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WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANT~
REGIONAL OFFICE FOR
THE WESTERN PACIFIC \
BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL
WPR/RC19/8 12 August 1968 Nineteenth Session Manila 1-8 October 1968 Provisional agenda item 15 BIENNIAL PROGRAMMING
ORIGINAL: ENGLISH
'1.
In accordance with operative paragraph 2 of resolution WHA21.49,
the Committee will be considering document WPR/RC19/1 which deals with the broad aspects of long-term health planning and the formulation and evaluation of health programmes. This is a continuing developnent of an integrated system of long-tenn planning in which the Organization has introduced into its planning processes many of the elements which
are basic to the planning-programming-budgeting system (PPBS). ,
2.
In the general context of longer-tenn planning, it was suggested
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during the forty-second session of the Executive Board that when the proposed programme and budget estimates for a given year are prepared, it should be poSSible, at the same time, to submit plans for a further year ahead. '!he Director-General informed the Board that he believed '!he Board was fully aware of the fact that this was a matter which should first be considered by the Regional Committees of the Organization. that the introduction of an additional programming year would require Regional Committees to review programme proposals nearly two and a half years before they were to be implemented and that, therefore, rev:i.sions to the proposals would be required during the interim period to reflect changes in the priorities of governments and other factors.
3.
'!he planning period could be extended without conflicting with /Article
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of •••
-. WPR/RCl9/8 page 2 Artiole 55 of the Constitution WhiCh requires the Direotor-General to "prepare and submit to the Board the annual budget estimates of the Organization". 'Ihis he would oontinue to do, at the same time providing details and cost estimates of projecting the programme a further year ahead.
4.
It may be expected that the extension of the present programme
period for a further year would encourage governments to develop their national health plans on a longer-term basis and in so doing identify the projects in which WHO's future assistance could make more positive contributions to the achievement of national health objectives. The planning, developnent, implementation and projection of the programmes would cover a four-year cycle, the different stages of which are illustrated in Annex 1 to this document.
5.
The extension of the programme period could be started with the At the time the
proposed programme and budget estimates for 1971.
speoific projects for inclusion in that year's programme are developed by the Regional Direotor in consultation with the Government concerned, projeotions of the planned programme through 1972 could be prepared. Under this plan, the proposed programme and budget estimates for 1972, when they are developed in 1970, should be based on the projeoted programme for 1972 already presented as part of the 1971 proposals, and should inolude a projeoted programme for 1973.
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6.
If the suggestiOns in paragraphs 3, 4 and 5 are approved, it is
clear that changes in the presentation of the regional programme and budget estimates will be necessary in order to facilitate the review of a two-year programming period by Regional Conm1ttees. Also, the proposed programme and budget estimates of the Organization, submitted by the Director-General to the Executive Board and the Health Assembly. would need to follow a similar format, so that Regional Committees, the Exeoutive Board and the Health Assembly would be reviewing the proposed program:ne presented in a comparable form.
7.
The Director-General suggests that one method of revising the form
lot presentation ...
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WPR/RC19/8 page 3 of presentation of the progranme and budget estimates, which Regional COlIIIIittees could consider, l'lOuld be the following: (1) Delete the details of the estimated obligations for the These figures now shown in the first current year, i. e. the year in which the programme and budget proposals are prepared. column of the regional budgets are compiled as early as June and are, therefore, only forecasts of what the end-of-year obligations are likely to be. At the same time, it would be possible to expand the information in the Annual Financial Report in such a way as to make the presentation of information on obligations incurred for the current year more readily comparable ,dth the programme and budget estimates. (2) The three column presentation of the proposed programme (a) First Column - the programme and budget estimates and budget could be maintained showing: approved b.Y the previous Health Assembly, incorporating any revisions to the original proposals which had become
necessary; (b) Second Column - the programme and budget proposals
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for the budget year which Regional Committees would review and submit their comments thereon to the Director-General; (c) Third Column - the projection, project by project, of the programme proposals as shown in the second. column, together with any new activities foreseen b.Y requesting governments and the Regional Director. The descriptive narrative could be primarily directed to
the proposals for the budget year and would include indications of the duration of projects planned to continue into the future. Short narratives for the new activities shown in the third column, l.e., the projection, could be printed in italics to distinguish them from those relating to the budget year proposals. With a presentation in this format of the consolidated programme and budget estimates of the Organization, the Health Assembly would
/have a projection
WPR/RC19/8 page 4
have a projection of the programme planned for a further year ahead, which might be helpful to the Assembly when it carries out its 1 responsibilities under resolution WHA20.3 and considers the General Order of Magnitude for the succeeding year.
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lHandboOk of Resolutions and Decisions, 9th ed., p. 240.
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Review. consoli - Consideration by : (i) Examination Implementation dation and pro- 1the Standing como! and approval by i of the programme duction of pro: mittee on Admi - I the World Health i and budget estiposed programme ! nistration and 1 Assembly of the l mates as approved , I : and budget esti - i Finance and the I Director-General'sl by the Health mates for 1971 ! Executive Board ! proposed proI Assembly. . a.nd their projec- : of the Directorgramme and bud-I····: • , •• : non for a succeed -j General's propo- ! get estimates for : ConslderatlOn and j ing year. : sals for 1971 and 1 1971. : approval of the ' their projection, (ii) Review of tbe budget estimates i and their submis- projected propo- i for implementai sion to the Health ! sals for 1972 i tion in the foIAssembly together wben the Health lowing year. i with the recom- Assembly recom- based on the proI mendations of the mel1ds the general! jection for that I Executive Board. I order of magni - i year .. revised as , i tude of the budgetl necessary in the . for that year ! light of develop- i (resolution i ments. . ! WHA20. 3).
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The projection into 1972 of the 1971 programme and bud get pro posals would be the basis on which the 1972 proposals would be developed during 1970,
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