WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR AFRICA
ORGANISATION MONDIALE DE LA SANTE BUREAU REGIONAL DE L’AFRIQUE
ORGANIZAÇÃO MUNDIAL DE SAÚDE ESCRITÓRIO REGIONAL AFRICANO
REGIONAL COMMITTEE FOR AFRICA Fifty-fifth session Maputo, Mozambique, 22–26 August 2005 Provisional agenda item 8.1
AFR/RC55/7 17 June 2005
ORIGINAL: ENGLISH
WHO PROGRAMME BUDGET 2006-2007: ORIENTATIONS FOR IMPLEMENTATION IN THE AFRICAN REGION Report of the Regional Director EXECUTIVE SUMMARY 1. This document explains budget allocations and the guiding principles for the implementation in the African Region of the WHO Programme Budget 2006-2007 which is the first Programme Budget prepared under the Eleventh General Programme of Work and the fourth to be prepared since the introduction of results-based budgeting. Thirty-six programmatic areas of work are used as building blocks in the programme budget. 2. The Director-General has identified six areas of emerging concern. These areas and the proposed 15 regional priorities for 2006-2007 have received substantial funding. 3. The document is divided into six parts: introduction, budgetary analysis, guiding principles for implementation, roles and responsibilities, conclusion and annexes containing budgetary tables. 4. The Regional Committee is requested to review and approve the proposed orientations for implementation of the WHO Programme Budget for 2006-2007 in the African Region.
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CONTENTS Paragraphs INTRODUCTION ........................................................................................................................... 1–15 BUDGETARY ANALYSIS .......................................................................................................... 16–28 GUIDING PRINCIPLES FOR IMPLEMENTATION.................................................................. 29–39 ROLES AND RESPONSIBILITIES ............................................................................................. 40–42 CONCLUSION.............................................................................................................................. 43–45 ANNEXES Page 1. WHO Approved Programme Budget for 2006-2007 by Office ....................................................... 9 2. Comparison of budget levels between 2004-2005 and 2006-2007................................................. 10 3. Funding for the African Region’s Proposed Priorities.................................................................... 11 4. Breakdown of total budget by category of areas of work ............................................................... 12 5. Approved Consolidated 2006-2007 Programme Budget ............................................................... 13 6. Approved 2006-2007 Programme Budget (Countries)................................................................... 14 7. Approved 2006-2007 Programme Budget (RO/ICP)...................................................................... 15 8. Approved 2006-2007 Programme Budget, Country Allocations (All Funding)............................. 16 9. Approved 2006-2007 Programme Budget, Country Allocations (Regular Budget)....................... 18
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INTRODUCTION 1. Preparation of the 2006-2007 WHO integrated Programme Budget is guided by the broad objectives set out in the 11th General Programme of Work which covers the period 2006-2015. It is the first Programme Budget prepared under the Eleventh General Programme of Work. 2. For 2006-2007, the Director-General is committed to pursuing the decentralization policy in order to strengthen WHO’s capacity in countries. The policy requires shifting adequate human and financial resources to the country level where they are most needed. This policy does not only enable WHO to provide better support to countries; but is also a key element in strengthening skills and capacities in country offices, with a heightened focus on accountability. 3. A draft proposed integrated WHO Programme Budget for 2006-2007 was reviewed by the fifty-fourth Regional Committee in September 2004, and later by the Executive Board in January 2005. It was subsequently approved by the fifty-eighth World Health Assembly in May 2005. The budgetary information contained in this document was extracted from the approved Programme Budget. Implementation of the related work plans will commence in January 2006. 4. Programme planning in WHO consists of long-term, medium-term and short-term planning cycles. The long-term planning cycle involves the preparation of the General Programme of Work (GPW), while the medium planning cycle consists of the preparation of a strategic plan - 3 biennial budgets. The short-term planning cycle consists of operational planning. 5. Operational planning is the process of preparation of work plans. The purpose of this process is to arrive at specific deliverables required to achieve the results set out in the strategic plan and biennial budget. 6. Country work plans are prepared by country offices in collaboration with the ministry of health. For their part, units within the divisions or departments in the Regional Offices and headquarters also prepare their work plans which, before being finalized, are discussed across all levels including joint planning during Regional Programme Meetings (RPMs). For cross-cutting areas, intra- and inter-divisional plans are prepared. At country level, preparation of work plans by country teams is encouraged. 7. The fifty-first session of the Regional Committee identified 16 areas as priorities, namely: health systems development; HIV/AIDS; malaria; tuberculosis; maternal health; child health; mental health; cancer, cardiovascular diseases, diabetes and obstructive chronic respiratory diseases; blood safety; poverty and health; preparedness for and response to emergencies and epidemics; youth and adolescent health; health promotion; essential medicines (including traditional medicine); nutrition; and health and environment. 8. However, given the current areas of concern identified in the 44 Country Cooperation Strategy (CCS) documents that have been analyzed, it is proposed that the following 15 areas of work be the regional priorities under this programme budget: communicable disease prevention and control; epidemic alert and response; malaria; tuberculosis; HIV/AIDS; surveillance, prevention and management of chronic, noncommunicable diseases; health and environment; making pregnancy safer; child and adolescent health; immunization and vaccine development; essential medicines
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(including traditional medicine); health systems policies and service delivery; human resources for health; health information, evidence and research policy; and WHO’s core presence in countries. 9. For 2006-2007, the Director-General has identified six emerging areas of global concern. These are: epidemic alert and response; surveillance, prevention and management of chronic, noncommunicable diseases; tobacco; making pregnancy safer; child and adolescent health; and planning, resource coordination and oversight. 10. It is important to note that with the exception of two areas of work, namely tobacco, and planning, resource coordination and oversight, the global emerging areas of concern are also among the regional priorities. Also notable is that, as shown in Annex 4, the regional priorities have received increased allocations and now account for 81.5% of the Regional Programme Budget. 11. Translating the strategic agenda in the CCS into areas of work has been evolving with clearer understanding between ministries of health and country offices. In this regard, the work of WHO in countries will be related to the selected priority areas based on CCS. 12. Despite the increase in the regional budget for 2006-2007, the corresponding funds are, unfortunately, not sufficient to cover the health programme needs of the Member States, given the high disease burden in the Region, the weaknesses of existing health infrastructure and the high cost of interventions. Furthermore, over 78% of this budget is planned to be financed from Voluntary Funds (other sources see Annex 1), which are normally targeted at certain areas of work and/or countries. That leaves the majority of countries primarily dependent on the regular budget. The regular budget has historically continued to be very tight because of WHO’s zero growth policy dating back to many years. Under the circumstances, the Regional Office has to be more selective and strategic in responding to Member States’ needs. 13. This will be achieved through: effective budget implementation; greater focus on a limited number of prioritized areas of work; well-formulated expected results and indicators as a means of improving monitoring and accountability; and systematic monitoring and evaluation at all levels. 14. In addition, continuing efforts will be made to mobilize additional resources from other sources for priority programmes, and to make effective use of available resources through streamlined and more efficient management and administrative procedures. The Regional Office continues to advocate that countries, through their budgeting processes, earmark at least 15% of their national budgets for Health. 15. This document has been prepared to provide further guidance and budget information specific to the African Region and to serve as a basis for both the preparation of work plans and the implementation, monitoring and evaluation of the Programme Budget 2006-2007. BUDGETARY ANALYSIS 16. The WHO’s Programme Budget is the fourth successive biennial budget that follows an organization-wide, results-based approach. The programme is based on a set of objectives, strategies, and organization-wide expected results. For implementation, office-specific expected results will be developed. Unlike in previous biennia, this programme budget is an integrated budget for the whole of WHO.
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17. The programme budget was drawn up through a participatory and iterative process, involving dialogue between countries, regional offices and headquarters. The resulting budget is based on 36 programmatic areas of work defined globally as the building blocks of what is to be achieved. 18. Therefore, the total budget available to the Region under this Programme Budget is based on agreed estimated requirements by area of work resulting from the above participatory and iterative process involving all levels, taking into consideration all the resources that are likely to be made available. It comprises funding from all sources including Voluntary Funds from partners, which are subject to availability during implementation, and Regular Budget funds from Member States. The increases in the budget are purely in programmatic terms and do not include any projected cost increases. 19. The Programme Budget for the African Region for the biennium 2006-2007 totals US$949.5 million as compared to an estimated US$ 744.7 million for 2004-2005 (Annex1). A total amount of US$ 203.6 million, representing 21.4% of the budget is from the Regular Budget (Regular Budget), while US$ 745.8 million, representing 78.6%, is from Voluntary Funds (Other Sources, see Annex 1). It is important to note the heavy reliance on voluntary funding (compared to Regular Budget funding) during the biennium. While the Regular Budget funds are assured once approved, the Voluntary Funds are not absolutely predictable, both in terms of the absolute amounts and the timeliness of receipt of the amounts. 20. The resources by Region (Annex 1) show that, of all the regions and headquarters, the African Region is allocated the second highest amount both in nominal and percentage terms: US$ 949.5 million which makes up 28.7% of the total budget. Furthermore, comparing the 2006-2007 approved budget to the 2004-2005 budget, we note that the African Region has the greatest budget increase (US$ 204.7 million). The details by area of work are shown in Annex 5. 21. A total of US$ 11.9 million (6%) of the budget increase is from the Regular Budget, while US$ 192.8 million (94%) is from Voluntary Funds (table 1 below). All the increases in the Regular Budget have been targeted at and allocated to the six areas of work (see paragraph 9) selected by the Director-General as emerging areas of global concern. Table 1: Breakdown of budget increase (US$ thousand) % of total regular budget 64 36 100 % of total Voluntary voluntary funds contributions 87 022 105 804 192 826 94% 45% 55% 100% % of total increase 46% 54% 100%
Level Countries Regional Office/ICP Total Percentage of total increase
Regular budget 7590 4302 11 892 6%
Total increase 94 612 110 106 204 718
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22. A total of US$182.7 million (89%) of the budget increase is earmarked to be spent in countries. This comprises US$94.6 million as direct proposed allocations to countries and US$88.1 million as funds to be transferred from Regional Office/intercountry programmes (ICP) to countries. The balance of US$ 22.0 million (11%) will be spent at the Regional office. Figure 1: Distribution of budget increase by location of spending (US$ thousand)
22,021 (11%)
Direct allocation to countries 94,612 (46%) 88,085 (43%) RO/ICP funds to be spent in countries RO/ICP allocation for use in RO/ICP
23. Of the approved funds, US$ 784.3 million has been allocated for Regional Priorities (Annex 3). This represents an increase of US$ 177.3 million (29.2%) compared to the 2004-2005 Programme Budget. More significantly, this accounts for 86.6% of the total budget increase (Annex 4). 24. Of the funds available to the Region, it is anticipated that US$ 716.6 million (75%) will be spent in countries (Figure 2 below). This comprises direct proposed allocations to countries of US$ 501.6 million (Annex 6) and an estimated amount of US$ 215.0 million for activities implemented at country level from the US$ 447.9 million funding for Regional Office/intercountry programme activities (Annex 7). The balance of US$ 232.9 million (25%) will be spent at the Regional Office, including for staffing of intercountry programmes, some of which might be based in countries (see Figure 2 below). It is important to note that, under this Programme Budget, at least US$ 215 million is being decentralized from the Regional Office to countries, representing an increase of US$ 46 million over the Programme Budget 2004-2005.
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Figure 2: Distribution of budget by location of spending (US$ thousand)
232.9 25% Direct allocation to countries RO/ICP funds to be spent 501.6 52% 215.0 23% in countries RO/ICP allocation for use in RO/ICP
25. The allocation to countries (Annex 8) is presented in two parts, Regular Budget and Voluntary Funds. The Regular Budget allocation has been based on the 2004-2005 approved allocation, increased by 6.2%, as proposed by the Director-General and approved by the fifty-eighth World Health Assembly. The details of the Regular Budget by country are shown in Annex 9. 26. The Voluntary Funds allocation has been based on the past trends of each country’s funding from this source. Voluntary Funds are estimated and targeted at certain areas of work and countries, as the logical way to distribute the funds to be received. It should be noted, however, that while the amount available from the Regular Budget is known and can be easily allocated, the amount to be available from Voluntary Funds, is for the most part, unknown at this point. A total of US$ 129.9 million (25.9%) of the US$ 501.6 million earmarked for countries is from the Regular Budget while the balance of US$ 371.6 (74.1 %) is from Voluntary Funds. 27. It is important to note that the final allocation to countries and Regional Office divisions may change. Since several years, the regions have not received the full allocations shown in the approved budget. This is due to the decision of the Director-General to withhold funds in anticipation of nonpayment of full assessments by Member States. In 2004-2005, the amount withheld was US$ 5.8 million (3%) of the African Region’s approved budget. Given that the projected amount of US$ 203.6 million is earmarked for the African Region under the Regular Budget for 2006-2007, and
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assuming that the same percentage would apply in this biennium, the amount to be withheld would be US$ 6.1 million. Essentially, it means that these funds would not be available for implementing activities 28. Of equal importance during implementation is the effect of the currency exchange rate fluctuation. The exchange rate of local currencies of the region to the US dollar continues to be volatile. In particular, the CFA Franc which is linked to the Euro and the Rand have strengthened in value by 14% and 23% respectively (as at March 2005) since the approval of the last programme budget in May 2003. Given that a large portion of expenditure, especially at country level, is in local currencies, if this depreciation of the US Dollar against these and other local currencies continues, implementation of activities will be adversely affected. The impact can be substantial especially since cost increases have remained unfunded over the years, given the longstanding zero budget growth policy of WHO. It is important to note that there is no provision in the budget for reimbursement for exchange rate losses due to depreciation of the US Dollar. Discussions will be initiated with headquarters to see if, in the future, some of the currencies can be protected by including them in the exchange rate facility. GUIDING PRINCIPLES FOR IMPLEMENTATION 29. The African Region is not only the largest region of WHO in terms of budget allocation, staffing and number of country offices, but also, probably, has the greatest number of challenges which should be taken into account when preparing and implementing the programme budget. 30. The challenges include: a disproportionately high disease burden; frequent man-made and natural disasters; poor health and communication infrastructure; high cost of interventions; and poor economic performance. These factors, together, contribute to the pressing need for continually higher levels of funding in the health sector of the Region. There is a need, therefore, for WHO to play a much greater role in advancing the global health agenda in the Region. 31. In the light of the above, and taking into account the lessons learnt from the budget implementation experience of recent biennia, it is clear that the African Region has to implement the programme budget in a more effective manner, especially at country level, in order to achieve maximum impact. 32. Consequently, a number of guiding principles are being proposed for the 2006-2007 Programme Budget implementation. These are decentralization, integration of interventions, strengthening WHO’s core presence in countries, and strengthening monitoring and evaluation. 33. Decentralization: the Director General’s policy of decentralization of funds to the regional and country levels, should be one of the guiding principles for budget implementation. This means that resources will be directed to where the work of WHO is best and most effectively performed. For the African Region, this is mostly in countries and, accordingly, most of the resources have been programmed to be spent there. Not only do resources need to be decentralized, but also, those implementing offices should be empowered to take decisions without frequent reference to the Regional Office. Therefore, the current decentralization process, initiated in the WHO African Region in 1998 to countries and later expanded to the divisions in the Regional Office, will be continued. The process will, however, be enhanced to enable WHO country representatives and
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divisional directors to take implementation decisions at a much higher rate than is currently the case and to be more accountable for their decisions. 34. For decentralization to work effectively, there is need for financial stability especially at country level, and less financial disruption from unforeseen events. Consequently, it is being proposed to withhold 3% of the funds from the Regular Budget allocation as a reserve for unforeseen or unplanned expenditure in the Region. 35. Integration of interventions: For efficient use of the resources that have been made available, WHO and countries should implement this Programme Budget in an integrated manner. To that end, in the spirit of ONE WHO, the different areas of work focal points across all levels of WHO should jointly plan activities to be implemented in countries and ensure that they are implemented in a more collaborative and coordinated manner. There is also a need for strong collaboration between UN agencies for planning, implementation, monitoring and evaluation, and for the integration of programmes within one Ministry of Health and one health system to avoid vertical implementation of programmes that undermine the effectiveness of national health systems. 36. Joint planning, implementation and evaluation would improve programme performance at country level and produce results that will have a maximum impact at country level. Collaboration, therefore, between divisions and relevant areas of work across the three levels of the Organization will be an integral part of the implementation of the Programme Budget 2006-2007 and will receive greater emphasis during the implementation period. Countries are also being encouraged to adopt this approach in implementing their own activities in collaboration with other partners. 37. Strengthening WHO’s core presence in countries: For decentralization to be effective, the implementing office has to be sufficiently equipped to face up to their increased responsibilities and be accountable for implementation. This is currently a critical issue especially at county level. Therefore, strengthening the area of work “WHO core presence in countries” should be another guiding principle. This would entail reprofiling the WHO country offices, taking into account the size, staffing and infrastructure needs of each country office in addition to increased funding of that area of work to enable each office to have the minimum required human resource capacity, and adequate infrastructure. A strengthened WHO country office is a priority for WHO, given the policy of decentralization of resources to countries and the upcoming installation of the Global Management Information System. This Programme Budget therefore reflects increased funding for WHO’s core presence in countries. 38. The work of WHO in countries includes a managerial function (the running of the WHO country offices) in addition to technical cooperation with countries. Therefore, the country work plan takes into account all allocated funds. Given that the primary role of WHO is to provide technical support in health to countries, WHO country offices must have technical staff in adequate numbers and with adequate expertise. Similarly, country offices must have adequate infrastructure including effective telecommunications and computer facilities which would enable them to operate optimally. Adequate funds, preferably from the Regular Budget, must be earmarked for salaries of the required technical staff and for the smooth functioning of the country offices, to enable them to continue to provide high-quality technical support.
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39. Strengthening monitoring and evaluation: Given the increased decentralization and limited resources, monitoring and evaluation processes must be strengthened at all levels. All work plans must be prepared and implemented through the use of the Activity Management System (AMS). This will enhance monitoring and evaluation of the Programme Budget. Production of monthly summary implementation status reports must continue and should be shared, especially at country level, with the relevant staff in the ministry of health. Semi-annual, mid-term and biennial assessments should all be done using the AMS. ROLES AND RESPONSIBILITIES 40. Implementation of the programme budget is a shared responsibility between countries and WHO. 41. Countries are requested to use the Country Cooperation Strategy (CCS) as a basis for preparing work plans. In addition, they should: agree to the prioritization of activities, focusing on a limited number of areas of work, given the financial constraints especially in the regular budget; ensure that at least 15% of the national budget is earmarked for health; ensure implementation stability; agree to the Regional Director establishing a contingency fund of US$ 6.1 million representing 3% of the Regular budget, to provide for unplanned activities, with any unused balance being reallocated to countries during the second half of the second year of the biennium; prepare and finalize work plans early enough to enable their approval in November 2005. 42. WHO will: provide detailed procedures for enhanced delegation of authority to WRs and divisional directors; carry out staff reprofiling in countries; review and sign work plans in November 2005; and enhance the implementation, monitoring and evaluation processes. WHO should also play an active advocacy role in encouraging countries to provide at lease 15% of their national budget for health. CONCLUSION 43. For 2006-2007, the African Region has the highest percentage of the WHO global approved budget that it has ever been allocated based on results-based budgeting taking into account the resources needed to achieve the expected results agreed upon under the 2006-2007 Programme Budget. The budget has now been allocated to the various countries and divisions in the Region. 44. What is now required is concerted effort between countries and WHO to ensure that the budget is effectively implemented through well-formulated work plans. 45. The Regional Committee is invited to review and approve the proposed orientations for implementation of the Programme Budget for 2006-2007 in the African Region.
AFR/RC55/7 Page 9 ANNEX 1 WHO Approved Programme Budget for 2006-2007 by Office (US$ thousand)
All Funding % of 20042005 total 26.4% 5.9% 10.1% 5.6% % of 20062007 total 28.7% 6.0% 10.8% 6.1% Increase/ decrease over 2004-2005 204 718 31 291 72 259 42 293 % increase over 20042005 27.5% 18.7% 25.4% 26.7% % of 20062007 total 21.4% 39.2% 27.8% 29.0% % of 20062007 total 78.6% 60.8% 72.2% 71.0%
Office Africa Americas SouthEast Asia Europe Eastern Mediterranean Western Pacific HQ Total
2004-2005 744 735 167 227 284 954 158 282
20062007 949 453 198 518 357 213 200 575
Regular Budget 2006-2007 203 627 77 768 99 251 58 180
Voluntary Funds 2006-2007 745 826 120 750 257 962 142 395
284 349 193 536 991 028 2 824 111
10.1% 6.9% 35.1% 100.0%
381 846 232 861 992 975 3 313 441
11.5% 7.0% 30.0% 100.0%
97 497 39 325 1947 489 330
34.3% 20.3% 0.2% 17.3%
87 456 76 505 312 528 915 315
22.9% 32.9% 31.5% 27.6%
294 390 156 356 680 447 2 398 126
77.1% 67.1% 68.5% 72.4%
AFR/RC55/7 Page 10 ANNEX 2 Comparison of budget levels between 2004-2005 and 2006-2007
1 200 000
1 000 000
Amount in US$ (Thousand)
800 000 2004-2005 2006-2007 400 000
600 000
200 000
Africa Americas South-East Asia Europe Eastern Mediterranean Western Pacific HQ
Office
AFR/RC55/7 Page 11 ANNEX 3 Funding for the African Region’s Proposed Priorities (US$ thousand) Area of Work 2004-2005 All funding Increase/ decrease 12 863 19 399 15 860 8489 14 658 2595 1422 2190 11 260 51 724 -267 7262 11 053 9489 9296
2006-2007
Communicable disease prevention and control Epidemic alert and response Malaria Tuberculosis HIV/AIDS Surveillance, prevention and management of chronic, noncommunicable diseases Health and environment Making pregnancy safer Child and adolescent health Immunization and vaccine development Essential medicines Health systems policies and service delivery Human resources for health Health information, evidence and research policy WHO's core presence in countries
46 316 25 601 43 140 21 511 120 939 5905 7578 12 626 16 240 182 956 11 767 23 564 17 180 4415 67 284
59 179 45 000 59 000 30 000 135 597 8500 9000 14 816 27 500 234 680 11 500 30 826 28 233 13 904 76 580
Total
607 022
177 293
784 315
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Breakdown of total budget by category of areas of work (all funding) Category of Area of work Biennium 2004-2005 % of 20042005 total 81.5%
Biennium 2006-2007
% of 2006-2007 total
Increase/ decrease over 2004-2005
% total increase
% increase between biennia
AFRO priority areas of work Other areas of work
607 022
784 315
82.6%
177 293
86.6%
29.2%
137 713
18.5%
165 138
17.4%
27 425
13.4%
19.9%
Total
744 735
100.0%
949 453
100.0%
204 718
100.0%
27.5%
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AFR/RC55/PSC/3 Page 13 ANNEX 5 Approved Consolidated 2006-2007 Programme Budget (US$ thousand) All funding Area of Work Communicable disease prevention and control Communicable disease research Epidemic alert and response Malaria Tuberculosis HIV/AIDS Surveillance, prevention and management of chronic, noncommunicable diseases Health promotion Mental health and substance abuse Tobacco Nutrition Health and environment Food safety Violence, injuries and disabilities Reproductive health Making pregnancy safer Gender equality, women and health Child and adolescent health Immunization and vaccine development Essential medicines Essential health technologies Policy-making for health in development Health systems policies and service delivery Human resources for health Health financing and social protection Emergency preparedness and response Health information, evidence and research Knowledge management and information Planning, resource coordination and Human resources management in WHO Budget and financial management Infrastructure and logistics Governing bodies External relations Direction WHO's core presence in countries Exchange rate hedging Information technology fund Real estate fund Security fund
Regular Budget
Voluntary funds 2006-2007
20042005 46 316 6585 25 601 43 140 21 511 120 939 5905 6512 4251 2449 2791 7578 3189 974 5099 12 626 2397 16 240 182 956 11 767 4103 6116 23 564 17 180 478 40 296 4 415 17 550 1301 5423 8572 14 172 1363 2391 1701 67 284 -
Increase/ decrease 12 863 (4 000) 19 399 15 860 8489 14 658 2595 86 429 2551 1709 1422 811 1023 3094 2190 603 11 260 51 724 (267) 15 433 7262 11 053 4696 (5 308) 9489 (2 550) 1467 977 1486 9828 1779 3099 427 9296 0 0 4770 0
20062007 59 179 2585 45 000 59 000 30 000 135 597 8500 6598 4680 5000 4500 9000 4000 1997 8193 14 816 3000 27 500 234 680 11 500 4118 6549 30 826 28 233 5174 34 988 13 904 15 000 2768 6400 10 058 24 000 3142 5490 2128 76 580 4770 -
2006-2007
3130 553 14 617 2020 2371 4662 7641 5169 2530 3113 2589 6210 1595 751 2925 9778 1320 8 168 902 3556 2647 3414 7358 11 258 755 2236 864 5753 1459 2287 3372 10 029 1287 2257 1536 63 515 -
56 049 2032 30 383 56 980 27 629 130 935 859 1429 2150 1887 1911 2790 2405 1246 5268 5038 1680 19 332 233 778 7944 1471 3135 23 468 16 975 4419 32 752 13 040 9247 1309 4113 6686 13 971 1855 3233 592 13 065 4770 -
Total
744 735
204 718
949 453
203 627
745 826
AFR/RC55/7 Page 14 ANNEX 6 Approved 2006-2007 Programme Budget (Countries) (US$ thousand) All Funding Area of work 20042005 20 824 208 9464 19 218 8758 86 895 2467 4825 2640 553 1866 4461 1292 671 2646 3269 952 4348 84 804 8330 1563 3822 16 468 11 517 35 011 3564 1211 200 395 64 698 -
Increase/ decrease 4822 0 8417 6250 3226 10 430 1673 0 410 1314 0 171 0 660 1856 3207 247 4040 23 300 (206) 98 316 696 6593 2668 (4879) 9329 (204) 293 0 0 0 0 0 0 9885 0 0 0 0
20062007 25 646 208 17 881 25 468 11 984 97 325 4140 4825 3050 1867 1866 4632 1292 1331 4502 6476 1199 8388 108 104 8124 1661 4138 17 164 18 110 2668 30 132 12 893 1007 493 0 0 0 0 395 0 74 583 0 0 0 0
Regular Budget 2006-2007 2062 197 10 471 961 1452 1836 3908 4554 1331 1441 1762 4098 1220 190 1365 5987 512 5961 513 2048 1174 1885 2937 7705 0 1019 193 278 0 0 0 0 0 373 0 62 490 0 0 0 0
Voluntary Funds 2006-2007 23 584 11 7410 24 507 10 532 95 489 232 271 1719 426 104 534 72 1141 3137 489 687 2427 107 591 6076 487 2253 1427 10 405 2668 29 113 12 700 729 493 0 0 0 0 22 0 12 093 0 0 0 0
Communicable disease prevention and control Communicable disease research Epidemic alert and response Malaria Tuberculosis HIV/AIDS Surveillance, prevention and management of chronic, noncommunicable diseases Health promotion Mental health and substance abuse Tobacco Nutrition Health and environment Food safety Violence, injuries and disabilities Reproductive health Making pregnancy safer Gender equality, women and health Child and adolescent health Immunization and vaccine development Essential medicines Essential health technologies Policy-making for health in development Health systems policies and service delivery Human resources for health Health financing and social protection Emergency preparedness and response Health information, evidence and research policy Knowledge management and information technology Planning, resource coordination and oversight Human resources management in WHO Budget and financial management Infrastructure and logistics Governing bodies External relations Direction WHO's core presence in countries Exchange rate hedging Information technology fund Real estate fund Security fund
Total
406 940
94 612
501 552
129 923
371 629
AFR/RC55/7 Page 15 ANNEX 7 Approved 2006-2007 Programme Budget (RO/ICP) (US$ thousand) All Funding Area of Work
20042005 25 492 6377 16 137 23 922 12 753 34 044 3438 1687 1611 1896 925 3117 1897 303 2453 9357 1445 11 892 98 152 3437 2540 2294 7096 5663 478 5285 851 16 339 1101 5423 8572 14 172 1363 1996 1701 2586 -
Increase/ decrease 8041 (4000) 10 982 9610 5263 4228 922 86 19 1237 1709 1251 811 363 1238 (1017) 356 7220 28 424 (61) (83) 117 6566 4460 2028 (429) 160 (2346) 1174 977 1486 9828 1779 3099 427 (589) 0 0 4770 0
20062007 33 533 2377 27 119 33 532 18 016 38 272 4360 1773 1630 3133 2634 4368 2708 666 3691 8340 1801 19 112 126 576 3376 2457 2411 13 662 10 123 2506 4856 1011 13 993 2275 6400 10 058 24 000 3142 5095 2128 1997 0 0 4770 0
Regular Budget 2006-2007 1068 356 4146 1059 919 2826 3733 615 1199 1672 827 2112 375 561 1560 3791 808 2207 389 1508 1473 1529 4421 3553 755 1217 671 5475 1459 2287 3372 10 029 1287 1884 1536 1025 0 0 0 0
Voluntary funds 2006-2007 32 465 2021 22 973 32 473 17 097 35 446 627 1158 431 1461 1807 2256 2333 105 2131 4549 993 16 905 126 187 1868 984 882 9241 6570 1751 3639 340 8518 816 4113 6686 13 971 1855 3211 592 972 0 0 4770 0
Communicable disease prevention and control Communicable disease research Epidemic alert and response Malaria Tuberculosis HIV/AIDS Surveillance, prevention and management of chronic, noncommunicable diseases Health promotion Mental health and substance abuse Tobacco Nutrition Health and environment Food safety Violence, injuries and disabilities Reproductive health Making pregnancy safer Gender equality, women and health Child and adolescent health Immunization and vaccine development Essential medicines Essential health technologies Policy-making for health in development Health systems policies and service delivery Human resources for health Health financing and social protection Emergency preparedness and response Health information, evidence and research policy Knowledge management and information technology Planning, resource coordination and oversight Human resources management in WHO Budget and financial management Infrastructure and logistics Governing bodies External relations Direction WHO's core presence in countries Exchange rate hedging Information technology fund Real estate fund Security fund
Total
337 795
110 106
447 901
73 704
374 197
AFR/RC55/PSC/3 Page 16 ANNEX 8
AFR/RC55/PSC/3 Page 16
Approved 2006-2007 Programme Budget, Country Allocations (All Funding) (US$ thousand) Regular Budget 2006-2007 1981 3567 2606 2136 3243 3155 2466 2223 2871 3176 2576 2396 2483 3664 1673 2471 5033 1857 2164 2471 3162 2460 2884 2613 2898 2827
Country Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Congo Cote D'Ivoire Democratic Republic of Congo Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar
2004-2005 1977 26 447 4784 2380 10 284 6012 3597 2237 3010 5388 2783 4030 5168 39 226 2039 5192 39 801 2634 3794 7179 5534 2444 12 919 3344 4801 11 341
Increase/ decrease 150 7267 865 238 2400 1113 534 174 262 918 260 683 1010 11 153 239 1020 11 015 379 663 1627 967 184 3288 423 803 2819
20062007 2127 33 714 5649 2618 12 684 7125 4131 2411 3272 6306 3043 4713 6178 50 379 2278 6212 50 816 3013 4457 8806 6501 2628 16 207 3767 5604 14 160
Voluntary Funds 2006-2007 146 30 147 3043 482 9441 3970 1665 188 401 3130 467 2317 3695 46 715 605 3741 45 783 1156 2293 6335 3339 168 13 323 1154 2706 11 333
AFR/RC55/7 Page 17 Regular Budget 2006-2007 2935 3428 2717 1722 3478 2243 3455 4591 206 3277 152 1936 2688 1631 2890 3960 2215 2476 3208 3315 3187 3157
Country Malawi Mali Mauritania Mauritius Mozambique Namibia Niger Nigeria Reunion Rwanda Saint Helena Sao Tome & Principle Senegal Seychelles Sierra Leone South Africa Swaziland Togo Uganda United Republic of Tanzania Zambia Zimbabwe
2004-2005 9475 5332 4418 1651 9101 2988 6497 52 962 194 6565 143 1906 4923 1549 9864 8412 3834 3806 10 133 19 523 7995 17 323
Increase/ decrease 2223 843 727 110 1984 399 1193 15 140 12 1255 9 138 888 100 2353 1663 663 596 2361 5209 1713 4580
20062007 11 698 6175 5145 1761 11 085 3387 7690 68 102 206 7820 152 2044 5811 1649 12 217 10 075 4497 4402 12 494 24 732 9708 21 903
Voluntary Funds 2006-2007 8763 2747 2428 39 7607 1144 4235 63 511 0 4543 0 108 3123 18 9327 6115 2282 1926 9286 21 417 6521 18 746
Total
406 939
94 613
501 552
129 923
371 629
AFR/RC55/7 Page 18
ANNEX 9 Approved 2006-2007 Programme Budget, Country Allocations (Regular Budget) (US$ thousand)
Country Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Congo Cote D'Ivoire Democratic Republic of Congo Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar
2004-2005 1865 3359 2454 2011 3054 2971 2322 2093 2703 2991 2426 2256 2338 3450 1575 2327 4739 1749 2038 2327 2977 2316 2716 2460 2729 2662
Increase/decrease 116 208 152 125 189 184 144 130 168 185 150 140 145 214 98 144 294 108 126 144 185 144 168 153 169 165
2006-2007 1981 3567 2606 2136 3243 3155 2466 2223 2871 3176 2576 2396 2483 3664 1673 2471 5033 1857 2164 2471 3162 2460 2884 2613 2898 2827
AFR/RC55/7 Page 19
Country Malawi Mali Mauritania Mauritius Mozambique Namibia Niger Nigeria Reunion Rwanda Saint Helena Sao Tome & Principle Senegal Seychelles Sierra Leone South Africa Swaziland Togo Uganda United Republic of Tanzania Zambia Zimbabwe
2004-2005 2764 3228 2558 1621 3275 2112 3253 4323 194 3086 143 1823 2531 1536 2721 3729 2086 2331 3021 3121 3001 2968
Increase/decrease 171 200 159 101 203 131 202 268 12 191 9 113 157 95 169 231 129 145 187 194 186 189
2006-2007 2935 3428 2717 1722 3478 2243 3455 4591 206 3277 152 1936 2688 1631 2890 3960 2215 2476 3208 3315 3187 3157
Total
122 333
7590
129 923