PROJECT PROPOSAL WRITING

Item

Title
PROJECT PROPOSAL WRITING
extracted text
RF_NGO_17_SUDHA

REP5RI_QN_£0UNCIL/STfiFF_P0LICY_piSCUSSigNS^_12IH_FEBRUQRY_1986

0 meeting to discuss AHRTAG’s policies and programmes was held on
12th February 1986 at Connaught Hall, Tavistock Square, London
WC1.Those present were:

Council members:

Marie-Therese Fenerstein, Richard Laing, John
Macdonald, David Morley, John Webb and Pam
Zinken, and for the afternoon session only, Plan
Morgan, Aubrey Sheiham and Gill Walt

Staff:

Kathy Attawell, An Darnbrough, Suzanne
Fustukian, Mimi Khan, Ken Ritchie, Maria Spyrou,
Philip Stockley, Josie Taylor-Lewis and Chris
Whitehouse

Apologies were received from Miles Hardie and Martin Hobdell.
Following introductions, David Morley gave a brief history of
AHRTAG, and the Executive Director then outlined the current
situation: he felt that, although AHRTAG was facing many problems;
it had emerged from various crises and staff changes, and was now
in a position to take decisions on where it wanted to go as an
organisation.
In discussion it was agreed that AHRTAG must decide
what it wanted to do - although the availability of funds would
affect AHRTAG’s programme of work, the programme should be
determined by AHRTAG rather than donors.

Ana lysis_of_iXX-heal.th_and_ objectives

The meeting divided into two groups to consider how we see the
problems of ill-health in the Third World and what our objectives
should be.
On reconvening, agreement was reached on the following
points:
(a)

that the causes of ill-health are rooted in social and economic
conditions which often have national and international
dimensions;

(b)

that nevertheless health problems can often be alleviated by
the use of technologies which give people more control over
their own health;

(c)

AHRTAG is concerned with primary health care issues: we should
avoid a narrow focus on methods and equipment; we should see
,'iealth in the context of economic and social conditions, and we
should make links with other organisations dealing with these
condit ions;

(d)

AHRTAG’s principal objective is the transfer of information
which can empower people to bring about improvements in health
standards mainly through programmes in the Third World, but
also through campaigns in Britain.

(e)

that in the Third World AHRTAG should aim to provide
information to managers of primary health-care programmes and
trainers of phc workers.

It was also suggested that AHRTAG should have a particular concern
for the role of women in health care and women’s health problems.
It was agreed that, although there was no need for any change in
AHRTAG’s constitution, staff should prepare a brief statement of
current policy for consideration by the Council.

BllSSrammes
Suzanne Fustukian introduced a discussion of AHRTAG’s programmes
and programme plans.
(a)

It was agreed that AHRTAG should continue with the type of work
in which it has expertise, i.e. the production and distribution
of newsletters and manuals, and that in these publications
there should be an emphasis on providing people with
information which enabled them to take actions, and providing
them with access to other organisations and sources of
information, including information on social and economic
issues related to health care.

(b)

It was agreed that AHRTAG should make greater efforts in
developing links with overseas organisations, and in developing
their capacity of provide information services.
Here the
proposals for the development of the Resource Centre’s services
were seen as being of great importance.

(c)

There was discussion on the balance between building on
strengths and diversifying into the production of different
types of resource materials, and on the extent to which AHRTAG
should seek involvement in overseas programmes.
Some felt that
AHRTAG should work within the limitations of its existing
expertise, but others felt that AHRTAG must develop or obtain
access to other forms of expertise in order to allow the
organisation to develop.
The value of direct contact with
overseas programmes was noted.

Campaigns_and_deyelgpment_educat ion
It was recognised that national and international policies are
often determinants of health standards, and that AHRTAG has
therefore a role in

- advocating appropriate policies;
- countering policies which might be damaging to health
st anda rds.

However, as AHRTAG did not have the structures or resources
required for effective campaigning, it was agreed that AHRTAG’s
role should be to act as resource group in support of appropriate
campaigning organisations (with which AHRTAG might make formal
1 inks).

Similarly it was agreed that AHRTAG had a role to play in
development education, although further discussion was needed on
the nature of the role.

S£QaHisational._st ructure
Staff expressed a need for better communications with and access to
the Council.
The meeting noted that this might be achieved through
a Council member being linked to each AHRTAG project, or through
advisory committees being established for the main areas of
AHRTAG’s work.

The Executive Director was asked to investigate the possibility of
holding Council meetings in evenings to enable more Council Members
to attend, and of holding meetings in a larger room so as to
facilitate staff involvement.
It was noted that there may be a case for strengthening the Council
by the addition of people with different types of expertise and
experience, possibly including visitors (e.g. postgraduate
students) to London from overseas institutions.

AHRTAG’s membership was another source at expertise which might be
better used.
Time did not allow discussion of a paper on the
expansion of the membership, but staff were asked to prepare
proposals (where appropriate giving options) on how the
Counci1/membership structure might be amended.

Fundrai,sing_strategy
Philip Stockley introduced the issues for discussion.
It was
agreed that AHRTAG should explore the posiibiiity of fundraising
directly from specific sectors of the public, and some suggested
that a logo might help.
Although the name ’AHRTAG’ might be a
difficult one, it was felt that changing it would have more
disadvantages than benefits.
It was recognised, however, that the bulk of our funds would
continue to be in the form of project grants.
Here there was an
urgent need to develop good proposals, and to broaden the base of
support (which would give AHRTAG greater independence from its
donors), perhaps by doing more to top charities which are
overfunded.
It was agreed that overall responsibility for fundraising must rest
with the executive director, but with staff involvement in
preparing and where appropriate presenting, proposals.
It was
accepted that Council should have a fundraising responsibility, and
that the role of Council members should be in providing contacts
and information on sources of funds.
It was recognised that there were sources from which AHRTAG would
not wish to accept funds.
Questions were raised about USAID
support: this raised difficult issues because of the dependence of
the DD programme on USAID, and it was agreed that AHRTAG should
such ways of reducing the dependence and preparing for the time
when USAID support will end.

Summi.ng_ug

John Macdonald reviewed the main issues which had been discussed
during the day.
Although there had not been sufficient time to
produce any detailed proposals, the meeting had provided pointers
for the direction in which AHRTAG should be going.
In his
concluding remarks the Chairperson, David Morley, note«d that the
meeting had enabled staff and Council members to get to know each
other better, and that for AHRTAG the meeting had been a very
valuable one.

MINUTES OF THE THIRTY-NINTH MEETING OF THE COUNCIL OF AHRTAG
HELD AT 4.00 P.M. ON 24TH SEPTEMBER 1986 AT 85 MARYLEBONE HIGH
STREET, LONDON W1

Jock Anderson
Barbara Bubb
Richard Laing
John Macdonald
Alan Morgan

In att.en.d.s.n.cg:

David Morley (Chair)
Carrie Osborne
Gill Walt
Pam Zinkin

Kathy Attawell
Philip Stockley
Suzanne Fustukian
Chris Whitehouse
Ken Ritchie (Secretary)

were received from Dennis Frost and

39.1

Aoolot-ies for absence
Miles Hardie.

3 9.2

Minute1; . i Thirtv-Eighth Meeting of the Council held on 9th
July 1986 were accepted as a correct record.

39-3

Matters arising

(a)

Membership of Council (minute 38.2)

The Council welcomed Barbara Bubb who was attending her
first meeting following her co-option to the Council.

It was noted that Richard Laing would soon be returning to
Zimbabwe and would therefore not be able to attend future­
meetings.
The Council hoped that it would continue to be.
possible for him to contribute to the Council's work.
The
Executive Director was therefore asked to prepare
proposals for the appointment of Advisors to the Council
who, although not full Council members, would receive and
be invited to comment on Council papers.
It was noted
that Martin Hobdell might also wish to be considered an
Advisor because of his difficulty in attending meetings.

( b)

(minute 38.7)

”o meetings had been arranged for the Dental Health and
Disability Advisory Committees.
Kathy Attawell reported that all those approached had
agreed to serve on the Publications Advisory Committee,
although Grace Eiscocks of TALC had yet to be approached.
Kathy Attawell was trying to arrange the first meeting of
the Committee, and she invited proposals for the agenda.

39.4

General Purposes Committee report

(a)

Fundraising;
Two meetings of the GPC had been held since the previous
Council meeting.
At both meetings concern had been
expressed at the financial situation, and in particular
the decrease in general funds.
The need for effort to
increase the flow of fundraising proposals was stressed.

Philip Stockley circulated a questionnaire requesting
contacts for fundraising.
David Morley suggested that the
types of organisations using AHRTAG newsletters, eg.
Christian missions, might identify potential donors.
It was noted that after careful consideration AHRTAG had
declined an invitation to join a consortium of agencies
interested in payroll fundraising.
The initial investment
required by the consortium (about £15,000 over 18 months)
was considered too high in the light of AERTAC-'s resources
and the likely returns.

The Council discussed fundraising priorities, and it was
noted that there was a possible conflict between
fundraising for DD and for the proposed PEC Newsletter.
The Scientific Editors of DD, working in co-operation with
and through the office, should take the lead in DD
fundraising, but raising funds for DD should be a low
priority for AHRTAG staff.
It was noted that further funding was required for Aids
for Living.
Pam Zinkin expressed the view that it might
be necessary to change the title of this newsletter and to
give it a broader focus.
Concern was expressed over the funding of the Resource
Centre.
It was asked whether its costs could be justified
by the relatively small number of visitors it was
receiving, but the Council accepted that its function was
much more than to provide a service for visitors.
Alan
Morgan, the Honorary Treasurer, suggested that a
distinction needed to be made between the in-house uses of
the Resource Centre and project work.
The Council expressed concern over the time which staff
were taking in producing funding applications.
Carrie
Osborne suggested that seminar be held to assist staff in
the formulation of project proposals, and Council members
with experience in this field offered assistance.

(b)

Budget for 1986/87

The Council received a draft summary budget based on
expenditure of £514,500 for the year.
It was noted that
income would be carefully monitored during the year and
the expenditure budget amended if necessary.
The Honorary
Treasurer told the meeting that the projected increase in'
expenditure over the 1985/6 level should be approached
with caution.
(c)

Council discussion of project work
In the course of the GPC’s report, some members of Council
expressed the view that they had not had adequate
opportunity to discuss reports on all areas of AHRTAG’s
work.
It was agreed that the Executive Director should
prepare a schedule of project reports for Council meetings
throughout the year.

39.5

Co-operative agreement with USAID

The Council noted that extension of the agreement which had
been proposed by USAID, and approved the actions of the GPC in
requesting some amendments.

The Council noted that under the agreement copies of DD had to
be submitted to USAID
prior to publication.
Although the
Council agreed to accept this condition, it confirmed its
support for AHRTAG’s editorial independence.
While the Council respected the contribution which the
existing Scientific Editors had made to DD, it could not agree
with the USAID statement that they were "uniquely qualified"
as DD editors.
It was decided that consideration should be
given to the appointed of additional scientific editors as it
was felt that this could broaden the concerns of the
newsletter.
It was noted that the level of remuneration of
the Scientific Editors should also at some time be considered
by the Council.
It was noted that there was some uncertainty over when and how
USAID night wish to evaluate the DD programme.
The Council
took the view that it would welcome any evaluation aimed at
improving the effectiveness of AHRTAG’s work and made against
criteria agreed by AHRTAG, but concern was expressed over the
manner in which the USAID team had conducted the evaluation of
DD in 1985.
The Council asked that the six-monthly reports on
DD required by USAID be circulated to Council, and that the
Council should be involved in any future evaluations of DD.

39.6

Urban Health

The Council welcomed a proposal from Suzanne Fustukian for a
resource and information service on urban health.
This
proposal had been developed through discussions with Trudy .
Harpham and others, and the support of a number of agencies,
including Oxfam, SIDA, DANIDA, Ford and Rockefeller
Foundations, UNICEF and WHO was being sought.
It was
suggested that an international advisory committee on urban
health be formed.
39.7

Primary Health Care Newsletter

It was reported that staff hoped to complete the analysis of
questionnaire returns by the end of November.
A proposal for
funding agencies would then be finalised.
If funding was
obtained, it was hoped that the first issue of the newsletter
would be published in July or August, 1987.
It was noted that
staff were forming a group of advisors to consider the content
of the newsletter: John Macdonald offered to assist in this
work. A proposal from staff that they seek funding for 3
issues rather than for a single pilot issue, was accepted.
39.8

Membership

A paper from the Executive Director on the planned expansion
of AHRTAG's membership was accepted, but with the
recommendation of the GPC that membership be offered free of
charge.

39.9

Co-ordination of resource-centres
Richard Laing referred to the resource centres at Loughborough
University and elsewhere.
He proposed that AHRTAG consider
acting as a co-ordinator in networking these centres.

39.10

Richard L a i n r

The Council noted that it was the last meeting which Richard
Laing would be attending before returning to Zimbabwe.
The
Council expressed its appreciation of his contribution as a
Council member and wished him well in his future work.

(Chairperson)

'

(Date)

MINUTES OF THE FORTIETH MEETING OF THE COUNCIL OF AHRTAG HELD AT
4.00 PM ON 3RD DECEMBER 1986 AT 85 MARYLEBONE HIGH STREET,

LONDON Wl.

Present

John Anderson
Barbara Bubb
Dennis Frost

In attendance :

Ann Darnbrough, Suzanne Fustukian, Ken Ritchie,
Philip Stockley

John Macdonald
Alan Morgan
David Morley (chair)

40.1

Apologies for absence: were received from Miles Hardie,
Carrie Osborne, Gill Walt and Pam Zinken

40.2

Minutes of the 39th meeting of the Council held on
24th September 1986 were approved as a correct record.

40.3

Matters arising
(a) Council advisers (minute 39.3 (a)): The Council
received a note from the Executive Director and it
was agreed that:

(i)

the Council might nominate members of AHRTAG,
who are unable to act as Council members
because of work commitments or place of resi­
dence, as 'Advisers to the Council1;

(ii)

Advisers to the Council would not be members
of the Council, but:

- would be entitled to attend meetings as
observers;

- would receive minutes of Council meetings
and papers relevant to their fields of
interest;
- would be invited to submit their views
on matters under discussion by the Council;
(iii)

Advisers would be appointed at the first
meeting of the Council after each AGM and would
serve until the following AGM after which they
would be eligible for re-appointment.

- 2

Although no limit was set for the number of Advisers, it
was agreed that the number so appointed should be kept
under review.

40.4

(b)

Publications Advisory Committee (minute 39.3 (b)):
it was reported that the first meeting of the
Committee had been postponed until 18th December
1986.

(c)

USAID agreement (minute 39.5): it was reported that
the amendments proposed by AHRTAG had been accepted
by USAID.
Kathy Attawell was currently visiting
USAID to discuss implementation plans.
It was
agreed that the Council should discuss progress and
future plans for 'Dialogue on Diarrhoea' at its
next meeting, and the Council asked Kathy Attawell
to prepare a paper.

(d)

Membership of AHRTAG (minute 39.8): The Executive
Director reported that the BVP agencies had been
asked to mail membership forms to relevant returning
volunteers, and Council Members were asked to sub­
mit names of people who might be invited to become
members of AHRTAG.

General Purposes Committee Report

(a) Accommodation:
The Executive Director reported that
more intensive efforts would be made in search of
alternative accommodation at the beginning of 1987
when AHRTAG would be in a better position to negotiate
over vacant premises.
It was agreed that voluntary
organisations should be contacted on accommodation
requirements.
(b)

Resource Centre Computer: It was reported that the
GPC had accepted a proposal that a computer and
appropriate software be purchased for the Resource
Centre, subject to the cost not exceeding £2000 unless
special grants could be obtained for the purpose.
The Council ratified this decision.

(c)

Accounts for 1985/86: The Executive Director apolo­
gised to the Council for an error in the income
figures of a draft income and expenditure statement,
and he tabled a revised statement.
He told the
Council that the auditors had nearly finished their
work and that final figures for 1985/1986 would soon
be available.

The Honorary Treasurer introduced a discussion on the
accounts, and he drew the Council's attention to the
need for additional general fund income and the
recovery of general fund costs from project budgets
whenever possible.
It was noted that the increase
in salary costs was partly due to the introduction
of new salary scales and partly the result of a small
increase in staff numbers.

3

The difficulties in attracting funding for the
Resource Centre were noted.
The case for the
Resource Centre making a charge on other projects
which use Resource Centre facilities was accepted,
and John Macdonald suggested that Manchester
University and other institutions might be willing
to make regular grants for the use of AHRTAG
facilities.
(d)

Staffing: It was reported that Josie Taylor-Lewis
had recently left AHRTAG after about five years of
service.
The Council expressed its regret that
domestic commitments had made it necessary for her
to resign, and its gratitude for her contribution
to the Organisation.

It was reported that the response to the advertise­
ment of the vacancy had been encouraging.
About
ten applicants had been interviewed and three had
been short-listed for a further interview.
40.5

Visit to Resource Centres in Kenya and Tanzania

Suzanne Fustukian reported on recent visits which she
made to CEDHA in Tanzania and an Aga Khan health pro­
gramme in Kisumu, Kenya, during a private visit to
East Africa.
It was hoped to be able to incorporate
support for both of these institutions in a co-funding
application to be submitted to ODA.
CEDHA had sought
AHRTAG's help over equipment, and it was possible that
AHRTAG could use CEDHA staff in providing consultancies
to other organisations.
Both projects had requested
AHRTAG's assistance in ordering books.
In discussion Barbara Bubb mentioned that ODA funds
were available for work in Kenya and suggested con­
tact with Margaret Pollock.
Dennis Frost suggested
exploring links with the Aga Khan Foundation in
Britain.
Suzanne Fustukian offered to prepare and
circulate report.

0.6

Visit to rehabilitation organisations in India and
Bangladesh
Ann Darnbrough presented her report on her visit.
The ICTA/AHRTAG seminar in Bombay, which had been funded
by SIDA and the Swedish Red Cross through ICTA, had
been very successful, and Ann Darnbrough was now
preparing the proceedings of the seminar.

At the Centre for the Rehabilitation of the Paralysed in
Dhaka the field testing of wheelchairs and tricycles was
progressing, and a further visit would be made by

I.T. Transport in February 1987 in order to help
begin regular production.
Because of the limited
capacity of CRP to organise major projects, AHRTAG
was looking for other organisations through which it
could work, and it was planned to bring such organisa­
tions together for a seminar which would be held in
February 1987.
A physiotherapist had been offered
a contract to help with planning, and the other arrange­
ments would be made by UBINIG, the organisation involved
in AHRTAG's drug-packaging work.
Zafrullah Choudhury
has expressed interest in collaboration on the deve­
lopment of prosthesis , and AHRTAG was considering
providing a consultant.
A visit was also made to Calcutta where a number of
rehabilitation organisations were planning an informa­
tion project.
Unfortunately it had not been possible
to meet with some of the key staff involved, but a
meeting with one of the originators of the proposal
who was visiting Britain had been arranged.
In discussion it was noted that AHRTAG would probably
need to reduce the scale and budget for the project
because of the limitations of CRP.
Further work
would nevertheless need to be put into finding match­
ing funds for the EEC contribution.
It was suggested
that travel costs for consultants might be obtainable
from the British Council, provided that requests are
put by overseas organisations through local represen­
tatives.
The Commonwealth Secretariat was also suggested.
40.7

P.H.C. Newsletter

Philip Stockley tabled a report on progress in planning
this project.
The study of existing newsletters
had been completed, and 150 questionnaire replies
received.
It was hoped that the first issue could be
produced in July 1987.
In discussion it was reported that the first issue
would give a broad view of phc, and would be mailed to
about 12,000 addresses from AHRTAG's existing mailing
list.
The target readership would be at district
level, although it would also be relevant for workers
above and below this level.
It was hoped to make
more use of visual material than newsletters such as DD.
It was recognised that additional staff might be needed
for the newsletter, but the Council felt the need for
caution on staff increases when long-term funding for
the project was not secure.
It was reported that SIDA
had offered £3,500 towards the costs of the first issue,
and it was suggested that some funds might be attracted
on the basis of subjects to be covered by particular
issues, e.g. the management of phc.
It was reported that consideration was being given to
the provision of follow-up information which could be
offered through the newsletter, although this activity
might need to be separately funded.

- 5 40.8

Medicine-packaging project
The Executive Director presented a report on the progress
of the medicine packaging project.
Jon Vogler was
currently in Bangladesh where field tests were nearing
completion.
Replies to a questionnaire had been
analysed by James Berkley, a medical student assisting
AHRTAG, and Jon Vogler had drafted a report on packa­
ging methods which would be sent to selected question­
naire respondents.
Field tests of equipment in coun­
tries other than Bangladesh were also being considered.

Methods of supplying packaging equipment to overseas
programmes was discussed, and contact with ECHO
recommended.

It was noted that UBINIG, the research group under­
taking the work in Bangladesh, were interested in the
training of pharmacists in the issue of drugs to
patients.

It was reported that a meeting with Jon Vogler to discuss
the project was being planned for sometime early in 1987,
and Council members were invited to attend.

40.9

Nicaragua

John Macdonald presented a report on his recent visit
to Nicaragua.
He felt that the development of health
services in Nicaragua could benefit from greater use of
AHRTAG's materials and services, and he proposed that
a letter be written to the Ministry of Health in Managua
offering to increase the supply of AHRTAG newsletters to
Nicaragua.
This was agreed.
It was also suggested that
AHRTAG should offer assistance in the establishment of
phc resource centres in the country.
40.10

Project reports

The Executive Director reminded the Council that he had
been asked to prepare a schedule for project discussions
at future meetings to ensure that the Council had regular
opportunities to consider all areas of AHRTAG's work.
He felt, however, that it was difficult to prepare such
a schedule as the timing of Council discussions were
usually dictated by the times at which major project
decisions were required.
It was agreed that, instead
of a schedule for discussions throughout the year, a
twice-yearly report be prepared summarising all project
activity.
40.11

AGM

It was decided that the AGM would be held on Wednesday
25th February 1987 and that the next meeting of the
Council would be held on the same day.

Agenda item 5.1

AHRTAG COUNCIL MEETING, 6th MAY 1987
FINANCE REPORT

I regret that as a result of staff leave and other absences from
the office, ewe have not yet completed the processing of our accounts
for the January - March quarter.
The table below gives a provisional listing of income and expenditure
for October - March. Final figures, together with project accounts,
will be presented to the next meeting of the General Purposes Committee.

ACCOUNT

DESCRIPTION

TO-DATE

... .

1st Oct 86 - 31st Mar 87

...

(Budget)
1010
1020
1021
1022
1023
1030
1050

GRANTS/DONAT’S
SALES AND SUBS
SUBSCRIPTIONS
SALES - AHRTAG
SALES - OTHER
SERVICES INCOME
OTHER INCOME

230723. IOC

1

SUB TOTAL

234839. 16C +3479 interest

2010
2011
2012
2020
2030
2040
2051
2052
2053
2061
2063
2070
2080
2082
2090
2101
2102
2111

2123
2124
2125
2126
2131
2132
2133
2134
2135
2141
2142

STAFF SALARIES
CONTRACT STAFF
TEMPS/VOL COSTS
CONSULT’S FEES
POSTAGE
TELEPHONE ETC.
STATIONERY GEN.
PHOTOCOPY COSTS
OFFICE EQUIP.
PRINTING NEWSL.
PRINTING OTHER
DISTRIBUTION
RES MATLS-GENRL
RES MATLS-DD
PURCHASE RESALE
STAFF TRAVEL-UK
STAFF TRAVEL-OS
CONSULTS TVL-UK
CONSULTS TVL-OS
CONSULTS EXPS.
RENT
RATES
INSURANCE/LEGAL
HEAT AND LIGHT
CLEANING ETC.
REPAIRS
SUNDRIES
COMPUTER COSTS
AUDIT/ACCOUNTS
BANK CHARGES
COUNCIL EXPENSE
0/S PROJ GRANTS
0/S PROJ EQUIP.

53078. 04D ~)
8573.52D (.
2785. 41D J
23517. OOD
3502.57D
7225.27D
4387.16D
1796.SOD
536.0 ID
40829.17D
2522.SOD
46635.59D
984.63D7
56.50DJ
85.78D
151.49D
4006.82D
602.20D
4096.28D\
345.96DJ
12000.OOD
660.46D
830.85D
519.38D
975.04D
350.48D
1529.33D

-

SUB TOTAL

2112

2113
2121
122

LEDGER TOTAL

431.85C
1231.69C
203.75C

9. 40C
1353.90C
885.47C

775.64D
1265.60D
12.91D
218.20D
10640.99D
7744.13D
243741.51D

8902.35D

59,410
23,000
2,270
2,930
7,680
2,390
1,950
38,000
2,900
47,800
1,145

1,465
195
5,800
585
6,170
8,000 1,250
415
650
700
1,950
1,290
975
1,400
120
145
15,300
5,365
3,450 - computer equip.

SUMMARY ACCOUNTS, OCT 86 - MAR 87
Expenditure

Actuals

Budget

Staff and office costs

101,111

97,570

Consultants

23,517

23,000

Print/distribution

87,465

85,800

Travel

9,202

12,750

Overseas projects

18,385

20,665

239,680

239,785

(Figures exclude
- rent payment of £4000 from prev. year
- purchases for resale
- budget for computer equipment)

K Ritchie
6.5.87

MINUTES OF THE FORTY-FIRST MEETING OF THE COUNCIL
OF AHRTAG HELD 2.45 PM ON WEDNESDAY 25TH FEBRUARY
1987 AT 85 MARYLEBONE HIGH STREET, LONDON W1

Members present:
Barbara Bubb
Marie-Therese Feuerstein
Dennis Frost
Miles Hardie
John Macdonald

Alan Morgan
David Morley (Chair)
Aubrey Sheiham
Gill Walt

In attendance:

Kathy Attawell
David Auld (student placement)
Suzanne Fustukian
Jack Procter (member)

Ken Ritchie
Philip Stockley
Eva Tadell
Fabienne Zaegel

41.1

Apologies for absence were received from John Anderson and
Pam Zinkin.

41.2

Minutes of the fortieth meeting of the Council held on 3rd December
1986 were accepted as a correct record.

There were no matters arising which were not covered by other agenda
i
terns.

41.3

Council members and advisers

It was agreed that Martin Hobdell, Richard Laing, Carrie Osborne,
Jack Procter and John Webb be appointed Advisers to the Council.
It was recognised that there could be value in involving health
workers from Third World countries in the work of the Council.
It was agreed that Samir Choudhury,. Navia Kabeer and Ravi Narayan
should be invited to serve as Council Advisers during their stay
in Britain.
Council members were asked to suggest other names
to the Executive Director.
It was noted, however, that while
AHRTAG wished to maintain contact with a wide group of people with
primary health care experience, the group of Council Advisers, as
defined in minute 40.3 (a), should not become too large.

It was suggested that the Council should co-opt people working in
health-related fields.
The Executive Director was asked to approach
John Pickford, Peter Oakley and Patrick Mwl'vany or Simon Burn with
a view to them becoming either Council members or Council advisers.

- 2 41.4

Council Committees

It was agreed that all members of the General Purposes Committee
and the Advisory Committees of the Council should be re-appoint'ed
for a further year.
41.5

41.5.1

General Purposes Committee Report
Accommodation

The Executive Director reported that, although some steps had been
taken in the search for alternative accommodation, little progress
had been made.
The Council agreed that the search for new offices
should be regarded as a matter of urgency.

41.5.2

Finance

The Council noted various financial reports which had been considered
by the General Purposes Committee.
Concern was expressed over the
number of project accounts in deficit.
In particular, the Council
felt that all possible action should be taken to obtain funds pledged
by AGFUND in December 1983: the Chairperson agreed to write on
AHRTAG's behalf.

41.5.3

Staffing

(1)
The Council noted the appointments of Eva Tadell as Office
Administrator and Fabienne Zaegel as Temporary W.P. and Clerical
Officer.
(2)
The Council approved the General Purposes Committee's
recommendations that:

41.6

(a)

the position of Resources and Information Coordinator
should be on a 5 days per week basis;

(b)

an assistant to work in the Disability Unit should be
recruited on 4 days per week;

(c)

Mimi Khan should, following the appointment in (b)
above, revert to working 4 days per week with the
Resource Centre.

Dialogue on Diarrhoea

The Council received the Implementation Plan for the period
September 1986-August 1987.

It was noted that USAID planned to evaluate the programme in
June 1987.
The Council decided that a group consisting of
Council members, scientific editors and appropriate staff should
meet to consider AHRTAG's presentation of its programme and future
plans to the evaluators.
David Morley, Barbara Bubb and
Marie-Therese Feuerstein agreed to represent the Council on this
group.
It was agreed that USAID be asked to submit terms of
reference for the evaluation as soon as possible, and that these
be circulated to all Council members.
It was pointed out that the evaluation would be taking place around
the time when AHRTAG might be moving office.
Any postponement of
the evaluation, however, might delay any agreement on USAID support
for the following year.
The timing of the evaluation was therefore
left to the judgement of staff.

41.7

Newsletter on AIDS
It was reported that Misereor had asked AHRTAG to produce a newsletter
on AIDS.
Bob Grose, who had been preparing a report on AIDS for
War on Want, had been given a short contract to assist staff in
preparing a proposal which Misereor would use in soliciting contri­
butions from European funding agencies.

The Council welcomed AHRTAG's involvement in this field and approved
the steps which staff had taken.
In discussion it was recommended
that the newsletter should be aimed not just at health workers, but
also at community development workers and educators.
It was agreed
that AHRTAG should keep in close contact with ICH over plans for a
resource centre on AIDS and with those in LSHTM who were producing
a newsletter.
It was also noted that AHRTAG was considering holding
a meeting of all agencies concerned with AIDS in the Third World.

41.8

Resource Centre Networking Proposal

---------- Cj-

Suzanne Fustukian outlined the proposal and told the Council that
a final version of the proposal would be submitted to ODA before
the end of February.
As well as focussing on resource centres in
Kenya, Tanzania, India and the West Bank, AHRTAG also hoped to be
able to provide services to an Oxfam-supported resource centre
in Cairo and to centres in other countries.
AHRTAG was also planning a meeting of resource organisations such
as VHAI, CHAI and TAPS.
John Macdonald offered to promote AHRTAG's
services at a meeting of African students involved in primary health
care studies which would be held in Manchester.

- 4 41.9

Bi-annual review of projects
The Council received a review of AHRTAG's project work.
Because
of the late circulation of the review, it was decided that members
with particular questions should contact staff.
It was agreed that future reviews should include summaries showing
the time scales and funding positions of projects.

Concern was expressed over the time which it had taken to make
progress on the PHC Newsletter proposal and over possible further
delays because of work on the AIDS Newsletter.
It was explained
that funding was the main obstacle, and it was hoped that the launch
of the AIDS newsletter would not create too much delay in work on
the PHC Newsletter.
Staff were asked to reconsider the proposal
that a brief pilot issue be produced in order to attract funds.
A suggestion that the AIDS newsletter might in some way be incorporated
in the PHC newsletter was referred to staff.

41.10

Staff salary negotiations

Staff made a request that the size of the Council's negotiating
group be expanded.
Staff then left the meeting.

A report was then made on the claim which had been submitted by the
ACTSS Shop.
The position which had been taken by those negotiating
for the Council was endorsed.

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247,912881: CWUKTX G, Attn 'AHR'

To:

Ravi Narayan
Peter Oakley
John Pickford

From:

Ken Ritchie
Executive Director

30th April 1987

Please find enclosed some recent Council papers
which I hope will provide some background on AHRTAG's
current work and concerns. They are:

(1)

Minutes of the past three Council meetings;

(2)

A review of current project work;

(3)

Notes on a meeting held in February 1986^ at
which we spent a day discussing AHRTAG's gnneral
policies.

Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Thertse Feuerstein, SRN, MEd, DipCD, PhD,
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Martin H. Hobdell, PhD, BDS, LDSRCS,
Dr Richard Laing, MSc.MBChB, Dr John Macdonald, MEd, PhD, Mr Alan Morgan. BSc, HEE, FBIM,
Professor David Morley, MD. FRCP. DCH, Ms Carrie Osborne, SRN, MSc, Professor Aubrey Sheiham. PhD, BDS,
Ms Stephanie Simmonds, SRN, MPhil, Dr Gill Walt, BSc, PhD, Professor John K. G. Webb, OBE, MA. BM, FRCP,
Dr Pamela Zinkin. MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

Agenda item

/O.^

AHRTAG COUNCIL MEETING, 6TH MAY 1987

PROPOSAL FOR THE APPOINTMENT OF A DEPUTY EDITOR

It is proposed that a Deputy Editor be appointed to work in the
Publications Unit. The appointment would be a 'Grade B' post and
would not be made until confirmation of the funding for the
newsletter on AIDS is received.

Present situation

At present the Publications Unit has three staff:
Editor
(Kathy Attawell)
Editorial assistant
(Maria Spyrou)
Production and
Publications assistant (Katherine Miles)

The Unit is responsible for the preparation and production of DD
(8 pages, 4 times p.a. + work on translations and inserts) and
ARI News (8 pages, 3 times p.a.). This work includes the promotion
of the newsletters, mailing list development and handling enquiries
from readers.
In addition the Unit is responsible for the preparation of AHRTAG
publicity and the Annual Report, as well as occasional manuals (e.g.
the manual on planning dental health services).
Planned expansion of work

Work is about to begin on a new newsletter on AIDS. This is likely
to be 8 pages thrice yearly. During the next few months we also hope
to be able to start work on our PHC Newsletter, which may be 12 pages
thrice yearly. Clearly this expansion in workload will require an
expansion in the staff of the Publications Unit.
Financial position

The budget for the AIDS newsletter which has been verbally agreed with
Misereor contains a provision for an extra full-time staff member plus
a contribution to management/administrative salary costs and other
overheads. The PHC newsletter budget has a larger provision for staff
costs, but no significant funding for this newsletter has yet been
secured.

Proposal
It is proposed that we appoint a Deputy Editor. The appointee should
be someone who already has editorial experience and skills, and who
would be able to act as editor of one of our newsletters with a minimum
of guidance and supervision from the Editor (Kathy Attawell). The
Deputy Editor should also be able to deputise for the Editor in her
absence.

Funding for the appointment will be available from the AIDS newsletter
budget. The precise allocation of responsibilities within the Publications
Unit will, however, neet^ to be discussed with existing staff.
K Ritchie, 28.4.87

Agenda item 10.1

AHRTAG COUNCIL MEETING, 6TH MAY 1987
APPOINTMENT OF ASSISTANT DISABILITY UNIT OFFICER

AHRTAG has appointed Ms Ada Morgan as Assistant Disability Unit Officer
(this is a grade B post on a 4-day week).
Ada Morgan has a BA degree in French and Modern History from the
University of Sierre Leone, and has obtained further diplomas in
French and Secretarial studies.
Her previous experience includes four years as a Bi-lingual Secretary/
Administrative Assistant with the World Bank in Washington, and three
years as a Translator/Administrative Assistant at the Communications
Division of the West Africa Rice Development Association. More recently
she has been working as a bi-lingual secretary and administrative
assistant with Pan Africa Associates in London.

Although Ada was appointed only in mid-April, she had been providing
temporary secretarial help to AHRTAG, and principally to the Disability
Unit, since December 1986.

Ken Ritchie
5.5.87

Agenda item

AHRTAG COUNCIL MEETING, 6TH MAY 1987
PROPOSAL FOR AHRTAG PARTICIPATION IN TWO SEMINARS ON:

'APPROPRIATE AIDS AND EQUIPMENT FOR DISABLED PEOPLE IN AFRICA'

Following AHRTAG's successful co-sponsorship (with ICTA) of a workshop
on appropriate rehabilitation aids in Bombay last year, it has been
suggested that two further workshops should be held in Africa - one in
Nairobi for anglophone countries, and the other for francophone count­
ries, possibly in Dakar.

AHRTAG has been asked to

(1)

participate in, and help arrange funding for, the
Nairobi seminar (to be held in early December 1987) ;

(2)

take the leading role in organising the seminar in
Dakar, possibly in February 1988.

Each seminar would aim to stimulate the local production and use of
aids and equipment for disabled people.
The delegates would be selec­
ted according to their experience in the production of aids as well as
their ability to implement projects.
Disabled people with relevant
experience would be encouraged to attend.
Each seminar would have
50-60 participants, excluding speakers and organisers.
Plans for the Nairobi seminar are quite well advanced.
ICTA are to
handle most of the arrangements, and they have proposed a core budget
of $40,000 of which they would raise $20,000 in Sweden, the Loro Founda­
tion would contribute $10,000 leaving AHRTAG to find $10,000.
This
budget does not, however, cover AHRTAG's costs, and the real amount we
would require would be nearer £10,000.

The Dakar seminar is at present no more than a proposal.
The total
estimated cost, which includes all AHRTAG costs and delegates' travel
costs, is £65,000, or about $100,000.
The seminar would be run in
close association with the Red Cross, and the Norwegian Red Cross would
pay the major part of the costs.
Local Red Cross staff in Dakar would
help with organisation.
We understand that Canadian CIDA have an
interest in disability projects in francophone Africa and might be
approached.

9

If AHRTAG were to be involved, we would like to include in the proposal
(at least as far as approaches which AHRTAG might make) the production
and distribution of a French edition of 'Aids for Living' (perhaps a
16-page composite).

In discussions we have taken the position that:

(1)

In principle AHRTAG wants to be centrally involved in
both seminars;

(2)

AHRTAG can do nothing, however, without funding, and at
the moment our fundraising capacity is stretched by the
demands of existing work.

We have, however, written to ODA asking whether they would be prepared
to consider an application for about £30,000 (roughly £10,000 for each
seminar and £10,000 for a French 'Aids for Living') under their co­
funding scheme.
If ODA were to offer support, their contribution
would be more than matched by other donors, some of whose monies would
be channelled through AHRTAG, and no additional fundraising by AHRTAG
would therefore be needed.
We are now seeking the Council's views on this proposal and on the
position which we have taken.

K. Ritchie
22.4.87

AHRTAG COUNCIL MEETING, 6TH MAY, 1987

Agenda item 8

REPORT ON VISIT TO BANGLADESH, FEBRUARY 26 - March 18, 1987
1.1

Introduction

The visit was principally made to find ways of diversifying the
production of locally made aids for disabled people among various organi­
sations concerned with disability in Bangladesh.
1.2

The story so far (see also previous reports KR, AD)

AHRTAG has co-funding through the EEC for a 3-year programme
with the Centre for the Rehabilitation of the Paralysed (CRP) see
appendix A for background details on CRP.
This involves:
- the design of appropriate aids;
- establishing facilities for their production;
- staff training;
- promotion of the construction and use of aids throughout
Bangladesh.

There has been a number of delays in the project, not least the
move to new premises by CRP in March 1986.
According to the present schedule,
two years of the programme have elapsed and it will be necessary to seek an
extension of the time.
1.3

A shift of focus

While the original proposals concentrated activity for the production
of a range of aids (wheelchairs, prostheses, walking aids, etc) at CRP
it has been felt necessary to revise these plans.
In consultation with
CRP, it was agreed to seek the cooperation of other organisations concerned
with disability to diversify sites for the production of aids.
This
decentralisation of production has obvious benefits in its own right,
as well as relieving the burden on CRP.
Accordingly, a seminar was
arranged in Dhaka to bring together interested organisations.
1.4

Consultants

Liz Carpenter (Physiotherapist): An ex-VSO, working until
recently at the Dhaka Cheshire Home accepted a 3-month contract
(January 1 - March 31) as Rehabilitation Aids Programme Coordinator.
Unfortunately she had to return to the UK on 20th March due to contracting
hepatitis.
Her work involved:

- co-ordinating the planning of an outreach programme: this
involved.(in liaison with other staff) visiting other rehabili­
tation programmes, identifying needs, planning assistance to
to be provided through CRP (e.g. schedule and purpose of visits
by mobile team) etc;

- 2 -

liaison with UBINIG on the planning of a seminar on rehabili­
tation aids;

-

follow-up to the seminar and writing seminar report;

-

liaison with ADAB on publication of information on coping
with disability;

-

providing rehabilitation advice on the provision of aids in
liaison with the workshop co-ordinator (Paul Naylor);

-

assisting in arrangements for visits by AHRTAG consultants;

-

as time permits, providing physiotherapy assistance to the
Project Coordinator of CRP.

(She will be providing a separate report).
Kevan Moll (Limb maker):
An ex-VSO, working until recently in
Sudan making low-cost artificial limbs and other aids accepted a 2-month
contract (February 2 - March 31) to study the feasibility of producing
artificial limbs from locally available materials in Bangladesh at a site (s)
other than CRP.

(He will be providing a separate report).
Alan Smith (Production Engineer): I.T. Transport employee who
visited CRP February 23 - April 1.
The three prototype wheelchairs and
the prototype tricycle having been tested and amended where necessary,
Alan (a former VSO in Bangladesh) studied the feasibility of producing the
vehicles in quantity.
See 3.3.
(He will be providing a separate report).
2.

Seminar:

Aids and Equipment for Disabled People 2/3/4 March, Dhaka

(Programme see Appendix B:
2.1

List of those attending see appendix C)

Aims (i) To explore the means by which appropriate and low-cost
aids may be produced and made available to disabled people in
Bangladesh.

(ii)
To explore the degree to which organisations concerned
with disability in Bangladesh are prepared to work together to
provide and service aids for disabled people.
Organisation

2.2

Logistics :

UBINIG (already working with AHRTAG's low-cost drug packing project)
arranged the venue, prepared papers, serviced the seminar on the 3 days, and
is now preparing a report.

- 3 2.3
Rehabilitation Aids Programme Coordinator:
Liz Carpenter visited
interested organisations, discussed the aims of the seminar, and encouraged,
specific representatives to attend.
She also arranged for a number of
exhibits to be on the show.
She liaised with UBINIG on the planning of the
seminar.
Finally, she followed up interested organisations.
However, she
was not not able to complete this due to illness.
Her creative approach
to this considerable task will, I believe, reap sound benefits.
The organi­
sations included:
Kumudini (Hospital Mizapur, Technical Training School
Narayanganj)
Contacts: Dr & Mrs Poti
Asharbari (Hope House), Bagachara, NR Jessore
Contact: Father Gabriel Spiga

Chandragona Leprosy Mission
Contact: Alison McDonald (Physiotherapist) A

.

Employment Rehabilitation for the Physically Handicapped
(E.R.P.H.) - Swedish Free Mission now handed over to
to the Government, Tongi
Contact: Jan Castman

Nilpharmari - Danish Bangladesh Leprosy Mission
Contact: Mr Egedal
Santal Mission, Maulbi Bazar, Sylet
Contact: Dr Sandbp (Norwegian)
Khalyani (Foundation for the Developmentally Disabled),
Dhaka and Clinic in Dhamrai
Contacts: Dr Sultana Zaman, Gillian Gardiner
(Physiotherapist)

Child Welfare Care Association, Topkana Road, Old Dhaka
Contact: Hana Banu (Physiotherapist)
Mymensingh Hospital Workshop
Contact: Professor Jafar

Christian Health Care Project, Mirpur
Contact: Dr Mina Manaker

Shanti Clinic, Magura
Contact: Dr Abdullah Wright
Caritas Bangladesh
2
Outer Circular Road, Dhaka
Contacts: J.S. Pereira (Executive Di rector).Shubash Rozario

- 4 -

2.4

Overview of the Seminar

This was the first time disability organisations have come together
in this way in Bangladesh.
The response was enthusiastic, and while most
of those attending knew each other, it was clear a greater understanding of
each other's work emerged.
The occasion also served to bring together
statutory and voluntary agencies thus gaining further insight into each
other's work and highlighting some of the inherent shortcomings.
Stressed
at the1 seminar was the need to involve disabled people at all levels: (a)
design and planning, (b) production, (c) management.

2.5

Follow-up to the Seminar

Contacts made at the seminar will need to be vigorously pursued
if AHRTAG is to be able to involve further disability organisations in
producing aids.
Interested organisations will be asked to submit statements
of expenditure during the past year on manufacture and promotion of rehabili­
tation aids.

2.6

Training of Technicians

Appropriate training of workers/technicians was a prime requisite
mentioned by organisations.
2.7

Recommendations

A training course be established at one of the centres - exploratory
talks taking place with Kumudini Hospital, ERPH and Chandragona (see above).
The course to be of 6 months duration and to have 2 parts:
(a)

2 months to train a person to make calipers and
other small aids

(b)

6 months (including 2 months as above) to make
artificial limbs.

A trainer (possibly a volunteer from OHI) may need to be employed
for a year to set up the course, to run the course and for any follow-up needed.
It may be necessary to seek separate funding for this course.

3

CRP Workshop

3.1

Personnel

Paul Naylor, VSO Design Engineer, has been working at CRP as Workshop
Coordinator since the beginning of December.
However, he had an enforced
creak in the UK for the month of January due to visa complications.
He
has carried out alterations to the structure of the building as well as
installing more efficient lighting and an earth leakage circuit breaker.
The workshop has been generally divided into 2 areas: a) pipework,
fitting and assembly; b) machinery and small parts construction.
In
addition there will be a small moveable welding area shielded by a mobile
screen.
It is intended that the welding table will rotate enabling easier
use by disabled people.

1/1

- 5 -

Alan Smith, IT Transport Production Engineer, visiting the Centre
from March 23 to April 1 is working closely with Paul Naylor to work out
how production of wheelchairs and tricycles may be best undertaken.
He
will be producing his own report.
Permanent Staff
Monsur and Paul Rosario have been with CRP for a number of years.
It is not anticipated that either could take a management role and both
need close supervision.
Unfortunately neither works well with the other.

3.2

Counterpart to Paul Naylor

It will be essential to appoint a counterpart who will become a
dedicated workshop manager.
Conversation with Paul Thornton (VSO Coordinator)
suggested such an appointment should be made within three months.
There
will then be 18 months left of Paul Naylor's time. One name has already been
suggested.
A former patient of the Centre (in a wheelchair) may have the
necessary skills. Babul already undertakes certain work for the Centre
and lives nearby.
Salary may be in the region of 3000 T per month (£65.00)
Paul Naylor is to draw up a job description.

3.3

Production of Aids
a)

Wheelchairs and Tricycles

The workshop is being equipped so as to initiate batch production
of vehicles.
These include:

a 3-wheeled wheelchair built to be as effective as possible
on uneven terrain
a folding commode wheelchair
a rigid frame wheelchair

a tricycle - this has provision for an angled umbrella
and a tray for the display of wares - when it can be
used as a mobile workshop.
Also, a seat can be fitted
on the back for a passenger.
A second trike has been
sold.
It was fitted with a rear tank for storing kerosene
to enable the user to sell kerosene door-to-door.
(The
owner already has a daily turnover of 500T - 50T profit out
of which he repays 15T loan).
Using present resources it is estimated that 5 vehicles could be
produced in a week.
Other organisations will be encouraged to copy and produce
their own wheelchairs.

Costs of producing vehicles are being worked out and will appear
in Alan Smith's report.
These could be quite high, largely due to the
comparatively high salaries paid to workshop staff due to length of employ­
ment (Monsur 2776T, Paul 2775T per month approximately £60,00).

- 6 Identification of Vehicles

A small plate will be attached to vehicles giving CRP's name,
address and a serial number.
b)

Other Aids

These include calipers, cervical collars, body supports, traction
equipment, etc.
The workshop already works in liaison with the occupational
therapy department.
I recommend this link be strengthened and formalised
so as to take maximum advantage of the skills in the 0/T department and to
relieve some pressure in the workshop.
A heavy duty sewing machine for
leather and other tough materials would be a good investment.
Priority
However, aids for patients must remain a priority and must not be
discriminated against in favour of wheelchairs production.
More efficient
ordering of such aids by CRP staff (anticipating needs well in advance) and
close cooperation with the 0/T department should ensure fair allocation of
resources.
c)

Cushions

Alan Smith will have a number of prototypes by April 1st.
These
will then be tested in constant use in wheelchairs and set in mattresses.
Patients will be encouraged to transfer cushions backwards and forwards.
CRP
will report back.

3.4

Accounts

It is recommended that there should be a separate system for the
workshop, independent but complementary to the CRP general accounting system.
The full costs of producing equipment would then become clear.
The
Centre could, of course, subsidise items for individual disabled people
as appropriate.
3.5

Storage

Batch production of aids implies storage of such aids and/or their
prefabricated components.
Space is to be made available in the garage.
It is hoped this will be sufficient.
Storage space generally is in short
supply in the Centre.
3.6

Production of Artificial Limbs

It was originally intended that artificial limbs should be produced
at CRP.
This has not proved to be a feasible proposition.
Kevan Moll is
visiting Bangladesh (he returns beginning April) to study availability of
appropriate materials and locations where limbs may be produced.
He has
produced an above-knee and below knee limb.
He recommends a 6-month training
programme be set up.
He will be presenting a report.

- 7 Note
The Rehabilitation Institute and Hospital for the Disabled (RIHD) produces
3 limbs per employee (5) per month.

4.

Educational Materials

a)

Materials relating to spinal injury are being prepared by
Valerie Taylor and Liz Carpenter in conjunction with ADAB
(Association of Development Agencies of Bangladesh) who will
print and publish and provide some funding.

Materials include:

(i)

Manual for workers - material being used from
David Werner's book

(ii)

Poster for hospital

(iii)

Leaflet for patients and families (care after discharge)

(iv)

Flip charts for hospital staff

It is hoped other disabilities may be similarly covered in future.

5.

Development Education

Walter Holt is in Bangladesh continuing his assignment according to
an outline plan of audiovisuals prepared by AHRTAG.

APPENDIX A

Background to the Centre for the Rehabilitation of the Paralysed

Aims
a)
To give priority to cases of traumatic spinal cord injury, then
to the non-traumatic cases of paraplegia and tetraplegia.
The object is to
provide complete rehabilitation (physical, mental, social, economic)to each
paralysed person to prepare them for return to their previous employment,
and thereafter to lead as full a life as possible.
b)
As a long-term objective to increase the awareness of the
general public towards the special needs of paralysed people from the time of
the accident onwards.
The CRP is the only centre of its kind in Bangladesh.
It moved to its
present premises, in a central location, on 31 March 1986.
The building is
a large 2-storey house with room for 40 patients.
The back wing of the
first floor houses 7 small staff quarters.
The first row of outhouses
provides accommodation for four wheelchair members of staff.
The second
row houses the occupational therapy department and wood workshop.
The
double garage contains the metal workshop where the wheelchairs and other
aids are produced.
The increase in the size of the grounds of the Centre provides
space for a cordoned off area to keep ducks, chickens and goats.
A court for badminton or volley ball has been marked off on
the front lawn.

Number of patients admitted to the Centre in 1986

Of 182 patients admitted:
41 were traumatic paraplegia
21 were traumatic tetraplegia
8
were other causes traumatic paraplegia
112 were varied causes on non-traumatic
paraplegia

Fol low-up List

On 31.12.86, 650 paralysed persons had been entered on the follow­
up list.

APPENDIX B
PROGRAMME

DAY 1
Morning Session
Introduction:

Discussion

:

By Biswanath Chowdhury
A look at aids and equipment currently being produced

Afternoon Session
Discussion

:

A look at management of common disabilities and the
present situation for treatment

DAY 2
Morning Session
Discussion

:

Setting up orthopaedic workshops

Afternoon Session

Presentation:

Brief descriptions of present work outreaching into
villages by: Salam (CRP), Malati ( Kalyani)
Anders Bjornsen (Bangladesh Institute of Mentally Retarded)

Discussion

Why so few?
Why is it so difficult?
How can this be helped?

:

DAY 3
Morning Session
Discussion

:

How to increase education and practical skills of those
working with disabled people
Aim to establish:
teach

Who needs to learn;

Who is willing to

Afternoon session

Review of minutes
Discussion:

Can any decisions be made or plans suggested?

What needs to be explored further?

<S-___

A'Xs

4»-y>c?

Gc’iv.\.p(*vc.r\A

X , 3 Z q

ij-ovc b1A

i

v5<vy (j-crt-

Pv«..t7v-t_ HJj-•- •

.'

l“>?7

Liat of the pcvtctt ex. p-^rcl ~____ * •

1.

Dr. SandbO

Santal Mission Norwegian Board
Health Project, Moulvi Bazar
Bangladesh.
p . O~- KA4AuJtt*/M- s XSQ-; MoctCVi

2.

Welushi Rema
,

Santal Mission Norwegian Board
Health Project, Moulvi Bazar
Bang lad'esh.

3.

Mr. Atar Ali

Santi Clinic end Nursing Home (PVT) Ltd.
Magura.

4.

Mr. Clement Rojario

Community Health Care Project
Mirpur, Dhaka.

5#

Hasina Banu

Bangladesh Council for Child Welfare
22, Topkhana Road
Dhaka-2.

6.

Md. Shahad Ali

Santi Clinic and Nursing Home (PVT) Ltd.
Magura.

7.

Hosna ara Begum

Social Service, R.I.H.D
Dhaka.

Nicholas Biswas

R.I.H.D., Dha,'a.(M-®l^^et-^-<^

Q,

Cornelias Games

Rajshi Medical College Hospital
Ra j sh i.

10.

Raiymond Biswas

Heed Bangladesh, Lenrosy Hospital
Kamolgonj project
P.O.- Keramatnagar
Dist-Moulvi Bazar.

110

Devid Pitz Jerald

Sick Shelter, 105/5
Monipuri Para,
Tajgeon, Dhaka.

12.

Marie Carmen

Centre for disabled
Asharbari
P.O.- Bagachara
Dis t-lessore.

13.

Marf Antonia

Centre for disabled
- Asharbari
P.O.- Bagachara
Dis t-Jessore.

3.

grtZAA

2

14.

Gabriel Spiga

Centre for disabled
- Asharbari
P.O.- Bagachara
Dist-Jessore.

15.

Shocheendra Nath Sheel

Sadanour,
Rajshahi.

16.

Mr. Alfonso

Sadannur,
Rajshahi.

17.

Shofiq^ Mahmud

Sadanour,
Rajshahi.

18.

Md. Israil

Rajshahi Medical College Hospital
Ra jshahi.

>o.

19.M-Monjurul Haque

Sadaj

20.

Mymenshing Medical College Hospital

Dr. Jaffar
J

21.

Berit Linbergh

22.

Maloti Rani Balo

Bangladesh

23.

Gillian GaTX-i'a.e.'’'

Bangladesh Protibondi foundation

24.

Keyejn Moll

AH RTAG.

25 .

Dr. Poti

Kumudini Hospital Mirpur

26.

Mr. Pelayet Hossain

27.

Alison ’'cdonald

28.

Monica

2Q .

,#d . Baouil ”ossain
Ci —
<u
' '
Bisv/anath A. Chowdhury

30.

31 .Hr Molen Kamp’

.di

H-I-Cafe, Dhaha.

Disabled Peonies Council
of Pansladesh, Dhaka, b”
e
<c6 7,
'
’"orld outrfach^

'

3

3 2.^ Molen Kamp.

World outrfach.
-7

Z

33.

Tricia Parker

OXFAM, Dhaka^C^*-^ SAC

34.

Robiyl Hasan.

C.R.P. Dha’<a.

35.

Syed Shajibur Rahman

E.R.P.H, Tongi

36.

Salauddin Ahmed

E.R.P.H, Tongi

37.

Sister Marianne Cse

Holy CrosSCollege,
Dhaka.

38.

Sister Jiuanna Me

Holy CrosSCollege, Dhaka.

39.

Sister Camsleter. Mt-

Holy Cros^College, Dha'-a.

40.

Monica

C.R.P. Dhaka

41.

Kitish Babu

C.R.P. Dha'-a

42.

Joyee Hastings

C.R.P. Dhaka.

43 .

A. Rahman

C.R.P. Dhaka.

44.

Hasan Shahriar

7 T C for the Blind ./voexi-??oAJ AC 72A(n»<X*t-

45.

Moti Biswash

V T C for the

4c.

Mirza Taufique

64, Kollyanipur Main Road

47.

Hassan 8eg

Si, Kollyanipur Main Road.

48.

Alan Smith

C.R.P., Dhaka

49.

Jon Coc

50.

Pqj.il Hay lor

C.R.P., Dha'-a.

51.

A.K.M. Safur Rhlynan

Assistance for Blind Children(ABC)
Dha’-a.
AO.

52.

Amzad "ossain

Assistance for Blind Children(ABC)
Dha’-a.

on zalvej

ra^e

Heed Le-^resy Hosnital
Ker^mot Hagar.

4

53.

Mj>. Hurul Islam

Assistance for Blind Children(ABC)
Dhaka.

54.

Mozzamel Ho&ain

R.I.H.D., Dhaka.

55.

Mr. Monsur Ahmed
Chowdhury

Assistance for Blind Children(ABC)
Dhaka.

56.

Mrs. Monsur Ahmed

Assistance for blind Children(ABC)
Dhaka.

57.

Jeanine White

C.R.P., Dhaka.

53.

Monsur Ahmed

C.R.P., Dhaka.

59.

Kazi Shamsun

S.R.P.H..Tongi.

60.

Helen Enns

Heed Bangladesh
Den rosy Hospital
K e r ana tn agar.

61.

Harada Sarker

C.R.P. Dhaka.

62.

Paul S. Baidya

63.

Jemmas, A. Biswas

C.HC.P, Dhaka,
Ki.fi. P^-Kf yAAUfir . pfzo
D.'.C, Dhaka

64.

Md . A. Salam

C.R.P., Dhaka.

65.

Sunil Rozario

Association of Baptists
Memorial Children Hoseitai
Malumghat, Coxs Bazar.

55.

ShubiCash Cha-'ma

Association of Bap tests
Memorial Children Hospital
Ma^mghat, Coxs Bazar.

e-r 9
'

57.

Quamrul Islam

A.B.C., Dhaka.

68.

Mias Rina ’’iswas

C .R.? . , Dha'-a.

6$.

Simson X. Baroi

Dha'-a Physio"th'irQpy Centre, Dhaka.

CAO.^

APPENDIX D

ORGANISATIONS CONTACTED

NORAD

Norwegian Embassy, Dhaka
Contact: Bjorn Johannessen;

Tel. 606895/602304/
603091

KUMUDINI Hospital

Mizapur
Contacts: Dr & Mrs Poti

CARITAS BANGLADESH

2
Outer Circular Road, Shantibagh; Tel. 402409
Contacts: J.S. Pereira (Executive Director)
Shubash Rozario

ASHABARI

Centre for Disabled
P.O. Bagachara, Dist. Jessore
Contacts: Father Gabriel Spiga

RADDA BARNEN

(Swedish Save the Children)
Contact: Dr Thamm

To 5

Members of AHRTAG Council and Council Advisers

From: Ken Ritchie
Executive Director
The next meeting of the AHRTAG Council will be held
on Wednesday 6th May 1987 at 4.00 pm in AHRTAG’s
offices. We hope you will be able to attend.
AGENDA

1.

Apologies for absence

2.

Introductions

3.

Minutes of meeting of 25th February 1987
(previously circulated)

4.

Matters arising
4.1
Council membership and Advisers (41.3)
4.2
Arrangements for DD evaluation (41.6)
4.3
Networking of resource centres (41.8)
4.4
PHC Newsletter (41.9)

5.

Finance:
5.1
Report on finances for 6 months to March 87
(to follow)
5.2*
Signatories for bank accounts

6.

Accommodation

*
7.

AIDS Newsletter and information work

*
8.

Report on Rehabilitation Aids seminar and other work
in Bangladesh (report to be noted only as Ann
Darnbrough may not be able to attend)

*
9.

Proposal for rehabilitation aids seminars in Africa

10.

Staff matters:

10.1

Appointment of Ada Morgan, Assistant
Disability Unit Officer

10.2*

Prooosal for apoointment of Deouty Editor

10.3

Report on salary negotiations.

11

Dates of future meetings

12.

Any other business.

* = papers enclosed
(A separate mailing of past minutes and papers is being
sent to new members of Council and Advisers.)

K Ritchie
28. 4. 87

I

Agenda item

AHRTAG COUNCIL MEETING, 6TH MAY 1987

BANK SIGNATORIES

At present the signatories for our bank accounts are:

- up to E200:

one of Ken Ritchie, Kathy Attawell,
Suzanne Fustukian (in practice the
Exec. Dir. unless he is not available);

- over £200:

one of the above staff and one of
Miles Hardie, Alan Morgan, David
Morley and Aubrey Sheiham.

There have, however, been occasions on which it has been difficult
for staff to obtain signatories for payment, and in particular, there
was a period before Easter when it appeared that all Council signa­
tories were out of the country and a staff member required travellers
cheques for an overseas visit.
It is therefore suggested that the Council should consider:

K. Ritchie
22.4.87

(a)

authorising payments between £200 and £400 on the
signatories of two of the above staff;

(b)

appointing an additional Council member as a signa­
tory for bank accounts.

Confidential

Agenda item

10, 3

AHRTAG COUNCIL MEETING, 6TH MAY 1987
Report on the progress of salary negotiations
1.

Background
In February 1986, after a long period of negotiation, AHRTAG and ACTSS
agreed on a salary structure which would be effective from 1st April 1985.
AHRTAG and ACTSS agreed that the new structure was "durable" and "should
only need to be renegotiated is significant new factors arise".
In accordance with the agreement, a cost-of-living adjustment was made in
the salary scales in April 1986.

2.

Claim by ACTSS Shop
In February 1987 the ACTSS shop proposed some major amendments to the
scales (effectively proposing a new structure, trather than revisions),
and asked for a number of improvements in conditions of employment,
including the payment of a London allowance. We were not able to accept
the Shop's proposals.
A major issue raised by the Shop was the high cost of living in London,
and particularly high accommodation costs. The Shop was invited to submit
evidence to illustrate their claim.

3.

Offer by Management
After several meetings with Shop representatives, AHRTAG could not accept
the argument for a separate 'London allowance*. The problems of high
living costs in London were, however, recognised, and it was decided to
offer staff a substantial increase in salary levels. The offer made included:
(a)

a £750 increase for all staff (i.e. excluding Exec Dir and consultants)

(b)

an agreement over 3 years to pay cost-of-living adjustments
equivalent to the change in the Retail Price Index + 0.75%;

(c)

an additional increase of £150 for grade C staff in recognition
of their occasional need to work irregular hours;

(d)

a procedure for controlling overtime working and the taking of
time off in lieu, and for (in exceptional cases) the payment of
overtime to grade A and B staff;

(e)

improved entitlements to sick leave;

(f)

a modest offer of paternity leave to staff who have been employed
for at least one year, and of maternity leave for people who
have been with AHRTAG for one, but not two, years;

(g)

a procedure for time off for care of dependants;

(h)

rejection of a 'clesed shop' proposal, but an undertaking by
AHRTAG to facilitate the recruitment of members by ACTSS;

(i)

agreement to discuss pension schemes, with a view to making a
modest provision for pension contributions from April 1988.

This offer was made conditional on:

4.

(1)

acknowledgement by ACTSS that there is no case for a separate
London allowance (as salaries have always been set for London­
based staff;

(2)

acceptance that the agreement will last for 3 years, during which
time issues covered by it will not be renegotiated unless
"significant new factors arise” (but with a review meeting
after 2 years).

State of negotiations

The ACTSS shop have accepted the offer, but their statement on London
allowance is not as clear as we would have liked, and they want a two
year rather than a three-year period for the agreement.
We have responded by suggesting a three-year period with a review
meeting after the second year "to consider any significant new
factors which might have arisen, and whether the agreement can remain
effective" for the third year.

That proposal was put to the Shop on 16th April, but we have not yet
received any response.
5.

Salaries which would be paid under the offer

The offer which has been made to the Shop would lead to the following
salaries for the year beginning 1st April 1987:
Grade A

£9,106 - 10,688

in steps of £264

Grade B

£10,161 - £11,743

in steps of £264

Grade C

£11,366 - £13,476

in steps of £264

Actual salaries would range from £9,238 (F Zaegel, on bottom point of
scale plus % increment for staff with less than 6 months service) to
£11,893 (K Attawell and S Fustukian).

K Ritchie
1st May 1987

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247,912881 : CWUKTXG, Attn ‘AHR’

TO:

Members of Council

FROM:

Ken Ritchie
Executive Director

PROPOSED DATES FOR COUNCIL MEETINGS IN 1987

I
would like to propose the following dates for Council meetings
during the remainder of 1987.

6th May
22nd July

30th September
9th December
All of the above dates are Wednesdays, and it is proposed that
meetings will begin at 4.00 p.m.

Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, DrMarie-Thirise Feuerstein, SRN, MEd, DipCD, PhD,
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Martin H. Hobdell, PhD, BDS, LDSRCS,
Dr Richard Laing, MSc, MBChB, Dr John Macdonald, MEd, PhD, Mr Alan Morgan, BSc, HEE, FBIM,
Professor David Morley, MD, FRCP, DCH, Ms Carrie Osborne, SRN, MSc, Professor Aubrey Sheiham, PhD, BDS,
Ms Stephanie Simmonds, SRN, MPhil, Dr Gill Walt, BSc, PhD, Professor John K. G. Webb, OBE, MA, BM, FRCP,
Dr Pamela Zinkin, MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

ah rtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247,912881 : CWUKTX G, Attn ‘AHR’

April 2, 1987

Dr Ravi Narayan
Flat 18/G
York Terrace East
LONDON NW1 4PT

Dear Dr Narayan,

At our last Council meeting it was agreed that I should write
to you asking whether you would be prepared to serve as a 'Council
Adviser' during your stay in Britain.
We hope very much that you will
be able to help us in this way.

You will already know something of AHRTAG's work.
I am, however,
enclosing a copy of our most recent Annual Report which describes our
activities.
AHRTAG's Council is elected by its membership and has overall
responsibility for AHRTAG's work.
The Council has decided to appoint
as 'Advisers' people who, because of their length of stay in Britain or
other work commitments, would find it difficult to act as full trustees
of the organisation, but who nevertheless have much experience to offer.
Advisers will be invited to attend and fully participate in Council
meetings, and they will receive all papers circulated to the Council.

We will be delighted if you feel able to accept the Council's
invitation.
The next Council Meeting will be held on 6th May, and
I am enclosing a list of proposed dates for future meetings.
Yours.sincerely,

ZAL

Ken Ritchie
Executive Director
_ fd!

Z_<2_ Hoa-n

— exc Cjz-p

PM

Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Thdrdse Feuerstein, SRN, MEd, DipCD, PhD,
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Martin H. Hobdell, PhD, BDS, LDSRCS,
Dr Richard Laing, MSc, MBChB, Dr John Macdonald, MEd, PhD, Mr Alan Morgan, BSc, FIEE, FBIM,
Professor David Morley, MD, FRCP, DCH, Ms Carrie Osbome, SRN, MSc, Professor Aubrey Sheiham, PhD, BDS,
Ms Stephanie Simmonds, SRN, MPhil, Dr Gill Walt, BSc, PhD, Professor John K. G. Webb, OBE, MA, BM, FRCP,
Dr Pamela Zinkin, MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

DRAFT AGENDA FOR COUNCIL MEETING,

STH MAY 1987

1.

Apologies for absence

2.

Introductions

3.

Minutes of meeting of 25th February 1987

4.

5.

Matters arising
4.1

Council membershio and Advisers (41.3)

4.2

Arrangements for DD evaluation (41.6)

4.3

Networking of resource centres (41.6)

4.4

PHC Newsletter (41.9)

Finances report on finances for 6 m'onths to March 87

6.

Accommodation

7.

AIDS Newsletter and information work

8.

Reoort on Rehabilitation Aids seminar and other work
in Bangladesh

9.

Prooosal for rehabilitation aids seminars in Africa

10.

Staff matters:

10.1

Aooointment of Ada Morgan,

10.2

Prooosal for aooointment of Deouty Editor

10.3

Reoort on salary negotiations.

11

Dates of future meetings

12.

Any other business.

ADUO

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247,912881: CWUKTX G, Attn ‘AHR’

To:

Members of Council and Advisers

From:

Ken Ritchie
Executive Director
QounSil-MeglillSa_ itt!_Mav_X987

I am writing to remind you that the next meeting
of the Council will be held on Wednesday 6th May
at 4.00 pm in our offices. We hope you will be
able to attend.
I regret that because of staff leave
arrangements, together with a fault in our
photocopier, it will not be possible for us to
circulate papers for this meeting until sometime
next week. We regret any inconvenience which this
will cause.

Jack_Procter

I am sorry to need to report that Jack Procter
died very suddenly on Sth Peril. Jack, an
industrial designer, was a long-standing member
of AHRTAG and a freauent visitor to our offices.
He worked on a number of projects linked to both
AHRTAG and ICH, such as the design of a metallic
strio thermometer, of growth-monitoring charts,
and of the TALC weighing scales. In 1985 he
reoresented AHRTAG at a UNESCO—sponsored workshop
on aporooriate design for primary health care,
and more recently he was in contact AHRTAG over
his proposals for orinting posters on clastic
sheet ing.
Jack attended our AGM on 25th February, and at
the following Council meeting he agreed to become
an Adviser to the Council.

L/.frL
ii/v/'sT
Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Therdse Feuerstein, SRN, MEd, DipCD, PhD.
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Martin H. Hobdell, PhD. BDS, LDSRCS,
Dr Richard Laing, MSc. MBChB. Dr John Macdonald, MEd, PhD, Mr Alan Morgan. BSc, F1EE, FBIM,
Professor David Morley, MD, FRCP, DCH, Ms Carrie Osborne, SRN, MSc, Professor Aubrey Sheiham, PhD, BDS,
Ms Stephanie Simmonds. SRN, MPhil, Dr Gill Walt. BSc, PhD, Professor John K. G. Webb, OBE. MA, BM. FRCP.
Dr Pamela Zinkin, MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

ACTIVITIES UPDATE

- RESOURCE CENTRE ADVISORY COMMITTEE

We are sorry that there hasn't been an Advisory Committee for sometime.
There has been so much activity lately that we have not had time to
organise a meeting of the Committee. However, we would like to keep in
touch by sending you this activities update. We would also like to organise
a meeting of the committee in April.
Please let Suzanne know which of these dates is possible. APRIL 13/14/15.

1.

Network of resource centres
. The proposal prepared by Suzanne, was submitted to the ODA Joint
Funding Scheme on February 27. It was an application to assist
four resource centres in Tanzania, Kenya, India and the West Bank.
Whe-proposal ic-one-lesed.) We expect to hear from the ODA at the
beginning of April. We then have to submit it to other funding
agencies for the rest of the funding - if you have any suggestions
about possible funding or comments on the proposal, please let
Suzanne know.

. We are also hoping ot organise a meeting of other international
resource centres to discuss networking issues. Suzanne met Alok
Mukhadhay, the new Director of Voluntary Health Association of India,
in October 1986 who was very keen that such a meeting be convened.
Others we would like to invite include: Tropical Child Health Unit,
AMREF, TAPS (Brazil), Council for Primary Health Care (Philippines),
Clearinghouse on Infant Feeding and Maternal Nutrition, and the
Caribbean Food and Nutrition Institute.

. The Commonwealth Secretariat are interested in the possibility of
assisting government ministries of Health to set up health education
resource units. We will hear from them later in the year.
. Suzanne will be attending a meeting (27th April) with Dr M.A.C.’Dowling,
consultant to the Health Learning Materials Programme of WHO, at the
TCHU to discuss the need for health materials in Portuguese and the
possibility of assisting with resource centres.

Community Health and the Urban Poor
We have had only one hopeful response from the agencies we approached
in October 1986. Ford Foundation replied saying they were interested
but first had to ask their regional representatives for comments.
Thus, we need to do more marketing! Suzanne is attending the Global
NGO Fourum of Habitat in Nairobi 1-4 April where she will give a brief
presentation about our proposal to set up an information service. About
-r- - people are expected, many of them from NGOs in developing countries
actively involved with urban development, particularly with housing. .
It will be an excellent opportunity to discuss AHRTAG's proposal with
practitioners.

Trudy Harpham, our liaison person with Oxfam and research fellow on
urban PHC at the London School of Hyiene & Tropical Medicine, has
also suggested that Suzanne attend the preparatory meeting for the
Habitat Forum to be held 1-6 June 1987 in Berlin. IYSH (UK) are
coordinating the response of UK NGOs and the first meeting is to
be held on the 25 March with War on Want, Save the Children,
Christian Aid, CIIR etc.

PHC Newsletter
Do you remember that AHRTAG has a proposal for a PHC newsletter?
And that the resource staff are to play a large part on the editorial
work and planning for each issue. This still continues on. If you'd
like any further information, ask Philip Stockley (or Suzanne).
4.

AIDS Newsletter
This has become a possibility! MISEREOR, West Germany, approached us
with the funding, asking for a proposal. Again, this will have major
implications for the resource staff. More information on this upon
request (or at the Advisory Committee meeting).

Resource Lists
Free international newsletters: FINISHED!
Community Health Education: underpreparation
Directory of PHC courses (over 6 months duration): final edit.

6.

DP/AID Project
We just replied to a letter from Robert Clay, who is managing the
DD project at AID. We hope they will then allow us to proceed with
the purchase of a multi-system video recorder and approximately ten
videos on diarrhoea, hygiene and water.

7.

CUSP
We are arranging a visit on behalf of Linda Cobb, Health Officer in
in CUSO's Resources Group for the 21-24 April. She would like to
discuss resource and training needs for a community health and
rehabilitation programme in Nigeria's Kaduna, Plateau and Gongola States.
If anyone has suggestions or knows of anyone who has worked in Nigeria'
please let Mimi or Suzanne know.

4- d r

A/C

pf'

ACTIVITIES UPDATE - RESOURCE CENTRE
(follow-up to Activities Report from March 1937 - Item 1)
Advisory Committee was not held in April - very few people were in Britain
during April! So we will try again in June. Suggested date : 12 Jtone.

1. Network of Resource Centres
* I asked Ann Burgess and her husband Lesley, for comments and suggestions on
the Resource Centre application which they kindly did. Ann is a nutritionist
who has worked in many Third World countries, most recently Tanzania. She has
also worked with FAO for several years. They advised us to be cautious as to
who or how we approached agencies for support of the Resource Centre on the
West Bank. Could we have your opinions on this.
» Suzanne has written to Alok Mukhopadhyay of VHAI, India, suggesting that we
collaborate in organizing a meeting of international resource centres and
whether this meeting should be held in New Delhi at their new offices or in
London, (see: attached letter - Item 2)
» The meeting with M.A.C. Dowling, WHO consultant for the Health Learning
Materials Programme, was held on 27 April, (see: attached minutes - Item 3)

2. Community Health and the Urban Poor
* The Global Forum of NGO's involved in International Year of Shelter for the
Homeless in April was an interesting meeting but not as useful as it might have
been if better organized. Suzanne met with a number of people who were
actively involved in urban community projects and received favourable feedback
from them. It was particularly useful to meet Mary Racelis, Regional Director
of UNICEF in East, Central and Southern Africa and Ralph Diaz, Advisor on Urban
Affairs for that UNICEF region.
* Suzanne and David Auld (Middlesex student working with us on the urban health
project) visited Susan Rifkin on 9 April who gave us her support as well as
suggestions of other funders.

» David has been putting together a questionaire (Item 4) on the information
needs of urban health practitioners to go out, initially, with Oxfam's
newsletter, URBIS and then to a wider selection of people from the Dialogue on
Diarrhoea mailing list.

3. PHC Newsletter
* Suzanne, Katherine Miles, Maria Spyrou and Philip Stockley have met twice with
Marie Therese Feuerstein to discuss layout of the PHC Newsletter. A mock-up is
being prepared for discussion at the next major meeting at the end of May. The
above staff have done quite a lot of work on this mock-up and it is beginning
to take shape.
4. AIDS Newsletter
* MISEREOR have agreed to fund the production of a newsletter on AIDS with a
component for information support from the Resource Centre. A further request
for- support has been sent to Oxfam and Save the Children, including £3,000 for
the Resource Ceentre to purchase computer equipment, the latter includes a
modem in order to allow us access to existing on-line databases.

- 2 * A meeting will be held on the 7 May at AHRTAG to discuss information
activities on AIDS being undertaken or planned by British agencies: invited are
PANOS Institute, IPPF, Bureau of Hygine and Tropical Medicine, ECHO, Institute of
Child Health and others. We-expect to reach an agreement on areas of
collaboration and mechanisms to use.

5. Resource Lists
* Chris Chevalier, a former Community Aid Abroad worker, has given us £1,000 to
help us finish resource centre publications (see: attached list - Item 5); he
has chosen the Directory and a Resource list of basic books-fon.EHG. Chris was
very impressed with our R.C. which made Chris, Mimi and myself feel very
rewarded.
* Chris has also contributed an excellent collection of health education
materials on water, sanitation and hygiene. We plan to work with Chris late in
1987 on a resource list in this subject area.

6. DD/AID Project
* Preparations are underway for the AID Evaluation which takes place 22-25
June. AID has given us the go-ahead to purchase a multi-system video cassette
recorder, and other aspects of our work plan. Mimi will be particularly busy
with the DD project in the next 2 months as she is currently the main resource
worker spending time on the project. We also recently agreed that Mimi would
act as 'liason' person between DD staff and R.C. and would attend editorial
meetings. Regular meetings are also held between DD and R.C. staff to discuss
information needs for upcoming issues, inquiries, problem areas etc.
7. CUSO
* A reply was received from CUSO Orientation Dept, regarding our request for
support of the Resource Centre. Due to severe cut-backs in support from CIDA,
they are unable to provide us with financial support apart from a £200 one-off
donation and agreement to raise the daily fee for visiting CUSO cooperants to
£30 (from £25).
* Mimi is the staff person responsible for CUSO cooperants and will be updating
our country files of those countries where they have programmes: Nigeria. Ghana,

Sierra Leone. Papua New Guinea and Vanuatu.
Nicky Cape, a student on John Macdonalds course in Manchester from PNG, has
offered to contribute to the information we have here on PNG. Could any of you
help us with inforpipi'tton on the abovs fl?ve countriQs» or* other countries where
you have a special interest?

8. Library
* Due to the long delay in purchasing appropriate computer equipment for the
R.C. there is a large backlog of uncatalogued books. Chris has filed all the
books, acording to simple subject classification, in orange storage boxes,
marked uncatalogued, in order to make these available to R.C. visitors.
» Enclosed are the last 2 acquisition lists circulated by Chris.
* Maria Avezoux, a library student placement from the North London Polytechnic,
spent ^four very useful weeks with us in March-Apil. With her help, we set up 3
rir.s
SSUMT+mw files of materials on breastfeeding, immunization and water
and sanitation, and brought the file on diarrheoa and QRT up-to-date.
S. Fustukian

2/05/1987

FUNDING

RESOURCE CENTRE

1. A personal donation of E1000 was given to us on the 1 May by
Chris Chevalier, formerly of Community Aid Abroad (Australia). He
has requested that the donation be used by the Resource Centre towards
the completion of Resource Centre publications from the attached list;
Mr Chevalier has chosen to support the completion of Item 1 and
preparatory work for Item 6.
Mr Chevalier will also further advise us on the water and sanitation
components for Item 2 and work with us in late 1987 on Item 7.

2. An outstanding payment of El500 has been sent to us (via the ICH)
from World Vision. This was the final instalment of a three year
grant to support the Resource Centre (1982-1984).
3. A component for information Support was included in the funding
proposal to MISEREOR for the AIDS Newsletter. The amount is
£2700 salaries; £1000 materials. ( out of a total request for £58,320).

In addition, a request for additional support of both the AIDS newsletter
and resource centre/clearinghouse has been sent to Oxfam and Save the
Children (UK). The Resource Centre has requested £1500 from both
agencies (ie; £3000) which will allow us to purchase computer equipment,
including a Modem to access on-line databases on AIDS.
4. No reply has yet been received from the Ford Foundation for the
Urban Health proposal following the positive 'holding' letter
received at the end of January.
S. Fustukian visited Susan Rifkin in Liverpool who suggested other
possible funders.

5. No reply has yet been received from the ODA regarding the application
sent to them at the end of February to support four resource centres.
(Copies of the proposal have been sent to Advisory Committee members and
General Purposes Committee - if other council members not on either of
these committees would like to receive a copy of the application, please
let Suzanne know).

We have been told by the ODA that we may not hear from them until mid-May.
6. A reply was received from CUSO Orientation Dept, to our request for
support of the Resource Centre, in addition to a daily fee for the
orientation week of cooperants organized by AHRTAG. Unfortunately, CUSO,
like many others, are facing major cutbacks in the support from CIDA.
Therefore, they were only able to offer us support of £200 to our Resource
Centre and the agreement to raise the daily fee for cooperants from
F25 to £30 per day.

Funds received April-May 1987
£1700
Funds requested
AIDS
£6700:
Urban
£23145
Resource centres £72785:

£3700 (MISEREOR); £3000 (Oxfam/SCF)
£40032 (ODA); £32753 (other donors)

(Funding also received from AID for DD project.)

S. Fustukian. 2/5/87

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01^86 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247,912881 : CWUKTX G, Attn ‘AHR’

To:

Members of Council

From: Ken Ritchie
Executive Director

8th May 1987

Three Castles House, I London Bridge Street, SEI
Further to our discussion at Wednesday’s Council Meeting,
I am enclosing further details of the property at 1 London
Bridge Street. (Please note that on Wednesday I was in error
in saying that the floor area was 3000 squ. ft + the storage
area: as you will see from the attached sheet the offices
total 2582 squ. ft. with a further 446 on the ground floor
with a separate entrance).

I have arranged that staff who have not yet had an opportunity
to see the building will do so on Wednesday 13th at about
3.30 pm. Please let me Know if you would like to see the building
at that time, or if you would like me to arrange another
opportunity for you to view it.
Provided that no major problems are identified by those who
visit the offices on Wednesday 13th, we will make arrangements
for a survey of the building.

Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Manin H. Hobdell. PhD. BDS. LDSRCS.
Dr Richard Laing. MSc. MBChB. Dr John Macdonald. MEd, PhD. Mr Alan Morgan, BSc. FIEE. FBIM.
Professor David Morley, MD, FRCP, DCH, Ms Carrie Osborne, SRN, MSc, Professor Aubrey Sheiham. PhD. BDS,
Ms Stephanie Simmonds. SRN. MPhil, Dr Gill Walt. BSc, PhD. Professor John K. G. Webb. OBE. MA. BM. FRCP.
Dr Pamela Zinkin. MBChB. DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

I'(it uJt

CHARTERED SURVEYORS

Field g Sons

ESTABLISHED 1804

Auctioneers & Valuers
Estate Agents

54 Borough High Street
London Bridge SE1 1XL

C. Duncan Field, m.a., f.r.i.c,s.

Telephone-

01-407 1375
(S LINES)

2 APR

RECEIVED

LEASE AVAILABLE (.PASSING RENT LESS THAN £J.26p.
--------------------------PER SQ.FT.)
(About 5.064 sq.ft.)

THREE CASTLES HOUSE, 1 LONDON BRIDGE STREET,
LONDON SEI.

5 oolf-contained office building within a few yards of London Bridge
.'^inline and Underground Stations and about five minutes walk from the
City.

The building comprises
Ground Floor
Storage
(separately entered)

about

446 sq.ft,

II

951 sq.ft,

2nd Floor
Offices
(partitioned to form 5 offices,
and lavatories)

II

"1,026 sq.ft,

5rd Floor
Offices
(partitioned to form J offices,
and fitted kitchen).

II

605 sq.ft.

1st Floor

Offices

entrance hall and lavatories)

The premises are mainly double glazed and fully carpeted, throughout.
Let un a full repairing and insuring Lease to June 1995 at a passing
rent of only £10,000 per annum exclusive (rent review June 1990).

Premium

I-.. View:

E; negotiation.

Strictly by Appointment through FIELD & SONS

MISREPHESENTATirr

- —■ .

-

3.

Nona of th®

-•» •

407 1575

Agenda Item 7.2
AHRTAG COUNCIL MEETING, 22ND JULY 1987
UK NGO CONSORTIUM ON HIV INFECTION AND AIDS

In recent months a group of British NGOs have been meeting together
to discuss work on AIDS in the Third World. These meetings have
aimed to

-

enable NGOs to exchange experiences and information on their programmes;

-

update NGOs with technical information on AIDS;

-

discuss possible future initialives and inter-NGO collaboration on AIDS.

A subgroup of the wider group met at AHRTAG on 7th May 1987 to discuss the
spread of information and educational material on AIDS. A copy of notes
on that meeting are attached.
A follow-up meeting, organised by Bob Grose on behalf of AHRTAG and War
on Want, considered how NGOs should deal with the media on AIDS, and
issues which might arise.

It was recommended that the work of the group should be formalised through
the establishment of a consortium with a half-time staff member. IPPF,
who have received ODA funds to set up an AIDS Unit, offered to provide
staff person and office space: after some discussion this was accepted, but
it was agreed that agencies should be invited to contribute to the costs
to ensure the independence of the consortium from IPPF. £500 per agency was
suggested (but not as a condition of membership of the consortium).

This proposal was considered at a meeting of the group on 23rd June and
accepted on a 6 months basis. CAFOD did, however, state that it would
have difficulties over the siting of the secretariat at IPPF, and it was
therefore agreed on the basis that we would seek alternative accommodation
at the end of the trial period.
It was agreed that Tim Lusty would continue to act as chair of the
consortium (although he is leaving Oxfam, Oxfam have offered him an
honorarium to continue his work with the consortium) and I, on behalf
of AHRTAG, agreed to act as treasurer.
It is recommended that:

(1)

AHRTAG continues to play an active role in the consortium;

(2)

AHRTAG contributes £200 to the costs of the consortium for the
initial 6 month period;

(3)

If space permits in AHRTAG's new offices, AHRTAG should offer to
provide accommodation for the secretariat (all office costs and a
contribution to rent would be paid by the consortium)

K RITCHIE

6th July 1987

AHRTAG COUNCIL MEETING, 22ND JULY 1987

Agenda items 7.1 and 7,3

AIDS newsletter: update on status

Both Suzanne Fustukian and Kathy Attawell have recently visited Miserior in Aachen
to discuss the AIDS newsletter and associated information activities.

Funding
. Miserior have guaranteed funding, (170,000 DM 1987-1988) for the newsletter for

the year and are prepared to commit a total of 510,000 DM to the project over
three years.

(total: approximately £170,000).

. SCF and Oxfam have been asked to make a small contribution towards the newsletter
in order that Miserior is not the sole donor.

. Mernisa Medicus Mundi discussed with Suzanne contributing 20,000 guilders, over

and above the original budget, towards the newsletter.

It is suggested that

this amount to used to contribute towards the salary of a Resource Centre staff

person's time.

This will be necessary to provide information back up to the

newsletter, and to enable AHRTAG to answer the anticipated large number of inquiries
that will be generated by the publication of the newsletter.

Suzanne will also

approach SIDA (who have already suggested contributing towards these activities)

for additional support for information/Resource Centre activities on AIDS.

Editorial/Staffing

. An advertisement for a Deputy Editor for the Publications Unit will be placed in
the Guardian on Monday July 13.

The person employed in this new position will

be working closely with the Editor on the AIDS newsletter.
. The Editor has approached potential editors and editorial advisors in the UK and

developing countries regarding their possible involvement with the AIDS newsletter.
. Possible relationship with WHO is currently being discussed.

Schedule
Planning activities, including first editorial meeting, requests for articles etc

to be carried out during July-August.

It is hoped that issue 1 will be published

in September, and issue 2 in December.

ATTACHED PAPER CONTAINS SUMMARY OF DETAILED DISCUSSIONS WITH MISERIOR

Meeting with MI SERI OR 22.5.1987
AIDS newsletter

Meeting with Michael Wolff during which we had a general discussion
about the newsletter and some of the potential difficulties and
sensitivities involved. The following points were raised:

. discussion of potential sensitivities regarding condoms and the Catholic
Church - Dr.Wolff realises that there may be difficulties but accepts that
MISERIOR must overcome these. The suggestion that Dr Fleischer and Dr Wolff
be included on the editorial advisory board is partly to overcome this
problem - so that they are seen to have influence but not control over
content and editorial policy. It is also important for this reason that
other eminent people are included on the editorial advisory board.
. involvement of WHO - KA discussed correspondence and conversations with WHO
regarding their potential involvement in the newsletter. Dr Wolff suggested
that their involvement would be useful but would not be happy about total
WHO editorial control. KA will pursue discussions with WHO and write to
Jonathan Mann to clarify WHO/SPA position. One possibility is to include a
member of the WHO/SPA Health Education Unit team on the editorial group I understand from Dr Meyer that Sunil Mehra (ex-AHRTAG) will be joining WHO
to work on the AIDS programme and he might be a useful addition to the team.
. general discussion about problems of obtaining accurate data about the
magnitude of the problem. KA explained to Dr Wolff briefly about NGO
coordination in U.K. and meetings and cooperation particularly between
organisations involved in information activities relating to AIDS.
. ft was agreed that MISERIOR would not have editorial control over the
newsletter, but that KA would fax over the final draft material for review
by Dr Wolff and colleagues and to enable them to anticipate any criticismsfrom the Church.
. MISERIOR would like OXFAM and SCF to be included in list of organisations
supporting the AIDS newsletter. This again would deflect possible criticism
from the Church. Similarly KA will discuss with Bureau of Tropical Hygiene
possibility of adding them to list of supporters - in terms of information
support. KA also suggested approaching SIDA later this year for some fundin
suoport for other language editions of the newsletter once it has been
established in English (SIDA have already expressed willingness to support
in discussions with KA).
Content

. Agreed that the newsletter should contain elements of discussion of issues/
but be largely practical and educative. Educational component extremely
important, particularly focus on educational and communication methods.
Newsletter should also include brief updates of research news/summaries of
scientific articles/and media reports from developing countries. (This
type of information will be available from the Bureau and PANOS)

Issues to be raised include worst vs best scenarios/incorporation of AIDS
educational and control activities into PHC programmes/importance of need
to continue other programme activities eg CDD/EPI/MCH and not focus on AIDS
in terms of resources at the expense of these other programmes.

MISERIOR

Miserior is funded by the German government and the Catholic Bishops in
Germany.

AIDS project
Miserior's involvement in AIDS has three components:

-

be

1.

Scientific group developing appropriate technology for selected hospitals
in developing countries - mainly in Africa e.g. ELISA tests (Dr Fleischer)

2.

Information service - this includes the AIDS newsletter
Suggested that 2 issues are produced in 1987 and 4 issues (in English) in
1988. Other priority languages include French, Spanish and Portuguese.
Miserior is also interested in producing in Asian languages - agreed:
need to decide which languages and also wait until the problem has become
more obvious in Asia.
Provision of basic equipment for care of AIDS patients in hospitals - eg
plastic gloves and syringes.

z
<z.A^pre<* r°—
This project has been submitted to and approved by the German government.

For 2. Miserior has 510,000 DM (approximately £170,000) available over 3 years.
Mailing lists

It was agreed to use AHRTAG's existing mailing list. KA explained that 125,000
copies distributed of DD, but many of these in bulk and some to regions where
the AIDS newsletter less relevant at present.
Miserior would also have a small mailing list of recipients for the newsletter.

French edition

. It was agreed that first of all KA should try to ascertain whether any
publication about AIDS along the lines of the proposed AHRTAG/Miserior
newsletter is already being produced in French. If this is the case, a French
translated edition may be unnecessary.
. While ORANA do a good job with DD French edition, it was felt that French
edition of AIDS newsletter might be better producedin Zaire if feasible.
. KA agreed to write to IUAT, ICC, Pasteur Institut in Paris to find out about
current activities, particularly information activities to do with AIDS.
. KA also agreed to send to Miserior approximate budgets for producing AIDS
newsletter in French, one based on possible costs for producing in London,
the other based on ORANA costs for French DD.
. ORANA mailing list could be utilised for distribution of French edition of
AIDS newsletter.

Miserior have no strong preferences for format or design, except that the
newsletter should be similar in style to existing AHRTAG publications, be
printed in black and white and possibly have its own logo. The title needs
to be easily translatable into other languages, and should stress (possibly
in a subtitle) information, practical, forum, international. Important that
the newsletter is seen to be international rather than specifically focusing
on Africa.

Agreed that it would be important to include somewhere in the newsletter that
the editors do not assume responsibility for the views expressed in the
newsletter by the authors.

Funding
Miserior staff suggested that it would be easier to make arrangements for
funding the newsletter if AHRTAG's budget also worked out on the basis of
cost per copy. Miserior could then agree to buy a certain number of
copies of each issue at a specific price - AHRTAG would send Miserior a
bill for a specific number of copies every quarter. Assuming a total
annual print run of 100,000 copies AHRTAG would request (@ approximately
Sl.OO/copy) $20,000 per quarter for 25,000 copies in advance.

. KA agreed to send to Miserior copies of AHRTAG's Articles of Association
and Auditor's Reports for 1985 and 1986.
. KA will also send to Miserior a revised budget based on price per copy.

. Miserior also requires further information about the mailing list, numbers
of subscribers in each region, criteria for distribution, how AHRTAG
intends to publicise the availability of the newsletter etc.
. Availability of the newsletter will be publicised in DD, ARI News and
through other channels previously utilised to expand the existing AHRTAG
mailing list.

Editorial advisors

KA to write to various individuals suggested - in Africa, Latin America,
as well as US and Europe.
Dr Fleischer FRG has agreed to be on the editorial advisory board.
Time schedule
This will largely depend on the time it takes to put together a skeleton
editorial advisory group and to arrange meetings with core technical editorial
group. KA suggested provisionally August might be a possible publication date.

First issue to possibly include:

. history of AIDS/global overview of the problem
. review of a few key articles/research papers
. basic outline of what AIDS is - meaning of acronyms, how to recognise,
clinical signs, what is a virus etc
. development impact of .teh, AIDS problem
. resource list - sources of information about AIDS/key articles/organisations

READING LIST - PRIMARY HEALTH CARE

General. - development
Environment Liaison Centre.

1985.

Sustainable Development. Report of the proceeding of the global meeting on
environment and development for non-government organisations,
1985, Nairobi.
"Working Group Reports (Round I):
No. 1, 2, 10

4-8 February

Laidlaw, K. and R. Laishley
"Why the poor can only get poorer..."
Commonweal th

O'Keefe, P. and B. Munslow.
"Woman's power."
New Statesman 24 August 1984

1984

■Primary ji.eal.th care
1.

Walt, G, and P. Vaughan.
1981
An Introduction to the Primary Health Care Approach in DeveloPin
Countries.
(HA1 WAL)

2.

Zurbrigg, Sheila.
■Eakku's Story - Structures of Ill-Health and the Source of Change,

3.

UNICEF.
The State of the World's Children, 1984:
The State of the World's Children. 1985:
6 7 71 -(iralui ) ;------------------------------------------ -------

pages 1 -63
pages 42-47, 64-67 (women),
■—

"Going to Scale." Summary Report of the Second Inter-agency Meeting on
Community-based Approaches for Child Development.
29 -31 October 1984.

** • The Human. Factor;

Readings in Health, Development and Communit
Participation,
CONTACT Special Series No.3 , June 1 980 .
Chapter II "Community Participation - the Heart of Primary Health Care"
Chapter IV "Rural Health Problems in Developing Countries - The Need for
a Comprehensive Community Approach."
Chapter VII "On the Limitations of Community Health Programmes."
Chapter X
"Health Care and Human Dignity."

5.

6.

Werner, David
The Story of Chelo.
"Village Health Worker - Lackey or Liberator?" in Bang & Patel,
Care - Which Way to Go? Medico Friend Circle.
Rural Health, Ideas and Action No. 145, 1982.
"Rural development and PHC." (2-4)
"Myths and obstacles."
(4-6)
"The myth or PHC: case studies from Peru." (7-12)
"Mobilization for health. The case of Guinea-Bissau." (13-20)
"Towards a rural health development strategy."
(44 —51 )

Health

7.

Chabot, H.T.
"Primary health will fail if we do not change our approach."
Lancet
11 August 1984:
340-41

8.

Heggenhougen, H.K.
"Will Primary Health Care efforts be allowed to succeed?"
Social Science and Medicine, Vol. 19, no. 3: 217-24

9.

Nabarro, David.
"Health for All by the Year 2000: A Great Polemic Dissolves into
Platitudes?"in Jayarao & Patel, Under the Lens: Health and Medicine,
(47-61) Medico Friend Circle Bulletin. 1986.

lO.Tuishen, M & C. Barker
"Editorial" The Health Issue.
Review of African Political Economy No 36, Sept 1986.
Banerji,
11.
D.
"Political Dimensions of Health and Health Services." (133-149)
in Health Care - Which Wav to Go?
HAl BAN.
Andams,
12.
G.P. (Nov-Dec 198-5-)
Advancing the People's Struggle through Alternative Programs in Health

13j Tan, M. (May-June 1 984)
Primary Health Care - Another Placebo?
14.Simbulan, R. (May-April 1984)
Medicine and Social Responsibility.

Appropriate Technology
1.

Khor Kok Peng. 1983
"Modern Technology Inappropriate for Development in Third World"
Gulf News 23 April 1983-

2.

Pacey, A. 1983.
The Contre of Technology.

3.

Rybczynski, W. 1980.
Paper Heroes. A Review of Appropriate Technology.

4.

Emmanuel, Arghir 1982.
Appropriate or Underdeveloped Technology?

5.

I0CU
Appropriate Products

'i.'

Agenda Item

AHRTAG COUNCIL MEETING, 22ND JULY 1987

ACCOMMODATION (UPDATE PAPER)
1.

2.

Further to my paper of 3rd July, we have decided not to make an
offer for the lease of the Kirby Street offices because
(a)

the Receiver has substantially increased the premium being
sought, and it appears that we do not have the funds to
compete with other bidders;

(b)

the minimum costs of converting the building to office
space would be around £10,000, and it would probably cost
as much again to partition the offices to our requirements.

We have therefore given some further consideration to the offices
at 1 London Bridge Street, and have arranged that a survey be
undertaken. Because the building has been on the market for some
time, we believe it would be possible for us to acquire it at a
very low premium (and, as War on Want at present holds the lease,
it should be possible to negotiate staggered payments of any premium).
Staff, however, still have serious reservations over the suitability
of 1 London Bridge Street (noise from the railway, disabled access
only to a separate ground floor office, decoration required, etc).

3.

Staff will therefore be continuing their search for alternative
accommodation during the coming weeks. Staff have volunteered to
split the tasks of contacting estate agents, searching through
local papers, contacting organisations which might be able to
help, etc. among themselves.

4.

Our solicitors have recommended that before 24th July (the date by
which we must respond to the notice to terminate our tenancy on
24th December) we ask for a new te^ncy. This would not commit us
to anything until a new lease had been prepared and signed, a
procedure which could be delayed by negotiation of the terms. We
would, however, be committed to giving three months notice and we
could be charged legal fees.

5.

It is therefore recommended that:

(a)

we request a new tenancy as recommended by our solicitors;

(b)

we encourage staff in their initiatives in searching for
alternative accommodation;

(c)

we fix a date by which we will take a decision based on
whatever options are open at that time.

K RITCHIE
10TH JULY 1987

Agenda item 5

AHRTAG COUNCIL MEETING, 22ND JULY 1987
ACCOMMODATION

1

We have now been served with an official notice of our
landlords intention to terminate our tenancy on 24th
December 1987. We must respond to this notice, stating
whether or not we wish a new tenancy, by 24th July. Our
landlords have intimated that they will not opcose an
application for a new lease.

At the Council meeting on 6th May, premises at 1 London
Bridge Street (formerly occupied by War on Want) were
discussed. Staff have not oroceeded further with these
offices because of potential oroblems with noise, as well
as the drawback of only a separate ground-floor office
having disabled access.
We are now considering premises in Ki rby_St reet, ECXj_
Kirby Street runs parallel to Hatton Garden, between
Hatton Garden and Farringdon Road. Although the ent rance
to the offices are in Kirby Street, they are on a corner
site and also have windows on St Cross Street and Saffron

The ground floor of the building offers about 2,700 squ.
ft. and the first floor 2,800. The first floor we
consider to be more suitable in that it would require
less work done on it, but we understand that the first
floor is already under offer.
The oresent rent is only £3 oer sou.ft. and there will
not be a review until 1991. The low rent is probably in
□art a result of the building having been classed as
’studio/1ight industrial use’, but we are told that
recent changes in planning regulations will allow the
building to be used for offices (our agents are seeking
confirmation of this change).

The building is occupied by a photographic company which
has gone into liquidation. The floor space has
unfortunately been partitioned into many small rooms, a
number of which have been used as dark rooms and
therefore have no natural light. Additionally, some of
the windows have been blacked out. We will therefore
recuire a survey to estimate the costs of converting the
building to suit our requirements.

We have asked our agents to ascertain the terms requested
by the oresent occupants and/or the receiver (we
understand that they are seeking a premium of £8,000 in
view of their freehold interest). Provided no
difficulties arise, we plan to make an offer for the
lease (1st floor if possible, but otherwise the ground
floor) as soon as possible.
We would be oleased to make arrangements for any Council
members who might wish to view the building.
K Rite hi e
3rd July 1387

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247, 912881: CWUK TX G, Attn ‘AHR’

Dr Ravi Narayan
Flat 18/G York Terrace East
London NW1 4PT

9 January 1987

Dear Ravi,

Happy New Year!
Following from our telephone conversation, here is the address for
Action Health 2000 and some information about them, particularly their
interest in 'action-research'.
ACTION HEALTH 2000
35 Bird Farm Road, Fulbourn, Cambridge
tel. (0223) 8801 94
Contact: Dr Mukesh Kapila

CB1 5DP

Also enclosed in a copy of our recent acquisitions with some publications
you might find of interest.

I was interested in the bibliography on community health in India which
you mentioned. We would very much like to make the bibliography
available and collect the material here as far as,possible. Perhaps we
could get funding for a 'special collection'.
I've enclosed the reading list
which I quickly put together for our two student placements from the
Middlesex Polytechnic - as. you carysee, I make use of the Medico Friend
Circle ’publications. The development section in the list is 'under­
developed' because of technical problems with our computer.
Finally, would it be alright for David Auld and Mathanan to visit you
on the 19 January? I have tried to introduce them to many different
issues inPHC and thought you
be able to discuss these issues with
them and your experiences-something like Topic I of your list of seminars1.

Yours sincerely,

Suzanne Fustukian

Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS.MA.MD, BChir, DO, Dr Marie-Thdrdse Feuerstein,SRN,MEd, DipCD, PhD,
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Martin H. Hobdell, PhD, BDS, LDSRCS,
Dr Richard Laing, MSc, MBChB, Dr John Macdonald, MEd, PhD, Mr Alan Morgan, BSc, FIEE, FBIM,
Professor David Morley, MD, FRCP, DCH, Ms Carrie Osborne, SRN, MSc, Professor Aubrey Sheiham, PhD, BDS,
Ms Stephanie Simmonds, SRN, MPhil, DrGill Walt, BSc, PhD, Professor JohnK. G. Webb, OBE, MA, BM, FRCP,
Dr Pamela Zinkin, MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

Agenda Item
AHRTAG COUNCIL MEETING, 22ND JULY 1987
FINANCE REPORT - PART I

Attached is an analysis of our general fund and project accounts
to 31st March 1987 (i.e. for the first half of our financialyear).
'We hope to be able to circulate (or table at the meeting) a similar
analysis for the 9 months to 30th June. (Unfortunately this work has
been delayed by the absence on leave of Philip Stockley who is normally
responsible for cost allocations to projects).

The analysis to 31st March 1987 shows
(1) During the first half of our financial year our general fund
reserves dropped from about £26,000 to about £15,000. Clearly
we cannot allow this trend to continue. Reserves of only £15,000
in an organisation with a turnover of about £500,000 p.a. is far
from satisfactory, and as a result we are restricted in our choice
of alternative accommodation.
(2) The main drain an general funds during the period has been the non­
project work of the disability unit. Publication of future issues
of ‘Aids for Living1 must therefore be postpone until more funds are
available, and we must reduce other work in the disability unit
which is not covered by project funds.
(3)

We have not been success ful in reducing 'funds recoverable', i.e.
in ensuring receipt of project grants which have been pledged for
work already done. Catching up on claims to donors must be given
greater priority, and steps taken to ensure faster processing of
USAID grants.

(4)

At the Council meeting we hope to be able to present plans for
additional fundraising initiatives, both for projects and for
general fund support.

K RITCHIE
10TH JULY 1987

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MINUTES OF THE FORTY-SECOND MEETING. OF THE COUNCIL OF AHRTAG
HELD AT 4.00 PM ON WEDNESDAY 6TH MAY 1987 AT 85 MARYLEBONE HIGH
STREET, LONDON W1M 3DE

Present:

Marie-Therese Feuerstein
Miles Hardie

John Macdonald (Chair)
Alan Morgan
In attendance:

Kathy Attawell
Katherine Miles
Ken Ritchie

Ravi Narayan

(advisor)

Peter Oakley
John Pickford

Eva Tadell
Fabienne Zaegel

42.1

Chair:
In the absence of David Morley, it was agreed
that John Macdonald should chair the meeting.

42.2

I ntreductions: Ravi Narayan, Peter Oakley and John
Pickford were welcomed to their first meeting of the
Council.

42.3

Apologies for absence: were received from John
Anderson, Barbara Bubb, David Morley, Gill Walt and Pam
Zinken.

It was also noted that Ann Darnbrough, Suzanne Fustukian
and Philip Stockley were unable to atend the meeting as
they were attending a seminar on fundraising
applications.
42.4

Jack Proctor: The Council noted with sadness the sudden
death of Jack Proctor on 8th April.
The Executive
Director was asked to send a donation in his memory to
the British Heart Foundation and a message of sympathy to
his widow.

42.5

Minutes of the meeting of 25th February 1987 were agreed
as a correct record.

42.6

Matters arising

42.6.1 Council members and advisers (min. 41.3):
It was noted
that Naila Kabeer had been invited to serve as an
adviser, but had not yet replied to the invitation.
It
was unlikely that Samir Choudhury would be visiting
Britain during the year, and no approach had therefore
been made to him.

It was noted that Peter Oakley and John Pickford had
agreed to serve as Council members and Ravi Narayan, who
would be in London until the autumn, as an adviser.
Patrick Mulany had declined an invitation to join the
Council because of work commitments, and a reply was
awaited from Simon Burne.

42.6.2

Networking of Resource Centres (min. 41.8):
It was
reported that an application had been made to ODA and
that a respponse was expected in a few weeks time.
The
Council expressed its appreciation at the progress which
had been made.
The Executive Director was asked to send
copies of the proposal to new Council members and
advisers.

42.6.3

PHC Newsletter (min. 41.9): The Executive Director
reported that staff had again considered the Council's
suggestion that a brief pilot issue be produced, but the
general staff feeling was that this in itself could
create a considerable amount of work, that it might not
give a useful indication of nature of the proposed
newsletter and that it might create expectations which
AHRTAG could ot fulfil.
Work in developing ideas for
the newsletter was progressing with assistance from
Marie-Therese Feuerstein and John Macdonald, but staff
time and funding remained major constraints.
It was
hoped, however, that staff would be better able to
progress the project after the USAID evaluation of DD and
after the office move.
It was therefore agreed that
consideration of a pilot issue be deferred for three
months.
It was not felt that work on an AIDS newsletter
would seriously delay progress on the PHC newsletter
proposal, but it was suggested that the employment of a
short-term contract worker (as had been done with the
AIDS newsletter) should be considered.

42.7

Financial Report

42.7.1

Income and Expenditure statement: The Executive Director
tabled a provisional statement of income and expenditure
for the six months to 31st March 1987.
it was agreed
that this be considered, together with project accounts,
at a meeting of the General Purposes Committee.

42.7.2

Signatories for bank accounts: The Council noted
difficulties which had been experienced in finding
Council members available to authorise payments of more
than £200.
It was agreed that:

a)

for payments of more than £200 but less than £400,
the signatures of two authorised staff members
should be sufficient authorisation;

b)

42.8

Barbara Bubb, subject to her agreement, should be
added to the list of Council members authorised to
sign on AHRTAG's behalf.

Accommodation:
It was reported that searches by AHRTAG's
agent had produced very little result, and the only
property which staff felt worthy of consideration was at
1 London Bridge Street - premises formerly occupied by
War on Want.
A description of these offices was tabled.

It was agreed that a further visit to 1 London Bridge
Street should be arranged for staff, and that Council
members also be invited to view the offices.
If the
offices were considered suitable, staff were authorised
to commission a survey, and Alan Morgan, the Honorary
Treasurer was asked to assist in negotiations over the
terms.
42.9

DP report

42.9.1

Preparations for evaluation by USAID:
A report was made
on a preparatory meeting for the evaluation which would
conducted from 22nd to 26th June.
Council members
stressed the importance of using the evaluation to
present plans for the future development of the DD
programme for USAID.

42.9.2

Visit to Bangladesh and Pakistan: Kathy Attawell
reported on her recent visit.
It was noted that BRAC
(the Bangladesh Rural Advancement Committee) had
undertaken to translate, print and distribute a Bengali
edition with a circulation of 60,000 for Bangladesh and
West Bengal.
Funding would be provided directly by the
Aga Khan Foundation and the Swiss Government, with
back-up support from the Ford Foundation.

In Pakistan a publisher for an Urdu edition had been
identified, and UNICEF agreed to provide funding.
42.10

Proposed newsletter on AIDS

The Council considered a proposal for a newsletter on HIV
infection and AIDS which had been prepared for, and at
the reguest of, Miseror.
It was reported that Misereor
had verbally agreed to provide most of the funds

required, although they did not wish to be the sole
donor.
SCF had indicated that they were likely to give
support (including support for a resource centre work on
AIDS), and it was hoped that Oxfam would do likewise.
Kathy Attawell was planning to visit Misereor to discuss
plans for the newsletter.

In discussion it was recommended that the newsletter, as
well as being distributed through normal health care
channels, should be distributed through ministries of
education, departments of adult education, extension
services, and youths, family planning and women's
organisations.
It was suggested that the newsletter be
publicised in appropriate international health care
journals, such as Contact, Conveyance and Hygie.

It was noted that the newsletter should not just provide
information, but should also aim to help health workers
and others in communicating messages about AIDS and in
promoting changes.
It was suggested that the editorial
group should include educators as well as scientific
editors.
It was felt that there was a danger of hysteria over AIDS
causing a 'top-down' approach rather than the
encouragement of community involvement in health care.
It was suggested that the newsletter should provide
examples of innovative community-based initiatives.

The Executive Director reported that several British NGOs
had been meeting together to exchange information and
experiences on AIDS.
A meeting of NGOs concerned with
the collection and dissemination of information would be
held at AHRTAG on 7th May 1978.
Plans were also leing
made for the establishment of a consortium of agencies to
facilitate collaboration on work on AIDS, and the Council
agreed that AHRTAG should play a full part in this
consortium.
42.11

Report on Rehabilitation Aids seminar and other work in
Bangladesh
A report was received, but in the absence of Ann
Darnbrough, any discussion was deferred to a future
meeting.

42.12

Proposal for rehabilitation aids seminars in Africa
The Executive Director introduced a proposal that AHRTAG

(a)

participate in, and partially fund, a
seminar on rehabilitation aids in
Nairobi in December 1987;

(b)

take the leading role in organising a
similar seminar in Dakar in 1988.

The Council agreed to support this proposal provided that
funds could be obtained (without prejudice to other
fundraising efforts) to cover all costs.
42.13

Staff matters

42.13.1 Assistant Disability Unit Officer
The Council welcomed the appointment of Ada Morgan.

42.13.2

Proposal for the appointment of a Deputy Editor
The Council approved this proposal, which would enable
the Publications Unit to undertake work on the proposed
AIDS newsletter, subject to funds being available for the
new newsletter.

42.13.3

Staff salary negotiations

(Staff left the meeting at this point)

The Council received a report on negotiations with the
ACTSS Union shop. The Council approved the offer which
had been made to the shop and the position which had been
taken by management.
42.14

Future Council meetings

The following dates were noted:
September and 9th December.
42.15

22nd July, 30th

Any other business
(1)

John Macdonald spoke of work on the evaluation of
the use of ORT in Manchester, and of possible
linRs with AHRTAG.

(2)

Marie-Therese/told the Council of programmes on
AIDS being produced by Central Television.

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247, 912881: CWUKTX G, Attn ‘AHR’

Mr Ravi Narayan
Flat 18/g
York Terrace East
London WN1 YPT
22 May 1987

Dear Ravi,

I am sorry that I was not at AHRTAG's recent Council meeting
which you attended. Perhaps we will meet soon as I am writing
to invite you to a meeting of the 'Editorial Group' for our new
Primary Health Care (PHC) Newsletter, on Monday 8th June at 2 pm.
If you are able to come I am sure you could make a valuable contribution
at this formative stage of the newsletter.
I have enclosed a letter and various papers regarding this meeting.
I also enclose some background information to put you 'in the picture'.
This information is:

A progress report prepared in December 1986 (including
a timetable which is now rather outdated)
an Overview of PHC Newsletters
the Questionnaire analysis
Please contact me if you would like more information before the
meeting.

Hoping to meet you shortly,

Yours sincerely,

Philip Stockley
Project Co-ordinator.

Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Th<5r£se Feuerstein, SRN, MEd, DipCD, PhD,
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Martin H. Hobdell, PhD, BDS, LDSRCS,
Dr Richard Laing, MSc, MBChB, Dr John Macdonald, MEd, PhD, Mr Alan Morgan, BSc, FIEE, FBIM,
Professor David Morley, MD, FRCP, DCH, Ms Carrie Osborne, SRN, MSc, Professor Aubrey Sheiham, PhD, BDS,
Ms Stephanie Simmonds, SRN, MPhil, Dr Gill Walt, BSc, PhD, Professor John K. G. Webb, OBE, MA, BM, FRCP,
Dr Pamela Zinkin, MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone HighStreet, London W1M3DE UK Tel: 01-486 4175 Telegrams: /AHRTAG London W1
Telex: 21879,25247, 912881: CWUKTX G, Attn 'AHR'

I must apologise for the long delay in writing to you. Lack of
contact, however, does not mean that there has been a lack of
activity on the Primary Health Care (PHC) Newsletter. Staff and
Marie Therese Fuerstien have had two meetings in which the
physical format and layout of the newsletter have been thrashed
out, resulting in a fairly clear idea of article types and style
and a dummy edition prepared to inspire discussion.
The next meeting of the Editorial Group will be held (at AHRTAG)
at 2 pm on Monday 8th June. I hope you will be able to make it
to the meeting. Please let me know as soon as possible if this
date is not convenient.

I enclose a bundle of papers for your information:
1.
2.
3.

4.
5.
6.

Provisional agenda for meeting on 8th June 1987
A list of things to think about before the meeting
Minutes of the first PHC editorial group meeting of
28/1/87 plus:- Guidelines for PHC Newsletter
- Possible first edition contents (2 pages)
- Statement on PHC Newsletter
Minutes of Staff PHC meeting of 18/3/87
Minutes of Staff PHC meeting of 8/4/87
PHC Dummy
po.^e-'s

Vd

vjdIz-tter'

I hope these papers will bring you up-to-date with our present
thinking about format and article types. We have tried to
construct the framework onto which the actual 'meat' of the
newsletter can be built. The main purpose of the meeting on 8th
June will be to decide on:
general themes, articles and writers for the first 3 or
4 editions of the newsletter
the actual contents and writers for the first edition

I am sorry about the short notice for the meeting. Please
contact me if you would like clarification or more detail before
the meeting.
Yours sincerely,

Philip Stockley
Project Co-ordinator
Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Therise Feuerstein, SRN, MEd, DipCD, PhD,
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Professor Martin H. Hobdell, PhD, BDS, LDSRCS,
Dr Richard Laing, MSc, MBChB, Dr John Macdonald, MEd, PhD, Mr Alan Morgan. BSc. HEE. FBIM,
Professor David Morley, MD, FRCP, DCH. Ms Carrie Osborne, SRN, MSc. Professor Aubrey Sheihant, PhD, BDS,
Ms Stephanie Simmonds, SRN. MPhil, Dr Gill Walt, BSc, PhD, Professor John K. G. Webb, OBE, MA, BM. FRCP,
Dr Pamela Zinkin, MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

Provisional Agenda for PHC Editorial Group Meeting
June 1987

Monday 8th

1

Minutes of Editorial Group meeting

2

Matters arising

3

Format and layout:Discussion of Dummy and Staff PHC Meeting
minutes

28/1/87

4

Brief report on funding and staff position

5

General editorial themes and articles for first 3 or 4
editions

6

The first edition - themes, format, articles, writers,
illustrations

7

Possible editorial advisors

8

Fundraising suggestions

9

name of newsletter

Things to think about before the meeting on June 8th 1987

Format and skeleton structure
reactions to Dummy
reactions to article types suggested in Staff PHC
meeting minutes
Your suggestions for layout, page order, article types,
use of illustrations etc.

2

Articles
rough plan for first 3 or 4 editions
Themes and subjects and how they might be treated eg.
slant, article types (ie. is the subject best covered by
a 'how to" article or a project description etc)
Potential writers
existing articles (published or unpublished) which we
could: publish; use/recommend as 'further reading'; use
as research material for article in PHC

3

First edition
is an overview of PHC a good way to begin
is the suggested structure OK ? any changes ?
can we fit the articles into the style suggested by the
dummy or does it need a unique format ?
article writers

4

Names

for the broader group of Editorial Advisors (plus
addresses and rough CV details if possible)
Fundraising suggestions
groups with interest in particular geographical areas
groups to 'sponsor' articles on various subjects

6

Name/Logo
ideas for the name and logo of the newsletter.

MINUTES OF PHC EDITORIAL GROUP MEETING.
Present:

Wed 28th Jan. 1987 at 2PM

John MacDonald (JM) , Felicity Savage King (FSK), Marie Therese
Fuerstein (MTF), Ken Ritchie (KR), Suzanne Fustukian (SF),
Kathy Attawell (KA), Ann Darnbrough (AD), Philip Stockley (PS)

Apologies

:

Jill Gordon, Chris Underhill, Peter Oakley, Pat Harman,
David Nabarro, Charles Collins

Chair

:

Ann Darnbrough

1.

Those present introduced themselves briefly.

2.

PS sketched out the background to the newsletter, including testing the
need for such a newsletter through an overview of existing PHC newsletters,
and the questionnaire. The background research has convinced AHRTAG of
the need and usefulness of such a newsletter.

3.

MTF was concerned over who would have responsibility to pull the
newsletter together. KR said PS is acting as 'secretary' and has that
responsibility at present. This may change depending on funding and
future appointments.

4.

KR talked briefly to a paper prepared for staff discussion on 'Guidelines
for the PHC newsletter', (see attached). The meeting generally agreed
that PHC itself is political as a philosophy, that the newsletter should
examine the deeper causes of ill health, and that it would not use the
'technical fix' approach, but include socio-economic information along
with practical and technical information.

5.

SF introduced the ideas already collected for Issue 1. (see attached).
The aim was to set the scene - explaining the background to the PHC
approach, the concepts involved, and how they might be implemented at
different levels. The meeting agreed that many participants in PHC are
unaware of the background and many of the concepts of PHC. SF explained
that we hope to be able to provide photocopies of further information on
request to readers, but would have to seek separate funding for this,
JM suggested beginning with a local,and national case study and leading
from them to an explanation of the PHC philosophy and problems.

MTF pointed out that the style, design and layout was very important.
Illustrations would be needed (not just photos) and the use of humour
was important. Various newsletters were looked at critically for layout
and style. MTF felt 12 pages of newsletter produced 3 or 4 times a year
was too much - certainly initially. KA also felt we should aim at 2 issues
only in the first year. The meeting agreed to produce 8 pages, with the
possibility of inserts.
MTF circulated a mock up of an 8 page newsletter she had prepared:
Page 1: description of contents, attractive and appealing cover
2+3: componets of PHC/Integrated approach
4: PHC and main health related sectors
5: underlying causes of ill health and poverty - activities
to help combat it.
6: training, including 'how to' series - should be easily
photocopied and useful for teaching
7: readers letters/networking section
8: books and publications/ audio visual and media.

- 2 various design ideas were put forward - including:
- use of small maps to show where countries/projects are.
- highlighting the countries letters are received from
- use of illustrations and cartoons
- avoiding printing parts of pages in a background colour - this usually
makes it hard to photocopy successfully.
- the use of 'mini symbols' to draw people's attention to types of
information or subjects.

After some discussion it was decided not to begin by aiming at health
professionals and then broadening to include other 'sectors', but rather
to adopt a 'multi-sectoral' approach from the beginning
The meeting moved on to try and define the editorial line to be adopted
for the newsletter. Although not liked, terms like 'multi-sectoral'
and 'Integrated' were used to describe our approach (as well as
'community led', 'participation' and 'broaden conceptual framework').
Terms not favoured in our approach included 'Component' approach,
'vertical program'. JM agreed to put together a statement on our
approach, to be circulated and discussed.
It was generally felt that the newsletter should be illustrative ie,
explain how to set up a programme, how to train people for the programme,
the processes that have to be gone through and the problems that might be
encountered, and how to continue a programme etc. Too often
newsletters
talk about an activity, but neglect to explain the structures and problems
in getting to a position of being able to undertake the activity.
AD asked who we will get to write for the newsletter - authors will have to
be apporhched soon if we hope to have a summer edition. JM said we have to
find people who can extract the lessons from examples. AD suggested the
need for 'guidelines for contributors' ie. a short description of type and
style of articles.

A few names were suggested for the editorial advisors (the group who
may not meet on a regular basis but who could serve as advisors on their
own areas of expertise, as authors and to answer queries etc. They
could be anywhere around the world.). Names included:

-

Nila Kabir: an economist from Bangladesh, now at LSE, with involvement
with the 'Gramin Bank')
Ravi Narayan: a community health doctor from India, at LSHTM for
1 year, was editor of 'Medical friends bulletin'.
Yar Shabu : from Mali, produced some Talc slides
Jenny Rothwell: a midwife involved with 'El Informador'

The final structure and contents of the first (and subsequent) issues was
not decided during the meeting. MTF and staff have arranged to meet on
25th Febuary to discuss the design of the newsletter. Staff will work
further on the possible contents. A very specific agenda will be
prepared before the next meeting (date unclear at present) so all
participants have a chance to prepare themselves in advance. Please
think of possible people for the editorial advisory group, and to
write articles on different topics.
Some discussion took place on types of article. It was suggested that
'how to' articles might include social skills, and that articles on simple
basic science would be useful (eg. what is soil).
6.

Suggestions were made as to funding sources it may be useful to approach.

7.

The date of the next meeting was not discussed.

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247, 912881: CWUK TX G, Attn ‘AHR’

To:

Members of Council and Advisers

From:

Ken Ritchie, Executive Director

16th July 1987

Council Meeting, 22nd July 1987 at 4.00 pm

Please find enclosed the following additionaF papers for
this meeting:
a)

Finance Report - Part 1

. b)

Accommodation (Update Paper)

c)

AIDS Newsletter: update on status

For members who have recently joined the Council I am also
enclosing a copy of the support of four primary health care
resource centres. Council members will be pleased to note that
ODA have recently agreed to our request for the co-funding of
this project.

I regret that I omitted to include an item on our planned newsletter
on primary health care on the provisional agenda for the meeting.
I suggest that we insert an item, 'PHC Newsletter plans' as a
new no. 8 on the agenda, renumbering the
remaining items.

Executive Director: Dr Ken Ritchie. PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Therese Feucrstein, SRN, MEd. DipCD, PhD.
Mr Dennis Frost, OBE. Mr Miles Hardie. MA, FHA. Dr John Macdonald. MEd, PhD, Mr Alan Morgan. BSc. F1EE. FBIM,
Professor David Morley. MD. FRCP. DCH, Professor Aubrey Sheiham, PhD. BDS. Dr Gill Walt, BSc. PhD,
Professor John K. G. Webb. OBE, MA. BM. FRCP, Dr Pamela Zinkin, MBChB. DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-186 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247, 912881 : CWUKTX G, Attn ‘AHR’

To:

Council Members and Advisers

From: Ken Ritchie, Executive Director

The next meeting of AHRTAG's Council will be held on Wednesday 22nd
July 1987 at 6,00 pm in our offices. We hope you will be able to
attend,
A provisional agenda for the meeting is as follows:
1.

Apologies for absence

2.

Minutes of the meeting of 6th May 1987 (enclosed)

3,

Matters arising, to include:
3.1

Council membership

3.2

Staff salary negotiations (to report on agreement reached)

6.

Finance report (*)

5.

Accommodation

6.

USAID evaluation of 'Dialogue on Diarrhoea’

7.

HIV infection and AIDS

8.

(

(report enclosed)

3.1

AIDS newsletter: progress report (*)

7.2

British NGO consortium on AIDS (

7.3

Report on inter-agency meeting at Misereor (••)

7.6

Proposal for the appointment of a resource worker (*)

upsv-t

other programme updates:

•8.1

:’esource Centre network proposals

8.2

Disability Unit

°.

Staffing: resignation of Chris Whitehouse and plans for replacement

1.0.

Any other business

(•■') - Papers to follow next week.

Executive Director: Dr Ken Ritchie. PhD
Council: Dr John D. C. Anderson. OBE. FRCS. MA. MD. BChir. DO. Dr Marie-Therese Feucrstein. SRN. MEd, DipCD. PhD.
Mr Dennis Frost, OBE. Mr Sides I lardie. MA. Hi A. Dr John Macdonald. MEd. Ph ID. Mr Alan Morgan. BSc. FI EE. FBIM.
Professor David Morley. MD. I-RCP. DCH. Professor Aubrey Shethain. PhD. BDS. Dr Gill Walt. BSc. PhD.
Professor John K. G. Webb. (>BE. MA. BM. I-RCP. Dr Pamela Zinkin. MBChB. DCh. FRCP
Registered Chanty No 2742ni Company Registered No. I.122ihl (England)

ITELM

3

MEETING, 27 APE IL 1987:
Present: Dr M.A.C. Dowling (WHO); Pam Zinkin, Elena Medi, Barbara Harvey (TALC);
Suzanne Fustukian (AHRTAG).

The purpose of the meeting was to discuss passible activities which TALC and
AHRTAG could undertake in support of the Health Learning Materials Programme
(HLMP) being established in the Portuguese speaking contries of Africa. A
meeting will be held in Maputo, Mozambique from 4-9 May 1987 to discuss the
current requirements for Health Learning Materials in Portuguese and to plan
strategies for meeting these needs. The meeting will include those people from
Ministries of Health in Mozambique, Angola and Sao Tome' who would be
responsible for setting up an HLM Programme in their countries as well as staff
from SIDA and Hildegard Bromberg-Richter from TAPS, Brazil as a consultant.

Topics discussed in London on the 27th April included the the current position
of HLMP in VHO, Geneva; existing HLM in Portuguese distributed by TALC;
suggestions of the kinds of support activities which could be undertaken by
TALC and AHRTAG.
1. Dr. Dowling has assembled a relatively comprehensive list of HLM available
in Portugese, (will send when typed up).

2. Support for HLMP activities in Portuguese speaking African countries has been
offered by SIDA and the Dutch government.
3.

The Maputo meeting will discuss three major items:
a) major gaps in HLM in Portuguese.
b) whether the Vest African countries (Portuguese speaking) should set up a
separate HLMP network secretariat.
c) Planning networking activities.

Discussion: (note: HLM = Health Learning Materials)
- would funds for paper and printing be available for the network? Dr. Dowling
replied that this money would need to be raised.
- appropriate HLM were available in English: Pam Zinkin suggested that these
materials should be sent to Mozambique and Angola immediately so that the HLMP
managers are familiarized with existing HLM.
- a problem raised was that while adequate printing facilities were now
available in Mozambique, there was little 'quality control'. This problem is
recognized by the HLMP managers who understand# the need for pre-testing.
- there was also a need to carefully choose the HLM to translate.
- Dr.Dowling explained that this problem of 'pre-testing' HLM and quality
control would be examined by the Royal Tropical Institute (Netherlands) who
would undertake field testing and provide guidelines for the HLMP network on
'how-to' field test their materials.
- Dr .Dowling also raised the possibility of utilizing computers and word
processors as a way of getting around the problem of poor typing as well as
making use of computer software which is available for simple translations.
- Pam Zinkin also made a plea that, when translations are undertaken the
accompanying illustrations be included - either altered to be culturally
acceptable or new ones created.

-2-

4. What role could TALC play in supporting the HLMP in Portuguese speaking
African countries? TALC staff see their main role as one of facilitating.
following the suggestions and guidance provided by the HLMP network.

- it was recognized by Dr.Dowling that it is much easier for an NGO like TALC
to distribute materials effectively in comparison with a bureaucracy like WHO.
It is also more likely to reach their destination from Britain than is likely
between Southern African countries or Southern and Western Africa.
- Pam Zinkin also suggested that it was possible for TALC to ‘estimate’ whether
the Portuguese in HLM was readable or understandable, and could make
recomendations of books to be printed.
- TALC have also undertaken translation of slide sets which are useful for
specific audiences, e.g. nurses, (see: TALC Portuguese list)
- Elena Medi and Para Zinkin have also discussed a list of priorities of
possible translations from the TALC list with Inusse Noormohamed (HLMP Centre,
Ministry of Health, Mozambique) and Birgitta Rubenson (formerly SIDA).
Dr.Dowling pointed out that these books were aimed at higher levels of health
workers while those aimed at lower level health workers could not be translated
so readily because of the need to make them more culturally acceptable. Suzanne
Fustukian suggested that, while this was true, examples from other countries and
organisations of health education and training materials for lower level health
workers and communities are considered very useful by HLM production staff.
5. Does TALC have a role in translating books?
- it was suggested that TALC could make selected books from their list
available to the HLMP network to be considered for translation. Helping
Mothers to Breastfeed by Felicity Savage was already in the process of being
translated into Portuguese. However, it is very expensive to translate in
Britain. Dr .Dowling suggested using computer disketts to send/transfer
information.

6. Does AHRTAG have a role in supporting the HLMP?
- The earlier discussion raised the necessity of having access to good quality
HLM - to translate, adapt or use as examples; a resource centre would be able to
meet these needs as well as disseminate information and respond to requests and
specific demands. AHRTAG is already planning to work with one HLMP Centre,
CEDHA in Tanzania, as well as three other PHC centres and could assist with the
setting up of resource centres, (see: AHRTAG's application to ODA for the range
of activities - Pat Harman and David Morley have copies; copy sent to
Dr .Dow ling).
- Dr.Dowling explained that all HLMP centres are encouraged to produce bi­
monthly bulletins for health workers and find it useful to extract information
from other newsletters. He was particularly interested to hear about the
proposed AHRTAG newsletters on AIDS and PHC and said the HLMP centres would be
able to make good use of them.
The main conlusion of the meeting was that TALC and AHRTAG would await
guidance and direction from the HLMP network re: Portuguese material and that
the May meeting would lead the way with proposals and suggestions.
S. Fustukian (AHRTAG),

30/04/1987

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M3DE UK Tel: 01-4864175 Telegrams AHRTAG London W1

QUEST I ONNA I RE

Information Resources for Orban Primary Health Care

The following recommendations were made at the Joint VHO/UNICEF Interregional
consultation on Primary Health Care in urban areas held in Manila, July 1986:
1)
that an "international resource centre” be established "to prepare
bibliographies and to distribute information on urban primary health "

2)

share audiovisual and educational materials;

3)
develop a data bank of sources of national and international expertise on
urban PHC.
In response to these recommendations, AHRTAG's resource centre proposes to
establish a clearinghouse of data, information and resources on urban primary
health care (PHO. Ve would like to ask for your help in determining whether
there is a need for specific information in this field and, if so, which
subject areas do you consider the most important.
Ve would also like your
opinion on the most useful formats and methods of disseminating information.
Please provide the following information and return to AHRTAG by June 15TH 1987

Name

Job title
Address

2) Vho do you work for? (please tick)
a)
Government health service
b)
Other governmental service
CZj
c)
Non governmental organisation
d)
International agency
Q
e)
Other (please specify )
3) Where do you work? (please tick)
a)
Cllnic/dispensary
b)
Training school/college
c)
Administrative centre
d)
Central government ministry
e)
Community project
f)
Hospital
h) School
i) Research project centre
J) Other (please specify)

2

4. How do you use the information, you already have access to ?
(please tick)
a) teaching and training
,—,
b) share with colleagues
i—i
c) personal reference
|—|
d) research
i—i
e) basis for developing own locally i—i
appropriate material
i—i
f) other (please specify)
l~~~i

5. Are you satisfied with the information sources presently available
to you?
CZIyes dno
If no, what do you perceive as your major unmet needs ?

6. Are there any specific aspects of urban primary health care which you have
had difficulty in locating materials?
ETlyes Ono

If yes, please list some of them here:

7. Vhat other groups/individuals would benefit from greater access to urban PHC
information in your area?

AHRTAG PLASS TO SET UP A COMPUTERIZED DATABASE OH COMMUHITY-BASED URBAH
PRIMARY HEALTH CARE. THE FOLLOVIMG QUESTIOHS WILL HELP US TO DEFIHE THE
KIBDS OF LHFORMATIOH ABD METHODS OF DISSEMIHATIOH THAT VE WILL USE:

8. Vhich of the kinds of information listed below do you find most useful ?
(please tick)
a) newsletters
OL
b) Annotated bibliographies
tzu
c) Resource lists of available health
czq
education materials
d) Bibliographic photocopy service
CZj
e) Directory of organizations/individuals
working in urban health and development
f) Inquiry service for specific requests
CO
g) Others(please specify)

-3a)Which of the following subject areas would you like to receive information
on with an urban focus (please indicate in column 1 )
9 b) please give an indication of the priority of these subjects to your work
(indicate by numbering 1-10 in column 2;let l=top priority)

9

column 1
a) Health education and communication
b) Health personnel and training
c) PHC management
d) Community participation
e) Mather and child health
f) Family planning
g) Dental health
h) Food production
i) Mental health
j) Nutrition and breastfeeding
k) Essential drugs
1) Vater supply and sanitation
m) Appropriate technologies
n) Pollution & environmental health
o) Medical services & equipment
p) Diarrhoeal diseases
q) Acute respiratory infections
r) Income generating projects
s) Disability
t) Occupational health
u) Housing
v) Sexually transmitted diseases
w) Alcoholism/drug abuse
v) Child labour
y) Others (please specify )

10 Please briefly describe any materials you or your organisation
published (e.g. annual reports, mewsletters, studies)on urban PHC.

have

-4-

AHRTAG PUBLISHES THREE NEWSLETTERS THAT ARE AVAILABLE FREE TO THOSE WORKING
IN DEVELOPING COUNTRIES (PLEASE INDICATE IF YOU WOULD LIKE TO BE PUT ON THE
MAILING LIST FOR ANY OR ALL OF THESE ,OR IF YOU WOULD LIKE TO HAVE MORE
INFORMATION ABOUT AHRTAG)

Aids for living
The newsletter on low cost technologies for prevention of disability and the
rehabilitation of disabled people
ARI news
An international forum forthe exchange of news and views on acute respitory
infections

Dialogue on Diarrhoea
The international newsletter on the control of diarrhoeal diseases (available in
five languages)
Arabic O English
French
Portuguese
Spanish

I would like to recieve more information about the work of AHRTAG

AHRTAG (questionnaire)
85 Marylebone High St.
London

W1M 3DE
United Kingdom

(return address)

JbtOr^ S'

PUBLICATIONS - RESOURCE CENTRE

1.

Primary Health Care in Developing Countries: A Guide to Resources
in the U.K.
Second edition. (Print run: 2000)

Estimated cost typesetting and printing
Estimated cost entries/checking with
organizations ( 5 days) (inc. index)
Final edit
( 1 day )
Estimated cost - soft cover

£400
£200
40
~ 640+

2.

Preventing and treating diarrhoea in the community. (Print run: 2000)

Estimated cost typesetting and printing
Estimated cost to add new information
and alter existing text layout (3 days - SF)
(3 days - FH)
Final edit
(1 day - KA)

Typing

3.

(3 days)•

96

Directory of PHC Related Courses (over 6 months). (Print run: 100)

Printing
Coil binding

4.

120
180
40

300
50
£350"

Directory of PHC Related Courses (under 6 months)

Estimated cost printing
Coil binding
Estimated cost for final assembly/edit
Typing (Amstrad)

(4 days)
(3 days)

(Print run: 100)

300
50
160
96

£606
5.

Periodicals for Primary Health Care

Estimated cost for compilation
Typing (Amstrad)
K- Estimated printing cost
Coil binding
6.

(5 days)
(2 days)

(ie AHRTAG Periodicals Holding list)
200
64

Resource list - basic books for primary health care (Print run: 2000)

Estimated cost for compilation
Typing (Amstrad)
4 Estimated printing cost

(3 days)
(2 days)

120
64

7.

Resource list - health education in water and sanitation

8.

Directory of International and regional PHC Information centres

9.

Resource Centres leaflet, (see D. Morley's letter)

Agenda item

(>

AHRTAG COUNCIL MEETING, 22nd JULY 1987
PRELIMINARY REPORT ON USAID EVALUATION OF "DIALOGUE ON DIARRHOEA" PROGRAMME

The USAID Evaluation Team visited AHRTAG from 22nd to 26th June. Although we have
not yet received their report, I am pleased to be able to tell the Council that
the visit went very well indeed. While the 1985 evaluation was rather negative
and full of frictions, the team which visited last month appeared to be impressed
with AHRTAG's work, and I am confident that the recommendations they make will
be made with the best interests of not just the DD programme, but AHRTAG as a
whole, in mind.

The team consisted of :
Dr Abraham Horowitz, former director of PAHO;
Dr Maggie Huff of Management Sciences for Health;
Mr David Eddy of World Education; and
Ms Lisa Fouladi of USAID.

On the final afternoon of the visit the team presented their conclusion to the
staff, Katherine Elliott, and Barbara Bubb and Maria-Theresa Feuerstein as Council
Representatives. The following notes are based on that meeting.

1.

The team expressed its thanks for the co-operation they had received and for the
comprehensive documentation which had been provided by staff. Their.only.regret
was that they had not been able to meet which more Council members.

2.

The team were impressed with what AHRTAG had achieved through the DD programme.
They felt that the programme should continue and be expanded, and they would
be recommending a continuation in funding for a 3; or even a 5, year period.
They felt that the newsletter should focus on the source problems of diarrhoeal
diseases in communities, and should avoid the isolated promotion of ORS. An
editorial in a future issue should clearly state this policy. More meetings of
the wider editorial group were recommended, as well as more contact with other
USAID supported institutions which were collecting materials on diarrhoeal
• diseases.

T3y
AnK T)>ovr-H<x<=Js ?
'

LJeJL’r
4.

The target readership should be received, with more emphasis on reaching health
professionals. Community level workers should be reached through such cadres.

5.

It was recommended that the newsletter should contain more readers' letters
and questions, edited where necessary.

6.

On evaluation, future surveys should be targetted and should aim to answer
specific questions.

7.

Through the newsletter, quantitative approaches should be promoted.

8.

More attention should be given to illustrations and graphic material to support
the text.

9.

An increased role for Resource Centre staff in scanning materials was
recommended. Resource Centre staff should attend editorial meetings.

10.

The needs of DD should be kept in mind as the Resource Centre's network
project develops. There was support for the computerisation of the Resource
Centre and for links with other databases.

11.

More support staff, improved production planning and more delegation were
recommended to free the editor for editorial work.

12.

The team will recommend that a 'consultant be sent to advise on the maintenance
of the mailing list. It was recognised that improved hardware and software
might be required.

13.

AHRTAG was encouraged to seek possibilities for local printing and distribution.

14.

The existing language editions should be consolidated before new editions
are explored. It was felt that the circulation of the french edition could
be expanded. The importance of the Spanish edition was recognised, but it
was felt that this should attract non-USAID funding. It was recommended that
country representatives be appointed to supervise the production of translated
editions.

15.

The team congratulated AHRTAG on the $160,000 which had been raised from
non-USAID sources. They would recommend that the fundraising target should
not be expanded beyond $160,000, recognising that the fundraising burden of
the DD programme could have a detrimental effect on other areas of AHRTAG's
work. The dangers of AHRTAG being over-dependant on USAID were sympathetically
noted.

16/. While the team appreciated AHRTAG's approach of seeking funds for the work
which it wanted to do, it was suggested that AHRTAG give more consideration
to the funding interests of donor agencies.
17. There was some concern over whether AHRTAG's claiming of indirect costs was
allowable under the terms of the agreement. Here there was some uncertainty over
what had been negotiated subsequent to the signing of the agreement. The team,
however, would recommend acceptance of AHRTAG's procedures (as did Bernie
Fisken, the USAID consultant who visited in 1985). Satisfaction was expressed
at the efficiency of AHRTAG's financial record-keeping system.
18 J The team noted a lack of definition in some parts of AHRTAG's organisational
> structure, and some suggestions were made for AHRTAG's consideration.

19. The team felt that there was a danger of AHRTAG being "swamped" by demands
arising from the AIDS crisis, and it was suggested that the AIDS newsletter
might need separate staffing for the benefit of both that newsletter and the
DD programme.

Ken Ritchie
1st July 1987

°
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P o s ta g e

ACQUISITIONS

P ric e /i

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P u b lis h e r

jo q iu v

198^

.'tun .

623 06/01 RUGH,

Self-Evaluation: Ideas for
Participatory Evaluation of Rural
Communitv Development Projects

Jim

624 06/01
625 06/01

The case against Depo-Provera
DASWANI, Mona &
BRITTO, Gabriel

Women and Health: A Critical Review
of Available Information in India

Wealth and development

626 06/01

Women,

BROWN, Judith
627 06/01 and Richard

Finding the Causes of Child
Malnutrition: A Community Handbook

628 06/01 PIERRE,

B.

629 06/01 COURTEJOIE,

Multinational
Monitor Feb 1985

X

Foundation for
Community Research X

WHO

3.00

Bureau of Study,
Zaire

X

et al

Alcoholism

1 »

1 J

X

J.

Les Handicapes



» »

X

630 06/01 SWAMINATHAN, M.S.

631 06/01 SNELL,

World Neighbours

Beverley

632 06/01

633 06/01 SOMNER, Alfred
634 06/01 EMMANUEL, Arghir:

Sustainable Nutrition Security
for Africa: Lessons from India

Hunger Project

Essential Drugs g Primary “ealth Car
Review of developments Jan 83-Jun 86
Another Development

X

Development
in Pharmaceuticl s Dialogue 1985:2

Nutritional Blindness
Xerophthalmia and Kleratomalicia

Appropriate or Underdeveloped
Technology?

X

X

Oxford Univ.

Wiley

16.75

1.50

Pt

0
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635 13/01 FACULTY OF
COMMUNITY MEDICIN

Health For All By the Year 2000
Charter for Action

X

636 13/01

HEALTHCOM Communication for Child
Survival. Lessons From Five
Countries

USAID

X

537 13/01

HEALTHCOM Communication for child
Survival. Fieldnotes

USAID

X

638 13/01 DIAZ-BRIQUETS,

The lxealth Revolution in Cuba

Univ,

16.72

of Texas

Sergio

Acute Respiratory Infections.
Laboratory Manual of Bacteriological

WHO

X

R.

Psychiatry for the Health Professions 1

MACMILLAN

X

C.

Using Communications to Solve
Nutrition Problems

INCS

639 13/01

540 23/02

JEGEDE,

>41 23/02

HOLLIS,

542 23/02

ICTA

543 23/02

544

23/02

545 23/02
>46

547

MARTONY,

23/02

23/02

SALAS, R.

(ed)

Manual - Wheelchairs:

E.

X

a Guide

Swedish
How to Choose Technical Aids forthe
Institute
tearing Impaired in Developing Count) •les ,,
..
,
Handicapped
The Swedish Institute for the
Handicapped & its Role in the
Provision of Technical Aids

The State of World Population 1986

Profile - Namibia
Poverty and Ill-Health in a Third
World City (Chimbote, Peru)

us
10

UNFPA

X

X
X

CAFOD etc

CIIR

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198:}

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Informal Consultation on Appropriate
Technology for Pregnancy & Perinatal
Care(Birthweight and Fetal Growth)
Informal Consultation etc.
(Thermal Control of the Newborn)

648 23/02

649 23/02

Informal Consultation etc.
(Discussions on Devpt. of Simple
Haemoglobin Comparator for PHC)
Health Promotive Activities on
Tobacco & Alcohol in Commonwealth
Countries

650 23/02

651

23/02

Child Survival: A Report
on the AID Program

652 23/02

654

23/02

655 23/02

656 23/92

657 23/02

658 23/02

659 23/02

660 23/02

ROMUALD, F.

QUENUM,

A.

Drug Programme:

X

WHO

X

WHO

X

Commonweal th
Secretariat

Child Survival
to Congresl
Action Program

Consultation on Integrated Vector
Control in Rural Communities.
Final Report 1985
Evaluation of Health and Social
Situation in Chad. Report of a WHO
Mission 1982
Report of a Consultation on Coordin­
ation of Activities Relating to
Traditional fledicine in Africa 1984
Surveillance of Monkeypox and Viral
Haemorrhagic Fevers.Report of a
Seminar, Brazzaville, 1980
Study Group on the Appointment and
Promotion of Teacher^ & the Network
of Nat. Specialist Training Centres

653 23/02

WHO

a Tentative Global
Approach

Regional
ealth Development
Centre Cotonou

Essential Drugs: Report of the
Meeting of Chief Pharmacists

Harare ,—Zimbabwe_ 1982_________________ _

WHO/Africa

11

X
X
X

X

11

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11

11

11

11

11

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London Health Action hetwork

LVSC

662 23/02

Priority Jiealth Needs in
Central America and
anama

PAHO

X

663

23/02 VAN GEEST, W.A.

Dental “iseases. Prevention and
Emergency Care. A Training Manual

St. Lukes Clinic
Maiawi

X

664

23/02 MAGLACAS,

A.

The Potential of the
Traditional Birth “ttendant

WHO

Appropriate^'echnology for Thermal
Control of
ewborn Babies

665 23/02

The Wallo Exercise: Planning Rural
Health Services in Africa Particioants Manual
The Wallo Exercise: Planning Rural
Health Services in Africa Organisers Manual

666 23/02

667 23/02

668 23/02

Falando de diarreia

AHRTAG/TAPS/EP

571

IOCU

□ 72

23/02

573

23/02 DE BEER,

C.

X

3.

ILO

Consumer Directory

X

WHO
Commonwealth
Secretariat

Contraception As If
669 23/02 BALASUBBRAHMANYAN Women Mattered
________ YimaJ_____
Approaches to Participation
670 23/02 OAKLEY, P.
in Rural development

23/02

Frl6

CED,

Programme for Control of
WHO
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Report. .198.4-.85_________________________________
The South African Disease: Aparthei 1
Health and Health Services
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Comment - Guatemala

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675 23/02

Comment - East Timor

CIIR

676 23/02

Comment - Eritrea

CIIR

677 23/02

Comment - El Salvador

CIIR

678 23/02

Comment - Chile

■JRC/NAS/NAE/ ION
679 23/02

680 23/02

National
Academy
ress

X

Serious Childhood diseases: Priority
Issues and Possible Actions at Fam­

WHO

X

Common -i + y

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681 23/02

Enfermedades Prevenibles por
Vacunacion en Guatemala

CITGUA

X

682 23/02

La Salud en Guatemala

CITGUA

X

How to Measure and Evaluate
Community Health

Macmillan

X

683

23/02 MCCUSKER,

684

23/02

685 23/02 CLARK,

686

J.

Directory

R.

23/02 HOARE, G

(ed)

£

CIIR

Management of the Diarrhoeal
■Diseases at the Community ^evel

ily

0

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1987

Recent Developments in Medical and
Physiological Imaging

Paying for the Health Sector

Voluntary Movement
Eroup

X

Taylor & Francis

EPC

20.00

X

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687 23/02 BLACK,

M.

The Children and the Nations:
The Story of UNICEF

UNICEF

X

688 23/02

Nutrition and Diarrheal Disease
Int Nutrition
Control: Report of an Int. Confernce Planners ^orum
UK, 1985

X

689 23/02

Women in Development: a Resource
Guide for Organization & Action

X

690 23/02

To Win the Children:
Afghanistan's Other War

691 23/02

Thirty-Ninth Worl *‘ealth Assembly,
Geneva, 1986. Verbatim Records of

692 23/02

Development and Implementation of
Drug Formularies

PAHO/WHO

693 23/02

Epidemiology and Control of
Falciparum Malaria in the Americas

PAHO

694

23/02

For the People of Latin America

ISIS

HELSINKI WATCH/
ASIA WATCH

WHO

W.K.KELLOGG

695 23/02

Centre for
The State of India's Environment
1984-85. The Second Citizens' Report Science and
Environment

696 23/02

Aids and the Third World

Panos/Norwegian
Red Cross

697 23/02

Bpyond the Klipchart: Three Decades
of Development Communication

Academy for Edu­
cational Dvpt.

698 09/03

699 09/03

MEDICO
INTERNAT1ONAL

Price Indicator on International
Low Price
ources Fpr Essential
rirn(T «
EPI Technical Series.
The Cold Chain. Product Information
Sheets

X
X

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5.50

X

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700 09/03

701

Notes for the Practising Midwife

Sw Fr
7.00

WHO/SEARO

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7.00

Achieving Success in Community
3 WHO/SEARO
Water Supply and Sanitation Project

09/03

702 09/03

Intersectoral Healthfor All

WHO

X

703 09/03

Appropriate Technology Institutions
A Directory

ITDG

X

704
705

Overseas Development and Aid. A
Guide to Sources of Information

09/03

□ 9/03

706 09/03

707

39/03

708 09/0;

OSBORNE,

WATSON,

X

WHO

X

Stories of Adventure
(Popular Text Series

WHO

X

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Community Health Workers
in Zambia

Ross Institute
LSHTM

X

J.

Essential Action to Minimise
Disability in Leprosy Patients

Leprosy Mission

X

J.

Preventing pisability
in Leprosy Patients

Leprosy Mission

X

Carrie

709 09/0?

WATSON,

710

ARCEIVALA,

09/0?

ODA

Accelerated Stability of Widely Used
Pharmaceutical Substances Under
Simulated Tropical Conditions

S.

Environmental “ealth Aspects of
Industrial and Housing Estates

WHO/SEARO

X

711 09/03

Maternal Mortality: Helping Women of:
the 14oad to Death

WHO

X

712

EPI Technical Series.
Selection of Injection Equipment

WHO

X

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GALAZKA,

714 O9/o;

HUBLEY,

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13/04

GREEN,

H.

715

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Neonatal Tetanus.
Guidelines on the Community-Based
Survey on Neonatal
Tetanus Mortalit;
Resources for Community Health
Edcuation

Children on the Front Line. The Im­
et al pact of Apartheid, Destabilization
etc

716

717

13/04

13/04

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WHO

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Leeds Poly.

X

UNICEF

X

A fr i r a

Standard Model Designs For Rural
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WHO

WHITE, G.

et al

718

13/04 JOHNS, Warren

719

13/04 VHAI

720

13/04

721

13/04 SHIVA,

Drawers of Water. Domestic Water
Use in East Africa

Establishing a Refugge Camp
laboratory. A Practical Guide

X

Chicago

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SAVE THE CHILDREf

X

Univ.

Better Ear Care

VHAI

X

Better Child Care

M.

VHAI

A Taste of Tears

X

VHAI

Banned & Bannable Drugs

X
X

722

13/04

723

13/04 VHAI

Rational Drug Policy for Rational
Drug Use (Drug Info.
ack)

X

13/04 TOOL

More With Less. Aids for Disabled
People for Daily Living

X

13/04 PARIJS,

Health Education in ^eprosy Work
A Manual for
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724

725

L.

ILEP

9

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Development Education: A Directory
of Non-Governmental Practitoners

X

13/04 NGLS

United
ations Development^Education
Directory for Non-Govtal.
rganisa-

X

tions

728

13/04 GOODWIN, R.
(coord)

729

13/04 DAWOOD, R.

730

13/04 WHO

731

13/04 DUNN,

in

Industrialized

Countreis

Ayrshire Trial of Teaching Aids At
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Travellers'

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Oxford Univ Press

Health

Evaluation and Monitoring of
National Immunization Programmes
J. et al

Towards the Eradication of Endemic
Goiter, Cretinism and Iodine

X

X
^10.00

PAHO

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732

13/04 VICKERS,

733

13/04 UNICEF

734

13/04 DONAHUE,

735

13/04 ROCHE,

J.

Speaking of
eople: Population and
Social Crisis in sub-Saharan Africq

X

NGLS

State of the World's Children
1987

S.

J.

The fticaraguan Revolution in ^ealth
Creating ^obs: A Project Planning
(
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Persnns'in

Africa

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Goodwill Ind.

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Health help 87/88. A guide to
JACKA, F. (comp) organisations that can help you with THAMES TV
vour health oroblems
New vaccines. The force of
WHO
biotechnology
737 29/04
736 29/04

738 29/04

IAMLT

739 29/04

DRAPER FUND

740 29/04

WHO/UNICEF

APPLIED
741 29/04 COMMUNICATION
TECHNOLOGY

Clearinghouse on
742

29/04

DEVPT.

COMMUNI­

Laboratory in health care
Developing country proceedings
(17th congress)
Towards smaller families.
The crucial role of the private
sector
Seminario subregional sobre control
ie enfermedades diarreicas e
infecciones respiratorias a?ud„s
llhe mass media and health, practices
evaluations in Hon(juras antj the
Gambia. Summary report.

X

X

X

X

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ACT

Project profiles

X

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X

APHA

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CATION
74? 29/04

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Training and use of auxiliary healt h
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745 29/04 WINBLAD,

746 29/04

747 29/04

748 29/04

A.

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TREGONING,

Community health care

Sanitation without water

M.
(ed)

Better Child Care

WHO

World

INTERNATIONAL
HOSPITAL

Official yearbook 1987

FEDERATION------

Macmillan

X

Macmillan

X

Macmillan

X

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1986
X

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Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M 3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247,912881 : CWUKTXG, Attn ‘AHR’

25th September 1987

Dear Council Member,
You will note from the enclosed Council papers that Ann Dambrough
will be leaving us on 9th October (although she will be willing to
continue to act in some capacity as a consultant to AHRTAG on
rehabilitation issues).
Ann has been with AHRTAG since 1980, and our reputation in the
field of rehabilitation we owe to her efforts over the years.
Staff colleagues will collecting for a small gift for Ann to thank
her for work.

If Council members who have known Ann for some time would also like
to contribute to a leaving gift, we would be very happy to receive
their contributions and add their names to a leaving card.
Yours sincerely,

Ken Ritchie

NOT I

THE COUNCIL MEETING ON 30TH SEPTEMBER WILL BEGIN AT 4.00 PM

IN AHRTAG'S OFFICES

(I REGRET WE OMITTED TO CONFIRM THE TIME

OF THE MEETING IN OUR EARIIER NOTICE).

Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson. OBE, FRCS, MA, MD, BChir, DO, DrMarie-Therdse Feuerstein, SRN. MEd, DipCD. PhD.
Mr Dennis Frost, OBE. Mr Miles Hardie. MA. EHA. Professor Martin H. Hobdell. PhD. BDS, LDSRCS,
Dr Richard Laing. MSc, MBChB, Dr John Macdonald. MEd, PhD, Mr Alan Morgan. BSc. HEE. FBIM,
Professor David Morley, MD, FRCP. DCH. Ms Carrie Osbome. SRN. MSc. Professor Aubrey Sheiham, PhD. BDS,
Ms Stephanie Simmonds. SRN. MPhil. Dr Gill Walt, BSc. PhD. Professor John K. G. Webb. OBE, MA. BM, FRCP.
Dr Pamela Zinkin. MBChB, DCh. FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

Agenda item

AHRTAG COUNCIL MEETING, 30TH SEPTEMBER 1987

OFFICE ACCOMMODATION
Council members will have received my memo of 20th August and notes on
offices at:
1 London Bridge Street

Goswell Road
Although we have been continuing to search intensively for alternative
offices, the above two are the only offices we have found which appear
acceptable in terms of size, working conditions, cost and location.

We have made an offer for the London Bridge Street office with a premium
of £8,000, payable in annual instalments of £2,000, £3,000 and £3,000.
We ahve been told that our offer is 'second in line' behind an offer
with a premium of £15,000. This offer, however, is dependent on planning
permission for the building, and discussions are at present taking place
with London Transport.
Our Agents have been trying to open discussions on a new lease for the
Goswell Road offices, but unfortunately little progress has been made
because of the absence of the landlords' agents.

Howard de Walden, our present landlords, have conducted a brief survey
of 85 Marylebone High Street, but they have not yet proposed new terms
for the renewal of the lease. Our solicitors have made an application
for a new lease, but with provision for the court hearing to be adjourned
pending negotiation.

Ken Ritchie
25.9.37.

Agenda item 5

Continuation of project reviews (Council meeting 30th Sept.1987)
LOW-COST PACKAGING FOR ESSENTIAL DRUGS

In February of this year the draft manual prepared by Jon Vogler was
sent to about 40 of the organisations which responded to the original
questionnaire on medicine packaging. With the manual a further detailed
questionnaire was sent asking organisations whether they would be pre­
pared to field test any of the methods described (i.e. paper envelopes,
cardboard pill boxes and plastic canisters). The response to this ques­
tionnaire was disappointing, the only offers for field testing coming
from Columbo, Sri Lanka, and Lindi, Tanzania.

We recently met with Jon Vogler and decided that we should proceed with
field testing in Sri Lanka and Tanzania, as well as PNG (where Jon Vogler
is likely to be spending 6 weeks on another contract) and either Bhutan
or a Latin American site. The equipment for these tests has already been
produced in Bangladesh.
Unfortunately we have not yet received the final reports on tests in
Bangladesh from UBINIG, but it is likely that UBINIG's work in this
area will have been delayed by the recent floods.

We would welcome ideas from Council members on how we might carry this
project forwards, and for further suggestions on sites for fields testing
and discrimination of the technologies.
The project is co-funded by ODA with grants from WHO and local contri­
butions. A further approach to WHO might be needed to cover all field
testing costs.

PHC Newsletter

Progress on the PHC newsletter was good in the period April July with the production of a draft layout, and discussion on the
possible contents of the newsletter. Unfortunately, holidays and
the pressure from other work have meant that this progress has
not been maintained. Lack of project funds and usable general
funds have contributed towards this slowing down of activity.
Staff at AHRTAG are very committed to the idea of the newsletter
- not only because of the need for a forum where the interchange
of ideas and information on PHC is possible, but also because it
would'act as a 'flag-ship' for various other AHRTAG projects and
help establish AHRTAG's role in this very important area of
health care.

It is hoped that once some of the present work constraints
(especially the Acfomodation issue) are behind us, more effort
will be directed towards the PHC newsletter.

Agenda item 6

AHRTAG COUNCIL MEETING, 30TH SEPTEMBER 1987

DISABILITY UNIT STAFFING

Ann Darnbrough has accepted a contract as a researcher with a BBC pro­
gramme on disability issues, and will be leaving AHRTAG on 9th October.

Ann joined AHRTAG in 1980 when the Disability Unit was formed, and over
the past eight years she has been primarily responsible for everything
that the Unit has achieved - manuals on low-cost aids, 'Aids for Living'
newsletter, programmes in Bangladesh, and high reputation in the field
of appropriate rehabilitation. It is clear that replacing Ann will not
be easy. We hope that Ann will continue to be closely linked with AHRTAG.
Ann's departure comes at a time when the work of the Disability Unit
needs to be reviewed and replanned. 'Aids for Living' has been suspended
because of lack of funds, and when we are able to relaunch it we might
want to change the title and evaluate its contents. The manuals on play
activities and on prostheses are nearing completion (in the hands of
Deborah Birkett, a contract worker), and although some thought has been
given to further manuals, planning is at a very early stage. The only
on-going project of the Unit is the work in Bangladesh.

Financially the Unit is in a critical situation. The only major source
of income is from the Bangladesh project budget, but even here it will
be difficult to extract more money from the budget for general salary
costs. As a result the Disability Unit is at present the main drain on
our general reserves.
Nevertheless, we feel that the prospects for funding the Disability
Unit are good, and a number of applications are being considered by
donors. We will therefore be seeking ways of intensifying our fundraising work (this proposal arises because we know of a suitable
person who might be prepared to undertake the work).

Agenda item 8

AHRTAG COUNCIL MEETING, 30TH SEPTEMBER 1987

ORGANISATIONAL STRUCTURE
During the past year staff have on several occasions noted the need for a
review of AHRTAG's organisational structure. Although AHRTAG's staff numbers
have not increased substantially in recent years, there has been a great
increase in its volume of work and in the development of new projects.
It is perhaps therefore time to ask whether we are organised in the best
way to cope with expanding workloads and to use our staff resources in the
most effective manner.

Issues which need to be considered include:
- levels of responsibility: the need for better definition of individual
responsibilities and lines, of responsibility; the need for the correct
balance between delegation and retention of accountability of senior
staff;
- decision-taking: what balance between collective decision-taking
(by staff/management team/departmental meetings) and individual
executive powers;

- fundraising responsibilities;
- responsibility for budgetary control;
- job descriptions of some staff members;
- the division of AHRTAG into ‘Units': is the present structure the most
effective one; does it hinder rather than contribute to an integrated
approach to AHRTAG's work; how do we ensure lines of communication
between units.

In the coming weeks staff will be meeting to discuss these issues and to
try to identify and define particular problems.
Staff will then ask some Council members to assist in evaluating our structure
and in preparing recommendations for changes. We believe that Council invol­
vements would be useful in this process both so that we can use the expe­
riences of staff who have worked with similar organisations and to provide
an external view of our structure.

Ken Ritchie

AHRTAG COUNCIL MEETING, 30TH SEPT. 1987
AGENDA

1. Apologies for absence
2. Minutes of the meeting of 22nd July 1987

3.

Matters arising (note on Mailing List enclosed - previously circulated)

4.

Accommodation (paper to follow)

5.

Six-monthly review of project work

5.1.

Publication Unit

5.2.

Disability Unit

5.3.

Resource and Information Services

5.4.

Oral Health

5.5.

Low-cost drug packaging

5.6.

P.H.C. Newsletter

5.7.

6.

7.

Summary
(Reviews enclosed for 5.1. to 5.4.: reviews for 5.5. and 5.6. to follow)

Disability Unit: resignation of Ann Darnbrough and staffing situation.
(paper to follow)
Role of Council (paper to follow)

8.

Organisational structure (paper to follow)

9.

Any other business.

(Note: papers marked as 'to follow' will be send by first-class post on
Friday 25th September).

Ken Ritchie.

Agenda item 3
AHRTAG COUNCIL MEETING, 3OTH SEPT 1987

INFORMATION NOTE ON MATTER ARISING FROM MINUTE 43.7 OF 22ND JULY 1987

AHRTAG's Mailing List

A discussion document on AHRTAG's mailing list was circulated at
the last council meeting. We still have no indication from the
US AID as to whether they might send a consultant to help us with
the mailing list.
As a short term measure "Cardbox Plus" is being purchased. This
is a software package which is usable on our present machine and
should relieve some of the pressure on our present system.
It is
easy to set up and use, has powerful indexing and selection
functions, has variable field length, and does not need the
services of a programmer.

In the longer term a more sophisticated system would be needed with greater memory storage space, and to allow greater
flexibility in use (Cardbox plus is not designed to do
calcuations, and is not a 'relational' database ie. it cannot be
related to another database). Expert advice would be needed to
explore the longer term options.

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marylebone High Street, London W1M3DE UK Tel: 01-486 4175 Telegrams: AHRTAG London W1
Telex: 21879,25247, 912881: CWUKTX G, Attn ‘AHR’

September 4, 1987

To

: Members of Council

From: Ken Ritchie
Executive Director

I am writing to remind you that the next meeting of Council will
be held on Wednesday 30th September 1987 at 4pm at 85 Marylebone
High Street.
I regret that because of holiday arrangements it will not be
possible for us to mail papers until early in the week beginning
21st September. However, we anticipate that the agenda will include:
- finance and fundraising
- accommodation
- six-monthly review of project work
- staffing
- role of Council

We look forwards to seeing you on 30th September.

Executive Director: Dr Ken Ritchie, PhD
• Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Therfcsc Feuerstein, SRN, MEd, DipCD, PhD,
Mr Dennis Frost, OBE, Mr Miles Hardie, MA, FHA, Dr John Macdonald, MEd, PhD, Mr Alan Morgan, BSc, FIEE, FBIM,
Professor David Morley, MD, FRCP, DCH, Professor Aubrey Sheiham, PhD, BDS, Dr Gill Walt, BSc, PhD,
Professor John K. G. Webb, OBE, MA, BM, FRCP, Dr Pamela Zinkin, MBChB, DCh, FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

ahrtag
Appropriate Health Resources and Technologies Action Group Ltd (AHRTAG)
85 Marvlebone High Street, London W1M 3DE UK Tel: 01-4864175 Telegrams: AHRTAG London W1
Telex: 21879, 25247,912881: CWUKTX G, Attn ‘AHR’

August 17, 1987

To

: Members of General Purpose Committee

From : Ken Ritchie
Executive Director
It has been suggested by the Chairperson that the GPC schedulded
for 4pm on Tuesday 18th August should begin at 3pm to allow more
time for discussion. We apologise for this late- change in plan.
We will, however, recap on the discussion at 4pm for the benefit
of anyone not able to arrive before 4pm.
Some jiotes on properties currently under consideration are enclosed.

Executive Director: Dr Ken Ritchie, PhD
Council: Dr John D. C. Anderson, OBE, FRCS, MA, MD, BChir, DO, Dr Marie-Therdse Feuerstein, SRN, MEd, DipCD, PhD,
Mr Dennis Frost. OBE. Mr Miles Hardie, MA. FHA, Dr John Macdonald, MEd. PhD, Mr Alan Morgan, BSc, FIEE, FBIM,
Professor David Morley, MD, FRCP, DCH, Professor Aubrey Sheiham, PhD, BDS, Dr Gill Walt, BSc, PhD,
Professor John K. G. Webb, OBE. MA. BM, FRCP. Dr Pamela Zinkin. MBChB. DCh. FRCP
Registered Charity No.274260 Company Registered No. 1322161 (England)

80 Gaswell Rd, ECI
****£***************************■****■**
Area Csqu ft.):
2100
Layout:

Comments:

2nd floor divided,
with lift

Rent C£p.a.)
Service charge
Rates:
Premium:

14,000
1, 000
3, 149
10,000

Central, but very tight on space. Could, however, be
additional space on the floor below, but this might
be expensive, and complicated Lf separate leases.

Action needed:

74/77 White Lion St.,

Wait to compare others
Islington, N1

******#*********-* »**t*t*»»****M»*«*
|

Area Csqu ft.):
Layout:
Comments:

3200

Open plan floor, or
with some partition

Rent C£p.a.)
Service charge
Rates:
Premium:

16,000

No Heating - need to check electricity - poor
condition. Good location (near Islington High St/
Pentonville Rd junction - Angel tube). PS has seen.

Action needed:

SF and KR to view 2nd floor (with PS if poss.)

293/299 Kentish Town Rd, NW5

Area Csqu ft.):
Layout:

Comments:

2750

3rd floor,

divided

Rent C£p.a.)
Service charge
Rates:
Premium:

12,500
y
Q
None

Not certain that there is a lift

Action needed:

Phone agents to check on lift

205/211 Kentish Town Rd,

NW5

**«******<H******t*«t*««<*M******t*«
Area Csqu ft.):
Layout:

Comments:

2250

2nd floor,

divided

Rent C£p.a.)
Service charge
Rates:
Premium:

Lease expires in April 88

Action needed:

Phone agents to check on lift

8,500
y

3, 000

Britannia House, Grays Inn Rd, WC1

**************************************
Area (squ ft.):

Layout:
Comments:

Rent (£p.a. )
Service charge
Rates:
Premium:

31400
?
8,525
?

Clearly too large, but if someone would share ?
PS has seen'and has floor plan.

Action needed:
Huntsman House,

3921

Ground floor offices

Wait to see if others wish to share.

Hale Wharf,

Ferry Lane, N17

*********************** ***************
'Area (squ ft.):
Layout:
Comments:

2500

ground floor,

divided

Near Tottenham Hale station

Action needed:

Rent (£p.a.)
Service charge
Rates:
Premium:

15,000
•p

"P
none?

miles away !

Reject on distance grounds

87a Newington Causeway, SEI

**************************************
Area (squ ft.):

Layout:
Comments:

2,500

First floor,

open plan

Rent (£p.a.)
Service charge
Rates:
Premium:

16,500
RV 6,222

Initially rejected this. Open plan alongside railway
First flomr car park at rear gives D. A.
KR,PS and
JT-L viewed in 86 but rejected railway + open space.

Action needed:

MS and KM to view for further opinion.

1 London Bridge Street, SEI

**************************************
Area (squ ft.):

Layout:
Comments:

3030

l/2/3rd floors + grd
floor room separate

Rent (£p.a.)
Service charge
Rates:
Premium:

10,000
None

0-15000?

Problem is disability access. Has been surveyed.
Cost of lift ground - 1st floor about 12-13,000.
Probably zero premium?

Action needed:

MS and KM to view it (others have seen)

58G Hatton Garden, ECI

**************************************
Area Csqu ft,):

Layout:

Rent (£p.a.)
Service charge
Rates:
Premium:

2332

On 5 floors

25,000
?
?
none ?

No lift. Badly designed room sizes - poorly
refurbished - damp spots etc. CPS and ET have seen)

Comments:

Reject (cost,

Action needed:

270 Kingsland Road,

lift, condition)

E8

*H*t*««***««********M****H*«**t*t*i
Area Csqu ft.):

Layout:

C2500)

3rd floor, open plan

Rent (£p.a.)
Service charge
Rates:
Premium:

6,250
?
?
None

6600 sq ft to be divided. Partition costs. Is there
a lift? Very difficult to reach (cannot be reached?)
by tube.

Comments:

Action needed:

Reject on location

Ladbroke Grove

Area Csqu ft.):
Layout:

Comments:

2,500

?

Rent C£p.a.)
Service charge
Rates:
Premium:

15,000?
Q
Q
Q

Jon Dee viewing 18th Aug - possible share with
Action Against AIDS. Might need carpeting, etc.
No information on layout, dis. access, etc.

Action needed:

KR to phone John Dee Tuesday evening

Centrepoint, Oxford Street/Tottenham Ct Rd

**************************************
Area Csqu ft.):

Layout:

Comments:

3,000

Open plan

Rent C£p.a.)
Service charge
Rates:
Premium:

Nice to think about! Jon Dee, Act. Ag AIDS
estigating for share, but most unlikely.

Action needed:

Cheap?
?
?
?
inv

55/63 .Goswel 1 Road, ECI
* * * * » * <■**»**»***•** * * ■* * * ■» *<*#«»**•»** * *
Area <squ ft.):
2,500

Layout:
Comments:

2 units, 3rd floor
1 unit 2nd floor

PS,

KR and SF <if poss.) to visit' 13.8.87

St Mark's Studio, Chillingworth Rd,

Area <squ ft.):

Comments:

15,000
3,250
?
None

Good location. Has lift. Are units divided ?
Rent review in March 1988 .

Action needed:

Layout:

Rent Cfp.a.)
Service charge
Rates:
Premium:

N7

2300

1500 ground, 800 first
(both open plan)

Rent <£p.a.)
Service charge
Rates:
Premium:

12,650
2,300
?
none ?

Units in a converted church. Landlords would
partition, adjusting rent to recover costs. Near to
Holloway tube station.

Action needed:

PS,

SF and KR to visit a.s.a.p.

Position: 1555 (4 views)