WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE , DE LA SANTE
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU RtGIONAl DU PACIFIQUE OCCIDENTAL
REGIONAL COMMITTEE TWenty-seventh session Manila 6-11 September 1976
WPR/RC27/p&B/3 27 July 1976 ORIGINAL: ENGLISH
PROPOSED PROGRAMME BUDGET ESTIMA'IES FOR THE FINANCIAL YEARS 1978 AND 1979
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1
Backe;round
1.1 The proposed programme budget estimates for the financial years 1978 and 1979 are based on: (a)
official requests from governments following continuing consultations by WHO Representatives with the health authorities and other coordinating bodies; the Sixth General Programme of Work of the Organization covering the period 1978-1983 (resolution WHA29.20, 1976) adapted to the needs and realities of the Region; recommendations of the Regional Committee at previous sessions; decisions of the Executive Board and the World Health Assembly; the results of evaluation of some of the programmes; instructions of the Director-General including budgetary allocations; plans related to other sources of collaboration in the health field.
(b)
(c) (d)
< r
(e)
(f) (g)
1.2 The proposals received from governments were examined by the regional Programme Committee consisting of the Director of Health Services, Assistant Directors of Health Services, Chief, Administration and Finance, and the Budget and Finance Officer. The recommendations of the Programme Committee were further reviewed in a meeting with the WHO Representatives; and on the basis of the recommendations of that meeting, the Regional Director decided on the proposed programme budget estimates. Among the factors taken into consideration by the Programme Committee were the size and population of the country or area, the stage of economic and social development, the level of development of the basic health services, with special emphasis
WPR/RC27/P&:B/3 page 2 on the least developed countries and the capacity of the government to undertake the technical cooperation. High priority continued to be given to projects relating to education and training. 2 Form of presentation
2.1 Document WPR/RC27/2 describes the main features of the proposed programme budget estimates for 1978 and 1979. The Committee will need to examine the requirements for both the years 1978 and 1979 and the revised estimates for 1977. 2.2 The format of the document is essentially the same as that of the previous biennial programme budget for 1976-1977, except that in the budget tables the column identified in earlier programme budget estimates as "number of posts" is changed to "man years/months" and includes consultant months also. 2.3 Immediately following the explanatory notes is the Regional Director's programme statement (pp. iii-X) which gives an overall view of the activities in the Region and the future trends of the health programmes. 2.4 The document presents on page 1 a summary of the regional health programme to be financed from the regular budget of the Organization and from other sources; in the case of other sources of fUnds, the actual amounts which may eventually become available were not known at the time the programme budget document went to press. Pages 2 to 6 contain a summary by programme and source of funds; on pages 7 to 10 there is a summary by major programme and organizational level. These two summaries provide information with regard to the distribution of resources by major programme as well as the location of activities, viz regional, country or area, and intercountry. On page 11 there is a summary of the regular budget for 1976-1979
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by appropriation section, with a tentative projection for 1980 and 1981. 2.5 The summaries are followed by programme analyses consisting of major programme and programme statements and Schedule A indicating the cost of the programmes. 2.6 On page 162 is a summary of technical cooperation with, and services to, governments for the years 1976 to 1979. 2.7 Detailed tables for the Regional Office by programme appear on pages 164 to 168. These are followed by individual country or area programme statements with tabulations as well as intercountry tabulations. The country or area programme statements contain fundamental information with regard to the main health proQlems in the country or area, the relation of WHO's objectives and projects to the national health plan and the approximate time schedule for achievement of the objectives of the WHOassisted programmes.
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WPR/RC27/p&B/3 page 3 2.8 On pages 334 to 345 is a ~st of Proposals (Annex IV - yellow pages) composed of requests for technically sound activities which are beyond the resources of the Organization; consequently, funds from other sources are being sought to assist in carrying out these activities. 2.9 A number of requests which could not be accommodated within the regional allocation established by the Director-General have been placed in the L1st of Additional ProJects (Annex V - green pages) on pages 348 to 369. These projects may be implemented should savings occur as a result of non-implementation or delayed implementation of other projects. 2.10 Details of consultant months for which provision is made in 1978 and 1979 are contained in Annex VI, pages 372 to 382. Details of the fellowships for which provision is made in 1978 and 1979 are contained in Annex VII, pages 384 to 412. 3 Main features of the 1278 and 1219 proposed pro§!amme budget estimates
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3.1 From the summary of the regional health programme on page 1 of document WPR/Rc27/2, it will be noted that the regular budget estimates amount to $11 976 000 for 1978 and $13 054 000 for 1979, compared with $10 120 100 for 1976 and $10 987 000 for 1977. For 1978 there is an increase of $989 000 or ~ over 1977. The increase in 1979 over 1978 amounts to $1 078 000 or~. This summary shows also the funds which it is hoped will be available for health activities in the Western Pacific Region from sources other than the regular budget, i.e. the Voluntary Fund for Health Promotion, United Nations Development Programme, United Nations Fund for Population Activities, United Nations Fund for Drug Abuse Control and Funds-in-Trust. While the information concerning other sources of funds which can be presented in the proposed programme budget estimates is always somewhat speculative because of the different programming cycles and mechanisms for requesting and obtaining support from those sources, the current UNDP financial situation is such that the information concerning funding from that source in the years 1977 through 1979 is even more uncertain than usual. The actual support which governments can obtain from the outside sources listed will depend on (1) the availability of resources in the funds and' (2) the priority aSSigned to health programmes by the various governments. 3·2 The summary by major programme and organizational level (page 10) shows $6 555 200 allocated to country or area projects in 1977, $6 871 600 in 1978 and $7 045 300 in 1979 under the regular budget. The estimates for intercountry projects amount to $2 683 500 in 1977, $3 247 200 in 1978 and $3 987 200 in 1979.
WPR/RC27/p&B/3 page 4 The overall increase in direct technical cooperation with, and services to, gove~ents under the regular budget in 1978 as compared to 1977 is $880 100 or 9.53%. The increase in 1979 over 1978 is $913 700 or 9.03%. 3.3 The Regional Office estimates are contained in the tables on pages 164 to 168 of the document. The estimates for 1978 amount to $1 822 200 compared with $1 671 300 for 1977, an increase of $150 900 or 9.0~; the increase in 1979 over 1978 is $161 300 or 8.85%. The increase will be used to meet the statutory costs of continuing posts as well as increasing operational costs of the Regional Office. No new posts are proposed for 1978 or 1979. 3.4 The estimates for Regional Advisers and related secretarial assistance and duty travel are shown under intercountry projects in the appropriate technical programme. 3.5 The estimates for WHO Representatives and their offices, duty travel and common services are shown under projects for the countries in which the offices are located. If a WHO Representative is responsible for more than one country or area, the estimates are pro-rated over the countries or areas concerned. 4 Revisions to the 1977 regular programme bud§et estimates
4.1 Annex 1 to this document gives the project changes for 1977, exceeding $1000, and an explanation of the principal changes. 4.2 The total budget estimates for 1977 presented to the Committee last year in document WPR!RC25/2 Rev.l, amounted to $10 637 000. The revised budget estimates for 1977 as contained in document WPR/RC27/2 amount to $10 987 000. The difference is explained as follows: Amount in document WPR/RC25/2 Rev. 1 Add: Additional allocation by the Director-General for 1977, intended for use in the least developed countries $10 637 000
350 000
Estimates contained in document WPR/Rc27/2 - $10 987 000
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PROJECT CHAnGES REFlECTED TIl THE REVISED 197'( F...3l':;}lATES
3REAKDOvlN BY COmrrny OR AREA AND PRD.-TECT
Project nUl!lber
Country or area and project title Democratic Kampuchea
Budget estimates for 1977 As per WPR/RC25/2 As per Rev.l WPR/RC27/2 Net change
Explanation of principal changes
HSD 001 (SHS 001) Health services development
617 000
447 000
(170 000)
Decrease of provision.
Democratic Republic of Viet-Nam HSD 001 (SHS 001) Health services development
313 000 100 000 65 000 519 000 100 000
(313 000) 100 000 65 000 519 000 100 000
Project deleted and funds transferred to other projects. New proJect. -do-do-do-
HMO 003
HMO 099
PRAOOl HLT 001
Assistance to the middle-level medical school, Hai Duong Health manpower development: fell.owships Pharmaceuticals Assistance to the Central Medical Library Fiji
HMO 001
Fiji School of Medicine Health manpower development: fellowships French PolyneSia
89 450 118200
122 100 101 800
32 650 ( 16 400)
Post of medical officer (coordinator, medical assistant training) extended. Decrease of fellowships provision due to changes in duration and/or field of study. Project postponed from previous years.
HMO 099
OCD 001
Advisory services on metabolic diseases
7 000
7 000
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PnOJEC7 CHA!fGES REFLECTED IN THE REVISED 19T7 E3l.':;:r·lATES
0'1
BREAKDOWN BY COmrrny OR AREA AW.J PROJECT
0 f-'~
Budget estimates for 1977 As per
g Explanation of principal changes Decrease of fellowship provision due to changes in duration and/or field of study. Post of sanitarian deleted.
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Project number
Country or area and project title Gilbert Islands
WPR/RC25/2 Rev.l
As per
WPR/RC27 /2
Net ch@ge
HMD 099
Health manpower development: fellowships Sanitation and health education Guam
52000
45 600 7000
( 6 400)
BSM 001
41 120
( 34 120)
HMD 099
Health manpower development: fellowships Hong Kong
23 600
26 100
'2 500
Increase of fellowship provision due to changes in duration and/or field of study.
HMO 099
Health manpower development: fellowships Japan
37 600
.38 Boo
1200
-do-
HMO 099
Health manpower development: fellowships Lao People's Demooratic Republic
31 600
35 400
3 Boo
-do-
HSD 001' (SHS 001)
Health services development
44 200
loB 100
63 900
Post of sociologist extended from 1976 and statistician transferred from project DHS 001; offset by deletion of supplies and equipment.
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PROJECT CHA!JGES REflECTED IN THE REVISED 197'( E3;:>:;::r"1ATES 3REAKOOWN BY COUXffiY OR AREA AND PROJECT
Budget estimates for 1977 As per
Project nUllber
Country or area and project title
WPR/RC25/2 Rev.l
As per
WPR/RC27/2
Net chan§e
Explanation of principal changes
Lao People's Democratic Republic (cont'd) HSD 003 (sm 003) HBD 004 (SBS 004) HMO 001 Organization of medical care Health laboratory services Health manpower development 46 200 83 950 193 600 8 400
( 37 800) ( 79 950)
4 000
189 100
( 4 500)
ESD 001 BVDool HAD 001 PHAool SES 001 DFE 001
Epidemiological surveillance Leprosy control Maintenance of medical equipment Introduction, application and control of pharmaceutical products Environmental health advisory services Vital and health statistics advisory services
35 450
60700 10 500 21 200 39 000
25 250 10 500 21 200
Post of medical officer and supplies and eqUipment deleted; offset by addition of local cost provision. Deletion of the two posts of laboratory teohnologists, consultants and fellowships. Post of lecturer in histopathology deleted and consultant provision reduced; offset by increased provision for contractual services, fellowships and supplies and equipment. Fellowship deferred from 1976 and increased provision for supplies and equipaent. New project. New proJect. New proJect. Fellowships deferred from 1976. Project deleted.
39 000 15 900 ( 36 100)
43 200 36 100
59 100
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PROJEC7 CIWIGES REFlECTED IN THE REVISED 19Tr ES"I':1f'.1ATES BREAKOOv/N BY COmITRY OR AREA AND PROJECT
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Budget estimates for 1977 As per
Project number
Country or area and project title Malaysia
! Explanation of principal changes Post of statistician deleted. Post of malariologist deleted. Extension of one sanitary engineer from 1976. .
WPR/RC25/2 Rev.l
As per
WPR/RC27/2
Net change
ESD 001
MPD 001 SES 001
EPidemiological services Malaria eradication programme, Peninsular Malaysia Environmental health advisory services New Hebrides
86 640
54 700 74 800 75 800
(31 940) (39 470) 44 700
114 ZlO 31 100
HSD 001 (SHS 001) HMD 001 HMD 099
Health services development Nursing education Health manpower development: fellowships New Zealand
13 200 15 000 120 500
54 200 92 200
41 000 (15 000) (28 300)
Post of nurse extended from 1976 and increase of fellowShip provision. Project deleted. Decrease of fellowship provision due to change in place of study.
HMD 099
Health manpower development: fellowships Papua New Guinea
19 900
21 000
1 100
Increase of fellowship provision due to change in duration and/or field of study.
NUT 001 HMD 001
Nutrition advisory services Medical Faculty, University of Papua New Guinea
15 150 23 500
2 500 10 500
(12 650) (13 000)
Post of public health nutritionist deleted. Fellowship provision deleted.
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PROJEC'I' CHAnGES REFlECTED IN THE REVISED 19T/ F..s:':::HATES BREAKIXMN BY COUNTRY OR AREA AND PROJECT
Project number
Country or area and project title Papua New Guinea (cont'd)
BudKet estimates for 1977 As per WPR/RC25/2 As per Rev.l WPR/RC27/2 Net c~e
Explanation of principal changes
HMO 002 BVD 002 (MBD 002) LAB 001
Nursing education Leprosy control Health laboratory technology Philippines
21 450 10 500 13 900
42700
21 250 (10 5(0)
57 200
43 300
Post of nurse educator extended; offset by transfer of 3-month fellowship to List of Additional Projects. Project deleted. Post of microbiologist extended.
HSD 001 (SHS 001) HMO 005
PPC 001 ESD
001
General health services development National teacher training centre Communicable disease prevention and control Communicable disease control Rabies control Health laboratory services Improvement of medical records
160 860 26 600
150 300 55 800
(10 560) (26 600) 55 800 (23 000) (16 000) (15 800) 31 100
23 000 16000 15 800 27800
VPH 001 LAB 001 DHS 001
58
900
Post of sanitary engineer replaced by a sanitarian. Project deferred to 1978. New project amalgamating ESD 001, LAB 001 and VPH 001. Project amalgamated with PPC 001 (see above). -do-doPost of medical records officer extended.
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ig~ PROJECT CHAHGES REFIECTED IN THE REVI SED 19Tf ESl'::;:r-JATES :9REAh.1XMN BY COmrmy OR AREA AND PROJECT I-'
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Budget estimates for 1977 Project number Country or area and project title Republic of Korea HSD 001 (SHS 001) NUT 001 HMO 004
As per WPR/RC25/2 Rev.l
As per WPR/RC27/2
~ Explanation of principal changes
~
Net change
ESD 001 LAB 001 CEP 001 FSP 001
Planning and management of general health services Nutrition advisory services National teacher training centre Epidemiological services Health laboratory technologJ Air pollution control advisory services Food hygiene Republic of South Viet-Nam
138 260 13 700 53 770 22 900 14 900 10 100
138 700 9 800 7 000 26 700 14 900 (
440 3 900) 7 000 ( 27 070) ( (
8 000) 7 300) 45 000
Post of sanitary engineer replaced by a sanitarian. Consultant provision deleted. New project. Post of epidemiologist deleted; offset by increased provision for consultants. Consultant provision reduced. Consultant provision reduced. Post of food hygienist extended.
7600 55 100
HSD 001 (SHS 001) HE!) 001
Health services development Health education Assistance to the rddc'.le-level medical school, Da NanG Health manpower development: fellowships Pharmaceuticals Singapore
817 000 47 000 100 000 50 000 519 000
(817 000) 47 000 100 000 50 000 519 000
Project deleted and funds transferred to other projects. New project. -do-do-do-
HMO 003 HMO 099
PHAOOI
HSD 001 (SHS 001) HMO 099
Hospital design and construction Health manpower development: fellowships
20 000 114 800
43 700 83 500
23 700
Post of project manager extended. Decrease of fellowship provision.
( 31 300) (
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PROJECT CHANGES REFIECTED
rn
THE REVISED 197'7 ES1'l:r'lATES
:3REAKDOvlN BY COWIRY OR AREA AND PROJECT
Project number
Country or area and project title Solomon Islands
Budget estimates for 1977 As per WPR/RC25/2 As per Net change Rev.l WPR/RC27/2
--'
Explanation of princJpal changes
HSD 001 (SHS 001)
Basic health services ~
73 610
103 000
29 390
Post of public health nurse added.
HMD 099
Health manpo~ development: fellowships, Health laboratory technology
31 800 10 500
33 600 40 700
1 800
LAB 001
30 200
Increase of fellowship provision due to changes in duration and/or field of study. Post of health laboratory adviser extended from 1976 and consultant provision deleted.
Tuvalu HMD 099
Health manpower development: fellowships Western Samoa Hospital administration Intercountry programmes
12 500
12500
New project.
HSD 003 (SHS 003)
40 700
40 700
New project.
RPD 001 HSD 001 (SHS 001)
Research promotion and development Public health advisory services
fJ:) 800
21 000
42 000
69 800 21 000
New project. Consultant proviSion increased by six months.
~ §~ <rd
I-' 0 I-'I-'~
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~
PROJECT CHANGES REFTECTED IN THE REVISED 1977 ESTIMATES
~i! 1-1
BREAKDOWN BY COUNTRY OR AREA AND PROJECT Budget estimates for 1977 As per WPR/RC25/2 As per Net change RC21L2 Rev.l
0 lUl-'~
~ \)I
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Project number HSD 002 (SHS 002) HSD 004 (SHS 004)
Country or area and project title Intercountrl Ero~rammes {cont'd} Public health advisory services, South Pacific Health planning and management
WPRL
Explanation of principal changes Post of statistician deleted and replaced by consultant for three months. Post of public health administrator deleted; addition of a second teclmical officer (management) and extension of the teclmical officer (health economist). Project deleted. New project. Decrease of fellowship provision. Increase of fellowship provision; offset by deletion of contractual services. Increase of provision for participants. Decrease of consultant provision. Post of nursing adViser discontinued. Post of secretary transferred to WHO Representative, Suva. Increase of fellowship provision.
lZ7 130 152 260
95 100 199 100
(32 030) 46 840
SHS all PHC 001 HMD 002 HMD 004 HMD 017 HMD 019 HMD 100 ESD 001 MPD 006
Health laboratory services Promotion of primary health care Assistance to institutions for the training of health personnel Regional centre for the training of anaesthetistf'. Meetings of heads o~ schools of public health Assistance in teaching in health education Regional advisers (health manpower development) Epidemiological and surveillance services Malaria training project
28 100 50 000 12 000 33 750 12 000 17 500 163 560 99 540 49 700 5 000 62 200 17 000 7 000 123 800 102 600 58 700
(28 100) 50 000 ( 7 000) 28 450 5000 (10 5(0) (39760) 3 060 9 000
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PROJECT CHANGES REFIECTED IN THE REVISED 1977 ESTIMATES BREAKDOWN BY COUN'ffiY OR AREA AND PROJECT Budget estimates for 1977 As per WPR/RC25/2 As per Rev.l WPR/RCZl/2 Net change
Project number
Country or area and project title Intercountry programmes (cont'd)
Explanatlm of principal changeS
BVD 002 (MBD 002) Regional tuberculosis training BVD 005 (MBD 006) course, Tokyo Leprosy control advisory services, South Pacific
16 250 21 000
24 600 28 500
8 350
7500
Increase of provision for temporary advisers and supplies. Consultant provision deleted; replaced by a provision for a medical officer whose cost is shared by WHO and the New Zealand Lepers' Trust Board, Inc. at 5~ each. Decrease of consultant provision. -do-do-doProject transferred from UNDP as from 1977. Project transferred to List of Additional Projects. Project de leted. New project.
CAN 001 CVD 001
RAD 003 BLG 001 (ISS 001)
BSM 001 SES 002 DH;S 001 sur 001
The organization of comprehensive cancer control programmes The prevention and control of cardiovascular diseases Radiation health advisory services Production and Jontrol of biologicals Environmental health advisory services, South Pacific Review of environmental health training programmes in the Region Health statistics and records Development of !tIRO and national staff in management of health programmes
10 500
7 000 7 000 106 000 26 700 82 600
( 3 500) ( 7 000) (11 590) ( 7 000) 82 600 ( 7 000) (10 500)
14 000 117 590 33 700
7 000 10 500 12 000
12 000
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