
PARAGRAPH 12
We declare our firm support for the improvement of
We declare our firm support for the improvement of
EL
perinatal care and services through the training of health
maternal health care and services through the training
SALVADOR
care providers, strengthened community participation,
of health care providers, strengthened community
and efforts to increase public awareness.
participation, and efforts to increase public awareness.
We declare our firm support for the improvement of
GUATEMALA
perinatal care and services through the training of health
care providers, strengthened community participation,
and efforts to increase public awareness of preventable
risks.
We declare our firm commitment to continue
PERU
supporting programs to improve access and quality of
perinatal care services by raising public awareness,
training health care providers, and strengthening
community participation and efforts to increase
collaboration and mobilization of public opinion on
these themes.
PARAGRAPH 15
In order to secure the right of children to education we
We acknowledge and affirm the need to secure the
PERU
support the development of comprehensive programs for
right of children to quality education. Therefore, we
the professional training of early childhood educators and
support the development of comprehensive programs for
the strengthening of coordination and information
the professional training of early childhood educators and
networks.
the strengthening of inter-institutional coordination and
information networks.
PARAGRAPH 16
We recognize the need to educate children in a culture of
We recognize the need to educate children in a culture of
CUBA
peace with a view to preventing violence and enabling
peace with a view to preventing violence and enabling
them to grow and flourish with values and principles
them to grow and flourish with values and principles
conducive to a safe and secure environment.
conducive to an ethic, safe and secure environment.
We recognize the need to educate children in a culture of
PERU
peace with a view to preventing violence and enabling
them to grow and flourish with values and principles
conducive to a better quality of life.
PARAGRAPH 18
We express our appreciation to the spouse of the Prime
We express our gratitude to the spouse of the Prime
GUATEMALA
Minister of Canada, Mrs. Aline Chrétien, and to the
Minister of Canada, Mrs. Aline Chrétien, and to the
people and the Government of Canada, for the kind
people and the Government of Canada, for the kind
hospitality extended during our stay
hospitality extended during our stay
LIST OF PARTICIPANTS
LISTE DE PARTICIPANTS
LISTA DE PARTICIPANTES
CANADA 1999
ARGENTINA
Mercedes Muro de Nadal de Avogadro
Esmeralda 1212 Piso 10 Buenos Aires, Argentina
Tel: 54 -11- 4819 -7680/82
Fax:54 -11- 4819 -7681
Email: [email protected]
BAHAMAS
Miss Viana Letitia Bain
Bahamas High Commission
50 O'Connor St., Suite 1313
Ottawa, Ontario Canada
K1P 6L2
Tel: (613) 232-1724
Fax: (613) 232-0097
Email: [email protected]
BARBADOS
Juliette Babb-Riley
130 Albert Street, Suite 302
Ottawa, Ontario Canada
K1P 5G4
Tel: (613) 236-9517
Fax: (613) 230-4362
Email: [email protected]
BELIZE
Eva Narcisa Middleton
25 Hopevile Punta Gorda
Tol. Belize C.A.
Tel: 07-22919/22920
Fax: 07-22922
Email: [email protected]
BRAZIL
Ana Goretti Kalume Maranhao
Ministério Da Saúde
Esplanada dos Ministérios
6o. andar Brasilia DF, Brazil
Tel : 061 3152866 3152038
Fax: 061 3223912
Email: [email protected]
.../2
BRAZIL
Tania Di Giacomo Do Lago
Ministério Da Saúde
Esplanada dos Ministérios
Blocod, 6 andar, 648, Brasilia DF, Brazil
Tel : 061 3152866 - 3152038
Fax: (55) (61) 322-3912
Email: [email protected]
BOLIVIA
Mario Ivar Prada Campero
Despacho de la Primera Dama
Avda. Arce # 2335
La Paz, Bolivia
Tel: (591) 2 337604/355603
Fax: (591) 2 366973
Email: [email protected]
COLOMBIA
Angela Escallón
Cra 8 # 7 26
Tel: (57 1) 5629300/2812826
Email: [email protected]
CHILE
Verónica Baraona del Pedregal
Palacio de la Moneda
Santiago, Chile
Tel: 56-2-6904526
Fax: 56-2-6904821-6904969
Email: vmunos.presidencia.cl
Victoria Viteri
Palacio de la Moneda
Santiago, Chile
Tel: 56-2-6904470
Fax: 56-2-6904821 6904969
Email: [email protected]
COSTA RICA
Susana Salas Corella
Apdo. 520 Zapote,
San José, Costa Rica
Tel: (506) 224-7021/(506) 224-2972
Fax: (506) 224-0863
Email: [email protected]
.../3
COSTA RICA
Juanita Castro Tato
Presidencia de la República
Costa Rica
Tel: (506) 224-2972 / 224-7021
Fax: (506) 224-0863
Email: [email protected]
CUBA
Rita M. Pereira
Paseo 260 Vedado
C. Habana, Cuba
Tel: (53-7) 552772
Fax: (53-7) 333019
Email: [email protected]
DOMINICAN REPUBLIC
Soraya Fernandez
Av. México, Esq. Dr. Delgado, Edif B, 1er nivel
República Dominicana
Tel: (809) 221-5140 Ext. 206 I/(809) 221-5575
Fax: (809) 221-6429
Email: [email protected]
ECUADOR
Fiorella Mackliff (INNFA)
C/Venezuela 1310e4 y Sucre (Antiguo edificio del banco de
Prétamos)
Quito, Ecuador
Tel: (593) 2 581-413
Fax: (593) 2 570227
Email: [email protected]
[email protected]
EL SALVADOR
Lic. Marinela López de Ortiz
Ave. José Marti #15bis, col. Escalón
Tel: (503) 263-4143
Fax:(503) 263-4148
Email: [email protected]
Lic. Ana Maria Guerrero Garcia
Ave. José Marti #15bis, Col. Escalón
Tel: (503) 263-4143
Fax: (503) 263-4148
Email: [email protected]
.../4
GUATEMALA
Rosa Julia Elias Brupbacher
Secretaría de Obras Nacionales de la Esposa del Presidente
6 ave 4-65 Zona 1 Guatemala C.A.
Tel: (502) 2214484-86
Fax: (502) 2214481
GUYANA
Paulette Cornette
High Commission of Guyana
309-151 Slater St. Ottawa, Ontario K1P 5H3
Tel: (613) 235-7249
Fax: (613) 235-1447
HAÏTI
Steven Benoît
Palais National Port au Prince, Haïti
Tel: (509) 222-7148 2459112
Fax: (509) 223-0976
Reine Leroy
MENTS 5 rue Dr. Audaiu, Port au Prince, Haïti
Tel: (509) 222-6085
Marie Josée Renard
Ambassade d'Haiti au Canada
Tel: (613) 238-1628
Fax: (613) 238-2986
Email: [email protected]
HONDURAS
Rosario Cabañas de Calix
Col. Alameda, edificio Rogia Masónica 2do Piso
Tegucigalpa, Honduras Apto. Postal: 3942
Tel: (504) 239-7570 2396261 2397307
Fax: (504) 2397761
Fernando Tomé Abarca
1231 A Calle Olancho Col. Tepeyac
Tel: (504) 232-5746 (504) 232-7779
Fax: (504) 232-2078 239-6405 232-3688
JAMAICA
Winston A. Bowen
2-4 King St. Kingston Jamaica
Tel: 876-927-8461
Fax: 876-924-9401
.../5
MEXICO
Maria Amparo Canto G.
Secretaria Relaciones Exteriores
Flores Magón 1 - Torre Piso 12
Tel: (525) 782-33-12 y 782 4024
Fax: (525) 5117 43 93
Email: [email protected]
NICARAGUA
Inés Mendoza
Despacho de la Primera Dama de Nicaragua
Edificio de la Presidencia
Managua, Nicaragua
Tel: 222-3115 222-3113
Fax: 222-3083
Rosa Argentina López
Avenida Bolivar Edificio de la Presidencia
Managua, Nicaragua
Tel: 222-3115 222-3113
Fax: 222-3083
Email: [email protected]
PANAMA
Cynthia Graham de Sampson
Panamá, Rep. de Panamá
Tel: (507) 227-9630
Fax: (507) 227-4640
Email: [email protected]
Roxana Flores de Pachar
Panamá, Rep. de Panamá
Tel: (507) 232-7632/262-0225
Fax: (507) 227-4640
Email: [email protected]
Ana Rebeca Young de Chanis
Panamá, Rep. de Panamá
Tel: (507) 270-0086
Fax: (507) 270-0086
Email: [email protected]
Dalys Batista de Pérez
Panamá, Rep. de Panamá
Tel: (507) 2279624 / (507) 2218685
Fax: (507) 2214640 / (507) 2644805
Email: [email protected] or
[email protected]
.../6
PARAGUAY
Jorge A. Bozzano
Mcdl. Lopez y Kubitschek (Mburuvicha Roga)
Tel: 595-21-229603/4
Fax: 595-21-211245
Jazmin Gonzalez Macchi de Fontclara
Mcdl. Lopez y Kubitschek (Mburuvicha Roga)
Tel: 595-21-229603/4
Fax: 595-21-211245
PERU
Dra. Miriam Schenone Ordinola
Despacho de la Primera Dama Palacio de gobierno Lima 1
Tel: (511) 427-6741
Fax: (511) 426-9933
Email: [email protected]
M.C. Ramiro Silva
130 Albert St. Suite 1901
Tel: (613) 238-1777
Fax: (613) 232-3062
Ana Peña
Jr. Lampa 545 - 6to Piso, Lima 1
Tel: 427-3860
Fax: 427-0995/426-2657
Email: [email protected]
ST. KITTS
Rosalyn E. Hazelle
Office of Prime Minister
Government Headquarter, Church St.
Basseterre, St. Kitts, West Indies
Tel: (869) 465-2521 Ext. 1275
Fax: (869) 465-1001
Email: [email protected] - Office
[email protected] - Personal
TRINIDAD
Claire Eunice Gittens
National Family Services Division
Ministry of Social & Community Development, Sea Lots
Trinidad, W.I.
Tel: 1-868-625-7715 or 1-868-627-4288
Fax: 1-868-624-7727
...17
U.S.A.
Carol J. Dabbs
LAC/RSD -PHN Rm 5.09-103 RRB
U.S. Agency for International Development
1300 Pa Ave, N.W., Washington D.C. 20523
Tel: 202-712-0473
Fax: 202-216-3262
Email: [email protected]
Judith W. Gilmore
LAC/RSD, Rm 5.09-053 RRB
U.S. Agency for International Development
1300 Pa Ave., N.W., Washington, D.C. 20523
Tel: 202-712-5353
Fax: 202-216-3262
Email: [email protected]
Nicole Rabner
Office of the First Lady of the U.S.A.
The White House, Room 100, Old Executive Office Building
Washington, D.C. 20502
Tel: 202-456-7263 6266
Fax: 202-456-2878
email [email protected]
URUGUAY
Dra. Margarita Serra
18 de Julio 1892 4° Piso MSP (Programa Nacional De SIDA)
Tel: 402-2424
Fax: 408-8399
Email: [email protected]
Insp. Zulma Graciela Fassola Brunetto
8 de octubre 2323/702
Tel: 6957619/4082450
Fax: (598-2) 9161830
Email: [email protected]
VENEZUELA
Aurines Salas
32 Range Road
Ottawa, Ontario K1N 8S4
Tel: (613) 235-5151
Fax: (613) 235-3205
Email: [email protected]
/8
BID
Ricardo J. Morán
Inter-American Development Bank
1300 New York Ave., N.W.
Washington, D.C. 20577 U.S.A.
Tel: (202) 623-2495
Fax: (202) 623-1576
Email: [email protected]
OAS
Gaby Fujimoto-Gomez
1889 "F" St., N.W. Washington, D.C. 20006
Tel: (202) 458-6228
Fax: (202) 458-3149
Email: [email protected]
CIM/OAS
Carmen Lomellin
Inter-American Commission of Women
1889 F St. NW #880
Tel: (202) 458-6084
Fax: (202) 458-6094
Email: [email protected]
UN/AIDS
Mercedes Weissenbacher (ONUSIDA)
Auda Brasil 2697 Piso 2
Montevideo 11300 Uruguay
Tel: (5982) 707-2589
Fax: (5982) 707-3530
Email: [email protected]
UNICEF
Gladys Acosta-Vargas
UNICEF TACRO
Transversal 38 # 100-25 (3er piso)
Bogota, Colombia
Tel: (571) 635-7255 Ext. 520
Fax: (571) 635-7337 - 635-7323
Email: [email protected]
IICA
Clara Solis-Araya
Coronado-Costa Rica - 552200
Tel: (506)21601-91-92/216 02-22
Fax:(506) 216 02 33
Email: [email protected]
FOLLOW-UP ON AGREEMENTS AND PROJECTS
ENDORSED DURING THE VIII CONFERENCE OF SPOUSES
OF HEADS OF STATE AND GOVERNMENT OF THE
AMERICAS (SANTIAGO)
GENERAL INFORMATION
Country:
USA
Name of Individual Completing Questionnaire: Carol Dabbs
Office: Population, Health, and Nutrition Team
Office for Regional Sustainable Development
Bureau for Latin America and the Caribbean
U.S. Agency for International Development
Telephone:
202-712-0473
Fax:
202-216-3262
E-mail:
[[email protected]]
II.
FOLLOW-UP REPORT
1.
Healthy Schools
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
Yes.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
The U.S. Department of Education, as well as states and local communities, are implementing
education reform initiatives to ensure that all children achieve high education standards and
obtain the necessary skills for achievement as adults. In 1997, the U.S. Department of Education
identified seven national priorities that would guide its activities over the next four years. One of
the National Education Goals is that all children will enter school ready to learn.
To this end, program objectives include: rising rates of preschool participation and annual
declines in the disparity in preschool participation rates between children from high-income and
low-income families. Federal programs to influence these objectives include: The Head Start
program operated by the U.S. Department of Health and Human Services provided some $3.6
billion in 1997 for local preschool centers and enrolled some 800,000 children. In addition Title
I of the Individuals with Disabilities Education Act (IDEA), and Even Start programs provide
resources to states for programs aimed at infants, toddlers, and preschool children.
A Coordinated School Health Program (CSHP) can help our children in the journey they take to
becoming informed, healthy, and productive members of society in the next millennium. The
U.S. Department of Education supports the two key academic components of a CSHP-health
education and physical activity. The principles and practices of a healthy and physically fit
lifestyle should be introduced early in a student's career and positively reinforced throughout
his/her elementary and secondary education.
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
The role of the federal government in addressing educational issues is limited by the
decentralized nature of the education system in the United States. Most of the power to set
education policy and curriculum rests with the 50 states, so that strategies at the state and local
level must also be taken into account when considering U.S. efforts to meet Action Plan
objectives. The activities described were performed by the U.S. Department of Education, State
Departments of Education, local school districts, the U.S. Department of Health and Human
Services, State Health Departments and local health departments.
d)
What results and achievements have you secured in implementing you plan of action?
In 1997, 48% of children ages 3 to 4 yet to enter kindergarten attended preschool, a substantial
increase from the 30% who attended in 1980, and an increase from 45% in 1996. Preschool
attendance increased 10% among black, non-Hispanic children between 1996 and 1997 (from
45% to 55%). White, non-Hispanic children were also more likely to attend preschool (52% in
1997 vs. 48% in 1996). Percentage of Hispanic children attending preschool remained about the
same (31%) in 1997 as 1996.
There are already new designs for CSHP's being implemented in schools throughout the country
that are taking a coordinated approach to educating the whole child. These new designs are
intended to help students make the choices that would lead to a lifetime of health and wellness.
The Department supports a curriculum framework that implements innovative and
comprehensive approaches towards physical activity and health education that are held to a high
degree of accountability.
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
% NA
f)
What are the future plans of your country in relation to this theme?
The Elementary and Secondary Education Act (ESEA) forms the backbone of Federal support to
public education. The United States Department of Education administers a number of programs
of Federal financial assistance to help State and local educational agencies carry out their
educational responsibilities. In fact, it is Title IV in the ESEA reauthorization, where proposed
legislation would fund demonstration sites to implement effective programs and policies to
promote lifelong physical activity and healthy eating behaviors among young people as a
coordinated school health program. This legislation reaffirms the critical role of the Federal
government in working with schools, school districts, and states to promote educational
excellence for all children. Improving children's health is the ultimate commitment to the belief
that all children can learn. If schools and communities ignore health problems that could reduce
attendance and contribute to school failure, they deprive a child of equal access to an education.
In addition, the President's goal of serving 1 million children with the Head Start program by
2002 will be vigorously pursued.
II.
FOLLOW-UP REPORT
Sexual Education for girls
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
In the US, such programs are active in most states and local areas, and are conducted by both
governmental and private organizations.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
d)
What results and achievements have you secured in implementing you plan of action?
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
II.
FOLLOW-UP REPORT
3.
HIV-AIDS Prevention in Teens
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
Yes.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
The US efforts to curtail unsafe sexual behavior, conducted by the Department of Health and
Human Services, are focusing on prevention of sexually transmitted diseases and teen
pregnancy. Research and treatment play important roles in the overall strategy.
Research. The Department's responses to the spread of sexually transmitted diseases include
basic, clinical, epidemiologic, and health services research. The research is designed to reveal the
patterns of sexually transmitted diseases and to develop effective prevention and treatment
strategies.
Prevention. The Department supports programs to reduce sexual behavior that leads to infections
and their complications. These programs fund population-based prevention programs in the
states, as well as counseling activities offered through health departments, community health
centers, clinics serving American Indian and Alaska Native populations, mental health and
substance abuse providers, and other service sites.
The Department supports counseling for sexually active teenagers on the consistent and effective
use of condoms and other contraceptives. It sponsors demonstration projects to test and
disseminate promising prevention approaches, including involving young men, and improving
data collection.
Treatment. Treatment of sexually transmitted diseases is carried out by multiple HHS agencies
through their service networks. Curative therapy is offered for diseases caused by bacterial and
parasitic organisms.
The Health Care Finance Administration's Medicaid program continues to play an important role
through its financing of treatment services for beneficiaries.
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
The U.S. Department of Health and Human Services and the state Departments of Health
What results and achievements have you secured in implementing you plan of action?
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
What are the future plans of your country in relation to this theme?
Both research and treatment programs continue as high priorities for programming against these
serious problems in our young people.
II.
FOLLOW-UP REPORT
4.
Hemispheric Program to support integration of rural women into the productive
chain and social-economic democratization
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
Yes.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
Attention to women in agriculture at the US Department of Agriculture and to women
farmworkers at the US Department of Labor. For example, in the fall of 1998, Secretary of
Labor Alexis M. Herman launched the Fair Harvest/Safe Harvest educational and outreach
campaign to inform farmworkers and their families of their workplace rights and the dangers to
children in the agricultural workplace. The campaign includes a wallet card containing labor
rights information, a children's booklet illustrating hazards in the agricultural workplace, a poster
highlighting these issues, and a toll-free telephone number farmworkers can call for additional
information.
In addition, rural women benefit in the same way as women living in urban areas from activities
directed toward women's position in the labor market (e.g., efforts to narrow the wage gap) and
programs to benefit women as small business owners (e.g., improved access to credit.)
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
Department of Labor and Department of Agriculture
d)
What results and achievements have you secured in implementing you plan of action?
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
A follow-up outreach campaign will be launched in June 1999.
II.
FOLLOW-UP REPORT
5.
Horizontal cooperation multilateral project-INTEGRA
Consistent with the objectives established in the 1998 Plan of Action on this theme,
please indicate the following:
a)
Has your country been active in achieving the stated objectives?
No.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
d)
What results and achievements have you secured in implementing you plan of action?
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
II.
FOLLOW-UP REPORT
6.
Domestic Violence
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
Yes.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
The Administration has worked to eliminate domestic violence from our communities by
working to create a system that not only prevents domestic violence but which also ensures that
every women suffering from domestic violence has access to information and emergency
assistance. The cornerstone of this effort is the Violence Against Women Act of 1994, under
which the federal government adopted a comprehenbsive approach to fighting domestic violence
and violence against women, combining tough new penalties with programs to prosecut
offenders and assist women victims of violence. It is administered jointly by the US Department
of Health and Human Services and the Justice Department.
Initiatives at the Department of Health and Human Services include: Grants for Battered
Women's Shelters; The National Domestic Violence Hotline; Education and Prevention to
Reduce Sexual Abuse Among Runaway, Homeless and Street Youth; Education and Prevention
Grants to Reduce Sexual Assaults Against Women; and, efforts to build coordinated community
responses to prevent intimate partner violence.
Initiatives at the Justice Department include: the STOP (Services, Training, Officers,
Prosecutors) Violence Against Women grant program to assist law enforcement officers and
prosecutors in developing better strategies to combat violence against women; the Grants to
Encourage Arrest Policies program for state, local and tribal criminal justice systems to help
implement mandatory arrest policies and programs for domestic violence; Rural Domestic
Violence and Child Victimization Enforcement grants; training for providing services to deaf
victims; Sexual Assault Nurse Practitioner Examiner Program; Training for Crisis Counselors
and Victim Advocates, and programs to address violence against women in prison.
In addition, USAID, the Department of Justice, and the Department of State support a variety of
programs as a part of the USG foreign assistance programs to educate women about domestic
violence and their rights, and to strengthen the justice and police systems to respond
appropriately to these crimes. In additional to support for national efforts to combat domestic
violence, the US Department of State, through the President's Interagency Council on Women
has recently undertaken a special initiative to address international trafficking in women and
girls in a comprehensive manner, focusing on prevention, protection, and enforcement.
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
Department of Health and Human Services, Department of Justice, Department of State, and
U.S.A.I.D. In addition, the federal government programs to combat violence are built on support
through various grant programs of the efforts of numerous community-based organizations and
non-govermental organizations who are the foremost implementers of the programs at the local
level.
d)
What results and achievements have you secured in implementing you plan of action?
Since the passage of the Violence Against Women Act, the administration has taken important
steps towards building a seamless system of prevention and protection, to follow a woman and
her children from incident to safety. It is built on a comprehensive system of education, services,
and enforcement. The Advisory Council on Violence against Women was established, consisting
of experts from law enforcement, business, health care, social services, and the media. The
funding for shelters and for critical services for abused women and their children has quadrupled
since 1994. Partnerships have been formed with companies like Liz Claiborne and Bell Atlantic
Mobile to help confront domestic violence in the workplace.
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
The Administration's $218 million dollar budget request for FY 2000 for the domestic violence
program in the Department of Human Services will help expand the network of battered
women's shelters; support innovative prevention and service activities; strengthen the science
base; and expand work with partners in business and education.
II.
FOLLOW-UP REPORT
7.
Senior Citizens
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
Yes.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
The United States has over time created a tapestry of laws to protect the security, health and well
being of older people. The first landmark legislation was the 1935 Social Security Act, which
provides income protection as a matter of right for the American worker in retirement, based
upon their earning history. In 1965, the programs of Medicare and Medicaid were created.
Medicare is a Federal health insurance program that helps millions of Americans to pay the cost
of health care, and nearly every older person in the U.S. is covered.
A number of other federal laws are in place relating to aging persons, some of which prohibit age
discrimination in employment, provide for health care services for military veterans, and offer
Food Stamps and low-rent housing to low-income elderly. The Americans with disabilities Act,
enacted in 1990, extended protection from discrimination in employment and public
accommodations to persons with disabilities, which includes many elderly. Several laws created
employment and training opportunities for unemployed or underemployed persons, including
those facing barriers to employment commonly experienced by older workers. The Domestic
Volunteer Service Act created wonderful opportunities for older people to share their experience
and skills as volunteers with their communities, and with children in particular. The Age
Discrimination Act prohibits discrimination in the provision of services to older persons.
The Older Americans Act was designed to meet some of the social service and advocacy needs
of older people. Over the past 32 years, this law has helped to create the nationwide
infrastructure for a whole network of state, tribal and local home and community based programs
and activities for the elderly which did not exist before 1965. It has been the major vehicle for
organizing and delivering social, nutritional, and other services to older people and has made an
enormous impact on the quality of life of our older citizens.
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
Administration on Aging/Department of Health and Human Services, National Institute on
Aging/Department of Health and Human Services
d)
What results and achievements have you secured in implementing you plan of action?
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
A central part of the President's goals to support older Americans includes strengthening
Medicare and Social Security to help all Americans save for retirement. II.
FOLLOW-UP
REPORT
8.
Women's Leadership
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
Yes.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
Drawing on the Beijing Plan of Action, the overall objective is to "Increase women's capacity to
participate in decision-making and leadership." Domestically, the White House Office for
Women's Initiatives and Outreach, created by President Clinton in 1995, has taken the lead in
advocacy and outreach in promoting women's participation in decisionmaking. The Women's
Office acts as a liaison between the White House and women's advocacy groups by bringing
their concerns and proposals into the policy making process. It has initiated events, briefings,
and roundtable discussions across the country to amplify the Administration's agenda and
accomplishments for women and families, and expand the participation of women in policy
making. It has contributed to numerous initiatives including a comprehensive child care agenda,
legislation to narrow the wage gap, increased funding for breast cancer research, increased
funding to domestic violence shelters, and it has played a role in increasing the number of
women in senior positions in the Cabinet and Administration.
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
The USG also supports programs to strengthen women's leadership in other countries. The US
State Department has sought to promote this objective through regional conferences entitled,
Vital Voices: Women in Democracy, held in Vienna, Belfast, and most recently in Montevideo,
Uruguay. Mrs. Clinton has attended all of these conferences, demonstrating her commitment to
strengthening women's leadership throughout the world. In 1998, 121 participants took part in
the US Information Agency International Visitor Exchange programs dealing specifically with
gender and women's issues, the majority of which dealt with civil society and the political
process.
The White House Office for Women's Initiatives and Outreach, as well as the President's
Interagency Council on Women, have adopted outreach and liaison with women's civil society
organizations as their primary strategy to articulate and pursue issues of particular concern to
women.
d)
What results and achievements have you secured in implementing you plan of action?
In recent years, with the support of the First Lady, women's issues have received high visibility
in governmental policy and legislation. Particular achievements have included increased funding
for breast cancer research, implementation of the Mammography Quality Standards Act,
increased funding for domestic violence shelters, and increased funding for the Small Business
Administration's Women's Business Centers with a tripling of the number of small business loans
made to women entrepreneurs. The efforts also are reflected in appointment of women to highly
visible and powerful positions in the administration, including the Secretary of State, the
Secretary of Labor, the Secretary of Health and Human Services, and the Attorney General.
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
This is an arena that requires continued attention. Building a strong network of women's civil
society organizations is the most effective tool for ensuring that the efforts continue.
II.
FOLLOW-UP REPORT
9.
Education for Human Rights and a culture of peace
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
Yes.
b)
If your answer is positive, please describe the goals set for your country, the strategies
and activities implemented to achieve those objectives:
In the Americas, the United States, through the U.S. Agency for International Development
(USAID), has continued core support of the Inter-American Institute of Human Rights
(IIHR/IIDH), a regional, independent institute that promotes human rights throughout the
hemisphere through its work in the areas of education, civil society, public institutions,
elections-and increasingly in gender. IIHR has gained an excellent reputation in the Americas
as a leading contributor to the field of human rights and women's rights. The USAID missions
also supported programs to promote human rights education, including women's rights: in eight
countries missions support programs to reduce domestic violence and assist victims of domestic
abuse; in five countries they have supported the creation and/or strengthening of Human Rights
Ombudsmen (called Defensores del Pueblo) to protect and promote human rights.
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
President's Inter-Agency Council on Women, U.S.A.I.D., Inter-American Institute of Human
Rights, Department of State, Department of Justice, Small Business Administration/Department
of Commerce.
d)
What results and achievements have you secured in implementing you plan of action?
In the hemisphere, the Inter-American Institute of Human Rights (IIHR) has
trained more than 2,000 professionals in the region to be "multiplier agents" in promoting human
rights through its annual Interdisciplinary Course on Human Rights;
produced more than 400 publications, including human rights curricula and educational materials
for schools, universities and civil society organizations, with particular focus on gender, migrant
populations, and indigenous peoples;
trained women advocates to inform UN delegates on the importance adoption of UN Convention
to Eliminate all forms of Discrimination against Women;
worked toward the integration of a gender perspective into all aspects of IIHR programming, on
which IIHR presented a workshop at the "Vital Voices" conference in Montevideo in 1998;
served as executive secretariat of the Ibero-America Federation of Human Rights Ombudsmen,
convened to help strengthen the ombudsmen in the region with technical assistance, regional
courses, and an annual Congress; and
developed a special network of the Offices for the Defense of Women's Rights, which exist in
nine countries.
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
For the first time, IIDH/IIHR will support a seminar on "Human Rights of Women:
Strengthening their International Promotion and Protection" to be held in San Jose, Costa Rica,
October 11-16, 1999. The seminar will train women lawyers from throughout the hemisphere to
access the Interamerican System of Human Rights, including how to document and present
human rights cases. The two-year initiative, offered in conjunction with the Center for Justice
and International Law (CEJIL), will help participants prepare cases, and ultimately will
culminate in presenting a single case to the Interamerican Commission of Human Rights in an
effort to expand interamerican jurisprudence on the protection of women's rights.
II.
FOLLOW-UP REPORT
10.
21st Century Schools: Preparing for Life
Consistent with the objectives established in the 1998 Plan of Action on this theme, please
indicate the following:
a)
Has your country been active in achieving the stated objectives?
The US is not involved with this PAHO project.
b)
If your answer is positive, please describe the goals set for your country, the
strategies and activities implemented to achieve those objectives:
c)
In addition to the Office of the First Spouse, what other institutions or organizations
(public, private, domestic, international, non-governmental) participated in these activities?
d)
What results and achievements have you secured in implementing you plan of action?
e)
How close are you in reaching the goal your country established in reference to this
theme? Please indicate your estimated percentage
%
f)
What are the future plans of your country in relation to this theme?
NINTH CONFERENCE
OF SPOUSES OF
CHANGE
0
HEADS OF STATE
FEMMES
OF
DES
AND GOVERNMENT
OF THE AMERICAS
AGENTS
NEUVIÈME
AMERICAS:
AGGETS
CONFERENCE DES
ÉPOUSES DES
THE
DE
CHEFS D'ETAT ET DE
GOUVERNEMENT
OF
DES AMERIQUES
MOMEN
NOVENA
CONFERENCIA DE
ESPOSAS DE JEFES
PROGRESO-
DE ESTADO Y DE
CANADA 1999
DR
GOBIERNO DE LAS
LAS AMÉRICAS: AGENTES DEL
AMERICAS
CONFERENCE OF SPOUSES OF
HEADS OF STATE AND
GOVERNMENT OF THE AMERICAS
Chair:
Mrs. Aline Chrétien
Moderator:
Mrs. Huguette Labelle
President of CIDA
Ottawa, Canada
29 September - 1 October, 1999
"Women of the Americas
Agents of Change"
CANADA
1999
This title was chosen in keeping with the
Conference's tradition of enhancing women's
leadership and recognizing the often silent
contribution of women in building strong and
CANADA 1999
sustainable societies. This expression symbolizes
both the unique contribution of the First Spouses
and that of all women who are working to
improve the well being and quality of life of the
people of the Americas."
CANADA 1999
Dr. Chaviva Hosek,
Director of Policy and Research,
Office of the Prime Minister
CANADA 1999
Themes
CANADA 1999
A Healthy Start:
Investing in Children o to 6
CANADA 1999
Women's Health
Themes designed to reflect and build
CANADA 1999
on the interest that the First Spouses
have demonstrated in previous
conferences.
CANADA 1999
Summary
Programme
Summary Programme
Wednesday, September 29
CANADA 1999
OTTAWA
17:45
Departure for the National Gallery of
Canada
CANADA 1999
17:55
Arrival at the National Gallery of
Canada
380 Sussex Drive
CANADA 1999
18:00
Official Opening Ceremony of the Ninth
Conference of Spouses of Heads of State and
Government of the Americas
Great Hall
Dress: Business Suit, Short Dress
CANADA 1999
Summary Programme
Wednesday, September 29
CANADA 1999
18:40
Opening Ceremony Reception
Main Entrance Hall & Foyer
Dress: Business Suit, Short Dress
CANADA 1999
19:30
Departure for the Westin Hotel
19:40
Arrival at the Westin Hotel
CANADA 1999
Private Programme
11 Colonel By Drive
CANADA 1999
Summary Programme
Thursday, September 30
CANADA 1999
OTTAWA
09:00 - 09:30 Follow-up to the Eighth Conference
A 30-minute presentation summarizing actions
CANADA
1999
taken by Spouses since the last conference
09:30 - 10:00 A Healthy Start: Investing in Children 0 to 6
Status Report by UNICEF on early childhood
development in the Hemisphere
10:00 - 10:30 Remarks by Spouses
CANADA 1999
Spouses deliver their remarks on the theme: A
Healthy Start: Investing in children 0-6
Confederation I and Provinces I - II
Ballrooms - Banquet Level
The Westin Hotel
CANADA
1999
Summary Programme
Thursday, September 30
CANADA 1999
10:30 - 10:45 Coffee Break
10:45 - 11:30 Remarks by First Spouses
CANADA 1999
11:30 - 12:30 Tour of NGO exhibits
Colonel By Room
The Ottawa Congress Centre
CANADA 1999
12:45 - 14:15 Luncheon given by Mrs. Aline Chrétien
Daly's Restaurant (TBC)
The Westin Hotel
Dress: Short Dress
CANADA 1999
Summary Programme
Thursday, September 30
CANADA 1999
14:30 - -15:45 Remarks by Spouses
Confederation I and Provinces I - II
Ballrooms - Banquet Level
CANADA 1999
The Westin Hotel
15:45 - 16:00 Coffee Break
16:00 - 17:00 Remarks by Spouses
CANADA 1999
17:00 - 18:50 Private Programme
The Westin Hotel
18:50
Departure for the Canadian Museum of
Civilization
CANADA 1999
Summary Programme
Thursday, September 30
CANADA 1999
HULL
19:00
Arrival at the Canadian Museum of Civilization
CANADA 1999
River Lobby Entrance
100 Laurier Street
19:00 - 19:30 Group Photo
Grand Hall
CANADA 1999
19:30 - 20:15 Reception
Reception Hall
20:15 - 21:20 Dinner given by Mrs. Aline Chrétien
The Grand Hall
CANADA 1999
Summary Programme
Thursday, September 30
CANADA 1999
21:20 - 21:50 Cultural Event
The Grand Hall
CANADA 1999
21:55
Departure for the Westin Hotel
22:10
Arrival at the Westin Hotel
Private Programme
CANADA 1999
11 Colonel By Drive
CANADA 1999
Summary Programme
Friday, October 1
CANADA 1999
OTTAWA
09:00 - 09:15 Women's Health
CANADA 1999
Status Report by PAHO on the health
conditions of women in the Hemisphere
09:15 - 10:00 Remarks from Spouses
Spouses deliver their remarks on the theme:
CANADA 1999
Women's Health
Confederation I and Provinces I - II
Ballrooms
The Westin Hotel
CANADA 1999
Summary Programme
Friday, October 1
CANADA 1999
10:00 - 10:15 Coffee Break
10:15 - 10:45 Remarks by Spouses
CANADA 1999
10: 45 - 11:15 Tour of NGO exhibits
Colonel By Room
The Ottawa Congress Centre
CANADA 1999
12:00 - 13:15 Luncheon given by Mrs. Aline Chrétien
Daly's Restaurant (TBC)
The Westin Hotel
CANADA 1999
Summary Programme
Friday, October 1
CANADA 1999
13:30 - 14:45 Telehealth Presentation
(13:30 . 13:40) A 10-minute introduction
CANADA 1999
on Telehealth
(13:40 . 14:15) Live demonstration of
telehealth technology as an efficient and
effective means of providing health care
services to rural and remote communities
CANADA 1999
(14:15 - 14:30) Telehealth Video
(14:30 - 14:45) Question Period
Confederation I and Provinces I - II
Ballrooms - The Westin Hotel
CANADA 1999
Summary Programme
Friday, October 1
CANADA 1999
14:45 - 15:15 Remarks by Spouses
15:15 - 15:30 Coffee Break
CANADA 1999
15:30 - 16:30 Remarks by Spouses
16:30
Private programme
Westin Hotel
CANADA 1999
17:20
Departure for Parliament Hill
17:30 - 18:00 Closing Ceremony and Signing of Ottawa
Declaration
West Block, Room 200
CANADA 1999
Summary Programme
Friday, October 1
CANADA 1999
18:00 - 19:15 Closing Reception of the Ninth Conference of
Spouses of Heads of State and Government of
the Americas
Centre Block, Rotunda
CANADA 1999
19:15
Departure for the Westin Hotel
19:20
Private Programme
11 Colonel By Drive
CANADA 1999
CANADA 1999
Ottawa Congress Centre
55 Colonel By Drive
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OVERVIEW
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CANADA
1999
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USAID LAC Bureau Infectious Disease Strategy
I.
Global Issues and Agency Strategy
USAID has estimated that more than 17 million people worldwide died from infectious
diseases in 1998. This health problem has gotten worse in recent years due to factors
including rapid population growth, overcrowding, poor sanitation, poverty, loss of trained
health personnel and decreasing resources available for public health services in the poorest
countries.
Congress, recognizing the potential danger from infectious diseases, appropriated an additional
$50 million for FY98 and FY99 to USAID to combat infectious diseases worldwide. To fulfill
this mandate, the Agency is pursuing a ten-year effort to reduce deaths from infectious
diseases by at least 10% by the year 2007 1 The Agency strategy focuses on four key areas:
anti-microbial resistance, tuberculosis control, malaria and other diseases, and surveillance and
response.
In anti-microbial resistance, USAID will develop programs that will discourage the
indiscriminate use of antibiotics. Anti-microbial resistance is a serious problem worldwide
where USAID can fill a global leadership vacuum.
In tuberculosis control, USAID is developing a tuberculosis control plan of worldwide
scope. As part of this plan, the Agency will establish up to five major international model
TB sites. These will demonstrate best practices for TB surveillance and control and
enhance efforts to identify multi-drug resistant strains of TB before they have a chance to
become widespread.
In malaria and other diseases, USAID is developing programs chiefly in Africa, where
the most troublesome malaria problems exist, to prevent and control the spread of the
disease. Efforts will focus on preventing infection and quickly treating those who become
infected, in order to help reduce further spread. USAID will focus on the prevention and
management of cases in the home and community.
In surveillance and response, USAID will focus on building capacity at the country level,
including addressing issues of data management and the lack of connections between data
and decision making.
The USAID strategy also allows for a focus on other diseases that have a major public health
impact locally such as Chagas disease.
1
excluding deaths due to HIV infections.
II.
Infectious Disease Issues in the LAC Region²
In 1990, infectious and parasitic diseases accounted for 18 percent of the entire burden of
disease in Latin America and the Caribbean region. 3 For every 1000 people in the region, 39
disability adjusted life years (DALYs) were lost each year.⁴ This is over ten times higher than
in established market economies. Thus in LAC, the excess burden of disease from infectious
diseases in 1990, using established market economies as a benchmark, was 15.8 million years
of life lost to death or disability.
Nearly seventy percent of this is due to three problems - diarrheal diseases, respiratory
infections and tuberculosis. Improving health conditions to levels comparable to those of
established market economies would save 11 million person-years of life lost to death or
disability annually from these diseases.
Tuberculosis
Tuberculosis accounts for 10 percent of the total burden of disease from infectious and
parasitic diseases in LAC. In 1990, this translated into the loss of nearly 1.8 million years of
life, an excess of 1.7 million. Among USAID presence countries in LAC, Brazil accounts for
the lion's share of TB cases, 49 percent, with Peru and Mexico together contributing an
additional 30 percent. In Peru and Bolivia, over one of every thousand people has TB in a
given year (Peru at 1.74/1000 and Bolivia at 1.34/1000). Haiti has the third highest officially
reported incidence rate at
91/100,000; because of the high prevalence of HIV among Haiti's population (over 5% of
adults), co-infection of tuberculosis and HIV is of special concern there. Reliability of
reported estimates of TB incidence vary considerably. Underreporting is considered a major
problem in Haiti, the Dominican Republic and Ecuador.
Two other important sources of disease in LAC are Chagas disease and malaria, which combined
account for an additional 6.5% of the burden of infectious and parasitic diseases.
2 For more information on all of the infectious diseases discussed see Annex A.
3 LAC region includes USAID presence and non-presence countries.
4The burden of disease expressed in terms of disability-adjusted life years is a concept that
illustrates the impact of illness in terms of both mortality and morbidity. This single measure thus
can be used to compare losses from a variety of illnesses, even when some may lead primarily to
death and others may lead primarily to disability.
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% TB Cases in LAC
Presence Countries
HO
DR
NI
OT
EC
JA
HA
BO
MX
BR
PE
Tube rcu lo sis
c S e S /100,000
200
150
100
50
0
PE BO HA DR HO NI BR EC GT ES MX JA
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Diarrheal diseases
In 1990, diarrheal diseases accounted for 31% of the burden of disease from infectious and
parasitic diseases. By achieving the rates of diarrheal diseases prevalent in established market
economies, the LAC region would save 5.2 million person-years of life each year.
Respiratory infections
Respiratory infections account for 28% of the total burden of disease from infectious and
parasitic diseases in LAC. This translates into 4.8 million years of life lost annually, or an
excess of 4.1 million years using established market economy rates as a benchmark.
Chagas Disease
In 1990, Chagas Disease accounted for 3.5% of the total burden of disease from infectious and
parasitic diseases in LAC (641,000 DALYs). The Pan American Health Organization has
identified Chagas as the most important parasitic disease in Latin America and the major cause
of myocardial (heart) illness. An estimated 100 million people are at risk and 16 to 18 million
are infected in the region. Bolivia has the highest infection rate. Up to 3.5 million Bolivians
are at risk or already infected with the Chagas parasite.
Malaria
Malaria accounted for another 3% of the total burden of disease from infectious and parasitic
diseases in LAC in 1990 (457,000 DALYs in LAC at a rate of 1.03/1000 population). This is
far greater than the expected number of 1,113 DALYs applying the rates in established market
economies.
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Among USAID presence countries in LAC, Brazil also dwarfs other countries in terms of the
number of cases of malaria annually. It accounts for nearly 53% of all cases. Peru and
Bolivia together account for an additional 31%. In Nicaragua, nearly one in every hundred
people contracts malaria each year. In Peru, incidence of malaria due to p. falciparum has
increased steadily over the past ten years, to the point where it accounts for 40% of total cases
in 1998.
% Malaria Cases in LAC
Presence Countries
Dengue
While dengue was not a major contributor to the burden of disease in LAC in 1990 (it was
responsible for 1000 DALYs), it can be a problem in individual countries and may have risen
in importance since then. The dengue virus can produce a wide range of clinical symptoms,
from fevers to dengue hemorrhagic fever (DHF), which sometimes leads to shock and death.
In the 1990s, dengue has been widespread in South America and all countries in the region
have suffered dengue epidemics. Nicaragua suffered a major epidemic. By 1995, the
countries of Central America reported a record of almost 70,000 cases. In 1996, the highest
case rates were found in Mexico, Honduras, Brazil and Peru.
Anti-microbial resistance (AMR)
Anti-microbial resistance (AMR) occurs as disease-producing microbes evolve the ability to
survive in the presence of the antimicrobials designed to kill them. Inappropriate use⁵ of
5 Inappropriate use includes using antibiotics when not warranted (e.g. against the common
cold or other viral illnesses, using them for too short a time (which leaves only the resident
organisms) and using the wrong antibiotic for the particular illness.
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microbials makes it more and more likely that microbes will develop such resistance. As they
become resistant, microbes pass on this trait to all their offspring. Thus a growing share of the
microbes infecting humans become inured to the effects of antibiotics. When this happens,
alternative treatment regimens or even new drugs must be developed and tested against these
microbes. This process is expensive, time-consuming and not always successful. In the
meantime, people carrying resistant microbes are at the mercy of the pathogens with only their
natural immune systems to protect them and transmit these resistant organisms to others in the
community. AMR leads to much higher treatment costs since patients need to be treated again
for the same infection, often with second or third-generation drugs that are much more
expensive. In low-income countries, these drugs often are prohibitively expensive.
In the LAC region, data on AMR are scarce. The Pan American Health Organization (PAHO)
has preliminary data on AMR for some of the most prevalent disease-causing microbes
(pneumonia, cholera, tuberculosis, malaria) in some countries. One six-country research
project found 26% to 50% of people suffering from pneumonia by country to have resistance
to the most common antibiotic. Information gathering is complicated by the need to study
each pathogen in each country (and even in subregions of countries) in order to have a clear
picture of the situation. Furthermore, information changes as microbes evolve further, making
speedy collection and use of data all the more important. The LAC region needs better
information on AMR in order to gauge the true extent of the problem.
Based on information available on AMR in the US and the presence of some of the same
antibiotic use practices in LAC, we can surmise that AMR is a serious problem in LAC as
well. In the case of tuberculosis, inadequate and improper treatment and unregulated access to
drugs in numerous countries have led to the spread of strains resistant to some or all of the
standard and readily available drugs. This makes TB far more difficult and costly to treat and
cure. To illustrate this, in Haiti, where standard TB therapy costs well below $75 per person
with a theoretical cure rate close to 100%, drugs to treat multi-drug resistant TB cost over
$12,000 per capita. Since the cure rate of TB using these drugs is only 50%, the cost to cure
one person of MDR TB can be $24,000. In addition, each time a person infected with drug-
resistant TB infects another, that new person will also be resistant to standard treatment
regimes. In the Amazon basin, p. falciparum malaria, the strain most likely to lead to death is
increasingly becoming resistant to chloroquine, the first-line treatment.
Surveillance and Response
The lack of reliable data on the magnitude, nature and distribution of infectious diseases is a
major barrier both within countries and the region as a whole to launching appropriate
response efforts. Our prioritization of countries and problems is based on imperfect
information. Better epidemiological surveillance would enable health decision makers to better
determine where available resources can have the greatest impact in confronting infectious
diseases. Epidemiological surveillance is an essential component of infectious disease control
programs. Major problems in surveillance systems for dengue and tuberculosis have been
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identified in the region. These problems relate to operational aspects of surveillance, technical
deficiencies, data management and communication. Epidemiological surveillance needs to be
supported by laboratory diagnosis. Few countries in the region currently have death
registration systems that have sufficient population coverage and accuracy to merit the analysis
of death registration trends as an epidemiological or programmatic indicator.
Generally, LAC countries lack the necessary capacity for routine and sentinel disease
monitoring. Lack of epidemiological expertise, insufficient laboratory capacity,
incompatibility of disease reporting with information systems, and lack of financial resources
and political commitment all impede effective surveillance and response. For countries with
difficulties in implementing routine basic surveillance, the challenge of detecting and
responding to the appearance of new organisms, disease outbreaks, and anti-microbial
resistance is often overwhelming. The importance of active surveillance was critical to polio
eradication in the region and is an essential component in current efforts to eliminate measles.
III.
LAC Regional Strategy
The LAC Bureau has received substantial resources in both FY98 and FY99 to implement
infectious disease activities under the Agency's new mandate. It is anticipated that this
mandate will continue for a ten-year period, which will enable us to make major inroads in the
battle against infectious diseases. The LAC Bureau's strategy to combat infectious diseases is
guided by the Agency's strategic focus on anti-microbial resistance, surveillance and response,
tuberculosis, and malaria and other diseases. The relative priority of each of these four areas
is determined by the share of the burden of disease that can be reduced in the region through
each area.
Since a major share of the disease burden from infectious diseases in LAC is from diarrheal
diseases and respiratory infections, the LAC Bureau will place greatest emphasis on combating
anti-microbial resistance that threatens the effectiveness of currently available treatments.
Combating tuberculosis will be the second most important emphasis of the LAC infectious
disease strategy, followed by efforts to address Chagas Disease and malaria. To support all
these other efforts, the LAC Bureau also will strengthen surveillance and response systems.
Anti-Microbial Resistance
Diarrheal diseases and respiratory infections together account for nearly 60% of the LAC
region's burden of disease from infectious diseases. Tuberculosis and malaria together account
for an additional 13%. The Bureau already addresses diarrheal and respiratory infections
through the bilateral Child Survival programs in all eight Child Survival emphasis countries
(Haiti, Bolivia, Ecuador, Peru, Guatemala, Honduras, Nicaragua and El Salvador) and
through the Regional Integrated Management of Childhood Illnesses (IMCI) Initiative. The
Bureau is contemplating responses to TB and malaria under the respective subcomponents of
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this strategy.
To complement these ongoing efforts, infectious disease activities will focus additional efforts
on prolonging the effectiveness of currently available antibiotic treatments by developing and
testing interventions to improve anti-microbial drug use practices. The strategy will emphasize
improving surveillance capacity in order to determine the magnitude and impact of AMR. It
will encourage the use of surveillance information to improve clinical management. It will
emphasize developing and testing interventions to improve anti-microbial drug use practices.
The strategy will seek to strengthen program implementation capacity in order to carry out
activities to address AMR, such as appropriate prescription practices.
The initial set of target countries for work on AMR will be those where diarrheal diseases and
respiratory infections pose the greatest threat to public health and where effective treatment is
most severely jeopardized by AMR, such as Bolivia, Ecuador, Peru, Guatemala, Honduras,
Nicaragua El Salvador, the Dominican Republic and Paraguay. Although Haiti is a Child
Survival emphasis country, it will not initially be a target country for AMR efforts because of
major deficiencies in laboratory capacity. This initial set of target countries may change as
surveillance information enables us to more accurately target AMR problems in the region.
Tuberculosis
The Bureau strategy will focus on improving case detection and treatment continuation rates in
the countries with the most severe tuberculosis problems, as determined both by the incidence
rates and the sheer number of people infected. Based on these factors, the highest priority
countries will be Peru, Mexico and Bolivia. Other countries that are considered to have
substantially higher incidence rates than those reported also merit attention. These include
Haiti, the Dominican Republic and Ecuador. The strategy also will remain open to windows
of opportunity. For example, if other missions identify opportunities to make significant
contributions to national TB control efforts by working with governments to introduce more
effective treatment protocols, the strategy will remain flexible in order to accommodate these
initiatives. Such may be the case in the Dominican Republic, which faces a serious problem
with multi-drug resistant TB. If USAID were able to work with the government to address
problems that lead to drug resistance, the strategy would envision flexibility to do so.
Malaria and other diseases of national importance
In malaria, the Bureau strategy will focus on halting the spread of malaria, with a special
emphasis on the Amazon Basin countries of Brazil, Peru and Bolivia. The strategy will
emphasize improving case detection and treatment. This will include improved recognition of
falciparum malaria and use of alternative protocols in the case of choloroquine resistance. In
addition to the Amazon basin countries, Honduras and Nicaragua will be special emphasis
countries because of their high incidence rates. As in the case of tuberculosis, the strategy will
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remain flexible to take advantage of special opportunities that may arise to make major
progress in partnership with the government and other actors in additional countries.
In Chagas Disease, the approach will be to work in high prevalence countries such as Bolivia
and Guatemala as opportunities arise to strengthen vector control and community education
efforts. We will complement country-specific efforts with regional monitoring of
opportunities and regional information-sharing and networking to promote attention to Chagas
Disease in other sectors (e.g., environment, education and housing).
Surveillance and Response
Improving surveillance systems will be another important focus of the LAC infectious disease
strategy. To be effective, surveillance and response must be first and foremost an accepted
national and local responsibility. As part of our infectious disease strategy USAID programs
in LAC, will emphasize the consolidation of integrated national disease surveillance systems
that enable countries to monitor a variety of key infectious diseases without installing separate
and parallel systems for each disease. They will also emphasize the strengthening of national
laboratory capability to provide information for decision-making. Improvements in
surveillance and laboratory capacity are expected to benefit efforts to combat AMR and
specific diseases (diarrhea, tuberculosis, pneumonia, Chagas and malaria). Clinicians with
training in infectious diseases are needed for the regions with the greatest infectious disease
problems. AID may contribute to improving human resources by providing these clinicians
with opportunities for additional training.
The country focus of surveillance and response efforts will be guided by two major factors: (a)
the relative share of the region's burden of infectious diseases in each country; and (b) the
state of the existing national surveillance and laboratory capacity. Further analysis is required
to determine which countries merit the highest priority on the basis of these two factors.
Cross-Cutting Approach
Infectious diseases by their nature know no borders. In addition, lessons learned in one
country can easily serve others. For both these reasons, the LAC strategy will complement
national programs with regional support programs. The first area where a regional support
program will operate is to combat anti-microbial resistance. In the future, other regional
efforts can be envisioned to introduce similar approaches to integrated surveillance systems and
to strengthen the quality of laboratory services. The criteria for introducing regional initiatives
will be: (a) that the problem or best solution is supra-national in nature; (b) that rapid
dissemination of lessons learned is critical to success; or (c) that coordination among various
countries will add substantially to the quality of the response.
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IV.
Expected Results
From anti-microbial resistance efforts:
More timely, complete, and accurate reporting of specified diseases and the existence of
anti-microbial resistance within countries;
Strengthened capacity of national programs to routinely monitor for pathogen resistance;
Strengthened capacity of national programs in priority countries for monitoring and
responding to the emergence of AMR in malaria and tuberculosis;
Documentation of the local factors which promote drug resistance and development of
explicit strategies for addressing these factors;
Improved practices in rational selection and use of anti-microbial and regular provision of
appropriate drug information;
More rational country drug policies;
Dissemination of effective approaches to reduce AMR; and
Increased international understanding of, and attention to, issues related to anti-microbial
resistance.
From surveillance and response efforts:
Effective and appropriately equipped laboratories at a minimum level available in country
or within region;
Improved quality and consistency of data;
Effective and regular communication channels across borders; and
Integrated disease surveillance systems capable of tracking all major infectious diseases
operating in country.
From tuberculosis efforts:
Improved cure rates for TB in emphasis countries.
Stabilized rates of drug-resistant tuberculosis in emphasis countries.
Reduced TB case rates in emphasis countries.
Improved coordination in cross-border TB control between the US and Mexico.
From malaria efforts:
Reduced rates of malaria infection in emphasis countries.
Reduced rates of mortality from falciparum malaria in emphasis countries.
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V.
Proposed Resource Allocation
USAID has committed substantial resources to combat infectious diseases and plans to continue
this work for a decade. In this context, strategic advance planning of resource allocations will
enable us to make the greatest possible impact with the funds available. The strategy proposes
to allocate ID resources in LAC on the basis of two major considerations. The first is the
share of the burden of disease potentially addressed through each of the four areas of action.
The second is the estimated cost of programs that can make a difference in each of these areas.
Using these criteria, our target would be to invest the following shares of available resources
in each area:
For Surveillance and Anti-Microbial Resistance:
50 - 60%
For TB programs:
25 - 30%
For Malaria control:
about 10%
For other diseases:
about 4%
On the basis of the share of the burden of disease from diarrhea and respiratory infections,
anti-microbial resistance programs and surveillance would receive nearly 80% of total
resources. Yet at this early stage of understanding of AMR in LAC, we are unlikely to find
good uses for this level of resources, at least in the first few years of our ID strategy.
Tuberculosis, on the basis of burden of disease considerations alone would warrant about 15%
of available resources. Yet we know from program design that we could not make a
meaningful headway in addressing TB in large countries with such a low level of resources.
We need to spend a higher share of our resources on TB in order to make a difference in the
countries we identify as important. As in the case of TB, while burden of disease
considerations would suggest a lower level of support for malaria, program considerations and
the desire to make an impact on this problem both in the Amazon basin and in Honduras and
Nicaragua lead to the proposed level of 10%. We will also reserve some funds for locally
important diseases, such as Chagas.
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The table below summarizes which countries meet the technical criteria for activities in each
category of the infectious diseases strategy for LAC.
Country
AMR + Surveillance
TB
Malaria
Chagas
Bolivia
Brazil⁶
Dom Rep
Ecuador
El Salvador
Guatemala
Haiti
Honduras
Jamaica
Mexico
Nicaragua
Paraguay
Peru
We intend that allocation of future resources for infectious diseases respond to both the
appropriate programming categories and country suitability criteria. Both the area and country
resource allocations are intended to guide us but not to restrict our ability to respond to new
opportunities and new information as they arise. In order to address infectious diseases
effectively, we need to strike a balance between strategic thinking and flexibility.
VI.
Need for Technical Staff Expertise
USAID is new to the area of infectious disease control and will need to mobilize new skills to
address it effectively. USAID has been conducting an assessment of staff skills in the region
to determine what level of human resources we have at our disposal and how they are
distributed. We will need to find creative ways to link PHN staff in missions with sources of
technical and programmatic expertise in infectious disease control either in the G/PHN Bureau
or in cooperating agencies and other external sources. The LAC/RSD-PHN team will
facilitate these linkages.
6 Although Brazil often has the highest number of selected infectious diseases no infectious
disease program is authorized for Brazil as part of the limited USAID program there.
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ANNEX A:
Tuberculosis
Less than two-thirds of all new TB cases are believed to be reported, most of them receive
inadequate treatment or none at all. Left untreated, each person infected with tuberculosis will
pass the disease on to another 10-14 people each year. Without proper treatment, each person
also risks death; 60,000 to 75,000 persons die each year, often in their most productive adult
years (25-54 years of age). Yet treatment with short course chemotherapy is one of the most
cost-effective public health interventions available. In countries with per capita incomes
between $300 and $2500, it costs only $3-7 for each person year of healthy life saved. This is
comparable to the cost-effectiveness of STD treatment ($1-15 per year of healthy life saved)
and even better than the cost-effectiveness of IMCI ($30-$100 per year of healthy life saved).
An estimated 3-5% of all new TB cases in the region are attributable to co-infection with
HIV/AIDS. In 1994, a review of the HIV/AIDS and TB epidemics in LAC estimated that
more than 330,000 persons were infected with both TB and HIV.
Chagas Disease
The parasite which causes Chagas is associated with poor housing conditions and proximity of
domestic animal quarters to human living areas. Treatment options are limited and no vaccine
exists. Recommended control measures include housing improvements, vector control and
community education.
Malaria
Latin America has extensive areas with malaria transmission, but the public health impact has
to date been limited in part due to the predominance of P. vivax infections. However, the
opening of the Amazon to development during the 1970s exposed large numbers of adult
laborers to malaria for the first time and worsened malaria in the region.
Dengue
The failure of eradication programs and the re-infestation of countries that had eliminated the
mosquito that carries the dengue virus have contributed to dengue becoming endemic and
producing epidemics.
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ANNEX B:
USAID LAC Region FY 98-99 Infectious Disease Programs
USAID/Bolivia has planned a five-year $8 million program of activities. The three-pronged
strategy seeks to: (a) strengthen community participation and knowledge for behavior change
in the prevention and control of infectious diseases; (b) support the national laboratory network
for improved diagnosis, treatment and management of infectious diseases, anti-microbial
resistance testing and other operational research; and (c) improve the epidemiological
surveillance sub-system of the National Health Information System.
USAID/EI Salvador has planned a $2 million three-year program to combat tuberculosis.
USAID/Honduras had developed an initiative to strengthen the Ministry of Health's capacity
to prevent, control, monitor and evaluate tuberculosis, malaria and dengue. To combat
malaria and dengue, the program will focus on those regions with the highest incidence of both
diseases. The program aims to improve the knowledge, attitudes and practices of MOH
personnel and the general public, to improve the MOH's diagnostic capability, and to increase
the use of sustained preventive interventions via environmental health technicians, community
groups and municipal governments. The aim in tuberculosis control will be to increase the
share of TB patients who are appropriately treated and cured.
USAID/Nicaragua plans to work in the area of anti-microbial resistance, improving
surveillance systems and to a lesser degree will support activities in the control of malaria.
USAID/Peru plans a $1 million one-year program to combat malaria and tuberculosis and to
strengthen surveillance efforts and address anti-microbial resistance. This program will
support operations research in the area of malaria to determine the efficacy of anti-malarial
drugs, to assess rapid molecular diagnostic tests and to understand population attitudes and
behavior in malaria control. In tuberculosis, the program will work on communications to
change behavior and explore the interaction of TB with HIV. The program will strengthen
disease surveillance by assessing current disease reporting practices, introducing innovative
tools for information collection and dissemination and improving rapid laboratory
identification of new pathogens and syndromes. The program also will monitor trends in anti-
microbial resistance and disseminate information to practitioners.
LAC/RSD-PHN plans a $2 million three-year effort to support more effective delivery of
interventions for the control and prevention of anti-microbial resistance (AMR). Activities will
serve to improve surveillance capacity in target countries to determine the magnitude and
impact of AMR. They will also improve capacity in target countries to implement approaches
to address AMR. The proposed target countries are Paraguay, the Dominican Republic,
Bolivia, Peru, Ecuador, Honduras, Nicaragua, El Salvador and Guatemala.
u:\rsdpub\phn\idlac\strategy.doc
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OPERATING MANUAL FOR THE
TECHNICAL MEETING
Ottawa, Canada,
July 6-9, 1999
CANADA 1999
INTRODUCTION
The Ninth Conference of Spouses of Heads of State and Government of the Americas will
NINTH CONFERENCE
be held this year in Ottawa, Canada, from September 29 to October 1. The Technical
OF SPOUSES OF
Meeting prior to the Conference will also be held in Ottawa, from July 6 to 9. The Executive
HEADS OF STATE
Secretariat, chaired by Mrs. Aline Chrétien, has arranged for the meeting to be held in the
AND GOVERNMENT
Parliament Buildings, located within an 8-minute walking distance from the hotel. Hotel
OF THE AMERICAS
reservations have been made at the Sheraton Ottawa Hotel, in downtown Ottawa.
Hemisphere Summit Office (LXD)
Department of Foreign Affairs
and International Trade
The organization will cover the expenses of one room per country, either double or single,
125 promenade Sussex Dr.
Ottawa. Canada KIA 0G2
from the night of Monday, July 5, to the night of Friday, July 9 inclusive. All rooms are listed
Tel: (613) 944-1692
as single or double occupancy and are confirmed for the following rates:
Fax: (613) 944-1737
E-mail: [email protected]
Standard Room
$127CAD / $88USD
NEUVIÈME CONFÉRENCE
Deluxe Room
$147CAD / $102USD
DES ÉPOUSES DES
Executive
$167CAD / $116USD
CHEFS D'ÉTAT ET
DE GOUVERNEMENT
DES AMÉRIQUES
USD rates are based on $1.45CAD = $1.00USD
Bureau du Sommet hémisphérique (LXD)
Ministère des Affaires étrangères
Rather than request hotel accommodation directly, delegates are advised to indicate hotel
et du Commerce international
125 promenade Sussex Dr.
requirements on the attached Registration Form.
Ottawa, Canada KIA 0G2
Tèl: (613) 944-1692
Téléc (613) 944-1737
RESPONSIBILITY FOR ARRANGEMENTS
Courriel : [email protected]
All logistical and organizational arrangements for the Technical Meeting and the Ninth
Conference of Spouses of Heads of State and Government of the Americas are the
NOVENA CONFERENCIA
responsibility of the Hemisphere Summit Office (HSO) of the Department of Foreign Affairs
DE ESPOSAS DE JEFES
DE ESTADO Y DE
and International Trade. As host, the Canadian Government is responsible for providing the
GOBIERNO DE
meeting and media facilities, security, hospitality, accommodation for those delegates who
LAS AMERICAS
will be its guests, and hotel allocation and reservations.
Oficina de la Cumbre Hemisférica (LXD)
Ministerio de Asuntos Exteriores y
Comercio Internacional
MEETING SITE
125 promenade Sussex Dr.
The Technical Meeting will be held in the Centre Block of the Parliament Buildings.
Ottawa, Canadá KIA 0G2
Tel: (613) 944-1692
Interpretation (English/Spanish/French) as well as audio-visual services will be available as
Fax: (613) 944-1737
needed.
E-mail: [email protected]
Government
Gouvernement
of Canada
du Canada
Canada
POINT OF CONTACT
The Executive Secretary will be Louise Léger, Executive Director of the Hemisphere Summit
Office, Department of Foreign Affairs and International Trade.
Logistical and organizational queries should be directed to:
CANADA 1999
Hemisphere Summit Office (HSO)
Department of Foreign Affairs and International Trade
125 Sussex Drive
Ottawa, Ontario K1A 0G2
Attention: Danielle Vinette, Policy Advisor
Telephone: 613-944-1692
Facsimile: 613-944-1737
E-mail: [email protected]
A list of key Hemisphere Summit Office contacts is attached as Annex A.
ARRIVAL PROCEDURES AND TRANSPORTATION
Delegations should plan to arrive on Monday, July 5, or at the latest on the morning of
Tuesday, July 6. Upon arrival, the delegations will be met at the MacDonald-Cartier Airport
by officials from the Office of Protocol, Department of Foreign Affairs and International
Trade. A bus will be available for transporting delegates. To facilitate transportation,
participants are asked to bring only one suitcase, one piece of hand luggage and a
briefcase.
Upon arrival, Technical Meeting delegates, with their luggage, will be transported from the
Airport to the Sheraton Ottawa Hotel. The same procedure will be followed for their departure
on July 9 or 10.
VISA REQUIREMENTS
All delegates are advised, well in advance of departure, to contact the nearest Embassy or
Canadian High Commission to ascertain visa requirements for entry into Canada. A list of
the Canadian Missions in the Americas and the contacts appointed to assist conference
participants is attached as Annex B.
Delegates travelling through other countries should ensure that they have the proper visa
documentation required for transit.
AGENDA FOR THE TECHNICAL MEETING
A preliminary Agenda for the Technical Meeting is attached. The program includes planned
meetings, tours and social events. A final version will be available upon arrival.
2
HEALTH
Persons arriving in Canada do not require a health certificate. However, an international
vaccination certificate may be required if travellers are arriving in Canada through, or
returning to, countries where yellow fever is prevalent. Delegates should review their health
insurance before leaving home as health insurance plans provide little or no coverage for
services received abroad unless special provisions are made.
CANADA 1999
Delegates who bring medication, to Canada, that has been prescribed by a doctor should
carry a copy of the prescription or ensure that the medication container displays the
prescription sticker clearly. It is also advisable to carry sufficient supplies of any medication
while travelling.
Any delegate at the Technical Meeting requiring medical services while in Canada, is invited
to contact Hemisphere Summit Office staff. Please see Annex A.
SECURITY RECOMMENDATIONS
The Royal Canadian Mounted Police (RCMP) will be responsible for overall security during
the Ninth Conference of Spouses of Heads of State and Government of the Americas and
the Technical Meeting, as regards transportation, hotels, meeting locations and official
events.
Canada is a safe and stable democracy. Ottawa is a low crime municipality with professional
law enforcement resources (see also page 6 for Ottawa Police telephone numbers).
3
GENERAL BACKGROUND INFORMATION
ABOUT CANADA
CANADA
1999
GENERAL INFORMATION
Canada is the second-largest country in the world with nearly 10 million km². A great part of
its territory is formed by large rivers and lakes, including the Great Lakes, a noteworthy
feature shared with the United States. It has been estimated that Canada has one-seventh
of the world's fresh water.
Canada is composed of 10 provinces and 3 territories, each with its own capital city (in
brackets): Newfoundland and Labrador (St. John's); Prince Edward Island (Charlottetown);
Nova Scotia (Halifax); New Brunswick (Fredericton); Québec (Québec City); Ontario
(Toronto); Manitoba (Winnipeg); Saskatchewan (Regina); Alberta (Edmonton); British
Columbia (Victoria); Northwest Territories (Yellowknife); Yukon Territory (Whitehorse) and
Nunavut (Iqaluit).
The leading Canadian cities are Toronto (4.44 million), Montréal (3.36 million), Vancouver
(1.89 million), and Ottawa-Hull, the National Capital Region (1.03 million).
POPULATION
Canada's population is over 30 million.
LANGUAGE
The official languages in Canada are English and French.
THE GOVERNMENT
Canada is a constitutional monarchy, a federal state and parliamentary democracy with two
official languages and two systems of law: civil law and common law. In 1982, the Charter
of Rights and Freedoms was entrenched in the Canadian Constitution.
THE MONARCHY
Elizabeth 11, Queen of England, is also Canada's Queen. In that capacity, she delegates her
powers to a Canadian Governor-General, appointed by the Prime Minister of Canada.
THE FEDERAL GOVERNMENT
In Canada, the responsibilities of the central or federal Parliament include national defense,
interprovincial and international trade and commerce, immigration, the banking and monetary
system, criminal law and fisheries.
4
THE PARLIAMENTARY SYSTEM
The roots of Canada's Parliamentary system lie in Britain. The Canadian Parliament is
composed of the Queen (represented by the Governor-General), the Senate, and a lower
chamber called the House of Commons. The House of Commons is the major law-making
body. It has 301 members, one from each of the 301 constituencies or electoral districts.
The Canadian Constitution requires the election of a new House of Commons at least every
CANADA 1999
five years.
THE PRIME MINISTER
Jean Chrétien has been the leader of the Liberal Party since June 1990, and Prime Minister
since November 4, 1993. Before being sworn in as Canada's twentieth Prime Minister, he
had held twelve ministerial positions and been an elected Member of Parliament for 27 years.
CURRENCY
Canadian dollars and cents. Bills are issued in $5, $10, $20, $50, $100, $500 and $1,000
denominations; coins are minted in one cent, 5 cents (nickel), 10 cents (dime), 25 cents
(quarter), $1 ("loonies") and $2 ("toonies"). For everyday use, it may be difficult to use any
denomination over $20.00. It is recommended that visitors exchange money at financial
institutions, such as a bank, trust company or currency exchange, to receive the most
favourable exchange rate.
While the currency fluctuates on a daily basis, the equivalency with the American dollar is
approximately 1.45 CAD dollars.
CREDIT CARDS
The following major credit cards are accepted in Canada: Visa, MasterCard, American
Express, and Diners Club. When using a credit card in Canada, the currency conversion
will be carried out automatically.
ATM BANK MACHINES
Most banking cards are widely accepted by the "Interac" system in Canada. As with credit
cards, the currency conversion is done automatically. Machines that use other networks,
such as Plus and Cirrus, are also widely available.
SALES AND SERVICES TAX (GST) AND PROVINCIAL TAX
A 7% Goods and Services Tax (GST) is charged on all items and services throughout
Canada. Visitors may request a refund on short term accommodation (unless travelling for
business purposes) and various personal use items taken home with them.
In addition, the Province of Ontario levies an 8% Provincial Sales Tax (PST) which is not
refundable. The prices indicated on articles do NOT include these taxes, unless there is an
indication to the contrary. A receipt should always be issued for any purchases made.
5
TIPS
Tips or service charges are not normally added to a bill. However, it is customary to give 15%
of the total amount before taxes on any service.
SMOKING
Smoking is prohibited in most public places and in all government buildings. Most restaurants
CANADA 1999
have a smoking section.
COMMUNICATIONS
To contact directory assistance, dial 411.
To speak with an operator, dial "0".
Local calls from pay phones cost 25 cents.
Cellular telephones brought to Canada will not operate unless the appropriate
modifications have been made.
Iridium Satellite telephones will operate from anywhere in Canada.
Prepaid phone cards are available at convenience stores and at the hotel gift shop.
EMERGENCIES
Most Canadian cities have a "911" emergency service. If, for any reason, this number does
not work, simply dial "0" to connect to an operator. Even if you are reporting a medical
emergency, it is best to go through the "911" operator or the police rather than attempting
to call an ambulance yourself. There is no charge for emergency calls placed from public
pay phones.
USEFUL TELEPHONE NUMBERS
Emergencies: 911
Ottawa Police emergencies: 230-6211
Ottawa Police non-emergencies: 236-1222
Operator assistance: 0
Long distance within Canada, USA and the Caribbean, dial: 1 + Area Code + Number
Long distance for the rest of the world, dial: 011 + Country and Area Code + Number
or dial: "0" for operator assistance.
Air Canada: 247-5000
Canadian Airlines International: 1-800-665-1177
American Airlines: 1-800-433-7300
ELECTRIC CURRENT
110 volts, 60 cycles. Electrical appliances using different voltage and/or cycles brought into
Canada will need a transformer and may need appropriate plug adapters.
6
CHARACTERISTICS OF THE NATIONAL
CAPITAL REGION
CANADA
1999
OTTAWA: CAPITAL AND HOST CITY
A cosmopolitan centre where Canada's two official languages and cultures meet and mingle,
Ottawa offers the joie de vivre of a small town. The National Capital Region, which
encompasses Ottawa-Hull, the fourth-largest metropolitan area in Canada, is a vibrant and
growing city strategically located at the centre of Canada's commercial heartland. As
Canada's political capital, and seat of its Federal Government, Ottawa is rich in history and
tradition. It was founded in the early 1800's as a lumber village, thanks to the advantages
offered by the rivers in the area as a communications and supply route. Queen Victoria
chose Ottawa, incorporated as a city in 1855, as the capital of Canada. Ottawa is today a
place of parks, pleasant driveways and bicycle paths. It is as well a dynamic, prosperous and
business-oriented community and a world leader in advanced technology.
The City of Ottawa is the annual host to several cultural events. During the summer months
the City comes alive with music during the Festival Franco-Ontarien, a celebration of
Ontario's French culture, the International Jazz Festival, and Cultures Canada, a reflection
of the Canadian Diversity.
LOCAL TIME
Eastern Standard Time Zone
TEMPERATURE AND SEASONAL CLOTHING
July is the hottest month in Ottawa. Temperatures during the summer range from 22° to
32° C (70° - 90°F), with hot and humid days. We recommend that you bring light summer
clothes, a jacket or sweater for air-conditioned offices and a light raincoat.
WATER
Water is safe to drink everywhere participants will go.
BANKS AND MONEY EXCHANGE
Open Monday to Friday from 9:00 a.m. to 4:00 p.m. Some banks are open on Saturday
morning. Banks at the airport have foreign exchange counters with extended hours.
Travellers' cheques in Canadian or American currency are accepted universally. Some
institutions may charge a small fee for cashing travellers' cheques. The Host hotel can also
exchange cash and travellers' cheques in American funds for Canadian funds. Automated
Teller Machines will also provide local currency. These can be found within walking distance
from the hotel.
OFFICE HOURS
Monday to Friday from 9:00 a.m. to 5:00 p.m.
7
STORES
In general, retail stores are open Monday to Friday from 9:30 a.m. to 6:00 p.m. (until 9:00
p.m. Thursday and Friday), and Saturday 9:30 a.m. to 5:00 p.m. Most large retail stores and
shopping malls are open from noon to 5:00 p.m. on Sunday. Some neighbourhood stores
that sell groceries, small personal items and newspapers remain open in the evenings 7 days
CANADA 1999
a week.
TRANSPORTATION
Transportation will be provided to the participants of the Technical Meeting as follows:
Upon arrival at the airport in Ottawa to the Host hotel
To and from all social events organized by the Hemisphere Summit Office
The hotel is within walking distance from Parliament Hill, but in case of inclement
weather there will be transportation to and from the meeting site.
For any special transportation requirements, please contact the Hemisphere Summit Office.
SPECIAL TRANSPORTATION INFORMATION
Public transportation services in the National Capital Region are provided by Ottawa Carleton
Transpo city buses. The regular fare is $2.25CAD. Information on schedules and routes are
provided at the bus stations, or at (613) 741-4390.
For travel outside Ottawa, there are domestic airline flights, buses and a train station.
There are also many private car-rental companies. There is an efficient taxi system in
Ottawa, and taxis are equipped with taximeters to determine the price of the route. Finally,
there are also radio taxis, which can be ordered by phone. Taxi drivers are usually given a
10% tip.
CULTURAL LIFE AND RECREATION
Ottawa is a cultural centre, with a fine selection of museums and music, dance and drama
at the National Arts Centre. The region has a number of fine museums, many of which are
national museums and hence are large in size and comprehensive in scope. Several are
concentrated within walking distance of one another and within the downtown area.
The following museums are especially worth visiting: National Gallery of Canada (National
collections and contemporary art); Canadian Museum of Civilization (history of Canada);
National Aviation Museum; Canadian Museum of Nature; Currency Museum; National
Museum of Science and Technology; Canadian War Museum; Agriculture Museum; Museum
of Contemporary Photography.
8
There are many interesting places to visit in Ottawa, including Parliament Hill and the
Château Laurier, a distinguished hotel recognizable by its turrets and steeply pitched copper
roofs.
During the summer months, at 10:00 a.m., the Ceremonial Guard of the Governor General's
Footguards, and the Canadian Grenadier Guards, attired in their famous ceremonial
CANADA 1999
uniforms of red tunics, and bearskin caps perform the Changing the Guard on Parliament
Hill.
The Rideau Canal: Conceived after the War of 1812 between Canada and the United States
of America and completed in 1832, the Rideau Canal System's purpose was to secure a safe
supply route from Montreal, Quebec to the City of Kingston, Ontario. This waterway, flanked
by tree-lined drives, is a recreational haven for canoeing, boating, jogging, strolling, biking
or simply for taking a walk. In winter, the Canal becomes the world's longest skating rink,
enjoyed by thousands every season.
The Byward Market: Stretching over several blocks in the downtown area, this market has
existed since 1864. Its neighbouring shops, cafés and restaurants attract people all year
round, creating a colourful and lively atmosphere. The Byward Market still maintains the
tradition of a Farmer's Market. Growers from the region come to the Byward Market to sell
their bountiful produce.
Sparks Street Mall: One of Ottawa's most significant heritage streets. Founded in the early
1800's by Nicholas Sparks - one of the City Fathers of Ottawa, it became one of the thriving
commercial centres in the Ottawa Valley. Today, Sparks Street still offers personal service
with over 150 one-of-a-kind shops and boutiques. In summertime the street is crowded with
people enjoying the sunshine in the numerous cafés and restaurants which populate the
area.
RESTAURANTS
The Ottawa Region offers a selection of restaurants and international cuisine for different
tastes. It also offers a variety of wine selection, including Ontario's own brewing products.
Many of these establishments can be found in the Byward Market area, only a 5-minute cab
ride from the hotel.
CITY OF OTTAWA WEB SITES
For more detailed information about the City of Ottawa, you may visit the following Web sites:
www.tourottawa.org
www.cityofottawa.com
9
SHERATON OTTAWA HOTEL
150 Albert Street
CANADA 1999
Ottawa, Ontario K1P 5G2
Tel: (613) 238-1500
Fax: (613) 235-2723
The Sheraton Ottawa Hotel is located in the Ottawa downtown area, within an 8-minute
walking distance to the site of the Technical Meeting. Other points of interest within walking
distance of the hotel or a short taxi ride are the Rideau Canal, the Byward Market, museums,
and shopping centres.
The Sheraton Ottawa Hotel has a modern infrastructure, accommodations, equipment and
services. Non-smoking rooms are available. The service includes, among others, breakfast
buffet and à la carte, room service, cable TV, air conditioning, safety deposit boxes and hair
dryers. There is also a gift and flower shop located on the main level of the hotel. For comfort
purposes, the hotel facilities also include an Executive Lounge; Restaurants; Lounge; Indoor
Pool; Saunas; Health Centre and Indoor Valet Parking.
The Sheraton Ottawa also provides a Business Centre and a mini-office where you can
utilize a computer, printer and fax machine.
The participants will be provided with the necessary transportation to and from the airport,
as well as to their work locations and scheduled meals. Please note that costs and
arrangements for transportation required during free time will be the responsibility of the
participants. To this end, there are taxis available at the entrance of the hotel.
Each delegation should confirm the number of rooms required to organize the
corresponding hotel services. Rooms will be assigned in the same order as the
registration forms are received.
10
FAX COVER SHEET
NICOLE RABNER
SPECIAL ASSISTANT TO THE PRESIDENT FOR DOMESTIC POLICY
AND SENIOR ADVISOR TO THE FIRST LADY
THE WHITE HOUSE
SECOND FLOOR, WEST WING
WASHINGTON, DC 20502
PHONE: 202/456-7263
FAX: 202/456-2878
DATE:
September 8, 1999
PLEASE DELIVER TO:
Scottie Greenwood
FAX NUMBER:
613-238-8750
NUMBER OF PAGES:
4
(including cover sheet)
As discussed, attached please find the declaration edit we would like the Canadians to make - the small change
to page 1 is important (we had agreed not to endorse specific projects in the context of the declaration).
The comment on page 2 is merely a suggestion - some of the issues listed have "been addressed" to some
extent, but still require additional attention.
The document accompanying this Facsimile Transmission Sheet is intended only for the use of the individual or entity to which it is addressed. This
message contains information which may be privileged, confidential or exempt from disclosure under applicable law. If the reader of this message is
not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any
disclosure, dissemination, copying or distribution, or taking any action in reliance on the contents of this communication is strictly prohibited. If you
have received this communication in error, please notify us immediately at the number above.
DRAFT OTTAWA DECLARATION
We, the Spouses of Heads of State and Government of the Americas and Delegates
gathered in Ottawa, Canada from September 29 to October 1, 1999 for our Ninth
Conference, under the title "Women of the Americas: Agents of Change," in
reaffirmation of our will and determination to contribute to the well-being of the
people of our nations, subscribe to the following Declaration:
1.
We consider that the Conferences of Spouses of Heads of State and
Government of the Americas represent a unique opportunity to foster the
exchange of ideas, build hemispheric cooperation and integrate the efforts of
our respective countries in the fight against poverty and the attainment of equal
rights and opportunities for all.
2.
With the advent of the new millennium, all countries of the hemisphere face
common challenges and share common social goals. We reaffirm our
determination to approach these in a vigorous and integrated way with the
participation, and for the benefit, of all sectors of society.
3.
We firmly believe that it is imperative to focus our efforts on behalf of those
who are the most vulnerable, who continue to face the challenges stemming
from discrimination and inequality.
4.
Building on the existing global and hemispheric consensus on social
development goals, we recognize the achievements that have been gained to
date, the need to consolidate these, and our common desire to move forward
by setting priorities among those social development issues that still require
further attention.
5.
We recognize the need for enhanced participation of civil society, and women
in particular, with regard to measures to advance the political, social, economic
and cultural development of our countries.
6.
We reiterate our commitment to, and recognize the current validity of, the
previous Declarations subscribed to by Spouses of Heads of State and
Government of the Americas.
7.
We continue to work toward the full inclusion and equality of women,
particularly rural women. We salute the significant progress made in
establishing regional and national plans in support of rural women and endorse
the proposed cooperation fund developed for their implementation
1
8.
We continue to strive toward the promotion of better health through
preventive measures, the reduction of violence, and more equitable and
available access to health care. We applaud the achievement of those countries
who have successfully eliminated measles within their borders and encourage
the continued efforts of others to meet our common goal of eradicating
measles throughout the Americas by the year 2000.
9.
We reiterate our support for the promotion of the well-being of women and
children. We recognize that many fundamental issues still need to
addressed, including reproductive health, violence prevention, equitable access
to appropriate health services, and comprehensive early childhood development
programs. Therefore, our themes for this year's conference are: "Women's
Health" and "A Healthy Start: Investing in Children 0 to 6."
10.
We declare our firm intention to continue to raise awareness and mobilize
public support in our societies on behalf of effective local initiatives to prevent
the spread of HIV/AIDS, particularly among women and children.
11.
We accept the universally recognized inalienable and immutable rights of
children to receive love, protection and understanding from their parents and to
freely develop spiritually and socially, independent of cultural and political
circumstances.
12.
We declare our firm support for the improvement of perinatal care and services
through the training of health care providers, strengthened community
participation, and efforts to increase public awareness.
13.
We are conscious that every child has the right to a name and nationality
through birth registration. Therefore, we declare our firm support for the
strengthening of systems to guarantee full, timely, accessible and accurate
registration of children.
14.
We support all efforts to reduce mortality and morbidity among children under
five years of age, due to avoidable diseases and nutritional deficiencies.
15.
In order to secure the right of children to education we support the
development of comprehensive programs for the professional training of early
childhood educators and the strengthening of coordination and information
networks.
2
16.
We recognize the need to educate children in a culture of peace with a view to
preventing violence and enabling them to grow and flourish with values and
principles conducive to a safe and secure environment.
17.
We recognize and extend our sincere gratitude for the invaluable role played by
regional and national non-governmental organizations and international co-
operation agencies in supporting and facilitating the implementation of the
initiatives set forth in this Declaration.
18.
We express our appreciation to the spouse of the Prime Minister of Canada,
Mrs. Aline Chrétien, and to the people and the Government of Canada, for the
kind hospitality extended during our stay.
19.
We accept Haiti's offer to host the 10th Conference of Spouses of Heads of
State and Government of the Americas.
This Declaration is signed in three original languages: English, French and Spanish, in
the City of Ottawa on October 1, 1999.
3
Meeting Agenda
Ottawa Conference
September 2, 1999
1. HRC Participation: September 30, 9:00am - Noon
Speech - children and women's health and disease transmission
Tour of NGO Forum
Embassy-related event? Recommendations:
Reception honoring the Joel Shapiro sculpture for new U.S. Embassy, kicking off
the week of unveiling the new U.S. Embassy to Canada
Meeting/Luncheon with Canadian/U.S. Business Leaders
2. Delegation Head for HRC absence
Options: Hattie Babbit (USAID); Aida Alverez (SBA), Pat Montoya (HHS ACF),
Dr. Chavez (HHS)
3. U.S. NGOs to participate in NGO Forum
(1) Early Childhood: Save the Children, Carolyn Rose Avila, Director for Latin
American and Carribean Progams, Miami, FL: phone 305-463-5321 / fax 305-463-
5324; e-mail [email protected]
(2) Women's Health: TBD
4. Declaration
5. Staffing
SEP-02-1999 18:53
LAC TECH
2022163403
P.02
Ms. Judith Gilmore
Deputy Director
Office of Regional Sustainable Development
Bureau for Latin America and the Caribbean
U.S. Agency for International Development
1300 Pennsylvania Ave., N.W.
Washington, D.C., 20523
CANADA
1999
U.S.A
August 30, 1999
Dear Ms. Gilmore:
NINTH CONFERENCE
I would like to take this opportunity to thank you and Ms. Carol Dabbs for the
OF SPOUSES OF
presentation on maternal mortality at the Technical Meeting in preparation for
HEADS OF STATE
the Ninth Conference of Spouses of Heads of State and Government of the
AND GOVERNMENT
Americas. The material and ideas you presented greatly enhanced the quality
OF THE AMERICAS
of this meeting and the upcoming Conference.
Hemisphere Summit Office (LXD)
Department of Foreign Affairs
and International Trade
During the Technical Meeting, delegates had the opportunity of discussing at
125 promenade Sussex Dr.
Orrawa. Canada KIA 0G2
length the nature and composition of the proposed NGO Fair being organized
Tel: (613) 944-1692
parallel to the Conference. It was agreed that NGOs from the Hemisphere and
Fax: (613) 944-1737
from Canada would be invited to display program information on their
E-mail: [email protected]
activities related to the themes of the Conference. We are inviting international
NEUVIÈME CONFÉRENCE
organizations and Canadian government departments to do the same.
DES ÉPOUSES DES
CHEFS D'ÉTAT ET
DE GOUVERNEMENT
Since the Technical Meeting, we have been preparing a program for NGOs and
DES AMÉRIQUES
International Organizations, to facilitate exchanges on the themes of the
Bureau du Sommet hemisphérique (LXD)
Conference, the projects being endorsed, and to explore potential areas of
Ministère des Affaires étrangères
collaboration. Attached you will find a preliminary agenda that will run
ct du Commerce international
125 promenade Sussex Dr.
parallel to the Conference itself. This program will be open to the advisors of
Ottawa. Canada KIA 0G2
the First Spouses, NGOs, international organizations, Canadian government
Tel: (613) 944-1692
Telec (613) 944.1737
officials and the media (national and international). It would be of immense
Courriel [email protected]
value if you could attend these sessions, and participate in the workshop
discussions on maternal mortality.
NOVENA CONFERENCIA
DE ESPOSAS DE JEFES
DE ESTADO * DE
The United States Agency for International Development is invited to exhibit
GOBIERNO DE
information (table-top display of literature only) at this event. This information
LAS AMÉRICAS
should focus on the themes of the Conference, A Healthy Start: Investing in
Oficina de la Cumbre Hemisterica (LXD)
Ministerio de Asuntos Exteriores y
Children 0 to 6; and Women's Health. Preferably, all information displayed
Comercio Internacional
should be available in English, French and Spanish. At the very least, however,
125 promenade Sussex Dr.
we are asking if presenters would kindly fill out the attached information
Ottawa, Canadá KIA 0G2
Tel: (613) 944-1692
template and have that translated into the three languages of the Conference.
Fax: (613) 944-1737
This information will then be packaged into a catalogue for the benefit of all
E-mail: Danielle. [email protected]
participants at the Conference. During the tour of the NGO Fair that the First
Spouses will undertake each day before lunch, they will have the opportunity,
at a glance, to read the essential information on your organization, and
exchange a few words with the presenters.
Government
Gouvernement
of Canada
du Canada
Canada
SEP-02-1999 18:54
LAC TECH
2022163403 P.03
You also have the opportunity to participate in the afternoon NGO program
through a workshop, multi-media kiosk or other presentation format. This
would allow you to present a more complete package of information on your
organization to NGOs and members of the Spouses' delegations throughout the
Conference.
CANADA 1999
The attached afternoon program includes a series of parallel workshops and
activities. On each day, we propose that three of these workshops focus on the
projects being endorsed by the First Spouses (Day one: early childhood
development, birth registration and integrated management of childhood
illness; and Day two: prevention of domestic violence, maternal mortality, and
prevention of AIDS in mothers and children). The workshops will begin with a
brief presentation of the problem and of the project designed to address it.
I would like to invite you to participate in the discussion on the workshop
regarding maternal mortality. The ensuing discussion will allow participants to
share their related expertise and experiences and to explore other ways in
which they might contribute to the implementation of the endorsed project.
At this time the program is flexible and we are prepared to consider
suggestions for workshops, speakers and other activities. Should you wish to
submit an idea, we would be grateful if you could do so by September 7. For
your information, these workshops will have simultaneous interpretation
available, in English, French and Spanish.
If you wish to participate in the Fair, please contact Minerva Hernandez-Iraheta
at (613)944-0930, for further details. We would also be grateful if you could
complete the enclosed registration form and return it to our office by
September 10. We have a number of blocked rooms in the attached list of
hotels. Following the receipt of your registration form, our office will contact
you with the name of the hotel where rooms are available at that point.
I look forward to hearing from you, and very much hope that you will be able
to participate in this forum.
Sincerely,
Executive Director
Hemisphere Summit Office
SEP-02-1999 18:54
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2022163403 P.04
Ninth Conference of Spouses of Heads of State and Government of
the Americas
Ottawa, Canada, September 29 to October 1, 1999
CANADA 1999
Preliminary Program for NGOs
Thursday 30 September, 1999
THEME 1: A Healthy Start: Investing in Children from Zero to Six
CONGRESS CENTRE (Colonel By Room): NGO FAIR
9:00 to 10:00
Set-up
10:00 to 11:15
Tour by representatives of NGOs, Canadian federal government departments
and international cooperation agencies
60 NGOs from the Americas whose missions are relevant to Theme 1: A Healthy
Start: Investing in children from 0 to 6, Canadian Federal government departments
and international cooperation agencies will present their activities to one another
through table-top displays.
11:30 to 12:30
Tour by Spouses
Spouses will tour NGO Fair.
12:30 to 13:15
Tour by Spouses' delegates
Delegates will tour NGO Fair.
GOVERNMENT CONFERENCE CENTRE
13:30 to 17:00
Internet Café
Main Hall
An Internet Café will be set up to allow NGOs to become more familiar with the
Internet and conduct specific searches on the theme of early childhood development.
Exhibits
Main Hall
Canadian government department and international cooperation agency kiosks.
13:30 to 14:30
Luncheon
An opportunity for NGOs to network and exchange ideas with the international
cooperation agencies and Canadian Federal government departments.
14:30 to 15:30
Workshop # 1- Early childhood development
Workshop # 2 - Integrated Management of Childhood Illness
Each workshop will focus on a project to be endorsed by the Spouses this year. It will
begin with a brief presentation of the development problem, and of the project
designed to address it. The subsequent discussion will allow NGOs to share their
related expertise and experiences and to explore other ways they might contribute to
the implementation of the endorsed project.
15:30 to 16:00
Break
SEP-02-1999 18:55
LAC TECH
2022163403 P.05
16:00 to 17:00
Workshops # 3 - Registration of Children
This workshop will focus on a project to be endorsed by the
Spouses this year. It will begin with a brief presentation of the
development problem, and of the project designed to address
it. The subsequent discussion will allow NGOs to share their
CANADA
1999
related expertise and experiences and to explore other ways
they might contribute to the implementation of the endorsed
project,
Workshop # 4
This workshop will relate to the themes endorsed by the Spouses in the past and
present. Specific workshop proposals from International Organizations, Canadian
government departments and Canadian and hemispheric NGOs will be considered.
NETCORPS presentation and training on Internet
This session will allow interested NGOs to improve their navigation skills on the
internet to access specific resources related to the theme of early childhood
development.
18:30
Departure - Social evening
The Minister for International Cooperation, the Honourable Maria Minna, will host a
reception and dinner in honour of NGOs, international cooperation agencies and
Federal Departments on the 9th floor of the Lester B. Pearson Building, Ottawa.
Friday 1 October, 1999
THEME 2: Women's Health
CONGRESS CENTRE (Colonel By Room): NGO FAIR
8:30 to 9:30
Set-up
9:30 to 10:30
Tour by representatives of NGOs, Canadian federal government departments
and international cooperation agencies
60 NGOs from the Americas whose missions are relevant to Theme 2: Women's
Health, Canadian Federal government departments and international cooperation
agencies will present their activities to one another through table-top displays.
10:45 to 11:45
Tour by Spouses
Spouses will tour NGO Fair.
11:45 to 12:15
Tour by Spouses' delegates
Delegates will tour NGO Fair.
GOVERNMENT CONFERENCE CENTRE
12:30 to 16:00
Internet Café
Main Hall
An Internet Café will be set up to allow NGOs to become more familiar with the
Internet and conduct specific searches on the theme of women's health.
Exhibits
Main Hall
Canadian government department and international cooperation agency kiosks.
SEP-02-1999 18:55
LAC TECH
2022163403
P.06
12:30 to 13:30
Luncheon
An opportunity for NGOs to network and exchange ideas with
the international cooperation agencies and Canadian Federal
CANADA 1999
government departments.
13:30 to 14:30
NETCORPS presentation and training on Internet
This session will allow interested NGOs to improve their navigation skills on the
internet to access specific resources related to the theme of women's health.
Telehealth Presentation
Congress Centre
NGOs, international cooperation agencies and Federal government departments can
view the presentation to the Spouses on Telehealth on a giant screen. This will
include a 10-minute introduction on Telehealth, a 30-minute live demonstration of
telehealth technology as an efficient and effective means of providing health care
services to rural and remote communities, and a 15-minute video.
Workshop # 1 - Peri-natal health and maternal mortality
Workshop # 2 - Prevention of AIDS in mothers and children
These workshops will focus on two of the projects being endorsed by the Spouses
this year. They will begin with a brief presentation of the problem and of the project
designed to address it. The subsequent discussion will allow NGOs to share their
related expertise and experiences and to explore other ways they might contribute to
the implementation of the endorsed project.
14:30 to 15:00
Break
15:00 to 16:00
Workshop # 3 - Domestic Violence
This workshop will focus on one of the projects being endorsed by the Spouses this
year. It will begin with a brief presentation of the problem and of the project designed
to address it. The subsequent discussion will allow NGOs to share their related
expertise and experiences and to explore other ways they might contribute to the
implementation of the endorsed project.
Workshop # 4
This workshop will relate to the themes endorsed by the Spouses in the past and
present. Specific workshop proposals from Canadian government departments and
Canadian and hemispheric NGOs will be considered.
Workshop #5 - Rural Women
Workshop presented by Inter-American Institute for Cooperation in Agriculture (IICA).
Clara Solis-Araya will present the project PADEMUR - Program for Economic
Development for Rural Women, that was endorsed at the 7th Conference of Spouses
of Heads of State and Government of the Americas. The subsequent discussion will
allow NGOs to share their related expertise and experiences and to explore other
ways they might contribute to the implementation of the endorsed project.
SEP-02-1999 18:56
LAC TECH
2022163403 P.07
Ninth Conference of Spouses of Heads of State and Government of
the Americas
Ottawa, Canada, September 29 to October 1, 1999
REGISTRATION FORM
CANADA
1999
Please complete the following form (one form per person attending the
Conference)
and return it before SEPTEMBER 8, 1999 to:
Hemisphere Summit Office (LXD), Department of Foreign Affairs and International Trade
125 Sussex Drive, Ottawa, Ontario, K1A 0G2, Canada
Telephone: (613) 944-0929, Fax: (613) 944-1737, E-mail: [email protected]
(Please print)
First name
Last name
Title
Phone:
Fax
E-mail
Name of Organization
Address (only if different than the invitation letter)
1.
Thematic Focus
Please confirm the day(s) of the NGO program in which your organization is participating:
( ) Day 1: A Healthy Start: Investing in children 0-6; () Day 2: Women's Health;
( ) Both
2.
Programming interests
Please indicate whether your organization is engaged in programming related to the
topics of the international cooperation projects to be endorsed at this Conference:
Early Childhood Development
() Early childhood development; ( ) Registration of children; () Integrated management
of childhood illness.
Women's Health
() Peri-natal health and maternal mortality; () Prevention of AIDS in mothers and
children; () Domestic violence.
3.
Workshop suggestions
There may be some flexibility in the program to accommodate other workshops related to
the themes of the conference. If desired, please propose a topic or speaker for such a
workshop:
4.
Objectives
What are the objectives of your participation in the conference? (Check all that apply)
() To exchange ideas; () To explore potential sources of funding; () To raise awareness
on an issue; () To build linkages with: () other Canadian NGOs; () NGOs from other
countries; () Other:
SEP-02-1999 18:56
LAC TECH
2022163403 P.08
5.
Will you be attending the dinner on September 30, 1999 ?
Yes
No
If yes, you will receive an invitation card with your Conference registration kit.
Please indicate any dietary restriction(s), medical requirement(s), or other special
needs:
CANADA 1999
SEP-02-1999 18:56
LAC TECH
2022163403
P.09
NINTH CONFERENCE OF SPOUSES OF HEADS OF STATE AND
GOVERNMENT OF THE AMERICAS
International Organization Profile
CANADA 1999
NAME:
(CAPITAL LETTERS)
ACRONYM:
Street Address:
City:
Province, State:
Postal Code/Zip Code:
Country:
Telephone: ( )
Fax: ( )
E-Mail:
Website Address:
Contact name:
Title:
Language:
() English
() French
()Spanish
() Portuguese
MISSION
DESCRIPTION OF ORGANIZATION
PROGRAM (S), PROJECT(S) OR ACTIVITIES RELATED TO CONFERENCE
THEMES(Insert examples of programs, projects or activities)
SUCCESSES RELATED TO CONFERENCE THEMES
(Summarize notable results achieved through your programs, projects or activities)
TOTAL P.09
AMBASSADOR OF THE UNITED STATES OF AMERICA
OTTAWA, CANADA
FAX COVER SHEET
To:
Nicole Rabner
WH
Fax #:
807456-2878
Date: 9-22
# of pages including cover: 3
From:
MARYSCOTT GREENWOOD
Office of Ambassador Gordon Giffin
Embassy of the United States of America
100 Wellington Street
Ottawa, Ontario K1P5T1
613-238-5335 ext. 223
613-238-8750 (fax)
E/I
9132388700
: 15:30 : :
SENT BY:US OTTAWA/AMB/POL
DRAFT
MEMORANDUM
(FOR CLEARANCE BY WHITE HOUSE AND EMBASSY)
TO:
Louise Leger, Conference of Spouses of Heads of State of the Americas
FROM:
Scotty Greenwood, Embassy of the United States of America
RE:
Credential/Accreditation Request for Conference
DATE:
Wednesday, September 22, 1999
Per our conversation today, the following is our request for credentialing for the upcoming
Conference of Spouses of Heads of State of the Americas. We are gathering all of the photos
currently, and hope to have them to your office by Monday, September 27. Please let us
know your thoughts.
HEAD OF DELEGATION
1. Hillary Rodham Clinton - - First Lady of the United States of America
2. Aida Alvarez - Administrator, Small Business Administration
DELEGATES
(credentialed throughout conference - listed in priority order. Four will bc invited to certain
social events - Gilmore, Stubblcfield, Peters, TBD)
1. Judy Gilmore - - U.S. Agency for International Development
2. Al Stubblefield Small Business Administration
3. Annette Bongiovanni - U.S. Agency for International Development
4. Staff person TBD - Small Business Administration
5. Robert Rosen ---- White House Lead Advance
6. Gene Price U.S. Embassy - Delegation Control Officer
7. Mary Ann Peters - - U.S. Embassy - - Deputy Chief of Mission
OBSERVERS
(credentialed for Sept 30 only - listed in priority order)
8. Melanne Verver- - HRC Chief of Staff
9. Nicole Rabner - HRC Senior Policy Advisor
10. Marsha Berry - HRC Press Secretary
11. Kelly Craighead - HRC trip director
12. White House Photographer - TBD
13. Eric Woodard - White House Advance
14. Lisa Strasburg - - White House Advance
15. Jack Murray - White House Advance
16. Scotty Greenwood - US Embassy - HRC Control Officer
17. Tom Huffaker - - US Embassy - HRC Deputy Control Officer
18. Dave Burnette - - US Embassy - - Westin Site Officer
19. Sigrid Calandra - US Embassy Congress Cenre. Site Officer
20. Meg Gilroy - US Embassy - Public Affairs Officer
21. Buck Shinkman - US Embassy - - Press Secretary
22. Mark Desone- USEmbassy - Site Officer
Back-Up Back
C 12 # 12025562878;
9132388700
: 15:33 : 6622-6 :
SENT BY:US OTTAWA/AMB/POL
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. memo
[Draft] Scotty Greenwood to Louise Leger re Credential/Accreditation
09/22/1999
P6/b(6), b(7)(C), b(7)(E),
Request for Conference (partial) (1 page)
b(7)(F)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Domestic Policy Council (Nicole Rabner)
OA/Box Number: 15408
FOLDER TITLE:
[First Ladies'] Ottawa Conference [1999]
2012-1035-S
kc1043
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)|
Freedom of Information Act - [5 U.S.C. 552(b)]
P1 National Security Classified Information |(a)(1) of the PRA]
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute ((a)(3) of the PRA]
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information |(a)(4) of the PRA]
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA|
and his advisors. or between such advisors [a)(5) of the PRA|
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
[001]
Memorandum to Louise Leger (continued)
MEDIA
None traveling with HRC
SECURITY
P6/(b)(6), (b)(7)(c), (b)(7)(e), (b)(7)(f)
NGOs
1. Carolyn Rose Avila - Save the Children
€ /£
9132388700
: 15:34 : :
SENT BY:US OTTAWA/AMB/POL
Conference Fact Sheet
The Ninth Conference of Spouses of Heads of State and Government of the Americas is
being held in Ottawa, Canada from September 29 - October 1, 1999.
CANADA
1999
Accommodation
The Hemisphere Summit Office will cover the costs of the Head of Delegation's
suite and two additional rooms per country, either double or single, from
September 28th to October 1st inclusive, and has made provisions for an additional
five rooms for each delegation. This includes room and tax only and does not
NINTH CONFERENCE
include other costs such as telephone calls or room service. Please provide credit
OF SPOUSES OF
card information on the registration forms as requested to secure payment for the
HEADS OF STATE
additional rooms, to a maximum of five rooms.
AND GOVERNMENT
OF THE AMERICAS
The Hemisphere Summit Office will facilitate requests for additional rooms
beyond the eight provided. However, as space is limited, we cannot guarantee
Hemisphere Summit Office (LXD)
Department of Foreign Affairs
that these requests can be met.
and International Trade
125 promenade Sussex Dr
Ottawa, Canada KIA 0G2
Transportation
Tel: (613) 944-1692
The Hemisphere Summit Office will provide transportation for the Head of
Fax: (613) 944-1737
E-mail: [email protected]
Delegation, and all delegates travelling with the Head of Delegation, between the
Ottawa International Airport and the Westin Hotel upon arrival and departure.
NEUVIÈME CONFÉRENCE
Delegation members arriving separately from the Head of Delegation must make
DES ÉPOUSES DES
CHEFS D'ÉTAT ET
individual transportation arrangements.
DE GOUVERNEMENT
DES AMÉRIQUES
Conference Site
Bureau du Sommet hémisphérique (LXD)
The Conference will be held at the Westin Hotel in downtown Ottawa. The
Ministère des Affaires étrangères
et du Commerce international
plenary room is located on the fourth floor of the hotel. Access into the primary
125 promenade Sussex Dr
plenary area will be limited to the Head of Delegation and two delegation
Ottawa, Canada KIA 0G2
members. An observer's area will be available to all other delegates.
Tel: (613) 944-1692
Téléc (613) 944-1737
A photo identification badge will be issued to each delegate (other than Heads of
Courriel Danielle [email protected]
Delegation) and must be worn at all times to allow access to conference venues.
NOVENA CONFERENCIA
DE ESPOSAS DE JEFES
Conference Registration/Information
DE ESTADO Y DE
Registration/Information will be available from September 27th through October
GOBIERNO DE
1st on the third floor of the Westin Hotel in Les Saisons Room.
LAS AMÉRICAS
Oficina de la Cumbre Hemisférica (LXD)
Ministerio de Asuntos Exteriores y
Confirmation Process
Comercio Internacional
Once the registration forms have been received, each delegate will receive a letter
125 promenade Sussex Dr.
Ottawa, Canada KIA 0G2
of confirmation.
Tel: (613) 944-1692
Fax. (613) 944-1737
E-mail: [email protected]
Government
Gouvernement
of Canada
du Canada
Canada
FAX COVER SHEET
NICOLE RABNER
SPECIAL ASSISTANT TO THE PRESIDENT FOR DOMESTIC POLICY
AND SENIOR ADVISOR TO THE FIRST LADY
THE WHITE HOUSE
SECOND FLOOR, WEST WING
WASHINGTON, DC 20502
PHONE: 202/456-7263 FAX: 202/456-2878
DATE:
September 22, 1999
PLEASE DELIVER TO:
Carolyn Rose Avila
FAX NUMBER:
305-463-5324
NUMBER OF PAGES:
9
(including cover sheet)
The document accompanying this Facsimile Transmission Sheet is intended only for the use of the individual or entity to which it is addressed. This
message contains information which may be privileged, confidential or exempt from disclosure under applicable law. If the reader of this message is
not the intended recipient, or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any
disclosure, dissemination, copying or distribution, or taking any action in reliance on the contents of this communication is strictly prohibited. If you
have received this communication in error, please notify us immediately at the number above.
DRAFT OTTAWA DECLARATION
We, the Spouses of Heads of State and Government of the Americas and Delegates
gathered in Ottawa, Canada from September 29 to October 1, 1999 for our Ninth
Conference, under the title "Women of the Americas: Agents of Change," in
reaffirmation of our will and determination to contribute to the well-being of the
people of our nations, subscribe to the following Declaration:
1.
We consider that the Conferences of Spouses of Heads of State and
Government of the Americas represent a unique opportunity to foster the
exchange of ideas, build hemispheric cooperation and integrate the efforts of
our respective countries in the fight against poverty and the attainment of
equal rights and opportunities for all.
2.
With the advent of the new millennium, all countries of the hemisphere face
common challenges and share common social goals. We reaffirm our
determination to approach these in a vigorous and integrated way with the
participation, and for the benefit, of all sectors of society.
3.
We firmly believe that it is imperative to focus our efforts on behalf of those
who are the most vulnerable, who continue to face the challenges stemming
from discrimination and inequality.
4.
Building on the existing global and hemispheric consensus on social
development goals, we recognize the achievements that have been gained to
date, the need to consolidate these, and our common desire to move forward
by setting priorities among those social development issues that still require
further attention.
5.
We recognize the need for enhanced participation of civil society, and women
in particular, with regard to measures to advance the political, social,
economic and cultural development of our countries.
6.
We reiterate our commitment to, and recognize the current validity of, the
previous Declarations subscribed to by Spouses of Heads of State and
Government of the Americas.
7.
We continue to work toward the full inclusion and equality of women,
particularly rural women. We salute the significant progress made in
establishing regional and national plans in support of rural women and
endorse the proposed cooperation fund developed for their implementation.
8.
We continue to strive toward the promotion of better health through
preventive measures, the reduction of violence, and more equitable and
available access to health care. We applaud the achievement of those
countries who have successfully eliminated measles within their borders and
encourage the continued efforts of others to meet our common goal of
eradicating measles throughout the Americas by the year 2000.
9.
We reiterate our support for the promotion of the well-being of women and
children. We recognize that many fundamental issues still need to be
addressed, including reproductive health, violence prevention, equitable
access to appropriate health services, and comprehensive early childhood
development programs. Therefore, our themes for this year's conference are: "
Women's Health" and "A Healthy Start: Investing in Children 0 to 6."
10.
We declare our firm intention to continue to raise awareness and mobilize
public support in our societies on behalf of effective local initiatives to
prevent the spread of HIV/AIDS, particularly among women and children.
11.
We accept the universally recognized inalienable and immutable rights of
children to receive love, protection and understanding from their parents and
to freely develop spiritually and socially, independent of cultural and political
circumstances.
12.
We declare our firm support for the improvement of perinatal care and
services through the training of health care providers, strengthened community
participation, and efforts to increase public awareness.
13.
We are conscious that every child has the right to a name and nationality
through birth registration. Therefore, we declare our firm support for the
strengthening of systems to guarantee full, timely, accessible and accurate
registration of children.
14.
We support all efforts to reduce mortality and morbidity among children under
five years of age, due to avoidable diseases and nutritional deficiencies.
15.
In order to secure the right of children to education we support the
development of comprehensive programs for the professional training of early
childhood educators and the strengthening of coordination and information
networks.
16.
We recognize the need to educate children in a culture of peace with a view to
preventing violence and enabling them to grow and flourish with values and
principles conducive to a safe and secure environment.