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Briefing Book of the First Lady - U.N. Fourth World Conference on Women - September 5-6, 1995 [binder] [4]
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Briefing Book of the First Lady - U.N. Fourth World Conference on Women - September 5-6, 1995 [binder] [4]
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FOIA Number: 2012-0094-F FOIA MARKER This is not a textual record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. Collection/Record Group: Clinton Presidential Records Subgroup/Office of Origin: First Lady's Office Series/Staff Member: First Lady's Press Office Subseries: Lisa Caputo OA/ID Number: 6059 FolderID: Folder Title: Briefing Book of the First Lady - U.N.. Fourth World Conference on Women - September 5-6, 1995 [binder] [4] Stack: Row: Section: Shelf: Position: S 59 1 4 1 Withdrawal/Redaction Sheet Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 001. report re: U.S. Government Report (1 page) 08/31/1995 P1/b(1) 002. report re: U.S. Government Report (1 page) 03/28/1995 P1/b(1) 003. report re: U.S. Government Report (2 pages) 03/14/1995 P1/b(1) 004. report re: U.S. Government Report (1 page) 04/05/1995 P1/b(1) 005. report re: U.S. Government Report (1 page) 04/05/1995 P1/b(1) 006. report re: U.S. Government Report (I page) 06/05/1995 P1/b(1) 007. report re: U.S. Government Report (1 page) 05/13/1993 P1/b(1) 008. report re: U.S. Government Report (1 page) 05/13/1993 P1/b(1) 009. report re: U.S. Government Report (1 page) 08/31/1995 P1/b(1) 010. report re: U.S. Government Report (1 page) 03/29/1989 P1/b(1) 011. report re: U.S. Government Report (1 page) 09/19/1990 P1/b(1) 012. cable re: Minister Resigns (2 pages) 08/31/1995 P1/b(1) 013. report re: U.S. Government Report (I page) 04/11/1990 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act [44 U.S.C. 2204(a)] Freedom of Information Act 15 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 PRA] b(2) Release would disclose internal personnel rules and practices of P3 Release would violate a Federal statute [(a)(3) of the PRAJ 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 PRAJ 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. Withdrawal/Redaction Sheet Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 014. report re: U.S. Government Report (1 page) 05/08/1987 P1/b(1) 015. bio re: Stephen Lewis [Personally Identifiable Information] [Partial] (1 00/00/0000 b(6) page) 016. report re: U.S. Government Report (1 page) 09/23/1994 P1/b(1) 017. report re: U.S. Government Report (1 page) 09/23/1994 P1/b(1) 018. report re: U.S. Government Report (2 pages) 01/06/1995 P1/b(1) 019. report re: U.S. Government Report (2 pages) 08/29/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - [5 U.S.C. 552(b)] PI 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. Clinton Presidential Records Digital Records Marker This is not a presidential record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. This marker identifies the place of a tabbed divider. Given our digitization capabilities, we are sometimes unable to adequately scan such dividers. The title from the original document is indicated below. EVENTS Divider Title: Clinton Presidential Records Digital Records Marker This is not a presidential record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. This marker identifies the place of a tabbed divider. Given our digitization capabilities, we are sometimes unable to adequately scan such dividers. The title from the original document is indicated below. WHO Colloquium "Women & Health Security" Divider Title: WHO COLLOQUIUM - "WOMEN & HEALTH SECURITY" DATE: Tuesday, September 5 TIME: 11:15 am LOCATION: Beijing Commodities Center FROM: Brenda Costello I. PURPOSE To underscore your interest in promoting women's economic security by participating in a colloquium on women's health sponsored by the World Health Organization. II. BACKGROUND In conjunction with the Fourth World Conference on Women, the World Health Organization (WHO) is planning a Women's Health Day on September 5 with four panel discussions on various topics and a colloquium entitled "Women & Health Security" (see schedule attached). The WHO has asked you to give the keynote address in the colloquium, which is a joint WHO/ UN Population Fund activity. The goal of the colloquium is to promote health security for all women, ensure that women have access to quality health care throughout their lifespan, and to reduce the impact of poverty on women's health. In the WHO position paper on the Conference, Dr. Hiroshi Nakajima states, "Sustainable progress will be achieved when women are finally empowered to make free, informed and responsible choices, and assert themselves as leaders in their own right within their societies. Women's health is the surest road to health for all." (Note: The U.S. took the lead in the prepatory meetings of the conference to highlight the comprehensive approach to women's health, not just reproductive health.) The "Women and Health Security" colloquium will be a three-part session, consisting of opening addresses, your remarks, and panel discussion. Both Dr. Hiroshi Nakajima, Director General of the WHO and Dr. Natis Sadik, UN Population Fund (UNFPA) will give opening remarks before you arrive (bios attached). You will arrive to hear remarks by Mrs. Gertrude Mongella, Secretary Genneral of the FWCW, who will discuss violence. Following Mrs. Mongella's remarks, Dr. Nakajima will introduce you. Your address will be followed by remarks and discussion from three panelists: Princess Basma of Jordon and Lady Chalker, the Baroness of Wallasey, who will both discuss poverty and health care (bios attached); and Cindy Robins, an AIDS patient from Canada, who will discuss AIDS as a women's health issue. Ms. Vivian Creegor of the UK is moderating. (Bios to be forwarded.) Note: There is an 18-minute video being shown at the beginning of the colloquium before you arrive. This video, which will focus on threats to women's health, including reproductive health, is apparently somewhat sensationalistic and violent. The audience will be comprised of approximately 450 people, including approximately 200 official Conference delegates, 100-150 NGO members, 20 Chinese government officials, and members of the Press. Topics for the four panel discussions to be held later in the day include: Women, health and education; Women, health and work; Women, health and violence; and Women and AIDS. Secretary Shalala will deliver the keynote address at the panel discussion on "Women and AIDS" that evening. WHO The World Health Organization is an intergovernmental organization with 166 Member States within the United Nations System, whose mission is the attainment by all people of the best possible level of health. The WHO has two main constitutional functions: (1) to act as the directing and coordinating authority on international health work; (2) to encourage technical cooperation for health with member states. Headquartered in Geneva, Switzerland, WHO has six regional offices and committees. In 1981 the World Health Assembly, the annual meeting of delegates from all Member States, unanimously adopted a Global Strategy for Health for All by the Year 2000. The focus of the Strategy is to develop a health system infrastructure to ensure resources for health will be evenly distributed, and that essential health care will be accessible to everyone with full community involvement. The WHO's position paper for the Fourth World Conference on Women outlines the challenges the health community still faces in securing the health of millions of women around the world, and points to both progress and setbacks in women's health since the Nairobi conference on women in 1985. (executive summary attached). III. PARTICIPANTS Dr. Hiroshi Nakajima, M.D., Ph.D., Director-General, WHO Mrs. Gertrude Mongella, Secretary General, FWCW Dr. Nafis Sadik, Executive Director, UNFPA Panelists and Guests Dr. Aleya El Bindari Hammad, Exec. Administrator for Health Policy in Development, WHO Princess Basma Bint Talal, Jordan Ms. Cindy Robins, Canada The Baroness Chalker of Wallasey, UK Ms. Vivian Creegor, UK Dr. Nafsiah Mboi, Member of Parliament, Indonesia Mrs. Nana Konadu Agyeman-Rawlings, First Lady of Ghana-TBA Ms. Amparo Claro, Chile Mrs. Maria Pia Fanfani, Italy -TBA IV. SEQUENCE OF EVENTS SEE TRIP BOOK V. PRESS Open press. VI. REMARKS Prepared by Lissa Muscatine. ORGANISATION MONDIALE DE LA SANTE DR HIROSHI NAKAJIMA DIRECTOR-GENERAL OF THE WORLD HEALTH ORGANIZATION Biographical Note Dr Hiroshi Nakajima, Director-General of the World Health Organization, was born in Chiba City, Japan, on 16 May 1928. He obtained his medical degree at the Tokyo Medical College in 1955 and he holds a postgraduate degree in medical science. In 1984 he was awarded the Kojima Prize, the highest award given in Japan for achievements in public health. Shortly after graduation Dr Nakajima began his training in neuropsychiatry, first as a junior physician in the Department of Neuropsychiatry, Tokyo Medical College, and later, as a postgraduate fellow supported by the Government of France, in the Department of Neuropsychiatry, Faculty of Medicine, Paris University, and in the Institute of Pharmacology of the same university where he received practical training in pharmacology. From 1958 to 1967 he worked as a scientist at the National Institute of Health and Medical Research Paris, carrying out research in basic and dinical neuropsychopharmacology and finally, as principal scientist, supervising research activities in the neuropsychopharmacological unit of the Institute. In 1967 he returned to his home country as Director, Research and Administration, Nippon Roche Research Centre, Tokyo. Between 1967 and 1973 he became internationally known in the field of pharmacology and neuropsychiatry and contributed, as an expert nominated by his government, to a number of WHO activities. Dr Nakajima joined the World Health Organization in January 1974 in the position of Scientist, Drug Evaluation and Monitoring. He became Chief, Drug Policies and Management unit in 1976. It was in this position that he played a key role in developing the concept of essential drugs, as Secretary of the first Expert Committee on the subject. In 1978 the WHO Regional Committee for the Western Pacific, at its twenty-ninth session, nominated Dr Nakajima as Regional Director; he was appointed to that office by the WHO Executive Board at its sixty-third session in January 1979, and he took up his duties as the Region's third Director on I July 1979. On the nomination of the Regional Committee he was reappointed by the Executive Board for a further five-year term from 1 July 1984. In May 1988, while still in office as Regional Director, he was appointed Director-General of the World Health Organization by the Forty-first World Health Assembly. He took up his duties as the Organization's fourth Director-General in July 1988. In May 1993 the Forty- sixth World Health Assembly elected Dr Nakajima to a second term of office as Director- General for five years from July 1993. Dr Nakajima is the author of scientific articles and reviews relating to the medical and pharmaceutical sciences, published in the English, French and Japanese languages. He is married to Martha DeWitt Nakajima and has two sons. P ' 2 2026078602 'ON XVG STATE DEPT WASH DC 10/T SEP- 1-95 FR: 9:11 BIOGRAPHY OF DR A. EL BINDARI HAMMAD Dr Aleya El Bindari Harnmad currently holds the position of Executive Administrator for Health Policy in Development (HPD) in the World Health Organization. In this capacity she is responsible for health policy analysis, particularly relating to the effects of development policies and economic strategies on the health status of populations. From this analysis, health policy advocacy is carried out to provide imput to the UN system and to casure the promotion of WHO's health policies in the work of relevant agencies, organizations and bodies. A seminal part of this work is carried out under the muspices of the WHO Task Force on Health in Development, of which Dr Hammad is the secretary. Dr Hammad is responsible for work on women's issues at a pulicy level, both within and outside the Organization. In this capacity, Dr Hammad is Secretary to the WHO Global Commission on Women's Health Her functions also encompass work on human rights and health where WHO provides support to Member States and the UN system in the review. design and monitoring of instruments and practices in the field of health to protect and promote health-related human rights. As focal point for treaum rights, she represented the Organization at the World Conference on Human Rights (Viema, June 1993). Dr Hammed has a wide range of experience in public health and education. Her qualifications include a Masters degree in public health administration and a Ph.D. in education (health and social anthropology) from Boston University, and post doctoral studios at Harvard University, working with culturally deprived children in the USA. Her ploneering work in the infancy of primary health care led to her appointment to the WHO programme responsible for primary health care, in Geneva. She participated in the preparation of, and attended the International Conference on Primary Health Care held in Alma-Ata in 1978. Dr Hammad's extensive knowledge and experience of the linkages between health status and the development process led to her being responsible for intersectoral action for bealth. During that time she was Secretary of the Technical Discussions held during the Thirty-Ninth World Health Assembly in 1986, which were co-sponsored by the United Nations, FAO. UNESCO, and the United Nations Environment Programme (UNEP) and Habitat. She has also been designated as the Secretary for the Technical Discussions, in May 1992 on the theme of Women, Health and Development, a responsibility she has retained in her present position. She is also the focal point for human rights and represented the Organization in the International Conference. Dr Harninad is married and has two children. 80 'd FAX NO. 2026478902 1/01 00 HSAM DEPT STATE SEP- 1-95 FRI 9.45 WORLD HEALTH ORGANIZATION INFORMATION IC/95/64 CIRCULAR No. 64 20 July 1995 Distribution: HQ + RO ORIGINAL: ENGLISH HEALTH POLICY IN DEVELOPMENT (HPD) The Director-General is pleased to announce the appointment of Dr Aleya El Bindari-Hammad, formerly Adviser on Health and Development Policies, as Executive Administrator for Health Policy in Development (HPD), with effect from 21 July 1995. The responsibilities of Health Policy in Development, which will report direct to the Director-General, include the following: I Health in socio-tconomic development policies Secretary of Task Force on Health in Development and Global Commission on Women's Hemlth; Promoting leadership for health: health policy analysis including intersectoral development policies; health aspects of socio-economic development. - Health policy adveracy Input to the UN system; ensuring the promotion of WHO's health policies in the work of relevant agencies, organizations and bodies. - Human rights and health Support to Member States and the UN system in the review, design and monitoring of instruments and practices in the field of health to protect and promote health-related human rights. knid 2029478602 'ON FAX STATE DEPT WASH DC :O/T SEP- 1-95 FRI 9:16 Nafis Smith, M.D. Under Secretary General United Nations Population Feed 220 East 42nd Street New York, NY 10017 Tele: 212-297-5111 Fax: 212-297-4911 Dr. Nafis Sadik, born in Pakistan, is the recipient of numer- ous prestigious awards for her numerous contribe- tions to advancing the cause of women and to alleviating problems associated with population growth. She was the first woman Director-General of Pakistan's National Family Planning Program, and as Executive Director of the United Nations Population Fund with the rank of Uader-Secretary-General, is the first women in the history of the United Nations to head one of its major voluntary pro- grams. Dr. Sadik, as Secretary-General of the International Conference OR Population and Development (ICPD) successfully con- cluded in Cairo in September 1994. was most instrumental in focusing world atten- tion on the urgent need to collectively address the critical challenges and interre- lationships between population and devel- opment. 90.'d 'ON FAX 1/01 00 HSVM DEPT STATE 91.6 RRI 96-1 -238 Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 001. report re: U.S. Government Report (1 page) 08/31/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady U.N. Fourth World Conference on Women, September 5-6, 1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act [44 U.S.C. 2204(a)] Freedom of Information Act - - 15 U.S.C. 552(b)] PI 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) h(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] h(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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 002. report re: U.S. Government Report (1 page) 03/28/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - [5 U.S.C. 552(b)] PI 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 PRAJ 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 PRAJ 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. 4:45 pm 6.15 pm 6:30 pm - 830 pm PANEL DISCUSSION PANEL DISCUSSION FOURTH WORLD CONFERENCE ON WOMEN Women, health and violence Women and ANDS (A World Health Organization adtivity in (A World Health Organization activity in collaboration with the Centre for Human Rights) collaboration with UNAIDS and the NGO Coaltion) MCC Keynote address: HE Ms Specions Wardera Keynote address: Dr Donna Shalab, USA* Kazibwe, Uganda* Special guests: Dr Hilary Homars, UK World Health Organization Special guests: Mrs Marie Pia fanfani, Italy* Ms Volanda Simons, Trinidad Dr Radhika Coomaraswarry, Ms Cindy Robins, Canada Sri Lanka Professor Hakima Himmich, Mrs Esoledad Alvear, Chile* Morocco Mrs Joyce Kadandara, Mrs Ncerine Kaleeba, Ugands Invitation to Zimbabwe Dr Adepeju Olukoya, Nigeria Ms Joan Dunlop, USA Dr Mabel dianca, Argentina Mrs Patrida Giles, Australia Moderators: Dr Nafsiah Mool Indonesia Women's HOOTCHN HOC CHII Dr E. Maxine Ankrah, USA Challenges To recognise the impact of all forms of violence on Challenges Health women's health To reduce womens vulnerability to HIV/AIDS and To adopt strong measures fo: reducing violence increase their ability to protect themselves against against women HIV infection To promote health and support services for women To recognize gender disparity as a root cause of Day who are subjected to violence women's disproportionate vulnerability to HIV infec- To ensure th at penal or criminaljustice systems pro- tion vide comprehensive legal protection against all forms To recognize and build on the strength generated Tuesday S September 1995 of violence, including those perpetrated against through partnerships, in particular with men, in Securities Exchange Building - 95 11:21 FAX 7914869 women during periods of war and conflict combatting the AIDS pandemic opposite BICC TO generate self-empowerment of women through Outcome colective action and solidarity in order to develop net- A call for a stop to violence against women works and services for women by women Outcomes A call for unity of action to achieve greater effec- Addresses and presentations tiveness, revitalisation of curent efforts in the fight will be delivered by against HIV/AIDS distinguished personalities A commitment from delegations, NGOs and other agencies to address the pressing issues of HIV:AIDS through specific initiatives ALL DELEGATES TO THE CONFERENCE AND NGO FORUM Refrashments will he served ARE WELCOME to the confirmed " be confirmed I 000 10:00 am - 1:00 pm 1:15 pm - 2.45 pm 3:00 pm - 4:30 pm PANEL DISCUSSION PANEL DISCUSSION COLLOQUIUM Women and health security Women, health and education Women, health and work (A jo nt World Health Organization (A World Health Organization activity in 5 World Health Organization activity in Unted Nations Population Fund activity) çollabor ation with the United Nations Educational coll aboration with the International Labour of ke) Sdentific and Cultural Organization) Opening addresses: Dr Hiruchi Nakajima, WHO Opening address: Mr Federico Mayor", UNESCO Keynote address: HE Mr Assane Diop, Senegal Mrs Gertruce Mongella, Rigio Keynote address: HE Mr Julius Nverere, Tanza na Special guests: Dr Kaisa Kauppinen- Toropainen. nbrd HWCW Cr Natio Sacik, UNFPA BIO Special guests: HE Mrs Surance Mubarak, Ms Cecilia Lopez, Colcmbia Egypt Mrs Ela Bhatt. India Keynote address: HE Mrs H Bary Rocham Ms lane Fonda USA' Dr Florence Manguyu, Kenya Clinton, USA' Mr Shanker Chowdhury ndia Mrs Noel Invin-Hentschel*, Dr Ann Kerwin, USA USA Special guests: HRH Princess Basma Bini lalal, Jorcan Challenges Challenges Dr Natsiah Mboi, Indonesia o improve health by ensuring access toeducation! To maximise the opportunisies for women to safe- "Ho DCH The Ft Hon The Baroness information for girls and women guard their health in the work envirun nent Chalker of Wallasey LK* To develop a culture for health which states that To build on positive experiences of delegates in their HE Nara Konadu Agyeman- health education is an integral part of primary and CAVE. work emironment "FOIT" which lessons car le Rawings. Ghana* secondary education drawn for der appication Ms Amparo Claro. Chie b reduce the inecuities in employm ent condit ons Mrs Maria Pia Fanfani, Italy* Outcome for women especially during periods cf crisis Ms Cindy Robirs, Canada Commitment by the international community to educating girls and women, and to including health Outcomn Moderator: Ms Vivan Creegor, UK in the education core curriculum, as one of the most Recommendations for the protection and promo- powerful means for achieving the objectives of ton of women's health in all work environments, Challenges development formal and non-formal To promote health security for all women To ensure that women havearcess to quality health care through out their life span, Including reprodul- live health services during their reproductive years To recuce the impact of poverty OR worner's health Outcome Commitment to equity, development and peace as basic requirements for women's health security recorded to (e or hered , K. be commed WHO/FHE/95.9 5 Original: English Discr: General WOMEN'S HEALTH Fourth World Conference on Women Beijing, China 4 - 15 September 1995 World Health Organization Geneva, 1995 PAPER 78107266 3013 & 70:81 98. 20/93 Acknowledgements This document IS based on contributions from WHO Regional Offices, WHO Headquarters, and experts in the field of women's health and development around the world. WHO would like to thank the numerous coileagues who contributed to, and critically reviewed, the document at different stages. WHO wishes to express its gratitude for the generous contribution of the Carnegie Corporation which made the development of this document possible. General Editor: Dr A L Waddell, B.Sc.. Ph.D. Design: Threefold Design. Oxfordshire, UK. Printer: Lynx Offset Limited, Oxfordshire, UK, This document has been printed on 5-star ecofriendly paper which is totally chlorine-free. Photo credits: Cover: WHO/UNICEF/D. Budd-Gray Preface: WHO/T. Farkas Page 3: UNICEF/J Schytte Page 4: anon Page 6: P. and M. Marechaux Page 8: anon Page 10: WHO/E. Rice Page 15: anon © World Health Organization 1995 This document is not a formal publication of the World Health Organization (WHO) and all rights are reserved by the Organization. The document may, however, be freely reviewed, abstracted, reproduced and translated, in part or in whole, but not for sale nor for use in conjunction with commercial purposes. The views expressed in documents by named authors are solely the responsibility of those authors. bee D 79107466 04122 18:02 96 29/08 rrelace IV Introduction 1 PART I: Why women's health? 4 PART II: What factors affect women's health? 6 Poverty and other economic factors 6 Luck of personal and social status and opportunities 6 Demographic factors 7 Harmful practices - female genital mutilation 8 Lack of access to health care 8 Part III: What are the major issues in women's health today? 9 Nutrition 9 Reproductive health 9 Work-related and environmental health hazards 12 Communicable diseases 12 Noncommunicable diseases 13 Substance abuse 13 Mental health 13 Violence against women 14 Part IV: The role of WHO in women's health 15 Towards better health for women 15 The work of WHO 17 Regional achievements 17 WHO - closing the gap 17 iii WHO 4 5 Table of contents Preface iz. Preface We are not ssking for privilages for wemen. All we are saying is that equitable care is not identical care, particularly where physiological differences obviously call for specialized health services. Sustainable progress will be achieved when women are finally empowered to make free, Informed and responsible choices, and assert themselves as leaders In their own right within their secieties. Women's health is the surest road to health for all. Dr Hiroshi Nakajima Director General of the World Health Organization The 1995 Fourth World Conference on Women provides us with an opportunity to draw attention to the challenges now facing the health community as it strives towards promoting - and ensuring - the health of women everywhere. In many ways we have come A long way since the beginning of the United Nations Decade for Women (1976-85). And yet we find ourselves faced with the same obstacles to progress recognized then. Poverty, inequitable relationships between women and men, women's urequal access to health care and education, and social and cultural factors that discriminate against girle and women still prevent the attaining - and maintaining - of health for millions of women around the world. IT' 300 & 22110 Introduction People generally accept the level of health and well-being that their society defines 36 Box 1: Women speak out on health appropriate for them. This has implications for women, who often consider themselves "What we need most for our health.' said a "healthy" as long as they can fulfil the roles group of women in a village not far from expected of them. Millions of women around the Bangalore, "is & rabbit-raising project We globe, suffering from mainumition, anaemia, could sell the meat and pelts and have a few extreme fatigue, chronic pelvic inflammations, rupees to spend the way we want: for food, and much more, will describe themselves as or a daughter school fees" In a Nepalese being "in good health" as long as they can get up village, the wamen had another des: What in the morning, do a day's work, and cope with we really need for our health is a bridge household chores and Family obligations across that gorge It would cut bird hours off the trip for firewood Historically women's health has been largely defined by family and community interpretations With A nudge from women themselves, of culture and tradition. and by a medical many societies are getting better at listening profession in which men are the main decision- to women and looking at the wor through makers. In addition, the resources required to toomen's eyes, to paraphrase the theme of the ar hieve and maintain health have for too long 1995 NGO Forum on Women. This is a been denied to individual women. The definition healthy addition to the long prevailing of health applied to a man - and the resources predaminantly male viewpoint which has allocated for this - have been influenced by social often been accepted as applying to all To perceptions of women S status and role, which in look at the world Hunduen turn interact with class, caste, race and ethnicity. women is to bring hiddert the open It suggests different priorities and? Many women accept ill-health as their lot in life. alternative often ignoring painful and debilitating symptoms because in their culture is women is expected to endure without complaint: or because taboos and to use as they wish, or if they want a better work mvths have led them to believe that their health environment then they are in fact defining health problems stem from some sort of reproachable in their own terms. and explaining what is behaviour on their part; or simply because they important to their physical, mental and social have no alternative well-being. Such views are by no means universal, however. When WHO adopted the goal of Health for All Women and women's groups in all parts of the by the year 2000, it again underscored its world. increasingly supported by men, are commitment to working for the health and well. formulating their own interpretations of what being of all people. especially those most in need health means in the context of their own lives For and in danger of being marginalized. We need to many women it means not only physical well- reaffirm that human rights and the goal of Health being, but also exercising more control over their ior All apply equally to women lives and relationships and having the For many years It was assumed that the information and resources to take responsibility differences between mon's and women's health for their own health and that of their family - in must flow from the biological differences short. it means having choices. When women between women and men. Consequently, themselves are asked about health what they attention was focused on this aspect of women's have to say comes as a challenge to health system health, namely pregnancy. childbirth and planners. The needs women express at first may women's role as mothers. Other major differences seem only indirectly related to health - see Box 1 in It e lives of men and women received little But If they say they want resources of their own attention from the health sector 1 900 69122 7910746 90:81 OF In fact, women have health needs above and civilians, especially women. The extent of this beyond those related to pregnancy and large-scale public violence - and the domestic motherhood. Their health problems take different violence that many women experience In their forms at different stages of their lives. and in daily lives - is only now becoming apparent. different parts of the world. in some areas, Violence is one of the major health concerns women may die because they do no: have access for women today. TO services, or because services connot provide The primary health care approach (PHC) - with the basic skills, technology and equipment they its emphasis on community participation - need, while in other areas they may suffer from enabled many women to take part in discussions over-medicalization and inappropriate use of of local health issues for the first time. The United sophisticated technologies. In both cases the Nations Decade for Women (1976-85) spurred an needs and well-being of the women concerned increase In local women's groups, including are not being given adequate consideration. those addressing health issues. These groups Although the problems are different, many of have grown in number and size, become more the dynamics that lead to inequities in health organized, and are now in touch with one for women are much the same everywhere. another through various national and These are derived from the generally low status international networks. Today the women's of women legally. economically and socially; health movement, in all its diversity from the from the Imbalance of power in relationships grassroots level to international gatherings, has a which limits women's choices and ability to significant influence on policies and programmes protect their own health; and from the world's affecting health and development indifference to the abuse and neglect of women. In any review of women's health the spread of Progress in some areas of women's health has the HIV/AIDS pandemic must also be taken into been mixed with setpacks in others. There have account. The pandemic has had " truly disastrous been three very positive developments with effect on the lives of both men and women. regard to women's health since the Nairobi However, it has made possible a far more public conference on women in 1985: discussion of topics that have previously been difficult to address in a frank and open manner: a return 10 the emphasis on health as a human for example, sexuality, human rights issues right. and renewed interest in the broad related to sexual and reproductive health, and the definition of health inequality between women and men in increasing use of gender analysis in health relationships. The rapid spread of HIV infection issues has forced the world to look more carefully at the intensified activism on women $ health. to the differences in men's and women's experience point that one 100 finds groups of people with health and illness, and to look at the many everywhere, men and women. advocating and different factors limiting women's ability to working for the fundamental changes in protect themselves from ill-health. IIIV/AIDS society that will lead to better health for provides many insights into the ways in which women. gender issues can interact with biological factors Two overall developments in the past decade to the detriment of women's health. have however had : significant and adverse Women's health is A fundamental human right impact or women's health: and must clearly be promoted as such. The health First, the late 1980s and early 1990s brought of women is moreover a crucial determinant of severe economic difficulties and painful social and economic development - a point that economic transitions in several areas of the the World Health Organizatio contin uously world. in many countries, the already meagre emphasizes. health and social vice budgets, including Women are the comerstones of the family and those allocated for women's needs, were slashed. As a consequence, the quality and assume responsibility far many of its most vital accessibility of services deteriorated even functions not only in regard to health and further. aducation, but also is food production and income Secondly in mary places ethnic conflict. civil generation Therefore the health of women is 8 wars and uprisings have further disrupted prerequisite for the beatth of the whole family and. health and social service systems, with much by extension. of communities and societies. of the violence having been directed at 2 1007 7810766 STILL 80/93 Human development. indeed human survival, enhance a woman's personal health and well- would be impossible without the contributions being but also contribute to the development of that women make, often at the expense of their a nation's human resources." Investing in own health Women and men both could make women's health leads directly to women additional contributions to human development making personal choices they could not make if they were to enjoy full health. Health for All is otherwise, and helps them to be more effective, not an achievable goal until millions more whatever the mles they chonse to play, women are empowered to promote and whatever the tasks they undertake. safeguard their own health, and consequently their own development Women - when provided with a supportive and enabling environment - can improve their own Investing in programmes that benefit women is health and that of their families and one of the most cost-effective development communities, often in the face of many hardshipe strategies. whether it be investing in women's and constraints. The time is long overdue for an health, or their education, or supporting them acceleration of action on policies and in income-generating activities. There is a programmes that are truly supportive of women synergy in these investments - they not only in this endeavour. Health Portnation and Development - WHO Position Paper World Health Organization Geneva, 1994 Prepared for the International Conference on Pepulation and Development 1994 Cairo. investing " health world depelopment report 1993. The World Bank. 3 800 78107766 2212 10:81 ge 80/98 PART I Why women's health? Women $ health matters - to women themselves, Collecting information on women's health to their children and families, to their permits a better understanding of their needs communities, and to society as a whole The and concerns. It is not enough however to pervasive neglect of women. their inferior social, simply collect data - women's health problems economic and cultural status, their exclusion need to be analysed from the perspective of from so many aspects of human development - women because they suffer from diseases and education. access to resources. political power - conditions that: and their specific biological needs and functions, affect women and men differently have historically meant that women could not are unique or more prevalent in women take good health as a given. For many women in are more serious in women or among some large parts of the world, life is conditioned by groups of women poor health and inadequate access to the benefits have different risk factors or different health care can bring. exposure to risk for women and men In addition to the adverse effects on women require different interventions for women themselves, women's ill-health has a broader and men. societal impact: During the last few decades there has been an on children and families - malnutrition and ill- evolution in programmes addressing women and health in mothers can initiate a cycle of ill-health health. due in large part to a significant shift in the next generation, as many of these women which is occurring in the way women are will bear low-birthweight babies whose future viewed: growth, development and nutrition will be Women as childbearers - initially, women were jeopardized from the start. viewed primarily as beneficiaries in need of on household income and national productivity specific services for themselves and their babies - women are an increasing proportion of the during pregnancy and childbirth. Another area of formal labour market, apart from their attention was family planning primarily as a participation in food production for household means of reducing fertility and thereby slowing consumption - calculated at 80% in Africa - and population growth. In both cases, women's the informal markets. Malnutrition and lack of health tended to be seen as a means to an end health among women undermines their income- rather than an objective in itself. carning capacity, which is even more serious Women as mothers and care givers - women when one notes the growing proportion of have been seen as guardians of family health and female-headed households. health care givers, with the emphasis on primary 4 600 SK/0181 3714 30:81 9A 80 11 health care. This persp ective puts the emphasis The empowerment of women is a fundamental on women as people in need of information, prerequisite for their health. This means training and support so that they can contribute promoting increased access for women to 10 the health of others resources, education and employment and the Women as individuals with multiple roles, protection and promotion of their human rights needs and potential - this more holistic. gender- and fundamental freedoms so that they are oriented approach looks at women in all their enabled to make choices free from coercion or roles and relationships. across the life span, in all discrimination. Women will necessarily remain at : the contexts that may attect their health. It helps the focus of health activities, but efforts should identify the social and cultural determinants of increased to factlitate their involvement in health, notably relations between the sexes. This programme development BC that they become type of analysis has already provided new participants in, rather than objects of. health insights as to why good health eludes so many Interventions. Women's contribution to human women. However, there is much still to bc donc, development must be reflected in their ability to both to learn more and to translate the share equally in the benefits development can knowledge into programmes and action that will bring. Women's health is an issue that concerns make D difference in the lives of women. everyone - women and men and the generations of tomorrow Due largely to action on the part of women themselves, the decide since the pres ous world conference on women held in Nairobi in 1985 has Bux 2. Spotlight 011 gender brought an increased public awareness of women's health issues. Perhaps even more WHO, in applying a gender approach to health, moves important is the widening of perspective from beyond describing women and wamen's health in looking at women and health in isolation to a isolation, but rather brings into the analysis differences wider appreciation of gender issues" between women and mer. It examines how these SEC Box 2. In the health sector such widening of differences determine differential posure to risk, perspective has contributed to an improved access to the benefits of technology and health care, understanding of the many interactions between rights and responsibilities, and control over their Irves. women's health and socioeconomic In practice, a gender approach leads to: development. It has also helped to reveal the More consideration of all thefactors that affect diversity of needs amongst women, and the women's health, not only mological factors, but constraints that they face in addressing them. social and economic status, cultural invironmental The word "gender" is used to describe those familial, occupational and political factors characteristics of men and women which are Moreattention to all Women's roles, not miy aus socially constructed, in contrast to those which wives and mothers are biningically determined. More attention to the mies to and responsibilities of men, and the inequaliti between men and women, People are born female or male, but learn to be with any examination perspectives girls and boys who grow into women and men. and beliefs in relation to women's health concerns. They are taught what the appropriate behaviour More involvementol men in bringing about change and attitudes, roles and activities are for them, Listening towhot wanted have to say about health and how they should relate to other people. This and what 3.1.1 to know about f. rather learned behaviour IF what makes up gender than simply information to women identity and determines gender roles.' that the voices of Gender is a dynamic concept which looks at the women 22 health issues and in system termed by the interrelations between men carrying out, and monitoring and women. These vary from one culture to the responsed another. and from one social group to another More attenhier to the entire duration of a women's within a culture. But in practically all cultures the life, from birth to death-health for everyone is a role of women is subordinate to that of men. The cumulative matter. gender approach highlights the need for more Greater recognition and support of women as active equal relationships between men and women in participants in the development of health care for all matters. in order to fully address women's themselves, their families and communities health problems. ; The Oxam Gender Trummy Memail. S. Williams. with] Seed and A. Mwau. Oxlam UK and Ireland. 1994 5 SIGE 91/018/ PAIRI op 86/97 12. PART II What factors affect women's health? Poverty and other economic factors health care if a family cannot afford the costs of medication or transport, or if a women cannot The statistics about women and poverty are all afford to take time off from paid work to visit a too familiar by now- the majority of the 13 health facility. billion people living in extreme poverty are women; women are more likelv to be poor than Still, the correlation between poverty and poor men, in all areas of the world, households headed health for women is not a direct one. Economic by women (between 10% and 27% in developing growth does not necessarily guarantee better countries) are more likely to be poor than those health or higher status for all women because the headed Ly men. benefits are not equitably distributed. Indeed, in general the health gap between rich and poor The relationship between women and poverty appears to be widening. A deteriorating tends to be the same, whether one looks at urban economic situation can create severe health risks or rural women, or whether the data come from for women even when they do not live in extreme developed or developing nations People living poverty. Ax the world has learned in recent years. in countries with a low ranking on the scale of women remain more vulnerable to adverse human development invariably suffer from economic trends than men, especially in times of several combined forms of vulnerability in rapid social, economic and political change relation to health. knowledge and education, purchasing power and income-earning capacity. Lack of personal and social status Poverty often means that people exist on and opportunities insufficient food or the wrong kinds of food. For The status of girls and women in society, and women. when this is combined with childbearing how they are treated or mistreated. is a crucial and a staggering workload. it often leads to determinant of their health. Educational serious mainutrition. Poor women are more opportunities for girls and women affect their likely to live in crowded. unsenitary housing status and the control they have over their own with an inadequate water supply Poverty and lives, their health and their fertility in a powerful gender-dehned roles limit access to education, way. Equal opportunities for women in other especially for girls, narrowing their possibilities areas of their lives- for example in the judicial. for future employment and denying them the legislative, educational and employment sectors opportunity to break out of the cycle of poverty - would also directly promote and protect their and ill-health Poverty limits access even to free health and well-being 6 WHO FHE/95 7311 11:81 of 80/97 The generally subordinate Status of women has who have no access to primary schooling are an impact on their health in many ways: girls. Findings prepared for the World Conference on Education for All suggest that the Legal status - laws and customs about land more education girls and women receive, the ownership, inheritance. marriage or divorce chot greater the likelihood that they will seek prenatal discriminate against women need to be revisited care during pregnancy and that they will be Women should not be economically dependent attended by trained health personnel during the upon men or left entirely without resources of births of their children. Although the relationship their own since this would have a very negative IS not uniform, fertility rates generally decrease effect un their health and nutrition, and that of as the proportion of women wiw attend school their children, and other family members for increases. Improving the health and weil-being of whom they are responsible Even when laws children and mothers cannot be sustained and have been made more equitable, millions of cannot be advanced further without primary women continue to be disadvantaged because education, literacy and basic knowledge for custom prevails over law. laws are not enforced, better living for girls and women. or women are unaware of their rights. Sun preference - the high value placed on sons in some regions leads to discrimination with Demographic factors serious health consequences for girls and women. Population dynamics reflect the life events of In extreme cases it may lead to prenatal SEA people - birth, growth, maturation, migration, selection in favour of boys, or infanticide. in areas family formation, aging. illness and death. Such with a strong preference for sons, patterns of food events are the driving forces of changing distribution within a household may contribute demographic and health profiles, and are to malnutrition in girls. Young girls are more inextricably linked to the health status of a likely to he malnourished but less likely to population. Therefore, the health of individual receive treatment for mainutrition CT any other men, women and children remains of paramount health problem. The woman who has many importance at each level of population change. daughters may he under pressure to keep on Bur demographic, epidemiological and having more children until she produces sons. sociocconomic factors in developing and Lack of decision-making power and developed countries alike are combining to create participation - there 15 often A hierarchy within new patterns of mortality and morbidity for both households based on age and gender. The older women and men, and to force a redefinition of women in some families are quite influential, but the determinants of women's health Such factors younger women may have little autonomy and include marriage and childbearing in adolescence little weight in family decisions This becomes at some parts of the world, contrasted with important to women's health if they cannot. for falling fertility rates in others as women are example, take part with their husbands in tending to have fewer children and to have them decisions on family planning, or make decisions later in life, increased exposure of women to on their own about the emergency referral of occupational hazards both within and outside the children to a health facility. formal work economy: the particular problems Status through childbearing - many of the roles faced by women at they grow older often traditionally assigned to women are those of without any personal or societal support lesser value in a society, which tends to keep networks: and the stark realities faced by women women's social status low. On the other hand. the in refugee or other displaced populations. bearing of children, :s a role that is symbolically highly valued and respected almost universally. All of these - and other - demographic factors Tt may aiso be the only way for women to gain bring inevitable sociocultural and status or to survive in a given society. However, epidemiclogical changes, and challenge health women receive little support in this role in terms and social service systems One such challenge is of policies or resource allocation to prepare for changing health-care needs as the Lack of education - when illiteracy rates are proportion of older women increases. Another considered, the gap between women and men challenge is to reach young women new with becomes even wider Globally, more than 960 information that will help them avoid the million adults are illiterate. two-thirds of whom preventable disabilities and illnesses of old age. are women. In many parts of the developing To meet these and other challenges, it will be world. girls are simply not expected to attend necessary to study the physical, economic and school. Sixty million of the 100 million children social situation of women in their locality, and to 7 2012 7810746 3711 21:81 98 be prepared to respond. Attention must be given to instening to what women of all ages in the Female gental institation H GMI community are saying about themselves, and their health concerns FGM is a deeply rooted traditional practice that adversely affects the health of girls and Harmful practices - women. It is a form of violence against them female genital mutilation that has serious physical and psychosocial consequences, and is a reflection of There are a significant number of practices that discrimination against girls and women. have a distinctly negative impact on women's health and well-being Some examples are dowry Definition of FGM and bride price that may in some circumstances All procedures which involve partial or total lead 10 physical abuse, intimidation, or even removal of the external female genitalia death; and the practice of marriage and and/or other injury to the female genital childbearing petore girls have reached physical organs whether for cultural or any other and ps, chosocial maturity, which creates many non-therapeutic reasons health risks for young women. Most of the young women in these situations are powerless to resist. The social sanctions for duit XD so would Le Lack of access to health care severe, and they have few alternatives. It has been found that women are grossly under Another traditional practice with serious health represented in statistics relating to the use of risks for women is female genital mutilation health services. Although they suffer from levels (FCM) - a tradition deeply embedded in of disease comparable to those of men - and even patriarchal power structures and the desire to higher in the area of reproductive health - many control women's lives. Over time, however, both do not get the care they need. They wait longer men and women in societies where it is practised than men before seeking treatment and have have come to believe that FGM IS necessary and difficulty leaving their families and household in the best interests of the girl concerned. duties behind if long hospitalization is required. Such delays add to the risk of treatment failure. An estimated 2 million young girls are subjected In order to address - and redress - these to rGM each year. Most of these girls live in Africa, some in the Middle East, A few in Asia, imbalances, health systems are taking action in and an increasing number among immigrant several pressing arcas - acc Box 4 in Part IV communities in Australia, Canada. Europe and Nevertheless, the long-term, more effective the United States of America. solution has to be to reduce the social, economic and cultural inequities that are at the origin of Women's groups health professionals. human women's unequal and inadequate access to rights activists, governments and international health care. agencies have all taken firm stands against FCM, considering it a violation of children's - and women $ - human rights. At the international level. the Convention on the Rights of the Child explicitly requires States to take all appropriate measures to abolish traditional practices prejudicial to the health CI ciddren. In 1994, the World Health Assembly again called the attention of the world to the detrimental health consequences of FGM, and has called for the elimination of FGM. In addition, the World Health Assembly has declared that medicalization of the procedure should not be allowed under any circumstances. 8 2013 EXILS 81:81 13 PART III What are the major issues in women's health today? Nutrition cancer, promotes child spacing, and reduces fertility rates. 1 onger intervals between births Malnutrition is undoubtedly the mos: allow women time to regain their strength and widespread and disabling health problem among nutritional well-being before having another women in. developing countries. It is often the baby. Although these benefits of breast-feeding result of two inequities: poverty and the status of for baby and mother have been recognized for a women These inequities lead, among other long time. there has been @ lag in er suring the outcomes, to the unfair distribution of food practical support that breast-feeding mothers within the family, and to the lack of money to buy need ir their daily lives, such as adequate good food. All of this is exacerbated by factors nutrition and reduced workload. With more such as ignorance of nutritional requirements. women going to work outside the home, illnesses and parasites (such as hookworm) that supportive policies are also needed to ensure that interfere with the body's utilization of food, working mothers who want to breast-feed can improper food storage or preparation, and taboos continue to do so. against eating certain foods. Malnutrition is, moreover. a contributing factor in many other Reproductive health health problems that prevent women enjoying physical, mental and social well-being WHO is committed to implementing the Programme of Action -especially in the area of Although both men and women are affected by reproductive health agreed upon at the nutritional factors. women. for biological reasons. International Conference on Population and have a higher risk of suffering from health- Development (ICPD) held in Carro in September impairing nutritional deficiencies. Women and 1994. The definition of reproductive health girls need more from than men because of agreed upor in Cairo represents an important menstruation, pregnancy lactation and other widening of perspective, and contains many demands on their body's iron supply. Insufficient concepts that are of vital importance to the iron in the diet leads to anaemia, a condition that general health of women and men: causes extreme fatigue and lower resistance to disease, and in women to difficulties in Reproductive health implies that people are able pregnancy and childbirth. In developing to have . satisfying andisate SEX life and that they countries, about 55% of pregnant women and have the capability to reproduce and the freedom 44% of all women suffer from anaemia to decide If, when and low prion to do so. (It Significant disparities exist not only between Implies] the right ut access to appropriate developed and developing countries but also "Information and services will anable women between different areas of the world. In some settings there is a dangerous interaction between to go childbirth anaemia and maleria that greatly increases the also of which: risks for both mother and child in pregnancy. Ms the relations, and Breast-feeding prepreduction diseases. Breast-feeding besides promoting child growth Reproductive health is & crucial part of general by providing the best possible nutrition for both health not only is it a key element of health physical and mental development. also benefits during adolescence and adulthood it also sets maternal health in several important ways In the stage for health beyond the reproductive addition to strengthening maternal-infant years for both women and men, and has bornting, breast-feeding immediately after pronounced intergenerational effects. The delivery may reduce the mother's risk of reproductive health component of general health postpartum haemorrhage and anaemia. Breast- increases during adolescence and, particularly for feeding also lowers the risk of ovarian and breast 9 VIO 7810746 2212 VI.8I 96 80/95 women. during the reproductive years. In old Maternal mortality and morbidity age, although general health cominues lu reflect In the mid-1980s it was estimated that half a earlier reproductive life events, other health million women died each year from pregnancy- issues become more important Even though at related causes - 99% of them in developing each stage of life an ind vidual's needs differ, there 18 a cumulative effect across the life span - countries. Unfortunately, little has changed since then. Inadequate reporting in the past (and events at each phase having important today) makes it difficult to discern trends, butit implications for future well-being. appears that there has been very little reduction Women bear by far the greatest burden of in global maternal mortality, in spite of the fact reproductive health problems. Women are at risk that almost all of these deaths could be prevented of complications from pregnancy and childhirth; with existing knowledge and technology. they must deal with unwanted pregnancy, suffer the complications of unsafe abortion, bear most Sexuality and reproductive of the burden of contraception, and are more health in adolescence exposed to contracting, and suffering the Whether they live in developing or developed complications of, reproductive tract infections, countries, adviescent girls and buys are subject to particularly sexually transmitted diseases (STDs). many health risks in a rapidly changing world, Biological factors alone do not explain women's but for adolescent girls, some of the biggest risks disparate burden Their social, economic and they face are related to reproductive health. political disadvantages have a hugely Female children and adolescents (as well as detrimental impact on their reproductive health young males) are highly vulnerable to pressure Young people of both sexes are also particularly from older people to have sex - such pressures vulnerable to reproductive health problems can be experienced both inside and outside their because of A lack of information and access to own family services. Unless young people who are sexually active This concept of reproductive health. as promoted have appropriate information, skills and services, by WHO and its partners. is based upon they risk very serious health problems. including principles of gender equity and human rights. sexually transmitted diseases (3TDs) and HIV Human sexuality and relationships between the infection leading to AIDS. For girls, unprotected sexes directly affect the ability of young people sex can also result in an unwanted pregnancy and and adults - both women and men - to maintain childbirth. In addition to the physical dangers of good reproductive health. Putting these carly childbearing (inside or outside marriage) it principles into effect will require the involvement can mean the end of their education, greatly of those most directly concerned - women reduced employment prospects, and having to themselves and young people It will also involve assume the responsibilities of parenthood before a multisectoral effort to increase access to care they are ready for them. If they resort to unsafe and to improve quality SO that no opportunity is abortion they run many more health risks. missed to offer people a full range of reproductive health information and services. Family planning Family planning services should provide information, education and universal access to the full range of safe and rehable methods, and be closely linked to, or integrated with, other reproductive health services Family planning programmes must focus on enabling people to make informed divices about the timing, number and spacing of their children, and on empowering women to manage their own fertility, while emphasizing men's joint rule and responsibilities in healthy sexuality and reproductive health. 10 9102 7810746 91:81 36 80/97 Unsafe abortion Each year there are about 20 million unsafe Women and sexually ansmitted diseases abc ruons performed worldwide. it is estimated It is estimated that 165 million cases of that at least 70.000 women die as a result of these curable STD occur globally each year among abortions. while millions more become infertile Women aged) 15-49 years. Case numbers are or are left with other Insting damage to their distributed as follows with many women health. Unsafe abortions account for a sizable having more than one disease: proportion of all maternal mortality and syphilis G.5 million morbidity, and in some countries may be the cause of more than half the total number of all gonorrhoes 31.3 million chlamydia 47.0 miltion maternal deaths. trichomons 80.0 million Unsafe abortion is a major public health issue STDe in women are not easily identified and and a clear indication of unme! needs for cured for a number of reasons: contraception. The health consequences of unsafe over 50% of STDe in women are abortion should be recognized and managed and asymptomatic counselling and care provided for all diagnosis is difficult complications. Where abortion IS legal it should women's access to services is frequently be snfe. All women should have access to high- poor, because STD management is rarely quality and affordable counselling and services. provided as part of an integrated including post-abortion family planning approach to women's health needs. Sexually transmitted diseases (STDs) This leads to complications which seriously including HIV/AIDS impair the health of women causing considerable mortality and morbidity. Biolegically women are more susceptible to most STDs cause pregnancy-related sexually transmitted diseases than men. at least complications, sepsis, spontaneous in part because of the greater mucosal surface abortion, premature birth, stillbirth and exposed to a greater quantity of pathogens congenital infections. during sexual intercourse. In addition, the risk of 1-5% of all maternal mortality is due to transmission of 57Ds, including HIV infection, is ectopic pregnancy greater whenever the vaginal mucosa is 35% of postpartum morbidity is damaged. As a result of such factors most STDs, attributed to STDs including HIV infection, are transmitted more almost two thirds of cases of Infertility readily from men to women than from wemen to among are attributed to STDs List men. Women with STDs are more likely than men I7-40% of all gynaecological admissions to be asymptomatic. and therefore are less likely to seek treatment for STDs, resulting in chronic are the 183 the almost had semillion new cases of infections with more long term complications. cervical cancer each year in the Untreated STDs increase the likelihood of HIV cancer is the security infection occurring during unprorected sex with most common cancer in the world. an HIV infected partner. Worldwide burden of STD in These biological factors are compounded by Stimes that sociecultural ones. In many parts of the world women have little or r.o control over decisions relating to sexuality. no: do they have control experienced, and who have had more partners over the sexual behaviour of their male partners and thus are more likely to have become infected or the use of condoms for the prevention of This plays a particularly important role when STD/HTV infection or pregnancy The symptoms adolescent women have sex with older men. The of STDs may not be recognized as needing HIV/AIDS pandemic provides some diamatic treatment. Stigmatization, which is particularly illustrations of these issues, and of the need for acute for women with STDs keeps women from sex- and age-specific analysis of data. In many seeking treatment. or services and facilities places, young women are becoming infected with suitable for women may not be available In most HIV and progressing to AIDS at much earlier cultures, women tend :0 have sexual partners ages than men who are older. who are usually sexually more 11 #016 26/08 95 18:17 1122 7910746 017 18 It is essential to address the power relationships feeding. Women are also likely to be the care between men and women and provide women, providers when their husband or someone in the especially young women, with the personal family or community 13 sick with AIDS. When skills and conSidence to refuse sexual relations sick themselves, they may not get support or when they 60 wish. This will be possible, care. Many older women in the areas hardest hit however, only when women have sufficient by the pandemic find themseives taking care of a status and economic opportunities to reduce number of children orphaned by ATDS. It is to be their dependence on men for survival and hoped that the growing understanding of how relative well-being. HIV/AIDS affects women will lead to more effective interventions to help them protect The rise of the HIV/AIDS pandemic has themselves against it, and to more support for confirmed what women's health advocates have those who are affected. long been saying: women's poor health is linked to their relative powerlessness in relations with Work-related and environmental men. stemming in part from on inferior social health hazards status and economic dependence. and in part from society's tolerance of human rights WHO promotes a definition of occupation which violations against women. includes all women's paid and unpaid tasks, Women bear much of the burden ot the performed insicle or outside the home. Women HIV, AIDS pandemic in other ways. In HIV- are more likely than men to work in situations infected women, the virus can pass on to their where they are not protected against exposure to children during delivery or through breast- potential health hazards. Outside the home. women tend to work in the informal sector or in smaller, less-regulated enterprises. In rural areas Women and the HIV/AIDS pandenic women and men are frequently exposed to pesticides and other toxins Whether in the From almost being absent from the formal or informal sector, the health hazards IIIV/AIDS pandemic in 1980, women relating to women's work have been infected with HIV now number 7 to 8 million inadequately studied. and as a result are poorly Some one million new infections occur in addressed. women each year, mainly through Women's work is not confined to the formal and unprobected sexual intercourse. Every minute informal sectors. In most cultures. women 2 women are infected with HIV every 21 minutes onervuman dies Che AIDE By the continue to carry the main responsibility for maintaining the household, including caring for year 2000 million will have the children, the sick and the elderly. Ir. many been and about4 million will Have developing countries. the time, work and sheer Advert In sume regions where] physical burden involved in satisfying basic transmission is predominant Women requirements for food water and fuel car be inrected with HIV outnumber men'6 to 5. enormous. When women's increased The Examission of HIV from"men to participation in wage-labour is added to their women is 24 times more efficient than from household responsibilities. the resulting "double women to Data suggest Unt.STD or triple burden" means that women work far longer hours than men. lesion and accountion Communicable diseases Studi 30% wodlen sextial in recent years, the use of gender analysis in the intercounts WHEN à single male partner who study of tropical diseases has led to a better In turt has had or is conduining to have- appreciation of how such diseases in women differ from those in mer. protocteds with other partners Women's vulnerability is in Fact linked to Women have a different risk of exposure to their low status in society/and their certain tropical diseases than men This is = 4 cconomic, cultural and social dependence consequence of their traditional roles related to nn their male partners water (schistosomiasis). cultivation (malaria, filariasis), domestic roles (dengue Chagas 12 WHO 26/08 95 18:19 1122 7910746 018 19 disease, and leishmariasis) and certain biological climbing and climbing fastest among young characteristics (for example, during pregnancy women. An estimated 21% et women in the when malaria is an important cause of maternal developed world are smokers - in the developing death abortion, miscarriage, stillbirth and world the corresponding female smoking neonatal death) prevalence is estimated at 8%. in some developed countries the numbers of male and female Women's social and economic activities are smokers are currently converging In many of particularly attected by diseases which lead to these countries fewer men than women are disfigurement or stigmatization. Women taking up smoking and. in addition, the frequently do not seek care for themselves or for prevalence of female smoking is not declining as their children following infection with tropical rapidly as it is among men. diseases. Socially. women drinkers are more likely to Tuberculosis become isolated. They are less likely than men to luberculosis - seldom a prominent item or. the seek treatment. A study in one Latin America agenda of women's health advocates - is country found that nine out of ten husbands leave their alcohol-asidicted wives, whereas one reponsible for the deaths of around one million out of ten wives leaves her alcohol-addicted women each year. For reasons not fully husband. understood, women seem to be most vulnerable to tuberculosis in their early and reproductive The rehabilitation and treatment needs of women years. The biological changes that occur in those drug abusers differ from those of men However. years may make women more likely to progress very few rehabilitation facilities specifically to tuberculosis once infected. Tuberculosis is an address women's needs. and there is a general indirect or contributory cause of many maternal lack of information on how w deal with drug deaths. abuse among women. Noncommunicable diseases Mental health As infectious and parasitic diseases are brought A gender perspective when applied to mental under control and as populations age, health, takes into account men's and women's noncommunicable diseases become more status, roles and positions in society. A recent prominent. Women now spend a much greater WHO publication on women's mental health proportion of their lives in the post-reproductive, concludes: post-menopausal years. Even if the problems are similar for instance, breast cancer or cervical When women's position In society is examined, it is cancer - the strategies fer dealing with them differ for younger and for older women. Older clear that there are sufficient causes in current women are more vulnerable to cardiovascular social arrangements to account for the surfeit of disease. diabetes and cancers - noncommunicable depression and anxiety experienced by women. diseases will therefore play a larger role in women's health in coming years. in addition, the problems of older women often differ from those In developing countries, community surveys of older men, for example in the higher morbidity usually find more women than men suffering hom some form of mental illness, but more men rates associated with incapacitating osteomuscular diseases such as osteoporosis and getting treatment. In developed countries. arthritis, and the higher levels of depressive depression is the most common mental disorder illness among women. Not enough is known among women. Although adequate data are about how noncommunicable diseases and lacking in developing countries, it appears that conditions are manifested in women. the same IS true there. Substance abuse The gender perspective has been a useful addition to the work on women's mental health. Gender-sensitive research has uncovered many But there is still much to be done in order to differences between men and women in their understand the origins of mental illness in experiences with substance abuse. For example, women; to help women find ways to protect their the rates of tobacco smoking among men have mental health and avoid illness; and to develop levelled off or declined in many developed and disseminate more effective treatment countries, while the rates among women are still strategies for women. 13 25/08 95 18:20 1122 7910746 20 Violence against women Violence against women In a world where violence seems endemic, both men and women experience it in many forms and shown here indicate both suffer considerable damage in their health violence and and weil-heing because of it. But the nature of the violence they are exposed to is almost always different, the causes of it are usually different. indicate that from women have and the impact on their lives is different. been partner's Women are exposed 10 a continuum of violence - study found the from domestic violence taking place in the home. B the police where the woman or girl usually knows the 54 the husband assailant to settings outside the home where and of Women women are subject to random violence by people patients unknown to them; to the large-scale, systematic of injaries violence against women found in situations of conflict and mass movements of people. to The Names 3 TRIC married Some women make repeated trips to emergency rooms and clinics, each time with more serious had been battered; and almost one in rive injuries. Their injuries are often not recognized or of these women had gone to Phospital reported as deliberate violence until they end in Herbeing homicide. A study in Alexandria, showed AS the ding cause of Most health systems and health planners at all injury to women, accounting for 25% of levels have been slow to respond to this "hidden all visits by women to trauma units epidemic". Women in many countries are In a survey En the Kisii District of Kenya, demanding that the health sector: 42% of women reported being beaten regard domestic violence as a serious public regulariy* by their partners health issue In James.com study among girls aged undertake more specific research on its causes. 11-15 years mind that 40% reported the consequences and ways to prevent It for their first sexual Intercour disseminate information about demestic violence to health workers or conduct training In phattonal representative sample of to strengthen their ability to recognize the Canadian women 29% of those eyes signs of domestic violence matried physically Women are especially vulnerable in situations ot by their mment or former armed conflict or mass population movements. partners Women forced to leave their homes as refugees or Source: From displaced persons are often separated from the men in their tamilies and have few means to protect themselves from viclence. A refugee woman who has children or other dependents with her is vulnerable to sexual exploitation. Her only means of assuring their food and safety may be to accede to the demands for sexual tavours made by soldiers. border guards or camp administrators. In recent hostilities, there have been many examples of violence against women being used as a punitive measure against the enemy. This systematic rape and hrutal sexual abuse destroys the dignity of women and violates many of their human rights, including their right to physical integrity, to survive, and to lead full and fulfilled lives. 14 25.08 96 18:21 1122 7910746 020 21 PART " The role of WHO in women's health Towards better health fur women partnerships must be established between health care providers and clients and with Almost 50 years ago the International Health sectors other than health Conference defined health as: health services should be integrated to promote a holistic approach to health care a state of complete physical, mental and social provision wall-being. and not merely the absence of disease. to invest la human resources 15 to invest in social and economic development This definition is embodied in the WHO optimal use should be made of human and Constitution which also affirms the material resources interventions must be sustainable. averyone has the right to the highest attainable Women do not perceive their bodies as separate standard of health groups of organs each requiring a different set of interventions. Nor do they see their lives as a WHO's activities in women's health Are guided series of discrete periods with the ages around by the following operational principles, which pregnancy and childbearing as being the only are fundamental in promoting the centrality of ones of significance. And women are concerned human health and well-being to the process of not only with their own health needs out also development. with those of their children and other family health is a fundamental human right members. the highest ethical standards must be Yet the way health systems have been set up maintained around the world is such that it is almost equitable relationships between women and impossible to find a single facility that can men and equality of opportunities must be address simultaneously the needs of young and achieved older women, their children, cr different services must be accessible concerns such as reproductive tract infections quality of care must he assured and tropical diseases Research will be needed to individuals, families and communities must develop alternative models providing such be fully involved in the promotion and integrated services in different socioeconomic protection of their own health and cultural settings. a life-span approach to health must be taken 15 WHO/FHE/93 25/08 95 18.22 1122 7910746 021 22 improving women's health and eliminating Work for improved sex- and age- inequalities requires partnerships of many kinds: disaggregated data collection and analysis to women and men; old and young; international sensitize policy-makers and lead to more agencies, governments and NGOs: researchers in effective action in the health sector. many disciplines: health professionals, women's For WHO, one of its most valued partnerships is health advocates, programme planners: and with women health care providers - those users of health services. In its own activities millions of women who work day in and day out WHO will continue to: in health systems around the globe - dee Box 3. In Advocate for greater allocation of resources to looking at women and health, there is a tendency programmes that effectively address the health to concentrate on women in need of health carc needs of women. or women as users of health services However. Promote preventive strategies and WHO is mindful, too. of the inestimable programmes. contribution made to health by the women who Promote and expand the use of gender- provide health care to others - this despite the sensitive approaches in all health often poor salaries and limited career programmes, through staff orientation, opportunities available to women in largely expansion of training activities in the regions male-dominated health-system hierarchies. and support for national training activities. Ensure that the voices of women are heard in At the end of the 20th century. global economic, social and political shifts make it imperative for identifying health issues, planning and the perspectives and contributions of women to carrying out interventions. and evaluating the be brought more forcefully into the health and results. Advocate for a greater proportion of women in development arena. WHO has an opportunity and a responsibility to address women's health decision-making and leadership positions in the health sector at all levels, from local and and quality of life issues in all of its activities. district health offices, to national ministries, to Women's health must now assume its rightful place high on all social, economic and the highest levels of international development agendas organizations. Box 3: Women in the health system Women the They give years of dedicsted health doctors pharmacies and heir contributions the community hind one and hours are health ad vocates, and then children, the elderly and the In SOUTH ve with distinction at the sughest levels of national health systems: women at the for decision king that Cender discriminad combined workers face to vomen cultural facilities may maid to recruit women thet It is Important that women in the health againstin pay opportunities. workers in then first years at work. They should also Miransport and due arrangements should be safe and culturally 16 25/08 95 18:21 1122 7910746 022 23 The work of WHO WHO - closing the gap Part of WHO's commitment to improving WHO's future activities to improve women's women's health is to make sure that the voices of health will continue to include setting norms and women are heard whenever decisions are made developing guidelines. policy development. the about health. Particular attention is being paid to provision of technical support, and research incorporating a gender perspective and Increased efforts will be directed towards: addressing women's concerns in the work of Advocacy for women's health and gender- WHO at both Headquarters and Regional levels. sensitive approaches Many programmes across the range of WHO's Promotion of women's health and prevention activities have made efforts to increase the of ill-health emphasis placed upon women's health 25 an Making health systems more responsive to issue in to own right, and have attempted to women's needs. ensure that this is reflected in programme Advocacy for the importance of women's health. activities. and for the need to develop effective policies and WHO has strengthened the emphasis given to programmes to address it will continue to be women's health issues by creating the unit of needed. It was with such issues in mind that the Women, Health and Development (WHD) within Global Commission on Women's Health was the Division of Family Health (FHE). The established in 1993 in response to resolution. objective is to accelerate activities in women's WHA45.25 on Women, health and development health. and develop and consolidate a coherent emanating from the 1992 Technical Discussions at and comprehensive strategy. At the regional the World Health Assembly. The purpose of the level focal points on womer, health and Global Commission on Women's Health is to development work to strengthen and coordinate promote the adoption and implementation of activities for women in all WHO programmes, effective measures at all levels for improving and to lisise with other organizations of the women's health. and to carry our international United Nations system concerned with women's and national advocacy in the area of women's health and development. health concerns. All of WHO's work in women's health is guided Promotion of women's health and prevention of by the Ninth General Programme of Work, which ill-health involves addressing the underlying draws attention to the risks of marginalization of sociocconomic and other factors that determine vulnerable groups. particularly women. in women's health status and affect their access to overall development. It also emphasizes the information and services. It requires legal, human-rights basis for the protection of women's regulatory and other mechanisms to promote and health at all stages of life, noting their increased support improvements in women's health. WHO vulnerability in situations of economic hardship, has a role to play in the following kev areas: violence, warfare and environmental Legislation and health policies to ensure degradation. Among the major intended results that discrimination against women is of the Ninth General Programme of Work are the Identified and that efforts are made to removal of inequities and the meeting of the introduce required changes. Education, special needs of women. legislation, information and other measures Regional achievements can, for example, improve communication and shared responsibility between men and WHO Regional Offices actively promote women on responsible parenthood, sexual and women's leadership and participation in health reproductive behaviours and prevention of through consultations, through national and STDs (including HIV/AIDS) regional networks involving governmental and Investment in female education including nongovernmental representatives, and through taking affirmative steps to keep girls and workshops and leadership training programmes. adviescents in school, developing note gender Although each Region has a different focus for its sensitive curricula, and sensitizing parents to activities, a number of commonalities emerge, the value of educating girls. such as the need for improved data collection and Improvement in women's economic status - analysis: for more research on women's health: especially focusing on poor or vulnerable and a universal concern for reproductive health women. issues. 17 25/08 95 18:25 1122 7910746 023 24 Making health systems more responsive to women's needs is another major focus in which WHO has particular responsibilities, both because of its technical expertise and also because it can bring women's health w the attention of those in a position to make changes. On the basis of its past experiences in the area et women's health and in the light of newly emerging trends, WHO has identified a number of areas for immediate action. Change in these areas could bring about rapid yet lasting improvements in women's health: Improving access to health care Improving quality of care Involving women in the planning and implementation of interventions Responding to the needs of women health care providers Encouraging discussion of ethical issues in health Providing information to women Gathering and analysing information about women and their health. Reduc Improving access to health care Women in developing countries, and poor Businews women everywhere. tend to have less access to postnatilicare) health inputs and services than do men. Underlying those inequitable parterns of access gender-sensitive approach to the needs of women are social cultural and economic factors which on the part of health-care providers, and a include practices that discriminate against rethinking of the relationships between providers women and girls; and a lack of women's control and clients, one that removes the aura of over household resources. As a result, barriers to infallibility and power of the provider, and the use of health services - for example time and recognizes the skills and knowledge of the client travel costs, and health system deficiencies - may in her own health care. Addressing quality of care pcse greater obstacles for women than for men. also means addressing the fragmented way in More women can be reached by health services if which women's health needs are currently better use is made of peripheral services It is less addressed. Research will be needed to develop costly, in terms of both time and money, if people alternative models providing such integrated living in rural areas can get adequate care in services in different socioeconomic and cultural facilities that are close by. But very often, the bulk settings. of a country's limited resources for health is directed to the terbary facility in the urban area Involving women in the planning and or capital city. Bringing health care closer to implementation of interventions where people live, through known and trusted providers - along with a range of other measures One important mechanism to improve quality of (Box 4) - could do much to reduce the gap care is to involve women in decision-making 80 between women and health care services. that they become active participants in their own health care. This means that women participate Improving quality of care as equals in planning. implementing and Improving quality of care is critical to improving evaluating policies and programmes, and that women's health, to increasing access to and use interventions are developed in a holistic and of health services, and to using limited resources integrated manner. WHO's primary health care effectively. Much of the difficulty of achieving the approach has underscored the necessity of hest balance can be resolved through a more involving women. 18 25/08 95 18 27 '4122 7910746 024 25 Responding to the needs of women information to make decisions about when to health care providers seek health care and from whom. Much of the discussion on women's health uses The idea of a Healthy Women Counselling Guide language that defines women as needing care. (HWCG) was conceived by several programmes However, to a large extent, women are also the of the World Health Organization as a tool to be main providers of health care - see Box 3 above - used by rural women. The guide is intended to particularly in the traditional health care systems provide information to women about their and at the most peripheral levels of modern health, in a way that can be understood readily health-care structures. Yet little attention has been by both literate and illiterate women. The given to the constraints within which they work. information given to women in the HWCG will to the difficulties faced by women in this role or be strengthened by more positive feedback and to ways of improving their status and standing in interaction with health workers. the community. Efforts need to be made to Gathering and analysing information improve their working conditions and promotion about women and their health prospects, and to increase their access to the skills, supplies and equipment needed to fulfil A significant constraint in dealing effectively their functions effectively. with women's health needs is the continuing lack of sex-differentiated data. Whereas WHO has Encouraging discussion of ethical issues in health long collected and analysed data on cause of death for males and females separately, the same Ethical issues have concerned health has not been true in relation to the incidence and practitioners since ancient times. In recent prevalence of specific diseases such as decades a new range of ethical concerns have tuberculosis, and malaria and other tropical arisen as a result of technological advances. diseases. There is very little information on their Many of these concerns centre on "women's differential impact on men and women. It is not issues" - infertility, fertility regulation, pregnancy enough simply to collect data - it has to be and childbearing. This has led to considerable analysed from a gender perspective. Do the data debate in both developed and developing indicate differentials in incidence or prevalence? countries, in part reflecting conflicts between What are the possible sources of such religious and secular approaches. Ethical differentials? Do they lie in biological factors such guidance, and associated programmes in ethics as different responses to disease or differences in education, with input from professionally reactions to treatment; or are they a reflection of qualified people, is needed to ensure that policies social factors such as differences in exposure, in at the national level embody the recognized health-seeking behaviour, or coping precepts of contemporary bioethics. National, mechanisms? regional and institutional ethics committees, with In order for Member States to be able to use representation of all concerned sectors and relevant information for policy development and professional groupings, especially women, can management, and to include such information in play a role in fostering adherence to ethical norms in this area, as well as other areas in their regular reporting on women's health and health. WHO and other international health care, it will be necessary to ensure that organizations are promoting the development of health information systems collect and analyse sex- and age-specific data as a matter of routine. ethical guidelines that can help to create a template for national efforts. WHO believes it is Analysis and reporting of women's health need imperative for women - whether as health care to go beyond looking only at reproductive health issues in order to assess the effect of sex providers or users of services - to have a major differences and attitudes on women's health as a part in all discussions related to health care. whole. Providing information to women A major constraint that women face is lack of In the coming years WHO, its partners, and information. Women need to know about danger health systems globally must face up to the signs and symptoms, and when to seek health challenge of "closing the gap" between rhetoric care, whether for themselves, their children or for and reality, and to give far greater attention to Extended Page other members of their families. They also need women's health issues. 19 WHO 26 Conclusion All individuals have the right to "the highest health and human development has been attainable standard of health". But when it comes recognized and awareness is now growing of the to women, double standards, poverty, social extent of that contribution and of the enormous discrimination and inequality, amongst other toll it takes on women in terms of their own factors, militate against this. Many of the facts health. Human energy and creativity are the have been known for years. Yet health and well- driving forces of development. yet for millions of being continue to elude millions of the world's women worldwide that vital energy is drained in women. the daily struggle to survive, and to protect the The themes of the United Nations Decade for health and well-being of themselves and their families. Women (1976-85) - equality, development and peace - will be reiterated at the Fourth World The achievement of peace at all levels - Conference on Women in Beijing in September international, national, local and domestic - is a 1995. These are ail crucial elements in women's crucial step for the attainment of health for all. health, and in their personal and social For women, it has a very special significance. development Women and their children are most often on the Quite simply, women will never enjoy the highest receiving end.of violence and aggression. Among attainable level of health until they have equal the first to be affected by war and civil strife they access to resources and to the fruits of are often the last to receive support and assistance. development - equality in access to education, to political power, and to the process of decision- Whether in the form of killing and maiming, making. This in turn means addressing ethnic cleansing, mass rape or forced inequitable gender relationships, and the prostitution, violence is all too often borne by underlying inequalities that currently stand in women. Moreover, violence is not confined to the the way of women's access to health. Such sphere of politics. Very often it is from within inequalities - enshrined in traditional, cultural their own homes and families that girls and and legal frameworks perpetuate women's women have most to fear. Female genital lower social and economic status. All of this mutilation, incest, sexual abuse, domestic assault continues to limit the ability of women to make and battery - - these are the hidden faces of free and informed choices about their lives. In violence against women. For women, peace is a addition, to attain full health, women must have domestic as well as a societal issue. access to high-quality services, and the information and skills to use such services For far too long women have been portrayed as appropriately. Women the primary care givers powerless victims and have been seen as objects in the home and in the health system - must of health interventions. Undoubtedly women all over the world face enormous adversities that receive appropriate and acceptable care for themselves, and for their families. impact on their health and well-being. Yet women have power, are creative, can take and To promote equality for women is not to favour already have taken action. Women must be Extended Page identical approaches to health for women and recognized as protagonists in their own health, men. Women and men are innately different and and in the provision of health care. have differing needs. Promoting equitable access The time has come when women all over the to health care implies recognizing these world are beginning to ask questions. take differences, and developing responses that actions and demand resources, results and address the varied needs of men and women accountability. The time has come for health-care throughout their lives. It also involves addressing systems to listen to what women are saying, and the socioeconomic and cultural factors which to take every possible opportunity to improve discriminate against women and girls. women's health and - by extension- the health Ever since the start of the United Nations Decade of the world. for Women, the contribution that women make to 20 WHO: 25.08 95 18:59 1122 7910746 052 64 Facts and figures on women's health World Health Organization H ealth is not a commodity tc be acquired, bought or sold, it is a right. Worldwide, however, the health security of women, that is, all that guarantees women's right to health, is at risk. Women's health security embraces all aspects of women's lives, including the right to freedom of choice and personal security, the right to adequate and sufficient food, the right to work in safe environments, and the right of access to education, information and decent housing. After all, what hope does a woman have who has been mutilated against her will or pulled out of school without any say? What prospects for a brighter tomorrow does the 15 year-old face when she discovers that she is unintentionally pregnant? What are the chances for a healthy survival for the children who are left behind after their mother has Fourth World Conference on Women died in childbirth? Equity and equality are at the heart of health security for women. Equal opportunities and the ability to benefit from the fruits of development, work in an enabling environment, and live in a peaceful society free from the threat of aggression at home or in the street, are vital factors in shaping women's health today. Equality Gender bias is reflected in the use of health services, the quality of care provided and the success or failure of disease control programmes. In one developing country, only 16% of people attending malaria clinics were women, yet surveys revealed no significant gender differential in susceptibility to infection. Over half a million women are estimated to die each year due to lack of access to adequate reproductive health care. In developing countries maternal mortality is a leading cause of death for women of reproductive age, the most UNITED NATIONS common cause being haemorrhage (25%). Despite the availability of technology to prevent maternal mortality, at least half a million women die giving birth each year in developing countries. 23 million women undergo serious complications with child birth, such as postpartum hacmorrhage, hypertensive disorders, eclampsia, and puerperal sepsis each year. 15 million suffer long-term morbidity. Many women give birth without trained assistance. Only about one-third of all births are assisted by trained attendants in Southern Asia and 42% in Africa, as opposed to 76% in Latin America, 94% in Eastern Asia, and virtually 100% In North America. 26/08 95 19:00 1122 7910746 053 65 2 Because women need more iron than men, and because they tend to receive a lower share in the distribution of food, globally, over half of pregnant women and a third of women of reproductive age who are not pregnant have anaemia. The adolescent girl requires, but rarely gets, 18% more iron per kg body weight than male adolescents. Virtually all adolescent girls in developing countries suffer from iron-deficiency. Each year unwanted pregnancy forces 20 million women to hazard unsafe abortions as a result of lack of access to family planning services, costly contraceptive methods, the unavailability of information and restrictive practices. Of these women, 60,000 to 100,000 die and countless more endure long-term disabilities. 25% of all maternal deaths occur in the teenage group, with unsafe abortion as the leading cause of these deaths. Almost 30% of maternal deaths could be prevented by contraception. About 120 million women in the developing world say that they are not using family planning even though they want to avoid becoming pregnant. Prevalence rates of sexually transmitted diseases are generally higher among sexually active women than among sexually active men, due to greater biological, social and economic vulnerability, their greater proportion of asy mptomatic infections and inferior access to care than men. Over 20 million women are chronically infected with either genital herpes or human papilloma virus infections. Globally, women account for an ever-increasing share of HIV infections. The proportion of women in the overall figure of those infected rose from 20% In 1980 to 40% in 1992. By the year 2000, half of those infected with HIV will be women. In many countries 60 % of all new HIV infections are among 15 to 24 year olds, with a female to male ratio of 2 to 1. Due to different proportions of muscles, fat and water in the body, women develop alcohol-related liver diseases more rapidly than men. Studies show that the chronic use of alcohoi, cannabis, cocaine and heroin affect menstrual dysfunction and contribute to obstetric complications and damage the foetus. in some countries women are barred from drug and substance abuse treatment facilities as a matter of policy, because resources are limited and men are given priority. Most facilities refuse to treat pregnant women. Many elderly women experience poor nutrition. reproductive ill-health, dangerous working conditions, violence and lifestyle-related diseases. all of which exacerbate the post-menopausal phenomena of increased likelihood of breast and cervical cancers and osteoporosis. 25/08 95 19:01 1122 7910746 051 66 3 Development 10% of women In developed countries and 40% in developing countries give birth before the age of 20. Early childbearing poses considerable obstacles to women's education and economic well-being. in countries where participation rates of women in the labour market were as high as 50% prior to economic restructuring, over 60% of the currently unemployed are women. Many women engaged in occupations heavily related to repetitive tasks (assembly lines), jobs requiring precise work for long periods (electronics assembly), or processing of agricultural products (fruit and flower packing), have been shown to have health problems which affect the musculo-skeletal and nervous systems, the reproductive tract, and skin. In the industrial working environment, exposure to toxic chemicals can cause cancer, dermatitis, miscarriage, and birth defects. Women may be particularly susceptible to some toxic chemicals for biological reasons. For agricultural workers, a significant and positive correlation exists between heavy use of pesticides and prevalence rates of deformity of limbs, dysfunctions of joints, amputations and visual deformities. Certain health conditions, such as chronic bronchitis and back pain, are particularly linked with women's traditional roles. These include the burning of biomass fuels in cooking and heating homes, the carrying of heavy loads of fuel wood and water, and the use of household chemicals. Toxicological effects on the foetus have also been shown. In addition, women and children are at greatest risk of burns within the home. For poor women prostitution Is often the only way of securing income. in one country, 50 000 to 75 000 street children survive through prostitution. Depressive disorders are responsible for 5.8% of all deaths and disabilities among women of reproductive age - twice the rate among men. While men have higher mortality rates from suicide, women predominate for suicide attempts. The typical suicide attempter is a single women under the age of 25. Smoking amongst young women has increased rapidly, and now equals or exceed that of young men in a number of developed countries. Over the next thirty years tobacco-related deaths will more than double, so that by the year 2020, well over a million adult women will die every year from tobacco-related illnesses. Women are smoking in increasing numbers in developing countries. Women are a special target of cigarette and alcohol advertising world wide, further predisposing them to the immediate and long-term health consequences of addiction. 25/08 95 19:02 1122 7910746 4 055 4 Peace Numerous studies from many countries conclude that between 20 to 60% of all women report having been beaten by their partners. Women are most at risk from men they know. Data from around the world suggests that girls and women are more at risk of violence in the home than anywhere else. On a per capita basis the health burden of domestic violence and rape is roughly the same for reproductive-age women in industrial and developing countries, but because the overall health burden is greater in developing countries, the percentage attributable to gender-based victimization is smaller, at roughly 5%. In industrialized countries, rape and domestic violence account for almost one in every 5 healthy years of life lost to women aged 15 to 44. Approximately 85 to 115 million females have been subjected to female genital mutilation. Each year, a further 2 million girls suffer this harmful practice. representing 6 000 new cases a day, and 5 girls every minute. It is estimated that 75% of the world's 18 million refugees are women and girls. Most of them are exposed to poor nutrition and illness. and many of them to violence, including rape. Migrant women have increased vulnerability to sexually transmitted diseases and HIV/AIDS due to high unemployment, and lack of community and family support, which force many to engage in sexual barter. 25/08 95 18:28 4122 7910746 025 27 CEWK GLOBAL COMMISSION ON WOMEN'S HEALTH The Global Commission on Women's Health was established as a high-level advocacy body by virtue of resolution WHA45.25 on "Women, health and development" emanating from the Technical Discussions at the Fortv-fifth World Health Assembly in 1992. The objective of the Commission is to accelerate action at the national and international level to improve women's health as their fundamental human right. In recognition of the fact that health conditions affect subsequent phases of a woman's life. as well as the well-being of future genera- tions, the Commission insists that attention be given to a holistic and life span approach to women's health. In carrying out its objective, the Global Commission on Women's Health assumes 3 critical fourfold mission. First, it has produced an agenda for action on women's health focusing on a few select areas capable of yielding the most significant progress: nutrition, reproductive health. the health consequences of violence, aging, lifestyle-related health conditions, and the work environment. These issues represent the predominant factors leading to morbidity and mortality in women of all ages around the world. and are amenable to feasible and low-cost interventions. Second, the Global Commission raises awareness of women's concerns among policy-makers through the use of sex-disaggregated data on women's health and their socioeconomic situation. Third. the Global Commis- sion advocates the inclusion of women's health issues as a priority within devel- opment plans by using all forms of mass media. It ensures that these issues are arriculated at all major national, regional and international fora on women and development and the events leading up to them. notably the United Nations Fourth World Conference on Women. Finally, the Global Commission provides a forum for consultation and dialogue with women's health advocacy groups and others who mobilize women from the grassroots to the highest political levels. Members of the Global Commission on Women's Health, listed below, work closely with numerous key individuals and institutions across the world, notably the following: Dr Hoda Badran, President, Alliance of Arab Women. Egypt; Dr Jo Ivey Boufford, Principal Deputy Assistant Secretary for Health, United States of America; Dr Lorraine Dennerstein, Associate Director. The Kev Centre for Women's Health, Australia; Ms Marianne Haslegrave, Director. Commonwealth Medical Association, United Kingdom; Mrs Julia Hausermann. Executive Chair, Rights and Humanity, United Kingdom; Ms Elaine Woltson, President, Global Alliance for Women's Health, United States of America: the World Bank and UNICEF. Clinton Presidential Records Digital Records Marker This is not a presidential record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. This marker identifies the place of a tabbed divider. Given our digitization capabilities, we are sometimes unable to adequately scan such dividers. The title from the original document is indicated below. Conference Address Divider Title: 4PmJues THE SECRETARY GENERAL 19 May 1995 Dear Mrs. Clinton, I am honoured to invite you to attend the Fourth World Conference on Women, as my special guest. As you are aware, the Conference, which will be held in Beijing from 4 to 15 September 1995, will be a major milestone in the efforts of the United Nations to promote and protect women's rights and to define practical strategies to remove the remaining obstacles to the advancement of women. Building on the series of landmark conferences and summits convened by the United Nations in the first half of this decade - on children's rights, the environment, human rights, population and social development - the Conference offers the international community an opportunity to achieve a concrete programme of action for progress into the next century. I believe that the Conference would benefit greatly not only from your experience, knowledge and commitment, but also from the prestige and respect which you command. The Secretariat for the Conference is in the process of preparing a programme of Special Events in which I hope you will find it possible to participate. The Secretary-General of the Conference will convey the programme to you shortly. I look forward to hearing from you and hope very much that you will be able to attend this important gathering during the United Nations fiftieth anniversary year. Yours sincerely, Anition Boutros Boutros-Ghali Mrs. Hillary Rodham Clinton The White House Washington, D.C. Clinton Presidential Records Digital Records Marker This is not a presidential record. This is used as an administrative marker by the William J. Clinton Presidential Library Staff. This marker identifies the place of a tabbed divider. Given our digitization capabilities, we are sometimes unable to adequately scan such dividers. The title from the original document is indicated below. Boutros Boutros-Ghali Discussion Divider Title: BOUTROS BOUTROS-GHALI DISCUSSION DATE: Tuesday, September 5 TIME: 4:30 pm LOCATION: TBA FROM: Brenda Costello I. PURPOSE To attend a discussion and reception hosted by UN Secretary General Boutros Boutros-Ghali entitled "Women in Decision Making Roles and Sharing Power". II. BACKGROUND This discussion is an opportunity for Secretary General Boutros Boutros-Ghali to meet with all the female heads of countries and distinguished VIPs whom he has personally invited to the Conference. The group includes members of the Secretary General's Advisory Group as well as special guests of the Secretary General. There is no formal program, just a free-flowing discussion on women in decision making roles with a reception to follow. Approximately 25-40 people are expected to attend. Small conference style set-up (See bios and invitation attached.) III. PARTICIPANTS Queen Noor AL-Hussein, Jordan Dr. Souad M. Al-Sabah, Kuwait Mrs. Ruth Cardoso, Brazil Madame Bernadette Chirac, France Ms. Takako Doi, Japan Mrs. Janet Museveni, Uganda Advisory Group Princess Basma Bint Talal, Jordan Ms. Margarita Penon de Arias, Costa Rica Queen Fabiola, Belgium Honorable Victoria F. Chitepo, M.P., Zimbabwe Mr. Idriss Jazairy, Agency for Co-operation and Research in Development (ACORD) Ms. Roberta Lajous, Mexico Mr. Jack Lang, Mayor of Blois, France Mr. Stephen Lewis, Canada Ms. Deng Nan, China Ms Barbara Simons, Member, European Parliament, Germany Baroness Shirley Williams, United Kingdom Professor Muhammad Yunus, Bangladesh Past Secretaries-General UN Conferences on Women H.E. Dr. Lucille Mathurin Main, Jamaica Senator Leticia R. Shahani, Philippines Hon. Ms. Helvi Sipila, Finland IV. SEQUENCE OF EVENTS SEE TRIP BOOK V. PRESS Pool spray and live feed. VI. REMARKS No formal remarks necessary. PREC: PRIORITY CLASS: UNCLASSIFIED SSN: 3257 MSGID: M1827270 PAAUZYUW RUCNDTA3257 2372251-UUUU--RHEHAAA RHEHNSC. ZNR UUUUU ZZH P 252251Z AUG 95 FM USMISSION USUN NEW YORK FM: USMISSION USUN NEW YORK TO: RUEHC/SECSTATE WASHDC PRIORITY 6971 INFO: RHEHNSC/NSC WASHDC RHEHAAA/WHITEHOUSE WASHDC RUEHBJ/AMEMBASSY BEIJING 2376 UNCLAS USUN NEW YORK 003257 NSC FOR ERIC SCHWARTZ WHITE HOUSE FOR M.VERVEER G/CS FOR TERESA LOAR E.0.12356: N/A TAGS: KWMN, UN, CI SUBJECT: REQUEST FOR MEETING WITH MRS. CLINTON MISSION HAS RECEIVED THE FOLLOWING REQUEST FROM THE UN SECRETARY GENERAL FOR A MEETING WITH MRS. CLINTON AND OTHER SPECIAL GUESTS DURING THE FOURTH WORLD CONFERENCE ON WOMEN IN BEIJING. ORIGINAL POUCHED TO G/CS T. LOAR. BEGIN TEXT: 21 AUGUST 1995 DEAR MRS. CLINTON, I WAS MOST GRATIFIED TO LEARN THAT YOU HAVE ACCEPTED MY INVITATION TO ATTEND THE FOURTH WORLD CONFERENCE ON WOMEN AS MY SPECIAL GUEST. IN THIS CONTEXT, IT GIVES ME GREAT PLEASURE TO INVITE YOU, ALONG WITH OTHER SPECIAL GUESTS AND MEMBERS OF THE SECRETARY-GENERAL'S ADVISORY GROUP FOR THE CONFERENCE, TO MEET WITH ME FOR AN EXCHANGE OF VIEWS ON 5 SEPTEMBER FROM 4.30 PM TO 6.00 PM AT THE BEIJING CONFERENCE CENTRE. I PROPOSE TO FOCUS OUR DISCUSSION ON THE TOPIC CENTRE. I PROPOSE TO FOCUS OUR DISCUSSION ON THE TOPIC "PROMOTING THE ROLE OF WOMEN IN DECISION-MAKING AND THE SHARING OF POWER", A THEME WHICH REFLECTS ONE OF THE CENTRAL PREOCCUPATIONS UNDERPINNING THE AGENDA OF THE CONFERENCE. FOLLOWING THE MEETING, I HOPE YOU CAN JOIN ME AT A SMALL RECEPTION. I LOOK FORWARD TO OUR MEETING AGAIN IN BEIJING AND TO HEARING YOUR VIEWS ON THE THEME OF OUR DISCUSSION. BOUTROS BOUTROS-GHALI MRS. HILLARY RODHAM CLINTON THE WHITE HOUSE WASHINGTON, D.C.. END TEXT. ALBRIGHT BT #3257 NNNN DIST: DIST> PRT: VERVEER SIT: NSC SCHWARTZ IU P.03 SENT BY:LN EOSG NY : 8-30-95 : 17:08 : EOSG 212-963-3511- 94154443:# 2/1 List of the "Special Guests" of the Secretary-General to the Fourth World Conference on Women 4 . 15 September 1995, Beijing Queen Noor Al-Hussein Jordan Dr. Souad M. Al-Sabah Kuwait Mrs. Ruth Cardoso Brazil Madame Bernadette Chirac France Mrs. Hillary Rodham Clinton United States Ms. Takako Doi Japan Mrs. Janet Museveni Uganda 08-31-1995 10:53AM FROM TO 82024566244 P.04 SENT BY:UN EOSG NY : 8-80-95 : 17:09 : EOSG 212-963-3511- 94154448:* 3/ 4 Members of the Secretary-General's Advisory Group for the Fourth World Conference on Women Her Highness Princess Basma Bint Talal Jordan Ms. Margarita Penón de Arias Honorary President The Arias Foundation for Peace and Human Progress Costa Rica Her Majesty Queen Fabiola Belgium The Honourable Victoria F. Chitepo, M.P. Member of Parliament Zimbabwe Mr. Idriss Jazairy Executive Director Agency for Co-operation and Research in Development (ACORD) Ms. Roberta Lajous Advisor, Partido Revolucionario Institucional (PRI) Mexico Mr. Jack Lang Mayor of Blois France Mr. Stephen Lewis Former Canadian Ambassador to the United Nations Canada Ms. Deng Nan Deputy Director, Commission of Science China Ms. Barbara Simons Member, European Parliament Germany 08-31-1995 10:53AM FROM TO 82024566244 P.05 SENT BY:UN EOSG NY : 8-30-95 : 17:08 : EOSG 212-963-3511- 94154443:# 4/ 4 - -2- Baroness Shirley Williams Member of House of Lords United Kingdom Professor Muhammad Yunus - Managing Director, Grameen Bank Bangladesh Past Secretaries-General UN Conferences on Women H.E. Dr. Lucille Mathurin Mair Ambassador Jamaica Senator Leticia R. Shahani Member of Parliament Philippines The Honourable Ms. Helvi Sipila Finland TOTAL P.05 Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 003. report re: U.S. Government Report (2 pages) 03/14/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - (44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] PI 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 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 FOIAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 004. report re: U.S. Government Report (1 page) 04/05/1995 Pl/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6, 1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - 144 U.S.C. 2204(a)] Freedom of Information Act - |5 U.S.C. 552(b)] PI 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 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 PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 005. report re: U.S. Government Report (1 page) 04/05/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 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 PRAJ 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 PRAJ 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] h(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 h(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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 006. report re: U.S. Government Report (1 page) 06/05/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 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 PRAJ 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 PRAJ b(6) Release would constitute Я 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 007. report re: U.S. Government Report (1 page) 05/13/1993 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - 144 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 PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 008. report re: U.S. Government Report (1 page) 05/13/1993 Pl/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - [44 U.S.C. 2204(a)] Freedom of Information Act - 15 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 PRAJ 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 PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 009. report re: U.S. Government Report (1 page) 08/31/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - 144 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 PRAJ 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 h(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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 010. report re: U.S. Government Report (1 page) 03/29/1989 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - 144 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 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 h(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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 011. report re: U.S. Government Report (1 page) 09/19/1990 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 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 I(b)(4) of the FOIA] and his advisors, or between such advisors [a)(5) of the PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 012. cable re: Minister Resigns (2 pages) 08/31/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - - 15 U.S.C. 552(b)| PI 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 PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 013. report re: U.S. Government Report (1 page) 04/11/1990 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)| Freedom of Information Act - 15 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 PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 014. report re: U.S. Government Report (1 page) 05/08/1987 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act |44 U.S.C. 2204(a)] Freedom of Information Act - 15 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 PRAJ 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 PRAJ 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 PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 015. bio re: Stephen Lewis [Personally Identifiable Information] [Partial] (1 00/00/0000 b(6) page) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act 15 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 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] h(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 PRAJ 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. [015] LEWIS, Stephen (b)(6) S. the late David, Q.C. (former Fed. Leader of New Democratic Party) and Sophie (Carson) L.; m. Michele Landsberg 30 May 1963; children: llana, Avram, Jenny; Candn. Am- bassador to United Nations 1984-88; apptd. Special Ad- visor to UN Secretary-General on African Economic Recovery 1986-91; apptd. Barker Fairley Distinguished Visitor in Candn. Culture, University Coll., Univ. of Toronto 1988-90; apptd. Special Representative of UNICEF 1990; 1st el. to Ont. Leg., 25 Sept. 1963; Leader of Ont. N.D.P. 1970-78; became Leader of the official opposition in the Leg. 18 Sept. 1975; resigned seat 10 Nov. 1978; Address: 6 Montclair Ave., Toronto, Ont. M4V 1W1. CLINTON LIBRARY PHOTOCOPY Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 016. report re: U.S. Government Report (1 page) 09/23/1994 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - [44 U.S.C. 2204(a)] Freedom of Information Act - 15 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 FOIAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 017. report re: U.S. Government Report (1 page) 09/23/1994 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - |44 U.S.C. 2204(a)] Freedom of Information Act - 15 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 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 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. 2058 2059 WHO'S WHO 1995 68; ISM, 1978-79; Old Cliftonian Soc., 1979-81 Nat. Fedn of WILLETTS, David Lindsay: MP (C) Havent, since 1992: an Assistant Government Journalist. joined Labour Par Assoc. of British Choral Dirs, 1993- Mem. Council, Winston Whip, since 1994:4 9 March John Roland Willern and Hilary Sheila Disained 19361 WITH: General HM. sec., echnology 1969-70; Oppo rinetion, 1980: Bristol. 1981: St Olaf Coll, Minnesota, Principal Monetary Policy Div., 1982-84; Prime Minister's Downing Street Policy Unit, Minerals, 1970-74: Minister Hon Dr of Sacred Letters, Trinity Coll., Toronto, 1985. 1984-86; Dir of Studies, Centre for Policy Studies, 1987-92. PPS to Chm. of Cons. Party. Dol. 1976-79; Opposition $ and instruments! works. Address: 13 Grange Road, 1993-94. Consultant Dir, Cons. Res. Dept. 1987-92. Director: Retirement Security Ltd, 1980-83; opposition spokesm Cambridge (0223) 359559. Clubs: Athenzum, Arts. 1988: Electra Corporate Ventures Ltd. 1988. Mem., Social Security Adv. Citee, 1989-92. Shadow Leader of the House Member: Parkside HA. 1988-90; Lambeth, Lewisham and Southwark FPC, 1987-90. 1987-88. Chairman, Welsh L Michael Alan; Chief of Staff Allied Command Europe Rapid 994; b 27 July 1944; , of Henry Willcocks and late Georgina Publications: Modern Conservatism. 1992; paper, The Rok of the Prime Minister's Policy 1966-67; Mem. Public Aa - 1966, Jean Paton Weir; one $ two d. Educ: St John's Coll.; Unit, 1987 (Haldane Medal, RIPA): various pamphlets. Recreations: swimming, reading. 1979-86. Sponsored by TSSA Univ. (BSc Hons). Commnd RA. 1964; served Malaya, Borneo, Address: c/o House of Commons, SWIA OAA. T: 071-219 Club: Clyne Golf. : Instructor, RMA Sandhurst. 1972-74: MoD, 1977-79: Comd WILLIAMS; see Rees-Williams, family name of Baron Ogmore. WILLIAMS, Alan Lee, OBE 80; Directing Staff, Staff Coll., 1981-83: CO, 1st Regt, RHA, 1972-74 and 1992-93. Chai Q UKLF, 1985-87; ACOS, Intelligence/Ops. UKLF, 1988; WILLIAMS, family name of Barons Williams of Elvel and Williams of Mostyn and 1930; m 1974. Jennifer Ford. 1 89-90: reds 1991: ACOS. Land Ops, Joint War HQ, Gulf War, Baroness Williams of Crosby. Service, RAF, 1951-53; Ox and Programme, 1991-93; Dir Gen. Land Warfare, 1993-94. and the Armoured Experience. 1989. Recreations: books, music, WILLIAMS OF CROSBY, Baroness " 1993 (Life Peer). of Stevenage in the County of 1956-62. Dir-Gen., E-SU, 19 wb: National Liberal. Hertfordshire; Shirley Vivien Teresa Brittain Williams; PC 1974; Co-founder, MP (Lab) Hornchurch, 1966- Social Democratic Party, 1981, President, 1982-88; Professor of Elective Politics, John F. State for Defence, 1969-70. 19 F. CB 1988; Clerk of Public Bills, House of Commons, 1982-88, Kennedy School of Government, Harvard University, since 1988; Director, Project Party Defence Citee, 1976-7 : $ of George Henry and Annie Elizabeth Willcox; m 1st, 1950. Liberty, since 1990: b 27 July 1930: d of late Prof. Sir George Catlin, and late Mrs Catlin, Control, 1975-79; Adv. Cour We Dallas Ross (d 1984): one $ one d: 2nd, 1985. Pamela. widow (Vera Brittain): m 1st, 1955, Prof. Bernard Arthur Owen Williams (marr. diss. 1974). qu; of UN. NY. 1969; Chm., ett. Educ: St George's Coll, Weybridge: St John's Coll., Oxford one d; 2nd. 1987, Prof. Richard Ellion Neustadt. Educ: eight schools in UK and USA; Movement, 1970-71, Treasu IVR, 1942-45. Assistant Clerk, House of Commons, 1947; Sen. Somerville Coll., Oxford (scholar; MA, Hon. Fellow, 1970): Columbia Univ., New Chairman: Peace Through N, ding Committees, 1975-76; Clerk of Overseas Office, 1976-77; York (Smith-Mundt Scholar). General Secretary, Fabian Soc., 1960-64 (Chm., 1980-81). for Strategic and Internat. Sn miner of Petitions for Private Bills and Taxing Officer, 1977-82 Contested: (Lab) Harwich, Essex, 1954 and 1955. and Southampton Test. 1959; (SDP) RUSI. 1968-; Trilateral Corr. tening Address: Ibthorpe Farm House, Ibthorpe. near Andover, Crosby. 1983; (SDP/Alliance) Cambridge, 1987. MP: (Lab) Hitchin, 1964-74; (Lab) City of London, 1969; Co. of stbourne Tarrant (0264) 736575. Club: Garrick. Hertford and Stevenage, 1974-79: (first-elected SDP MP) Crosby. Nov. 1981-1983; DLirt (he) Schiller Internat. Un PPS, Minister of Health, 1964-66: Parly Sec., Min. of Labour, 1966-67; Minister of or the Open Sea?, 1971; Cr minence Cardinal Johannes Gerardus Maria; President, State: Education and Science, 1967-69; Home Office, 1969-70; Opposition spokesman Initiative: Europe's bid for equ romoting Christian Unity, 1969-89, now President Emeritus: on: Social Services, 1970-71, on Home Affairs, 1971-73: Pricesand Consumer Protection, 1989; Islamic Resurgence. 199 ad Primate of Holland, 1975-83; b Netherlands, 4 Sept. 1909. 1973-74: Sec. of State for Prices and Consumer Protection, 1974-76: Sec. of State for Several, Blackheath, SE3 0QR Y. Holland: Angelicum. Rome (Dr Phil.). Priest, 1934; Chaplain, Educn and Science, 1976-79; Paymaster General, 1976-79. Chm., OECD study on youth rdam, 1937-40; Prof. of Philosophy, Warmond, 1940; Director. WILLIAMS, Dr Alan Wynne employment, 1979; Mem., Council of Advrs to Pracsidium, Ukraine. 1991-. Mem., wd Assoc., 1946: organised Catholic Conf. on Ecumenical Tom and Mary Hannah W Labour Party Nat. Exec. Citee, 1970-81. Visiting Fellow. Nuffield College, Oxford. tican Secretariat for Promoting Christian Unity, 1960; Titular 1967-75; Res. Fellow, PSI, 1979-85; Visiting Faculty. Internat. Management Inst, Grammar School; Jesus Colleg i4; Cardinal. 1969: Cardinal with the Title of Sr Sebastian. in Environmental Science, Tn Geneva, 1979-88; Fellow, Inst. of Politics, Harvard, 1979-80 (Mem., Sen. Adv. Council. of Leners: Notre Dame Univ.: St Louis Univ.: St Olaf Coll., watching sport. Address: Cwm 1986-; Acting Dir, 1989-90); Director: Turing Inst., Glasgow. 1985-90; Learning by Paul's. Minn, 1979; Assumption Coll, Worcester, Mass, 1980; Carmarthen (0267) 235825. Experience Trust, 1986-94. Lectures: Godkin, Harvard, 1980; Rede, Cambridge, 1980; scholic Univ. of Louvain. 1971; Leningrad Theological Acad, Janeway, Princeton, 1981; Regents'. Univ. of Calif., Berkeley, 1991. Hon. Fellow, ublin, Poland, 1985; Hon. DD Oxon, 1987; Hon. DTheol WILLIAMS, Sir Alastair Edg. Newnham Coll., Cambridge, 1977. Hon. DEd CNAA. 1969; Hon. Dr Pol. Econ.: Univ. 1987; Hon. DH Hellenic Coll./Holy Cross Orthodox Sch. of of Leuven, 1976: Radcliffe Coll, Harvard, 1978; Leeds, 1980; Bath, 1980; Hon. LLD: WILLIAMS, Albert; General 1989: Hon. DTheol St Michael's Univ. Coll., Toronto, 1990. Sheffield, 1980; Southampton, 1981: Hon. DLitt Heriot- Watt, 1980; Hon. DSc Aston, Technicians, 1985-92: Preside IC et Problèmes Actuels, 1969; Mandatum Unitatis: Beiträge 1981. Publications: Politics is for People, 1981: Jobs for the 1980s; Youth Without Work. 1988-92; b 12 Feb 1927; , ( hurch and Jewish People, 1992: reports on the ecumenical 1981: (jtly) Unemployment and Growth in the Western Economies, 1984; A Job to Live, Barnes); m 1954, Edna Bradley er-church relationships. Address: dell'Erbs 1,1-00193-Rome. 1985. Recreations: music, hill walking. School of Building (1st and 2nd Apprentice bricklayer, Manche: WILLIAMS OF ELVEL, Baron a 1985 (Life Peer). of Llansantfraed in Elvel in the for various contractors; Membe R 1992; Rt. Rev. Geoffrey Graham Dow; 6 4 July County of Powys: Charles Cuthbert Powell Williams, CBE 1980; Opposition 1958; Exec., Council of UCAT 1 Dorothy May Dow (née Christie): E 1966, Molly spokesman on Defence, since 1990 and on Environment. since 1992, House of Lords; b 9 Council, TUC, 1986-92; Dir, 1. Educ: St Alban's Sch.; Queen's Coll., Oxford (BA Feb. 1933; I of late Dr Norman Powell Williams, DD. and Mrs Muriel de Lerisson 1979-92; Operatives' Side Sec. -ufton Theol Coll.: Birmingham Univ. (Dip. Pastoral Williams (née Cazenove); m 1975, Jane Gillian (née Portal). DL, JP; one step $. Educ: Builders Trng Assoc., 1992-: n Univ. (MPhil 1982). Ordained: deacon, 1967; priest, 1968; Westminster Sch.; Christ Church, Oxford (MA); LSE. British Petroleum Co. Ltd. Contract Services, 1994-. Ch Parish Church, 1967-72; Chaplain-Srudent, St John's Coll, 1958-64; Bank of London and Montreal, 1964-66; Eurofinance SA, Paris, 1966-70; Recreations: poetry and work. A n Christian Doctrine, St John's Coll., Nottingham. 1975-81; Baring Brothers and Co. Ltd. 1970-77 (Man. Dir, 1971-77): Chm., Price Commn. 8XJ. ary, 1981-92. Canon Theologian, Coventry Cathedral, 1989-. 1977-79; Man. Dis 1980-82, Chm. 1982-85, Henry Ansbacher & Co. Ltd: Chief Exec., Mills? Shaftesbury Project, 1979: The Local Church's Political Henry Ansbacher Holdings PLC, 1982-85. Parly Candidate (Lab), Colchester, 1964. WILLIAMS, (Albert) Trevor hn's College Extension Studies B1-God and the World, 1980; House of Lords: Dep. Leader of Opposition, 1989-92; Opposition spokesman on Trade Minnie Williams: m 1st, 1970 ller?. 1983; Those Tiresome Intruders. 1990; Explaining and Industry, 1986-92. on Energy, 1988-90. Founder Mem, Labour Econ Finance and Fraser Duncan (née Milne): OTH ian Renewal in Europe, 1992; A Christian Understanding of Taxation Assoc. (Vice-Chm., 1975-77. 1979-83). Director: Pergamon Holdings Ltd, Southport: Queens' Coll., Cam ions: steam and narrow gauge railways, model railways, travel, den Lane, NW6 7YN. T: 081-451 0189. 1985-91; Mirror Group Newspapers Ltd. 1985-91. Mirror Group Newspapers PLC, Rotary Foundation Fellow, Uni 1991-92; Chm., Acoustignide UK Ltd, 1989-. President: Campaign for Protection of Director, 1965-68: various aca Robert; Member of Senate for Western Australia, 1949-75: Rural Wales, 1989-; Fedn of Economic Develt Authorities, 1990-. Publication: The Last Vis. Professor, Graduate Schoo Great Frenchman: a life of General de Gaulle, 1993. Recreations: cricket (Oxford Univ. Sussex Univ.: Vis. Associate Pro two d. Educ: Carnarvon, Western Australia. Special Minister Prime Minister, Minister assisting Minister for Foreign Affairs CC, 1953-55, Captain 1955; Essex CCC, 1953-59): music, real tennis. Address: 48 strategy at Hong Kong Univ., 1 Thurloe Square, SW7 2SX. T: 071-581 1783; Pant-y-Rhiw, Liansantfiraed in Elvel. 1992-93 (Vis. Prof., 1992-94). uncil, 1972-73: Minister for Foreign Affairs. 1973-75; Leader Powys LDI 5RH Clubs: Reform, MCC. Futures Research, Univ. of Ste :, 1966-67; Deputy Leader of Opposition in Senate, 1969-72; Commission, 1978-79; Adviso Senate, 1972. Recreation: swimming. Address: 5 Walton Place. WILLIAMS OF MOSTYN, Baron a 1992 (Life Peer). of Great Tew in the County of 1979; Dir. Henley Centre for F australis. Oxfordshire: Gareth Wyn Williams; QC 1978; a Recorder of the Crown Court, since Team Manager. Monopolies at BE 1985; FRSE 1979; Hon. Senior Research Fellow, Hunterian 1978; b 5 Feb. 1941: , of Albert Thomas Williams and Selina Williams: m 1962, Pauline Futures Studies, 1976. Recreation asgow, since 1990; b 18 Aug. 1925; $ of Thomas Willett and Clarke (separated); one , two d. Educ: Rhyl Grammar Sch.; Queens' Coll., Cambridge Hereford HR2 6LQ. T: Holme 1950, Mary Constance Hewitt: one $ three d. Educ: Bolton (Open Schol. (History) 1958; Univ. Prize, Jurisprudence 1962: Foundn Schol. 1964; LLB NW5 1EJ. Clubs: Athenzum, 11 University Coll, Oxford. MA (Oxon): Dip. Anthropology (1st CI.) 1964; MA 1965). Called to the Bar, Gray's Inn, 1965, Bencher, 1991; Leader, k. Inland Revenue. 1940; RAF Linguist, Japanese, 1943-44. Wales and Chester Circuit, 1987-89. Member: Bar Council, 1986-92 (Chin., 1992); WILLIAMS, Alexander, CB 19 and Gen. Archaeology, Manchester Museum, 1950-58: Hon. Council of Justice. 1993-. Opposition front bench spokesman on NI. home and legal 1931: of Henry and Dorothy T affairs, H of L, 1992-. President: Prisoners Advice Service, 1992-; Commonwealth and one J. Educ: Grove Park Gramn igerian Federal Govt, 1956-57. 1957-58; Archaeologist and uities, Nigerian Fed. Govt, 1958-63; Supply Teacher. Bolton Ethnic Bar Assoc., 1993-. Trustee, NSPCC, 1993-: Patron, Redress Trust. 1993- Pro- Bangor (BSc). National Service Chancellor, Univ. of Wales, 1994- Fellow, Univ. of Wales, Aberystwyth, 1993. Address: Southern Instruments, Camber verhulme Research Fellow, 1964; Research Fellow, Nuffield Farrars Building, Temple, EC4Y 7BD. T: 071-583 9241. Radiation Science, 1959-78; He Prof. of Art History, African and Interdisciplinary Studies, Under Sec., Res. and Technok ston, III. USA, 1966-76; Dir and Titular Prof. Hunterian WILLIAMS, Prof. Alan Harold; Professor in the Department of Economics, University IW, 1976-90. Vis. Fellow, Clare Hall. Cambridge, 1970-71. Analytical Chemists, 1989-93. of York, since 1968; b 9 June 1927; , of Harold George Williams and Gladys May Corresp. Member, Manchester Literary and Philosophical of Accuracy (with P.J. Campion Williams (née Clark): m 1953, June Frances Porter: two , one d. Educ: King Edward's, of radio-activity etc, to Internat in the History of West African Sculpture, 1967, rev. edn. Ife: Birmingham: Univ. of Birmingham (BCom). Lecturer, Exeter Univ., 1954-63; Sep. and Methods. etc. Recreations: b 1971; African Art: An Introduction, 1971. rev. edn 1993; Lectr and Reader, Univ. of York. 1964-68. Visiting Lecturer: MIT. 1957-58; Princeton, of Ancient Nigeria. 1980; articles in Encyc. Britannica, Man. 1963-64; Director of Economic Studies, HM Treasury Centre for Administrative Studies, WILLIAMS, Sir Alwyn, Kt 19 frica, JI of Nigerian Historical Soc., Odu, SA Archaeol Bull., 1966-68. Member: Yorkshire Water Authority, 1973-76; DHSS Chief Scientists Vice-Chancellor of University reports and chapters in several books. Recreations: relaxing, Research Citee, 1973-78; Royal Commission on the NHS, 1976-78; various SSRC Cttees Geology. since 1988; b 8 June 1' Hunterian Museum. University of Glasgow, Glasgow G12 and Panels. 1973-; Nat. Water Council, 1980-83. Hon. DPhil Lund, 1977. Publications: 1949. E. Joan Bevan: one I or wb: Commonwealth Trust. Public Finance and Budgetary Policy, 1963; (with Robert Anderson) Efficiency in the College of Wales. Aberystwyth Social Services, 1975; (with Robert Sugden) Principles of Practical Cost-Benefit Analysis, 1946-48. Harkness Fund Fellov d Member, Civil Aviation Authority and Group 1978: articles in Economica. JI of Political Econ., II of Public Econs, Nat. Tax JI, JI of Lecturer in Geology in Univer 6 2 Oct. 1944; s of Reginald John Willett and garet Pope (separated 1993); two $ one di Educ: Health Econ., BMJ and elsewhere; numerous conf. papers on various aspects of public Pro- -Vice-Chancellor, 1967-74. JV. (BA Hons): Open Business Sch. (MBA). RAF. expenditure appraisal, esp. health and health care. Recreations: music, walking. teasing. Head of Dept. Univ. of Birmin- Trustee, Britsh Museum (Nat. I Laker Airways, 1973-82; Flight Ops Inspectorate, CAA, WILLIAMS, Rt. Hon. Alan John, PC 1977; MP (Lab) Swansea West since 1964; b 14 PAN. Recreation: horse riding. Address: Civil Aviation Equip. and Phys. Sci. sub-ettees. Oct. 1930; M 1957. Mary Patricia Rees. Blackwood, Mon: two $ one d. Educ: Cardiff Library, 1975-77; Scortish Tert South Area. Gatwick Airport, West Sussex RH6 0YR. T: High Sch.; Cardiff College of Technology: University College, Oxford. BSc (London): Councils, 1985-88: Chairman: BA (Oxon). Lecturer in economics, Welsh College of Advanced Technology: Free-lance Citee on Scottish Agricl Colls, ) Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 018. report re: U.S. Government Report (2 pages) 01/06/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act - [44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] PI 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 PRAJ 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. Withdrawal/Redaction Marker Clinton Library DOCUMENT NO. SUBJECT/TITLE DATE RESTRICTION AND TYPE 019. report re: U.S. Government Report (2 pages) 08/29/1995 P1/b(1) COLLECTION: Clinton Presidential Records First Lady's Office First Lady's Press Office - Lisa Caputo OA/Box Number: 6059 FOLDER TITLE: Briefing Book of the First Lady - U.N. Fourth World Conference on Women, September 5-6,1995 [binder] [4] 2012-0094-F jp3675 RESTRICTION CODES Presidential Records Act |44 U.S.C. 2204(a)] Freedom of Information Act - 15 U.S.C. 552(b)] PI 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 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 PRAJ 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. 002 EMBASSY OF THE we PEOPLE'S REPUBLIC OF SANGLADESH BEIJING * * * No Pol/8(3)/95 The Embassy of the People's Republic of Bangladesh presents its compliments to the Embassy of the United States and has the honour to inform that the Han'ble Prime Minister of Bangladesh Her Excellency Begum Khaleda Zia would like to meet Her Excellency Madam Hillary Clinton, the First Lady of the United States of America during the Fourth World Conference on Women (FWCW). The Embassy wishes to inform further that at the meeting between Begum Khaleda Zia and Madam Hillary Clinton in Dhaka during the First Lady's recent visit to Bangladesh, the two leaders had agreed to meet again In Boljing during their participation in the FWCW. The Prime Minister of Bangladesh will arrive in Beiling at 2015 hrs in the evening of September 3 and leave Beijing at 1300 hrs of September 6. In Beijing, she will stay at Grand Hotel at suite Number 9136. of to the United States of America in Beijing would kindly forward the request The Embassy of Bangladesh would be very grateful Is the Embassy appropriate authorities for a meeting between the two leaders at a time convenient to the US First Lady. The Embassy of Bangladesh avails itself of this opportunity to renew to the Embassy of the United States of America the assurances of its highest consideration. The Embassy of the United States of America Beijing 31 August 1995 OF Beijing BA NGLATEST Th 76 23/08 '00 22:02 FAX 002 100'd TX/RX NO.0033 20:17 00. 23/08 Unclassified Fax Leader Telephone: (86 10) 491 5588 ext 0406/8 Fax: (86 10) 492 2900 United Kingdom Delegation to the United Nations Fourth World Conference on Women DATE 31/8/95 FROM. MS SUSAN MORTON, FIRST SECRETARY, BRITISH EMERISY TO MR BRADY WILLIAMION FAX NO. 5050400 PAGES (including leader) / we would like to arrange a bilateral meeting between Mrs Clinton and Baroness Chalker, Minister for Overseas Development and Minister of State for Foreign Affairs, the Head of the British Delegation. The available slots are from 12.00 on Monday 4 September or any time on the morning or Tuesday 5 September Baraness Chalker is of course able to be flexible on timing. \ would be grateful if you could contact me by on 90509569. You can also leave a message for me on 4915588 Bom 406 or 408 Or by fax 492 2900 S.Natan 25/08 '00 05:47 FAX 004 Request For Appointment With FLOTUS September 1, 1995 From: Ms. Margit Savovich Federal Minister for Human Rights & Minorities of the Republic of Yugoslavia Contact: Ms. Ljiljana Nikshich Embassy of Republic of Yuguslavia tel. 532-3516; 532-3016 Other Details: No press or photographs requested. Ms. Savovich has official instructions to meet the First Lady to pass a message. Only Ms. Savovich knows the substance of the meeting. Ms. Savovich also serves in Yugoslavia as President of UNICEF and President of the Commission for Advancement of Women In Yugoslavia. Ms. Nikshich offers to meet with USG personnel to discuss further the possibility of a meeting. PRIORITY UNCLASSIFIED WHITE HOUSE SITUATION ROOM D PAGE 01 PRT: SOLIS SIT: DESHAZER MCCORMICK NSC RICE SHEEHAN <PREC> PRIORITY <CLAS> UNCLASSIFIED <DTG> 301357Z AUG 95 FM AMEMBASSY BUJUMBURA TO RHEHAAA/THE WHITE HOUSE WASHINGTON DC PRIORITY RUEHC/SECSTATE WASHDC PRIORITY 6662 INFO RUEHBJ/AMEMBASSY BEIJING PRIORITY 0006 UNCLAS BUJUMBURA 003698 E.0.12356: N/A TAGS: OVIP, PHUM, PREL, CH, BY, US SUBJECT: WIFE OF BURUNDI PRESIDENT TO ATTEND - WOMENS' RIGHTS CONFERENCE IN BEIJING ACTION REQUEST - SEE PARA TWO. 1. THE MFA HAS INFORMED US THAT MRS. PASCASIE NTIBANTUNGANYA, THE WIFE OF BURUNDI PRESIDENT SYLVESTRE NTIBANTUNGANYA, WILL ATTEND THE WOMENS' RIGHTS CONFERENCE IN BEIJING. SHE IS SCHEDULED TO ARRIVE IN BEIJING ON SEPTEMBER ONE AND WILL REMAIN THERE UNTIL THE END OF THE CONFERENCE. SHE CAN BE CONTACTED VIA THE BURUNDI EMBASSY IN BEIJING. 2. THE MFA ALSO TOLD US THAT MRS. NTIBANTUNGANYA WOULD LIKE TO MEET WITH FIRST LADY HILLARY RODHAM CLINTON. WE TOLD THE MFA WE WOULD FORWARD ITS REQUEST, BUT CAUTIONED THAT WE COULD MAKE NO COMMITMENTS ON BEHALF OF THE FIRST LADY. KRUEGER BT #3698 NNNN <MSGID> M1832335 UNCLASSIFIED IMMEDIATE UNCLASSIFIED WHITE HOUSE SITUATION ROOM PAGE 01 OF 04 PRT: SIT SOLIS SIT: NSC ROTH SCHWARTZ SUETTINGER SUM SUM2 <PREC> IMMEDIATE <CLAS> UNCLASSIFIED <DTG> 300705Z AUG 95 FM AMEMBASSY ROME TO RUEHC/SECSTATE WASHDC IMMEDIATE 0830 RHEHAAA/WHITEHOUSE WASHDC IMMEDIATE RUCNDT/USMISSION USUN NEW YORK IMMEDIATE 2862 INFO RUEHBJ/AMEMBASSY BEIJING IMMEDIATE 2248 RUEHGV/USMISSION GENEVA PRIORITY 3559 RUEHRC/USDA FAS WASHDC 1195 UNCLAS SECTION 01 OF 02 ROME 011994 FROM FODAG DEPARTMENT FOR STATE/IO, ATTN: DAS MELINDA KIMBLE AND RALPH BRESLER USAID FOR AA/BHR DOUG STAFFORD AND DAA/AFR LEN ROGERS WHITEHOUSE FOR NSC, ATTN: ERIC SCHWARTZ GENEVA FOR RMA E.O. 12356: N/A TAGS: OVIP (CLINTON, HILLARY), AORC, UN, WFP SUBJECT: WORLD FOOD PROGRAM (WFP) EXECUTIVE DIRECTOR REQUESTS MEETING WITH FIRST LADY HILLARY CLINTON DURING FOURTH U.N. CONFERENCE ON WOMEN IN CHINA, SEPTEMBER 2-9, 1995 REF: ROME 11359 1. THIS IS AN ACTION MESSAGE. 2. SUMMARY: MS. JUDITH LEWIS (AMCIT), THE DIRECTOR OF THE OFFICE OF THE EXECUTIVE DIRECTOR OF WFP, CALLED FODAG (U.S. MISSION TO U.N. AGENCIES FOR FOOD AND AGRICULTURE) ON AUGUST 29 REQUESTING STATE/IO AND USAID/BHR ASSISTANCE IN SCHEDULING A MEETING BETWEEN THE FIRST LADY AND CATHERINE BERTINI (AMCIT), THE EXECUTIVE DIRECTOR OF WFP, IN CHINA AT THE SUBJECT CONFERENCE TO DISCUSS IMPROVEMENT IN THE COORDINATION AND TARGETING OF FOOD AID FOR WOMEN AND CHILDREN. MS. BERTINI WILL BE AVAILABLE FOR A MEETING ANY TIME DURING SEPTEMBER 2-9. STATE/IO AND USAID/BHR ASSISTANCE IS REQUESTED IN FOLLOWING UP ON THE REQUEST. END SUMMARY. UNCLASSIFIED IMMEDIATE UNCLASSIFIED WHITE HOUSE SITUATION ROOM PAGE 02 OF 04 2. BRIEF BACKGROUND ON MS. BERTINI: MS. BERTINI WAS APPOINTED TO THE WFP EXECUTIVE DIRECTOR POSITION IN APRIL, 1992. JUST PRIOR TO ASSUNING THAT POSITION SHE WAS AN ASSISTANT SECRETARY IN THE U.S. DEPARTNENT OF AGRICULTURE AND PREVIOUSLY SERVED AS AN ACTING ASSISTANT SECRETARY IN THE DEPARTNENT OF HEALTH AND HUMAN SERVICES. AT WFP NS. BERTINI HAS ACTIVELY PRONOTED REFORMS DESIGNED TO INPROVE FINANCIAL MANAGENENT, PROJECT ACCOUNTABILITY, ENERGENCY RESPONSE NECHANISNS AND PROJECT PERFORNANCE REPORTING; TO CUT COSTS; AND TO REDUCE WASTE. IN 1995 WE ARE BEGINNING TO SEE THE POSITIVE INPACT OF THESE EXTENSIVE REFORNS. 3. BERTINI ON WONEN'S ISSUES: MS. BERTINI HAS BEEN PARTICULARLY ACTIVE IN THE AREA OF WONEN'S ISSUES. SHORTLY AFTER HER ARRIVAL AT WFP SHE ESTABLISHED AN ACTIVE RECRUITNENT PROGRAN FOR WONEN PROFESSIONALS AT THE SENIOR LEVELS OF THE ORGANIZATION. THIS PROGRAM IS NOW YIELDING RESULTS. FOR EXANPLE, OVER THE LAST YEAR AND A HALF WOMEN WERE RECRUITED FOR THE FOLLOWING SENIOR WFP POSITIONS: NEW DIRECTORS OF AUDIT (PHILIPPINES), PERSONNEL AND ADNINISTRATION (CANADA) AND THE NIDDLE EAST GEOGRAPHIC BUREAU (EGYPT), AND THE PROJECT MANAGER FOR THE FINANCIAL MANAGEMENT IMPROVENENT PROJECT (GERNANY). FURTHERMORE, NS. BERTINI HAS ESTABLISHED AN ON-THE- JOB TRAINING PROGRAM DESIGNED TO NOVE CURRENT WFP FEMALE EMPLOYEES INTO NORE RESPONSIBLE POSITIONS AS THEY CONPLETE REQUIRED TRAINING AND GAIN OPERATIONAL EXPERIENCE IN THE FIELD. 4. BERTINI ON WOMEN'S PROJECTS: SHORTLY AFTER HER ARRIVAL IN ROME, NS. BERTINI INITIATED A PROJECT DESIGN PROCEDURE WHICH INVOLVES TAKING A CLOSER LOOK AT POTENTIAL PROJECT BENEFITS TO WOMEN AND CHILDREN AND ALSO CONPARES THE BENEFITS TO THEN OF DIFFERENT PROJECT INTERVENTIONS. NS. BERTINI IS INTERESTED IN WORKING WITH OTHER U.N. ORGANIZATIONS IN CARRYING OUT JOINT PROJECTS THAT BENEFIT WONEN AND SHE IS ALSO INTERESTED IN THE NEW U.S. NULTI-YEAR WOMEN'S DEVELOPMENT PROJECT ANNOUNCED BY MRS. CLINTON EARLIER THIS YEAR. MS. BERTINI HAS ALREADY WRITTEN TO THE WHITE HOUSE REGARDING VARIOUS SUGGESTIONS SHE HAS ON HOW TO CARRY OUT JOINT U.N.-U.S. PROJECT ACTIVITIES TO IMPROVE THE LIVES OF WOMEN IN SOME OF THE POOREST UNCLASSIFIED IMMEDIATE UNCLASSIFIED WHITE HOUSE SITUATION ROOM PAGE 03 OF 04 COUNTRIES OF THE WORLD. 5. THERE ARE TWO MAJOR ISSUES MS. BERTINI WOULD LIKE TO DISCUSS WITH THE FIRST LADY: A) U.S. LEADERSHIP IN THE FOOD AID ARENA: TO DISCUSS THE ROLE OF U.S. FOOD AID IN HUMANITARIAN AND DEVELOPMENT ASSISTANCE AND THE IMPORTANCE OF U.S. LEADERSHIP AND PROGRAMS IN HUNGER REDUCTION AROUND THE WORLD. B) NEW TARGETING APP ROACHES: MS. BERTINI HAS BEEN INVITED BY THE QUEEN OF SPAIN AND EUROPEAN UNION COMMISSIONER EMMA BONINO TO PARTICIPATE IN A "HUMANITARIAN LEADERS MEETING" IN SPAIN IN MID DECEMBER, 1995. AT THE MEETING, MS. BERTINI WOULD UNCLAS SECTION 02 OF 02 ROME 011994 FROM FODAG DEPARTMENT FOR STATE/IO, ATTN: DAS MELINDA KIMBLE AND RALPH BRESLER USAID FOR AA/BHR DOUG STAFFORD AND DAA/AFR LEN ROGERS WHITEHOUSE FOR NSC, ATTN: ERIC SCHWARTZ GENEVA FOR RMA E.O. 12356: N/A TAGS: OVIP (CLINTON, HILLARY), AORC, UN, WFP SUBJECT: WORLD FOOD PROGRAM (WFP) EXECUTIVE DIRECTOR REQUESTS MEETING WITH FIRST LADY HILLARY CLINTON DURING FOURTH U.N. CONFERENCE ON WOMEN IN CHINA, SEPTEMBER 2-9, 1995 LIKE TO DISCUSS A PROPOSAL TO FUNDAMENTALLY CHANGE THE WAY FOOD AID IS TARGETED. SPECIFICALLY, SHE WOULD LIKE TO SEE FOOD DELIVERED DIRECTLY TO WOMEN BECAUSE SEVERAL STUDIES AND EVALUATIONS HAVE CONFIRMED THAT, EVEN UNDER CONFLICT CONDITIONS, WOMEN DISTRIBUTE FOOD MORE EQUITABLY THAN MEN. 6. ACTION: STATE/IO AND USAID/BHR ARE ASKED TO FOLLOW-UP WITH APPROPRIATE OFFICES IN THE WHITE HOUSE TO SEE IF MS. BERTINI CAN BE ADDED TO MRS. CLINTON'S SCHEDULE IN BEIJING. PLEASE ADVISE FODAG OF RESULT. WE ARE IN DAILY CONTACT WITH MS. BERTINI'S OFFICE, WHICH IS IN DAILY CONTACT WITH THE EXECUTIVE UNCLASSIFIED IMMEDIATE UNCLASSIFIED WHITE HOUSE SITUATION ROOM PAGE 04 OF 04 DIRECTOR. FORBORD BT #1994 NNNN <MSGID> M1831685 UNCLASSIFIED