Doctorate, University Pernambuco, Recife, Brazil, 1961. Master in Public Health, University Chile, Santiago, 1968. Degree (honorary), National School Public Health, Rio de Janeiro, 1984.
Degree (honorary), Autonomous University Santo Domingo, Dominican Republic, 1984. Degree (honorary), Cayetano Heredia University, Lima, Peru, 1985.
Health sector chief Brazilian Development Agency, 1962-1963, head of health division, 1964-1965. Secretary of health State of Piaui Department Health, 1965-1970. Member development council State of Piaui, 1966-1969.
Training official, head training division Pan American Health Planning Center, Santiago, Chile, 1970-1975. Coordinator strategic training of health personnel Pan. American Health Organization, Brasilia, Brazil, 1976-1983, director Washington, since 1983.
Visiting professor school public health University Argentina, University Chile, University Colombia, University Peru, University Brazil, University Mexico, 1963-1982. Consultant, instructor ILPES/PAHO, Santiago, 1969. Consultant state health departments, universities, and ministries, Brazil, 1976-1980.
Member national program for food and nutrition National Institute Food and Nutrition/World Bank, Brazil, 1978-1982.