• .. ,

i.

., ..

I.

. .

Project l'~-iber cil•::n ,] r:"I•() "l" 7 .)J.. - J.. • - J'-!·~ - L L

•.

. - -· --· .. ·- ··- -- . , - ... · ... : '1.3 .l ~.":~I 'i,.{J).~":.~nt .t~ .• ij . .:~·.· to M.O. 1025.3~ : Ph'OJECT Alr!'rIORIZATlON .

r· . ..

Pb·· A AC-.· f-·.i:f.I &-.•

;V

3. Co1mtry . Autho:cizo. tio;--. Inter-Regional

! : ; --------------------------1~--:---c-::---:--------... ' ; 1 •• · • 2.--Proje-ct. T.ftle ·. ··· i ._: 5. Authoriz2..tion D.:..te ~ ... ? . . -. ~-

• : t ; .. '-' .· 6 ! l • . • i. AA1. {C

I; 1. Li f~of-Proje ct

PROP Tu.ted N.A.

l !

Ii. J:• j'

e.. Number of Iears of Fundi~~ Open · b". ·Starting Yi 19 -66 · Terminal FY 19~~---

EstiI!l.3.ted Dur2.tion of Physi~a~ Work After 12.st Year of Fun5ing:

f' '.

·.• j

lf. Funding by Fiscal · "Year (in U.S. $ Dollars

' -

· 9 Months Local Currc::r.cy

P. Ii.· 4801 U.S. Owr:.ed Host Country ~ ! -

. i .. : or $ equi ·.c.lcnt)

~ ,_ ·-----~----·---· CCC + '. \ · ?rior thr·:r.t.[;:'1 ~~~; I Ioe.n.

Freit;ht I; i ;Actue.l I'Y 69-­. i

80 ·opera tior~l Yi 70 ··: -~-·.~-".·-Budget FY 7I' .. · • ~··_:B+l FY . . 72 · · ·.: ·-· B+2 · FY--- 73

b8D I -HGF--.

· a·0- .· . - i.

.· 'B+3 FY 74 I .

I 80 I .. ·.;:. ~ll .s~i~s_eCl~.:e_n,t ~i,-

;: : Totsl . l . .

-

~ I

9.. ~p2-~-i-a-l~F-,u-·1-,r-l-i-~-g-Conditio~s ;

I I

. ' ; i '' : ! : . . .

~ .. J

Contrar:!t csd/1171 with A.Af•!C

10 . Condit5.o;-:.s- o: Approval of Project.

.... · ..•

11.

· .

Grarit I- Ioan -

I I I I ---I

-~ I

. "L1. iled pla:~nir...z; with cco;e rat i r . .:; cot.:.:1 ::.:-y e..:-.d a rc..f1:. i:-,G of i:::l..?:0.:::::.'2 :".-;:.a -;:,i o:o. C.G(;O.:..­me nts is a~t~ori~ed.

. . i;

This e.t.:.t'.1.o.rization is e.lso contir!;.I;ent ui"lon tir.,el:; co:-.:t)letio::i Oi~ t":J.e self-':-.2lp end ot:--,er cor:.di tior:.s listed in the P20P o~ attc.c:-.e-: t':-.-?.:r.::tu .

. .·. . .

#'Ii •.

-; ~. I'

I This e.utt.orizatism will be revit::-rred at su.c:1. ti:::~ as t'.:le o':jectives, sco?c a:-,-.1 . nature of. the p:::-oject and/or t":-.e ::-.?.5nitud2s a::d sc:-..eduli:-..g o: e.r.y inputs or o~:.t-· puts deviat~ !>O significa::itly fro~ the p~oject as origir..ally authorized as to

t I

.varra.nt su~~ission of a neri or r~vised P2J?.· 1 ·. .. ·

A.I.D. t.-ppro·.'B-1: Clea-::c.nces: - Date

, GE1;:8Jt.4L TEC.HNIC/i.I, SERVICES

PROORPJ.!

t/ ii IO· ;....12- .Gj;) PD- AA-C. .. ''I I .

208

'l'echnical Assistance Bureau 1' ~P.

Major Type of Ac +.i.vity Key Proble111 ·#1: IJocal Health Delivery Systems --~--~ .... --'""'"''#lb. .... __..._ _____ ~~--....,...,.., .. ------·---

.Cumulative thTough 6/30/69 FY 1970 Ji'Y 1971 FY 1972

Extension 28935 ------~----------

Funding Data (in thous1Jncls) U.S. Contribution

Ob1.iti:-.. ·~---Expewr.----un1Iqliid-:-

Project '.I'arget ar:d Cc,u:cse of Action ---:.N----· __ ., __ ··-~~---··-··~···-·-·--,.·~·~·----See attached

Acco:::.ro1:!.sb:r;;er:.~ . .s to ~:~! tf:: __ .,.,.._.__~._.,_......,,,_,.,...,,,~.<' ..... w.__,.,,._..,,,,. ____ _

T.I }2.-~~erc_:.:~~~·~_I:!t'~e-.. 'I::.::..e,ct!:_ To continue the contract for technical suppoy·;;, to the Reg:i.o:,.:il Lurcaus and

TA/H in healt.h -:-rianpowe:r devel.frpt11cnt CiHd to ma V..e twc' spec icil· studies:

1) the relntionship of the ~,,:;dic8l school cu~'rir..'.ulur:.i to l ·health

problen:i.s of one or lEO!:'e LDC 1 s, end 2) the Eipp1~icebility of advanced ·tra .... u ...... , 6

in the U.S. f'or foreign med.icol graduates to the act:i. vi tics of returne·es

to the:ix countries of ori ;in. '

209

r:ro~ ec:h.1~..EEd Com:-se ~~f-:t:£1i9!1

l) Through its Division of International M~cli.cal Education (DIME):; A.AMC prov:icles technicftl back-up to AID on aJ.l aspec..:ts of medical ed.ucation and reJ_ated health manpower ac ti v:Lties, io e.. locating consultants, rev:i.ew::i.JJ.g and supervising partic:tpant traini11g programs, arranging tours a..nd conferences :in tho u.s., developing affiliations

betvreen U.S .. ai1d overseas medical schools, promoting and strengthening

regiona.l and national associations of medical colleges, and maintaining ab infonnation cente:c on p:cograms and activities in med:tcaJ~ training iristitutions of. ·developing cot111t:des,, Fu:rther, nn.m wil:L submit two

proposals to AID: A) :F'or a conference to cla.r:i.fy the impact of the brain clrai..1'1 of health and medical n1anpower, and B) !t'or administrative case studies of Un:i.versity Medical Centers overseas vr.i.th clinical t;i:-aining :i.n f'E•rn.ily pl.arming., In aclclit:i.on, DIME 1d:Ll identify IJ)C

:r.esources for gradu<i.te med::tcal education anc1 also. those mcd±cal schools . with Departments of Cor;J.mtmity Medicine.

2) Project is designed to strengthen ined.ica1 and allied health

educat5.o.nal and tra:trd.:ng efforts ·· a sigrd.ficant factor in extending local ·health deliver/ systems.,

3) AilJ-su.pr)orted project is distinct w:Lthin DJ;;.t·ili; no other suppol't

except basic Af'J.~C fina. .. '1cing is involvedo

~I.1.his is a new cont:cact of a continuing IJ'.".'Oj ect ..

l''ull tfr:e project director- e:::;:gloyed. eff'(::ctive li/l/70; rc!Jluccnent

recruited :Lor d(~rar~:i.!·1z as~-;oe:t<:,te o St.::tf:f provic.:l.i1e:; bncl-:hu:p

for 1971 I·'.edic:aJ. Sci·1001 ~:oc::i.atioa O!l F~:1.i1y Henlth

and 1·~ec1icaJ. F:~l.;J.c& L:Lon; and nc~j-~r,t:1Y1C d.elctJ~Jce: ~ f 01.' 1971 Corti·ercnce of'

'the Incl:LaYJ. P.si;;ociatio11 :'w' the .t~G.vc:~~ce:::e:t/c of 1·1E:C.licc,l :~duc8.tio:1,,

Confc:cence f'or c 1~nd;.1eted in

Ju11e J.970 e.t1 Cns e He disl::r·fb1.t'c.ici~1 l:i.st ish::n:·c)J.y b "'l.. nc.· a·i ct-,,-;'-;·~·!·r-c~ ..... j ·'1nl '..' J.,-, ~ -u __ u - ...-~i L.v _...,._t. Jf._1...'---.; 1.,..1.,.·

P:reliJid.na:ry i11c;ri.i.:L beinc on b:t'aj_11 a2~aj.11 ar~i

in f 8I:"ci1y J:.•l::-.r.:.rd.n(:; I

Ui1:7.vc:~1\:~ it::.r; 0 DJJ . .::~ JIJ,._I,0~~-1~: 0

:i.L coopc1.'ution 1·;.L th J.\IJ) a::;.5. no·.: i.n.sti tt:tic1~1s ir1 JJ:Jc' s t:1l-.O~l.-~-.~)1 US/-.ID 1 ~).

0;1 hi<:.) fe<~si1)ility str:.:lics: confe::'.'C~1cc

of clinie:Fl in

in coopcra~:,:~_0:1. 1·rlth I)J\.~-ro, for sttt:l~/ of cc2Tte~ .. s of

cxceJ..lence 1-r:Lth po~J'\:;v.g:rnclus. l;c tndn:Lnz; co.::-<·h5~i.itie::; hd.ti<.rl::Ln:::s study

of applicabiJj.ty of tnd.nint; :i.n t·nc U Q S. to 'l'lOr}: of foreign Declical

graduates re .... tu:nL.,,..g to cmmtr:tes of o::'igL'1.

(

C/3.1 o ~, ,_@ Pt:>-AA.C.- ft.fl/

MEMORANDUM

TO

FROM

AA/TA, Mr. Samuel H. Butte~~Jl7 ·­TA/PM, Kenneth S. Levic~.-v-Cc.:::YL

FEB 9 1970

SUBJECT: Project: .American Association of Medical Colleges (A.AMC)

A contract was signed with the .American Association of Medical Colleges on May 31, 1966 to provide medical consultation to support A.I.D. program needs for manpower in the health field, and to furnish infornu tion which would provide the basis for determining those needs. The contract has paid for a core staff of professional people to provide advisory and consultation services to A.I.D. and to Missions overseas. Its present expiration date is March 31, 1970~

This project was discussed in a proj8ct committee meeting held on January 29, 1970. On the basis of the contractor's performance record it was agreed that a 25 percent increase in the annual funding level to $100,000 was appropriate considering expanded service needs which can be expected to result frcm field requirements in fe..mily planning. It sh0uld be noted tha l, considerable importance is attached to the success the Association will have in recruiting and maintaining a senior project director. Next year's funding review will be expected to take this into account in assessing contractor performance.

A PIO/T should be submitted providing detailed information for an amended contract which will outline the revised scope and substance of contractor core staff responsibilities as they relate both to A.I.D.' s central staff and field requirements. Such clarification is important both from the standpoint of the contractor in fulfilling his contractual responsibilities, and to the Agency for purposes of monitoring performance. The PIO/T would also provide for execution of a three year contract, with provision of annual funding by Task Order. It would also continue the provision for Task Orders to be issued on the basis of field requests for those specia.lized services falling within the scope of A.AMC responsibilities.

It is requested that you indicate your appr:zval of hese findings by signing below. ,, "') j /17

Approved: ~/U{J~c/:J I

Disapproved:

Date: ,-,

AGEtKY FOR lt-!Tt:H~lATIONt·L DEVELOf''i.f:':~H IA.l.l))

PROJECT AUTHORIV .. TIOM ··~------·------

lh.!~.•!:CH

•• f 1 1~0.Jl'.\.1 i1 rLL:: ·--L\. ~.~~:,~i~'_l _ A : G~C Co,,,:,~;'il:~~-~~1~;<~;;~:;;; )~l;;'.;c~'l .· --~~=

!:..;;;· oc. i :.t '.:,~~Cl cf iJ.:;n~:;'.' .. c.:o J; ~ .c· ,-~·ct l C <1.}_0.' c :; 1~~-1~.i~·c;-i:;-;·,:;:;;·r·;--_f ___ __:____1

___ _

i ~{·c l_!rt.!.:~1 .. ~y .i ~1 , -1 ,- .. :.Cj -------------·--·--·-------"--·---------·--·---·-------~----------~-----~----~l-~----~---~------~-------·---~~------

·1. LIFC or· Pf~')JECI

9. DCSCHIOF. SPr:CIAL FUNG!~;G c0 1..;.:iT10t-4~ (Jn ;-,i::cc1•.•,•. 1 EfiGAT!O' .. .:. F(

0 F ANY fl. L. 4 U CJ C 01~~.~ C Cd TIE~

. ~-· i' - - _' ~-.. ".:-; · • /:.., '. ;-:-: l. ! ~ -.. r • • ~. :~ •: '.~ .::; '..). /", •.

-----------------------------------------·---------------------- ----10. CONDITIONS OF APPnov /.Lor Pl~OJEC T

,'•// } ~/ // /j lC

I (,

,/ I .. (:, .. _

\ t. Approved in ~-~_5-~.9~~C:. for life vf the rrc;r:r;t cs dcs:ribcd ir1 the· Ft~Cr, _:__:-_~:~-·-c.'._!_: "'" ·- -------------------- ·----~----·---·-·-

~ability~~-,_:~ Oetuilcd ~lonning with coopc-rutir.;o cov:·!rr cnJ Jr,Jf~ing ... ;f 1r:1~:c::-r'er-:<,::1 -:_r- dc(,.;rn.;i:f!'» 1~ o •• dhc.r.~cd.

AA

This authorization will be reviewed ot svch time u'S lhe cbjc::tives, 5.Copc one! nch.re o~ th(' prv 1 ,::~~ ond 'or !he nragnituch·~ anJ sct·c·dtJ!iPJ ~ 1

any inputs or outputs deviate so significantly from the pro1cct as ori9inol!-,. outh0rizcd o5 t~, ,..,~orrcn: 5.vLmi!.Ston of o new or revised Pf~(')P.

,_ ________ --- -- -----· ·---------- -------- ...

'TT ' 1 ')/0/"°'0 J,1,(,\':1 C1·~ '· / /'-----------·-·------ ----·---~--------- -- - ..- ----~---. ~-- -

;.~/11 /'JO --·-· ------ ·-· --T_-1 T_L:.E.-.~----_-___________ o_A_T_E ___ _.__A_l_c_o_N_T _________ . _ _... _____ _...,_ ____ ...__...._.,

Project Title: Association of American Medical Colleges

Project Number: PIO/T 931-11-590-212-73-3160137

Agreement: ATIJ/csd-1171

Contractor: Associat~on of American Medical Colleges

Reprerrnntati ve: Henry ve.n Z~.le Hy·de, M. D.

Project Monitor: David Frost, M.D. Extension: 21790

l. Project Goals and Justificat:ton

The ptU'pose o:e' this project is to contrfbute to the improvement of edu.cat:i.on. and tru:tning of nat:i.onal healti1 rr.anpowe:c (HM:e) and to assure an udeq_tw.te SUJ?ply of ~:;ruined personneJ. needed. to :iJnple1~1ent health ,t:n·ogrPms, including popttlatioi.1/fnm:U.y- planning (P/I~P), nut:c:i.tion, maternnl and cM.lcl heD.lth (MCH), ana. communicable disease control. (Hote: Major dem":tncls D.l'e being me.de on ex:inU.ns HMP, already notorj.ously in short supply, to mount progrmns with high J\m pd.or:Lt:i.es .. WHO, ::reflect:tnc; official het1lth agenc:l.os worldwide, bas :i.nd.icatec1 itfl ::celuctanec to dilute f'u:cther thu effectiveness of HMP by adding new progcamc to existing oucs. This proj cct :Ls designed. to colltribute thro1.i_gh the .U.S.' s major prestig:i.uUf3 JnE.!d:i.cal education organi~aticn, the AAr.fC, to :iJnprov:LnG oncl :Lncrcacine; the nupp:l y of health manpover

. u.pon ·which AID pr:i.orit;y p:cogrrnns of liealth, poptiJ.ation, nncl nut:dtion are entirely de}Jenclent).

Dur:Lng 1969 the AN.v!C cxpandccl its base significantly by encompassing both the teaching hospitals and academ:l.c societies, in the various medical disc:i.plincs, within its membership. It has ap3}o:lntcd a full-time Prei-ddrmt anc1. is moving its entire' stttff from F~anston, Illinois, to Washington. It j.s now locatccl in the National Center for Hieher Education of the American Council on :Ecl.ucation and is thus a stronger anc1. more accessible base of support for ATD pro(·;r,JJmning than it has ever been in the past.

A. The basic agreement between AID and the grantee under whlch Task Orders arc written terminates 30 Jtme 1970., Can the agreement be extended for a period of three years in orc1er that AID' s commitment to the project is aHsurecl? Such assurance is required to recruit a qualified. senior project director -- vacant for the past 9 months.

- 2 ·-

B. C~n Task Order #i, which financed the core staff and activities.

of this g:r.ant, be extend.ed for a period of three years, with annual

f\mding subject to the uvailab:i.lity of fimds?

c. Can the project be continued on· an annual level of ~100,000,

$20,000 above the approved budgettcd level of $80,000?

3. ~valu~~

A.AMC maintains active and productive relationships with the medical

teaching connm.mity in the U.S. and internationally, providing pertinent

technical infonnation about international medical educatj.on to Am and to ·medical schools in the U.So and ab:road. It niakes periocl:lc reconm1end.s.tions to strengthen medical eclucation internationally.

°t'athin the scope of its cm'rent contract with AID, AAMC 1 s

performance on special activities has been excellent. All three

subproj ects have been completed on sched1tle; the reports of two are

co:mplete nnd the third iB expected to be completed by the end. of the

contract year. '1~1e tenns of the agreement are being fulfilJ.edo As to

the generaJ. techn:i.cal back-up activities, Af\J/i.C has performed well,

when l'equestea.. Requests from ATD huve been spotty, however, and

coordination with all the Reeional Bureaus has r.ot been close, due to

interrupted Am monitoring.

Specif'ic accornpJ.islunents during 1969 include manpower studtes in

. relatlonship to economic development for Ghana, Kenya, B:rAz:iJ., and the

F'n:tlippincs; the Gucces~;fuJ. conduct of the "Institute on FEu1dly

Plannine; and. Medical Educn:tion 11 > attended. by 2l1h eclucators from the

U.S. and 30 pa1't:Lcipants from overseas (printed proceedings are being

disb"ibu:ted to USA]]) 1 .s and ATD/H); and the completion of the survey of 51 meclical schools :i.n tho U.S. concerning the:iJ: international meclical

education activities (report to be cornpletca. by 3/31/70).

Additional activities include an evaluation of a proposal for

· the LA Bureau from the Pan-1\mcrican Fecleration of Associntions of

Medical Schools for medical education and. poplllation/fum:i.ly planning

programL, the succe8sful negotiation of 'l'ask Order //6 with the AFR

Regional Bureau to arrange for a seldnar on FamlJ.y Plmming and Medical

Education for the medical schools in Africa; the publication and

distribul;ion of ~()_J§J!!:LeS- of DTI<·I.B~ DIALOGUE (1800 d.rculation); the

convening of the "FoTeign Scholars Seminar" for 60 scholars in Jtme,

1969, at the University of Missouri; the provis1.on of special

consultation and assj.stance about poptLlation/fmnily planning services

jn Ethiopia to two key Guatemalan physicians interested in population

matters an~ sponsored by USAm/Guatemala; and repres~nta.tion by distingu:ts11ed 'mec1ical educators at meetings of the Associa'l;tons of Medical Schools in ImUo., I1atin America, and Africa.

5. Recommended Course of Act:Lon

lb is reconnnendcd that the project be continued for a period of three years, with annual f\mding ~t a level of $100 > 000 annually, subject to the availability of funds. A sii.rvey of the Regional Bttreaus in Deceml)er reveals that the .l\7R anc1 LA Bureaus have specif:i.c activ:lt:tes they expect to request of A.AMC to pe:donn d1u:ing 1970; the AJ.i'R Bureau continues to lean heavily on AAMC for .specific medical educational info1'mation; all fout' Regional Bti.reaus indicats that AAflIC is an impo:ctv.nt force in striving for improved. medical education in APJ:IJ.C's representation in the Assoc:tations of medical schools in their :r·espective areas·X·; and AAMC :i.s becoming a s:Lgn:Lficant force :i.n developing an affll:nmtive view in tho international medical educaU.on c0mmunity relative to support for the worldw:Lcle P /J:'P program.

AID plans to requewt ANt;C to carry out the follow:lr 3 spec:l.al activ:i.t:i.es di.rc:Lng the enrJuing project year: a) the orgun:i.zat.:ton of o conference> suppo:cted by AID and other ore;e.nh:nt:lons, on the Foreign Medicnl Gradnate i.n or(1er to clnrif'y the:: problems of the 11brnin d.rain 11

of hchlth and. medical manpower from AID strpported countries> and to mC\ke appropriate recorr2n(::r.>.claU.01rn; )) ) the j_d(:.:nt:lficat:Lon of resources in LDC 1 s avuilLJ.l)ile :for e;raclu.:-:i."~i:; mc(L:i.cal education,, by specialty> and the

1.dell'ti:l':Lcat:i.on of fRcilitj_es for the spec:lnl uc1vanccd training of .uJJ.:i.ed hev.lth profess:i.onals in order to cncom'ae;c USJ\11> use of th:lrd cotini_;ry t:cci.ln:ing for pa:cticipnnts; c) e. mn::i.ll sc:d.cs of ens c stuc1:l.cfJ of Un:l vers:i.ty Mccl.:LcaJ. Centers ovorf;eas whe:rein cl:i.n:i.cal teaching in fa:mily pla-•n:Lng has been succcsf;f\Llly d('!Vclopcd for the n:any catet;OJ:-ies of hGalth personnel. (Note: '.lhe intent is to establ.:.sh the concept of a prototype progro:rn that can be replicated in othel' IDC 1 s as a basic element of teach:tng popi.tlntion ancl family planning to hcaJ.th manpower); cl) a study of foreign medical schools to iclcnt1fy tho:=;c with active progrrnns in Commun:i:ty HeeJ.t'h; ancl c) a study of the i))ility of convcrd.ng the i'oreie;n Scholars Conference on o. rce;:Lonal basis in the U.S.

·K- Between 1960 and 1967, 15 LDC 1 s have established. medical schools for the first time.

ASSOCIATION OF AMERICAN MEDIC~L COLLEGES

OIRECTQr~ 'HENRY VAN ZILE HYDE, M.D. ONE DUPONT CIRCLE, N.W. WASHINGTON, D.C. 2003!l PHONE: 202-466-5111

August 12, 1970

MEMORANDUM TO DR. DAVID FROST - AGENCY FOH INTERNATIONAL DEVELOFHENT

Dear Dr. Frost and Mr. Davidson:

The following are current activities of DllIB which relate to Family Planning and Paramedical training, as specified in part of Task Order I, Basic agreement No. AID csd-2587,

In cooperation with PAFL\:MS, DIME is currently compiling a list of medical center'.; in Lo.t:Ln limed.cu. which have the ca.pability for specialty tndning programs includin5 the clinical speci.altics and community health and family pl.:inning. In addition, and as part of this f;ame study, programs with the capability of training panl!nediu.l personnel 2re also bein.s investigated. It should be pointed out, l:hat this last activity is focusing on physician's assistant, rather than paramedical and paranursin3 and paradental personnel.

As both of you know, under separate Tusk _urd2r, Dr. E. Croft Long, of n~kc University and DIME' s Field Director, has been ·cccruit::'.cl to work in Cuatam.:.ila for a t\·:o y(~;,_-, period in order to devclcJ;) cm assi.::;tant medical officer pro;~rma in cciopu·ation ,,,ith the Ministry of Health of GuatamaL,, Dr.. Long wi]l be serving \Jith th<, USAID oisf:i•";n in Guatamala City and \d.ll serve as tl"dr popt~lLition off:icr:r a~tcl Public :h,::clth Advio:oi" in add~t:i:::rn to his work \.'i~h the Hini1;try of Jlcalt.h and the HcdicL;l Faculty in Guatamala City to develop assi.sra:it medical officers for service in the rural heal th project,

Considerable work is already underway with rcgnrcl to clcfini11g the indications for and the fonnat of a brain drain conference.

DIME is co-sponsoring, wl th AID fu;1cls under Tusk Order Six, the African Medical School's As sod a !:ion Conference on Fnmi ly Heal th in Medical Education to be held in fUJrnpala Uganda in Fcln:uary, 1971. Wf! liave hcl peel to plan the pro3ram Hhich includes family planning and the training of midwives and other paramedical personnel.

DIME has been asl,ed by the Indian Association for the Advancement of Hedi.cal Education to name the United States participants in its conference in January, 1971. Tho conference theme is F<1mily Plann Lng in Medical Education.

I.TH:pnip

_,..,..,

./ .. ) , ....... ,,,// ./ /'}/ ,_/ / i fl I

I /'

L. Thompson Bowles, M. D. · Assistarit Director and AID

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c:\ D_"T!

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r, ( '-·' i I l I - I · j

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J!'Y 1969 f<1nd_s i~ec1u:i_:r:ca_ to f:i.JJ:mce cc-nLcac:·'.:. -t;~-(r'U Via:y- ::;:1_, 19'tJ r(5 i 00(!

Ji' o P-_cnj cet O:i::i_g:i n c:~nd Jur. Lif:Lcc-:_ icn:

'J.ri-1e:: d.r.:~\iQ]J.)T;J:!.(.n"l~ c-u1cl t.:·;:r~.:.i.~:: 1 i·1 <~ oJ' }_1_c-::.::J_t)!. 1:··~·~.l\'.)\::;·1c1' i,c:~sc>lr.neJ.

}JC:J.S llE:cr1 8. l~c:··y fc,_ctc~c :lr1. f.-"J~r~~-1 C 1 ~'-<~:··-.·-<-: I.bJvJ)c }.~.,~·:J_-C.11 f')."'Cl_~.:;L'C'tJftf:~c. ~L1}1e ilCC.:(1

foJ· c1c.::\ri~~:i.11~~ ~'.Li_~~·:::-:~_c.-l-_: 1 J.~1~1 r_:_1cl i'r..e:".~~ <:i:-.-~- :-;;: :i.i·J -c.·1).C lJ,Jf~ i:- o.n:l rtl::cou1J }13.S

ber·11 "C(:r_~C·£j~:! j~ecl j_li tJ-LC. eG.~:.·}.:-r ~I cc·.·:_;:_- er~: f.v Iol) .... C.}1C..1 :~.JG~~ ::;:~·cclC('.(·:;,:;.::c\~r-•

0.~:c!·1cic~f :; :1~11 :,-·cc(~L-L-. ~·~C['.:i_·;-~ ~ t .. '.1.~~- rt!-:?'e\J f'c~r c1J.!_·:i.'(:l'-~. :!:cti.'c.-i:i:·~:~-~~:Lc)1·t ~-1.L_cl

cl.t.:v·e ~i_(1}~H · .. ~-11 :.::. (J:[' a(:_~-! i L .l.-~~1 1 ~ ~1 t 2."n.: .. i:n 0~ J. r1:('l_·J~ (_, :_, '~ :i. i_ ,~· 1.':~~- y-· .. ~.::1 1.·,c~·.'"._; _,:· ~~-,JC!_ (~ ~.r'-::L~Ll~: ). s· J1i.ucl.:i .. ~~~::·:J. ',·.-c_i:!.·}-_(~j··r: :l.i"l }~1,. _;JJ_;J~: }1J'.;~ l·ccc2:·:~: :··iel!.~c: j_r~j ,o~_·L-~:r;·:~. c.: . .._~ r:c··~< .. }J:co~·;.·r:~:.-:_.,.:lf.

j.'C.lc11ti~'~":lri~~ t.~'-·~:::.~~c~~l 1· u_-.]~·ic 1·.·::-:·~· Ji:· .. 'irc l>· 1 ::~1 (· 1:~·f:. 1 ·2c1~ .... i -·.·~:~1 0 Tr;,_-i ~1 :t1-.. J~.~1.r t·Lc:.1J l'.~c~J.~: ·L:cuc C- 1.!J:~t·'.~::~!';:.:i_~\I :~.:-- ' ... · .. -~ f ~:.: ~iJ~,. J:iJ :_::

in. l-I0.J l9S2, !1.LLr .. -;-;_~}·~ /-,J~J.~C ~:)_·:t~.-.~·:.:r:J .. 1 .y· ·Le) 1 ..... Jj_.·;:,!.1 r":~'_"'-r;:,-;·:-r'-.:!.~ i'C(•.1

Aj:C:..1)(1 i_.,},~·::c·c··_.~·c:···,:._·~, l'.:-.\cl. -~-.\·:~J ·~·:! .!-t" ... -.. - .• cl•jc:~t.:L\··_:r.; j_r~ cciJj.l~:·:·~\ctin;,:

w.i_th tbc A''l·:'::: :1_) t() c:l '.;r :'._n :i.-· f"u:·_ · c:·.l.' c·~: u,-: :.':~c~::_l:Li:.:i ·: ~· :i_:, J~ f;,'; c1<.:vslo1Jc:1.

J. 0 :t>):O!J].c··,~.;~: [! ·< -1 O'b ·j r····~~ -: v .-- l ~{~ • c. 1_,:~i .• _! :L;·. as1· 1 ~ c~:·;_c:·-rt~ \-.1 j:~:,}1. t}--;_i:~:

Af\J'D -.. .. u~:\ ('!;i;c·:,:-c?C fi1L6 :ht" r)~~(ic·:·~ ·~= ;.:;·~ ,_i C~l f_::j i -1 (.,~ l::Ccl_'._r::nl (".0)1:-m.l_t'>.t:i.O?l

:i_r1 t_!UJ_~ric>:r."t o:;: 1~.~Lt_l)t. tr clc.~-.r·:.·J_r_;;·,1·-~r~;d.:. c!:c· !:~1..::-:_ic~-~1. r.'.'.r.·~1 Cf . .,J'c:r.1 r.c:c;_l~-; fc)l" j:t~s

o·v·c~1·senf; T_,:coc:._,~:~: ~~ cJ~,l t(· ft:~-~·r~i~-~~·-1• :L!!·~.:_,:·.'i .::i :· _·_()~1 ~..r·· ;~e~~ --.;·:0~_1}.cl. i;1·ct.r:t.r:.c t,}i-:?

b~i_:_;~l.f, fc.~·.-· clc~L~c~~-~:"~:l.~·l:i.r~r.J -;_.1 .. r~<~.--·~ J'!(.C'l~~.

(

.. 3 ~

rele:tionsh:i.J? to overaJ.1 eco:.1oin:Lc J~ilanning :Ln select eel. colmtr:i_(-os"

'£h:l.s stucly will have as :Lts major object:i.ve a collection 0J1d anal;~trdr:i

of cl.o;l~a. wh:i.ch helped form the .lJasi.s f'o:c mK1ex·standing total health

requ:irementr; of :i.nd:i:v:.i.clnal com1trier:; and the neec1 fo:r asi:dstanc:e; b) cooperat:i.on rnnong rr.ed~Lco.1 schools in clevelop:Lng COlmtries o.nd the U~fl o 11h:i.s task is :t.r:i:tencl.ed to promote and strengthen asf;ociat:Lons

of medical :f.'ecilitief; :b1 va:d.ous colmtr:i.es, in order to coo11eratr: in.

reJj_ev:l.ng manpower shox·t.::1.ge~~ ·which now ex:i.st; c) a stucl~r o:C

intcrna:t:i.onal progrrnn of U o So mecl:Lcal schools o 1'h:i.s is intended to

p1·ov:Lcle A., J<-D o ·w:i.th informo.t:Lcn on a cun'ent bas:i.s of' p:~ogrD.rn::;

concluctc~cl :i.n the U"f~ o mPcl:Lcal school.8 nncl ·\'i:UJ. cont:r:i.bute t;o the

sk:i.1Jr~ and :r.C!8m.n:cu; o:f:' :trnti.v:i.clua1n re-bm:·n:i.nc; to Jchc:Lr. owt1 eounb~:i cs; and d) an ini1U.tut:! on on medical ed.ucrrL:i.on ancl pojJUlation changeo

~!:he pur,oof;c of' this program :Ls to cncou:.cagc key mccl.:\.co.l cclncator.s

around the 1·ro:clcl. to develop fam:Lly planning cux:r.:\.cuJ.lu-rl. with:Lu tlw

overall hc!nlt.b ana. rned:i.eal edueat:i.on cur:r:i.culao

IL EeGnJ.ts o:f:' P:·'.'o·jed; to Date ··-~·-··-.--·--· - ·--··--- .. - .. -L .. - ... -----~----··--···

'11~te ccnt:t.'D.c-Lo:c if> np·-t.O·-datc on all fou:~· aspect;:; o:L thc~_;e

taub; ti.f~ clencr:i.'bc:do '.L'11c 1·;\:>J:l: 0;1 cl:.:vc~1cv:x1c si~11cl.ie;; of hc~a}th :cc:non:t.'ccr:1

:i..n relv.t:i.cc rJ}!ip t.o ove:c«tJ:L. cc.0!·1c::1:tc plc:.:,-;i1:'«1c; has 'been co:·"r.l.ctecl in

GL.c::.nh nncl. :i.~; <1.1·:0.:Lt:i.'".g f~(~] ect.:i.CJl1 o:':' w1~1·:::;:i.one.l cmmtx-:Ler; :f:'o:c ::d:ncly c

Lf()">t1\- (Y1J. <l(•f-··~1;··!..! .. ,,. "'t!) !;l)(;\J"-:'! -; <"'{ -,)J···o··;·r-)t-_r.;r•·*1 ··,c; ::'.'.~· 1 ··j (_··f'!"lC,J~O-,""-'; .,"\,. m.l .. J11._,_-.' ~-;~·l·].r_l__·•_i.1' 1'! Y .f ..• , ,. l._.l• •.. 1.-.VJ _ '-'·L - ,t...:,.; ·-·- l:. <....•·· _,;J1J •• 1.-'--J ..... Li~··'-'-·'- .. ~L .. ·•··-·:Jo _ .....,..,., . _ _.

of ir,L C"!:crcc:.t.:i.oJ~~·.J. }H·o2;::~~!.ff·'.J 01:' TJ o S £ r;:ccl:i.c:HJ H c:J lOOJs :i.n c.<i:.-.:i.ng c0':1}•le Vi.en

oJd a 1:·0p0:·:·c :l.~\ tc l>c rnbl:l.:::ii.r:d :.Ln ·c}Y! nc<>x f'..1tl1:;:·co ~C'h2 :Lr~r;·c:i:l-.1.i.t:Lon

on mc:J·Lcal cclnc::::::G-i_c,n n:o-1d lic::uJ..c:.t.:~on cbu11r;c: :i.;; i::c:hc:cl.uJ.cC:1. tn t.t,.kc ·place

on l'·:'.c1.1·ch 211 > 1Sh)9 P.11~1 r.:c:c~·.n~;·:r::crlt;:: }•o.vr; ·t>_:C!l! CC>':ip} ct.r:;cl fo:c th1~ -

C rYJ lC~' lr..f « (if' .IL. '1·: r> ·j « tc t l• + ll !·" ( c; (• (' [1 ·H«" r•11 c · 1 ·1 .•L '! JL; Of' "(' ~· l-,;-:ei] ·j «)11«i.~ .. ;-; l; ~· l ..... 1..·_ •• ..., •••• 1 ~-... ·-· 11 • _, __ , ........ o l- • ~ -.vv<-..... '·-"··'· ••• •- . l.~ ~__,. -··J ... 1.>._.; "-··- •-'/ o

Ilio

Th:L:-; :i.s e. sc~rv~Lce ty!JC tocl,ri:i.clU. n;~;;j_f;'.;uncc! T>l'Ojcc:+. &.nd is

impl(::r:·ce:;rrl;cc:. hy n 1)}~o:::.:l u;;:1°(C2lln (:cntro.r;t •.-:.i.t.h f>l•cc:U.'ie i;:=!.r;k o:i.'cl·-::·r: o

Tasl;: O:cd.er f!J eontcdm; the bucl.r,et [•J;(!. co11C:.:1:L:i c.ns foJ.' the op21·n-L'..or: of

the cont:cc~ct o Ochc:c 1_.ns:i-;: o.cdc;: s no~·i c:or:«:)lctcd \·/Cj'2 :l.nit.:i..u.tcd '...n1cl.c1'

th"',_, <···c: roe··-'-· re·;· f'ci·' ,... ('"J•.n.•LC r· 1 ".)CJ''' c_-· Ji'o·' c-·r.-·--i-] r 'l''•"}" Q·'clr·· .n~. 1..-~ Uc.i.1-1.L • L 1it~..J_r_'c.l, :t, -- .J, i.1f; _,\,...: .L . .. .1._)Ld.j_ 1~'--·l~O l :.1_c....:.:!~_J •. ...!, .. C.•.).l ·-.. J ......... .!. 77..),

which 1·re.;; ft~:ncl.cd l;y t.i1~~ f,f'r:Lcn Burc<:cu :i.f~ :Lntc·nc!.' .. ~J to s1J.riport a. r.tucly

of A.f.:c:.i.c<.-l' f~ mox~po~·:e:c c In tc"1T!i;; of ru~pc,nd:i.n['; to ~;pce:i.fic i·cquccts

to n;f_;olve:: p:col):1.cr:w tllc tcc}1r;.:t.<;aJ. nsr;istm:c:c rmcl. P.dv:;.ee rendered. to

dP.te hns 1)cen :r:eJ.cvo.nt <'.nr1. cffect:Lvoo 1IcH:·cy,~;:~', in the fntu:ce, so;nc

o:[' t1•.c e.cti.v:i:l.;:i.uo w1d.d1 lw.ve :".'cce:i.vcd cr:«:;_»l-!c.cs:i.f_; du.ring the pc1·iod o:(

the cu.:c:i:·cnL e:ont:ci':c:t '.·r:iJ .. 1 be Clcctn:i.lccl occct1.u;e of ler.sen:lJ1'.:'.: inl~U.'E'i;t

ancl requ:i.:cc1:1cnts o The:;c dr-c1'c8.r~:i.l1::-; nct:L vit:i.c:--; ro:pcc:if:i.cally ref'c.;l' to

/ \

the eneouro.g:tng of coope~cation rnnong med.:i.cal schools in cooperating

cot.mbd.es in :ceg:Lom.1.1 area::: anO. a lessening emphasis on the study of

:tnt.81·n2:l;iono.1. programs in the U. S" mecl.:Lcnl schools o In the latt e:r.

case:,. nfter the init:i..al :report has been completecl, only upc1.at1ng vrill-

'be necessary o 0t.her ac:tiv-:i.t:tcs, :i.nclucUng the :Lncrease :Ln a nurnl)er

of cornp:cehens:i.vc: colmtr;y- health stuc1:i.es to be mo.c1e unde~c activity a)

n'bove, should be emphas:i.~ed.o A proposal for a conl:iinuation of the

contract mnphasi'.dne; the relevant needs of Ao I.Do w"ill be vcesentcdo

IV o Hecomrw:nd.nt:Lons ancl. Futu:cc Plans

It :i.s rccomrncncJ.ea_ that the cont:caet be cont:i.:mtccl. at a rcdx~eecl

level of 8.et:i.vit:i.(;[; to meet the Ageney·' s mm·e urgent rcqy.:i.rements o

A p:ropocn1 han 1Jcen nm.de at a contract level of a]Jproxjmo.tely $r''):, 000

pc:c yctU.' for th8 next. ·brn ye1n·s and cnt.erecl into w:i.th Af\l.1C to :Lnclucle

the f'ol:LoH:i.r1g act:i.vit:i.cs :

lo A cl.cvclC>pment of.' col1nl;ry stucl:i.er; of hr::::;lt.h resc·1;_·cc•::!3 8.fl

rclntcCI. to ovc:1.'al1 econo;nic cl.c~vclopnwi1l~;

2" Im upcl.at:i.ng of iuf'o1'.!1w.t:i.on on cu:cricnla in :i.rd:;e:cnr~tiono.l

prog:cD.ms of TJ o So rnccl.:i.c.o. J. scLooJ ~:; a.nd

3o SuprJo:cL of tLc :rubl:l.cr;.t:Lon "D1:·:m D:i.o.loc;ne" i-.hLch cont.::d.«1r.:

cur:ccnl; nc1rn Hncl :i_n:f m:·r:~r\_;:Lc/n on intc::-:national nctiv:Lt:Lcn :Ln necl:i.c'.aJ

educ..:at:lon collc:c:t.ccl l1y- the .fJJ.IC :f.':ccn:l vr,:c:i.uu.s soi.irccs o

'111.c aet:L,r:i.t.:Lcr~ }.'Cqucr,t.ccl. ·t,o be c.ont:i:nnccl nre p01.:ct:Lc:~l·La:c:1y

relevant c:.nd jx:·:~:1c·):·te.nt to l~oI.])o :i.n cJc-v-clov:Lng p:cog:l·w:1s :!.ri hcEJth~

f'exn:Ll.y l-i~1.n.r_1)J:i.r .. g V.r1cl ljOj/tt-l.[-',,t.:!.Cllc, f\]_]_ ~CC]fCJ1'~f.; C'FOl:~rj_Jl.[; f':r..''Ol"il i.~} 1.C[)(;

n~ct:Lv·:Lt,:tes \·1jJJ_ be rn.o.c1e flVB.:tJJJ.l;J_e t;c) t,}Lc I\1Iif;f-;:tor1s ar~c1 J·1czic'21.aJ. l~u_:t_'cO.\.lS o

Con·c1'0.ct B~lcl.u;cl fo:i:· /'...1\l"J~ ·- 10G9-J9r(l _ • .,_ ... - -~-·-····-· ---·--... ··--···-·------· -·--·-···-·---L-··----··'- ...... .

1. PerRonal ScrviccLJ

3o

Ac1rn:i.11if:b·al;:i vc Of:L':Lcc:I'

He~-i_Jth Sccto:r /maJynt

He:·c.d.th Stu·:;.i.~.; L·.:Lc:i.un

Scc:cetc:u'J

10,500 18,000 8,ooo 5 '.JOO

1i:?~·ooo l~,300

3,0CO

?-5,6Z~

7·~,000

JJ.,ooo 18,900

8,1100 5 750

1__,,:i. __ _

l·b,000

l~, 800

3,000

s.2.:_?0Q

82,800

(

. Srnne Ex8.mplef:J · of Hcfrnlts .1\.ccompl :i.f;hecl rmcle:c A/\MC Cont:cact AID/cscl·-llTt _,,,__ .. __ ,_,,,...,. ·----.-...... ·"·----.. ··-··~--~--~ ..... ---- .... - .... -~-·- ....... -----~.:..,,__,.__,. •• ;.....~..---· .. -·~· __ .. ._.. __ 4 --~···· ~-~-·- ... --.. ··-·· __ _,, ... _ .. _ ... ___ ----~--·-·----

lo f.iupport of Medical Education :i.n Developing Countrier:: 8onfercnce

on Medical Education

lo Organized '(th AnmwJ_ CJol.\fc:cence on ~!each:Lnc of' Demography :Ln Bogota> Co1ornr):ln

~2 o E::rt.al)lis1:1rnc:.ut of M:i.dcllc Jl:as-Le:rn .f\s fmc:LaU.on of Mecl:i..cal Scl.iooJ.s

3 o Plc:J.1ni!1g o:f Med.:i.cul Ed.ueat.:\.on in the Amcr:i.e0 by- o:qc;o.n:tY.:Lng a Cr>nfe:t·co1we on 1ilcc1:t.ce.l l"Gcl.ucnt.:ton in Mexico City

l1.o A~;s:i.i:;ted in orc;an:i.~~:l.">1[: unc1 f1Uf>I'ortcc1 the Pm~ J\J.nc:r.:i.enn Fec.1crnt:i.on of A:;;.;oc:i.at:i.on of lv!ccl.:i.c:al Schools

5 o Assisted :in oTg<.<.rdYat:i.on n:·1CI. snppcr .. t. o:C Af:•'.':i..ean Ai:rnoc:i.nt:Lon

of l:1t;<11ca.~L 8c1·1oc1J_n

Actend.o.Yiec nt Confc):·cnc:c Mec1ienJ E1ehociJ.f,; :in Ji':J.t:i_n

7" O:q>;an:Lzcc1 nncl. p:cc,';c>1tc.J :··c.rte::c o:J:' J,)l!yrd.c:i_::,.w: avn:iJ o.bl•:: fo:i.:·

H c:r.·v-:i.c c~ ct1)1 ... o:~c1 ·L CJ '.'! C)J I ~J.Jl'J \i :i.c·~ .. ~~· :_; 1:-_ J~rt:1:·c:u1_1. ( :t1 ic: ~I.ti~~::_:!. ~-1~ l.r:.tl[~LF~:.e;c: Ell)i]j_ ·t :i .. er.:, t.:i_r:1c~ ~} p 1

.:· r: L·. (} lJ:co~-~ 1J :::.1 lcl BJJ c:~::i.H l:L·L :i_ er:~ )

9o P':.c.,f-;:1-r-L~ccl ir1 C(1 .·~~r~.~1J:f.:it1_:_'.: Lt:{.l.d h·L·1-L, 1::1~·--1~i:n[1; n 1nr__:cl;:Lr1i_1: of In"l~c:c:i:ni

O~cf~r~J.ri.~~J:nf\ Co·~·:·:·j_t:tec-: :('o:c l·~iclJJu j·1

' •• f;"l~ I\r;r;oc~i:·rt.:i.o~-i o:f l.-Icc1:i .. cD.J_ E~elJ..<)uJr-; :l:n /\] c::•/Jlnc·:~cJ t:.~ C:Lt·.J~·

10, O:cc;u.ffl.'.';cO. cc•:c•:i·: .. tc: . .: 0~1 J:~':cl.:i.cr·.J cd'1c:x:;:i.on fc,:~· fo:·:·ci[).l echol:::.n;

in rnecl:i.cc:iJ. f;c:Lc:nceF fc;:c c:c}lc,ne:;c of :i.nC'o.r;::-:i.tion

l.l.o J\:tt,c-:r1;Ji::!cl ~.~-tel :r.·c~1~c1:;-:tc:J crn n11 _ft.·:fr."lU~ll J.~~~et,:i.:nc: C)f i'\G~~oci::.-i:Cc:d_

l!iccUc:al f; c·.J1c-o'L~,· :i.n /..:i:':c~Lc:.1

12 o Eva:1.1ntcd lfi_~J\Ji) contr·net \·:::th i·:at:Lom:J. l.h1ivc:··~d.ty of

As1mc:i.on, J\1.rE1.~:_:u:'1~/

Fol 101·:--un on I,:rn rned:i.c21. echv::.:i. lion lo:oe;:c<ur;s in Pa1~i;.>t::-tn

(196'i') ~

1)+. PubLi.Rhcc1 ed:Lt.:i.cn of "Ore:ani'.'.at:Low; Ui;:i.lizin3 A:r•0.c:cican Physicians .Al>road.11

· V:i.::;:i:to:cs Ecce:i.vccl o.nd B:r:i.e:f:'ed as Henult o:C AA.MC Act:LvitieR fo:c l\.cloDo ·· J:'Y 1968 .. 69

D:c o Ji:amnon > Ghana .Mec1:Lc.a1 fkhool Dr·,, J"mnci:; Puul.~ Ha:ilc ~~e:l.aisr:ie University .l\.klilu I1cT1<-:>.:i Ha:Llc ~kd.r1,:1.rJr;e Un:Lv<:>:cr.:i.t;y J'ose Pc=rl;:i.no> Co~LomlxLa:i l'tm .Ame:C":1.cnn J\ssoc:tat:i.on of Mcd.:i.cal Schools :B'ernanclo Mo:eeun, Colomb:La A8soc::Lat:i.on o:f Mec:~:i.c.r.1 Schoolr:: Jox·gc V:iJ.J.u:rct~J.~ School of PopuJ.at.:i.on, Boc:otc. Mecti.eal Sehool Dr 0 I1ortlcr.: Ca:rov:LrJo:i Sao PB.uJ.o Med:i.co.1 Sehool EJ.:i Culc:i.da~ G:w Pc;.uJ.o Mecl:l.cc-1J_ RchooJ E'm:U.o Jl;l;h:LE; :i Sao Pnulo J'.fod:Lcal School Dr,, B. Gcnm:ena, Gc~ncva :cn::;t:i:l:iffLe of B:Lolog:i.qr1e Dr 0 JL O" ~L'hornns:; Un:i.vc:csit;y- of I,:;.gos > H:i.c;c:d.a D:r ,. Valeqncy, > Un:L verB:tt.y· of Cal:L, Colombia Dro JI'el:i.x Doscku.n~ Trago:::; H:1.gt:~:cia So.:rgl:Lna Ii:i.nn. ~ Sno Paulo

MEMORANDUM OF CONVERSATION: To the Files

FROM: TA/PM, Sally Sharp

'1~10~1'2-@ p o -A A-~ • ''i J

June 19, 1973

SUBJECT: FY 1973 and Future Funding of Proj. No. 212 -Health Manpower Development {AAMC)

This is to record the conversation between TA/H {Drs. Howard, Florio, and Lynch) and TA/PM {Mr. Mathiasen and Mrs. Sharp) on Monday, June 11 , 197 3.

Due to the lack of support received from the Regional Bureaus re the usefulness of this field support activity, TA/H decided that the services being provided by the contractor, AAMC, under the Basic Order Agreement -Arrangement should be terminated. Since there were still some services to be completed by the contractor under the existing BOA and Task Order No. l, it was agreed that the current BOA and Task Order No. 1 be extended through December 1973 at the latest to allow the completion of the services. It was also agreed that no funds would be conmitted to this activity after December 1973 until TA/H developed a new scope of work for AAMC. The funding of the project beyond December 1973 will, of course, be subject to AA/TA approval.

cc: TA/PM, Mr. Mathiasen TA/PM, Mr. Correl TA/H, Dr. Howard TA/H, Dr. Florio TA/H, Dr. Lynch