Contents :

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

2.	Stakeholders: Governments with international assistance
2.1	Reducing health risks from environmental pollution and hazards
2.1.1	Activities
2.1.1.1	Urban air pollution
2.1.1.2	Indoor air pollution
2.1.1.3	Water pollution
2.1.1.4	Pesticides
2.1.1.5	Solid waste
2.1.1.6	Human settlements
2.1.1.7	Noise
2.1.1.8	Ionizing and non-ionizing radiation
2.1.1.9	Industry and energy production
2.1.1.10	Monitoring and assessment
2.1.1.11	Injury monitoring and reduction
2.1.1.12	Research promotion and methodology development
2.1.2	Means of implementation
2.1.2.1	Scientific and technological means
2.1.2.2	Human resource development
2.1.2.3	Capacity-building

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

4.	Stakeholders: Governments, in cooperation with local and non-governmental organizations
4.1 Protecting vulnerable groups
4.1.1	Activities
4.1.1.1	Infants and children
4.1.1.2	Youth
4.1.1.3	Women
4.1.1.4	Indigenous people and their communities
4.1.2	Means of implementation
4.1.2.1	Scientific and technological means
4.1.2.2	Human resource development
4.1.2.3	Capacity-building

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

	

1. Stakeholders: Governments	

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

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

Has the government assisted countries to implement the set of guidelines within the list, for consumer protection?	Consumers			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.1.3 Intersectoral cooperation and coordination	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13c.ii	Has the government developed guidelines for effective coordination in the areas of professional training, assessment of risks and development of control technology?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.1.4 Control of environmental factors that influence the spread of communicable diseases	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13d	Has the government applied methods for the prevention and control of communicable diseases, including water supply and sanitation control, water pollution control, food quality control, integrated vector control, garbage collection and disposal and environmentally sound irrigation practices?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.1.5 Primary health care system	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13e.i	Has the government strengthened prevention programmes, with particular emphasis on adequate and balanced nutrition?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13e.ii	Has the government strengthened early diagnostic programmes and improved capacities for early preventative/treatment action?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13e.iii	Has the government reduced the vulnerability to HIV infection of women and their offspring?	Women and children			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.1.6 Support for research and methodology development	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13f.i	Has the government intensified and expanded multidisciplinary research, including focused efforts on the mitigation and environmental control of tropical diseases?	Populations living in tropical areas			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13f.ii	Has the government carried out intervention studies to provide a solid epidemiological basis for control policies and to evaluate the efficiency of alternative approaches?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13f.iii	Has the government undertaken studies of the population and among health workers to determine the influence of cultural, behavioural and social factors on control policies	Health workers			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.1.7 Development and dissemination of technology	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13g.i	Has the government developed new  technologies for the effective control of communicable diseases?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13g.ii	Has the government promoted studies to determine how to optimally disseminate results from research?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.13g.iii	Has the government ensured technical assistance, including the sharing of knowledge and know-how?	Whole population			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.2 Means of implementation	
1.1.2.1 Scientific and technological means	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.15	Has the government included investigations of social and economic bases for the development of more effective national strategies to prevent and control diseases? 				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.15	Has the government adapted cost-effective methods of environmental control to local developmental conditions?	Local populations			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.2.2 Human resource development	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.16	Has the government promoted broad intersectoral approaches to prevention and control of communicable diseases, including training in epidemiology and community  prevention and control, immunology, molecular biology and the application of new vaccines? 				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.16	Has the government developed health education materials for use by community workers and for the education of mothers for the prevention and treatment of diarrhoeal diseases in the home?	Community workers and mothers			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.2.3 Capacity-building	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.17	Has the government developed, within the health sector, adequate data on the distribution of communicable diseases?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.17	Has the government developed the institutional capacity to respond and collaborate with other sectors for prevention, mitigation and correction of communicable disease hazards through environmental protection?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.17	Has the government increased advocacy at policy- and decision-making levels, mobilized professional and societal support, and organized communities in developing self-reliance?	Communities			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
1.1.3 Financing and cost evaluation	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art. 6.14	How much has the government contributed to the $4 billion estimated average total annual cost of implementing the activities with $900 million from the international community on grant or concessional terms?

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

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

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

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

Has the government decided upon any specific strategies and/or programmes?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		

2. Stakeholders: Governments with international assistance	

2.1 Reducing health risks from environmental pollution and hazards	
2.1.1 Activities	
2.1.1.1 Urban air pollution	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41a.i	Has the government (with international assistance) developed appropriate pollution control technology on the basis of risk assessment and epidemiological research for the introduction of environmentally sound production processes and suitable safe mass transport?	Urban populations			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41a.ii	Has the government (with international assistance) developed air pollution control capacities in large cities, emphasizing enforcement programmes and using monitoring networks, as appropriate?	Urban populations			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.1.2 Indoor air pollution	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41b.i	Has the government (with international assistance) supported research and development programmes for applying prevention and control methods to reducing indoor air pollution, including the provision of economic incentives for the installation of appropriate technology?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41b.ii	Has the government (with international assistance) developed and implemented health education campaigns to reduce the health impact of domestic use of biomass and coal?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.1.3 Water pollution	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41c.i	Has the government (with international assistance) developed appropriate water pollution control technologies on the basis of health risk assessment?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41c.ii	Has the government (with international assistance) developed water pollution control capacities in large cities?	Urban populations			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.1.4 Pesticides	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41d.	Has the government (with international assistance) developed mechanisms to control the distribution and use of pesticides in order to minimize the risks to human health by transportation, storage, application and residual effects of pesticides used in agriculture and preservation of wood?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.1.5 Solid waste	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41e.i	Has the government (with international assistance) developed appropriate solid waste disposal technologies on the basis of health risk assessment?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41e.ii	Has the government (with international assistance) developed appropriate solid waste disposal capacities in large cities?	Urban populations			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.1.6 Human settlements	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41f	Has the government (with international assistance) developed programmes for improving health conditions in human settlements, in particular within slums and non-tenured settlements, on the basis of health risk assessment?	Slums and non-tenured settlements			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.1.7 Noise	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41f	Has the government (with international assistance) developed criteria for maximum permitted safe noise exposure levels?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41f	Has the government (with international assistance) promoted noise assessment and control as part of environmental health programs?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.1.8 Ionizing and non-ionizing radiation	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41h.i	Has the government (with international assistance) developed and implemented appropriate national legislation, standards and enforcement procedures on the basis of existing international guidelines towards combating the effects of ultraviolet radiation?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.41h.ii	Has the government (with international assistance) researched the effects on human health due to the increasing ultraviolet radiation reaching the earth's surface?

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

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

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

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

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

Has the government (with international assistance) applied them towards the setting of priorities and strategies in relation to health and development?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.44	Has the government (with international assistance) facilitated developing countries’ efforts by allowing access to and transfer of technology, know-how and information, from the repositories of such knowledge and technologies, in conformity with chapter 34?	Developing countries			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.2.2 Human resource development	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.45	Has the government (with international assistance) designed comprehensive national strategies to overcome the lack of qualified human resources, which is a major impediment to progress in dealing with environmental health hazards?

Has the government (with international assistance) included environmental and health officials at all levels from managers to inspectors, during training?	Environmental and health officials at all levels—from managers to inspectors			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.45	Has the government (with international assistance) placed more emphasis on including the subject of environmental health in the curricula of secondary schools and universities and on educating the public?	Secondary schools and universities			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
2.1.2.3 Capacity-building	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.46	Has the government (with international assistance) developed the knowledge and practical skills to foresee and identify environmental health hazards, and the capacity to reduce the risks?				
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.45	Has the government (with international assistance) included knowledge about environmental health problems and awareness on the part of leaders, citizens and specialists in developing the capacity to reduce risks?

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

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

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

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

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

4.1 Protecting vulnerable groups	
4.1.1 Activities	
4.1.1.1 Infants and children	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.27a.i

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

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

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

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

If so, have you applied this information in planning and management?	Intra-urban and intra-district populations			
	1.) If yes: a.) How and When?
                 b.) What was the impact?
                 c.) How was it measured? 
2.) If not: Why not?		
5.1.2.2 Human resources development	
Source	Recommendation	Target Group	Target Date	Reference	
Agenda 21
Art 6.37	Have local authorities (with the appropriate support of the national government and international organizations) implemented programmes that supply the orientation and basic training of municipal staff required for the healthy city processes?

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