WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
REGIONAL OFFICE FOP.
THE WESTERN
PACIFIC
BUREAU R~GIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMMITTEE Thirty-seventh session Manila 15-J 9 September 1986 Provisional agenda item 9.1
WPR/RC37/4 Rev.1 9 September 1986 ORIGINAL: ENGLISH
REVIEW OF BUDGET PERFORMANCE IN 1984-1985
This document contains a report on the financial implementation of the regular budget and the supplementary funding provided from other sources for the biennium 1984-1985. It also includes the financial implementation of the Regional Director's Development Programme.
WPR/RC37 /4 Rev.l page 2
In order to provide adequate information to the Regional Committee on the implementation of programmes for the financial period 1984-1985, and in compliance with resolution WPR/RC30.R3, 1 the following reports have been prepared: (a) (b) Financial implementation, by major programme, programme and source of funds for 1984-J 985 (Annex J). Remarks on the regular budget financial implementation, programme and programme for 1984-1985 (Annex 2). Financial implementation of the Programme for J 984-1985 (Annex 3). Regional Director's by major
(c)
Development
In Annex 1, the financial implementation of the regular budget for 1984-1985 is compared, by major programme and programme, with the ~rogramme budget 1984-1985 estimates presented to the Regional Committee in 1982. Implementation details by project for 1984-1985 are available on request. Remarks have been included in Annex 2 to provide a general explanation for the differences between the budget, after currency exchange adjustments, and actual i mplementation. The overall implementation figure . for · the regular budget of US$43 940 596, compared with the 1984-1 985 adjusted regular budget provision of US$43 940 900, represents 100 per cent (rounded up from 99.99 per cent) implementation in monetary terms. This adjusted budget of US$43 940 900 consists of the original budget of US$46 125 000 presented to the Regional Committee in 1982, subsequently reduced by US$2 1 84 1 00, which is composed of: (a) (b) currency exchange adjustments of US$2 J65 300, and other adjustments made by Headquarters of US$1 8 800.
Funds utiHzed from sources other than the regular budget, including the United Nations Development Programme and the United Nations Fund for Population Activities, are also shown in Annex 1, by major programme and programme. Included in the USM 3 940 596 implementation figure mentioned above are activities totalling US$921 976, which were originally allocated to the Regional Director's Development Programme, but subsequently reallocated to the programme under which each activity took place (see Annex 3).
1Handbook of Resolutions and Decisions of the WHO Regional Committee for the Western Pacific, Vol.II, 5th ed., 1986, page 138.
2see document WPR/RC 33(3, Regional Committee for the Western Pacific, thirty-third session, 1982.
FINANCIAL IMPLEMENTATION
BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR 1984-1985 (In US dollars)
(1)
Major programme/programme*
Regular programme budget estimates (WPR/RC33/3)
(2) Currency exchange and other adjustments
(3)
(4) Regular budget implementation**
Regular budget working allocation (1 - 2)
(5) Other sources implementation***
%
(4 -:- 3)
(6) Total i mplementat ion all funds (4 + 5)
l.
GOVERNING BODIES 1.3 Regional Committee Sub-total RCO 346 000 346 000 346 000 346 000 443 181 443 181 128.0 125 068 12 5 068 568 249 568 249
2.
\.1!0 Is GENERAL PROGRA.'!ME DEVELOPMENT AND MANAGE}lliNT 2.1 Executive management 2.2 Regional Director's development programme 2.3 General programme development 2.4 External coordination f or health and social development Sub-total EXM 420 000 30 800 389 200 370 075 95.0 "70 075
DGP GPD
922 500 2 235 600 291 90.0
922 500 1 943 700
1 44 1 816
74 .1
1 441 816
COR
341 800 3 919 900
36 900 359 600
304 900 3 560 300
242 239 2 054 130
79 . 4
242 239 2 054 130
li1
z z
)>
*Classification bas ed on the Seventh General Programme of Work (1984-1989) . **The implementation figures were extracted from the financ i al r eport on audit ed financia l s tatements for t he f inancia l period 1 J anuary' 1984 - 31 December 1985 (doc ument A39/20, pages 42-45). ***Th e implementation f i gures were ex tracted f rom the de tails of in t e rnational health pro g •an,~e cos ts for 1984- 1985 ( documen t ACT/86. 1 , pages 5 1-60) .
><
(1)
Major programme/programme
Regular programme budget estimates (WPR/RC33/3)
(2) Currency exchange and other adjustments
(3)
(4) Regular budget implemen tation (4
(5)
Regular budget working allocation (1 - 2)
% ~
Other s ources im plemen t ation 3)
(6) Total implementation all funds (4 + 5)
3.
HEALTH SYSTEM DEVELOPMENT 3.1 Health situation and trend assessment HST 746 800 14 300 73 2 500 1 219 516 166.4 22 5 42 3 1 444 939
3.2 Managerial process for national health MPN development 3.3 Health systems research 3.4 Health legislation
4 046 200 376 100 26 000 5 195 100 14 300
4 046 200 376 100 26 000 5 180 800
4 257 614 16 7 023 25 190 5 669 343
105.2 44 .4 96 .8
47 3 70 7 165 462
4 731 321 332 485 25 190
HSR HLE
Sub-total 4. ORGANIZATION OF HEALTH SYSTE.'1S BASED ON PRIMARY HEALTH CARE Sub-tota 1 5. HEALTH MANPOWER Sub-tota 1 6. PUBLIC INFORMATION AND EDUCATION FOR HEALTH Sub-total 7. A~;o
864 592
6 53 3 935
PHC
5 455 100 5 455 100
45 200 45 200 81 200 81 200 30 000 30 000 16 100 16 100
5 409 900 5 409 900 8 758 900 8 758 900
5 512 353 5 512 353 6 80 5 705 6 805 705 1 145 419 1 145 41 9 804 085 804 085
101.8
1 707 94 5 1 70 7 94 5
7 220 298 7 220 298 8 900 759
HMD
8 840 100 8 840 100
77.7
2 095 054 2 095 054
8 900 759 1 150 916
IEH
997 400 997 400
96 7 400 96 7 400 1 022 800 1 02 2 800
118. 4
5 49 7 5 49 7
1 150 916 1 000 279
RE SEARCH PROMOTION DEVE LOPME N T Sub-to ta 1
RPD
1 038 900 1 038 900
78.6
196 194 196 194
1 000 279
(1)
(2)
(3)
(4)
(5)
Major programme/programme
Regular programme budget estimates (WPR/RCJJ/3)
Currency exchange and other adjustments
Regular budget working allocation (1 - 2)
Regular budget implementation (4
7
%
Other sources implementation 3)
(6) Total implementation all funds (4 + 5)
8.
GENERAL HEALTH PROTECTION AND PROMOTION 8.1 Nutrition 8.2 Oral health
NUT ORH
529 600 805 500 116 000 1 451 100
15 000
514 600 805 500 116 000
435 014 765 236 74 000 1 274 250
84.5 95.0 63.7 10 645 10 645
435 014 77 5 881 74 000 1 284 895
8.3 Accident prevention Sub-total 9.
APR
15 000
1 436 100
PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC POPULATION GROUPS 9.1 Maternal and child health, including family planning 9.3 Workers' health 9.4 Health of the elderly
MCH OCH HEE
422 600 142 500 151 500 716 600
15 000
407 600 142 500 151 500
515 224 117 681 103 671 736 576
126.4 82 . 5 68.4
9 41 5 834 194 498 45 734 9 656 066
9 931 058 312 179 149 405 10 392 642
Sub-total 10. PROTECTION AND PROMOTION OF MENTAL HEALTH 10.1 Psychosocial factor s in the promotion of health and human development 10.2 Prevention and control of alcohol and drug abuse
15 000
701 600
PSF
213 100
OQ
"'0 )>~ Cll ;:, 'tJ t1)
15 000
198 100
225 398
113.7
18 7 32
244 130
l..n
11)-
..... () \.U
::l;:o ><;:o '-J
ADA
35 500
35 500
29 68 8
83. 6
151 889
181 577
. ~
;:o
t1)
<
(1)
Major programme/programme
Regular programme budget estimates (WPR/RC33/3)
(2) Currency exchange and other adjustments
(3)
(4) Regular budget implementation
(5)
Regular budget working allocation (1 - 2)
%
Other sources implementation
(4-;- 3)
(6) Total implementation all funds (4 + 5)
10.3 Prevention and treatment of mental and neurological disorders Sub-total ll. PROMOTION OF E~~IRONMENTAL
MND
174 400 423 000 15 000
174 400 408 000
224 252 479 338
128.5
28 738 199 359
252 990 678 697
HEALTH
11.1 Community water supply and sanitation 11.2 Environmental health in rural and urban development and housing 11.3 Control of environmental health hazards 11.4 Food safety Sub-total
cws
1 554 500
105 400
1 449 100
2 901 575
200.2
1 037 752
3 939 327
RUD
1 460 300
1 460 300
1 491 949
102.1
80 542
1 572 491
CEH <OS
418 400 203 100 3 636 300 105 400
418 400 203 100 3 530 900
486 337 225 365 5 lOS 226
116.2 110.9
336 233 12 559 1 467 086
822 570 237 924 6 5 72 312
12. DIAGNOSTIC, THERAPEUTIC AN D REHABILITATIVE TECHNOLOGY 12.1 Clinical, laboratory and radiological technology for health systems based on primary health care CLR 12.2 Essential drugs and vaccines EDV
1 050 500 678 200
(31 400)
1 081 900 678 200
1 302 959 682 720
120.4 100.6
247 685 507 326
1 550 644 1 190 046
( 1)
Major programme/programme
Regular programme budget estimates (WPR/RC33/3)
(2) Currency exchange and other adjustments
(3) Regular budget working allocation (1 - 2)
(4) Regular budget implementation
(5) Other sources implementation
(6)
% (4 -7- 3)
Total implementation all funds (4 + 5)
12.3 Drug and vaccine quality, safety and efficacy 12.4 Traditional medicine 12.5 Rehabilitation Sub-tota 1 13. DISEASE PREVENTION AND CONTROL 13.1 Immunization 13.2 Disease vector control 13.3 Malaria 13.4 Parasitic diseases 13.5 Tropical disease research 13.6 Diarrhoeal diseases 13.7 Acute respiratory infections 13.8 Tuberculosis 13.9 Leprosy
DSE
332 300 194 000 67 000
332 300 194 000 67 000 (31 400) 2 353 400
442 568 585 016 128 162 3 141 425
133.1 301.5 191.2
235 460 151 799 103 542 1 245 812
678 028 736 815 23 1 704 4 387 237
TRM RHB
-
2 322 000
EPI VBC HAL PDP TOR CDD
661 600 466 200 1 781 600 317 500 15 GOO
661 600 466 200 1 766 600 317 500
475 778 560 64 5 2 320 454 283 177
71.9 120.2 131.4 89.1
610 73 5 52 641 447 934 156 476 166 502
1 086 513 613 286 . 2 768 388 439 653 166 502 910 711 394 248 720 119 1 513 074
415 200 363 500 736 800 112 100
415 200 363 500 736 800 112 100
412 699 344 443 347 326
99.4 94.7 4 7 .1 70.1
498 012 49 805
ARI TUB LEP
r.,
I~
793
78 672
l 434 402
(l)
Major programme/programme
Regular programme budget estimates (WPR/RC33/3)
(2) Currency exchange and other adjustments
(3) Regular budget working allocation (1 - 2)
(4) Regular budget implementation
(5) Other sources implementation
%
(4 -:- 3)
( 6) Total implementation all funds (4 + 5)
13.10 Zoonoses 13.11 Sexually transmi tted diseases 13.13 Other communicable disease prevention and cont~ol activities 13.14 Blindness 13.15 Cancer 13.16 Cardiovascular diseases 1;3.17 Other nonconununicable disease prevention and control activities Sub-total 14. HEALTH INFORMATION SUPPORT
VPH VDT
68 000 17 500
68 000 17 500
82 362 12 9 72
121.1 74. 1
8 880 1 740
91 242 14 712
CDS PBL
822 600 213 000 386 000 471 900
45 000
777 600 213 000 386 000 471 900
1 101 628 35 184 309 612 416 396
141.7 16.5 80.2 88.2
510 463 274 172 6 853 128 290
1 612 091 309 356 316 465 544 686
CAN
CVD
NCO
96 500 6 930 000 60 000
96 500 6 870 000
86 090 6 867 438
89.2
5 781 4 725 479
91 871 11 592 917
HBI Sub-total
762 900 762 900
96 100 96 100
666 800 666 800
550 697 550 697
82.5
424 4 75 424 475
975 172 975 172
( 1)
i
Major programme/programme
Regular programme budget estimates (WPR/RC33/3}
(2) Currency exchange and other adjustments
(3)
(4)
Regular budget working allocation (1 - 2)
(5)
Regular budget implementation (4
+ 3)
%
Other sources implementation
(6) Total implementation all
funds (4 + 5)
15. SUPPORT SERVICES
15.1 Personnel 15.2 General administration and services 15.3 Budget and finance I
PER
373 BOO
70 900
302 900
294 557
97.2
14 463
309 020
PGS BFI
2 895 900 618 900
1 031 500 214 000
1 864 400 404 900
2 387 984 480 726
128.0 118.7
538 992 35 811
2 926 976 516 537
:
15.4 Equipment and supplies for Member States
SUP
202 000 4 090 600
46 200 1 362 600
155 BOO 2 728 000
188 163 3 351 430 43 940 596
120.7
16 946 606 212
205 109 3 957 642
SUB-TOTAL TOTAL
==========
46 125 000
=========
2 184 100
==========
43 940 900
==========
=====
100.0
=========::z
23 329 484
==========
67 270 080
REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1984-1985
Major programme/programme 1
Implementation rate (per cent)
Remarks
1.
GOVERNING BODIES 1.3
Regional Committee
RCO
128.0
New activity added: Ad hoc Sub-Committee of the Regional Committee on Action Programme on Essential Drugs and Vaccines, as requested by resolution WPR/RC35.Rll, dated September 1984.
2.
WHO'S GENERAL PROGRAMME DEVELOPMENT AND MANAGEMENT
2.1 2.2
Executive management Regional Director's development programme
EXM DGP
95.0
Delivered - difference due to cost variance. Programme delivered. The activities implemented have been reflected in the programmes under which the activities took .place. Programme not fully implemented. Difference due to post vacancies, cost variance on professional and general service salaries, and some unutilized duty travel provisions. )>
0.0
2.3
General programme development
GPO
74.1
z z N
-g O'Q (1)
~
:::0
'"0
rn
1Classification based on the Seventh General Programme of Work ( 1984-1989).
><
--
-~
Vol
'-1
.c
. -
:::0 (1) <
Major programme/programme
Implementation Rate (per cent) COR 79.4
Remarks
2.4 External coordination for health and social development 3. HEALTH SYSTEM DEVELOPMENT 3.1
Programme delivered - difference mainly due to cost variance on professional and general service salaries.
Health situation and trend assessment
HST
166.4
Programme delivered. In addition, seven new country projects were added, as well as increases resulting from shifts in priorities of several countries. Delivered - difference due to cost variance and minor increases in WHO Representatives' office requirements. Programme not fully delivered owing to shift of priorities in two countries.
3.2 Managerial process for national health development
MPN
105.2
3.3 Health systems research
HSR
44.4
3.4 Health legislation 4. ORGANIZATION OF HEALTH SYSTEMS BASED ON PRII\ilAR Y HEALTH CARE
HLE PHC
96.8 101.8
Programme delivered - difference due to cost variance. Delivered.
Major programme/programme
Implementation Rate (per cent) HMD 77.7
Remarks
5.
HEALTH MANPOWER
Programme substantially delivered. However, some 1984-1985 fellowships ($500 000) in process of placement could not be obligated in time and were consequently obligated against 1986-1987 funds. Some other activities were implemented utilizing extrabudgetary funds. A number of fellowships were not implemented for various reasons, such as the non-availability of suitable programmes, last minute unavailability of candidates, etc. Programme delivered, including three new country projects. Programme only partially delivered owing to shift of priorities of one country while some activities were implemented utilizing extrabudgetary funds.
6.
PUBLIC INFORMATION AND EDUCATION FOR HEALTH RESEARCH PROMOTION AND DEVELO.PMENT
IEH
118.4
7.
RPD
78.6
8.
GENERAL HEALTH PROTECTION AND PROMOTION 8.1 Nutrition NUT 84.5 Programme substantially delivered.Difference due to cost variance and two fellowships implemented in 1986. Delivered - difference mainly due to cost variance. Programme only partially delivered because one country shifted priori ties.
8.2 8.3
Oral health Accident prevention
ORH APR
95.0 63.7
Major programme/programme
Implementation Rate (per cent)
Remarks
9.
PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC POPULATION GROUPS
9.1
Maternal and child health, including family planning Workers' health
MCH
J 26.4
Programme delivered, including 'three new country projects. Programme also heavily supplemented from extrabudgetary funds (UNFPA).
9.3
OCH
&2.5
Programme substantiaJly delivered.Difference mainly due to shift in priorities of one country. Programme substantiaJly delivered.Difference due to purchase of supplies and equipment in 1983 in advance, while some activities were implemented utilizing extrabudgetary funds. In two countries, activities were not fully implemented.
9.4
Health of the elderly
HEE
68.4
10. PROTECTION AND PROMOTION OF MENTAL HEALTH
10.1 Psychosocial factors in the promotion of health and human development I 0.2 Prevention and control of alcohol and drug abuse
PSF
113.7
Programme delivered, country project.
including
one
new
ADA
83.6
Delivered. Difference due to cost variance on consul tantships.
Major programme/programme
Implementation Rate (per cent) MND 128.5
Remarks
10.3 Prevention and treatment of mental and neurological disorders 1. PROMOTION OF ENVIRONMENTAL HEALTH 11.1 Community water supply and sanitation
Programme delivered, country project.
including
one
new
cws
200.2
As a result of the increased priority given to this important programme, there has been a significant increase in programme delivery, mainly due to the re-establishment of one country project and one intercountry project in the South Pacific, and four new projects. Delivered.
11.2 Environmental health in rural and urban development and housing 11.3 Control of environmental health hazards 11.4 Food safety 12. DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE TECHNOLOGY 12.1 Clinical, laboratory and radiological technology for health systems based on primary health care
RUD
102.1
CEH FOS
116.2 110.9
Programme delivered, including three new country projects. Programme delivered, projects. including two new
CLR
120.4
Programme projects.
delivered,
including
six
new
Major erogramme/erogramme
lmtlementation Rate per cent) EDV DSE
Remarks
12.2 Essential drugs and vaccines
100.6
Delivered. Programme delivered. One country received addi tiona! technical cooperation. Significant increase in programme delivery mainly due to a shift in regional priorities in response to country requirements, which resulted in the establishment of four new projects. Programme delivered, including three new projects.
12.3 Drug and vaccine quality, safety and efficacy 12.4 Traditional medicine
133.1
TRM
301.5
12.5 Rehabilitation
RHB
191.2
13. DISEASE PREVENTION AND CONTROL 13.1 Immunization EPI 71.9 Programme substantially delivered. The difference is mainly due to advance implementation in 1983 of certain activities for one country while some activities were implemented utilizing extrabudgetary funds. Programme delivered, including three new projects. Programme delivered, including the extension of an intercountry project and an increase in requirements for two country projects. Programme substantially delivered difference due to cost variance. Delivered.
13.2 Disease vector control 13.3 Malaria
VBC MAL
120.2 131.4
13.4 Parasitic diseases 13.6 Diarrhoeal diseases
PDP CDD
89.1 99.4
Major programme/programme
Implementation Rate {per cent) ARI TUB 94.7 47.1
Remarks
13.7 13.8
Acute respiratory infections Tuberculosis
Programme delivered - difference due to cost variance. Programme substantially delivered, the difference mainly due to the implementation of some activities utilizing extrabudgetary funds. However, one intercountry post vacancy also contributed to the difference. Programme substantially delivered. The difference mainly due to the implementation of some activities utilizing extrabudgetary funds. Programme delivered. Difference due to a significant cost increase for fe llowships. Programme not fully delivered owing to shift in priori ties of one country. . Programme delivered, including three new projects. Shortfall in programme delivery mainly due to shift of priorities, advance implementation of certain activities in 1983 and implementation of some activities utilizing extrabudgetary funds. Programme subst antially delivered. However, some supplies and equipment were implemented in !983, while activities in two projects were not fully delivered.
13.9
Leprosy
LEP
70.1
13.10 Zoonoses 13.11 Sexually transmitted diseases 13.13 Other communicable disease prevention and control activities 13.14 Blindness
VPH VDT CDS
121.1 74.1 141.7
PBL
16.5
13.15 Cancer
CAN
80.2
Major programme/programme
Implementation Rate (per cent) CVD 88.2
Remarks
13.16 Cardiovascular diseases
Programme substantially delivered. However, some consultantships for two projects were not implemented. Programme substantially delivered.Difference mainly due to the non-implementation of one country project. Programme substantially delivered.Difference mainly due to post vacancies.
13.17 Other noncommunicable disease prevention and control activities 14. HEALTH INFORMATION SUPPORT 15. SUPPORT SERVICES
NCO
89.2
HBI
82.5
15.1 15.2
Personnel General administration and services Budget and finance
PER PGS
97.2 128.0
Delivered. Delivered - difference due to cost variance and effects of very high inflation at the site of the Regional Office. Delivered - difference mainly due to increase in temporary assistance, overtime and duty travel. Programme delivered - difference mainly due to increase in temporary assistance, overtime and duty travel.
15.3
BFI
118.7
15.4
Equipment and supplies for Member States
SUP
120.7
WPR/RC37 /4 Rev.J page 19 ANNEX 3
FINANCIAL IMPLEMENTATION OF THE REGIONAL DIRECTOR'S DEVELOPMENT PROGRAMrvlE FOR 1984-1985 Major programme/programme US do!lars 215 288 147012 47 778 J7 402 73 028 49 880
2.3 4.
General programme development Organization of health systems based on primary health care Health manpower Public information and education for health Research promotion and development Maternal and child health, includingfamily planning Traditional medicine Rehabilitation Disease vector control Acute respiratory infections
5. 6. 7. 9.1 12.4 12.5
l J 8 102 35 000
13.2 13.7
14 845 50 000 153 64 J 92 J 976 ·----------- -
13.13 Other communicable disease prevention and control activities Total Regional Director's Development Programme