REPORT OF THE REGIONAL CQ\1MITI'EE ANNEX 3
35
REPORT OF THE SUB-COMMITI'EE ON PROGRAMME AND BtJDGEI'
1
INTRODUCTION At its seventh session, the Regional Committee, in resolution decided "that the establishment of a sub-committee on
1.1
\'1P~VRC7 .R7,.
programme and budget, consisting of six members plus the Chairman of the Regional Committee, should become a routine activity of the Regional Committee"; and recommended that "the membership of . this sub-committee be rotated among the Representatives of various members, subject to the provision that any Representative desiring to be a member of the sub-committee should be entitled to participate". The Sub-Committee on Programme and Budget met on 25 September
1969, tmder the chairmanship of Medecin-General J. Rondet. a'ttendance was as follows: Members in accordance with the principle of rotation: Australia Dr J.S. Boxall Dr R.T. Taureka Mr P.W. Carroll
The
China France
Dr C.K. Chang Dr T.Y. Lee
Medecin-Colonel E. Poyet Dr K. Kanami tsu Dr M. Yamasaki Dr M. Oike r1r N. Maekawa
Japan
New Zealand Republic of Korea Un1 ted Kingdom
Dr W.t1urphy
Dr Sung-Hee Rhee Dr C.H. Gurd Miss H. Upton Dr Truong Minh Cae Dr Dang Quoc Phu
Viet-Nam
36
REGIONAL COMMI'ITEE: TWENTIETH SESSION
Other members of the Committee also in attendance were: Laos Malaysia Philippines Portugal United States of America Dr Phouy Sunthorn Dr Thongphet Phetsiriseng Dr Raja Ahmad Noordin Dr
C.O. Innis
Dr P. Rigonan Dr Diego Hora Silva Ferreira Dr R.K.C. Lee Dr J.L. Stockard Dr J. P. Keeve Dr J
Western Samoa
.C. Thieme
The Representatives of the United Nations Development Programme, the International Dental Federation, the International Committee of Catholic Nurses and the League of Red Cross Societies also attended. Dr
D.R. Thomson, Director of Health Services, acted as Secretary.
Mr Milton P. Siegel, Representative of the Director-General, and the
Regional Director also attended the meeting. In the course of its meeting, the Sub-Committee examined the proposed programme and budget estimates in accordance with the guidelines given on page 53. documents: In addition, it had before it two other WPR/RC20/P&B/2, which summarized the changes that had
taken place in the 1969 and 1970 estimates since the nineteenth session of the Regional Committee, and WPR/RC20/P&B/3, "Revisions Requested by Governments to the Supplementary List Annexed to the Regional Programme and Budget Estimates for 1970 contained in document WPR/RC19/2". 2 GENERAL PRINCIPLES AND PROCEDURES
The Sub-Committee noted that the introductory notes on pages 1 and 2 of WPR/RC20/2 had been expanded to include some considerations of the programming cycle of the Organization.
37 2.1 Changes made to the 1969 and 1970 approved programne and budget estimates The Sub-Committee reviewed the information submitted by the Regional Director (document WPR/RC20/P&B/2), which had been prepared in response to requests by members of the Regional Committee to be provided with additional information on changes occurring in the programne and budget of the Organization since the time when the Regional Committee last had the opportunity of being presented with these proposals. The document compared figures that appeared last In addiyear in the regional programme and budget estimates with those for the same year that were included in this year's document. tion, it contained the following info11OOation: (a) a comparison between the revised budget for 1969 which was presented last year and the operational estimates as of 25 May 1969, by which time there was a much closer appreciation of the possibilities of implementation of the programme (see pages 55-60). (b)
a comparison between the original 1970 programme and budget estimates that had been presented to the Committee last year and a revision which had been arrived at according to the best knowledge at the present time of what the situation might be in 1970 (see pages 61-65).
Attention was drawn to the fact whereby there was comparison not only in money but also in man-months and fellowship months of the changes made to the 1970 programme and budget estimates (see pages 61-65), so that a more precise idea of the impact on programme would be obtained, in addition to information on budgetary changes. The Sub-Committee noted that some of the latter had had to be made as a result of decisions taken recently by the World Health Assembly,
REGIONAL COMMIT1'EE: TWENTIETH SESSION
during which the Director-General had put up some proposals for additional funds to cover unexpected expenditures that ¢ould not be foreseen when the budgets for 1959 and 1970 were under preparation. This unexpected expenditure concerned decisions of the General Assembly of the United Nations on the levels of salaries of international staff, similar decisions on.the levels of salaries of general service st~ff
in
Geneva and an emergency situation that had occurred in Equatorial Guinea. In the discussion of the supplementary estimates for 1969, the Assembly had agreed to the proposals made by the Director-General on these additional estimates. ho;~
to finance
The impact on the budget tor the Western This change had been agreed to by the
Pacific Region had been the deletion of a provision for fellowships for Japan in the amount of $10 000. Health Assembly. delegate of Japan who had participated in the discussions at the World A revised allocation for 1969 had been received from the Director-General to meet the increased costs of the salaries of international staff arising from changes in their salary scale. As the World Health Assembly had approved an effective working budget level for 1970 that was lower than that proposed by the DirectorGeneral, some adjustments had to be made in the proposals for 1970 reflected in document WPRjRC20/2. would be deferred. The commencement of the inter-country project on the training of anaesthetists (pages 268'-269, of the document) This represented a decrease in 1970 in the order of
$10 850. 2.2 Preparation of the programme and budget estimates The Sub-Committee noted that when the programme proposals the constitutional Consideration was also given to
contained in document WPRjRC20/2 were being built up objectives of WHO were kept in mind. end in 1971.
the Fourth General Programme of vlork for a Specific Period, which would Throughout the history of WHO, the contents of the General There had been spme refining of Programme of Work had hardly changed.
objectives, perhaps some changes in emphasis, but the main trends were
REPORT OF THE REGIONAL COMIlITTI'EE
the same:
strengthening of health services, fighting against More recently, there had
communicable and non.·communicable diseases, improving environmental health, promoting education and training. national level. been some emphasis on co-ordination of programme, particularly at the The priorities of the Fourth General Programme of Work had, in fact, been endorsed by the Regional Committee at its sixteenth session. In addition, there was quite a long series of resolutions of the Regional Committee which were used as a guide in building up the annual .~
programme.
The most recent of these had emerged from a discussion on
long-term planning during the nineteenth session, in which, in addition to the global priorities decided by the World Health Assembly, the Regional Committee had emphasized certain elements that it felt were particularly interesting for the Region. The Sub-Committee session was the second phase of a joint effort of governments and the Regional Office to build up the programme. followed continuing consultations that had been held by the \{HO Representatives, not only with the health authorities of countries in the Region but also with other bodies such as planning authorities, economic ministries, co-ordinating bodies, and, of course, the Resident Representatives of the United Nations Development Programme. In the present proposals for 1971 the major subject heading of public health administration Organization. ~las
It
considerably emphasized.
This rather The
broad label could be made to include practically any activity of the But major subject headings could be misleading. form of presentation of the Organization's programme and budget had been decided by a succession of World Health Assemblies and could not be changed without additional decisions of ifJnO's governing bodies. a time when At when
vmo
was emphasizing integrated projects, for
eA~ple,
it insisted that family planning should be integrated into maternal and child health, that maternal and child health should be part of
40
general public health services, that disease control
pro~ammes
should be carried out through the general health services rather than specialized entities, decreases in the major subject headings for specialized programmes did not necessarily reflect a decrease in the effort given to these programmes, but rather an effort towards their integration. The Sub-Committee's attention was also drawn to the operational studies in public health practice sponsored and undertaken by the Government of Malaysia with WHO's assistance. This research was It was hoped, intended to lead to better definitions of the need and demand for health care, of the utilization of health services. eventually to arrive at new definitions of the types and numbers of staff that the Government would need in order to provide the most effective service to the people. logy and Communications Science. in the future. The Representative of the United Kingdom expressed his appreciation of the documentation submitted this year to the Sub-Committee, as his delegation was one of those that had last year requested this extra information. He asked whether it would be possible to include in the opening pages, after the summaries for the Regiorlal Office, the Regional Advisers and the \OlliO Representatives, a summary of the country programmes, in much the same format as provided for the Regional Office, showing the individual allocations to various countries I and then another page giving a summary of the inter-country programmes by maj or subject heading. The United Kingdom Government was a very strong supporter of WHO and wished to assist finanCially and in every other possible way, but it was rather concerned about the rather large magnitud, of the increases The studies in Malaysia were being This was a very welcome development conducted in co-operation with WHO's Division of Research in Epidemioand it was hoped that it could be extended to other, similar, projects
REPORT OF mE REGIONAL COMMI'ITEE
41
year by year.
In this respect, it was happy to see that the increase in It was the main concern of the
. the budget for 1971 over 1970 was projected at 9.2% whereas that between 1969 and 1970 was budgeted at 9.6%. United Kingdom delegation to see that whatever money was allocated was invested in health programmes which would provide the greatest possible health dividends for the money invested. He noted with interest the statement of the Representative of the Director-General that dUring the recent opening of the United Nations General Assembly, "many speakers had indicated that the stage had been reached, after more than twenty years (it was actually twenty-four years since the Charter of the United '_.-...
Nations was approved in San Francisco) where it had become necessary to take a new look at the structure created in the post-war world and to review the Charter of the United Nations with particular emphasis on its responsibility for the maintenance of peace and security. also had been made to reviewing the functions of the Economic Council. Reference and
Social
These suggestions for a review of the United Nations Charter For its part, WHO felt that
are not new, as similar suggestions had been mentioned at a number of the recent sessions of the General Assembly. one must always take a look at the current Circumstances, see what work was being carried out and take whatever remedial action was necessary in order to make such improvements as were required". The countries themselves should also be called upon to evaluate the programmes that they were requesting, particularly with regard to fello\'fships. Assurance should be g:i ven
that requests for fellowships
represented a real need, that the people being given extra training would come back to provide advancement along the line of the national health programme and that they would not find themselves balked by the absence of a job so that they tended to get diSinterested, leading them to swell the brain drain. The Secretary said that the information requested by the Representative of the United Kingdom would be incorporated in the documentation prepared for the Committee in the futUre.
-
-'-...
42
REGIONAL COMMI'ITEE: TWENTIErH SESSION
Although evaluation of WHO-assisted projects shou14 primarily be a function of the recipient governments, the Regional Off~ce
had instituted In this to see what
for some months now a review mechanism of the different programmes for which the Regional Advisers had technical responsiblli ty • exercise, WHO's current activities were constantly continued or carried out in a different way. of activities. The Representative of Australia asked what principles were being followed in the difficult task of allocating funds and quoted as an example the award of fellowships. The Secretary said that WHO had tried to promote the establishment of national fellowship co-ordination cormnittees within the countries receiving aid. The purpose of this was to ensure that the requests which were sent to WHO represented government priorities and did not duplicate requests made to other organizations and that the subject matter and object of the fellowship were closely related to the health plans of the country in question. Not all countries had such committees and this was where a WHO representative had an important role to play, as he was able to have continuous and informal discussions with government representatives. The Regional Office relied heavily on the opinion of the WHO representative as to whether proposals for fellowships had a particular justification. The Representative of the United States of America congratulated the Secretariat on the additional documentation which it had submitted. This gave a clear picture of the changes which had taken place. He asked whether in future it could be prepared in sufficlent time so that it could be seen by the main offices of Member States which could then eValuate the contents fully. The Secretary agreed that in future all documentation relating to the programme and budget estimates should be distributed 1n advance of the meeting. revi~ed
improvements were required, whether projects should be continued, disA considerable amount of importance was attached in the Regional Office to this regular review
REPOR!' OF THE REGIONAL COMMI'ITEE
43
The Representative of the United States of America asked whether special problems, the size of population and stage of economic development were taken into consideration when considering requests for assistance. The Secretary said that a Programme Committee, consisting of the· Director of Health Services, the Assistant Directors of Health Services,
---
the Chief, Administration and Finance, and the Budget Officer. had been set up in the office which looked at proposals coming from countries and proposed priorities to the Regional Director. the development of health services. One of the criteria was whether the requests were compatible with a national long-term plan for In many countries, however, there
-'~
was no long-term health plan. United States of America.
In such cases, requests for assistance
had to be reconciled with the factors cited by the Representative of the The Regional Office had to deal with countries and
and territories with very different ecologies and economies variations in stages of development.
great
It had to consider the needs of
countries that were very highly evolved in their economic development and of those which, for the time being, did not appear to have any prospects of development. When a country's need was great, WHO tried The to do everything possible for that country, using the resolutions of the World Health Assembly and the Executive Board as guides. Twentieth World Health Assembly had, in fact, adopted a resolution (WHA20.50), recommending that WHO should be more flexible in its assistance to developing countries. Another factor in considering requests for assistance was the capacity of the country to absorb the assistance given and the availability of national counterpart staff who could be trained. The Representative of the United States of America stated that his delegation was greatly concerned with the continuing increase in the WHO budget over the past twenty years. over The annual increase continued to be
9%.
His Government would not be able to support the increased budget In view of the extraordinary changes and development in medical
proposed.
sciences, technology, transportation, communication and decision-making processes, it believed that WHO should reassess its administration and
44 procedures.
REGIONAL COMMrl'rD: '1WEN'1'IETH SESSION
His delegation felt that the Regional Some items could be cut down,
Comm~ttee thi~
had the
responsibility of advising the Regional Director on increase in budget.
continuing interThe Regional
sU9~as
country programmes and even posts in the Regional Office. Office in order to use its resources more effectively.
Director should re-examine the organization and staffing of the Regional
The Representative of France supported the statements made by the Representatives of the United Kingdom and the United States of America regarding the constant increase in the WHO budget in the course of the past years. The 9.2% increase proposed for 1971 went beyond the limit His Government would not be of 6% recommended by certain governments.
able to support the increased budget proposed.
3
~UESTS
AFFEOl'ING THE 1970 PROGRAMME AND
:stJI)(JEr
ESTIMATES
The Representative of Malaysia requested the addition of a public health administrator to the strengthening of health se~ices and training of health personnel project (Malaysia 0035) in 1979. The reason for this was that the one WHO medical officer attached to the project was fully involved in health practice research and, in the meantime, there were pressing needs involving the strengthening of basic health services. His Government was willing to make certain adjustments to These were as follows: the deletion of the senior meet this request.
public health nurse educator under the Institute of Public Health (pages
118-119); the reduction in the number of consultant months for the mental health project from four to three, and the reduction in the number of consultant months for the health education project from three to two and a-half.
4
REVIE.W OF THE PROPOSED PROG1WIJr.1E AND BJDGEl' ESTIMA.TES FOR 1971
4.1 SpeCifiC comments The Sub-Committee noted that the total regular bQdget proposal for
1971 was $5 973 600 compared with $5 470 000 for 1970. increase of $503 600, or 9.2%, over 1970.
This was an
For 1969 the total shown in document WPR/RC20/2 was $4 850
964.
It was noted that this did not reflect the additional' funds approved by
REPORT OF THE REGIONAL COMMITTEE
the World Health Assembly to meet the increased costs of professionally graded staff which amounted to $142 000. Based on the adjusted figure of $4 992 964, the increase from 1969 to 1970 was $471 0)6, or 9.6%. It was noted that there were no major changes in presentation or in the major subject headings between the estimates in document WPR/RC20/2, and last year's document, WPR/RC19!2. Attention was called, however, to a change in detail in the item "Regional office temporary staff" (page 11). Contrary to previous years, this item showed all estimated costs of temporary general service staff, general service overtime, as well as of temporary language staff. to established posts. These costs had previously been allocated No increase was estimated between 1969 and 1971.
The change followed a headquarters requirement. 4.2 Regional Office (pages 4-11) The Sub-Committee noted that the 1969 total of $597 000 had been increased by $17 000 to cover the additional costs of professionally graded staff, making a revised total of $614 000. It was noted further that the regular budget and other funds, mainly under the United Nations Development Programme (UNDP), administered by the Regional Office, represented 9.9%, 10.9% and 11.6% for the years 1969, 1970 and 1971, respectively. The increased percentage in 1970 and 1971 reflected the tapering off and completion of the Region's two Special Fund projects (in China and the Philippines) and the reduced Technical ASSistance funds presently oommitted. of $600 000. The reduction between 1969 and 1971 was in excess Attention was drawn to the possibility of additional UNDP
funds becoming available to the Region in 1970 and 1971. The Representative of the United States of America referred to last year '.s discussions on percentages of the budget for regional offices. He wondered why there was such a great variation among the In view of the greater mobility now possible because regional offices.
of improved means of transportation, communication and information systems, one would expect to see in the years ahead a reorganization of the staffing pattern of the Regional Office and Regional Advisers.
46
REGIONAL COMMITI'EE: 'lWENTIEl'H SESSION
Mr Siegel, Representative of the Director-General, said that it was unwise to make a comparison because every regional office in WHO varied somewhat. Costs would differ because of the difference in size This was clearly the case with regard. to travel. Another important and geography involved.
The costs of travel in the Western Pacific Region were higher than those of other regions covering smaller geographical areas. factor that created differences between the costs of regional offices was the rather large differences in some cases in the salary scales of general services staff, which scales are established on an inter-agency basis, i.e., the agencies that comprised the United Nations system. with the best prevailing rates in the duty stations concerned. 4.3 Regional Advisers and \mO Representatives (pages 12-19) The Representative of the United States of America asked for information on the post of second Education and Training Adviser and the type of qualifications required. The Secretary said that, for some years now, the programme in the field of education and training had continuously increased. too much for a single professional staff member to handle. of medical education and
The
salary scales for general services staff are established in relationship
There was At this
in particular a very heavy fellowship load, which had become clearly particular time when there was need to devote attention to the problems their relation to national health plans and The type of person required should have and be
manpower plans, it was felt that a full-time senior officer was required to concentrate on this problem. had much experience in medical education in developing countries interested in new integrated methods of teaching medicine.
It would be
recalled that the Director-General had stressed, during the last meeting of the Regional Committee, the fact that WHO was currently facing a crucial period in the development of medical education. It was absolutely essential that educational methods used in schools in the Region be tailored to the needs of the countries rather than to the traditions of other nations, which was largely now the case. would, therefore, be a medical educator. The Adviser referred to
REPORT QF '1HE REGIONALCOMMITI'EE
47
4.4 Field activities, including inter-country projects (pages 20-274) The Representative of the United States of America drew attention to the number of inter-country projects proposed and asked what the criteria were for limiting such projects. He noted also that WHO was supporting a number of projects to strengthen teaching institutions and he was concerned with the possible loss of investment if the manpower trained did not remain within the country. The Secretary said that suggestions for inter-country programmes emanated from the WHO technical staff, the WHO representatives and Member governments. The proposals were examined against the background If it was thought that the proposal of priorities already mentioned. was then sought.
had merit, the interest of countries and territories in the activity Their opinion was the determining factor as to whether or not a proposal was included. The question of the brain drain was, indeed, a delicate one. He
thought it was an example of the conflicting interests within a country of government departments concerned with health and those concerned with economic development. There were countries in the Region where As a health organization, the health planners were desirous of promoting certain activities but where economic planners were against it. WHO could exert very little influence on the economic policy of a
country at a given time and any attempt to do so would be resented. The Regional Director said that he had discussed the question of the brain drain with a Minister of Health, who had asked him what he could do to alleviate this problem. and future needs and resources. up posts abroad. Referring to the loss of investment in trained staff raised by the Representative of the United States of America, the Regional Director said that a condition set by the Organization when awarding The Regional Director had suggested that a health manpower survey be undertaken in order to determine present Once these needs had been met, then a country would be in a position to allow its trained personnel to take
48
REGIONAL COMMITTEE: TWENl'IEl'H SESSION
fellowships was that the fellows returned to for a minimum of three years. always enforced.
theirrespect~ve
countries
This condition was unfortunately not
The Representative of the United Kingdom referred to the filariasis
control advisory services projeot listed on page 238 and asked whether funds could be made available for staff in neighbouring countries to visit Western Samoa and see what was being done in the fiElld. The Secretary said that what was required was a Small,. provision of possibly two fellowship months. This would be added to the Supplementary List attached to the 1971 programme and budget proposals. The Representative of Viet-Nam referred to the orthopaedics and rehabilitation project (Viet-Nam 0042) mentioned on page 216 of document WPRjRC20/2. During disoussions with the Regional Director at the World und~rstood
Health Assembly in Boston, the Minister of Health had
that
difficulties would be encountered in recruiting a homogeneous team. There were also problems on the side of the Government, spch as delays in the oompletion of the hospital establishments which were an integral part of the project. His delegation now requested that this partioular project be postponed and that the funds earmarked for it should be used to add to the provisions for the National Institute of Public Health (Viet-Nam 0038), whioh was more important and which needed funds in great quantity. 4.5 Consideration of the Supplementary List annexed to the regional programme and budget estimates for 1971 oontained in document WPR,t!l.C20/2 (pages 308-332) Referring to his previous remarks in connexion with 1970, the Representative of Malaysia requested the addition of a public health administrator for the strengthening of health services and training of health personnel project (Malaysia 0035), to provide continuity of this activity. He stated further that it had not been possible to finance the continuation of the post of entomologist for the malaria eradication programme in Sarawak (Malaysia 0043) under the Technical Assistance component of the United Nations Development Programme beyond the end of 1970. He requested that the post be added to the Supplementary List
49
attached to the 1971 programme and budget estimates.
The holder of
this post would be stationed in \'lest Io1alaysia but would be responsible for the entomological aspects of the programmes in both East and West Malaysia. The Sub-Committee noted that the Goverrunent of Portugal had requested two nursing fellowships for Timor. The Representative of Viet-N~~
asked for information on the
procedure followed in implementing items in the Supplementary List. The Secretary informed the Sub-Committee that the Programme Committee, to which he had already referred, met monthly. The amount of funds that had become available as a result of delays in the recruitment of field staff, or in the reoeipt of submission of fellowship applioations by governments or as a result of requests from governments to postpone the implementation of projects until a later date were reviewed by the Committee. The additional government requests appearing in the Supplementary List were then studied and the same priorities used in connexion with the regular programme were followed in selecting items for implementation.
4.6 Revisions requested by governments to the Supplementary List annexed to the regional programme and budget estimates for 1970 contained in document WPR/RC19/2 (Doctwent WPRjRC20/P&B/3) Attention was drawn to the fact that a number of reviSions had been requested by goverrunents to the Supplementary List annexed to the 1970 programme and budget estimates (document WPRjRC19/2). These requests were tor implementation early in 1970 before the World Health Assembly could approve any future supplementary list, such as that attached to the 1971 proposals. would take effect during 1970. The Representative of Laos requested the provision of two twoyear fellowships, one in preventive medicine and the other in They were being brought to the notice \~ich
of the Sub-Committee since they constituted programme changes
50
REGIONAL CG1MI'ITEE: 'lWENTIEl'H SESSION
neuro-psychiatry in 1970, and suggested that these be adqed to the document under consideration. The Representative of Malaysia requested that six c~nsultant
months should be added to the Supplementary List in 1970 to enable a sociologist, an economist and other consultants in special fields to assist in the further planning and development of the strengthening of health services and training of health personnel project (Malaysia 0035). project. ning. A three-month fellowship was also requested under the same This would permit the head of the Division of Planning and
Research, which had recently been established, to study health planIt was hoped that this might be awarded from savings in 1969. The Representative of the United Kingdom asked for the addition of a nine-month fellowship to permit a physician to study diseases of the chest. The justification for this fellowship was that Fiji was experiencing a considerable decrease in the incidence of tuberculosis and would have to start to reorientate tuberculosis physicians to the wider field of chest diseases. It was likely that a tuberculosis The Government wished hospital would be closed at the end of 1970.
to start the reorientation programme as soon as possible. The Representative of France stated that French Polynesia had requested a health education fellowship in 1970. Supplementary List. The Representative of Cambodia requested that a paediatrician! nutritionist should be added to the list as assistance was required in the strengthening of the child health services. Pages 67-71 contain the revisions requested by governments to the Supplementary List annexed'to the regional programme and budget estimates for 1970 contained in document WPR/RC19/2, including those broUght forward during the meeting. This'should be included among the revisions requested by governments to the 1970
BEPORT OF 'lEE REGIONAL COMl-1ITl'EE
51
5
OTHER MATl'ERS DISCUSSED
5.1 SUpplies and equipment The Representative of the United Kingdom asked for information on the policy of WHO in connexion with the provision of supplies and equipment, as all too often there was a great need for these and governments were unable to provide them. As an example, he cited the In a case such as this, fact that UNICEF was not able to provide drugs, such as diethylcarbamazine, for mass filariasis campaigns. he wondered whether WHO could assist. The Secretary said that the UNICEF/WHO Joint Committee on Health Policy had authorized WHO to proceed in partnership with UNICEF in a pilot project on filariasis control in Western Samoa. provided the equipment and supplies required. UNICEF had The results of the pilot There was no
project would be reported to the Joint Committee which, in turn, would make reconmendations to the UNICEF Executive Board. campaigns. guarantee that UNICEF would agree to support mass filariasis control If it did not, the possibility of WHO supplying the drugs This required could then be considered in the light of resolution WHA20.50 on the policy governing assistance to the developing countries. resolution had mentioned, among other things, material assistance to the programmes of developing countries provided that the budget was not increased for this purpose. some drugs to the pilot project. 5.2 Evaluation The Sub-Committee considered a draft resolution submitted by the Representative of Australia on the need for re-evaluation of WHO assistance to Member countries to ensure that maximum health benefits were achieved for the funds invested. America. This was endorsed by the Representatives of the United Kingdom and the United States of WHO had, in fact, already supplied
52
REGIONAL COMMITl'EE: TWENrIETH SESSION
Following discussion, it was agreed that this draft resolution should be submitted to the main Committee and that the text should be preceded by a preambular reference to resolution WHA22.53 on "Longterm Planning in the Field of Health, Biennial Programming and Improvement of the Evaluation Process".