2. GENERAL OBJECTIVES
- At the end of the class, student will develop adequate
knowledge regarding Health Agencies.
3. SPECIFIC OBJECTIVES
- At the end of the class student will able to,
- Define Health agencies
- Discuss purposes of health agencies
- Enumerate categories of health agencies
- Discuss national health agencies
- Explain international health agencies
- Discuss role of nurse in health care services
4. INTRODUCTION
• National Health Agencies are organization has its own
administrative body or committee that raises funds through
its members or from private sources. It has paid or
voluntary staff. Works for health promotion, health
education and health legislation, etc.
5. DEFINITION
• Health agency may be defined as an organization that is
administered by an autonomous board which holds
meetings, collects funds & expend money for providing
care, health education, & research works.
6. PURPOSES OF HEALTH CARE AGENCIES
Provision for promotive and preventive care
Rendering curative services
Reduction in population growth rate
Improvement in nutritional status
Improvement in sanitation facilities
7. CONT…
Development of manpower resources
Provision for safe water and food supply
Increasing the literacy rate
Reducing the levels of poverty
8. CATEGORIES OF HEALTH CARE AGENCIES
HEALTH CARE
AGENCIES
National health care
agencies
International health
care agencies
10. 1) INDIAN RED CROSS SOCIETY (IRCS)
• It was established in 1920 under the
Indian Red Cross Society Act and
incorporated under Parliament Act XV
of 1920.
• The National headquarters of Indian Red
Cross Society (IRCS) is at Delhi.
11. • It is a national organization with more than 655 branches,
which are spread throughout the state, district and sub-
division of the country.
• The main objective of this society is to promotion of
health, prevention of disease and mitigation of suffering
among the people.
12. Activities of Indian red cross society
Social and relief work at time of disasters like floods, earthquakes,
epidemics.
Supplies of essential items like drugs, milk, milk powder, vitamins,
nutritional supplements to hospitals, maternity health centres, child care
centres, schools and orphanages.
Maintenance of blood banks.
Services for maternal and child welfare.
Medical care for defence forces.
13. 2) INDIAN COUNCIL FOR CHILD WELFARE
• Indian council for child welfare was established in 1952.
• Head Office- New Delhi
• President- Smt. Rita Singh from 2019
14. Objectives of the Project
• To provide care for normal but destitute children. To
integrate normal and handicapped children and instil in
them values of caring & sharing.
• To provide opportunities for the overall development
and building of self-confidence in both groups of
children.
15. Activities under ICFCW
National Integration Camps/ Adventure Camps
Advocating Children's Rights
Rehabilitation of Abandoned Children
Programmes with special focus on the girl child
Training programmes for child care workers
Institutional and day care services for differently abled
children
16. 3) FAMILY PLANNING ASSOCIATION OF INDIA
• It was formed in 1949
• Head quarter is in Mumbai
• The founder of FPA India is Avabai Wadia
• It has trained several hundred doctors, health
visitors and social workers.
• The current national president is Dr.
Rathnamala M. Desai
17. Cont…
• FPA India is a social impact organisation delivering
essential health services focusing on sexual and
reproductive health in 18 states of India.
• The organisation promotes reproductive choices, legal and
safe abortion, education about Sexually transmitted disease
and sexual and reproductive health.
18. Services under association
Gynaecological services
Gender Based Violence related services
Laboratory services
Contraceptive services
Pregnancy Services
HIV related services - test, counselling, treatment
19. Special Programmes runs under FPAI
Small Family By Choice Project-acceptance of family planning
Youth Education on Sexuality Project and education in SRH
issues
The Girl Child and Prevention of Female Foeticide Project
Disha - Disha Centres/young people/meet, discuss healthy
lifestyles
Movement Youth to Youth-RH education/adolescents Girl
20. 4) TUBERCULOSIS OF INDIA
• Established – February, 1939
• Head Office – New Delhi
• The Tuberculosis Association of India
(TAI) is one of the oldest and largest
voluntary organizations having its
affiliates all over the country.
21. Aims and Objectives
The prevention, control, treatment and relief of
tuberculosis.
The encouragement and assistance in the establishment
throughout India of State Associations having objectives
similar in whole or in part to those of the Association.
The undertaking of the Research and Investigation on
subjects concerning tuberculosis and allied chest diseases.
22. The present major activities of TAI
Providing quality diagnostic and treatment services
through its New Delhi TB Centre.
Seal Campaign every year to raise funds
Training Programs for doctors and health workers in anti-
tuberculosis work
Promotion of health Education
Promotion of Consultations and Conferences
23. 5) HINDU KUSHT NIVARAN SANGH
• Established – 27th January 1925
• Headquarter – Delhi
• 27th January 1925 - name of Indian
Council of British Empire Leprosy
Relief Association (BELRA) Later
changed to HKNS- 1950.
24. Objectives
To carry out research on various aspects of
leprosy
To provide short courses of training, treatment
of leprosy
25. Activities
Health Education
Conducting training courses of nine months duration for physiotherapy
technicians at leprosy training center (Naini, Allahabad, Uttar Pradesh
and Purulia, West Bengal).
Conducts Research and Field Investigations into Leprosy
Production and distribution of leprosy seals to create awareness about
leprosy and help other organizations in raising funds for their work
through the sale of these seals.
26. 6) CENTRAL SOCIAL WELFARE BOARD
• It is an autonomous
organization under the general
administrative control of the
Ministry of Education
Organized by the Government
of India in August , 1953
27. Functions under CSWB
Surveying the needs and requirements of voluntary
welfare organizations in the country.
Promoting and setting up of social welfare organizations
on a voluntary basis Rendering of financial aid to
deserving existing organizations and institutions.
28. Activities runs under CSWB
Provides financial Aid.
Initiated the ‘Family and Child Welfare Services’ in rural
areas for the welfare of women and children. Where social
education, literacy classes, distribution of milk is
promoted, along with organization of crèches and
providing maternal aid ‘Industrial Cooperative’ Scheme-
women of lower middle class in urban areas are employed
and given salary.
29. 7) BLIND ASSOCIATION OF INDIA
• The Blind Association of India
was established in 1946, which
head offices is in Lajpat Nagar,
Delhi
• Founder - Mr. S.M.A. Jinnah
30. Objectives of organization
To promote, foster, encourage, and initiate unity among the Blind
men and women
To educate and support the children of blind persons
To rehabilitate the blind as married and happy person in the Society
To remove the beggar habits from blinds and help them to get
employment
31. Activities
1. Rehabilitation 6. Vocational training
2. Employment 7. Advocacy
3. Client service 8. Free education
4. Conduct of ophthalmic camps
5. It works in coordination with other institutions
and organizations for the blind.
32. Awards achieved by the founder (Mr. S.M.A.
Jinnah)
Millennium Award. All India Confederation for the Blind, New
Delhi.
IBN7 Super Idol Award – 2010, IBN7, Shri Aamir Khan, Actor
National Award for the Best Institution – 2007, Govt of India
Honorable President Prathiba Patil.
Award for Eminence – 2004, Cavinkare and Ability Foundation
National Award for Best Role Model – 2001, Govt of India.
34. 1) WHO - WORLD HEALTH ORGANIZATION
• The WHO was established on 7th April
1948.
• Head quarters at Geneva
Objective of WHO
• Main Objective: “The attainment by all
peoples of the highest level of health” which
is set out in the preamble of the constitution.
35. Objectives In The Preamble Of WHO
Complete state of physical, mental and social well being
No discrimination in path of attainment of highest standard of
health.
Good Health is for attainment of peace and security.
Equal development in promotion and control of disease in all the
countries
Extension to all people of the benefits of medical, psychological
and related knowledge. Informed opinion and active co-operation.
36. Work Of Who
Prevention and control of specific diseases
Development of Comprehensive services
Family health
Bio-Medical Research Health Statistics Environmental
Health, Health literature and information Co-operation with
other organisation
37. Functions of WHO
A- All communicable diseases prevention
and control
B- Bio medical research
C- Cooperation with other organizations
D- Development of comprehensive health
services
38. CONT…
E- Environmental health
F- Family health
G- General information and health literature
H- Health statistics
39. 2) UNFPA - UNITED NATIONS POPULATION FUND
• UNFPA started working in 1969, and head quarter
is in New York
• UNFPA is the lead UN agency for delivering a
world where every pregnancy is wanted, every
birth is safe, and every young person's potential is
fulfilled. UNFPA expands the possibilities for
women and young people to lead healthy and
productive lives.
40. Services provided by UNFPA
1) UNFPA supports healthy families by:
Training health workers to deliver quality family planning services
Supplying contraceptives in emergency situations
Providing counselling and choices to women who want to avoid or
delay pregnancy Educating men on the benefits of birth spacing
41. CONT…
2) UNFPA supports maternal health by:
Training midwives and health workers
Preventing and treating obstetric emergencies
Supplying clean birthing kits
Strengthening emergency obstetric care
Ensuring reliable supplies of essential medicines and equipment
42. CONT…
3) UNFPA advocates for the welfare of young people by:
Promoting the human rights of adolescents
Preventing HIV infection
Supporting age-appropriate comprehensive sexuality education
Creating safe spaces for adolescent girls
Encouraging leadership
43. 3) UNDP - UNITED NATION DEVELOPMENT
PROGRAMME
• UNDP was established in 22 Nov 1965
• Headquarter – New York
• The United Nations Development Programme
is a United Nations agency tasked with helping
countries eliminate poverty and achieve
sustainable economic growth and human
development.
44. Goal UNDP
• Goal is to contribute to sustainable human development.
UNDP has four focus areas in its mandate: poverty
reduction, democratic governance, environment and
energy, and crisis prevention and recovery.
45. UNDP’S Activities
UNDP's network links and coordinates global and national efforts
to reach these Goals. Their focus is helping countries build and
share solutions to the challenges of: Democratic Governance
Poverty Reduction
Crisis Prevention and Recovery
Environment and Energy
46. 4) WORLD BANK
• The World Bank, established in July
1944, is headquartered in
Washington, D.C. The president,
currently David R. Malpass
• The World Bank is a vital source of
financial and technical assistance to
developing countries around the
world.
47. Goals
• The World Bank Group has two ambitious goals: End
extreme poverty within a generation and boost shared
prosperity.
Mission
• The World Bank's mission statement is “to reduce
poverty, and improve living standards by promoting
sustainable growth and investment in people.
48. Functions Of World Bank
Granting reconstruction loans to war devastated countries.
Granting developmental loans to underdeveloped
countries.
Providing loans to governments for agriculture, irrigation,
power, transport, water supply, education, health, etc.
Providing loans to private concerns for specified projects.
49. CONT…
Promoting foreign investment by
guaranteeing loans provided by other
organizations.
Encouraging industrial development of
underdeveloped countries by promoting
economic reforms.
50. 5) FAO - THE FOOD AND AGRICULTURE
ORGANIZATION
• FAO was founded on 16 October
1945, Headquarter is in Rome.
• The Food and Agriculture
Organization of the United Nations is
an international organization that
leads international efforts to defeat
hunger and improve nutrition and
food security.
51. Aims Of FAO
To help nations raise living standards.
To improve the nutritional status of people of all countries.
To increase the efficiency of farming, forestry and
fisheries.
To better the condition of rural people and better the
opportunity of productive work.
52. Activities of FAO
• Putting information within reach and supporting the transition to
sustainable agriculture
• FAO serves as a knowledge network.
• Bolstering public-private collaboration to improve smallholder agriculture
• Bolstering public-private collaboration to improve smallholder agriculture
• In crisis situations, we work side-by-side with the World Food Programme
and other humanitarian agencies to protect rural livelihoods and help
people rebuild their lives
53. 6) UNICEF - UNITED NATIONS
INTERNATIONAL CHILDREN'S EMERGENCY
FUND
• It was established on 11 December
1946, Headquarter is in New York.
UNICEF works in collaboration with
FAO,UNDP,WHO and UNESCO.
• It is an agency of the United Nations
responsible for providing humanitarian
and developmental aid to children
worldwide.
54. Purpose
• UNICEF is committed to ensuring special
protection for the most disadvantaged children -
victims of war, disasters, extreme poverty, all forms
of violence and exploitation and those with
disabilities. UNICEF responds in emergencies to
protect the rights of children.
55. Goals
Child survival and development
Basic education and gender equality
Child protection
Provide long term humanitarian and development assistances to
children & mothers in developing countries
Emphasize developing community level services to promote health
& well being of children.
56. Focus areas under UNICEF
• Child nutrition :-
- Low cost protein rich food
- With FAO, aided Applied Nutrition Programme
- Enriched food in endemic areas of nutritional deficiency.
• Immunization :- Production of vaccines & distribution
57. • Prevent spread of HIV :- Antiretroviral medicines for children &
mothers with HIV
• Water sanitation hygiene :- UNICEF TAP PROJECT in 2007, New York
For clean accessible water
• Basic education & gender equality :- Quality based education for boys
& girls educational supplies
• Child protection
- Violence
- Exploitation
- Abuse
58. 7) EUROPEAN COMMISSION
• The European Commission is the executive
of the European Union. It operates as a
cabinet government, with 27 members of the
Commission headed by a President. It
includes an administrative body of about
32,000 European civil servants.
• Founded :- 16 Jan 1958
59. Goals
• The European Commission's priorities include the
European Green deal, a digital future, an economy that
works for people, promoting and strengthening European
democracy.
60. The Commission's main roles are to:
Set objectives and priorities for action
Manage and implement EU policies and the budget
Enforce European Law (jointly with the Court of Justice)
Represent the EU outside Europe (negotiating trade agreements
between the EU and other countries, etc.).
Regular and emergency meetings
61. Functions of EC
The European Commission confirms and protects the general
interests of European Union.
The Commission manages daily the business of the EU.
The Commission executes the European Union budget.
Once a year, the Commission produces for the EU Parliament a
"General Report on the Activities of the European Union".
62. 8) INTERNATIONAL RED CROSS
• The International Committee of the Red
Cross is a humanitarian organization based
in Geneva, Switzerland.
• Founded :- 17 Feb. 1863
• President :- Peter Maurer
Purpose:
Protecting victims of conflicts and providing
them with assistance
63. Role of Red cross:
It was largely confined to the victims of the war.
Mainly it tries to involve itself into activities like first aid
in case of war like situations, MCH services
Lately it has tried to extend it’s research in Disaster
management and has designed emergency protocols.
64. Programs
• ICRC (International Committee of the Red Cross)
research focuses on issues of local and national
importance including motor vehicle injuries, interpersonal
violence and suicide, opioid overdoses, older adult falls,
and traumatic brain injuries. ICRCs work with states and
communities to ensure research is put into action to
prevent injuries and violence.
65. 9) USAID - UNITED STATES AGENCY FOR
INTERNATIONAL DEVELOPMENT
• This agency primarily responsible for
administering civilian foreign aid and
development assistance.
• Headquarters: Washington, D.C., United
States
• Founder: John F. Kennedy
• Founded: 3 November 1961
66. Mission
• USAID has adopted as its mission statement "to partner to
end extreme poverty and to promote resilient, democratic
societies while advancing the security and prosperity of
the United States.“ USAID operates in Africa, Asia, Latin
America and Europe.
67. Activities Of USAID
1) Malaria eradication 5) Water supply and sanitation
2) Medical education 6) Control of communicable diseases
3) Nursing education 7) Nutrition
4) Health education 8) Family planning
68. 10) UNESCO - THE UNITED NATIONS
EDUCATIONAL, SCIENTIFIC AND CULTURAL
ORGANIZATION
• The United Nations Educational, Scientific
and Cultural Organization is a specialised
agency of the United Nations aimed at
promoting world peace and security
through international cooperation in
education, arts, sciences and culture.
• Headquarter :- Paris
• Founded: 16 November 1945
69. Objective of UNESCO
• To contribute to peace and security in the world by
promotion collaboration among nations through
education, science, culture and communication in order to
further universal respect for justice and the rule of law
and for the human rights and fundamental freedoms
which are affirmed for the peoples of the world, without
distinction of race, sex, language or religion.
70. UNESCO’s Activities
Education: UNESCO supports research in Comparative education;
and provides expertise and fosters partnerships to strengthen
national educational leadership and the capacity of countries to
offer quality education for all.
UNESCO also issues public 'statements' to educate the public.
Designating projects and places of cultural and scientific
significance.
Founding and funding projects.
71. 11) THE COLOMBO PLAN
• The Colombo Plan is a regional organization that
embodies the concept of collective inter-
governmental effort to strengthen economic and
social development of member countries in the
Asia-Pacific region. The primary focus of all
Colombo Plan activities is on human resources
development.
• Founded :- 1 July 1951
• Headquarter :- Colombo, Sri Lanka
72. Objectives
To promote technical cooperation and assist in the sharing and
transfer of technology among member countries.
To keep under review relevant information on technical
cooperation between the member governments, multilateral and
other agencies.
To facilitate the transfer and sharing of the developmental
experiences among member countries
73. Purpose
• The Colombo Plan is not intended as an integrated master
plan to which national plans were expected to conform. It
is, instead, a framework for bi-lateral arrangements
involving foreign aid and technical assistance for the
economic and social development of the region.
74. Programmes
The Colombo Plan has four permanent programmes:
1.Long-Term Scholarships Programme
2.Drug Advisory Programme
3.Programme for Private Sector Development
4.Programme for Public Administration & Environment
75. 12) ILO - THE INTERNATIONAL LABOUR
ORGANIZATION
• The International Labour Organization is a
United Nations agency whose mandate is
to advance social and economic justice
through setting international labour
standards. Founded in October 1919 under
the League of Nations, it is the first and
oldest specialised agency of the UN.
• Headquarter :- Geneva
76. Objectives of ILO
Full employment and raising of living.
Protection for the life and health of workers in all
occupation.
Provision for child welfare and maternity protection.
Assurance of quality education
77. Major activities of ILO
Creation of international standards of labour
Employment promotion
Collection & distribution of information and publication
Research and studies
Improvement of working conditions and working
environment
Development of social institutions
78. This organisation contains 4 fundamental policies:
1.The right of workers to associate freely and bargain
collectively.
2.The end of forced and compulsory labour.
3.The end of child labour.
4.The end of unfair discrimination among workers.
79. 13) CARE - CO-OPERATIVE FOR ASSISTANCE
AND RELIEF EVERYWHERE
• CARE is a leading relief and development of
non governmental organization fighting global
poverty.
• Worked in 84 countries and supported 1051
poverty fighting projects.
• CARE helps tackle underlying causes of
poverty so that people can become self
sufficient.
• It was established in 1945
80. Vision
• All of CARE international’s member organizations share a
common vision to fight against worldwide poverty and to protect
and enhance human dignity.
MISSION
• CARE’S mission is to serve individuals and families in the poorest
communities in the world. CARE promotes innovative solutions and
are advocates for global responsibility.
81. Care Activities Include
1)Agriculture and natural resources
• CARE helps families to produce more food and increase their
income while managing their natural resources and preserving the
environment for future generations.
• CARE works with farmers to increase their crop through activities
such as planting new seed varieties, animal husbandry, home
gardening and irrigation.
82. 2) Climate Change
CARE’S response to climate change is rapidly growing to
reflect the scope and severity of the challenge.
Objectives are to empower poor and marginalised people
to take action on climate change at all levels and to build
knowledge for global change.
83. 3) Education
CARE is dedicated to promote basic education for all.
Experience shows that educated people have healthier families and
greater earning potential.
Promotes and facilitate discussion between parents, teachers and
other members of the community to overcome barriers to education.
CARE also provides economic incentives to help parents to cover the
cost of keeping their children in school.
84. 4) Health
CARE’S health projects focus on mothers and children, who often
are the most vulnerable to disease and malnutrition.
Focus has given on to deliver quality health services by providing
training on local health volunteers as counsellors, mentors and
monitoring of community health. CARE is focused on
interventions ranging from nutrition and education to birth spacing
and clinical services.
Reproductive health projects encompass family planning, prenatal
care, labour and delivery services and the prevention, detection and
treatment of STD including HIV/AIDS.
85. 5) Nutrition
Provided proper nutrition which is vital to a child’s healthy
development and an adult’s ability to work and care for his or her
family.
Projects focus on teaching techniques and practices that help
prevent malnutrition.
Demonstration of proper breast feeding, educating families, and
communities about how to cultivate and prepare nutritious food,
providing food as part of emergency relief efforts and managing
food for work projects to help communities improve infrastructure.
86. 6) Economic Development
CARE’s economic development programmes assist
families by supporting moneymaking activities, especially
those operated by women.
CARE initiates community savings and loan programmes
and provides technical training to help people begin or
expand small businesses that will increase family income.
87. 7) Water, Sanitation And Environmental Health
CARE health subsidizes construction but communities make
significant contributions both in case and labour, and pay the cost
of operation and maintenance.
The goal of these projects is to reduce the health risks of water
related diseases and to increase the earning potential of households
by saving time otherwise spent fetching water.
Projects also include educating people about good hygiene practice,
which reduces the risk of illnesses.
88. ROLE OF NURSE IN HEALTH CARE
SERVICES
1) CARE GIVER
As a care giver, the nurse helps client to regain health through
healing process.
Nurse addresses the holistic health care needs of the client.
She helps the client & families to set goals & meets those goals.
She preserves the dignity of the client.
She accepts a client as a person , not merely as mechanical beings.
89. 2) ETHICAL DECISION MAKER
The nurse uses critical thinking skills throughout the
nursing process to provide effective care.
Nurse makes decision in collaboration with the client &
the family.
She also collaborates & consults with other health
professionals.
90. 3) CLINICAL ADVOCATE PROTECTOR
A nurse provides a safe conducive environment to the client.
She takes steps to prevent injury to the clients.
4) MANAGER
As a manager, nurse coordinates the activities of other health team
members.
She manages the nursing care of not only one client but also of
families & in communities.
She delegates the nursing activities to auxiliary workers & other
nurses.
91. 5) CASE MANAGER
She protects the client from every possible adverse effects of
treatment.
She asks about any allergy to medicine or food.
She provides immunization against disease.
She protects client’s human & legal rights & provides assistance in
asserting those rights if the need arises.
She advocated the client by keeping in mind the client’s religion &
culture.
Nurse defends the clients right in general way by speaking out
against policies that might endanger their well being.
92. 6) REHABILITATOR
Rehabilitation is a process by which individuals return to maximal
levels of functioning after illness, accidents or other health events.
Nurse helps the clients to adapt as fully possible who experiences
physical or emotional impairment that change their lives.
93. 7) COMMUNICATOR
Nursing involves communication with clients & families, other
nurses, health care team members, resource persons & the
community
As a communicator, nurse provides information to other team
members about the palled & unplanned nursing care.
She conveys information verbally at change of shift.
She reports while shifting the client from one unit to the other.
94. 8) TEACHER
Teaching refers to the activities by which the teacher helps the
learner to learn a teacher. She determines that the client has fully
understood.
She also evaluates client’s progress in learning.
She incorporates other resources such as family ,in teaching plans.
Nurse gives health education on diet, about preventive measures of
disease.
95. 9) LEADER
As a leader, she influences the client to make decisions
regarding health.
Nursing leadership is defined as a mutual process of
interpersonal influence through which nurse helps client in
making decisions for establishing & achieving the goals to
improve the clients well being.
96. 10) COUNSELLOR
Nurse helps the client to recognize & cope with stressful,
psychological or social problems.
She assists the clients for developing good inter personal
relationship.
Nurse counsels primary healthy individuals with normal
adjustment difficulties.
Nurse helps the person to develop new attitudes, feeling &
behavoirs.
97. 11) RESEARCHER
Nurse investigates problems in order to improve nursing care &
expand the scope of nursing practice.
She does many qualitative & quantitative researches.
Based upon these findings, they practice nursing care in hospital as
well as in the community setting.
98. CONCLUSION
• Health agencies are usually responsible for public health,
including preventive medicine, epidemiology, vaccinations,
environmental health, developmental disabilities, mental
health, occupational safety and health, receiving and
recording reports of diseases. Now we had learned how
some of these National Health Organisation and
International Health Organisations are work at particular
level.
99. BIBLIOGRAPHY
1) BT Basvanthappa textbook of, “Community Health Nursing”, 3rd Edition, Jaypee Brothers Medical
Publisher.
2) Deepak. K, Sarath Chandran. C, Mithun Kumar. B.P, A Comprehensive Text book of, “Nursing
Management”, EMMESS Publication
3) Shebeer. P. Basheer, S. Yaseen Khan, Text book of “Advance nursing practice”, EMMESS Medical
Publishers.
4) Nagamani Manjunath Follow Principal. (n.d.). Health Agencies. Share and Discover Knowledge on
SlideShare. Retrieved September 28, 2022, from https://www.slideshare.net/NagamaniManjunath/health-
agencies-249540650
5) Astha Patel Follow Working. (n.d.). National Health Agencies. Share and Discover Knowledge on
SlideShare. Retrieved September 28, 2022, from https://www.slideshare.net/AsthaPatel30/national-
health-agencies