have been reorganized and strengthened. The safe motherhood initiative, in- cluding concern for adolescent girls, has become a major new thrust in MCH. National and regional work- shops have been held in many coun- tries in 1989, including the African Regional Safe Motherhood Confer- ence in Niamey (Niger) in January and the non-governmental Safe IBMotherhood Meeting at Bellagio (Ita- ly) in February. As safe motherhood concerns gath- er momentum, Sri Lanka has estab- lished a task force to monitor and investigate maternal deaths; Morocco has drafted a five-year plan to create a rural maternity service; and Indonesia has formed 'mother awareness groups1 to encourage women to assume great- er responsibility for their own health care and that of their children. In the past 10 years, UNICEF has assisted in the training of 88,000 of the 104,000 registered TBAS in Indonesia, and the Government plans to train 110,000 more. Among the parasitic and infectious diseases that threaten public health, malaria and tuberculosis continued to gain ground and attention in 1989. Chloroquinine resistance to fal- ciparum malaria is spreading, and efforts to contain the situation are constrained throughout the Africa re- gion by shortages of trained person- nel. UNICEF is supporting studies on chloroquinine resistance and the use of pyrethroid-imprcgnated mosquito nets as one alternative. In many coun- tries in Africa and South-East Asia, malaria control has been integrated into MCH activities. Malaria is also resurgent in Central America and in Bolivia, where 95 per cent is due to Plasmodium vivax. In the Middle East, it has become neces- sary to monitor large-scale population movements to and from malarial areas. There has been no significant change in the malaria situation in South-East Asia, however. Developing countries report an es- timated seven million new cases of tuberculosis each year, and despite the
**Analysis**
The text appears to be focused on the efforts and initiatives taken by various organizations and governments to improve maternal and child health, as well as to combat diseases such as malaria and tuberculosis. The language used is technical and specialized, indicating that the text is intended for an audience with a background in healthcare or international development.

**Category**
Health, Humanitarian aid and relief