285. The National System for the Integrated Development of the Family has concentrated its efforts on improving maternal and child nutrition through the National Family Nutrition Programme, launched in 1977 and the Preventative Medicine and Nutrition Programme. 285. The Mexican Social Security Institute and the Department of Health, through its General Directorate of Coordinated Public Health Services in the States, are conducting various activities for promoting nutrition and for the medical monitoring of malnutrition. Of particular importance are the Programme for Rural Supplementary Feeding, targeted on pregnant women and preschool children, and the Programme for Supplementary Feeding in Hospitals, covering hospital patients of slender means. 287. Information campaigns and educational programmes for pregnant women are being caried out to enhance awareness of the importance of breast feeding for the health of mother and child and to discourage the use of substitutes for mother's milk. 288. An advance in preventative medicine has been achieved by the establishment in 1979 of the National Vaccination Card System for recording the administration of vaccines against poliomyelitis, measles, diptheria, pertussis and tetanus. 289. To meet the needs of the public not fully covered by the health services, a Programme of Social Solidarity has been launched with the joint participatin of IMSS and COPLAMAR. Its purpose is to improve the living conditions of the most defenceless groups through rural medical care centres, semi-urban clinics and modules staffed by auxiliary personnel supervised by medical staff. At the moment the IMSS-COPLAMAR clinics serve 13 million people.E/1986/3/Add,13 page 54 290. The Programmes for the Extension of the Potable Water Supply and Sewerage System are of exceptional importance because of their direct influence on the conditions of hygiene and health of the population. 291. Present concerns are centred on the consolidation of the National 
**Analysis**
The text primarily focuses on the efforts of the Mexican government to improve the health and living conditions of its citizens, particularly in the areas of nutrition, vaccination, and access to medical care. It also mentions programs aimed at providing potable water and sewerage systems. These initiatives suggest a strong emphasis on public health and social welfare, which leads me to hypothesize that the category that best fits this text is Health.

**Category**
Health