vaccination services:; » little advance work was done to gauge user knowledge, attitudes and perceptions, or to design mo- bilization activities around them. There was also little evidence that the efforts made to mobilize fami- lies were aimed at long-lasting changes in attitude; » insufficient use was made of for- mal, traditional or private health providers as communicators; » health structures outside the public sector were not fully involved; » countries which made provision for accelerated activities in their core budgets, ensured sustainability. Those that did not often remained dependent on donor support. At the request of the Executive 39Board at its 1989 session, the Director of the Evaluation Office used internal and external staff' to complete an in- depth evaluation of external relations policies and functions. The Evaluation Office continued to encourage an exchange ot field experiences through its newsletter and other channels. Circulation of the newsletter three times a year has ex- panded to include several academic institutions and United Nations agencies, some of which have asked to contribute to it. A workshop was held in Florence in June for 60 field staff who act as evaluation focal points. They shared country experiences and discussed new evaluation techniques such as rapid assessment procedures (RAP) for nutrition and 1'HC, sentinel sites, cost analysis and rapid assessment of child mortality. They also reviewed the 1988 draft Evaluation Manual, and a revised version is being prepared. The first regional staff training workshop for the integration of pro- gramming and evaluation was held in Mexico in March for 30 people from TACRO, and a regional training work- shop for technical officers was con- ducted in Abidjan in October. Co-ordination and the exchange of information continued with sister agencies of the United Nations, and the Evaluation Office continues to
**Analysis**
The text appears to be discussing the evaluation of vaccination services and the role of the Evaluation Office in assessing the effectiveness of external relations policies and functions. It highlights the importance of mobilizing families and health providers, as well as the need for sustainable changes in attitude. The text also mentions training workshops and the exchange of information with sister agencies. These topics suggest that the text is related to the field of health, but also touches on issues of international cooperation and development.

**Category**
Health, Humanitarian aid and relief