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Executive Board 107th session, Geneva, 15-22 January 2001: resolutions and decisions, annexes

31 décembre 2001 Organisation mondiale de la santé

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EB 107/200 1/REC/1

WORLD HEALTH ORGANIZATION

EXECUTIVE BOARD 107TH SESSION GENEVA, 15-22 JANUARY 2001

RESOLUTIONS AND DECISIONS ANNEXES

GENEVA 2001

EB 107/200 1/REC/1

WORLD HEALTH ORGANIZATION

EXECUTIVE BOARD 107TH SESSION GENEVA, 15-22 JANUARY 2001

RESOLUTIONS AND DECISIONS ANNEXES

GENEVA 2001

ABBREVIATIONS

Abbreviations used in WHO documentation include the following: ACC ACHR ASEAN CIOMS - Administrative Committee on Coordination - Advisory Committee on Health Research - Association of South-East Asian Nations - Council for International Organizations of Medical Sciences - Food and Agriculture Organization of the United Nations - International Atomic Energy Agency - International Agency for Research on Cancer - International Civil Aviation Organization - International Fund for Agricultural Development - International Labour Organization (Office) - International Monetary Fund - International Maritime Organization - International Telecommunication Union - Organization of African Unity - Organisation for Economic Co-operation and Development - Pan American Health Organization UN AIDS - Joint United Nations Programme onHIV/AIDS UNCTAD- United Nations Conference on Trade and Development UNDCP - United Nations International Drug Control Programme - United Nations Development UNDP Programme UNEP - United Nations Environment Programme UNESCO- United Nations Educational, Scientific and Cultural Organization UNFPA - United Nations Population Fund UNHCR - Office of the United Nations High Commissioner for Refugees UNICEF - United Nations Children's Fund UNIDO - United Nations Industrial Development Organization UNRWA - United Nations Relief and Works Agency for Palestine Refugees in the Near East - World Food Programme WFP WIPO - World Intellectual Property Organization - World Meteorological WMO Organization - World Trade Organization WTO PAHO

FAO

IAEA IARC ICAO IFAD ILO IMF IMO ITU OAU OECD

The designations employed and the presentation of the material in this volume do not imply the expression of any opinion whatsoever on the part ofthe Secretariat ofthe World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Where the designation "country or area" appears in the headings oftables, it covers countries, territories, cities or areas.

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EB 107/200 1/REC/1

EXECUTIVE BOARD 107th SESSION Geneva, 15-22 January 2001 RESOLUTIONS AND DECISIONS ANNEXES

CORRIGENDUM Annex I, paragraph 5 Please replace the numbering of the subparagraphs, namely, (e) to (h), by (a) to (d).

PREFACE

The 107th session of the Executive Board was held at WHO headquarters, Geneva, from 15 to 22 January 2001. The proceedings are published in two volumes. The present volume contains the resolutions and decisions, and relevant annexes. The summary records ofthe Board's discussions, list of participants and officers elected, and details regarding membership of committees and working groups, are published in document EB 107/200 1/REC/2.

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CONTENTS

Page Preface .... ......... .............. ............................ ........... ..................... .... ... ............ ..... ...... .. ...................... Agenda............................................................................................................................................. List of documents ....... ... ................... ................ ... ..... ............. ... .... ...... ................ .... ....... ....... ............ In

vii XI

RESOLUTIONS AND DECISIONS Resolutions EB107.Rl EB107.R2 EB107.R3 General programme ofwork ............................................................................ . Strengthening nursing and midwifery ............................................................. .. Members in arrears in the payment of their contributions to an extent which would justify invoking Article 7 of the Constitution: special arrangements for settlement of arrears ................................................................................... . Casual income .................................................................................................. . Real Estate Fund .............................................................................................. . Financial Rules ................................................................................................ . Confirmation of amendments to the Staff Rules ............................................ .. Health systems' performance assessment ....................................................... .. Confirmation of amendments to the Staff Rules ............................................ .. Salaries of staff in ungraded posts and of the Director-General.. .................... . Confirmation of amendments to the Staff Rules ............................................ .. Schistosomiasis and soil-transmitted helminth infections .............................. .. Global health security: epidemic alert and response ...................................... .. Relations with nongovemmental organizations .............................................. ..

EB107.R4 EB107.R5 EB107.R6 EB107.R7 EB107.R8 EB107.R9 EB107.Rl0 EB107.Rll EB107.Rl2 EB107.R13 EB107.Rl4

5 5 6 6

7 9 9

10 10

11 13

-v-

Page EB107.R15 EB107.R16 International classification of functioning, disability and health ..................... . Infant and young child nutrition ....................................................................... . 13 14

Decisions EB107(1) EB107(2) Review of nongovernmental organizations in official relations with WHO..... Measures to be taken for facilitating the participation of nongovernmental organizations in the work of the Intergovernmental Negotiating Body on the WHO framework convention on tobacco control ..... ......... ......... .. .. .... ... .. ... Provisional agenda for the Fifty-fourth World Health Assembly..................... Date and place ofthe 108th session ofthe Executive Board............................ A ward of the Le on Bernard Foundation Prize ......... .. ........ ............................... Award of the Ihsan Dogramaci Family Health Foundation Prize and Fellowship......................................................................................................... Award of the Sasakawa Health Prize................................................................ Award of the United Arab Emirates Health Foundation Prize.......................... Award of the Francesco Pocchiari Fellowship................................................... Award of the Dr A.T. Shousha Foundation Prize............................................. 19

20 20 21 21

EB107(3) EB107(4) EB107(5) EB107(6)

21 21 21 22 22

EB107(7) EB107(8) EB107(9) EB107(10)

ANNEXES 1. Real Estate Fund ................................................................................................................... . Revised Financial Rules of the World Health Organization ................................................. . Confirmation of amendments to the Staff Rules .................................................................. . Confirmation of amendments to the Staff Rules .................................................................. . Confirmation of amendments to the Staff Rules .................................................................. . Nongovernmental organizations admitted and maintained in official relations with WHO by virtue of, respectively, resolution EB107.Rl4 and decision EB107(1) ........................... . 25 32 39 42 46

2. 3. 4.

5. 6.

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AGENDA 1

1. 2.

Opening of the session and adoption of the agenda Report by the Director-General • Comments and questions

Technical and health matters 3.1 Global strategy for infant and young child feeding (decision WHA53(10)) Health promotion Communicable diseases • Global health security: epidemic alert and response • Control of schistosomiasis and soil-transmitted helminth infections 3.4 Strengthening health services delivery • Human resources2 • Partnerships with nongovemmental health care providers 3.5 3.6 Reporting of information on the health of populations Health systems performance assessment • The world health report 2000 • The world health report 2001

3 .2 3.3

Proposed programme budget for the financial period 2002-2003

As adopted by the Board at its first meeting (15 January 2001). Including Strengthening nursing and midwifery (resolution WHA49.1 ).

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EXECUTIVE BOARD, 107TH SESSION

Financial matters 5.1 Assessed contributions • Status of collection, including Members in arrears in the payment of their contributions to an extent which would justify invoking Article 7 of the Constitution • Special arrangements for settlement of arrears 5.2 5.3 5.4 Casual income Real Estate Fund Financial Rules

Staffing matters 6.1 Human resources • Annual report • Policy development • Report of the International Civil Service Commission • Confirmation of amendments to the Staff Rules 6.2 Statement by the representative of the WHO staff associations on matters concerning personnel policy and conditions of service

7. 8.

Collaboration within the United Nations system and with other intergovernmental organizations Other management matters 8.1 Reports of the Executive Board committees • Nongovernmental organizations • Awards • Other 8.2 8.3 8.4 Reports of the Joint Inspection Unit Guidelines on working with the private sector to achieve health outcomes Governing body matters • Method of work of the Health Assembly • Future sessions - Vlll-

AGENDA

Matters for information 9.1 Report on meetings of expert committees and study groups (including report on appointments to expert advisory panels and committees) Roll Back Malaria Making pregnancy safer Mental health 2001 Eradication of poliomyelitis HIV/AIDS Framework convention on tobacco control Injection safety

9.2 9.3 9.4 9.5 9.6 9.7 9.8 10.

Closure of the session

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j j j j j j j j j j j j j . j j j j j j j j j j j

LIST OF DOCUMENTS

EB107/1 Rev.3 EB107/2

Agenda' Statement by the Director-General to the Executive Board at its 107th session Global strategy for infant and young child feeding Health promotion Global health security- epidemic alert and response Strengthening health services delivery: strengthening nursing and midwifery Partnerships with nongovemmental organizations Measuring and reporting on the health of populations Health systems performance assessment Status of collection of assessed contributions including Members in arrears to an extent which would justify invoking Article 7 of the Constitution Casual income Real Estate Fund2 Financial Rules3 Human resources: annual report, 2000 Human resources: policy development: confirmation of amendments to the StaffRules4 Report of the International Civil Service Commission5

EB107/3 EB107/4 EB 107/5 and Corr.l EB107/6 EB107/7 EB107/8 EB107/9 EB107/10

EB107/11 EB107/12 EB107/13 EB107/14 EB107/15 and Add. I

EB107/16 and Add.l

1 2 3 4

See page vii. See Annex 1.

See Annex 2. See Annex 3. See Annex 4.

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EXECUTIVE BOARD, I 07TH SESSION

EBI07117 EBI07118 and Add. I

Confirmation of amendments to the Staff Rules 1 Collaboration within the United Nations systems and with other intergovernmental organizations Collaboration with nongovernmental organizations: report of the Standing Committee on nongovernmental organizations2 Guidelines on working with the private sector to achieve health outcomes Governing body matters: method of work of the Health Assembly Provisional agenda for the Fifty-fourth World Health Assembly Injection safety Report on meetings of expert committees and study groups Report on expert advisory panel and committees and their membership Roll Back Malaria Making pregnancy safer Mental health 200 I Eradication of poliomyelitis HIV/AIDS Framework convention on tobacco control Communicable diseases: control of schistosomiasis and soil-transmitted helminth infections Reports of the Joint Inspection Unit Special arrangements for settlement of arrears General programme of work, 2002-2005 Governing body matters: report by the Chairman of the Executive Board

EBI07119

EBI07/20 EBI07/2I EBI07/22 EBI07/23 EB I 07/24 and Add.I

EBI07/25 EB I 07/26 and Corr.I EBI07/27 EBI07/28 EBI07/29 EBI07/30 EBI07/3I

EBI07/32 EB107/33 EBI07/34 EBI07/35 Rev.l

1 2

See Annex 5. See Annex 6.

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LIST OF DOCUMENTS

Information documents EB107/INF.DOC./l EB 107 /INF .DOC ./2 EB 107/INF .DOC .13 EB 107/INF.DOC./4 EB107/INF.DOC./5 EB 107/INF .DOC./6 and Corr.l EB107/INF.DOC./7 Approaches to cost increases and exchange rates Efficiency savings 2000-2001 and management reviews Framework for programme evaluation Use of extrabudgetary allocations Miscellaneous income Statement by the representative of the WHO staff associations on matters concerning personnel policy and conditions of service Global health security - epidemic alert and response: Revision of the International Health Regulations Proposed programme budget for 2002-2003 Proposed programme budget for 2002-2003

EB 107/INF .DOC./8 EB 107/INF .DOC./9

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RESOLUTIONS

EB107.Rl

General programme of work

The Executive Board, Having reviewed the draft General programme of work 2002-2005; 1 Noting that the Executive Board would review at its 109th session developments and evaluation affecting the General programme of work 2002-2005, particularly in relation to elaboration of the proposed programme budget for 2004-2005, 1. ENDORSES the draft General programme of work 2002-2005, to be submitted to the Fifty-fourth World Health Assembly for consideration; 2. RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly, Having considered the draft General programme of work 2002-2005, submitted to it by the Executive Board, in accordance with Article 28(g) of the Constitution; Mindful of the challenges of the rapidly evolving context of international health and the need for WHO to adapt accordingly; Aware of the strategic directions and core functions set out in the corporate strategy developed by the Director-General and endorsed by the Executive Board,2 and of the close interrelationship between priority setting, programme planning and budgeting as products of this strategy; Noting the greater coherence and closer linkage between the General programme of work 2002-2005 and the Proposed programme budget 2002-2003;3 Welcoming the introduction of a process of programme planning supported by evaluation and prepared closer to the time of implementation as part of WHO's efforts to become a more efficient and productive organization, APPROVES the General programme of work 2002-2005. (Fifth meeting, 17 January 2001)

Document EB107/34. Document EBlOS/3. Document PPB/2002-2003.

2 3

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EXECUTIVE BOARD, 107TH SESSION

EB107.R2

Strengthening nursing and midwifery

The Executive Board, Having considered the report on strengthening nursing and midwifery, 1 RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly, Having reviewed the report on strengthening nursing and midwifery; Recalling resolutions WHA42.27, WHA45.5, WHA47.9, WHA48.8 and WHA49.1 which recommended action aimed at strengthening nursing and midwifery; Recognizing the importance of accessible health systems in efforts to improve the health of populations as highlighted in The world health report 2000; 2 Recognizing the importance of using appropriate resources, including human resources, in the provision of health services; Aware that nurses and midwives play a crucial and cost-effective role in reducing excess mortality, morbidity and disability and in promoting healthy lifestyles and concerned that further action is needed to maximize their contribution; Concerned about global shortages of nurses and midwives; Recognizing the importance of nursing services and midwifery services in the health system and in national health; Mindful of the continuing need to work with the full range of partners whose work impacts on the health of the population, on health promotion and on health care, 1. URGES Member States: ( 1) to further the development of their health systems and to pursue health sector reform by involving nurses and midwives in the framing, planning and implementation of health policy at all levels; (2) to review or develop and implement national action plans for health and models of education, legislation, regulation and practice for nurses and midwives, and to ensure that these adequately and appropriately reflect competencies and knowledge that enable nurses and midwives to meet the needs of the population they serve;

Document EB 107/6.

The world health report 2000: health systems: improving performance. Geneva, World Health Organization, 2000.

RESOLUTIONS AND DECISIONS

(3) to establish comprehensive programmes for the development of human resources which support the recruitment and retention of a skilled and motivated nursing and midwifery workforce within health services; (4) to develop and implement policies and programmes which ensure healthy workplaces and quality of the work environment for nurses and midwives; (5) to underpin the above measures through continuing assessment of nursing and midwifery needs and by developing, reviewing regularly, and implementing national action plans for nursing and midwifery, as an integral part of national health policy; (6) to enhance the development of nursing and midwifery services that reduce risk factors and respond to health needs, on the basis of sound scientific and clinical evidence; (7) 2. to prepare plans for evaluating nursing services;

REQUESTS the Director-General: ( 1) to provide support to Member States in setting up mechanisms for inquiry into the global shortage of nursing and midwifery personnel, including the impact of migration, and in developing human resources plans and programmes, including ethical international recruitment; (2) to provide support to Member States in their efforts to strengthen the contribution of nurses and midwives to the health of the populations and to take the necessary measures to increase the number of WHO collaborating centres for nursing and midwifery in developing countries; (3) to ensure the involvement of nursing and midwifery experts in the integrated planning of human resources for health; (4) to continue to cooperate with governments to promote effective coordination between all agencies and organizations concerned with the development of nursing and midwifery; (5) to provide continuing support for the work of the Global Advisory Group on Nursing and Midwifery, and to take account of the interest and contribution of nursing and midwifery in wider aspects ofthe development and implementation of WHO's policy and programmes; (6) to develop and implement systems and uniform performance indicators at country, regional and global levels to monitor, measure, and report progress in achieving these goals; (7) to prepare rapidly a plan of action for the strengthening of nursing and midwifery and to provide for external evaluation at the conclusion thereof; (8) to keep the Health Assembly informed of progress made in the implementation of this resolution, and to report to the Fifty-eighth World Health Assembly in 2005. (Eighth meeting, 18 January 2001)

EXECUTIVE BOARD, 107TH SESSION

EB107.R3

Members in arrears in the payment of their contributions to an extent which would justify invoking Article 7 of the Constitution: special arrangements for settlement of arrears

The Executive Board, Responding to the suggestion at the Fifty-third World Health Assembly that the Executive Board should propose a standard procedure for handling requests from Member States for special arrangements for the settlement of arrears in the payment of assessed contributions; 1 Having considered the report on special arrangements for the settlement of arrears, 2 RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly, Recalling previous resolutions of the Health Assembly concerning Members in arrears in the payment of their contributions to an extent which would justify invoking Article 7 of the Constitution and, in particular, resolutions WHA8.13 and WHA41.7; 1. INVITES Members that are in arrears to an extent which would invoke the provisions of Article 7 of the Constitution, or that expect difficulties in meeting their obligations to the Organization, to contact the Director-General in order to review the status of their accounts; 2. FURTHER INVITES those Members in arrears that wish to reschedule the payment of their arrears as part of an arrangement to have their voting rights restored to address requests in writing to the Director-General, to be received no later than 31 March, including at least the following information: (i) the total amount due, including the current year's assessment; (ii) the period over which payment is proposed; (iii) the minimum amount of payment that the Member State intends to make each year; and (iv) an indication of whether the Member State expects to request approval from the Director-General to make the payment in local currency, in accordance with the Financial Regulations and Financial Rules; 3. REQUESTS the Director-General to review such requests with the Member States concerned and to submit proposals to reschedule payment of arrears to the Administration, Budget and Finance Committee of the Executive Board at its meeting immediately before the Health Assembly; 4. REQUESTS the Administration, Budget and Finance Committee, on behalf of the Executive Board, to make appropriate recommendations to the Health Assembly for consideration. (Tenth meeting, 19 January 2001)

See document WHA53/2000/REC/3, summary record of the fifth meeting of Committee B, section 5. Document EBl07/33.

RESOLUTIONS AND DECISIONS

EB107.R4

Casual income

The Executive Board, Having considered the report of the Director-General on casual income, 1 RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly DECIDES that the estimated amount available in casual income as at 31 December 2000 should be used: US$

(i)

to part finance the regular budget for the period 2002-2003, to be apportioned among Members in accordance with the financial incentive scheme (resolution WHA41.12) from the estimated interest earnings in 2000 to finance the Real Estate Fund in accordance with proposals contained in the report by the Director-General to replenish the Working Capital Fund by the estimated amount of arrears of contributions credited to casual income to retain the estimated balance in the Casual Income account pending disposition as part of Miscellaneous Income

9 500 000

(ii)

2 689 712

(iii)

4 000 000

(iv)

6 026 215

(Tenth meeting, 19 January 2001)

EB107.R5

Real Estate Fund

The Executive Board, Noting the report of the Director-General on the status of projects being financed from the Real Estate Fund and the estimated requirements of the Fund for the period 1 June 2001 to 31 May 2002 and the possible future WHOIUNAIDS office development in Geneva,2 I. REQUESTS the Director-General to keep the Executive Board informed of further progress of the project for WHOIUNAIDS offices; 2. RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution:

1 2

Document EB 107/11. See Annex 1.

EXECUTIVE BOARD, 107TH SESSION

The Fifty-fourth World Health Assembly, Having considered the report of the Director-General on the status of projects financed from the Real Estate Fund and the estimated requirements of the Fund for the period 1 June 2001 to 31 May 2002 and the possible future WHOIUNAIDS office development in Geneva; Expressing appreciation to the Swiss Confederation and to the Republic and Canton of Geneva for the continued expression of their hospitality; Recognizing that certain estimates must necessarily remain provisional, 1. AUTHORIZES the financing from the Real Estate Fund of the expenditures indicated under Section Ill of the Director-General's report, at an estimated cost of US$ 3 250 000; 2. APPROPRIATES to the Real Estate Fund from casual income the sum of US$ 2 689 712;

AUTHORIZES the Director-General to proceed with negotiations with the Swiss 3. authorities on the project outlined in Section 11 of her report; 4. REQUESTS the Director-General to report further on the project to the Fifty-fifth World Health Assembly. (Tenth meeting, 19 January 2001)

EB107.R6

Financial Rules

The Executive Board, Having considered the report on the Director-General's revision of the Financial Rules/ CONFIRMS, in accordance with Financial Regulation 16.3, the Financial Rules annexed to the report, as amended. (Tenth meeting, 19 January 2001)

EB107.R7

Confirmation of amendments to the Staff Rules2

The Executive Board CONFIRMS in accordance with Staff Regulation 12.2 the amendments to the Staff Rules that have been made by the Director-General with effect from 1 January 2001 in respect of special leave, sick leave, and maternity and paternity leave, as well as travel of a staff member with a nursing infant, as amended. (Tenth meeting, 19 January 2001)

See Annex 2. See Annex 3.

RESOLUTIONS AND DECISIONS

EB107.R8

Health systems' performance assessment

The Executive Board, Having analysed The world health report 2000, published on 24 June 2000, which included a health system performance index and an overall attainment index as exercises comparing the performance of the health systems of WHO's 191 Member States; Taking note of the report on assessment of health systems' performance2 and of the report by the Chairman of the Executive Board; 3 Considering the importance of health in the development and well-being ofpopulations; Bearing in mind the importance of health systems. in improving health conditions and the quality of life; Recognizing the important role of evaluation of the performance of national health systems in improving quality, equity, and other criteria relevant to these systems; Appreciating the potential for such evaluations to raise awareness of the needs of health systems and of the main policy issues faced, and to help seek additional resources for health; A ware that such evaluation exercises should be based on science and evidence and be as participatory as possible, seeking inputs from all Member States; Bearing in mind the resolution of the United Nations Economic and Social Council entitled "Basic indicators for the integrated and coordinated implementation of and follow-up to major United Nations conferences and summits at all levels", dated 28 August 2000, which emphasized that such basic indicators should be developed with the full participation of all countries and approved by the relevant intergovernmental bodies; 4 Noting the presentations made to the Executive Board at its 103rd and 105th sessions on trends and challenges in world health; 5 Taking account of resolution CD42.R5, entitled "The world health report 2000", adopted by the 42nd Directing Council of the Pan American Health Organization and by the 52nd Session of the Regional Committee for the Americas on 26 September 2000, and resolution EMIRC47/R.2 of the Regional Committee for the Eastern Mediterranean; Bearing in mind that the first stage of such comparative assessment should be a broad agreement on its framework, design and data sources, that seeks inputs from all Member States; Taking account of the many methodological considerations and technical improvements that have already been introduced by Member States on the framework, design and data sources used to 1 2

The world health report: health systems: improving performance. Geneva, World Health Organization, 2000. Document EB107/9. Document EB107/35 Rev. I. Resolution E/2000/27. Documents EB103/3 and EBIOS/4.

3 4

EXECUTIVE BOARD, 107TH SESSION

compile indexes on the performance of Member States' health systems published in The world health report 2000; Aware of the technical difficulties and political sensitivities associated with comparing the performance of national health systems; Recognizing that WHO, within its mandate, has a historical and important role to play in conducting these evaluations and issuing recommendations on health policy; Further recognizing that evaluation of performance of national health systems has relevance for health systems planners and policy-makers, 1. TAKES NOTE with satisfaction of the measures proposed by the Director-General to help Member States to contribute regularly to the WHO assessment of their health systems' performance, namely: (1) to establish a technical consultation process, bringing together personnel and perspectives from Member States in different WHO regions, supported jointly by staff from WHO at country, regional and global levels;

(2) to ensure that each Member State is consulted on the best data to be used for assessing health system performance, and is provided with advance information on the indicator values that WHO obtains using these data; (3) to establish a small advisory group, including some members from the Executive Board and the Advisory Committee on Health Research, that can help monitor WHO's support for the assessment of health system performance; (4) to compile a report on the performance of Member States' health systems every two years; (5) to complete the next draft report by May 2002 for publication, after consultation, m October 2002; (6) to ensure that Member States receive the reports before they are made available to the general public; 2. REQUESTS the Director-General: (1) to initiate a scientific peer review of the methodology for health systems' performance as part of the technical consultation process, including updating on methodology and new data sources relevant to the performance of health systems;

(2) to ensure that WHO consults with Member States and shares the results of the scientific peer review and its recommendations; (3) to develop a multiyear plan for further research on and development of the framework and its relevant indicators in order to assess the effectiveness and efficiency of health systems as part of the technical consultation process; (4) to develop a plan to improve the quality of data to be used to assess health systems' performance;

RESOLUTIONS AND DECISIONS

(5) to report to Member States on the impact of the reports on health systems' performance on Member States' policy and practice; (6) to provide the reports to health authorities of Member States 15 days before the intended date of publication. (Tenth meeting, 19 January 2001)

EB107.R9

Confirmation of amendments to the Staff Rules 1

The Executive Board CONFIRMS in accordance with Staff Regulation 12.2 the amendments to the Staff Rules that have been made by the Director-General with effect from 1 January 2001 concerning dependency allowances for the professional and higher categories, and with effect from 1 March 2001 concerning the salary scale for use in conjunction with gross base salaries applicable to staff in the professional and higher categories. (Eleventh meeting, 22 January 2001)

EB107.R10

Salaries of staff in ungraded posts and of the Director-General

The Executive Board, RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly, Noting the recommendation of the Executive Board with regard to remuneration of staff in ungraded posts and of the Director-General, 1. ESTABLISHES the salary for ungraded posts at US$ 151 840 per annum before staff assessment, resulting in a modified net salary of US$ 104 341 (dependency rate) or US$ 94 484 (single rate); 2. ESTABLISHES the salary for the Director-General at US$ 205 309 per annum before staff assessment, resulting in a modified net salary of US$ 137 492 (dependency rate) or US$ 122 268 (single rate); 3. DECIDES that those adjustments in remuneration shall take effect on 1 March 2001. (Eleventh meeting, 22 January 2001)

See Annex 4.

EXECUTIVE BOARD, 107TH SESSION

EB107.Rll

Confirmation of amendments to the Staff Rules 1

EB107.R12

Schistosomiasis and soil-transmitted helminth infections

The Executive Board, Having considered the report on control of schistosomiasis and soil-transmitted helminth infections,2 RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly, Recalling resolutions EB5.R5, WHA3.26, EB55.R22, WHA28.53 and WHA29.58 on schistosomiasis; Noting the report on the control of schistosomiasis and soil-transmitted helminth infections; Recognizing that where control measures have been implemented in a sustainable way, as demonstrated in several countries, mortality, morbidity and transmission have decreased dramatically, leading to elimination in a number of countries; Expressing concern that 2000 million people are infected by schistosomes and soiltransmitted helminths worldwide, of whom 300 million have associated severe morbidity, and that schistosomiasis and soil-transmitted helminth infections are invariably more prevalent in the poorest sections of the populations residing in the least-developed countries; Further recognizing that repeated chemotherapy with safe, single-dose, affordable drugs at regular intervals ensures that levels of infection are kept below those associated with morbidity, and improves health and development, especially of children, 1. ENDORSES, as the best means of reducing mortality and morbidity and improving health and development in infected communities, the regular treatment of high-risk groups, particularly school-age children, and ensured access to single-dose drugs against schistosomiasis and soiltransmitted helminth infections in primary health care services;

1 2

See Annex 5. Document EB I 07/31.

RESOLUTIONS AND DECISIONS

URGES Member States: ( 1) to sustain successful control actlvttles in low-transmission areas in order to eliminate schistosomiasis and soil-transmitted helminth infections as a public health problem, and to give high priority to implementing or intensifying control of schistosomiasis and soil-transmitted helminth infections in areas of high transmission; (2) to ensure access to essential drugs against schistosomiasis and soil-transmitted helminth infections in all health services in endemic areas for the treatment of children, women and other groups at risk of morbidity, with the goal of attaining a minimum target of regular administration of chemotherapy to at least 75% of all school-age children at risk of morbidity by 2010; (3) to promote access to safe water and sanitation through intersectoral collaboration;

(4) to mobilize resources in order to sustain activities for control of schistosomiasis and soil-transmitted helminth infections; 3. ENCOURAGES organizations of the United Nations system, bilateral agencies, and nongovemmental organizations to intensify support for control of helminth infections, and to take advantage of the synergy that can be created with existing initiatives for the prevention, control and elimination of other communicable diseases; 4. REQUESTS the Director-General: ( 1) to combat schistosomiasis and soil-transmitted helminth infections by advocating new partnerships with organizations of the United Nations system, bilateral agencies, nongovemmental organizations and the private sector, and by continuing to provide international direction and coordination; (2) to continue to seek the resources required to support advocacy, coordination and research activities; (3) to keep the Executive Board and Health Assembly informed of the progress made in controlling or eliminating schistosomiasis and soil-transmitted helminth infections in high- and low-transmission countries, respectively. (Eleventh meeting, 22 January 2001)

EB107.R13

Global health security: epidemic alert and response

The Executive Board, Having considered the report on global health security - epidemic alert and response, 1 RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution:

Documents EB 107/5 and EB 107/5 Corr.l.

EXECUTIVE BOARD, 107TH SESSION

The Fifty-fourth World Health Assembly, Recalling resolutions WHA48.7 on the International Health Regulations, WHA48.13 on new, emerging and re-emerging infectious diseases, and WHA51.17 on antimicrobial resistance; Recalling that public health is a priority for development and that combating communicable diseases, which are a major burden in terms of human mortality and morbidity, provides important and immediate opportunities for progress; Mindful of the globalization of trade and of the movement of people, animals, goods and food products, as well as the speed with which these take place; Recognizing that, as a result, any upsurge in cases of infectious disease in a given country is potentially of concern for the international community, 1. EXPRESSES its support for: ( 1) ongoing work on the revision of the International Health Regulations, including criteria that define a health emergency of international concern; (2) development of a global strategy for containment and, where possible, prevention of antimicrobial drug resistance; (3) collaboration between WHO and all potential technical partners in the area of epidemic alert and response, including relevant public sectors, intergovernmental organizations, nongovernmental organizations and the private sector; 2. URGES Member States: (1) to participate actively in the verification and validation of surveillance data and information concerning health emergencies of international concern, together with WHO and other qualified partners;

(2) to develop training for the staff involved and the exchange of good practice between specialists in response to alerts; (3) to update regularly information on the resources available for the surveillance and control of infectious diseases; (4) 3. to designate a focal point for the International Health Regulations;

REQUESTS the Director-General: ( 1) to devise relevant international tools, and to provide technical support to Member States for developing or strengthening preparedness and response activities against risks posed by biological agents, as an integral part of their emergency management programmes; (2) to provide technical support to Member States for developing intervention programmes that prevent epidemics and respond to communicable disease threats and emergencies, particularly with regard to epidemiological investigations, laboratory diagnoses and clinical management of cases;

RESOLUTIONS AND DECISIONS

(3) to make appropriate arrangements for the development of regional preparedness and response plans; (4) to provide support to Member States for strengthening their capacity to detect and respond rapidly to communicable disease threats and emergencies, especially by developing the laboratory skills needed for diagnosis and providing training in epidemiological methods for use in the field, particularly in the most exposed countries; (5) to make available relevant information on public health risks to Member States, relevant intergovernmental organizations and technical partners. (Eleventh meeting, 22 January 2001)

EB107.R14

Relations with nongovernmental organizations 1

The Executive Board, Having examined the report of its Standing Committee on Nongovernmental Organizations,2 1. DECIDES to establish official relations with the International Association for the Study of Obesity and the Global Forum for Health Research; 2. DECIDES to discontinue official relations with the International Sociological Association and the International Medical Society of Paraplegia; 3. DECIDES, pending the development of mutually agreed plans for collaboration, to suspend official relations with the International Council of Societies of Pathology and the World Federation of United Nations Associations. {Twelfth meeting, 22 January 2001)

EB107.R15

International classification of functioning, disability and health

The Executive Board, Having considered the report on measuring and reporting on the health of populations,3 and bearing in mind resolution EB 107.R8, 1. WELCOMES the continuation of research and development on data collection processes together with Member States and other competent international bodies with the aim of establishing comparability of data sources and health measures;

See Annex 6. Document EB107/19. Document EB 107/8.

EXECUTIVE BOARD, 107TH SESSION

2. REQUESTS the Director-General to submit to the Fifty-fourth World Health Assembly the second edition of the International Classification of Impairments, Disabilities and Handicaps (ICIDH-2), with the title International Classification of Functioning, Disability and Health; 3. RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly, 1. ENDORSES the second edition of the International Classification of Impairments, Disabilities and Handicaps (ICIDH-2), with the title International Classification of Functioning, Disability and Health; 2. URGES Member States to use ICIDH-2 in their research, surveillance and reporting as appropriate, taking into account specific situations in Member States and, in particular, in view of possible future revisions; 3. REQUESTS the Director-General to provide support to Member States, at their request, in making use of ICIDH-2. (Twelfth meeting, 22 January 2001)

EB107.R16

Infant and young child nutrition

The Executive Board, Having examined the report on the global strategy for infant and young child feeding; 1 Reiterating the importance of reducing all forms of malnutrition as a central condition for human development, Emphasizing, in particular, the significance of good nutrition for the health and development of infants and young children everywhere, and the crucial role of appropriate exclusive breastfeeding, complementary feeding and feeding practices in protecting and improving their nutritional status; RECOMMENDS to the Fifty-fourth World Health Assembly the adoption of the following resolution: The Fifty-fourth World Health Assembly, Recalling resolutions WHA33.32, WHA34.22, WHA35.26, WHA37.30, WHA39.28, WHA41.11, WHA43.3, WHA45.34, WHA46.7, WHA47.5 and WHA49.15 on infant and young child nutrition, appropriate feeding practices and related questions; Deeply concerned to improve infant and young child nutrition and to alleviate all forms of malnutrition in the world, because more than one-third of under-five children are still malnourished - whether stunted, wasted, or deficient in iodine, vitamin A, iron or other

Document EB107/3.

RESOLUTIONS AND DECISIONS

micronutrients - and because malnutrition still contributes to nearly half of the 10.5 million deaths each year among preschool children worldwide; Deeply alarmed that malnutrition of infants and young children remains one of the most severe global public health problems, at once a major cause and consequence of poverty, deprivation, food insecurity and social inequality, and that malnutrition is a cause not only of increased vulnerability to infection and other diseases, including growth retardation, but also of intellectual, mental, social and developmental handicap, and of increased risk of disease throughout childhood, adolescence and adult life; Recognizing the right of everyone to have access to safe and nutritious food, consistent with the right to adequate food and the fundamental right of everyone to be free from hunger, and that every effort should be made with a view to achieving progressively the full realization of this right; Acknowledging the need for all sectors of society- including governments, civil society, health professional associations, nongovemmental organizations, commercial enterprises and international bodies - to contribute to improved nutrition for infants and young children by using every possible means at their disposal, especially by fostering optimal feeding practices, incorporating a comprehensive multisectoral, holistic and strategic approach; Noting the guidance of the Convention on the Rights of the Child, in particular Article 24, which recognizes, inter alia, the need for access to and availability of both support and information concerning the use of basic knowledge of child health and nutrition, and the advantages of breastfeeding for all segments of society, in particular parents and children; Conscious that despite the fact that the International Code of Marketing of Breast-milk Substitutes and relevant, subsequent Health Assembly resolutions state that there should be no advertising or other forms of promotion of products within its scope, new modem communication methods, including electronic means, are currently increasingly being used to promote such products; and conscious of the need for the Codex Alimentarius Commission to take the International Code and subsequent relevant Health Assembly resolutions into consideration in dealing with health claims in the development of food standards and guidelines; Mindful that 2001 marks the twentieth anniversary of the adoption of the International Code of Marketing of Breast-milk Substitutes, and that adoption of the present resolution provides an opportunity to reinforce the International Code's fundamental role in protecting, promoting and supporting breastfeeding; Recognizing that there is a sound scientific basis for policy decisions to reinforce activities of Member States and those of WHO; for proposing new and innovative approaches to monitoring growth and improving nutrition; for promoting improved breastfeeding and complementary feeding practices, and sound culture-specific counselling; for improving the nutritional status of women of reproductive age, especially during and after pregnancy; for alleviating all forms of malnutrition; and for providing guidance on feeding practices for infants of mothers who are HIV-positive; Noting the need for effective systems for assessing the magnitude and geographical distribution of all forms of malnutrition, together with their consequences and contributing factors, and of foodbome diseases; and for monitoring food security;

EXECUTIVE BOARD, 107TH SESSION

Welcoming the efforts made by WHO, in close collaboration with UNICEF and other international partners, to develop a comprehensive global strategy for infant and young child feeding, and to use the ACC Sub-Committee on Nutrition as an interagency forum for coordination and exchange of information in this connection; 1. THANKS the Director-General for the progress report on the development of a new global strategy for infant and young child feeding; 2. URGES Member States: ( 1) to recognize the right of everyone to have access to safe and nutritious food, consistent with the right to adequate food and the fundamental right of everyone to be free from hunger, and that every effort should be made with a view to achieving progressively the full realizaton of this right and to call on all sectors of society to cooperate in efforts to improve the nutrition of infants and young children; (2) to take necessary measures as States Parties effectively to implement the Convention on the Rights of the Child, in order to ensure every child's right to the highest attainable standard of health and health care; (3) to set up or strengthen interinstitutional and intersectoral discussion forums with all stakeholders in order to reach national consensus on strategies and policies including reinforcing, in collaboration with ILO, policies that support breastfeeding by working women, so as substantially to improve infant and young child feeding and to develop participatory mechanisms for establishing and implementing specific nutrition programmes and projects aimed at new initiatives and innovative approaches; (4) to strengthen activities and develop new approaches to protect, promote and support exclusive breastfeeding [during the first 4 to 6 months of life][for about 6 months], 1 and to provide safe and appropriate complementary foods, with continued breastfeeding for up to two years of age or beyond, emphasizing channels of social dissemination of these concepts in order to lead communities to adhere to these practices; (5) to support the Baby-friendly Hospital Initiative and to create mechanisms, including regulations, legislation or other measures, designed, directly and indirectly, to support periodic reassessment of hospitals, and to ensure maintenance of standards and the Initiative's long-term sustainability and credibility; (6) to improve complementary foods and feeding practices by ensuring sound and culture-specific nutrition counselling to mothers of young children, recommending the widest possible use of indigenous nutrient-rich foodstuffs; and to give priority to the development and dissemination of guidelines on nutrition of children under two years of age, to the training of health workers and community leaders on this subject, and to the integration of these messages into strategies for health and nutrition information, education and communication;

1 The final text in square brackets will be decided in the light ofthe outcome of the systematic review of the scientific literature, a global peer review, and the conclusions and recommendations of an expert consultation (Geneva, 28 to 30 March 2001).

RESOLUTIONS AND DECISIONS

(7) to strengthen monitoring of growth and improvement of nutrition, focusing on community-based strategies, and to strive to ensure that all malnourished children, whether in a community or hospital setting, are correctly diagnosed and treated; (8) to develop, implement or strengthen sustainable measures including, where appropriate, legislative measures, aimed at reducing all forms of malnutrition in young children and women of reproductive age, especially iron, vitamin A and iodine deficiencies, through a combination of strategies that include supplementation, food fortification and diet diversification, through recommended feeding practices that are culture-specific and based on local foods, as well as through other community-based approaches; (9) to strengthen national mechanisms to ensure global compliance with the International Code of Marketing of Breast-milk Substitutes and subsequent relevant Health Assembly resolutions, with regard to labelling as well as all forms of advertising, and commercial promotion in all types of media, to encourage the Codex Alimentarius Commission to take the International Code and relevant subsequent Health Assembly resolutions into consideration in developing its standards and guidelines; and to inform the general public on progress in implementing the Code and subsequent relevant Health Assembly resolutions; (1 0) to recognize and assess the available scientific evidence on the balance of risk of HIV transmission through breastfeeding compared with the risk of not breastfeeding, and the need for independent research in this connection; to strive to ensure adequate nutrition of infants of HIV-positive mothers; to increase accessibility to voluntary and confidential counselling and testing so as to facilitate the provision of information and informed decision-making; and to recognize that when replacement feeding is acceptable, feasible, affordable, sustainable and safe, avoidance of all breastfeeding by HIV -positive women is recommended; otherwise, exclusive breastfeeding is recommended during the first months of life; and those who choose other options should be encouraged to use them free from commercial influences; ( 11) to take all necessary measures to protect all women from the risk of HIV infection, especially during pregnancy and lactation; (12) to strengthen their information systems, together with their epidemiological surveillance systems, in order to assess the magnitude and geographical distribution of malnutrition, in all its forms, and of foodborne disease; 3. REQUESTS the Director-General: (1) to give greater emphasis to infant and young child nutrition, in view of WHO's leadership in public health, consistent with and guided by the Convention on the Rights of the Child and other relevant human rights instruments, in partnership with ILO, FAO, UNICEF, UNFPA and other competent organizations both within and outside the United Nations system; (2) to foster, with all relevant sectors of society, a constructive and transparent dialogue in order to monitor progress towards implementation of the International Code of Marketing of Breast-milk Substitutes and subsequent relevant Health Assembly resolutions, in an independent manner and free from commercial influence, and to provide support to Member States in their efforts to monitor implementation of the Code;

EXECUTIVE BOARD, 107TH SESSION

(3) to provide support to Member States in the identification, implementation and evaluation of innovative approaches to improving infant and young child feeding, emphasizing exclusive breastfeeding [during the first 4 to 6 months of life] [for about 6 months]/ the provision of safe and appropriate complementary foods, with continued breastfeeding up to two year of age or beyond, and community-based and cross-sector activities; (4) to continue the step-by-step country- and region-based approach to developing the new global strategy on infant and young child feeding, and to involve the international health and development community, in particular UNICEF, and other stakeholders as appropriate; (5) to encourage and support further independent research on HIV transmission through breastfeeding and on other measures to improve the nutritional status of mothers and children already affected by HIVIAIDS; (6) to submit the global strategy for consideration to the Executive Board at its 109th session in January 2002 and to the Fifty-fifth World Health Assembly (May 2002). (Twelfth meeting, 22 January 2001)

1 The final text in square brackets will be decided in the light of the outcome of the systematic review of the scientific literature, a global peer review, and the conclusions and recommendations of an expert consultation (Geneva, 28 to 30 March 200 l ).

DECISIONS EB107(1)

Review of nongovernmental organizations in official relations with WH0 1

The Executive Board, having considered the report of its Standing Committee on Nongovernmental Organizations concerning the review of one-third of the nongovernmental organizations in official relations with WH0,2 and following up decision EB105(12), reached the decisions set out below. On the basis of the reports of collaboration submitted by 61 nongovernmental organizations, including those for which review had been deferred pending receipt of information, the Board commended the efforts of the organizations to support WHO's work in health systems, health technology and pharmaceuticals, and decided to maintain official relations with them. Concerning the International Traffic Medicine Association, previously known as the International Association for Accident and Traffic Medicine, the Board was concerned that collaboration had lapsed. Its review, however, took account of the fact that traffic accidents were a major public health problem and that both WHO and the newly reorganized Association had expressed wishes to resume collaboration. The Board therefore decided to maintain official relations with the Association for one year to allow for preparation of a plan for collaboration. In the absence of reports on collaboration from the International Association of Cancer Registries, International Commission on Radiation Units and Measurements, International Electrotechnical Commission, International Epidemiological Association, International Federation for Medical and Biological Engineering, International Federation of Health Records Organizations, International Hospital Federation, International Medical Informatics Association, Save the Children Fund (UK), World Association of the Major Metropolises (Metropolis), and the World Federation of Societies of Anaesthesiologists, the Board decided to defer the review of relations until its 109th session. Concerning the International Alliance of Women, the International Federation of Business and Professional Women, the International Society for Preventive Oncology, and the World Association of Girl Guides and Girl Scouts, the Board was gratified that efforts to revitalize relations had resulted in agreement for plans for collaboration, and decided to maintain official relations with those organizations. Concerning the International Federation for Housing and Planning, in view of the absence of a report on collaboration, and taking into consideration WHO's interest in exploring possibilities for the re-establishment of collaboration based on a mutually agreed plan of work, the Board decided to defer the review of relations until its 109th session. (Twelfth meeting, 22 January 2001) 1

See Annex 6. Document EB107/19.

- 19-

EXECUTIVE BOARD, 107TH SESSION

EB107(2)

Measures to be taken for facilitating the participation of nongovernmental organizations in the work of the Intergovernmental Negotiating Body on the WHO framework convention on tobacco control

The Executive Board, having considered the report of its Standing Committee on Nongovernmental Organizations, authorized the Chairman of the Executive Board, acting jointly with the Chairman of the Standing Committee, to admit provisionally nongovernmental organizations into official relations. The facility established by the present decision will apply to nongovernmental organizations that request official relations solely or also for the purpose of participating in the work of the Intergovernmental Negotiating Body on the WHO framework convention on tobacco control, subject to the following conditions and requirements: (1) nongovernmental organizations must be in working relations with WHO at the time of submission of their application, so that approximately two years of working relations will have elapsed by the time the Executive Board formally reviews their applications under point (3) below, and must otherwise meet the criteria established in section 3 of the Principles Governing Relations between the World Health Organization and Nongovernmental Organizations; (2) the mandates of the nongovernmental organizations concerned must be relevant to the work of the Intergovernmental Negotiating Body; (3) the Executive Board will review nongovernmental organizations in provisional official relations at its January session subsequent to their admission into provisional official relations, for the purpose of confirming or terminating such relations in accordance with normal procedures. This decision will remain applicable, unless terminated or revised by the Board, until the adoption of the WHO framework convention on tobacco control. (Twelfth meeting, 22 January 2001)

EB107(3)

Provisional agenda for the Fifty-fourth World Health Assembly

The Executive Board, having considered the report of the Director-General on the provisional agenda for the Fifty-fourth World Health Assembly, 1 and recalling its earlier decision that the Fifty-fourth World Health Assembly should be held at the Palais des Nations in Geneva, opening on Monday, 14 May 2001, and closing no later than Tuesday, 22 May 2001/ approved the provisional agenda of the Fifty-fourth World Health Assembly, as amended. It also recommended that the theme for the round tables should be mental health, that the round tables should be conducted in accordance with the procedures outlined/ and that participation in the round tables should be open to ministers of health or to those designated personally to represent them in policy discussions. (Twelfth meeting, 22 January 2001)

1 2 3

Document EB107/22. Decision EB I 06(9). Document EB 107/21.

RESOLUTIONS AND DECISIONS

EB107(4)

Date and place of the 108th session of the Executive Board

The Executive Board decided that its 108th session should be convened on Wednesday, 23 May 2001, at WHO headquarters, Geneva, and should close no later than Thursday, 24 May 2001. (Twelfth meeting, 22 January 2001)

EB107(5)

Award of the Leon Bernard Foundation Prize

The Executive Board, having considered the report of the Leon Bernard Foundation Committee, awarded the Leon Bernard Foundation Prize for 2001 to Dr Sastri Saowakontha (Thailand) for his outstanding service in the field of social medicine. (Twelfth meeting, 22 January 2001)

EB107(6)

Award of the Ihsan Dogramaci Family Health Foundation Prize and Fellowship

The Executive Board, having considered the report of the Ihsan Dogramaci Family Health Foundation Selection Panel, awarded the Ihsan Dogramaci Family Health Foundation Prize for 2001 to Professor Mahmoud Fathalla (Egypt) for his service in the field of family health. The Board awarded the Ihsan Dogramaci Family Health Foundation Fellowship to Professor Anne Ormisson (Estonia) to enable her to carry out the research she proposed. (Twelfth meeting, 22 January 2001)

EB107(7)

Award of the Sasakawa Health Prize

The Executive Board, having considered the report of the Sasakawa Health Prize Selection Panel, awarded the Sasakawa Health Prize for 2001 to Dr Joao Aprigio Guerra de Almeida (Brazil). Dr Guerra de Almeida will receive an amount of US$ 30 000 for his outstanding work in health development. (Twelfth meeting, 22 January 2001)

EB107(8)

Award of the United Arab Emirates Health Foundation Prize

The Executive Board, having considered the report of the United Arab Emirates Health Foundation Selection Panel, awarded the United Arab Emirates Health Foundation Prize for 2001 to Dr Ali Jaffer Mohammed Suleiman (Oman) and to the Union of Palestinian Medical Relief Committees (UPMRC) for their outstanding contribution to health development. The laureates will each receive US$ 20 000. (Twelfth meeting, 22 January 2001)

EXECUTIVE BOARD, 107TH SESSION

EB107(9)

Award of the Francesco Pocchiari Fellowship

The Executive Board, having considered the report of the. Francesco Pocchiari Fellowship Committee, awarded the Francesco Pocchiari Fellowship for 2001 to Dr Tay Sun Tee (Malaysia) in order to enable her to carry out the research she proposed. (Twelfth meeting, 22 January 2001)

EB107(10)

Award of the Dr A.T. Shousha Foundation Prize

The Executive Board, having considered the report of the Dr A.T. Shousha Foundation Committee, awarded the Dr A.T. Shousha Foundation Prize for 2001 to Professor Wagida Anwar (Egypt) for her most significant contribution to the objectives of primary health care in the geographical area in which Dr Shousha served the World Health Organization. (Twelfth meeting, 22 January 2001)

ANNEXES

ANNEX!

Real Estate Fund 1 Report by the Director-General [EB107/12 -7 December 2000]

STATUS OF PROJECTS CURRENTLY UNDERTAKEN BEFORE 31 MAY 2001 Office Project Replacement of the telephone exchange Replacement of waterproofing of the windows and machinehouse roof of the regional office building Renovation/restructuring of regional office building Replacement of the telephone exchange Amount · US$ 565 000

UNDERTAKEN

Remarks The telephone exchange has been installed and is operational. Final adjustments are still to be completed Project completed

Africa

The Americas

50 000

South-East Asia

400 000 400 000

Project completed The telephone exchange has been installed and is operational. Final adjustments are still to be completed Project completed

Europe

Recabling of the LAN infrastructure to make it year 2000 compliant Construction of a new regional office building in Cairo

78 000

Eastern Mediterranean

9 890 000

The new building was occupied in August/September 2000. Certain finishing touches are still being carried out. The full amount approved under the Real Estate Fund has been allocated and, as concerns the use of this Fund, the project may be considered as completed The telephone exchange has been installed and is operational. Final adjustments are still to be completed

Replacement of the telephone exchange

425 000

See resolution EB107.R5.

-25-

EXECUTIVE BOARD, 107TH SESSION

Office Western Pacific

Project Replacement of the telephone exchange

Amount US$ 365 000

Remarks The telephone exchange has been installed and is operational. Final adjustments are still to be completed The telephone exchange has been installed and is operational. Final adjustments are still to be completed

Headquarters

Replacement of the telephone exchange

1 750 000

11.

ESTIMATED REQUIREMENTS FOR THE PERIOD 1 JUNE 2001 TO 31 MAY2002 Office Project Renovation of the WHO/PAHO building Amount US$ 3 250 000 Comments The heating, ventilation and air conditioning system, which dates back to the construction of the building, has been causing serious damage and problems as a result of leaks. The system needs complete replacement. As this will require major demolition work, the Office will take advantage to deal with three other related issues: (a) removal of asbestos in the ceilings and pipe insulation (b) harmonization of some features of the building with local building codes (c) creation of more flexible working areas so as to increase the overall accommodation capacity of the building. The full project has been estimated to cost US$ 13 million. It has been past practice for the Real Estate Fund to finance 25% of WHO/PAHO real estate projects in the Washington, D.C. building, on grounds that a quarter of the office staff are financed by WHO.

The Americas

ANNEX 1

1. The Regional Office for Africa will be moving some of its staff in Harare to another building where minor repair and renovation is being carried out. No call has been made on the Real Estate Fund. 2. The Executive Board, at its 104th session, was informed that the Swiss Government had requested WHO to provide a right of way across its premises to land that belongs to the Geneva Government and is adjacent to WHO, in front of the main building. 1 The purpose of the right of way was to construct a building that would house the Inter-Parliamentary Union. 3. It had also been indicated to the Board that the Director-General would recommend a favourable response to the Geneva Government provided that WHO's present and future interests were protected in relation to security and fluidity of traffic on its premises, and that the interests of UNAIDS were taken into account in terms of its accommodation. The Executive Board had authorized the DirectorGeneral to negotiate with the Government as she considered appropriate. 4. The situation has substantially changed since that time: (a) accommodation for the Inter Parliamentary Union has been found elsewhere;

(b) in view of the acute shortage of space, UN AIDS has had to move and is now split between two locations (WHO's V Annex and the World Council of Churches); (c) the Geneva Government has indicated that the totality of the land adjacent to WHO (map attached as Appendix I) could be made available to WHOIUNAIDS on a "right of use" basis (as is the case for most of headquarters' present premises); (d) the Geneva Government has also submitted a long-term traffic plan for the general area where the international organizations are located. This plan would call for demolition of the V building, where part ofUNAIDS is currently housed. 5. In view of these various developments, there have been discussions over the past year internally and between representatives of the Geneva Government, UNAIDS and WHO. The following additional points have emerged: (e) the accommodation of UNAIDS in two separate locations creates an operational dysfunctionality that needs correction at the earliest possible occasion; (f) current and projected extrabudgetary contributions have increased substantially. Although most of these contributions are deployed at country level, they create, and will continue to create, shortages in accommodation for technical programmes at headquarters;

(g) already many staff are having to share space normally intended for one person, and corridors are crowded with cupboards and equipment, creating a potentially hazardous situation; (h) the Federal and State Governments would be prepared to finance a WHOIUNAIDS building on an interest free, 50-year reimbursable loan, as they have done for all headquarters' present premises. This loan would take into consideration compensation for demolition of the V building.

See document EB104/l9991REC/1, summary re~ord of the second meeting, section 3.

EXECUTIVE BOARD, 107TH SESSION

6. Under (d) above, it would take four to five years before a building is ready for occupation. The economies of scale (cost and time) favour a construction that maximizes the use of available land. Historical and projected data indicate that the growth of extrabudgetary resources, including such arrangements as secondments, intemships, fellowships and use of Associate Professional Officers, has, and can be expected to, increase space requirements by at least 30 work stations per year. At the same time, the number of meetings held at headquarters have doubled in the past 10 years. 7. Appendix 11 shows the growth in extrabudgetary funds, work-station requirements, and meetings since 1988. 8. Maximizing use of land would result in a building that could accommodate approximately 400 work stations. Of these, approximately 200 would be required immediately to accommodate the present staff of UNAIDS. The remaining 200 are expected to be used to meet the projected requirements of WHO. Spare capacity, if any, would be offered for rental to some of the cosponsors of UNAIDS which are accommodated in different locations around Geneva. 9. The projected cost for this building, based on currently available estimates, is CHF 55 million. Assuming that only half of the building would be occupied by WHO, its share of the interest-free loan would be CHF 27.5 million, less the market-value compensation for the V building. It is proposed that repayment of this loan should be made in annual instalments (approximately CHF 550 000 per year over 50 years) through the Real Estate Fund. The first such instalment is not expected to be made before 2005, i.e. after completion of the building. None the less, it may be financially prudent to start setting aside monies for repayment as from the biennium 2002-2003. 10. Many details and processes need to be worked out, and the Executive Board will be consulted or kept informed of the developments of this project. 11. To meet immediate programme needs and in anticipation of the expected demand for offices and meeting rooms, measures are being taken to place temporary structures on headquarters' premises that would accommodate up to 150 work stations and 10 medium-sized meeting rooms. These temporary structures will be installed in a phased manner between February and September 2001, but do not require any call on the Real Estate Fund.

Ill. FINANCIAL IMPLICATIONS Total estimated requirements US$ Unencumbered balance Appropriation from casual income US$

US$ 560 288 [see Appendix Ill]

3 250 000

2 689 712

IV.

ACTION BY THE EXECUTIVE BOARD

12. [This paragraph contained a draft resolution which was adopted at the tenth meeting as resolution EB107.R5.]

ANNEX 1

Appendix I

A V MB EB R X L1 L2 M

Available land Annex V Main building Executive Board room Restaurant Annex X AnnexL AnnexL Annex M

+ ;. 0

EXECUTIVE BOARD, 107TH SESSION

Appendix 11

NUMBER OF WORK STATIONS REQUIRED, MEETINGS HELD AND EXTRABUDGETARY RESOURCES AVAILABLE 1988-2001

Work stations

Meetings

Extrabudgetary resources (US$ million)

1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001

1 607 1 737 1 790 1 796 1 829 1 800 1 767 1 751 1 588 1 731 1 842 1 873 2 018

NIA NIA

1 798 2 043 2 181 2 380 2 787 3 249 2 757 2 940 3 914 3 382

( (222.7 ( ( (306.1 ( ( (354.5 (

( (430.5 ( ( (630.9 ( ( (630.4 1 (

Projection based on receipts January to September 2000.

Appendix Ill

REAL ESTATE FUND ESTIMATED SITUATION AS AT 31 DECEMBER 2000 (expressed in US dollars)

1 January 1970 31 December 1997 1. 2. BALANCE AT 1 JANUARY INCOME Balance of Revolving Fund for Real Estate Operations (resolution WHA23.14) ................................................................... . Casual income appropriated (resolutions WHA23.15, WHA24.23, WHA25.38, WHA28.26, WHA29.28, WHA33.15, WHA34.12, WHA35.12, WHA36.17, WHA37.19, WHA39.5, WHA42.10, WHA43.6, WHA44.29, WHA46.22, WHA47.25, WHA48.22, WHA50.10, WHA50.11, WHA52.15, WHA53.4) Transfer from Part 11 of the Working Capital Fund (resolution WHA23 .15) ................................................................... . Rents collected ......................................................................................... . Interest ...................................................................................................... . Other ......................................................................................................... . 68 990

1998-1999 13 184 075

2ooo• 1 731 678

Total (from inception)

68 990

I 43 176 436 I I28 414 8 788 765 7 227 205 1 567 60 391 377 60 391 377 47 207 302 13 184 075 177 662 1 045 370 34 000 420 000 (2 049 OOO)b 2 141 721 43 269 157 1 128 414 9 000 427 8 692 575 1 567 62 161 130 62 16I 130 61 600 842 560 288

~ I~

(825 968) 12 358 I07 10 626 429b 1 73I 678

2 595 72I 4 327 399 3 767 Ill 560 288

Total income Total funds available 3. 4. OBLIGATIONS AND EXPECTED OBLIGATIONS ........................... . BALANCE AT 31 DECEMBER2000 a

Estimated.

b Funds appropriated for six projects in the Regional Office for Africa (resolution WHA50.10) for a total of US$ 1 654 000, for one project in the Regional Office for the Americas (resolution WHA47.25) for US$ 250 000 and for one project in the Regional Office for South-East Asia (resolution WHA45.9) for US$ 145 000 have been refunded to casual income as per resolution WHA52.15 (total refunded US$ 2 049 000). w

ANNEX2

Revised Financial Rules of the World Health Organization 1 [EB107/13, Annex- 20 November 2000]

RULE I- APPLICABILITY AND DELEGATION OF AUTHORITY 101.1 101.2 These Financial Rules are established in accordance with Financial Regulation 1.4. The Director-General is responsible to the Health Assembly for the implementation of the Financial Rules in order to ensure effective financial administration, the exercise of economy, and safeguard of the assets of the Organization. These Rules apply uniformly to all sources of funds, and all financial transactions of the Organization unless otherwise stated in these Rules. The Financial Rules established by the Director-General, and any amendments thereto, shall enter into force after confirmation by the Executive Board. In case of doubt as to the interpretation and application of any of the Financial Rules, the Director-General shall rule thereon. In addition to the delegations of authority to designated officials expressed in these Financial Rules, and without prejudice to Financial Rule 101.2, the Director-General may delegate in writing, together with authorization for re-delegation to other officers of the Organization, such authority considered necessary by the Director-General for the implementation of these Rules, including for the issuance of operational procedures. All designated officials shall be responsible and accountable to the Director-General for the exercise of any authority delegated to them.

101.3

101.4

101.5

101.6

RULE 11- THE BUDGET 102.1 Biennial budget proposals, and supplementary proposals if appropriate, reflecting all sources of funds in such manner and at such times as may be required shall be drawn up and submitted by designated officials to the Director-General. The biennial budget proposals may be submitted to the Regional Committees which shall comment and make recommendations thereon.

102.2

See resolution EBI07.R6.

-32-

ANNEX2

102.3

In implementation of Financial Regulation 4.4, the Director-General's budget proposals to the Health Assembly shall include proposals for the application and limit of the Exchange Rate Facility for that biennium.

RULE Ill- REGULAR BUDGET APPROPRIATIONS 103.1 The appropriations approved by the Health Assembly constitute an authority to issue allotments up to the amount approved to enable expenditures to be incurred for the purposes for which the appropriations were approved. The Director-General may determine the maximum amount of the appropriations that it would be prudent to make available for allotment, taking into account the prospects for payment of assessed contributions and the availability of both the Working Capital Fund and internal borrowing.

RULE IV- PROVISION OF FUNDS 104.1 The assessments of Members, in accordance with Financial Regulations 5.1-5.2 shall be computed on the basis of the membership of the Organization as at the last day of the relevant Health Assembly. The grace period applicable under Financial Regulation 6.5 shall be 30 April. In order that the Director-General may accept payment of Members' assessed contributions under Financial Regulation 6.8 in currencies that are not fully convertible, the following limits and guidelines shall apply: (a) (b) (c) (d) the amount due shall be expressed in United States dollars; payments to WHO shall be required to be made on a specified date to a specific bank account; the amounts of any payment authorized shall be no greater than the expected monthly net cash outflow of the Organization in the currency concerned; for the purpose of crediting the relevant Members' account with WHO in United States dollars, the United Nations rate of exchange effective on the date of receipt by WHO shall apply.

104.2 104.3

104.4

Any payments in currencies, other than those specified in Financial Regulation 6.7 (United States dollars, euros or Swiss francs), that do not comply with the specific terms of any approval given by the Director-General shall be automatically returned to the relevant Member State, and the assessed contribution concerned shall continue to be due and payable. In order for allotments to be issued for expenditure to be financed from sources other than the regular budget, advance deposits, or letters of credit, or other acceptable forms of financing must be available in amounts determined by designated officials. In order to ensure that implementation of the regular budget is not prejudiced by late receipt of Members' assessed contributions, the Director-General shall take into account the anticipated funding required to meet expenditure under the regular budget. The use of the Working Capital Fund and the amount of internal borrowing together shall not exceed the total amount of unpaid assessed contributions, and shall in any event not exceed 25% of the assessed contributions for the biennium concerned.

104.5

104.6

104.7

EXECUTIVE BOARD, 107TH SESSION

104.8

In formulating proposals to the Health Assembly to vary the level of the Working Capital Fund in accordance with Financial Regulation 7.2, the Director-General shall take into consideration the level of internal borrowing that it would be prudent to incur and the limit specified in Financial Rule 104.7. In accordance with Financial Regulation 7.1, in order to determine the level of reserves available to finance internal borrowing the Director-General shall take into account the projected income and expenditure of each cash reserve.

104.9

RULE V- ALLOTMENTS 105.1 105.2

Allotments shall be issued to designated officials as authorization to incur expenditure. Designated officials to whom allotments are issued are accountable to the Director-General for the correct use of the resources made available.

RULE VI- EXPENDITURE (OBLIGATIONS) 106.1

In order to incur expenditure, obligations shall be raised against allotments issued to designated officials. Obligations may only be raised by designated officials and shall be supported by satisfactory documentation. All commitments or undertakings that create liabilities against the resources of the Organization shall be represented by obligations that are raised when the liability arises. Obligations may be raised only for the purpose indicated on the allotment and may not exceed the amount available in the allotment. Proposals for expenditure, including procurement of goods and services, shall be rejected if they do not comply with the Financial Regulations, the present Rules, and the following conditions: (a) (b) (c) (d) funds are available; the procedures of the Organization are being observed; the financial situation of the Organization will not be prejudiced; the purpose of the proposed expenditure is in the interests of the work of the Organization.

106.2

106.3

106.4

106.5 106.6

Revisions to an obligation shall be subject to the same procedure as the original obligation. Ex gratia payments may be authorized by the Director-General in accordance with Financial Regulation 13.5, provided such payments are justified in the interests of equity, or otherwise in the best interests of the Organization. Any such payment, together with an explanation of its justification, shall be promptly reported to both the External Auditor and the Head of the Office of Internal Audit and Oversight.

ANNEX2

RULE VII- INTERNAL CONTROL 107.1 In order to ensure effective internal control within the Organization, in accordance with Financial Regulation XII, the Director-General shall establish measures, including (i) an internal audit framework as set out in Financial Rule XII, (ii) appropriate delegations of authority, (iii) segregation of duties and (iv) other measures that are consistent with best financial practice. Payments shall not be made in advance except as where otherwise specified in these Rules. Payments shall only be made on the basis of satisfactory supporting documents duly certified by designated officials confirming that: (a) (b) 107.3 services have been rendered or delivery has been completed in accordance with the . terms of contract; the amount is correct and in accordance with the terms of the contract.

107.2

As an exception and only where operationally justified, contracts or purchase orders may be entered into which require part payment in advance prior to the delivery of goods or performance of services. The justification for any such arrangements shall be fully documented. In order for any contract or purchase order to be entered into requiring full payment in advance, the official requesting such terms shall provide full justification and demonstrate why such payment terms are necessary in the interest of the Organization. All such payment terms shall be subject to approval by designated officials. Designated officials may authorize advances to staff members and other persons in connection with the execution of official duties for WHO and staff entitlements. Funds of the Organization shall be deposited only in banks or financial institutions or invested with counterparties determined by the Director-General in accordance with the investment policies referred to in Financial Rule 107.11. · The Director-General shall designate officials to be responsible for all bank accounts, and for the management, receipt and disbursement of all funds of the Organization and proper accounting thereof. Imprest account holders shall be accountable for all funds under their responsibility. Panels of signatories shall be designated by officials authorized by the Director-General. All payments from the Organization's bank accounts shall be signed by two officials of the appropriate panels. Where deemed necessary, in exceptional circumstances, those officials authorized to designate panels of signatories may authorize the signature of payments by one official only, provided that there are adequate safeguards for the protection of funds, including limits on the funds that may be paid from the account.

107.4

107.5

107.6

107.7

107.8 107.9

107.10 All securities shall be deposited in the custody of duly appointed banks or financial institutions designated by the Director-General. 107.11 Investment policies shall be drawn up in accordance with Financial Regulation 11.4. An advisory committee shall assist the Director-General in formulating these investment policies and in monitoring the performance of funds invested.

EXECUTIVE BOARD, 107TH SESSION

RULE VIII- THE ACCOUNTS 108.1 The accounts shall comprise a consolidated general ledger of the Organization and subsidiary ledgers which shall include all financial transactions of the financial period in which they occur and which shall be accounted for on an accrual basis. All periodic and other financial statements shall be prepared from these accounts. Subject to Financial Rule 10 1.3, the Director-General shall determine those parts of the Organization that shall be authorized to maintain their own accounting records, and which shall be consolidated periodically into the accounts of the Organization. All financial transactions and statements shall be supported by documentation to be retained as an integral part of the official records of the Organization for such period or periods as may be agreed with the External Auditor, after which, on the authority of designated officials, such records and documents may be destroyed. All accounting transactions shall be recorded m the general and subsidiary ledgers m accordance with a uniform chart of accounts. Income and expenditure shall be recorded m accordance with a uniform system of classification. The accounts (as defined in Financial Rule 108.1 above) shall record: (a) (b) (c) (d) (e) (f) (g) (h) (i) G)

108.2

108.3

108.4

108.5

108.6

(k) (l)

original appropriations voted by the Health Assembly; appropriations after modification by any transfers; credits, if any, other than appropriations made available by the Health Assembly; the operation of the exchange rate facility; income; allotments issued; expenditure (obligations) incurred; liabilities, including unliquidated obligations; assets, including cash, investments, securities and amounts due to the Organization; unallotted balances; unobligated balances of allotments; unobligated balances of appropriations.

RULE IX- FINANCIAL STATEMENTS 109.1 The Director-General shall submit interim and final financial reports, taken from the accounts referred to in Financial Rule 108.1, to the Health Assembly and the Executive Board or to such committees of the Executive Board as may be responsible for review and comment thereon, no later than 1 May. Such financial statements shall be prepared in accordance with the United Nations System Accounting Standards, the Financial Regulations and the present Rules and shall include such other information as may be necessary to indicate the financial position of the Organization. Interim and final financial reports shall also disclose any ex gratia payments and any losses of cash, supplies, equipment and other assets that have occurred during the period, indicating their treatment in the accounts.

109.2

ANNEX2

RULE X- PROPERTY, INCLUDING EQUIPMENT AND SUPPLIES 110.1 The acquisition of land and buildings, together with improvements thereto shall be capitalized in the accounts. Any other property, other than capital assets acquired by purchase, shall be charged as expenditure. Property acquired under lease shall be capitalized or charged as expenditure in accordance with the terms of the relevant lease. Inventory records shall be maintained of all capitalized assets. An asset management system shall be maintained for other property. Periodic physical inventories shall be taken of all property. Property may be declared to be surplus if it is of no further use to the Organization and disposed of for the best possible return to the Organization, including part-exchange, except when (i) destruction will be more economical or is required by law or environmental considerations, or (ii) the best interest of the Organization will be served by disposal by gift or at a nominal price to a non-profit organization. The proceeds from the sale of surplus property shall be credited to Miscellaneous Income, except that, if an item is being replaced, the trade-in allowance or the proceeds from the sale of the replaced article shall serve to reduce the expenditure incurred in replacing the item. Subject to the provisions of Financial Rule 104.5, goods and services may be provided to governments, specialized agencies, and other international organizations on a reimbursable or reciprocal basis on such terms and conditions as may be approved by designated officials.

110.2 110.3 110.4 110.5

110.6

110.7

RULE XI- PROCUREMENT OF GOODS AND SERVICES 111.1 The Director-General shall establish policies and procedures for the purchase of property, services, supplies, equipment or other requirements, and which shall set forth the requirements for invitations to tender and competitive bidding. Contracts for the purchase of property, services, supplies, equipment or other requirements shall be entered into for and on behalf of the Organization only by designated officials. All purchases and other contracts shall be made on the basis of competitive bids, except when otherwise authorized by designated officials. Contracts are normally awarded to the lowest bidder. However, where it is considered to be in the interest of the Organization, the acceptance of a bid other than the lowest, or the rejection of all bids may be authorized by designated officials.

111.2

111.3

111.4

RULE XII- INTERNAL AUDIT 112.1 The Office of Internal Audit and Oversight (IAO) is responsible for internal audit, inspection, monitoring and evaluation of the adequacy and effectiveness of the Organization's system of internal control, financial management and use of assets as well as investigation of misconduct and other irregular activities. All systems, processes, operations, functions and activities within the Organization are subject to IAO's review, evaluation and oversight.

EXECUTIVE BOARD, 107TH SESSION

112.2

The Director-General shall appoint a technically qualified head ofiAO after consultation with the Executive Board. The Director-General shall likewise consult the Executive Board before any termination of the incumbent of that office. IAO shall function in accordance with the following provisions: (a) (b) the head ofiAO shall report directly to the Director-General; IAO shall have full, free and prompt access to all records, property, personnel, operations and functions within the Organization which, in IAO's opinion, are relevant to the subject matter under review; IAO shall be available to receive directly from individual staff members complaints or information concerning the possible existence of fraud, waste, abuse of authority or other irregular activities. Confidentiality shall be respected at all times, and no reprisals shall be taken against staff members providing such information unless this was wilfully provided with the knowledge that it was false or with intent to misinform; IAO shall report the results of its work and make recommendations to the Regional Director, Executive Director, Director or other responsible manager for action, with a copy to the Director-General and the External Auditor. At the request of the head of IAO, any such report shall be submitted to the Executive Board, together with the Director-General's comments thereon; IAO shall submit a summary report annually to the Director-General with a copy to the External Auditor on IAO's activities, including the orientation and scope of such activities, as well as the implementation status of recommendations. This report shall be submitted to the Health Assembly together with comments deemed necessary.

112.3

(c)

(d)

(e)

112.4

The Director-General shall ensure that all IAO recommendations are responded to and implemented as appropriate.

ANNEX3

Confirmation of amendments to the Staff Rules 1 Report by the Secretariat [EB107/15 Add.l- 12 December 2000]

1. In accordance with Staff Regulation 12.2, amendments to the Staff Rules made by the DirectorGeneral are submitted to the Executive Board for confirmation. The effective date of these changes would be 1 January 2001. 2. The amendments flow from recommendations made in the strategic framework for management of human resources/ in relation to WHO's work-life policy, which reflects the "work/family" policy agenda adopted in 1995 by the executive heads of the organizations of the United Nations system. The proposals include such subjects as special leave related to adoption, parenting and family emergencies. The text of the amended Staff Rules is contained in the Appendix. 3. Staff Rule 650 has been amended expressly to provide more flexibility within the current special leave provisions to allow staff members to request special leave in the event of death of a close relative or adoption of a child. Adoption leave is a practice in the United Nations common system, and compassionate leave is granted by most organizations of the system. 4. Staff Rule 740 has been amended to enable staff members to use the current seven days of uncertified sick leave to attend to serious family-related emergencies. This aligns WHO with the practice of the United Nations and a number of other organizations of the system, based on a recommendation made by the Consultative Committee on Administrative Questions in 1997. 5. Staff Rule 760 has been amended to introduce the entitlement of paternity leave for staff members for a period of up to five days, in order to support the participation of fathers in family care. It is also proposed that when both parents are staff members of WHO, any unused portion of maternity leave to which the mother would have been entitled may be used by the father of the child. Shared maternity leave recognizes the dual and complementary roles of both parents at work and in the family and is current practice in the United Nations system. 6. Staff Rule 820 has been amended to provide greater flexibility to the Director-General regarding reasons for authorizing travel. The intent is to give nursing mothers the option of taking breastfeeding infants with them on duty travel at the Organization's expense, provided the infant is less than two years of age. This Staff Rule change aligns WHO with United Nations Staff Rules and the current practice of UNICEF, with which WHO has launched a joint breastfeeding policy.

1 2

See resolution EB107.R7. See document EB107/15.

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EXECUTIVE BOARD, 107TH SESSION

BUDGETARY REQUIREMENTS 7. The financial requirements of these Staff Rule changes in the biennium 2000-2001 under the regular budget are minimal and will be met from the appropriate allocations established for each of the regions and for global and interregional activities.

ACTION BY THE EXECUTIVE BOARD 8. [This paragraph contained a draft resolution which was adopted at the tenth meeting as resolution EB107.R7.]

Appendix

TEXT OF AMENDED STAFF RULES 650. SPECIAL LEAVE Special leave with full, partial or no pay may be granted for training or research in the interest of the Organization or for other valid reasons, including the death of an immediate family member or the adoption of a child under conditions determined by the Director-General. Normally, such leave shall not be granted until all accrued annual leave has been exhausted and normally shall not exceed one year in duration. Periods of special leave shall be credited for all purposes except as otherwise specified in the Rules. 740. SICK LEAVE

740.2

Any absence of more than three consecutive working days which is to be charged as sick leave must be supported by a certificate from a duly recognized medical practitioner stating that the staff member is unable to perform his duties and indicating the probable duration of the illness. Not more than seven working days of uncertified absences within one calendar year shall be charged to sick leave. Part or all of this uncertified sick leave may be granted to attend to serious family-related emergencies, other than in the event of the death of a close relative, in which case the certification requirement in respect of three consecutive working days shall not apply. MATERNITY LEAVE AND PATERNITY LEAVE 1 Staff members appointed for periods of one year or more shall be entitled to maternity leave and paternity leave with full salary and allowances.

760. 760.1

1 Paternity leave is introduced on a trial basis for two years, with effect from 1 January 2001, to be reviewed in January 2003.

ANNEX3

760.2

Maternity leave. On presentation of a certificate from a duly recognized medical practitioner stating that her confinement will probably take place within six weeks, a staff member shall be entitled to maternity leave. At the request of the staff member and on medical advice, the Director-General may permit the maternity leave to commence less than six weeks but not less than two weeks before the expected date of confinement. Maternity leave shall extend for a period of 16 weeks from the time it is granted, except that in no case shall it terminate less than 10 weeks after the actual date of her confinement. A nursing mother shall be allowed additional maternity leave of sufficient time each day to nurse her child. Where both parents of a newborn child are staff members of the World Health Organization, any unused portion of maternity leave to which the mother would otherwise have been entitled under Rule 760.2 may be used by the father of the child, under conditions established by the Director-General. Paternity leave. A staff member shall be entitled to paternity leave for up to five days upon presentation of satisfactory evidence of the birth of his child TRAVEL OF SPOUSE AND CHILDREN

760.3

760.4

760.5

820.

820.2

Except for staff referred to in Rules 1320 and 1330, the Organization shall pay the travel expenses of a staff member's spouse and dependent children as defined in Rule 820.1 under the following circumstances:

820.2.9

in other appropriate cases, when, in the opinion of the Director-General, there are compelling reasons for paying such expenses.

ANNEX4

Confirmation of amendments to the Staff Rules 1 Report by the Secretariat [EB107/16- 21 November 2000]

1. The twenty-sixth annual report of the International Civil Service Commission (ICSC), 2 being considered by the fifty-fifth session of the United Nations General Assembly, is submitted to the Executive Board in accordance with Article 17 ofthe ICSC Statute. 2. In accordance with Staff Regulation 12.2, amendments to the Staff Rules resulting from decisions expected to be taken by the General Assembly on the Commission's report will be submitted for confirmation to the Executive Board in an addendum to this document. 3 The issues under consideration are (a) base/floor salary scale and (b) dependency allowances. The additional costs resulting from confirmation of these changes would be absorbed under the appropriate allocations for the 2000-2001 budget.

(a)

Base/floor salary scale for the professional and higher categories

3. The Commission has recommended to the General Assembly an upward adjustment of 5.1% of the common system scale, to take effect from 1 March 2001. This adjustment is a routine annual exercise designed to bring the base/floor salary scale of organizations of the United Nations system into line with the salaries of the comparator civil service (the United States federal civil service in Washington, D.C.).4 The adjustment consists of transferring the requisite amount from post adjustment (the cost-of-living element) into salary on a "no loss - no gain" basis. It is done to ensure that allowances that are linked to the base/floor salary scale (the mobility and hardship allowance and certain separation payments) keep pace with inflation. The actual transfer procedure is cost neutral: minimal budgetary implications result from increases in the above-referenced allowances and small additional costs for duty stations where, as a result of the exercise, salaries fall below the revised base/floor salary scale.

See resolution EB107.R9. General Assembly Official Records, Fifty-fifth session: Supplement No. 30 (N55/30). See Appendix. The base/floor scale was introduced in 1990; adjustments have been made every year since.

2 3 4

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ANNEX4

(b)

Dependency allowances

4. Dependency allowances are determined on the basis of tax abatements and social security payments in the countries at the seven headquarters duty stations. Based on this methodology, the Commission has recommended that the children's allowance (including the allowance for disabled children) and secondary dependant's allowance should be increased by 11.89% as of 1 January 2001. This increase should also apply to allowances payable in local currencies.

Appendix

TEXT OF AMENDED STAFF RULES [EB 107116 Add.l, Annex- 3 January 2001] 330. SALARIES

330.2

The following schedule of annual gross and annual net base salaries shall apply to all professional and higher category posts with effect from 1 March 2001 :

.j:>.. .j:>..

Salary scale for the professional and higher graded categories: annual gross salaries and net equivalents after application of staff assessment (effective 1 March 2001) (US dollars) Step Level D-2 Gross NetD NetS Gross NetD NetS Gross NetD NetS Gross NetD NetS Gross NetD NetS Gross NetD NetS Gross NetD NetS 1 2 3 4 5 6 7 8 9 10 11 12 13 14

124 384 127 132 129 877 132 623 135 369 138 115 87 318 89 022 90 724 92426 94 129 95 831 80 218 81 645 83 072 84498 85 925 87 352 109 894 112 245 114 598 116 944 119 297 121 648 124 002 126 352 128 702 78 334 79 792 81 251 82 705 84 164 85 622 87 081 88 538 89 995 72407 73 687 74 967 76245 77 525 78 796 80 018 81240 82 460 96 705 70 157 65 176 79 780 59 255 55 180 65 388 49 756 46445 53 129 41 253 38 694 41 189 32 656 30 805 98 832 100 961 103 089 105 216 107 342 109 471 111598 113724 115853 117982 120106 122234 71476 72 796 74 115 75 434 76 752 78 072 79 391 80 709 82 029 83 349 84 666 85 985 66 385 67 545 68 703 69 862 71 018 72 177 73 335 74493 75 651 76 809 77 966 79 101 81 733 60 544 56 364 67 220 50 965 47 556 54 632 42 335 39 675 42 633 33 696 31 763 83 680 61 829 57 543 69 053 52 175 48 669 56 132 43 415 40 653 44 075 34 734 32 720 85 627 63 114 58 722 70 880 53 381 49 780 57 633 44496 41 633 45 519 35 774 33 677 87 579 64402 59 902 72 714 54 591 50 892 59 135 45 577 42 611 46 960 36 811 34 633 89 527 65 688 61 080 74 544 55 799 52 002 60 692 46 657 43 592 48 403 37 850 35 590 91 571 66 974 62 259 76 373 57 006 53 113 62 332 47 739 44 587 49 847 38 890 36 548 93 645 68 260 63 439 78 206 58 216 54225 63 967 48 818 45 580 51 290 39 929 37 493 95 723 69 548 64 617 80 038 59425 55 335 65 606 49 900 46 577 52 731 40 966 38 434 97 795 70 833 65 796 81 868 60 633 56 447 67 244 50 981 47 571 54 174 42 005 39 375 99 869 101 947 104 019 106 095 108 171 72 119 73 407 74 692 75 979 77 266 66 949 68 082 69 210 70 340 71 470 83 700 61 842 57 555 68 879 52 060 48 564 85 529 63 049 58 663 70 520 53 143 49 561 87 361 64258 59 770 89 191 65 466 60 877 91 089 66 675 61 985

D-1

n c ....,

>< ti1 ....... o:;l

ti1

P-5

< ti1

P-4

> ~§ 0 -..,J

...., ::t r:/1 r:/1 r:/1

P-3

ti1

P-2

........

P-1

D = Rate applicable to staff members with a dependent spouse or child. S = Rate applicable to staff members with no dependent spouse or child. 1 This scale will be implemented in conjunction with a consolidation of 5.1% of post adjustment. Post adjustment indices and multipliers at all duty stations will be modified, effective 1 March 2001. Thereafter, changes in post adjustment classifications will be implemented on the basis of movements of the consolidated post-adjustment indices.

ANNEX4

340.

DEPENDANTS' ALLOWANCES A staff member in a post of professional or higher grade, except for short-term staff members appointed under Rule 1320 or consultants appointed under Rule 1330, is entitled to a dependant's allowance for dependants as defined in Rule 310.5, to be paid as follows:

340.1

US$ 1936 per annum for a child, except that in cases where there is no dependent spouse the first dependent child is not entitled to an allowance. The entitlement shall be reduced by the amount of any benefit paid from any other public source by way of social security payments, or under public law, by reason of such child. US$ 3872 per annum for a child who is physically or mentally incapacitated, subject to the conditions defined in Rule 340.1, except that if the staff member has no dependent spouse and receives the "with dependant" rate of net salary by virtue of such a child, an allowance of US$ 1936 shall be payable. US$ 693 per year for a father, mother, brother or sister.

340.2

340.3

Note: Adjustments shown in boldface type.

ANNEXS

Confirmation of amendments to the Staff Rules 1 Report by the Secretariat [EB 107/17 - 7 December 2000]

1. In accordance with Staff Regulation 12.2, amendments that the Director-General makes to the Staff Rules are submitted to the Executive Board for confirmation. The effective date of these changes would be 1 January 2001.

2. The amendments are considered necessary in the light of experience and in the interest of sound human-resources management. The text of the amended Staff Rules is contained in the Appendix.

ASSIGNMENT GRANT 3. An editorial change is introduced to Staff Rule 365 in order to reflect actual practice and thus remove possible ambiguity.

PAYMENTS AND DEDUCTIONS 4. The purpose of the amendment is to permit enforcement of Article I of the Staff Regulations (Duties, Obligations and Privileges), in particular 1.9. It is intended that deductions for third-party indebtedness would relate to family obligations as an indication that it is unacceptable for WHO staff members to neglect family and child support obligations. This amendment is in line with United Nations rules and practice, whereby since 1998 deductions are made from a staff member's salary in cases of noncompliance with family and child support obligations. Staff Rule 380 has been amended accordingly.

OFFICIAL HOLIDAYS 5. Official holidays in the United Nations common system range from nine to 11 days per year; in 1998, the United Nations increased the number of official holidays from nine to 10 days. It is proposed that WHO align itself with the United Nations. Except as otherwise decided by the Director-General, eight days shall be fixed following, as far as practicable, the most commonly observed holidays in the locality, and two days shall be taken at the discretion of individual staff, subject to the requirements of the service. The discretionary days allow staff of different cultural backgrounds to observe days of a

See resolution EB107.Rll.

-46-

ANNEX5

religious or national character that are not commonly observed in the duty station at which they serve. Staff Rule 620 has been amended accordingly.

BOARDS OF APPEAL 6. The Director-General has the authority to appoint two members and four alternates to serve on the headquarters Board of Appeal. Experience has shown that an increase in the membership has helped to deal expeditiously with appeal cases. In consultation with the Staff Committee, the list of members appointed by the Director-General has been increased from two to four, and the alternates from four to eight. Staff Rule 1230 has therefore been amended to reflect current practice.

BUDGETARY REQUIREMENTS 7. The financial requirements in the 2000-2001 biennium under the regular budget are minimal and will be met from the appropriate allocations established for each of the regions and for global and interregional activities.

ACTION BY THE EXECUTIVE BOARD 8. [This paragraph contained a draft resolution which was adopted at the eleventh meeting as resolution EB 107 .R 11.]

Appendix

TEXT OF AMENDED STAFF RULES [EB 107/17, Annex- 7 December 2000] 365. ASSIGNMENT GRANT

365.4

If a staff member resigns from the Organization within six months of the date of appointment or reassignment, any assignment grant paid under Rules 365.1 and 365.3 is recoverable proportionately under conditions established by the Director-General. PAYMENTS AND DEDUCTIONS

380.

380.5

Deductions, from salaries, wages and other emoluments, including terminal entitlements, may be made only in the following cases:

EXECUTIVE BOARD, 107TH SESSION

380.5.1

for the staff member's contributions to the Staff Pension Fund and for health msurance; for indebtedness to the Organization; appropriate charges for staff members officially provided with lodging at no cost or at nominal rent; as otherwise authorized by the staff member and agreed by the Organization; for indebtedness to third parties when any deduction for this purpose is authorized by the Director-General.

380.5.2 380.5.3

380.5.4 380.5.5

620.

OFFICIAL HOLIDAYS Ten holidays are observed per year, and except as otherwise decided by the DirectorGeneral, eight of the ten days shall be fixed following, as far as practicable, the most commonly observed holidays in the locality, and two days to be taken at the discretion of individual staff members, the timing of which shall be subject to the requirements of the servtce.

1230.

BOARDS OF APPEAL

1230.4

The headquarters Board of Appeal shall consist of five members having equal votes as follows: 1230.4.1 a chairman and three alternate chairmen appointed by the Director-General after consultation with the representatives of the staff; two members drawn from a list of four members and eight alternates appointed by the Director-General; two members representing the staff, drawn from a panel organized in three groups.

1230.4.2

1230.4.3

ANNEX6

N ongovernmental organizations admitted and maintained in official relations with WHO by virtue of, respectively, resolution EB107.R14 and decision EB107(1) [EB107/19, Annex- 20 January 2001] African Medical and Research Foundation International Aga Khan Foundation CMC- Churches' Action for Health Commonwealth Medical Association Commonwealth Pharmaceutical Association Council for International Organizations of Medical Sciences Council on Health Research for Development Federation for International Cooperation of Health Services and Systems Research Centers Global Forum for Health Research Global Health Council 1 International Academy of Pathology International Association ofBiologists Technicians International Association of Cancer Registries International Association of Hydatid Disease International Association of Medical Laboratory Technologists International Association for the Study of Obesity International Alliance of Women International Catholic Committee ofNurses and Medico-social Assistants International College of Surgeons International Commission on Radiation Units and Measurements International Conference of Deans of French-Language Faculties ofMedicine International Council for Science International Council for Standardization in Haematology International Council ofNurses International Electrotechnical Commission International Epidemiological Association International Federation for Housing and Planning International Federation for Medical and Biological Engineering International Federation of Business and Professional Women International Federation of Clinical Chemistry and Laboratory Medicine2 International Federation of Health Records Organizations International Federation of Hospital Engineering International Federation of Medical Students Associations International Federation of Pharmaceutical Manufacturers Associations 1 2

Previously known as the National Council for International Health. Previously known as the International Federation of Clinical Chemistry.

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EXECUTIVE BOARD, 107TH SESSION

International Federation of Surgical Colleges International Hospital Federation International League of Associations for Rheumatology International League of Dermatological Societies International Medical lnformatics Association International Medical Parliamentarians Organization International Organisation of Consumers Unions (Consumers International) International Organization against Trachoma International Organization for Standardization International Pharmaceutical Federation International Physicians for the Prevention ofNuclear War International Radiation Protection Association International Society for Burn Injuries International Society for Preventive Oncology International Society of Blood Transfusion International Society of Chemotherapy International Society of Hematology International Society of Orthopaedic Surgery and Traumatology International Society of Radiographers and Radiological Technologists International Society of Radiology International Society of Surgery International Traffic Medicine Association 1 International Union of Architects International Union of Microbiological Societies International Union of Pharmacology International Union of Pure and Applied Chemistry Inter-Parliamentary Union Medicus Mundi International -International Organization for Cooperation in Health Care OXFAM Rotary International Save the Children Fund (UK) The Network: Community Partnerships for Health through Innovative Education, Service, and Research2 The International Society on Thrombosis and Haemostasis, Inc. World Association of Girl Guides and Girl Scouts World Association of Societies of Pathology and Laboratory Medicine World Association of the Major Metropolises (Metropolis) World Federation for Medical Education World Federation for Ultrasound in Medicine and Biology World Federation of Acupuncture-Moxibustion Societies World Federation ofNuclear Medicine and Biology World Federation of Public Health Associations World Federation of Societies of Anaesthesiologists World Medical Association World Organization of Family Doctors World Self-Medication Industry World Vision International

1 2

Previously known as the International Association for Accident and Traffic Medicine. Previously known as the Network of Community-oriented Educational Institutions for Health Sciences.

Informations clés

Organisation Organisation mondiale de la santé (OMS)

Type de document Governing Bodies documents

Date d'adoption 31 décembre 2001

Source Organisation mondiale de la santé