WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMMITTEE Fifty-first session Manila 18–22 September 2000 Provisional agenda item 9.2
WPR/RC51/3 Rev.1 21 July 2000 ORIGINAL: ENGLISH
PROGRAMME BUDGET, 1998–1999: BUDGET PERFORMANCE (FINAL REPORT)
This document presents the final report on the implementation by programme of the regular budget for the 1998–1999 biennium. Information is also provided on implementation of extrabudgetary sources. For the period 1 January 1998 to 31 December 1999, the implementation of the regular budget, in monetary terms, amounted to US$ 75 506 800, which is 100% of the operating budget. In addition, activities amounting to US$ 35 106 482 have been
implemented utilizing extrabudgetary funds. The total implementation for all funds was therefore US$ 110 613 282. The report includes financial information on implementation of the Regional Director’ s Development Programme. Expenditures and explanations for significant variations within the individual programmes are shown in the annexes. The interim report on the implementation of the regular budget for 1998–1999 was presented to the fiftieth session of the Regional Committee. The Regional Committee may wish to review and further discuss these final implementation figures.
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1. INTRODUCTION This final report on budget performance for the biennium 1998–1999 as at 31 December 1999 serves as a follow-up to the interim report presented to the Regional Committee at its fiftieth session in September 1999. The annexes contain details of the final implementation using the classified list of programmes that was in use during 1998–1999. The format used for the presentation of this budget performance report follows that used in previous reports. In the programme budget 2002–2003 the format will undergo changes, including defining WHO’ s functions more clearly and developing performance indicators. These changes will allow for improved reporting of performance.
2. CHANGES TO THE 1998–1999 PROGRAMME BUDGET As was explained at the fiftieth session of the Regional Committee, the 1998-1999 proposed programme budget for the Western Pacific Region was first presented to the Regional Committee at its forty-seventh session in September 1996 at a level of US$ 76 709 000 (as shown in Annex 1 and reflected in Annex 2, column 1). Since then a number of important changes have been made. The changes that did not affect the overall allocation are listed first. 1. Three changes to the 1998–1999 proposed programme budget were made before the Fiftieth World Health Assembly in May 1997. The changes described below are reflected in Annex 2, column 2. These changes did not affect the overall amount of the budget for the Region. (a) Before presenting the proposed programme budget to the World Health Assembly, the
Director-General decided that there should be no increase in the proposed budget for administration over the 1996–1997 level. This was done to ensure overheads and administrative costs were minimized and allocations to priority programmes were increased. As a result, the budgets for 6.1.1 Personnel services and administration (US$ 64 100), 6.2.1 Administrative support for technical programmes (US$ 578 100) and 6.3.1 Budget and finance (US$ 57 600) were reduced and budgets for 3.1.2 National health systems and policies (US$ 300 000), 5.2.6 Control of tropical diseases (US$ 188 400), and 5.2.6.1 Malaria (US$ 211 400) were increased (Annex 2, column 2).
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(b)
Despite the above measures, the Executive Board, at its ninety-ninth session in
January 1997, remained concerned that the priorities previously agreed upon by the Board were not adequately reflected in the 1998–1999 proposed programme budget. The Global Policy Council reviewed the comments and recommendations of the Executive Board and requested all regions to review their budget proposals to determine whether additional funding could be allocated under the following priority headings: 3.1 Organization and management of health systems based on primary health care 3.3 Essential drugs 4.3 Nutrition, food security and safety 4.4 Environmental health The Western Pacific Region transferred US$ 269 000 from the office of the WHO Representative in Mongolia programme 2.3.1 (Technical cooperation with countries) to programme 3.1.2 (National health systems and policies). This was a result of changing the functions of one post to provide technical support in the area of health systems and policies to the Government. This shift was in addition to the transfer of US$ 300 000 described in item 1(a) above and led to a total transfer to programme 3.1.2 of US$ 569 000 (as shown in Annex 2, column 2). The Region had already increased the allocations for 1998-1999 compared to the previous biennium for programmes 3.3 (Essential drugs) and 4.3 (Nutrition, food security and safety). Therefore no further changes were made to these programmes. The decrease in programme 4.4 (Environmental health) compared with the previous biennium was due to the closure of the Environmental Health Centre in Kuala Lumpur, Malaysia. This was explained to the Executive Board in January 1997. 2. In addition to the changes listed above, there were three factors that affected the overall amount
of the programme budget (these are summarized in Annex 1). They were: (a) As requested by resolutions WHA46.35 (adopted in May 1993) and WHA47.8 (adopted
in May 1994) on budgetary reform, the proposed programme budget for the financial period 1998–1999 was prepared at 1996–1997 cost levels.
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Resolution WHA50.25 (adopted in May 1997) approved a cost increase of 4.87%, or US$ 3 737 600, and a negative currency adjustment of 0.22% for the Western Pacific Region. This resulted in a net increase of 4.65% or US$ 3 570 000, and brought the 1998–1999 total approved budget to US$ 80 279 000. These two budgetary adjustments are shown in Annex 1 and reflected in Annex 2, column 3. (b) In December 1997, the Director-General decided to reduce the initial operating budget for
all regions to 97% of the 1998–1999 approved programme budget. This was due to the failure of some major contributors to fulfil their obligations. As a result, US$ 2 408 200 was withheld by Headquarters (as shown in Annex 2, column 5). (c) The final adjustment of US$ 2 364 000 (Annex 2, column 6) was made to take into
account a downward adjustment in the Philippine peso exchange rate (US$ 2 964 000) and additional funds (US$ 600 000) allocated by Headquarters for regional activities related to the global eradication of poliomyelitis and control of HIV/AIDS and sexually transmitted infections. 3. Resolutions WHA50.26 (adopted in May 1997) and EB101.R16 (adopted in January 1998)
requested an efficiency plan for the Organization with a savings target of 3% of the approved budget. For the Region, this amounted to US$ 2 400 000. The savings were made by reducing costs for fellowships, study tours, short-term consultants (through more economical placement and recruitment methods), common services, duty travel and overtime. The funds generated from the efficiency plan were used for new activities under the following priority programmes: (a) Prevention and control of specific communicable diseases; (b) Promotion of primary health and other areas that contribute to primary health care; and (c) Promotion of environmental health, especially community water supply. These changes are included in Annex 2, column 8.
3. FINANCIAL IMPLEMENTATION OF THE 1998–1999 PROGRAMME BUDGET
The interim report at 31 May 1999 showed that US$ 52.2 million, or 69% of the operating budget, had been obligated. By the end of 1999, US$ 75 506 800, or 100% of the operating budget had been implemented (see Annex 2, columns 10 and 11).
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The total amount of extrabudgetary funds disbursed was US$ 35 106 482.
Annex 2,
column 12 reflects the extrabudgetary funds implemented during the period by programme. Column 13 shows the total of all funds implemented. Column 14 shows the percentage of the total implementation by programme. Annex 3 provides brief remarks on implementation by programme where there is a variation of 10% or more in the amount of implementation compared to the operating budget. A summary of financial implementation for the Regional Director’ s Development Programme is attached in Annex 4. Annex 5 summarizes the extrabudgetary resources obligated between 1 January 1998 and 31 December 1999.
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ANNEX 1 CHANGES TO THE 1998-1999 REGULAR BUDGET As at 31 December 1999
Changes made (US$) I. Regular programme budget estimates presented to the Regional Committee at its forty-seventh session Adjustments made during the Fiftieth World Health Assembly Cost increase Budgetary exchange rate adjustment 3 737 600 ( 167 600) 3 570 000
Total (US$)
Column reference in Annex 2
76 709 000
1
3
II. Adjusted programme budget after the Fiftieth World Health Assembly 3% of budget withheld by the Director-General (2 408 200)
80 279 000
4 5
III. Initial working allocation Currency exchange adjustment due to various fluctuations in the Philippine peso exchange rate Funds allocated from Headquarters for specific activities
77 870 800
(2 964 000)
600 000 (2 364 000) 75 506 800
6 7
IV. Revised operating budget
Financial Implementation – regular budget and extrabudgetary funds for the biennium 1998-1999 by major programme and programme as at 31 December 1999 (in US – '000) (1) MAJOR PROGRAMME/ PROGRAMME 1998 99 Proposed Budget 1.1 Governing bodies 1.1.3 Regional Committees Subtotal 2.1 General programme development and management 2.1.1 Executive management 2.1.2 Managerial process for WHO's programme development 2.1.3 Management and support to information systems 2.1.4 Director General's and the Regional Director's development programme 2.1.5 Coordination with other organizations. Mobilization of external health resources. Subtotal 2.2 Health, science and public policy 2.2.1 Health in socioeconomic development 2.2.2 Research policy and strategy coordination Subtotal 2.3 National health policies and programme development and management 2.3.1 Technical cooperation with countries 2.3.2 Collaboration with countries and peoples in greatest need 2.3.3 Procurement services (excluding drugs, biologicals and contraceptives) 2.3.4 Emergency and humanitarian action, relief and rehabilitation operation and emergency preparedness programme Subtotal 10 272.5 ( 269.0) 420.4 10 423.9 ( 312.8) ( 128.3) 9 982.8 ( 426.8) 9 556.0 9 564.6 100% 6 115.5 15 680.1 14.18% EHA 108.2 4.5 112.7 ( 3.4) 109.3 82.4 191.7 353.1 184% 1 512.9 1 866.0 1.69% SUP 666.6 45.5 712.1 ( 21.4) ( 128.3) 562.4 ( 169.7) 392.7 355.0 90% 117.1 472.1 0.43% ICO 11.2 11.2 0.01% TCC 9 497.7 ( 269.0) 370.4 9 599.1 ( 288.0) 9 311.1 ( 339.5) 8 971.6 8 856.5 99% 4 474.3 13 330.8 12.05% 1 464.1 37.8 1 501.9 ( 45.0) ( 17.8) 1 439.1 ( 578.7) 860.4 772.8 90% 2 504.5 3 277.3 2.96% RPS 951.6 32.9 984.5 ( 29.5) ( 17.8) 937.2 ( 318.4) 618.8 535.0 86% 22.0 557.0 0.50% HSD 512.5 4.9 517.4 ( 15.5) 501.9 ( 260.3) 241.6 237.8 98% 2 482.5 2 720.3 2.46% 6 162.8 391.2 6 554.0 ( 196.6) ( 498.1) 5 859.3 (1 068.9) 4 790.4 3 809.8 80% 147.9 3 957.7 3.58% COR 376.9 28.9 405.8 ( 12.2) 393.6 ( 270.2) 123.4 138.4 112% 138.4 0.13% DGP 1 043.0 41.7 1 084.7 ( 32.5) 1 052.2 1 052.2 0.0 0.00% ISM 1 238.8 73.3 1 312.1 ( 39.4) ( 291.0) 981.7 94.1 1 075.8 1 060.9 99% 41.0 1 101.9 1.00% EXM GPD 1 063.3 2 440.8 71.6 175.7 1 134.9 2 616.5 ( 34.0) ( 78.5) ( 73.8) ( 133.3) 1 027.1 2 404.7 ( 62.4) ( 830.4) 964.7 1 574.3 955.4 1 655.1 99% 105% 106.9 955.4 1 762.0 0.86% 1.59% RCO 500.0 500.0 1.0 1.0 501.0 501.0 ( 15.0) ( 15.0) 486.0 486.0 35.0 35.0 521.0 521.0 533.6 533.6 102% 102% 72.0 72.0 605.6 605.6 0.55% 0.55% Changes before WHA50 Cost Increase & currency adjustments during WHA50 (2) (3) (4) Adjusted programme budget after WHA50 (1) + (2) + (3) (5) 3% Budget withheld by the DirectorGeneral (6) Currency and other adjustments during implementation Revised working allocation (4) + (5) + (6) Programme changes during implementation Operating budget (7) +/- (8) Actual expenditures/ obligations (7) (8) (9) (10) (11) Percentage of operating budget implemented (10) / (9) Extrabudgetary funds implemented All funds implemented (10) + (12) (12) (13) (14) Percentage of total Implementation by programme (All Funds)
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ANNEX 2
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ANNEX 2
Financial Implementation – regular budget and extrabudgetary funds for the biennium 1998-1999 by major programme and programme as at 31 December 1999 (in US – '000) (1) MAJOR PROGRAMME/ PROGRAMME 1998 99 Proposed Budget 2.4 Biomedical and health information and trends 2.4.1 Epidemiology, statistics, trend assessment and country health information 2.4.2 Publishing, language and library services Subtotal 3.1 Organization and management of health systems based on primary health care 3.1.1 Health systems research and development 3.1.2 National health systems and policies 3.1.3 District health systems Subtotal 3.2 Human resources for health 3.2.1 Human resources for health Subtotal 3.3 Essential drugs 3.3.1 Action Programme on Essential Drugs Subtotal 3.4 Quality of care and health technology 3.4.1 Technology for health care 3.4.3 Traditional medicine Subtotal THC TRM 1 647.6 894.7 2 542.3 66.5 49.9 116.4 1 714.1 944.6 2 658.7 ( 51.4) ( 28.3) ( 79.7) 1 662.7 916.3 2 579.0 ( 401.8) 290.2 ( 111.6) 1 260.9 1 206.5 2 467.4 1 406.8 1 231.6 2 638.4 112% 102% 107% 28.6 12.7 41.3 2 114.0 100.7 2 214.7 ( 66.4) 2 148.3 ( 333.0) 1 815.3 1 900.7 105% 471.1 DAP 2 114.0 100.7 2 214.7 ( 66.4) 2 148.3 ( 333.0) 1 815.3 1 900.7 105% 471.1 HRH 7 853.0 7 853.0 342.8 342.8 8 195.8 8 195.8 ( 245.9) ( 245.9) ( 258.2) ( 258.2) 7 691.7 7 691.7 ( 602.7) ( 602.7) 7 089.0 7 089.0 7 000.7 7 000.7 99% 99% 1 415.7 1 415.7 DHS 1 397.0 9 003.3 569.0 58.7 422.5 1 455.7 9 994.8 ( 43.7) ( 299.9) ( 53.4) 1 412.0 9 641.5 ( 310.1) ( 421.4) 1 101.9 9 220.1 1 221.9 9 116.6 111% 99% 28.7 1 033.6 NHP 7 512.9 569.0 359.9 8 441.8 ( 253.3) ( 53.4) 8 135.1 ( 85.2) 8 049.9 7 833.4 97% 1 004.8 HSR 93.4 3.9 97.3 ( 2.9) 94.4 ( 26.1) 68.3 61.3 90% 0.1 2 707.2 179.3 2 886.5 ( 86.6) ( 292.2) 2 507.7 ( 275.0) 2 232.7 2 341.1 105% PLL 1 588.4 126.2 1 714.6 ( 51.4) ( 253.5) 1 409.7 ( 340.0) 1 069.7 1 098.7 103% HST 1 118.8 53.1 1 171.9 ( 35.2) ( 38.7) 1 098.0 65.0 1 163.0 1 242.4 107% Changes before WHA50 Cost Increase & currency adjustments during WHA50 (2) (3) (4) Adjusted programme budget after WHA50 (1) + (2) + (3) (5) 3% Budget withheld by the DirectorGeneral (6) Currency and other adjustments during implementation Revised working allocation (4) + (5) + (6) Programme changes during implementation Operating budget (7) +/- (8) Actual expenditures/ obligations (7) (8) (9) (10) (11) Percentage of operating budget implemented (10) / (9) Extrabudgetary funds implemented (12) (13)
(14) Percentage of total
All funds implemented (10) + (12)
Implementation by programme (All Funds)
1 242.4
1.12%
1 098.7 2 341.1
0.99% 2.12%
61.4 8 838.2 1 250.6 10 150.2
0.06% 7.99% 1.13%
8 416.4 8 416.4
7.61% 7.61%
2 371.8 2 371.8
2.14% 2.14%
1 435.4 1 244.3 2 679.7
1.30% 1.12% 2.42%
* This figure is a result of a transfer of US$ 300 000 from administration and a transfer of US$ 269 000 from Technical cooperation with countries.
Financial Implementation – regular budget and extrabudgetary funds for the biennium 1998-1999 by major programme and programme as at 31 December 1999 (in US – '000) (1) MAJOR PROGRAMME/ PROGRAMME 1998 99 Proposed Budget 4.1 Reproductive, family and community health and population issues 4.1.1 4.1.3 4.1.5 4.1.7 Reproductive health Adolescent health Ageing and health Occupational health Subtotal 4.2 4.2.1 4.2.2 Healthy behaviour and mental health Mental health Substance and abuse including alcohol and tobacco 4.2.2.4 Specific tobacco or health control activities 4.2.3 4.2.4 4.2.5 4.3 4.3.1 4.3.2 4.4 4.4.1 4.4.2 4.4.3 4.4.4 Health promotion Communications and public relations Rehabilitation Subtotal Nutrition, food security and safety Nutrition Food safety Subtotal Environmental health Water supply and sanitation in human settlements Environmental health in urban development Assessment of environmental health hazards Promotion of chemical safety Subtotal PCS 96.5 4,904.1 0.9 199.8 97.4 5,103.9 (2.9) (153.1) (35.6) 94.5 4,915.2 (26.7) 117.0 67.8 5,032.2 63.8 5,326.1 94% 106% 145.2 63.8 5,471.3 0.06% 4.95% EHH 1,056.7 23.1 1,079.8 (32.4) 1,047.4 696.6 1,744.0 1,791.3 103% 1.5 1,792.8 1.62% EUD 1,845.4 78.8 1,924.2 (57.7) 1,866.5 120.5 1,987.0 2,109.9 106% 2,109.9 1.91% CWS 1,905.5 97.0 2,002.5 (60.1) (35.6) 1,906.8 (673.4) 1,233.4 1,361.1 110% 143.7 1,504.8 1.36% NUT FOS 831.5 842.8 1,674.3 43.7 30.9 74.6 875.2 873.7 1,748.9 (26.3) (26.2) (52.5) (17.8) (17.8) 831.1 847.5 1,678.6 107.6 (253.0) (145.4) 938.7 594.5 1,533.2 1,025.5 594.5 1,620.0 109% 100% 106% 323.9 323.9 1,349.4 594.5 1,943.9 1.22% 0.54% 1.76% RHB 373.7 4,517.3 13.7 190.6 387.4 4,707.9 (11.6) (141.1) (43.6) 375.8 4,523.2 (77.8) 377.0 298.0 4,900.2 287.6 4,798.9 97% 98% 17.0 494.3 304.6 5,293.2 0.28% 4.79% HEP INF 2,807.7 550.4 119.4 32.6 2,927.1 583.0 (87.8) (17.5) (20.9) (22.7) 2,818.4 542.8 (528.1) 93.7 2,290.3 636.5 2,154.8 529.8 94% 83% 2.1 2,156.9 529.8 1.95% 0.48% ADT 108.6 2.2 110.8 (3.3) 107.5 868.7 976.2 1,074.2 110% 1,074.2 0.97% MNH ADT 576.9 100.0 21.3 1.4 598.2 101.4 (17.9) (3.0) 580.3 98.4 11.4 9.1 591.7 107.5 664.5 88.0 112% 82% 233.1 242.1 897.6 330.1 0.81% 0.30% RPH ADH AHE OCH 1,329.9 159.1 786.5 512.8 2,788.3 54.7 4.3 40.0 19.6 118.6 1,384.6 163.4 826.5 532.4 2,906.9 (41.5) (4.9) (24.8) (16.0) (87.2) (35.6) (17.8) (17.8) 1,325.3 158.5 783.9 516.4 2,784.1 41.8 (25.0) (89.8) (81.9) (154.9) 1,367.1 133.5 694.1 434.5 2,629.2 1,446.8 136.6 664.6 418.6 2,666.6 106% 102% 96% 96% 101% 2,254.6 7.0 2,247.6 3,694.4 136.6 671.6 418.6 4,921.2 3.34% 0.12% 0.61% 0.38% 4.45% Changes before WHA50 Cost Increase & currency adjustments during WHA50 (2) (3) (4) Adjusted programme budget after WHA50 (1) + (2) + (3) (5) 3% Budget withheld by the DirectorGeneral (6) Currency and other adjustments during implementation Revised working allocation (4) + (5) + (6) Programme changes during implementation Operating budget (7) +/- (8) Actual expenditures/ obligations (7) (8) (9) (10) (11) Percentage of operating budget implemented (10) / (9) Extrabudgetary funds implemented All funds implemented (10) + (12) (12) (13) (14) Percentage of total Implementation by programme (All Funds)
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ANNEX 2
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ANNEX 2
Financial Implementation – regular budget and extrabudgetary funds for the biennium 1998-1999 by major programme and programme as at 31 December 1999 (in US – '000) (1) MAJOR PROGRAMME/ PROGRAMME 1998 99 Proposed Budget 5.1 5.1.1 Eradication/elimination of specific communicable diseases Global eradication or elimination GEE GEE 504.0 504.0 33.8 33.8 537.8 537.8 (16.1) (16.1) 200.0 (18.1) 181.9 200.0 503.6 703.6 252.0 252.0 200.0 755.6 955.6 200.0 619.0 819.0 100% 82% 86% 1,408.4 1,542.7 2,951.1 Changes before WHA50 Cost Increase & currency adjustments during WHA50 (2) (3) (4) Adjusted programme budget after WHA50 (1) + (2) + (3) (5) 3% Budget withheld by the DirectorGeneral (6) Currency and other adjustments during implementation Revised working allocation (4) + (5) + (6) Programme changes during implementation Operating budget (7) +/- (8) Actual expenditures/ obligations (7) (8) (9) (10) (11) Percentage of operating budget implemented (10) / (9) Extrabudgetary funds implemented (12) (13)
(14) Percentage of total
All funds implemented (10) + (12)
Implementation by programme (All Funds)
1,608.4 2,161.7 3,770.1
1.45% 1.95% 3.41%
5.1.1.2 Leprosy Subtotal 5.2 5.2.1 5.2.2 5.2.3 5.2.4 Control of other communicable diseases Vaccine-preventable diseases Diarrhoeal and acute respiratory disease control Tuberculosis Emerging diseases including cholera and other epidemic diarrhoeas, zoonoses and antimicrobial resistance 5.2.5 Other communicable diseases
VID CDR TUB EMC
1,925.6 793.2 1,880.0 543.7
85.9 43.0 90.3 19.9
2,011.5 836.2 1,970.3 563.6
(60.3) (25.1) (59.1) (16.9)
(15.5)
1,935.7 811.1 1,911.2 546.7
642.1 143.1 617.3 318.6
2,577.8 954.2 2,528.5 865.3
3,067.9 1,007.6 2,748.5 964.5
119% 106% 109% 111%
5,356.7 1,268.8 280.9 265.7
8,424.6 2,276.4 3,029.4 1,230.2
7.62% 2.06% 2.74% 1.11%
OCD OCD CTD CTD TDR PBD
1,396.9 616.0 281.2 2,664.5 188.4 211.4
55.6 44.1 10.1 116.4
1,452.5 660.1 479.7 2,992.3
(43.6) (19.8) (14.4) (89.8)
(18.1) 379.4
1,390.8 1,019.7 465.3
(37.7) 1,255.8 (198.2) 1,017.3
1,353.1 2,275.5 267.1 3,902.0
1,363.4 2,376.7 328.4 3,827.8
101% 104% 123% 98%
2,051.3 2,722.3 177.3 2,269.7 56.6
3,414.7 5,099.0 505.7 6,097.5 56.6 317.4 30,451.5
3.09% 4.61% 0.46% 5.51% 0.05% 0.29% 27.53%
5.2.5.4 AIDS and sexually transmitted diseases 5.2.6 Control of tropical diseases
5.2.6.1 Malaria 5.2.7 5.2.8 Special Programme for Research and Training in Tropical Diseases Prevention of blindness and deafness Subtotal 5.3 Control of noncommunicable diseases 5.3.1 Control of noncommunicable diseases Subtotal
(17.8)
2,884.7
90.5 10,191.6 399.8
2.0 467.3
92.5 11,058.7
(2.8) (331.8) 328.0
89.7 11,054.9
45.1 3,803.4
134.8 14,858.3
173.9 15,858.7
129% 107%
143.5 14,592.8
NCD
2,582.5 2,582.5
99.5 99.5
2,682.0 2,682.0
(80.5) (80.5)
(17.8) (17.8)
2,583.7 2,583.7
(248.0) (248.0)
2,335.7 2,335.7
2,293.2 2,293.2
98% 98%
55.6 55.6
2,348.8 2,348.8
2.12% 2.12%
Financial Implementation – regular budget and extrabudgetary funds for the biennium 1998-1999 by major programme and programme as at 31 December 1999 (in US – '000) (1) MAJOR PROGRAMME/ PROGRAMME 1998 99 Proposed Budget 6.1 Personnel 6.1.1 Personnel services and administration Subtotal 6.2 General administration 6.2.1 Administrative support to technical programmes Subtotal 6.3 Budget and finance 6.3.1 Budget and finance Subtotal Total BFI 1,302.5 1,302.5 76,709.0 (57.6) (57.6) 79.1 79.1 3,570.0 1,324.0 1,324.0 80,279.0 (39.7) (39.7) (2,408.2) (325.8) (325.8) (2,364.0) 958.5 958.5 75,506.8 (100.8) (100.8) 857.7 857.7 75,506.8 824.1 824.1 75,506.8 96% 96% 100% 288.9 288.9 35,106.5 1,113.0 1,113.0 110,613.3 1.01% 1.01% 100.00% 4,832.0 (578.1) 243.2 4,497.1 (134.9) (1,042.1) 3,320.1 (21.9) 3,298.2 3,141.3 95% 2,073.3 5,214.6 4.71% GAD 4,832.0 (578.1) 243.2 4,497.1 (134.9) (1,042.1) 3,320.1 (21.9) 3,298.2 3,141.3 95% 2,073.3 5,214.6 4.71% 793.2 (64.1) 51.4 780.5 (23.4) (107.6) 649.5 (95.3) 554.2 480.6 87% 124.8 605.4 0.55% PER 793.2 (64.1) 51.4 780.5 (23.4) (107.6) 649.5 (95.3) 554.2 480.6 87% 124.8 605.4 0.55% Changes before WHA50 Cost Increase & currency adjustments during WHA50 (2) (3) (4) Adjusted programme budget after WHA50 (1) + (2) + (3) (5) 3% Budget withheld by the DirectorGeneral (6) Currency and other adjustments during implementation Revised working allocation (4) + (5) + (6) Programme changes during implementation Operating budget (7) +/- (8) Actual expenditures/ obligations (7) (8) (9) (10) (11) Percentage of operating budget implemented (10) / (9) Extrabudgetary funds implemented All funds implemented (10) + (12) (12) (13) (14) Percentage of total Implementation by programme (All Funds)
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ANNEX 2
MAJOR PROGRAMME/ PROGRAMME
Remarks on financial implementation - regular budget - biennium 1998-1999 by major programme and programme as at 31 December 1999 (in United States dollars - '000 (1) (2) (3) Operating Actual Percentage budget expenditures/ of operating obligations budget Remarks implemented (2)/(1)
1.1 1.1.3
Governing bodies Regional Committees Subtotal RCO 521 521 533.6 533.6 102% 102%
2.1 2.1.1 2.1.2 2.1.3 2.1.4
General programme development and management Executive management Managerial process for WHO's programme development Management and support to information systems Director General's and the Regional Directors' development programme 2.1.5 Coordination with other organizations. Mobilization of external health resources. Subtotal 4 790.4 3 809.8 80% COR 123.4 138.4 112% The post of External Relations Officer was filled earlier than originally planned. ISM 1 075.8 1 060.9 99% DGP 1 052.2 EXM GPD 1 574.3 964.7 1 655.1 955.4 99% 105%
2.2 2.2.1 2.2.2
Health, science and public policy Health in socioeconomic development Research policy and strategy coordination RPS 618.8 535 86% Restructuring of programme activities in the Regional Office resulted in staff posts in this area remaining vacant. Subtotal 860.4 772.8 90% HSD 241.6 237.8 98%
2.3
National health policies and programme development and management 2.3.1 2.3.3 Technical cooperation with countries Procurement services (excluding drugs, biologicals and contraceptives) SUP 392.7 355 90% The post of Supply and Administrative Officer was vacant for a short period. TCC 8 971.6 8 856.5 99%
WPR/RC51/3 page 12
ANNEX 3
WPR/RC51/3 page 13
ANNEX 3
MAJOR PROGRAMME/ PROGRAMME
Remarks on financial implementation - regular budget - biennium 1998-1999 by major programme and programme as at 31 December 1999 (in United States dollars - '000 (1) (2) (3) Operating Actual Percentage budget expenditures/ of operating obligations budget Remarks implemented (2)/(1) EHA 191.7 353.1 184% Technical support, training and materials in disaster preparedness were provided to several countries using funds from the Regional Director's Development Programme.
2.3.4
Emergency and humanitarian action; relief and rehabilitation operation and emergency preparedness programme Subtotal
9 556.0
9 564.6
100%
2.4 2.4.1
Biomedical and health information and trends Epidemiology, statistics, trend assessment and country health information 2.4.2 Publishing, language and library services Subtotal 2 232.7 2 341.1 105% PLL 1 069.7 1 098.7 103% HST 1 163.0 1 242.4 107%
3.1
Organization and management of health systems based on primary health care 3.1.1 3.1.2 3.1.3 Health systems research and development National health systems and policies District health systems DHS 1 101.9 1 221.9 111% Additional activities were implemented in three countries to strengthen management of health systems. Subtotal 9 220.1 9 116.6 99% NHP 8 049.9 7 833.4 97% HSR 68.3 61.3 90% Savings were generated from placement of fellows at less expensive locations.
MAJOR PROGRAMME/ PROGRAMME
Remarks on financial implementation - regular budget - biennium 1998-1999 by major programme and programme as at 31 December 1999 (in United States dollars - '000 (1) (2) (3) Operating Actual Percentage budget expenditures/ of operating obligations budget Remarks implemented (2)/(1)
3.2 3.2.1
Human resources for health Human resources for health Subtotal HRH 7 089.0 7 089.0 7 000.7 7 000.7 99% 99%
3.3 3.3.1
Essential drugs Action Programme on Essential Drugs Subtotal 1 815.3 1 900.7 105% DAP 1 815.3 1 900.7 105%
3.4 3.4.1 3.4.3
Quality of care and health technology Technology for health care Traditional medicine Subtotal THC 1 260.9 1 406.8 1 231.6 2 638.4 112% 102% 107% Two countries undertook additional activities to strengthen laboratory capacity to support tuberculosis control and blood safety. TRM 1 206.5 2 467.4
4.1
Reproductive, family and community health and population issues 4.1.1 4.1.3 4.1.5 4.1.7 Reproductive health Adolescent health Ageing and health Occupational health Subtotal RPH 1 367.1 ADH AHE OCH 2 629.2 133.5 694.1 434.5 2 666.6 1 446.8 136.6 664.6 418.6 106% 102% 96% 96% 101%
4.2 4.2.1 4.2.2
Healthy behaviour and mental health Mental health Substance abuse including alcohol and tobacco 4.2.2.4 Specific tobacco or health control activities ADT 976.2 1 074.2 110% Additional funds were provided to coordinate regional tobacco or health activities through health education and mass media campaigns. MNH ADT 591.7 107.5 664.5 88 112% 82% Additional funds were provided to support training in five countries and a Regional Coordination Meeting. Some activities were implemented at lower cost.
WPR/RC51/3 page 14
ANNEX 3
WPR/RC51/3 page 15
ANNEX 3
MAJOR PROGRAMME/ PROGRAMME
Remarks on financial implementation - regular budget - biennium 1998-1999 by major programme and programme as at 31 December 1999 (in United States dollars - '000 (1) (2) (3) Operating Actual Percentage budget expenditures/ of operating obligations budget Remarks implemented (2)/(1) HEP INF RHB 4 900.2 2 290.3 636.5 298 4 798.9 2 154.8 529.8 287.6 94% 83% 97% 98% Planned activities were implemented at lower cost.
4.2.3 4.2.4 4.2.5
Health promotion Communications and public relations Rehabilitation Subtotal
4.3 4.3.1 4.3.2
Nutrition, food security and safety Nutrition Food safety Subtotal NUT FOS 1 533.2 938.7 1 025.5 594.5 1 620.0 594.5 109% 100% 106%
4.4 4.4.1 4.4.2 4.4.3 4.4.4
Environmental health Water supply and sanitation in human settlements Environmental health in urban development Assessment of environmental health hazards Promotion of chemical safety Subtotal PCS 5 032.2 67.8 5 326.1 63.8 94% 106% EHH 1 744.0 1 791.3 103% EUD 1 987.0 2 109.9 106% CWS 1 233.4 1 361.1 110% Additional resources were provided to improve water quality and supply systems using funds from the Regional Director's Development Programme.
MAJOR PROGRAMME/ PROGRAMME
Remarks on financial implementation - regular budget - biennium 1998-1999 by major programme and programme as at 31 December 1999 (in United States dollars - '000 (1) (2) (3) Operating Actual Percentage budget expenditures/ of operating obligations budget Remarks implemented (2)/(1)
5.1 5.1.1
Eradication/elimination of specific communicable diseases Global eradication or elimination GEE GEE 200 755.6 955.6 200 619 819 100% 82% 86% Consultant assignments were shorter than planned. 5.1.1.2 Leprosy Subtotal
5.2 5.2.1 5.2.2 5.2.3 5.2.4
Control of other communicable diseases Vaccine-preventable diseases Diarrhoeal and acute respiratory disease control Tuberculosis Emerging diseases including cholera and other epidemic diarrhoeas, zoonoses and antimicrobial resistance 5.2.5 Other communicable diseases diseases 5.2.6 5.2.8 Control of tropical diseases Prevention of blindness and deafness Subtotal 14 858.3 15 858.7 107% CTD CTD PBD 3 902.0 134.8 267.1 3 827.8 173.9 328.4 123% 98% 129% Additional support was provided for activities pertaining to the global initiative of Vision 2020: The right to sight. Additional support was provided to four countries for dengue control. 5.2.6.1 Malaria OCD 1 353.1 OCD 2 275.5 1 363.4 2 376.7 101% 104% 5.2.5.4 AIDS and sexually transmitted TUB EMC 2 528.5 865.3 2 748.5 964.5 109% 111% Activities in response to cholera outbreaks, zoonotic paramyxovirus and dengue were not originally planned. Some funds were made available from the Regional Director's Development Programme. VID CDR 2 577.8 3 067.9 954.2 1 007.6 119% 106% Additional support was provided to ensure success of national and subnational immunization days in four countries.
WPR/RC51/3 page 16
ANNEX 3
WPR/RC51/3 page 17
ANNEX 3
MAJOR PROGRAMME/ PROGRAMME
Remarks on financial implementation - regular budget - biennium 1998-1999 by major programme and programme as at 31 December 1999 (in United States dollars - '000 (1) (2) (3) Operating Actual Percentage budget expenditures/ of operating obligations budget Remarks implemented (2)/(1)
5.3 5.3.1
Control of noncommunicable diseases Control of noncommunicable diseases Subtotal 2 335.7 2 293.2 98% NCD 2 335.7 2 293.2 98%
6.1 6.1.1
Personnel Personnel services and administration Subtotal 554.2 480.6 87% PER 554.2 480.6 87% The post of Personnel Officer was vacant for a short period.
6.2 6.2.1
General administration Administrative support to technical programmes Subtotal 3 298.2 3 141.3 95% GAD 3 298.2 3 141.3 95%
6.3 6.3.1
Budget and finance Budget and finance Subtotal Total 75 506.8 BFI 857.7 857.7 75 506.8 824.1 824.1 96% 96% 100%
WPR/RC51/3 page 18
ANNEX 4 Financial information on the implementation of the Regional Director's Development Programme for 1998-1999 (in US$) Major programme/programme 2.3.4 Emergency and humanitarian action; relief and rehabilitation operation and emergency preparedness programme Epidemiology, statistics, trend assessment and country health information Technology for health care Occupational health Water supply and sanitation in human settlements Vaccine-preventable diseases Tuberculosis Emerging diseases including cholera and other epidemic diarrhoeas, zoonoses and antimicrobial resistance Other communicable diseases Malaria US$
EHA HST THC OCH CWS VID TUB EMC OCD CTD
170 300 35 200 22 200 13 100 116 400 150 000 173 900 258 500 28 100 84 500 1 052 200
2.4.1 3.4.1 4.1.7 4.4.1 5.2.1 5.2.3 5.2.4 5.2.5 5.2.6.1 TOTAL
WPR/RC51/3 page 19
ANNEX 5 Summary of extrabudgetary resources obligated between 1 January 1998 and 31 December 1999 (in US$)
Partners Australian Agency for International Development Belgium Canada Centers for Disease Control and Prevention, Atlanta Commission of the European Communities Denmark Department for International Development, United Kingdom Finland France Headquarters Action Programme on Essential Drugs Headquarters Mental Health Programme Headquarters Special Account for Diarrhoeal Diseases and Acute Respiratory Infections Headquarters Special Account for Servicing Costs Italy Japan Japan Pharmaceutical Manufacturers Association Joint United Nations Programme on HIV/AIDS (UNAIDS) Luxembourg Netherlands Nippon Foundation Norway Pacific Leprosy Foundation Republic of Korea Rotary International Saitama Cancer Center Sasakawa Memorial Health Foundation Sweden Trust Funds * United Nations Development Programme United Nations Fund for Population Activities United States Agency for International Development World Bank Other Funds Total
Obligations (US$)
1 320 573.00 155 448.00 170 000.00 1 772 103.00 328 827.00 87 200.00 2 966 163.00 161 902.00 275 532.00 351 860.00 233 035.00 477 174.00 2 892 215.00 30 775.00 8 031 760.00 54 923.00 1 142 926.00 406 572.00 581 652.00 1 307 758.00 378 753.00 122 603.00 716 424.00 1 679 976.00 22 000.00 191 369.00 1 053 022.00 2 933 189.00 989 935.00 2 110 652.00 860 396.00 88 599.00 1 211 166.00 35 106 482.00
* Includes procurement made on behalf of Member States.