WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANT~
REGIONAL OFFICE FOR
THE WESTERN PACIFIC
BUREAU R~GIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMMITTEE Twenty-fourth Session Wellington 28 August - 4· September 1973 WPR/RC24/13 3 September 1973 ORIGINAL: ENGLISH
REPORT OF THE SUB-COMMITTEE ON PROGRAMME AND BUDGET CONTENTS
1
In traduction ........................................ .
1
2
Review of budget performance 1972 - direct services to governments of the Region by subject heading, by country and by project Modifications to the 1973 and 1974 regular programme and budget estimates .•........•........•... Review of the proposed programme and budget estimates for 1975 •.••••.•••.•......•................ 4.1 4.2 4.3 General observations ••.••••••••..•.•••......... Analysis of general programme trends .•••.••...• Regional Director's Programme Statement Regional programme and sub-programme statements, summaries by programme and source of funds and schedules •••••••..•••••.... Regional Office Regional Advisers and WHO Representatives •••••• Field activities, including inter-country projects ................. "......................
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3 4
4 8 8 9
10 12 13
4.4 4.5 4.6 4.7
Consideration of the 1974 and 1975 Lists of Additional Projects •.•.•.•...•.•.••... Consideration of the 1973, 1974 and 1975 List of Projects expected to be financed by UNDP or UNFPA •••••••••••••••••••••••••••••••
15 18 18 19
5
Consideration of tentative projection for 1976 ..•.... Resolutions ......................................... .
6
- ii -
Annexes Annex 1 Annex 2 Suggested Guidelines for the Sub-Committee on Programme and Budge t ••.••••••••••••••••• Proposed Programme and Budget Estimates for 1975 - Details of Consultants and Fellowships Provision •••••••••••••••..•.•.• General State1llents " ... ,,""""""""""""""""'"''''
21
23 35
Annex 3
,. WPR /l{C26 /1 '1 p,lgC
J
1
Introduction
At its seventh session, the Regional Committee, in resolution WPR/RC7 . R7, decided "that the establishment of a sub-commi t tee on 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 "lemhers. subject to the provision that any Representative desiring to he a member of the sub-committee should be entitled to participate". ,\t its twenty-first session, the membership of the Sub-Committee vias increased to halfl the Members in the Region. The Sub-Committee on Programme and Budget met on 30-31 August and 3 September 1973, under the chairmanship of Dr C.N. Derek Taylor. The attendance was as follows: Members in accordance with the principle of rotation: Australia Dr H.M. Franklands Dr R.W. Cumming Mr R. J. Tyson Dr Chen Hai-feng Mr Chou Shan-v en Professor Shi Chen-hsin Dr Chang Kuang-hua Mr Tsao Yung-lin Dr D. Singh Dr J. Laigret Dr Teruhiko Saburi Dr Rintaro Okamoto Dr H.J.H. Hiddlestone Dr G. Blake-Palmer Dr R. Dickie Professor C.W. Dixon Dr Sung Hee Rhee Dr Sung Kyu Ahn Dr Kyong Shik Chang Dr Truong-Minh-Cac Dr Ph am-Van Dr Nhan-Trung-Son Dr J.L. Kilgour Dr G. Choa
China
Fiji France Japan New Zealand
Republic of Korea
Republic of Viet-Nam
United Kingdom
I
"Half the Members" means that half an odd number would be the next higher full number - e.g., one half of 17 is 9.
WPR/RC24/13 page 2
Other members of the Committee also in attendance were: Khmer Republic Professeur Agrege Sok Heangsun Dr Kadeva Han Dr My Samedy Dr Phouy Phoutthasak Dr Tiao Jaisvasd Visouthiphong Tan Sri Datuk (Dr) Abdul Majid bin Ismail Dr S.K. Mukherjee Mr Onn bin Kayat Dr A.N. Acosta Dr J.B. Duarte Pinheira Dr L. Amarchande Dr Ho Guan Lim Dr Mr Dr Dr J.C. King F.S. Cruz M. Kumangai J. Nunn
Laos Malaysia
Philippines Portugal Singapore United States of America
Western Samoa
Honourable Seiuli Taulafo Dr J.C. Thieme Mr Faapoituulao Atoa Dr M. Wainetti
Papua New Guinea
Representatives of the United Nations and the United Nations Development Programme, UNICEF, South Pacific Commission, International Council on Alcohol and Addictions, International Dental Federation, International Committee of Catholic Nurses, International Council of Nurses, International Planned Parenthood Federation, International Federation of Pharmaceutical Manufacturers Associations, International Society of Radiology and the World Veterinary Association also attended. The Director-General and the Regional Director were also present. Dr Flache, Director of Health Services, acted as Secretary. was assisted by Miss Newton, Chief, Administration and Finance. The Sub-Committee had before it the following documents: WPR/RC24/2 and Corr.l WPR/RC24/P&B/l Proposed programme and budget estimates for 1975 Suggested guidelines for the Sub-Committee on Programme and Budget He
WPR/RC24/13 page 3 WPR/RC24/P&B/2 Budget performance 1972 Direct services to governments of the Region by subject heading, by country and by project Proposed programme and budget estimates for 1975 (Review of the main features of the 1975 proposed programme and budget estimates and the programme changes for 1973 and 1974) Tentative projection for 1976 Proposed programme and budget estimates for 1975 (Details of consultants and fellowships provision) Modifications to the 1974 programme and budget estimates
WPR/RC24/P&B/3
WPR/RC24/P&B/4 WPR/RC24/P&B/5
WPR/RC24/P&B/6
2
Review of budget performance 1972 - direct services to governments of the Region by subject heading, by country and by project (Document WPR/RC24/P&B/2)
Dr Flache, Secretary, informed the Sub-Committee that in 1972 the overall budget percentage of obligations to the revised estimates had been 86.1%. This low rate of implementation for 1972 had resulted from the Director-General's directive not to obligate a total of US$718 784 which had been provided for the following programmes: undelivered programme in the Province of Taiwan (China), $130 894, and activities not related to any specific subject heading, $587 890. When this amount which could not be delivered was taken into account, 96.7% of the revised estimates had been implemented. The differences between the planned and delivered programmes had resulted from changes in government priorities, unexpected delays in recruitment, the advance awarding of fellowships, and other reasons beyond the control of the Regional Director. In some cases, the percentages of increase or decrease shown against some of the subject headings might seem excessive but a detailed examination of the actual amounts involved would show that they were relatively minimal. The Representative of Australia asked for information on the amount of $587 890 not obligated and identified as "Activities not related to any Subject Heading". Miss Newton, Chief, Administration and Finance, stated that the amount had been frozen by the Director-General for the purpose of giving assistance to the People's Republic of China following the
WPR/RC24/13 page 4 decision of the World Health Assembly of 1972. Those funds had not been obligated for that purpose in 1972 and had not been available for any other activity. 3 Modifications to the 1973 and 1974 regular programme and budget estimates (Paragraph 3 and Annexes 1 and 2 of Documents WPR/RC24/P&B/3 and WPR/RC24/P&B/6)
Dr Flache, Secretary, drew the attention of the Sub-Committee to Annexes 1 and 2 of document WPR/RC24/P&B/3 which contained information on the differences between the original and the revised estimates for the two years. These reflected the revised situation based on actual performance and the changes requested by governments. In the present stage of development of some countries, and as techniques developed and became more sophisticated, some changes in the originally foreseen programme became inevitable. Other changes became necessary as priorities changed in various programmes. The attention of the Sub-Committee was then drawn to resolution WHA26.4l, the Appropriation Resolution for the Financial Year 1973. The provisions of this resolution allowed little flexibility for transfers between Appropriation Sections. The appropriations under these sections could not be exceeded and any changes requested had to be submitted to the Director-General for his decision. The Director-General was authorized to make transfers between sections only up to an amount not exceeding 10% of that appropriated for the Appropriation Section from which the transfer was made. All transfers between sections had to be reported to the Executive Board. The importance of governments bearing this fact in mind when they requested changes to the approved programme was emphasized. The Sub-Committee noted that the estimates for the Regional Office in 1973 and 1974 were US$205 916 and $253 823 more than envisaged last year, as a result of the transfer of the four posts of assistant directors of health services and five secretaries from Public Health Services to the Regional Office, because of the changes made in the programme classification structure. The estimated cost of Regional Advisers in 1973 and 1974 was US$317 697 and $278 577 less than that reported last year, as a result of the transfers mentioned above. In addition, the local staff salary scales and post adjustment levels for professional staff had not increased at the rates calculated when the estimates had been prepared last year. The estimated cost of WHO Representatives for 1973 and 1974 was US$21 899 and $19 426 less than the amount provided last year. The decrease had resulted from a reduction in the post adjustment rates for the Khmer Republic, Laos and the Republic of Viet-Nam, following changes in the rates of currency exchange in these countries.
WPR/RC24/13 page 5 A particular activity affected by programme changes was the fellowship programme. It was appreciated that because of changes in priorities, or because of difficulties encountered in finding suitable candidates for a designated fellowship in the programme and budget, governments often had very good reasons for requesting changes in the field of study. If possible under budgetary regulations, and if technically supportable, WHO endeavoured to meet all such requests. However, in some cases, changes in fellowships were requested late in the year, resulting in considerable difficulty in effecting placement in time to have the award processed within the budgetary period. It would greatly facilitate the work of the Fellowships Unit in the Regional Office if governments would reqc=st such changes well in advance and preferably along with advice of ~ny other programme changes early in the year prior to the implementing year. The attention of the Sub-Committee was then drawn to the following changes recently requested by Fiji and the Republic of Viet-Nam:
(a) Deletion in 1974 of the following fellowships: six months in dental technology, 24 months in radiology, 12 months in dermatology and 12 months in medicine. (b) Inclusion in 1974 of the following fellowships: six and 12 months for a diploma in dental public health, 12 months for a master's degree in anatomy, 12 months for a primary examination for an F.R.A.C.S. and 12 months for a diploma in child health. Republic of Viet-Nam (a) Deletion in 1974 of the following fellowships: 12 months in epidemiology, 12 months in health laboratory services and 12 months in dental health. (b) Inclusion in 1974 of the following fellowships: two for six months, one in zoology, and the other in the epidemiology of communicable diseases, two for six months in microbiology and four for three months in dental health. Statements made during the discussion on specific country programmes French Polynesia The Representative of France pointed out that a WHO consultant in metabolic diseases was now working in French Polynesia. The duration of the original assignment had been three months. Both the Administration and the consultant would prefer to have this provision divided into two one-and-a half-month consultantships, one in 1973 and the other in 1974.
WPR/RC24/13 page 6 Papua New Guinea The Representative of Papua New Guinea said that his Government required the services of the consultant in national health planning urgently. It also wished to have the assignment of the technical officer attached to the education and training advisory services project [HMD/04 (formerly 640l)J extended for anoth.er year. Dr Flache replied that there had been difficulties in locating a suitable person to undertake the national health planning assignment but that the Regional Office now had in m'_nd a candidate who, it was hoped, would be able to start his assignmen~ by the end of 1973. The Representative of Papua New Guinea noted that the tuberculosis control project in Papua New Guinea was not included in the document. His Government had previously requested a fellowship for a doctor but this request had been changed to fellowships for two health extension officers to undergo training in tuberculosis control at the Bangalore Training Institute. He also asked whether the l6-month fellowship in child health planned to be funded under UNFPA had been approved or not. Dr Flache referred to page 257 of the document, where the sum of $6000 for consultants and $3200 for fellowships was shown under the tuberculosis control project ~MBD/Ol (formerly l20l)J. The UNFPAfunded proposal for a child health fellowship appeared on page 401, where the item in question was listed under project MCH/Ol (9601). However, this as well as all other projects listed in the yellow pages of the document were proposals which were still under negotiation with UNFPA and therefore no commitment existed at this stage. Western Samoa The Representative of Western Samoa stated that the post of WHO medical officer for the tuberculosis control project had been originally requested for 1972 and 1973. The post had, however, only been filled for 13 months by two short-term consultants and since January 1973 no WHO staff had been assigned to the project. The project required considerable improvement and the advisory services of a WHO medical officer would be required for some 10 to 12 months. It was hoped, therefore, that in the consideration of modifications to the 1974 regular programme and budget, provision could be made for the continuation of a WHO medical officer for up to 12 months. General discussion Some representatives questioned the differences in amounts between the document which had been before the Regional Committee last year and the amounts shown in document WPR/RC24/2. It was pointed out that in accordance with Article 55 of the Constitution, it is the responsibility of the Director-General to prepare and submit to the Executive Board the annual budget estimates of the Organization.
\.JPR/RC24/13 nage 7
Article 50 of the Constitution defines the functions of the Regional Committee, which include, inter-alia, functions which may be delegated to the Committee by the Director-General. The DirectorGeneral had delegated to the Regional Committee the responsibility of reviewing and making recommendations to him on the regional programme and budget proposed by the Regional Director. Proposals prepared by the Regional Director and reviewed by the Regional Committee may be amended or adjusted by Headquarters, either in contents or in costing, before they are included in the Director-Genera1's proposed programme and budget. For the 1973 programme and budget, the Regional Committee had had before it in 1971 an amount of US$185 582 as the estimated cost of the proposed programme for China. The amount now included in the 1973 column of the Director-General's Programme and Budget Estimates for 1974 (Official Records No. 204) is $661 500. The Regional Committee in 1972, when it considered the proposed programme and budget for 1974, had had before it a document which showed no amount for China. The figure which appears in Official Records No. 204 for 1974 is $900 000. In addition, both the 1973 and 1974 columns of the 1975 programme and budget had been revised and recosted in the light of the latest available information at the time the document had been prepared. The following information was later submitted to the SubCommittee: The total estimated costs shown in the summary on page 1 of document WPR/RC23/2, Proposed Programme and Budget Estimates for 1974, for the 1974 programme to be financed from the regular budget was US$7 815 692. The amount shown in the summary on page 15 of document WPR/RC24/2, Proposed Programme and Budget Estimates for 1975, for the 1974 programme is $8 640 800, a difference of $825 108. The difference comprises the following elements: (a) (b) (c) Estimated costs of the programme for China Difference in estimated costs for the Regional Committee Recosting of various elements of the programme $800 000 24 800 308 US$825 108
WPR/RC24/l3 page 8
For a comparison with the estimated costs of the 1974 programme as considered by, the Twenty-sixth World Health Assembly in May of 1973, the estimated costs shown in Official Records No. 204 Proposed Programme and Budget Estimates for the Financial Year 1 January - 31 December 1974, page 130, is US$8 715 675 and includes an amount of $900 000 for the programme in China. Leaving aside the estimated costs for China, the amount is $7 815 675 - a difference of $17, as compared to the amount shown in document WPR/RC23/2 of the 1972 Committee, which would have resulted from various recostings when Headquarters prepared the Director-General's Proposed Programme and Budget Estimates for the Financial Year 1 January - 31 December 1974. 4 Review of the proposed programme and budget estimates for 1975 (Documents WPR/RC24/2, WPR/RC24/2 Corr.l and paragraphs 1 and 2 of Document WPR/RC24/P&B/3) General observations
4.1
The Sub-Committee noted that the form of presentation of the Proposed Programme and Budget Estimates for 1975 had been substantially changed as a result of the decision of the Twenty-fifth World Health Assembly in its Resolution WHA25.23 of May 1972. It was essentially more programme-oriented than in previous years and a statement of the programme objectives in the various fields should permit an easier evaluation of the progress made. The main innovations were as follows: firstly, the new programme classification structure, which is based on the Organization's Fifth General Programme of Work covering the period 1973 to 1977, with the principal programme objectives reflected in separate appropriation sections; and secondly, a series of programme statements of the activities assisted by the Organization. These consist of regional programme and sub-programme statements, country programme statements and functional statements concerning support to regional programmes. The country programme statements contain information on the present situation, objectives to be attained, and how targets were to be realized. Pages 1-9 of the document contain the Regional Director's programme statement, an overall view of the activities in the Region and future trends of the health programme. Page 10 contains a summary of the Regional Health Programme: Estimated Obligations by Source of Funds. The Summaries by Programme and Source of Funds appear on pages 11-15 and those by Programme and Organizational Level on pages 16-19. Pages 20-140 give the Programme and Sub-Programme Statements by appropriation sections, a completely new presentation. The Annexes contained on pages 141-158 start with a Summary of Services and Assistance to Governments, followed by Estimates for the Regional Office, Regional Advisers and WHO Representatives. Although this information had appeared in past regional programme and budget estimates, the manner in which it was established this year had been modified. The Country Programme Statements appear on pages 160-332, together with tabulations indicating the budgetary estimates for
WPR/RC24/13 page 9 various projects. Pages 334-358 consist of a tabulation of the intercountry programme. Although there are no project narratives for these programmes, the activities which should be carried out are described in the programme and sub-programme statements included in the first half of the document. The green pages (Annex VIr list the projects requested by governments which could not be accommodated within the budgetary allocation for the Region. The yellow pages (Annex VII) list the projects currently under negotiation for financing by UNDP or UNFPA. The Sub-Committee noted that the summary by programme and source of funds on pages 11-15 under the various Appropriation Sections was different from that used in the past. Appropriation Section 1 relates to the costs of the Regional Committee, which were being presented to the Committee for the first time this year. Appropriation Section 2 covers the Office of the Regional Director, including its Liaison and Reports Office. Appropriation Sections 3.1 through 7.2 provide for country and inter-country projects and the posts of Regional Advisers. Appropriation Section 8 did not appear in the document, as it related only to Headquarters activities. Appropriation Section 9 is subdivided into four subsections: 9.1.6, Programme Planning and Direction, which included the Office of the Director of Health Services and the Assistant Directors of Health Services; 9.2.6 covers the offices of the WHO Representatives; 9.3.6 is for General Support Services which include the administrative and financial services; and 9.4.6 covers the cost of Common Services, including maintenance of buildings and grounds, costs of utilities and communications, and general support items. Since details of fellowships and consultants were not included in the new budget presentation, a working paper provided detailed information on these provisions (see Annex 2). 4.2 Analysis of general programme trends
The total regular budget proposals for 1975 were estimated at US$9 620 000 as compared to $8 640 800 for 1974 and $7 520 839 for 1973, an increase of $979 200 or 11.33% over 1974. Of the total increase of $979 200 in 1975 over 1974, $873 624 (89%) was devoted to field activities, while the remaining 11% was required to cover the increases in the statutory and other costs of the Regional and WHO Representatives' offices. The budget for country projects had increased from US$5 199 597 in 1974 to $5 781 202 in 1975, i.e., $581 605 or 11.19%. A sum of $1 470 143 had been proposed for the inter-country programme as compared to $1 213 533 for 1974, an increase of 21.15%. If the total budget comprising regular funds, as well as funds from other sources - including UNDP and UNFPA - was considered, there appeared to be a considerable decrease in 1974 and 1975 in assistance from extra-budgetary sources of funds. However, the Sub-Committee
WPR/RC24/13 page 10 noted that only the few projects for which firm financial commitments had been made by UNDP and UNFPA had been listed in the main budget, as the budgetary cycle of these agencies differed from that of WHO. A special annex had been prepared listing those projects for which it was hoped funds would eventually be provided. However, even if funds were provided by UNDP and UNFPA to cover all these projects, the total assistance which might be provided would be only approximately $13000 000 for 1975, i.e., no higher than that for each of the preceding years, 1973 and 1974. Thus, the proposed increase of 11% in the regular budget would be offset by the decrease in external assistance. This was a very unfortunate trend which the Sub-Committee hoped that ministries of health would try to reverse. In addition to funds expected to be provided by UNDP and UNFPA, some resources were available from the Voluntary Fund for Health Promotion - for example, the 1973 estimates included the sum of US$l 451 845 for construction of the National Institute of Health in Saigon and considerably smaller amounts had been, and would continue to be, made available for various activities, such as 1eprosv control, from this source of funds. 4.3 Regional Director's Programme Statement (pages 1-9) Regional programme and sub-programme statements, summaries by programme and source of funds and schedules (pages 10-142)
The Sub-Committee noted that the programme trends were in line with the principles and criteria of the Fourth Regional Programme of Work which had been adopted by the Committee and were the result of a continuous and fruitful dialogue with governments. In this dialogue, WHO tried to play an active part - again, in accordance with the wishes of the Committee - in pointing out to governments the merits of certain project proposals. In view of the limited resources available, only the more urgent needs of countries could be accommodated in the regional programme and budget estimates. WHO assistance was intended to supplement and not to substitute for the government's own efforts. The programme, Strengthening of Health Services, would continue to be a major priority in the regional programme in 1975. The assistance planned was designed to help governments increase the effectiveness and efficiency of their health and medical services. Assistance in planning and organizing health services at various levels such as health planning courses, provision of consultant services, and advice in management aspects which might be associated with certain studies - for example, health practice research and systems analysis was also included under this section. In terms of budget, an increase of 14.97% over 1974 was proposed for 1975 (US$2 436 086 for 1975, as compared to $2 142 377 for 1974). A substantial increase of 25.6% over 1974 was provided for health laboratory services which were classified under this heading. The demand for assistance in the strengthening and establishment of health laboratory services was considered fully justified as it corresponded to the urgent needs of a number of developing countries in the Region.
WPR/RC24/l3 page 11
The programme for Family Health grouped the programme areas of maternal and child health, family planning, nutrition, and health education and there would be close collaboration with other health services. The priority areas would continue to include the reduction of maternal, perinatal, infant and child mortality and morbidity, and problems of nutritional deficiency diseases, particularly proteincalorie malnutrition and nutritional anaemia. This programme had been given a high priority in view of the many requests for assistance received from governments. The sum of US$350 831 was proposed for the family health programme in 1975, an increase of 32.16% over 1974. Out of this total, there was an increase of 75.77% for health education alone. For Health Manpower Development, a sum of US$2 024 345 was proposed for 1975, an increase of 5.22% over 1974. Priority was given to teacher training and it was hoped that by 1975 a number of countries in the Region would have established their own national teacher training centres. Communicable Diseases Prevention and Control continued to be a major health priority in the Region; while it would, as in the past, receive close attention, no dramatic changes in financial support were expected. Following the closure of the International Malaria Eradication Training Centre, Manila, malaria training activities in the Region would be undertaken by national malaria training centres located in Manila, Kuala Lumpur, Madang (Papua New Guinea) and the National Institute of Public Health in Saigon. WHO would support activities in all these centres by providing consultants, teaching material and fellowships through the inter-country project. The Non-Communicable Diseases Prevention and Control programme reflected a considerable increase in activities in 1975, i.e., US$323 155 in 1975 as compared to $165 750 in 1974. This mainly resulted from the increasing importance attached to the prevention and control of alcoholism and drug abuse, the allocation for this activity having increased from $20 100 in 1974 to $145 700 in 1975. The allocation for Prophylactic and Therapeutic Substances had decreased in 1975 to US$12 200, as compared to $19 600 in 1974. The reason for this trend was that governments tended to merge programmes for prophylactic and therapeutic substances with those of food and drug administrations, particularly at the inspectorate and supervisory level. UNDP, which was responsible largely for funding the pharmaceutical and drug quality control component of this programme, now seemed to be losing interest in the undertaking. No specific requests had been received by WHO for assistance to this sub-programme in 1975. In the Promotion of Environmental Health programme, the control of environmental pollution and hazards and the establishment and strengthening of environmental health services and institutions were expected to acquire greater importance, as reflected by the requests
WPR/RC24/13 page 12
received for assistance in these fields. The sum of US$890 189 was proposed for 1975 as compared to $811 537 for 1974, an increase of 9.69%. In the Health Statistics programme, continuing assistance would be given to developing the structural framework and procedures required for the accurate and comprehensive recording and interpretation of data on national vital and health statistics. In accordance with the wishes of the Committee, particular attention had been given to the inter-country programme, as this type of assistance allowed a more economical channelling of resources, and more than one country benefitted from the advisory services thus provided. This was especially true for the South Pacific area where country programmes were small and would not justify individual projects. Inter-country group educational activities provided an opportunity for a common forum where problems and solutions of mutual concern could be best discussed. The Sub-Committee noted that the type of assistance proposed varied in accordance with the stage of social and economic development of the countries concerned. Thus, for the most highly developed countries, a few fellowships in highly specialized fields were sufficient, although some needed assistance in medical specialties to develop their own centres of excellence. The majority of the developing countries, however, needed assistance which placed emphasis on the basic health programmes, the control and prevention of diseases, and improvement of training for all categories of health workers. Urbanization and industrialization in some areas of the Region called for specialized advice in the promotion of environmental and occupational health activities. The trend to provide more WHO short-term consultants instead of long-term advisers, particularly in the case of teaching institutions, such as medical schools, schools of public health, etc., would continue. As institutions became better able to provide their own teaching staff, long-term staff were no longer required. The increasing number of welltrained national staff meant that activities could continue satisfactorily with only the advice of short-term consultants. A total of 389 consultant months had been planned for 1975, as compared to some 356 consultant months in 1974. Provision had been made for 372 fellowships in 1975 at a total cost of US$l 886 600, as compared to $1 478 840 for 292 fellowships in 1974, an increase of 27%. Of the 213 proj ects proposed, 62 were new and represented 11% of the total budgetary estimates. 4.4 Regional Office (pages 144-148) Regional Advisers and WHO Representatives (pages 150-158)
The Sub-Committee noted that the increase of 9% for the Regional Office covered the increased cost of existing posts, the addition of
WPR/RC24/13 page 13 the posts of conference officer and secretary, to deal with the increasing workload required in the preparation of educational meetings and seminars, and of three clerical posts for the general support services. These were considered essential because of the increase in the activities of the Region. It was noted that the increase of 5.3% for Regional Advisers and 4.98% for WHO Representatives covered the cost of existing posts and the establishment of four clerical posts, two under Regional Advisers and two under WHO Representatives. The Sub-Committee was pleased to note that emphasis was being laid on improving the quality of programmes and that the WHO Regional Programme Committee would continue to advise the Regional Director on programme matters, the utilization of savings, the evaluation of projects and the formulation of priorities. Country review meetings, alternating with reviews of the sectoral programme, were now being held periodically in the Regional Office, and would continue in 1975, constituting a source whereby an exchange of views was possible and resulting in a better evaluation of country programme needs. The Regional Director, with some of the senior staff, would continue to carry out special missions to countries in order to evaluate country programmes on the spot, to review with the governments various aspects of WHO-assisted projects, or to make such adjustments to objectives and methods which might be necessary. It was also noted that the WHO Representatives' role in assisting governments was being strengthened and their responsibilities increased. 4.5 4.5.1 4.5.1.1 Field activities, including inter-country projects (pages 160358 and document WPR/RC24/P&B/5) Review of individual country statements (pages 160-332) China
One representative noted that only a blanket figure had been entered for China and asked for elucidation in view of the Regional Director's statement that he had been negotiating with the Government of that country. The Regional Director replied that at the WHO Assembly this year arrangements had been made for him to visit Peking. This visit had taken place in July 1973 when he had had discussions with the Ministry of Health. China was now considering the type of assistance it would like WHO to provide, probably training of staff abroad, the provision of equipment and supplies for laboratories, hospitals, etc., and assistance with research activities. 4.5.1.2 General
Certain representatives made statements which they asked be included in the record. These appear in Annex 3.
WPR/RC24/13 page 14 4.5.2 -Other observations Several representatives expressed their satisfaction at the new presentation of the regional programme and budget, following the decision of the Health Assembly in its resolution WHA25.23. They found the presentation more useful and informative than that of previous years, particularly the introductions to the country programmes and Annex VII (the yellow pages), which provided a useful analysis of funds requested from sources other than the regular budget. The Representative of the United States of America expressed his pleasure at noting the increased emphasis placed on health laboratory services, maternal and child health, nutrition, malaria, ~nd the development of health statistics, all of which were basic priorities of the Region. The immediate increase in the field of drug abuse was also appreciated. On the other hand, the increases for mental health and air pollution appeared to be insufficient to meet regional priorities. He expressed concern at the 79% decrease in funds for venereal disease control which the Regional Director had previously stated to be of major importance. The same representative pointed out that in his programme statement, the Regional Director had stated that "the trend towards an increase in inter-country activities would continue". This was so in real money terms, but as a percentage of the budget no increase had occurred since 1973 when inter-country activities amounted to 15.3% of the total; in 1974 - 14.1%; and in 1975 - 15.4%. It was hoped that this aspect would improve. He also noted that external sources of funds showed a reduction of 81% from 1973. He hoped that Member governments would see that this situation was reversed now that it had been brought to their attention. Although some items showed a very small increase or decrease, in total they could be massive, for example there was a 456% increase in the environmental pollution item although in monetary terms the increase was only from US$16 000 to $89 000. The same representative expressed concern that the rate of increase in the Region appeared greater than for WHO as a whole, although he recognized that the actual increases were small considering the diverse conditions in the Region. The savings made by the Regional Director were also recognized. He urged the Regional Director to review the total budget for 1975, so as to reduce the rate of increase in all appropriation sections. The budget did not appear to reflect the exigencies of the financial and monetary difficulties presently facing the world community. Moreover, the increase of 11.33% was higher than his Government was generally willing to support in the international organ.izations in which it participated. His delegation therefore felt obliged to abstain from voting on the programme and budget if presented in the existing form.
WPR/RC24/13 page 15 The Committee noted that any savings which occurred were used to promote the most urgent items in the List of Additional Projects. The mental health and pollution programmes were not as sophisticated as they appeared and, although mental health had been increased by 133% in money terms, the increase was only from US$6500 for 1974, to $15 200 for 1975. The Regional Director had many times expressed concern at the inactivity in the venereal disease programme but was unable to go beyond inviting governments to submit requests for assistance which the Regional Office would be glad to include in its regular budget. The Regional Director referred to the suggestion of the Representative of the United States of America that the Regional Director review the costs of his total proposed programme with a view to reducing them. Members would know that the amount of the allocation given to the Regional Director was the prerogative of the DirectorGeneral, who must have considered it proper to provide this region with an 11.3% increase as compared to 1974. This probably meant that another region or Headquarters itself would have suffered an offsetting reduction. The Regional Director suggested that the increase had been allowed because the Director-General realized there was a pressing need for additional assistance or perhaps because this region's record of delivery of the planned programme was good. A reduction in the cost of the Regional Director's proposed programme would not mean a reduction in the estimates for the whole Organization as savings could be programmed elsewhere. The Regional Director considered that this region was therefore fortunate to have an increase exceeding that which was likely to be proposed for the Organization as a whole. The delegation of Australia considered that the explanation by the Regional Director had done much to answer whatever doubts it had about the levels of increase. Although some doubts still existed to some extent, it agreed that the increase was required mainly because of the smaller proportion of funds raised from external sources. The Representative of Japan said that as the increase in the budget resulted from the worldwide trend of inflation and the devaluation of the United States dollar he accepted it without objection. 4.6 Consideration of the 1974 and 1975 Lists of Additional Projects (pages 360-392)
The Sub-Committee noted that requests totalling US$l 973 305 for 1974 and $1 753 705 for 1975 had had to be placed in the Lists of Additional Projects. They could not be accommodated in the budget estimates because of limitation of funds, although they were technically valid. The Sub-Committee noted that since the document had been finalized, the following additional requests had been received:
WPR/RC24/l3 page 16 Malaysia The deletion of a 24-month fellowship in postbasic nursing and midwifery education in 1974 LHMD/02 (formerly 440l)}; the deletion of a 24-month fellowship and a 10-month fellowship for a master in public health majoring in MCH nursing in 1975 LHMD/02 {formerly 440117. New Caledonia The provision of two 28-month fellowships for dental nurses. Philippines The provision of a two-month consultant in 1974 to train staff at the Alabang Laboratories in the production of LEP rabies vaccine. Republic ofViet-Nam The inclusion of two fellowships in water agency management in 1974. The Sub-Committee noted that these requests would be placed in the List of Additional Projects for the year concerned. The following additional requests were made during the meeting of the Sub-Committee: Australia The inclusion in the 1974 List of Additional Projects of a nursing consultant for three months to assist in the planning and development of a postbasic nursing course in the community health care of indigenous peoples. French Polynesia The inclusion of: (a) a two-year fellowship in 1975 and 1976 to allow a health educator to obtain an MPH degree at Hawaii University, the studies starting in 1975; (b) two fellowships in 1974, one for a health educator for training in Wellington, and the other for a dental hygienist who would be engaged in health education activities. Khmer Republic The inclusion in 1974 of the post of occupational therapist for the rehabilitation of the physically handicapped project L]TR/02 {formerly 480l)J and a consultant in rheumatic heart diseases.
WPR/RC24/13 page 17 Laos The inclusion in 1974 of the following: (a) for the Royal School of Medicine ~HMD/Ol (formerly 620l)J, three consultant months in the teaching of mental hygiene and a sixmonth fellowship in the teaching of anatomy for a medical officer with a French educational background; (b) a one-year fellowship in public health;
(c) a one-year fellowship to allow a male nurse to obtain post-graduate training in public health; (d) a six to l2-month fellowship in the organization of medical care. Malaysia The inclusion in 1975 of the following assistance for the National Institute of Orthopaedics [STR/03 (formerly 4801)]: (a) a tutor in orthopaedic nursing for 12 months;
(b) two l2-month consultantships to assist in establishing research and training programmes. Philippines The inclusion in 1974 of: (a) a consultant to assist in developing a drug education programme integrated with health education; (b) two 24-month fellowships for he~lth care administration with emphasis on health information systems; (c) (d) two six-month fellowships in national health planning; for the Institute of Public Health: (i) (ii) (iii) (iv) a l2-month fellowship in biostatistics, a l2-month fellowship in pharmacology, a l2-month fellowship in sociology hygiene with emphasis on toxicology, and three three-month fellowships in public health nursing, mother and child health, and microbiology.
WPR/RC24/13 page 18 The inclusion in 1975 of: (a) (b) (c) a 12-month fellowship in biostatistics, a 12-month fellowship in parasitology, a 12-month fellowship in public health nursing,
(d) a 24-month fellowship in public health engineering, (e) three three-month travel grants for nutrition, parasitology and biostatistics. Republic of Viet-Nam The inclusion in 1974 of two three-month fellowships in administration of water supply (for training in the United States of America). The Sub-Committee noted these would be placed in the List of Additional Projects for the year concerned. 4.7 Consideration of the 1973, 1974 and 1975 Lists of Projects expected to be financed by UNDP or UNFPA (pages 394-409)
The Sub-Committee was informed that since the proposed programme and budget estimates had been finalized, the project documents for the nursing education project (HMD/02) in Laos covering assistance through 1974 and for the national health services development project (STR/Ol) in Western Samoa covering assistance through 1975, had been signed. The Sub-Committee noted again the unfavourable decrease noticed in the assistance being provided by UNDP. The decision concerning UNDP funds allocated to countries was largely in the hands of the governments themselves, and it was of utmost importance for ministries of health to stress this point adequately to their national coordinating authorities who gave the final word to UNDP on the subject. WHO was at the disposal of health ministries to provide any assistance in the formulation of requests, but the ultimate criteria for the allocation of UNDP funds were related to the place that health programmes occupied in the governments' priorities. 5 Consideration of tentative projection for 1976 (Document WPR/RC24/p&B/4)
The Sub-Committee noted that the tentative projection had been prepared in response to the World Health Assembly resolution dealing inter alia with biennial programming (resolution WHA22.53). In the projection prepared for 1976, account had been taken of the following elements: (a) continuation of existing activities; (b) anticipated increase in cost of the existing personnel; (c) deletion of projects expected to terminate in 1975; and (d) the priorities expressed by governments when they submitted their requests for 1975. For this
WPR/RC24/13 pages 19/20
purpose, the Director-General provided each Region with a tentative allocation for the year succeeding the programme and budget year under review. The tentative allocation for the year 1976 for this region was US$lO 300 000. Annex 1 of the document had been prepared on the basis of the priorities established by governments for assistance in 1976. In accordance with the decision in resolution WHA26.38 adopted by the Twenty-sixth World Health Assembly in 1973, the Proposed Programme and Budget Estimates would be prepared on a biennial basis commencing with the biennium 1976/1977. However, pending the approval of Member governments of the amendments to Articles 34 and 55 of the Constitution, the World Health Assembly would approve only that portion of the biennial budget which corresponded to the next financial year. 6 Resolutions
The Sub-Committee recommended to the Regional Committee that it adopt the following resolutions: (a) (b) (c) (d) Budget performance 1972 - Direct services to governments (WPR/RC24/WP/ll) Modifications made to the 1973 and 1974 programme and budget estimates (WPR/RC24/I.;rP/12) Proposed programme and budget estimates for 1975 (WPR/RC24/WP/13) Tentative projection for 1976 (WPR/RC24/WP/14)
Hl'R/RC24/13 pages 21122 ANNEX 1
SUGGESTED GUIDELINES FOR THE SUB-COMMITTEE ON PROGRAMME AND BUDGET 1. 2. Introduction by the Director of Health Services of the programme and budget documents Review of budget performance 1972 - Direct services to governments of the Region by subject heading, by country and by project (Document WPR/RC24/p&B/2) Modifications to the 1973 and 1974 regular programme and budget estimates (Paragraph 3 and Annexes 1 and 2 of documents WPR/RC24/p&B/3 and WPR/RC24/p&B/6) Review of the proposed programme and budget estimates for 1975 (Documents WPR/RC24/2, WPR/RC24/2 Corr.1, paragraphs 1 and 2 of documents WPR/RC24/p&B/3 and WPR/RC24/p&B/5) 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 5. 6. General observations Regional Director's Programme Statement (pp. 1-9) Regional programme and sub-programme statements, summaries by programme and source of funds and schedules (pp. 10-142) Regional Office (pp. 144-148) Regional Advisers and WHO Representatives (pp. 150-158) Field activities, including inter-country projects (pp. 160-368 and document WPR/RC24/p&B/5) Consideration of the 1974 and 1975 Lists Qf Additional Projects (pp. 360-39~) Consideration of the 1973, 1974 and 1975 lists of projects expected to be financed by UNDP or ~!FPA (pp. 394-409)
3.
4.
Consideration of tentative projection for 1976 (Document WPR/RC24/p&B/4) Consideration of draft resolutions for submission to the main Committee.
WPR!RC24/13 page 23 ANNEX 2
PROPOSED PROGRAMME AND BUOOET ESTIMATES FOR 1975
Details of the provision under Consultants and Fellowships
REGULAR PUNOO
Details of Consultants Provision for 1975 (Document WPR/RC24/2) Coun.try
Project Title
Project No. MBD 01 MAn
Duration (Months)
Field
Amrunt US$
BSIP
Tuberculosis control LP.pr""y ",..,trol advisory services
6 4 3 3
02
Tuberculosis control Leprosy cnntrol Ichtyosarcotoxism Laboratory adviserHLS
12000
R 000 6 000 6000 6000
French Polynesia
Ichtyosarcotoxism (surveillance of biotnxins in marine food fish) CEP 01 Health laboratory services Sanitation health education project HLS 01
GTE
BSM 01 MPD 01 HMO 01
3 1
Health education
Guam Laos Malaysia
Control of intestinal parasitism Royal School of Medicine Development of health services (Advisory services) Development of health services (Operational research) Nutrition advisory services Assistance to the University of Malaya Malaria eradication programme, East Malaysia (Sabah)
Control of intestinal parasitism 2 O€)O Unspec ified Public health administration 16000
8 3 3 3 3 2
sm
01
6 000
STR 04 NUT 01 HMO 01 MPD 02 STR 02 MPD 01 MBD 01 MBD 02 STR 03 HMO 03
Operational research (Health services) 6 000 Applied nutrition 6000 Preventive mediqine) ( Psychiatry ) 6 000 Malariology 4 000
New Hebrides
Hospital administration Malaria control Tuberculosis control Leprosy control
3 3 6 3 3 12
Hospital administration 6 000 Entomology 6 000 Tuberculosis control 12000 Leprosy control 6 000 Hospital/Health adm. 6 000 Lecturing in Dental Public Health (Dental auxiliary training and utilization) 24 000
<'ae ·a New Guinea
Hospital administration Port Moresby, Dental College
... /
WPR/RC24/13 page 24
Cotmtry Philippines
Pro~ect
Title
Project No. STR 01
Duration (Months)
Field
Amount
US $ 12 000 Unspec ified Health economics, cost accounting, and health /I: manpower planning 18 000 Scheme and hospital economics 6 000 NurSing adm. Health laboratory services 12 000 6000
General health services development National health planning
sm
02
6 9
Organization of medical care Nursing administration and services Health laboratory services Maternal and child health advisory services University of the Philippines Nursing education Organization of drug abuse control programmes Industrial health advisory services Radiation health advisory services Environmental health advisory services Environmental sanitation training Republic of Korea General health services development
8m 03
3
sm
05
HLS 01
6 3 3 3 6
JIO! 01 HMD 01 HMD
02
Perinatal mortality 6 000 Unspecified 6000 Curriculum development 12000 Organizaticn of drug abuse control progranme s 12 000 Industrial health Radiation health 6000 6 000
HDA 01
6
HWP 01
3
HAD 01
3 3 2
SES 01 SES 02
Environmental health 6 000 Sanitation training 4 000 Public health (community, medicine, hospital, building, etc.) 12000 Unspec Hied 12 000 Venereal disease control 4000 Drug administration 6 000 Water pollution control Radiation health Food hygiene 6 000
sm
01
6
Education and training of health personnel Epidemiology advisory services Drug quality control Environmental pollution control advisory services Radiation health advisory services Food Hygiene Singapore Tonga University of Singapore
HMO 01
6 2
ESD 01 IlEM
01
3
CEP 02
3 2
HAD 01
4 000 6000
FSP 01 HMD 01
3 3
Occupational hygiene/ preventi'Te medicine 6 000 Typhoid and leptospirosis control 4 000
Typhoid and leptospirosis control BAC 01
... /
~/
WPR/RC24/13 page 2S Country
Project 'l'itle
Project No.
Duration (Months) :2
Field
Amount US ~
'rTPI
Refresher course for Micronesian doctors HMO 01 National health planning Production and control of biologicals Medical education National Institute of Public Health Epidemiological surveillance and quarantine Mental health advisory services Environmental health advisory services 8TH 01 HUl 02 HMD 01 HMO 02 ESP 01 MNH 01 SES 01 STR 01 STH 03 STR 04
Medical-surgical/ OB-GYM specialties National health planning Production and cnntrol of biologicals Medical education Unspecified
4 000 6000
Vietnam
3 3 3 12
(,
000 6 000
24 000
6 3 6
Plaque epidemiology 12 000 Mental health 6 000 Environmental health lbUc health visory Natimal health planning National health planning Nursing consultant HLS Unspecified Consultant for training Consul tan"t for training Consultant for seminar Public hea.L"th Epidemiology Malariology 12 000 18 000 6000 12000 12 000 18 000 14 000 4 000
IS?
Public health advisory services Training in the field of health planning Advisory services on national health planning
9 3 6 6 9 7 2
Workshop on nursing services administration STR 07 Health laboratory services HL'3 01 Production and control of biologicals HL'3 02 Regional centre for the training of anaesthetists HMO 04 Regional teacher training centre for health personnel University of New South Wales, Sydney HMO 07 First regimal seminar on the teaching of community health HMO 16 in medical schools Meeting of heads of schools of public health HMO 17 Epidemiological and surveillance ESD 01 services Malaria eradication assessment team MPD 02
6 4 4 6
12000 8 000 8 000 12 000 12 000
6
•• • j
WPR!RC24!13 page 26
Country
l'rojcct Title
Project Duration No. (Months) MPD 03 MPD 06 MPD 08
Field
Amount
US$ Epidemiology Malaria Consultant for seminar Consul tant for seminar Tuberculosis 12000
rcp
(continued)
Malaria epidemiology advisory servicet3
6 10
r-lalaria training project First regional seminar on tropical skin diseases Working group on immunization practices Regional tuberculosis control team Working group on the organizatlcn of comprehensive cancer control programme Second regional seminar on the prevention and control of cardiovascular diseases Courses in public health dentistry Working group on measures for the prevention and control of drug abuse and dependence Working group on health education programmes for young people concerning drug abuse Epidemiological pilot study on drug abuse Provision of basic sanitary measures Environmental pollution control advisory services Seminar on water pollution Regional course in occupational health Training in maintenance and repair of x-ray and other laboratory equipment Advisory services on medical physics and radiation protection services - hospitals First regional course on medical physics
20 000 6000 8 000 6 000
3 4
BAC 03
MBD 01
3 2
CAN 01
Consultant for seminar Consultant for seminar Consul tant for courses
4 000
CVD 01 DNH 02 ADA 01
3 6
6 000 12000
2 12
Consultant for seminar
4 000 24 000
ADA 02 ADA 03 BSM 02 CEP 02 CEP 03 HWP 01
Consultant for seminar 34-1/2 Unspecified 12
69 000 24 000 8 000
Unspecified Unspecified seminar Consultant for courses
4
3-1/2 Consultant for
7000 12 000
6
RAD 01
6 6 2
Unspecified
12000
RAD 03 RAD 04
Unspec ified Consultant for courses
12000
4 DOC
WPR/RC24/13 page 27
REGULAR FUNOO
Details of Fellowships Provision for: 1975 (Document WPR/RC24/2) COllntry/ProJ. No. Duration Serial No. of (Months) Fellowships 1 2 3 4 5 6
Field of Study
Region of Study
Amamt
US$
,~merican
Samoa HIB/99 HMD/99
MNH/99 SES/99 '.
7 8 9 1 2 3 4 1 2
24 12 12 6 6 24 12 12 12 12 12 3 3 12 36 36 12 6 12 60 36
Medical laboratory technol.oe;y Pathology Surgery Public health nursing (MCH) Public health nursing (MCH) Radiological technique Psychiatric nursing Assistance health inspector's course Assistance health inspector's course Public Public Public Public health health health health administration administration administration administration
AMRO WPR WPR
WPR WPR WPR
WPR WPR WPR
l.8 000 5 Aoo 5 800 1 700 1 700 8 700 5800 2400 2400 11 100 11100 4 700 4700 2400 10000 10 000 5 800 1 700 5800 9800 6200 4 900 8 700 3500 3500 3 500 10 000 3 500 9800 3 500 11 300 5800 5 800 5800 5800 5800 5 800 2800
Australia HMD/99
AMRO MoRO AMRO AMRO WPR WPR WPR WPR WPR
BSIP -S'lR/Ol HIB/99 HMD/99
3 4 5 6 7
8 mH/99 Cook Islands HMD/99 9 1
28 24 6 6 6 36 6
Health inspector training Medical laboratory technique Basic nursing education Post-basic midwifery education Public health nursing Post-basic nursing education Medicine Health inspector Dental hygiene Dental nursing basic training Dental technician refresher Post-baSic public health nursing Post-basic obstetric nursing General nurse training in NZ Medical laboratory tech. refresher Undergraduate medical studies Post graduate general medicine and paediatrics Laboratory technology Nursing administration Nursing education Surgery Diploma in public health Dental public health Environmental health Environmental health
WPR WPR WPR WPR WPR WPR WPR WPR WPR
2
3 4 5 fi
WPR WPR
7 8 Fiji HLS/Ol HMD/99 1 2
60 6
WPR WPR WPR WPR WPR WPR WPR WPR WPR
3 4
5 DNH/Ol HMD199 6
7 8
48 12 12 12 12 12 12 4
... /
WPR/RC24/13 page 28
Country/ProJ. No. Serial No. of Fellowships
Duration
Field of Study
(Ma'lths)
Region of study
Amount 05$
GEl flMDj99 1
2
ooS/99 Guam
3 1 2
12 6 6
Public health nursing Nurse midwifery Health statistics MPH in health education Administration of services mental health programme MPH (Health educaticn) Diploma in public health and diploma in industrial health Nursing services administration Nursing services administration (Psychiatric nursing) Post health services Health management programme Co-ordination of health services in community and work places Hospital administration Utilization of electric computers in the community medical services Nurse care in hospital Chronic nephritis and nephrosis in children Field trials vaccine Medical care for the mentally retarded Waste disposal and its reuse Sanitary control of house articles for daily use Air pollution control Statistics of disease and injury Nursing administration Nursing administration Medical laboratory tech. instructor training Medical laboratory tech. instructor training Medical laboratory tech. instructor training Training of health personnel Training of health personnel Training of health persor~el Unspecified Unspecified Dental Health
WPR
5800 3500
WPR WPR AMRO
1700
HED/99 SES/99 Ilongkong
18 3
WPR AMRO
2500 14 600
HED/99 HMD/99
1
2
WPR
3 4 5
9 9 3 3
WPR WPR WPR
5 800 4 400 4 400 2 500 3 400 3 400 3 400 3 400 3 400 4 700 4 700 3 400 3 400 3 400 3400 3400 11 100 11 100
Japan
S'l'R/99
1
EUR EUR EUR EUR EUR AMRO
2
3 3 3 3 3
3 4 5 6
ESD/99 1·~!H!99
7 8 9 10 11
3 3 3 3 3 3
EUR/A!4tO EUR EUR EUR EUR
SES/99
ooS/99 Khmer Republic 8m/Ol HLS/Ol
12 1 2
EUR
12 12 12
AMRO AMRO EUR EUR EUR EUR EUR EUR EUR EUR WPR
3 4
7 400 7 400 7 400 3400 3400 3400 16200 16 200 5800 ., . j
12 12
5 r, 7 R '?
10 11
WPR/RC24/13 page 29
CountryjProJ. No.
Duratio .... SerIal (Month:; ) No. of Fellowships 2 2 2 3 3 12 12 12 12 12 6 6 18 18
Field of study
Region of Study
Amount US t
Khmp.r
Re~Jhl1c
(cnnt in'Jed) 12 13 Ilf
HMD/03
15 16 17 18
ESD/Ol MBf)/Ol SES/Ol .f
19 20 21 2?
23 24 25
Dental health Dental health Dental health Dental health Dental health One in nursing administration and one in community nurse One in nursing administration and one in canmunity nurse Public health nursing Epidemiology Epidemiology Tuberculosis cnntrol Tuberculosis control Post graduate sanitary engineering Post graduate sanitary engineering
WPR
WPR WPR WPR
WPR EUR/AMRO EUR/AMRO Al'fIO EUR EUR
2 200 2 200 2 200 2 500 2500 11 100 11 100 11 100 7 400 7400 4 500 4 500 6 900 6900 7 400 7 400 2 800 2800 11 100 5 800 5 800 5800 5 800 11 800 8 700 11 100 5800 11 100 5 800 3 500 3 500 3 7 7 4 4 500 400 400 500 500
EUR EUR
Rabat. Morocco Rabat. Morocco EUR EUR
Laos --HMD/Ol Malaysia NUT/Ol HMO/Ol
1 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14
12 12 4 4 12 12 12 12 12
Unspecified Unspecified Applied nutrition Applied nutrition Applied nutrition Anaesthesi01 ogy Preventive medicine Medical records Hospital administration Midwife teacher training Post-basic nursing education psychiatric nursing (teacher preparation) MPH, Environmental health Food technology MPH. StatistiCian/Chemist (nonmedical) Post-basic programme in MCH nursing Surgical nursing paediatrics Operating theatre techniques paediatric surgery Surgical nursing, management of intensive care and cardiac surgery units Paediatric surgery Pa0di"tric anaesthesinlogy Urology Nephrology
WPR WPR
Al'fIO WPR
WPR WPR WPR
HMO/02
24 24 12 12 12 12 6 6 6
EUR WPR AMRO WPR AMRO
HMO/03
HMO/99
WPR WPR WPR
15 16
WPR WPR~UR
17 18 l~
12 12 u
WPR/EUR WPR/EUR
20
6
WPR/EUR
... -
~
... /
WPR/RC24/13 page 30
Country/proJ. No.
Serial Duration No. of (Months) Fellowships 12 12
Field of Study
Region of Study
Amount
Malaysia (continued) ESD/Ol 21 22
23
3 4 12
MBD/99 OOH/99 HWP/Ol SES/Ol
<4 25 26
6 12
Z7 28
3 12 12
29 30 New Hebrides STR/Ol 1 2
Epidemiology Biostatistics Course on surveillance on communicable diseases Tuberculosis control Diploma in Dental public health Industrial hygiene Occupational health Environmental health Air pollution control Public health engineering Practical in-service training in internal medicine Public health nursing Public health nurSing Public health nursing Medical laboratory technology Health education Basic nursing education Basic nurSing education Post-basic studies: nursing education or nursing administration Medicine Health extension officer Health extension officer Undergraduate dental studies Basic dental technician course Health inspection StatistiCS Public health laboratory services Nursing education Environmental health Health statistics Advanced laboratory technique Basic nursing Basic nursing Midwifery Ob-Gyn Diploma in clinical pathology Nutrition Nutrition Clinical tropical medicine Preventive medicine Nursing education, observation tour
EUR EUR
7 400 7400
EUR WPR
WPR AflRO AflRO
WPR AflRO AJoRO
3400 2800 5800 6 800 11 100 2500 11 100 11 100
6 6 6 6
WPR
3 500 1 700 1700 1700 10 000 5800 10 000 10 000
3 HLS/99 HED/99 HMO/Ol 4 5 6 7
WPR WPR WPR
36 12
8 9 HMD/99 10 11 12
36 36 12 72
WPR WPR WPR WPR
36 36 48
WPR WPR WPR WPR
5 11 10 10
IMi/99 SES/99 ooS/99 New Zealand HLS/99 HMD/99 SES/99 DHS/99
13 14 15 16
WPR WPR WPR
36 12
6
WPR EUR or AMRO WPR/SEA AMRO AMRO;EUR
800 600 000 000 8 000 6200 2400 1 700
•
1 :2
4 4
3 4 1 2
4 4 6
5 400 2 Soo 5400 5400
Niue -HLS/99 HMD/99
WPR
3 I;
36 36 6 (,
WPR WPR WPR WPR
3500 6200 6200 3500 3 500
Papua New Guinea HLS/Ol NUT/Ol HMD/Ol
1 ?
12
3 10
WPR SEA SEA~UR
5 800 2 500 6500 4 500 4 500
3 4
HMD/02
5 to
6 6 12
Al'll.O Al'll.O/SEA WPR
5 Boo
.. .1
WPR/RC24/13 page 31
Country/Proj. No.
Serial No. of FellowshiEs ~continued)
Duration (Months)
Field of Study
Region of Study
Amount US $
PaEua New Guinea HMD/03 HMD/99 MElD/Ol MElD/99 HWP/99 PhlliEEines STR/Ol
7
12 10 3 3 12 6 3 6 6 6 6 12 12 12 6 6 4 4 4 4 4 12 12 12 12 12 6
8 9 10 11 12 13 14 15 1 2
Community health nursing administration, observation tour WPR Dental public health DDPH course WPR Para medical training AH\O/SEA Para medical training AFRO/SEA Diploma in public health WPR Tuberculosis control WPR/SEA Leprosy control SEA/WPR Occupational therapy SEAj\iPR Industrial health WPR Refresher studies in baSic discipline Refresher studies in basic discipline Organization of medical care Administration of nursing services Administration of nursing services Laboratory management and laboratory maintenance and repair Laboratory management and laboratory maintenance and repair Maternal mortality Perinatal mortality Unspecified Unspecified Unspec ified Unspec ified Curriculum development Curriculum development Psychiatric nursing Psychiatric nursing WHO course in epidemiology and surveillance of communicable diseases continued with a three-month visit to selected CD centre WHO course in epidemiology and surveillance of communicable diseases continued with a three-month visit to selected CD centre Cancer control (organization of services and epidemiology) Training methods in dental technology Organization of drug abuse control programme Organization of drug abuse control programme Organization of drug abuse control programme Industrial health
5 800 4 900 3 400 3400 5 Boo 3 500 2500 3 500 3 500
~
WPR & Al'RO EUR AMRa
6800 4 11 11 11 500 100 100 100
STR/03 STR/05 HIS/Ol
3 4 5 ,) ~
AMRO AMRO AMROjEUR AMROjEUR AIIRO AMRO
6800 6800 5400 5 400 5 200 5 200 5200 11 100 11 100 11 100 11 100 11 100
7 f.Oi/Ol HMD/Ol 8 9 10 11 12 13 14 15 16 17
.... HMD/02 ESD/Ol
AMROj\iPR AMROj\iPR AMROjEUR AMROjEUR
18
AMRO
6 800
19
6
AMRO WPR WPR EURj\iPR EURj\iPR EUR,MPR AMRO
6800 3 500 5800 3 800 3 800 3800 11 100 •• • j
CAN/Ol rnH/Ol ADA/Ol
20 21 22 23 24
6 12 6 6
6 12
HWP/Ol
25
,.-
WPR/RC24/13 page 32
.-
Country/proJ. No.
Serial Duration (Months) No. of FellowshiEs 12 12 12 6 12 6 6 24 6 6 3 3 3 3
Field of Study
Region of Study
Amount US $
Philil2l2 ines RAD/Ol SES/Ol SES/02 DHS/Ol
(continued) 26 <7
28
29
30 1 2
Radiation health Radiation health Environmental health Sanitation services Medical records and statistics
WPR WPR AMRO AMRO WPR
5800 5800 11 100 6 800 5800 3500 3500 18 000 4 500 4 500 2 500 2500 2500 4 3 2 6 6 11 2 2 4 4 8 8 2 2 700 500 500 800 800 100 500 500 700 700 900 900 500 500
Rel2ublic of Korea HUl/Ol AMD/Ol
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 2l
ESD/Ol MBD/Ol MBD/02 VOC/99 DEM/Ol SSM/Ol CEP/02
HWP/Ol RAD/Ol Sin~aEore
22 1 2 3 4
6 3 13 13 12 3 3 3 3 9 9 3 3 12 6
Management of experimental of animals WPR WPR Virology AMRO Nursing education EUR Epidemiology EUR Epidemiology SEAj\olPR Tuberculosis control SEAj\olPR TuberculoSiS control SEAj\olPR Leprosy control Vector control training methods, new insecticides and their application USA teclmiques WPR Drug control WPR Drug administration WPR/USA Sanitary engineering WPR/t1SA Sanitary engineering USA Sanitary engineering WPR Air pollution control WPR Air pollution control AMRO Water pollutio~ control AMW Water pollution control USA/AMRO Industrial hygiene USA/AmO Industrial toxicology WPR Occupational health administration WPR Radiation protection services Hospital and health management systems Development project administration Management of hospital and health services Maintenance of hospital electromechanical/electric equipment Occupational hygiene Cardiovascular surgery Nephrology rl~stic and reconstructive surgery Neuro-surg;ery Nursing education, public health nursing midwife teacher education Nursing education, public health nursing midwife teacher education Venerology/Dermatology/Communicable diseases Vector control
S'IR/99
EUR EUR
7400 4 500 3 400 2 11 2 4 11 18 500 100 800 500 100 000
3 3 12 4 6
EUR WPR EURjWPR WPR WPR/EUR
HMD/Ol HMD/02
5 i)
p,
7
12 ~~4
HMD/99
10 11
::
EUR/AMRO AMRO WPR WPR
12
5 800 5 800 3 400 5 800
12 6
vcrrj99 1!Pr!99
12 13
12
EUR WPR
-~
•• . j
'.
WPR/RC24/13 page 33
Country /proj. No.
Serial No. of FellowshiEs
IAiration (Months)
Field of Study
Region of Study
Amount US $
....
Singapore (continued) 14 HWP/Ol 15 16 RAD/99 17 SES/Ol DHS!99 Tonga --HMO/Ol HMO/99 'ITPI -HLS/99 HED/99 HMO/99 18 19 20 21 1 2 1 2 3 4 5 6 7 8 9 10 11 12
12 12 12 6 6 3 12 12 12 24 12 18 18 6 6 6 6 6 6 6 6 6 6 12 12 12 12 12 12 12 12 4 4 4 12 12 3 3 3 3 3 12 3 3 3
Industrial Hygiene Occupational health nursing Medical radiotherapy Refresher course for paediatric radiology or neuro-radiology or cardioradiology water reclamation engineering Food hygiene and control Public health engineering Health statistics Nursing administration Diploma in health inspection Medical laboratory technology M.S. Health education Master in Public health Public health nursing Public health nursing Medical specialties Clinical nursing Clinical nursing Dental health Dental health Dental health Dental health Environmental health Medical records Microbiology Education & training Education & training Education & training Education & training Education & training Education & training Dental health Dental health Dental health Nursing education Nursing education Nursing education Nursing education Nursing education Nursing education Nursing education Epidemiology TuberculOSis control TuberculOSis control Tuberculosis control
WPR WPR EUR EURjUSA USA USA EURjUSA EUR WPR WPR USAjWPR USA WPR WPR WPR WPR WPR WPR WPR WPR WPR WPR USA WPR USA or EUR USA USA USA USA USA USA WPR WPR WPR EUR EUR EUR EUR EUR EUR EUR
5800 5 800 7 400 6 800 6800 4 700 11 100 11 800 5800 4 300 11 100 14 600 7 300 1 700 1 700 3 500 ") 500 3500 3 500 3500 3 500 3 500 6 800 5 800
DNH/99
SES/99 mS/99
13 14 1 2 3 4 5 6 7 8 9 10 11
----
ReEublic of Vietnam HLS/Ol HMO/02
HMO/03
ESD/Ol MED/Ol
12 13 14 15 16 17 18 19 20 21
EUR WPR/SEA WPR!SEA WPR!SEA
100 100 100 100 100 11 100 11 100 2 800 2 800 2 800 7 400 7 400 2500 2 500 2500 2 500 2 500 7 400 2 500 2 500 2 500 11
11 11 11 11
.-
WPR(RC24(13 page 34
Countr;r/ProJ. No.
Serial Duration (Mmths) No. of Fellowships (continued)
Field of Study
Region of Study
Amount US $
Republic of Vietnam SES/Ol
23
18 18
DHS/Ol Western Samoa
25 1
12
Post graduate training in sanitary engineering Post graduate training in sanitary engineering Vital and health statistics Medical training Dental training Public health administration Laboratory techniques Health Inspector training Unspecified Unspecified Unspecified Unspecified Unspecified
Rabat Morocco Rabat Morocco WPR
6900 6 900 5800 11 600
HMo/99
72 48
wm WPR
2
3 4 5
9 12 12
WPR WPR WPR
8000 4 400 5800 2400 10000 29 000
I.C.P. -HMO/02 HMO/04 1 2
18 60
HMD/07 MPD/06 OOH/02
3 4 5
25
78 18
78000 62 saO 25200
1 886 600 ==========
... WPR!RC24!13 page 35 ANNEX 3
GENERAL STATEMENTS Dr Chen (China) stated that the traitorous Lon Nol clique would be provided service and assistance in the programme and budget estimates for 1975 of this region. It must be pointed out once again that the traitorous Lon Nol clique was but a handful of national scum which could by no means represent the Cambodian people and that the Royal Government National Union of Cambodia under the leadership of Sandek Norodom Sihanouk was the sole legal representative of the Cambodian people. His delegation was resolutely opposed to providing any service and assistance to the traitorous Lon Nol clique. He wished this statement to be recorded. Dr Kadeva Han (Khmer Republic) expressed his surprise at the un-understandable and inadmissible attitude of the Chinese delegation, which, for the second time, had raised a question that was in no wav relevant to the agenda item under review. The Khmer delegation did not understand why the Chinese delegation kept trying to interfere with other people's business. The People's Republic of China was one of the countries which had signed the five principles of peaceful coexistence in Bandung. The discussion dealt with the public health of every country. Public health matters concerned all human beings. The Khmer delegation considered that the Chinese protest was senseless and wished to emphasize that the Khmers had the right and the duty to settle their own problems without any outside interference. He apologized to the Committee for having had to take the floor a second time and asked that his statement be reproduced fully in the official records. Dr Chen (China) stated that at present there existed in South Viet-Nam two administrations, namely the Provisional Revolutionary Government of South Viet-Nam and the Saigon Authorities. The Provisional Revolutionary Government of South Viet-Nam has the genuine representative of the people of South Viet-Nam. His delegation considered that the provision of any assistance to South Viet-Nam, through whatever means, must first be discussed by all the parties concerned in South Viet-Nam and agreement must be sought from both parties. In the present circumstances, it was not appropriate to provide service and assistance unilaterally to the Saigon Authorities. Dr Truong-Minh-Cac (Republic of Viet-Nam) said that the delegation of the Republic of Viet-Nam wished to express its surprise that the delegation of Ch"ina had once more interfered with the internal affairs of other countries, ignoring the United Nations charter and the elementary rules of international relationships. The delegation of the Republic of Viet-Nam deplored that attitude and categorically rejected the remarks made by the delegation of the People's Republic of China, which it considered null and void, since they were without any foundation.
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