WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL
•
ORGANISATION MONDIALE DE LA SANTi
,<==
REG IONAL 'COMMITTEE
Ninth Session M3.nila. 26 September - 2 October 1958 Agenda Item 10
wp/RC9/3 Add.l 12 September 1958 ORIGINAL: ENGLISH
REVIE,W OF THE PROPOSED PROGRAMME AND BUInET FOR 1959 IN THE LIGHT OF PRESENT BUIGETARY AD.nJSTMENTS AND CONSIDERATION OF AMENDMENTS PROPOSED BY MEMBER COUNTRmS
The majority of changes affecting the Technical Assistance programme have been brought about by governments when submitting their requests to the Technical Assistance Board. Due to various factors, beyond the control of
the World Health Organization, it is possible that further revisions will be effected during the Technical Assistance Board meeting to be held later this year.
WP/RC9/3 Add.l page 1 PART II. MODIFICATIONS MADE IN THE TECHNICAL ASSISTANCE PROGRAMME FOR 1959
1.
COUNTRY SCHEDUIES Deficiency
1.1 Cambodia 1.1.1 Malaria Control. Increase of $6168 is due to recosting of salaries and allowances of experts. ------------------------------------Public-Health Administration - Rural health training centre. Increase of $1969 is due to recosting of salaries and allowances of experts. ------------------------------------Other Projects - Royal School of Medicine. The six experts originally requested under Category I have been changed to four short-term consultants under Category I with a reduction in costs of $24 944 and one short-term consultant under Category II. ---------------------------------
US$
6 168
1.1.2
1969
1.1.3
f
r
24 944
~
1.2 China 1.2.1 1.2.2 Malaria Control. One expert and one fellowship at a total estimated cost of $14 684 withdrawn. Endemo-epidemic Diseases - Trachoma control. The previous request included a short-term consultant and a fellowship at estimated costs of $1850 and $3500 respectively. The shortterm consultant is retained at a revised cost of $2375 under category I whilst the fellowship has been relegated to Category II. ----------Endemo-epidemic Diseases - Arthropod-borne diseases. New request for two short-term fellowships, one under Category I and another ~nder Category II, each provided at an estimated cost of $1500. -----------------------------------Nursing Education. The five experts originally requested are now reduced to four at an estimated saving of $1857. The four twelve-month fellowships previously requested under Category I at a cost of $22 000 is now modified to one eighteen-month under Category I,estimated at a cost of $9000 giving a savings of $13 OOO,and two of two years each under Category II. 14 684
2 975
1.2.3
1500
1.2.4
14 857 r.tlt rnal and
...
WP/RC9/3 Add.l pa.g 2 Deficiency 1.2.5 M:t.ternal and Child Health. The expert previously shown at P.2 grade with an estimated cost of $6607 has now been provided at a P.3 grade at an estimated cost of $8973. Four fellowships previously indicated in category I at $19 100 are now relegated to category II. -Environmental Sanitation. The original request was for two experts under category I at an estimated cost of $27 906. Request now revised under Category I for services of one expert provided at an estimated cost of $12 164; one fellowship at $5500 and supplies at $4635. An additional fellowship is included now under Category II. ------------------------------.--
US$
1.2.6
1.3 Japan 1.3.1 Venereal Diseases and Treponematoses Fellowship. This was not included in the government's submission and has therefore been relegated to the Supplementary List of Projects. -------------Public-Health Administr~tion - Hospital administration. The original request 'was for two fellowships and supplies and equipment under Category I at estimated costs of $7000 and $1000 respectively. Request now reduced to one fellowship under Category I and supplies and equipment under Category II. ------------Public-Health Administration Fellowshi Vital and health statistics. The decrease of 300 is due to revised costs. --------------------Social and Occu tional Health Fellowsh' s Cancer control. New request for a six-month fel owship under Category I provided at an estimated cost of $2700. --------------------Envir?nmental Sanitation Fellowship. New request for two fellowships; one twelve-month under Category I at estimated cost of $3700 and one six-month under Category II. ----------------Other Projects - Institute of Public Health. Supplies and equipment at an estimated cost of $500 have been relegated from Category I to Category II. ------------------- _____________ _
3000
1.3.2
5 100
1.3.3
300
1. 3.4
2 700
1.3.5
,4
1
3700
l
1.3.6
500
/1.3.7 Other Projects
... f
WPjRc9/3 Add.l page 3 netici ncy
00$ 1.3.7 Other Projects Fellowshi s Food and control. The two fellowships estimated at 7000 and previously requested under Category I have now been requested and indicated for 1960. ---------------------------------------other Pro ects FellowShi Public-health laboratories • This fellowship estimated at $3500 and previously requested under Category I is now relegated to the Supplementary List of Projects. ------------------------------------
7000
1.3.8
:3 500
1.4 Korea 1.4.1 II. ---------------------
3000
Treponematoses Control and Rural Health. The Government has now requested this project to be redefined to include rural health. Due to revised costs the two experts are now provided at $33 436 instead of $33 179. --------------1.6 Malaya 1.6.1 Tuberculosis Control. This project was provided for in 1958 under Category II. The Government has now requested its inclusion in 1959 under Category I. ---------------------------------Public-Health Administration - HOB ital records. 552 increase against experts is due to revised costs. --------------------------------------Nutrition. $1039 increase of experts' costs is due to revised costing. A short-term (six months) consultant has been requested under Category I and provided at an estimated cost of $6532. --
257
1.6.2
552
1.6.3
7 571
1.7 North Borneo 1.7.1 Malaria Control. The Government's previous request was for two experts but this has now been revised to include a sanitarian whiCh has increased the estimated cost by $3941. -----------------
3941
/1.8 Philippines
.. wp/RC9/3 Add.~ page 4
Deficiency 1.8 Philippines 1.8.1 Endemo-e idemic Diseases - Bilharziasis control pilot project. 1592 increase arises from revised costs of experts. An additional $1712 is also provided for supplies and equipment. --------Endemo-epidemic Diseases - Virology centre. This project} originally the Influenza centre, has now been redefined as the Virology centre. It was previously provided under Category I at a cost of $11 806 but has now been requested under category II. --------------------------Public-Health Administration - Hospital arChitecture. Project previously shown under Category I at a cost of $3636 has now been requested under Category II. ----------------other Projects - University of the Phi1i~pines. Previous government request for three experts has now been modified to one expert resulting in a decrease in cost of $2413. An additional thtee-month short-term consultant has, however, been requested under Category I and provided at an estimated cost of $6320. ---------------
US$
3 304
1.8.2
11
806
1.8.3
1.8.4
3 907
1. 9 Sara.wak 1.9.1 Malaria Control. There is no change in the n~ber of experts, and the increase 01 $3656 is due to revised costs. Previous request for supplies and equipment of $500 has now been withdrawn. -----------------------------------
3156
1.10 Singapore 1.10.1 Public-Health Administration - Medical statistics. $8816 decrease is due to revised costs WhiCh is now based on averages as full information on staff member's replacement is presently unknown. 1.10.2 Nursing Education. $9671 increase is due to revised costs covering re-grading of two experts and provision of home leave for replacements.1.11 Tonga 1.11.1 Environmental Sanitation. There is no Change in the number of experts. The decrease in their estimated costs of $941 is due to revised costing. A new request under category I for supplies and equipment at an estimated cost of $2000 has been added. -----------------------/1.12 Viet Nam
8 816
9 651
1 059
WP/RC9/3 Add.l page
5
Deficiency 1.12 Viet Ham 1.12.1 1.l2.2
US$
Malaria Control. Request withdrawn. -------Tuberculosis Control. $5431 decrease due to revised costs of two experts. The Government has now requested one fellowship under category I at an estimated cost of $4500. --Mlternal and Child Health. Provision 'Was previously made for five experts at a cost of $56 116. The Government has now requested one additional public-health nurse in paediatrics and the cost for this, inclusive of revised costs of other experts, is estimated at a total cost of $52 l29 giving a decrease of $3987.-Other Projects - Medical Faculty, Universitl of Saigon and Health TeChnicians' Sdhool. This 'WaS originally included in Category I since 1957 - estimated cost $11 749. It was not implemented due to insufficiency of funds. The Government has now requested its inclusion in 1959 under Category II. ------------------
l2 815
931
1.12.3
1.l2.4
11 749
2.
INTER-COUNTRY PROORAMME Environmental Sanitation - Regional seminar on education and traini of sanitation pzrsonnel. 1100 decrease due to revision of short-term consultant's costs. The cost of participants' travel, secretarial staff and supplies and equipment previously included under Category II of $29 155 has now been included under category I at a total estimated cost of $30 250. ---------------------------MOdifications in proJects with savings or deficiencies of under $50. -----------------Reduction made to the allocation from the Technical Assistance Board in respect of health activities by the agencies or departments designated by the recipient governments for clearance of programme requests. -----.-Total ---------US$153
2.1
29 150
85 151
036
67 885 US$153 036
~.;
WORLD HEALTH ORGANIZA TION
RIDIONAL COMMITTEE REGIONAL OFFICE FOR THE WESTERN PAOFIC BUREAU REGIONAL DU PACifiQUE OCCIDENTAL
•
ORGANISAnON MONDIALE DE LA SANTi·
HP/RC9/3
7 August 1958
Ninth Session Manila 26 September - 2 October 1958 Agenda Item 10
ORIGINAL: ENGLISH
REVIEW OF THE PROPOSED PROGRAMME AND BUDGEr FOR 1959 IN THE LIGHT OF PRESENT BUDGETARY ADJUSTMENTS AND CONSIDERATION OF AMENDMENTS PROPOSED BY MEMBER COUNTRIES
Part I of this document deals with modifications made in the regular programme and budget for 1959. Part II, which will deal with modifications
to the Technical Assistance programme and budget for 1959, will be issued as an addendum at a later date.
"JP/RC9/3 page 1 PART I. MODIFICATIONS l<1ADE IN THE REGULAR ?ROGRAMME AND BUDGET FOR 1959
The Eleventh World. Health Assembly approved the 1959 programme and budget proposed. by the Director-General, as contained in Official Records No. 81. In the period following the submission of the 1959 regular programme and budget estimates to the eighth session of the Regional Committee certain changes took place. Apart from the brief explanations indicating the modifications made within the approved allocation that follow hereunder, there is an item of $12 824 which is due to lapses and delays in the implementation of new projects and adjustments made by the Director-General.
1.
REGIONAL OFFICE
In the Regional Office the post of supply clerk bas been replaced by a clerk-typist within the translation unit. Increased provision for custodial staff bas also been necessary due to the additional office space of the new building. Although the Director-General reduced the regional office allocation by
$1835, the foregoing adjustments were effected within the revised allocation. 2.
REGIONAL ADVISERS
Savings
US$
Deficiency
US$
No modifications have been lnade in the regional advisers' pattern, apart from an increase in the number of persons in the stenographic pool Which has risen from seven to nine, thereby resulting in a net deficiency of $5930 in the prOvision for salary and. allowances. Recosting of the provision for home leave necessitated. an increase of $369 and the revision to cammon services indicates a $8805. deficiency of $2506, the net over- _ all deficiency being -___________________________
8 805
3.
AREA REPRESENTATIVES
No change has been made in the staffing pattern •. Revision in salary estimates, however, indicate a deficiency of $1358. Allowances have also increased by an estimated. amount of $2521. Common services have been revised resulting in an increase of $100. Offsetting these increases is a saving in the prOvision for home leave of $1800, the net deficiency therefore being $821. _
821
4.
COUNTRY SCHEDULES
4.1 American Samoa 4.1.1 Enviromnental Sanitation. The request submitted by the Go~ernment for two ~xperts, two fellowships and. suppl~es and. equipment, has since been Withdrawn thereby providing a saving of $31 516.
31 516
/4.2 British •••
WP/RC9/3 page 2 4.2 British Solomon Islands Protectorate 4.2.1 Malaria Control. Although this project originally appeared. in doc'U."l1ent VJP/RC8/4, Part I, as submitted to the Regional COmmittee, it was later withdrawn at the request of the Government. No provision was therefore made in Official Records No. 81 for this activity. 4.2.2 Nursing. A small revision in costing indicates a saving of $120. ---------------------------------4.3 Cambodia 120
-
sa~;S6
Deficiency
US$
4.3.1 Venereal Disease and Treponematoses Control. The deferment of recruitment of the expert required. for this activity and provision for a post adjustment resulting from the revised Staff Rules necessitates an increase of $}860. Further, provision has also been made for supplies and equipment in an amount of $500. The net deficiency therefore is estimated at $4360. --------------------------4.3.2 Nursing Education. No change has been made in the number of experts to be provided. However, an increase in costing has been necessary due to provisions for The net deficiency is estimated. at post $11 adjustment. 122. ----____________________ _
11122
4.4 China 4.4.1 Tuberculosis Control. The expert, fellowship and supplies provided. for in Official Records No. 81 are the same as those provided in document WP/RC9/4, Part I, with minor adjustments to estimated costs of individual elements, including proviSion for income tax and post adjustment. The net estimated deficiency amounts to $1497. 4.4.2 Venereal Diseases and. Treponematoses. A revision in costing in respect of the expert indicates a saving of $1204. ---------------------------------
1 497
1 204
4.4.3 Other Projects (Institute of Public Health) A revision of costing indicates an estimated deficiency of $300. -----------------------------4.4.4 year. --------------------------------------------
300
5 500
/4.5 Fiji •••
~'lP/RC9/'5
page '5 4.5 Fiji 4.5.1 Other Projects (Central Medical School). The Government has requested an extension of the services of the two experts through 1961, consequently savings arise in 1959 due to the fact that provision for repatriation travel have been withdrawn. Net saving estimated at $7525. ------------------------------------------4.6 Ja;pe.n 4.6.1 Other Projects - Fellowship (Medical Specialization) Fellowship advanced to 1957 and awarded. out of savings during that year. Net saving $3500. ------------4.7 Korea 4.7~
Savings US$
Deficiency US$
7 525
3 500
Endemo-e idemic Diseases Fellowshi Control) This fellowship was awarded in 195 out of savings. Net saving $3500. --------------------------------
3 500
4.8 Laos 4.8.1. Maternal and. Child Health. The number of experts remain the same, however, the senior nurse educator was promoted from grade P.2 to P.3 level and. the two nurses from P.l to P.2 level. Additional costs were also partially due to application of the post adjustment allowance. The net deficiency is $11 851. ----------------------------------------4.9 Malaya 4.9.1 Rural Health Training Centre. The Government has requested a six-month extension of the expertts services until mid-1959, consequently there is an estimated deficiency of $10 903. -------------4.10 Philippines
11 851
10 903
4.10.1 Endemo-epidemic Diseases (Leprosy). This fellow. ship was awarded in 1958. Net saving $5500.
5 500
/4.10.2 Mental •••
WP/ RC 9/3
page 4
Savings US$ 4.10.2 Mental Health. As a result of ·che Government's request for extended services of the expert it was necessary to defer the two fellowships originally provided for at the cost of $11 500, until 1960. The estimated cost of the expert is $16 271, therefore there is a net deficiency of $4771. --------------------------------------4.10.3 Environmental Sanitation (Advisory Services) The expert, fellowships and supplies provided for in Official Records No. 81 continue to be so provided. in document WP/RC9/4, Part I, but with a minor adjustment in the estimated cost for the expert. Net saving $737. ----------------------4.10.4 Environmental Sanitation Training. A deficiency of $684 arose due to recasting in respect of the _ experts' services. - ____________________________
Deficiency
US$
4 771
737
684
4.11 SingaEore 4.11.1 Public-Health Administration (Urban Health Centre)* The Government redefined the activity reducing the number of health experts at the Urban Health Centre from two to one and the fellowships from four to two. Net saving $14 562.---------------4.11.2 Nursing (Island-wide Domiciliary Midwifery) • Provision is made for an expert arising out of redefinition of the Urban Health Centre, the deficiency is, therefore, $9930. --------------------------4.12 Viet Nam 4.12.1 Environmental Sanitation. A small revision in costing indicates a deficiency of $496. --------4.13 Western Samoa 4.13.1 Tuberculosis Control. A small revision in costing indicates a saving of $25. ---------------------25
14
562
9930
/4.14 Inter-Country •••
*Title
now changed. to "Institute of Health".
HP/RC9/3 page 5 Savings US$ 4.14 Inter-Country Prograw~e
Deficiency
US$
4.14.1 Refresher Course for Assistant Medical Practitioners. This course uas originally provided for in 1958. The consultant 'till commence duties in 1958 but as the course itself was deferred until early 1959, part of his fees and travel costs will have to be charged to 1959. Net deficiency $4400. --------------------------4.14.2 Venereal Diseases and Treponematoses (Yaws . Control). The same number of experts are required. However, due to home leave requirements of two members and. revision of costs in respect of deferred. leave, there is a net deficiency of $8250. ---------------------------4.14.3 Dental Health Seminar. A revision to the costs in respect of participants indicates an estimated saving of $995. --------------------------------4.14.4 Public-Health AfuJinistration Fellowshi s Undergraduate Medical Studies. Revision and. recasting of fellowship requirements now indicate a saving of $13 160. ----------------------------------------
4 400
8250
995
13 160
4.14.5 Social and. Occu ational Health Fellowshi Industrial Health. Revision and. recosting of fellowship reqUirements now indicate a saving of $5000. 4.14.6 Conference on Maternity Care. As a result of revised travel costs, there is now a deficiency of $750. ---------------------------------------Seminar on Family Life and Mental Health. Extension of the consultant's services into 1959 resulted in a deficiency of $1080. ------------------____ _
5000
750
4.14.7
lOBo
Adjustments ar~s~ng out of lapses and delays plus Director-General's adjustments -------------------------Total ----------
92 844
12 824 92 844