Report of the forty-third meeting of the Consultative Committee for Programme Development and Management

SEA/PDM/Meet.43/11 Distribution: Restricted Report of the Forty-third Meeting of the Consultative Committee for Programme Development and Management WHO/SEARO, New Delhi, 14-16 June 2006 © World Health Organization The contents of this restricted document may not be divulged to persons other than those to whom it has been originally addressed. It may not be further distributed nor reproduced in any manner and should not be referenced in bibliographical matter or cited. July 2006 Page iii CONTENTS Page 1. Introduction.............................................................................................. 1 2. Inaugural Session....................................................................................... 1 3. Election of Chairperson and Rapporteur ..................................................... 5 4. Establishment of Drafting Group................................................................. 5 5. Programme Budget Performance Assessment: 2004-2005 (agenda item 2.1)....................................................................................... 6 6. Implementation of Workplans for Programme Budget 2006-2007, including: (agenda item 2.2) ....................................................................... 8 6.1 Multi-country activities (MCAs) (agenda item 2.2.1) ............................................... 8 6.2. Implications of the new financial rules (agenda item 2.2.2)..................................... 9 7. Medium-Term Strategic Plan (MTSP) 2008-2013 (agenda item 2.3) .............11 8. Proposed Programme Budget 2008-2009 (agenda item 2.4)........................13 9. Regional Implications of the Decisions and Resolutions of the Fifty-Ninth World Health Assembly and the 117th and 118th Sessions of the Executive Board (agenda item 3) ........................................15 10. Reports by Country Representatives on their Attendance at the Meetings of the Coordinating Bodies of WHO’s Global Programmes (agenda item 4) ........................................................................................16 10.1 UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases: Joint Coordinating Board (JCB) (agenda item 4.1)................................................................................................ 16 10.2 WHO Special Programme for Research, Development and Research Training in Human Reproduction: Policy and Coordination Committee (PCC) (agenda item 4.2) ............................................... 18 Page iv 11. Technical Discussions on Promoting Patient Safety at Health Care Institutions (agenda item 5).....................................................19 12. Adoption of Report...................................................................................19 13. Closure ....................................................................................................19 Annexes 1. Agenda ....................................................................................................21 2. List of Participants ....................................................................................22 Page 1 1. Introduction The Forty-third Meeting of the Consultative Committee for Programme Development and Management (CCPDM) was held at the WHO Regional Office for South-East Asia (SEARO), New Delhi, from 14 to 16 June 2006. Government representatives and WHO representatives from Member countries of the South-East Asia (SEA) Region participated. The Agenda and List of Participants are attached as Annex 1 and 2, respectively. 2. Inaugural Session Opening remarks by the Regional Director Welcoming the participants, Dr Samlee Plianbangchang, Regional Director, WHO SEA Region, stated that CCPDM dealt primarily with WHO programme development and management. He said that he was glad that many of the participants of the Eleventh Health Secretaries' Meeting had stayed on to attend the CCPDM meeting. This continuity was very important, especially in view of the direct role of health secretaries in the development and management of WHO programmes, particularly at the country level. He hoped that with the involvement of health secretaries, the meeting of the CCPDM would be more productive. Dr Samlee informed the participants that the agenda for the three-day meeting was heavy. During the course of the meeting, the performance in implementation of the 2004-2005 biennial Programme Budget would be reviewed to identify strengths and weaknesses in that process. The lessons from this experience would then be used as the basis for improving the performance during the 2006-2007 biennium. In addition, some key issues in the process of programme implementation during 2006-2007 would be discussed in detail. These included Multi-country Activities (MCA); and the New Financial Regulations and Financial Rules. Dr Samlee said that MCA was a mechanism to promote intercountry cooperation within the context of WHO collaborative programmes. It was Report of the Forty-third Meeting of the CCPDM Page 2 an opportunity provided to countries to work together with WHO acting as a catalyst and facilitator. Regarding the New Financial Regulations and Financial Rules, these had a significant implication on the way the biennial Programme Budget was planned and implemented. It was very important therefore to thoroughly discuss such implications and be ready to reorient the planning and implementation process. This was a major exercise since the new rules had become applicable effective the 2006-2007 biennium. The CCPDM would also review once again the Medium-Term Strategic Plan (MTSP), covering the period 2008-2013. Very importantly, the Committee would deliberate upon the Proposed Programme Budget for the 2008-2009 biennium. This was the crucial element of the plan, from which actions will be identified and taken during the biennium concerned. Dr Samlee said that MTSP and Programme Budget were not only linked, but also bound together; this was to ensure adequate implementation of WHO policy and direction as enunciated in the 11th Global Programme of Work. The MTSP and Programme Budget were crucial tools for the preparation of biennial workplans to be jointly implemented by Member countries and WHO. The Regional Director requested the CCPDM members’ special attention, particularly at this point in time to the Programme Budget 2008- 2009 to see whether the proposed global plan would adequately respond to the health development needs of countries in the SEA Region. Dr Samlee also drew the attention of the CCPDM members to the topic of the Technical Discussions, viz. "Promoting Patient Safety at Health Care Institutions." He informed them that the subject had been selected by the Regional Committee for South-East Asia at its session held last year. It was a very important subject, as far as the quality of health services was concerned. The conclusions and recommendations of the Technical Discussions would be submitted to the forthcoming session of the Regional Committee to be held in August 2006 in Dhaka. The Regional Director further stated that there were two more items on the agenda of the CCPDM meeting, which the Regional Committee had requested the CCPDM to review and discuss. Report of the Forty-third Meeting of the CCPDM Page 3 The first item was on Regional Implications of Decisions and Resolutions of the recent World Health Assembly and the Executive Board sessions. Since, the time available to review and discuss all decisions and resolutions would not be enough, only a few important ones should be identified for deliberations. The second item dealt with reports on meetings of the Joint Coordinating Board (JCB) of the UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR); and the Policy and Coordination Committee (PCC) of the WHO Special Programme for Research, Development and Research Training on Human Reproduction (HRP). The two meetings of the special programmes had not been convened at the time of the CCPDM meeting. Therefore, the reports of both the meetings could not be presented. Instead, some useful information on the Special Programmes would be brought to the attention of the Committee. The Regional Director stated that the outcomes from all agenda items of the CCPDM meeting would be submitted to the 59th session of the Regional Committee for its consideration in August 2006. He informed the CCPDM members that there were several issues involved in the process of WHO programme development and management, which directly affected the work of WHO in the Region, the most important one being the mobilization of resources for implementing WHO collaborative activities in Member countries. Dr Samlee further stated that during the current biennium, extrabudgetary resources from voluntary contributions constituted 72% of the total regional budget. This proportion of extrabudgetary resources might reach 75% during the next biennium. Extrabudgetary resources were playing an increasingly important role in WHO programme development and implementation. Looking at it from another angle, most of the voluntary contributions for the 2006-2007 biennial budget were yet to be pledged or committed by funding agencies. Therefore, in the course of implementation of the current programme budget, WHO had to vigorously pursue resource mobilization. This was to ensure that there would be adequate funds for the implementation of all the planned activities. Report of the Forty-third Meeting of the CCPDM Page 4 In the process, it had to be kept in mind that exbtrabudgetary funds might be available to only certain priority areas, such as polio eradication, and HIV/AIDS prevention and control. It was difficult to mobilize these funds for other priority areas. Dr Samlee said that funds were not easily available for some areas and stressed the need to mobilize funds. These areas include Noncommunicable Diseases; Health and Environment; Health Systems Development and even Family and Community Health, which covered Making Pregnancy Safer, Nutrition, as well as Child and Adolescent Health. Many pledges of funds had been received for the control of avian influenza and for Influenza Pandemic Preparedness and Response. But, the inflow to this area was still very slow, both for countries and for WHO’s work. This was in spite of the critically emergent situation of avian influenza, which had the potential to turn into an influenza pandemic that could have a devastating effect on human life and the world economy. The Regional Director said that it was also important to recognize that activities funded by extrabudgetary resources were still largely determined by the policy of donor agencies. This trend had important implications on the implementation of WHO policy and strategy as decided by the Governing Bodies such as the World Health Assembly, the Executive Board and the regional committees. This could lead to countries implementing the priorities of others, rather than their own. WHO would continue its efforts to persuade these agencies to provide funds according to the priority needs of countries as reflected in the Medium Term Strategic Plan (MTSP) and Programme Budget (PB). It was hoped that donors would use MTSP as the basis for them to provide funds for health development in developing countries. Dr Samlee said that WHO was also trying to encourage donors to come forward with unspecified or unearmarked funds, so that these could be used flexibly in responding to the changing needs of countries. Member countries in the Region would be kept constantly informed and consulted on the issues and developments in this important area. Dr Samlee stated that the WHO planning process was rather top- down and while reviewing MTSP and PB 2008-2009 during the meeting, it had to be made sure that the needs and priorities of countries in the region were clearly reflected. He mentioned that the SEA Region had always Report of the Forty-third Meeting of the CCPDM Page 5 conveyed to headquarters such needs and priorities. This was done through various means, including direct dialogue with a view to ensuring the incorporation of those needs and priorities in the global documents. However, this action by the Regional Office might not be enough. The matter needed to be seriously followed-up by the Member States themselves at the Executive Board sessions and at the World Health Assembly. This was where the role of Member States became crucially important. Dr Samlee also stressed the need for strong regional coordination and cooperation to protect the regional and country interests; and to ensure a fair share of resources to the Region. The Regional Office would continue to provide full support to facilitate such a role of the countries at that level. Meanwhile, more frequent briefings and consultations would be ensured on this issue with the Member States. The Regional Director concluded by wishing the CCPDM members fruitful deliberations. He also reminded that 14 June this year was World Blood Donor Day and the slogan was “Donate Blood Regularly - Save Lives”. 3. Election of Chairperson and Rapporteur H.E. Dr Abdul Azeez Yoosuf, Deputy Minister of Health (Maldives) was elected Chairperson, Dr Tipvadee Bumpenboon (Thailand) was elected as Co-Chairperson and Mr Bhanu Pratap Sharma (India) was elected as Rapporteur for the CCPDM meeting. H.E. Professor Mya Oo, Deputy Minister for Health (Myanmar) and Dr Bishnu Prasad Pandit (Nepal) were elected Chairperson and Rapporteur respectively for the technical discussion on Promoting Patient Safety at Health Care Institutions. 4. Establishment of Drafting Group A Drafting Group, comprising Dr T. Marawan Nusri (Indonesia), Dr Thein Thein Htay (Myanmar), Dr S.M. Samarage (Sri Lanka) and Dr Sopida Chavanichkul (Thailand) was constituted to prepare the report of the meeting. Report of the Forty-third Meeting of the CCPDM Page 6 5. Programme Budget Performance Assessment: 2004-2005 (agenda item 2.1) Dr Lin Aung, Programme Development Officer, WHO/SEARO, made a short presentation on the key technical aspects of the Programme Budget Performance Assessment of the 2004-2005 biennium for the SEA Region. The presentation explained the purpose of these assessments and the innovative process followed. The assessment made by the Regional Office was based on detailed area of work-wise (AoW) reports up to the product level submitted by WHO country offices in the Region. The major achievements and challenges during 2004-2005 were highlighted. The need for utilizing WHO Collaborating Centres and Centres of Excellence as well as the need for horizontal collaboration among countries of the Region and WHO country offices to improve the technical quality of the work of WHO was also stressed. The technical feedback from the Regional Office could be utilized while implementing workplans for the Programme Budget 2006-2007. The need for more “proactive” technical monitoring was also highlighted. It was stressed that the workplan formulation should be carried out with a “spirit” of planning, with the ownership of all stakeholders involved. Flexibility of programme changes would increasingly become more rigorous as the budget ceiling at the World Health Assembly would be at the lower planning element or the Organization-wide Expected Result (OWER) level. Discussion points Ø The Programme Budget Performance Assessment Report 2004- 2005 from the Regional Office showed considerable improvement over the previous bienniums. However, there was scope for further improvement was still there which should be attempted in the next biennium. Ø While the feedback reports from the Regional Office regarding many areas of work were complete, those concerning a few areas were lacking in detail. In future, the report should be made as comprehensive as possible. Report of the Forty-third Meeting of the CCPDM Page 7 Ø Based on the Millennium Development Goals (MDGs) and regional priorities, a few areas should be selected in each biennium for detailed evaluation. The exercise should also bring out clearly the contribution of the WHO biennial budget on the health outcomes of Member countries. Ø For proper assessment of the programme budget performance in the context of WHO’s results-based management framework, performance should be measured on selected quantitative indicators against the baselines for those indicators as determined at the time of the inception of this framework. The exercise should keep in mind the quality aspects. Ø From the next biennium, the planning process would become more stringent as the flexibility available to countries at the AoW level would be reduced to the OWER level. With the exercise thus becoming increasingly rigorous, it was necessary that adequate capacity be built at the level of National Programme Managers and other officers working at country and provincial levels. Ø It was noted that the assessment for the 2004-2005 biennium was carried out by the Regional Office technical units. It was felt that the involvement of National Programme Managers and their teams as well as WHO country offices in this exercise would lead to their capacity building as well as contribute to their sense of ownership of the programme. Recommendations (1) Member countries should draw suitable lessons from the programme budget performance assessment 2004-2005 which should guide them in better implementation of the Programme Budget from the 2006-2007 biennium onwards. (2) Capacity building exercise of National Programme Managers and their teams in the areas of planning, implementation, monitoring and evaluation should be taken up seriously. (3) WHO should develop guidelines for identification of three or four priority areas for assessment. Guidelines should also be framed for selection of areas for detailed evaluation. Report of the Forty-third Meeting of the CCPDM Page 8 6. Implementation of Workplans for Programme Budget 2006-2007, including: (agenda item 2.2) 6.1 Multi-country activities (MCAs) (agenda item 2.2.1) Dr R.M. Brooks, Coordinator, Programme Planning and Coordination, WHO/SEARO, made a short presentation on Multi-country activities (MCAs). The presentation explained the rationale and background for moving from the Intercountry Programme (ICP)-II mechanism to the MCA mechanism. It was highlighted that intercountry activities were important even though the 2006-2007 funds for such activities had shifted to countries. A brief scope of MCAs was presented. Ninety-one MCAs had been identified in country workplans and through a consultative process 11 MCAs had been finalized, while 27 others were being prepared. It was emphasized that there was need to undertake an assessment of MCAs in early 2007, the results of which would be used to plan MCAs for Workplans of the 2008-2009 biennium. Discussion points Ø The scope of the MCA mechanism needed to be better understood. The mechanism was meant to promote intercountry cooperation through the use of the WHO biennial budget. The Member countries had the flexibility in the choice of areas of work as well as countries with which they wished to work. As a matter of fact, these activities could be finalized by country offices concerned directly without any reference to the Regional Office. However, it should be ensured that MCAs complemented the existing country workplans. Ø While reviewing the list of MCAs identified for implementation during the current biennium, many countries expressed the desire to be more involved in the process of identification and implementation of those activities. Ø The process of selection and implementation of the MCAs could be greatly facilitated if each country identified a focal point who Report of the Forty-third Meeting of the CCPDM Page 9 was fully conversant with the concept of MCAs. A meeting of focal points could be convened by the Regional Office as quickly as possible to review the 91 activities currently on the list for improving the selection process as well as for their expeditious implementation. A meeting of the focal points could also be convened early next year to kick-start the process of selection of the MCAs for the 2008-2009 biennium as well as for a mid-term review of activities in 2006-2007. Ø In the light of the new financial rules coming into effect whereby no carry-over was allowed from one biennium to the next, concerns were expressed about delays in financial clearance leading to non-utilization of funds. A need was therefore expressed for simplification of administrative procedures. Recommendations (1) It was recommended that the respective governments should nominate focal points for MCAs immediately and that the focal points from countries should liaise with the respective planning focal points in the WHO country offices to review and facilitate the 2006-2007 MCAs. (2) The terms of reference of the group of focal points will be (i) to identify MCAs (ii) to assess the implementation status of MCAs and (iii) to recommend measures to accelerate the implementation of MCAs. (3) A meeting of the group of focal points should be organized by the Regional Office at the earliest. 6.2. Implications of the new financial rules (agenda item 2.2.2) Mr J.J. Kobza, Director, Administration and Finance (DAF), WHO/SEARO, made a presentation on the new financial rules effective 1 January 2006. He explained that under the new rules for voluntary contributions, income would now be recorded at the time a donor agreement was signed, rather than waiting for deposit of funds. This would permit earlier implementation of activities upon signing of the agreement and would reduce no-cost extension requests to the donor due to administrative delays. Report of the Forty-third Meeting of the CCPDM Page 10 Expenditures would now be recorded on the ‘delivery principle’. Prior to this new policy an obligation was counted as expenditure. Now, implementation would take place when work had been actually delivered. Goods and services must be delivered before the end of the current financial period in order that the relevant costs could be charged against current funds. No reserves for unliquidated obligations would be allowed to be carried over to the next financial period, as mentioned above. Obligations against which goods and services are not delivered before the end of the current financial period would be automatically cancelled and charged against the funds of the next financial period. This could be avoided by establishing obligations only for those activities which would be completed before the end-date, and through close monitoring of the pace and progress of implementation. Discussion points Ø It was noted that the revised rules had been mandated as part of the new accounting procedure adopted across the UN organizations to increase transparency in account keeping through the use of best practices in the area. Ø While noting that the change in the recording of income would in general give WHO as well as Member countries more time for planning, there could be rare occasions where implementation problems could arise as a fall-out of a particular donor not fulfilling its pledge. Ø While the change in the rules with regard to recognition of expenditure would lead to greater financial discipline, as a result of those changes, at least in the short term, the pace of expenditure would slow down. In this connection, the following points came up for discussion: - Early start to the planning and implementation process and close monitoring of the progress were absolutely necessary to ensure timely utilization of funds. Having rolling plans would also expedite the process. - In order to prevent large-scale surrender of funds at the end of the biennium on account of change in the policy, it was important to improve the overall work efficiency. Particular Report of the Forty-third Meeting of the CCPDM Page 11 mention was made of expediting the processes involved with recruitment of personnel and procurement of goods and services in the Regional Office. - The capacity of WR offices to support programme implementation in respective Member countries required strengthening. The active involvement of the Regional Office in this exercise was necessary. - While no carry-over of unliquidated amounts would be allowed from one biennium to the next starting from 2006- 2007 onwards, it was clarified however that the principle of ‘due to be delivered’ would be accepted. This meant that expenditure would be recorded as long as goods and services were due to be delivered within the biennium, and when the actual date of delivery fell within a reasonable period from the close of the biennium. Recommendations (1) The monitoring system at the country level needed to be improved in order to accelerate the implementation. It will be useful to have more frequent monitoring meetings between national programme managers and the WHO country office staff. (2) It would be useful to maintain a shelf of stand-by proposals related to country workplans so that in case any planned activity could not take place, it could be substituted by an activity from the shelf falling within the same AoW. The Member countries already had the flexibility to reprogramme funds within the same AoW. 7. Medium-Term Strategic Plan (MTSP) 2008-2013 (agenda item 2.3) Dr R.M. Brooks, Coordinator, Programme Planning and Coordination, WHO/SEARO, made a presentation on the subject. The Medium-term Strategic Plan (MTSP) is a new document outlining the work of WHO over a six-year period (2008-2013). It is based on the 11th General Programme of Work (GPW), Governing Body resolutions and the Country Cooperation Strategies. Report of the Forty-third Meeting of the CCPDM Page 12 The MTSP is arranged according to 16 strategic objectives (SOs), each describing the scope of the SO, the indicators and targets, issues and challenges and the strategic approaches. Each SO includes five to eight OWERs that the Secretariat plans to accomplish. The MTSP covers three bienniums. The Programme Budget attached to the MTSP covers only the first biennium (2008-2009). The format of the budget follows the 16 SOs and the OWERs in the MTSP. The MTSP was formulated through extensive consultations between headquarters and the regions held over the last five months. It was noted that the process was still not complete, especially with regard to budgets. Discussion points Ø There was discussion about how the MTSP differed from the previous plans of WHO. It was explained that previous strategies of WHO were generally reflected in the GPW. Ø Many expressed concern about the implications of the MTSP on country budgets and workplans. Work at country offices would have to fit within the overall framework of the MTSP and correspond to OWERs. Regional budgets would be shown at the OWER level (about 100 in total) instead of the 36 AoWs. Ø The current draft of the MTSP does not have any budget figures. These have not yet been finalized but estimates would be included in the documents pertaining to the Regional Committee sessions. Recommendations (1) Since the CCPDM did not have complete details and sufficient time to study the MTSP it was recommended that Member countries should examine the draft MTSP document for discussion at the 59th session of the Regional Committee for South-East Asia to be held in Dhaka in August 2006. (2) WHO should provide full details in time to facilitate Member countries’ preparations before the forthcoming session of Regional Committee. Report of the Forty-third Meeting of the CCPDM Page 13 8. Proposed Programme Budget 2008-2009 (agenda item 2.4) Dr R.M. Brooks, Coordinator, Programme Planning and Coordination, WHO/SEARO, made a presentation on the subject. While the MTSP outlines the budget framework and OWER, the Region and countries should reflect their specific priorities through appropriate budgets at the Strategic Objective and OWER levels. The past budgets, workplans and actual expenditures were presented to the basis used for determining the Programme Budget 2008-2009 allocations for the Region. The past expenditure figures showed that the Region provided a large proportion of funds to the areas of: Communicable Diseases; Immunization and Emergencies. Areas of Environment and Health; Noncommunicable Diseases and Health Systems received far lower allocations. Moreover, the expenditures recorded for these areas were also below budgeted amounts. While the regions received voluntary contributions (VCs) beyond their budgeted amounts, these contributions were almost exclusively used for Communicable Diseases, Immunization and Emergency programme areas. Other programme areas received a low proportion of the budgeted amounts. The preliminary estimates for the 2008-2009 biennium shows an increase in the overall budget of at least 10%, but most of this increase would be covered by voluntary contributions. Under the new budget, the programme areas of Noncommunicable Diseases, Health Systems Development and Family and Child Health would receive substantial increases. However, increased funding for these programme areas would depend on increased mobilization of funds. Discussion points Ø With increasing reliance on voluntary contributions, the Organization had recognized that there were often mismatches Report of the Forty-third Meeting of the CCPDM Page 14 between programme budgets and what was actually provided by donors to fund programmes. Ø Integrating the Regular Budget and voluntary contributions complicated budgeting and implementation. There were no assurances that VC funds will be mobilized to complete the planned work. Ø Donors tended to prefer certain programmes, such as Communicable Diseases Control, Polio Eradication and Emergencies, etc. WHO therefore needed to promote the funding of other programme areas that were also important to Member countries. Ø Since the SEA Region had no donor country as its member, significant resources had been mobilized at the country level. Therefore, it was important that the Regional Office provided assistance to Member countries in mobilizing resources, both through WHO channels as well as through multilateral and bi- lateral support. Recommendations (1) WHO should urge donors to provide unspecified funds as far as possible. Where a donor is not willing to provide unspecified funds, WHO should urge that donor to contribute to under- funded areas in the workplans. (2) The CCPDM urged the WHO Secretariat to put up a draft resolution before the Regional Committee highlighting the issue of funding of the integrated plan and specific actions to be taken in this regard. (3) Since the CCPDM did not have complete details nor sufficient time to study the Regional Programme Budget document it was recommended that Member countries should examine the draft Regional Programme Budget document for discussion at the 59th session of the Regional Committee to be held in Dhaka in August 2006. Report of the Forty-third Meeting of the CCPDM Page 15 9. Regional Implications of the Decisions and Resolutions of the Fifty-Ninth World Health Assembly and the 117th and 118th Sessions of the Executive Board (agenda item 3) Dr Lin Aung, Programme Development Officer, WHO/SEARO, provided a brief explanation of the arrangements made for group work. Three groups were formed comprising members of the CCPDM and the Secretariat, and concerned staff from the Regional Office. These groups were requested to review and identify the most relevant resolutions which had implications for the Region and to rank them in order of priority for further discussion at the 59th session of the Regional Committee. Discussion points Ø Group discussions to select appropriate resolutions needed to be done in a manner that would ensure a fair mix of resolutions with and without very significant implications for the Region. Ø It was felt that all resolutions passed by the World Health Assembly and the Executive Board were important. Their relative importance may however vary in terms of their implications for a particular region. Ø While selecting the resolutions for detailed examination at the 59th session of the Regional Committee, the groups had to keep in mind whether any of these resolutions had been discussed at the recent sessions of the Regional Committee. Ø The CCPDM members appreciated the novel approach adopted by WHO to have extensive group discussions for a better understanding of the regional implications of the relevant resolutions. Recommendations (1) A precise note on the regional implications and action points for all resolutions should be provided as an information document at the 59th session of the Regional Committee (agenda item 13.1) to be held in August 2006. Report of the Forty-third Meeting of the CCPDM Page 16 (2) The following resolutions, which were identified after detailed deliberations, should be elaborated with regard to their implications for the Region and presented to the 59th session of the Regional Committee: Ø WHA59.1 Eradication of poliomyelitis Ø WHA59.2 Application of International Health Regulations (IHR-2005) Ø WHA59.3 Nutrition and HIV/AIDS Ø WHA59.17 Outcome of the first session of the Conference of the Parties to the WHO Framework Convention on Tobacco Control (FCTC) Ø WHA59.19 Prevention and control of sexually transmitted infections: draft global strategy Ø WHA59.22 Emergency preparedness and response Ø WHA59.23 Rapid scaling up of health workforce production Ø WHA59.24 Public health, innovation, essential health research and intellectual property rights: towards a global strategy and plan of action Ø WHA59.26 International trade and health Ø EB118 R1 Thalassaemia and other haemo- globinopathies Ø EB118 R4 Strengthening health information systems 10. Reports by Country Representatives on their Attendance at the Meetings of the Coordinating Bodies of WHO’s Global Programmes (agenda item 4) 10.1 UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases: Joint Coordinating Board (JCB) (agenda item 4.1) The 43rd meeting of CCPDM preceded the meeting of the Joint Coordinating Board (JCB) of UNDP/World Bank/WHO Special Programme Report of the Forty-third Meeting of the CCPDM Page 17 for Research and Training in Tropical Diseases (TDR) which was scheduled to be held from 19-21 June 2006 in Geneva. Therefore, the report by the country representatives on the proceedings and outcomes of the JCB meeting could not be presented. Instead, Dr Chusak Prasittisuk, Regional Adviser, Vector Borne Diseases Control, WHO/SEARO, made a brief presentation on the scope of the programme. It was followed by another presentation by Dr Jan H.F. Remme from WHO/HQ. He explained the critical role played by health research in meeting the disease control priorities in developing countries. In order to meet the challenges of health problems of neglected populations, new knowledge and tools should be used extensively. Development assistance for health would be more effective if a larger share of it was devoted to research and development. The analytical framework involved in priority-setting for health research was also explained. Discussion points Ø The update provided on the activities and achievements of TDR was noted by the Committee. The report by country representatives on their attendance at the JCB meeting could not be presented since the JCB meeting was scheduled to be held after the CCPDM meeting. Ø The activities of TDR, as well as the support provided by the Programme in the area of communicable diseases like kala-azar and research capacity strengthening through small research grants, were appreciated. Ø The CCPDM members noted the proactive role played by TDR in drug development and clinical trials, and urged TDR to take measures for effecting early technology transfer to countries of the Region. Recommendation The update on the activities and achievements of TDR should be presented to the 59th session of the Regional Committee along with the report of the JCB meeting scheduled to take place from 19-21 June 2006. Report of the Forty-third Meeting of the CCPDM Page 18 10.2 WHO Special Programme for Research, Development and Research Training in Human Reproduction: Policy and Coordination Committee (PCC) (agenda item 4.2) The Policy and Coordination Committee (PCC), the governing body of the Special Programme for Research, Development and Research Training in Human Reproduction (HRP), is responsible for its overall policy and strategy. As the 43rd meeting of the CCPDM preceded the PCC meeting which was scheduled to be held from 29-30 June 2006 in Geneva, the report by country representatives on the proceedings and outcomes could not be presented. Instead, Dr Dini Latief, Director, Family and Child Health, WHO/SEARO, made a brief presentation on the evolution of the Human Reproduction Programme since its inception in 1972 and its current scope and objectives. Discussion points Ø An update on the history of the Human Reproduction Programme and the status of its activities was noted by the Committee. The report by country representatives on their attendance at the PCC meeting could not be provided since the PCC meeting was scheduled to be held after the CCPDM meeting. Ø The details of grants made by HRP such as long-term institutional development (LID); grants, and research training grants (RTG) to individual staff from centres in developing countries were noted. Ø It was noted that in 2004-2005, HRP supported various research projects and research provided grants for capacity strengthening in five countries of the Region viz., India, Indonesia, Myanmar, Sri Lanka and Thailand. Recommendation As the HRP-related activities are not widely known in all countries, it was recommended that Member countries of the Region should disseminate this information to reputed institutions and experts working on human reproduction in their countries so that they may apply for funding. Report of the Forty-third Meeting of the CCPDM Page 19 11. Technical Discussions on Promoting Patient Safety at Health Care Institutions (agenda item 5) The Technical Discussions on Promoting Patient Safety at Health Care Institutions were held on 16 June 2006. H.E. Professor Mya Oo (Myanmar) was elected Chairperson and Dr Bishnu Prasad Pandit (Nepal) was elected Rapporteur. The draft report and recommendations and/or draft text of the resolution arising out of the Technical Discussions will be submitted to the forthcoming session of the Regional Committee to be held in August 2006. 12. Adoption of Report The CCPDM reviewed the draft report of its forty-third meeting agenda by agenda, concentrating on the discussions and observations made by members, and the recommendations arrived at on each agenda item, and adopted it with minor modifications. 13. Closure The Regional Director, Dr Samlee Plianbangchang, in his concluding remarks, thanked all the CCPDM members for their deliberations. He expressed his particular appreciation to the Chairperson, H.E. Dr Abdul Azeez Yoosuf and Co-Chairperson Dr Tipvadee Bumpenboon, for the effective manner in which they chaired the meeting. Dr Samlee also thanked Mr Bhanu Pratap Sharma and other members of the drafting group for their excellent report. He appreciated the practical recommendations made by the Committee and assured the members that the Regional Office would take urgent action to implement all the recommendations made by the Committee. Prof. Dr Mya Oo, Deputy Minister of Health, Myanmar, congratulated the members for the excellent and efficient manner in which the meeting had been conducted. He expressed his appreciation to the Rapporteur and members of the Drafting Group for preparing a concise report reflecting the discussions and recommendations. He congratulated members of the WHO Secretariat for their support, and for the excellent arrangements made for the meeting. He thanked the Government of India for providing the opportunity to visit the All India Institute of Medical Sciences and for the excellent Report of the Forty-third Meeting of the CCPDM Page 20 arrangements made for their “field visit” to the Institute during the Eleventh Meeting of Health Secretaries of Member countries of the SEA Region. The Chairperson H.E. Dr Abdul Azeez Yoosuf, in his closing remarks expressed the need for extensive actions to be taken both at country as well as the Regional Office level before the upcoming session of the Regional Committee in August 2006. He then declared the Forty-third meeting of the Consultative Committee for Programme Development and Management closed. Report of the Forty-third Meeting of the CCPDM Page 21 Annex 1 Agenda 1. Opening session 2. Programme Budget 2.1 Programme Budget Performance Assessment: 2004-2005 2.2 Implementation of Workplans for Programme Budget 2006-2007, including: 2.2.1 Multi-country Activities (MCAs) 2.2.2 Implications of the New Financial Rules 2.3 Medium-Term Strategic Plan (MTSP) 2008-2013 2.4 Proposed Programme Budget 2008-2009 3. Regional implications of the decisions and resolutions of the Fifty-ninth World Health Assembly and the 117th and 118th sessions of the Executive Board 4. Reports by country representatives on their attendance at the meetings of the coordinating bodies of WHO’s global programmes, i.e. 4.1 UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases: Joint Coordinating Board (JCB). 4.2 WHO Special Programme for Research, Development and Research Training in Human Reproduction: Policy and Coordination Committee (PCC). 5. Technical Discussion on “Promoting Patient Safety at Health Care Institutions” 6. Concluding session Report of the Forty-third Meeting of the CCPDM Page 22 Annex 2 List of Participants Bangladesh Mr Muhammad Aminul Islam Bhuiyan Additional Secretary Ministry of Health and Family Welfare Dr Md Tajul Islam Director (Planning & Research) Directorate-General of Health Services Ministry of Health and Family Welfare Bhutan Mr Nado Dukpa Deputy Secretary Administration and Finance Division Ministry of Health Mr Thinlay Dorji Deputy Secretary Policy Planning Division Ministry of Health DPR Korea H.E. Dr Kim Jong Ung Vice Minister of Health Ministry of Public Health Dr Sok Yong Guk WHO Desk Officer Ministry of Public Health Mr Choe Yong Su Interpreter Ministry of Public Health India Mr Bhanu Pratap Sharma Joint Secretary Ministry of Health and Family Welfare Mr Rajesh Bhushan Director Ministry of Health and Family Welfare Indonesia Dr Naydial Roesdal, Msc.PH Senior Advisor of Minister of Health on Economics and Health Financing Ministry of Health Dr T. Marwan Nusri, MPH Head Bureau of Planning and Budgeting Ministry of Health Dr Titte K. Adimidjaja, Msc.PH Secretary National Institute of Health Research and Development (NIHRD) Ministry of Health Maldives H.E. Dr Abdul Azeez Yoosuf Deputy Minister of Health Ministry of Health Dr Sheena Moosa Director (Health Services) Ministry of Health Ms Mariyam Suzana Assistant Under-Secretary Ministry of Health Myanmar H.E. Professor Mya Oo Deputy Minister for Health Ministry of Health Dr Thein Thein Htay Director, Public Health Department of Health Dr Win Maung Deputy Director (Tuberculosis) Department of Health Report of the Forty-third Meeting of the CCPDM Page 23 Dr Tin Tun Aung Assistant Director Ministry of Health Nepal Dr Bishnu Prasad Pandit Chief Specialist Ministry of Health and Population Sri Lanka Dr Nihal Jayathilake Additional Secretary (Medical Services) Ministry of Healthcare and Nutrition Dr S.M. Samarage Director (Organization Development) Ministry of Healthcare and Nutrition Thailand Dr Tipvadee Bumpenboon Inspector-General Ministry of Public Health Dr Sopida Chavanichkul Deputy Director Bureau of Policy and Strategy Ministry of Public Health Dr Santawat Asavaroengchai Bureau of Policy and Strategy Ministry of Public Health WHO Secretariat Secretary Dr Myint Htwe Director, Programme Management Members from SEARO Dr Poonam Khetrapal Singh Deputy Regional Director Mr J.J. Kobza Director, Administration and Finance Dr Than Sein Director Noncommunicable Diseases and Mental Health Dr Abdul Sattar Yoosuf Director Department of Sustainable Development and Healthy Environment Dr Jai P Narain Director Department of Communicable Diseases Dr Dini K. Latief Director Department of Family and Community Health Dr Sultana Khanum Director Department of Health Systems Development Dr Sangay Thinley Coordinator, HIV/AIDS, Tuberculosis and other Communicable Diseases Dr Arun Thapa Regional Adviser in-Charge Immunization and Vaccine Development Dr R.M. Brooks Coordinator, Programme Planning and Coordination Dr Lin Aung Programme Development Officer Dr Chusak Prasittisuk Regional Adviser Vector Borne Disease Control Mr Francisco J. Dy, Jr. Administrative Services Officer Mr M.C. Jauhari Ag.Budget and Finance Officer Mr C.P. Jain Assistant Budget and Finance Officer Dr Gunawan Setiadi Short-term Professional Health Systems Dr Doris Seta Mugrditchian Short-term Professional Patient Safety Initiative Mr Salil Agrawal National Professional Officer (Programme and Monitoring) Report of the Forty-third Meeting of the CCPDM Page 24 Ms Rekha Anand Minute Writer Mr T.R. Swaminathan Programme Planning and Coordination Unit Mr R.K. Arora Programme Planning and Coordination Unit Members from WHO Country Offices Dr Duangvadee Sungkhobol WHO Representative to Bangladesh Dr Ei Kubota WHO Representative to Bhutan Dr Tej Walia WHO Representative to DPR Korea Dr Salim J. Habayeb WHO Representative to India Dr Georg Petersen WHO Representative to Indonesia Dr Jorge M. Luna WHO Representative to Maldives Dr Adik Wibowo WHO Representative to Myanmar Dr Kan Tun WHO Representative to Nepal Dr Agostino Borra WHO Representative to Sri Lanka Dr P.T. Jayawickramarajah Ag. WHO Representative to Thailand Mr Narintr Tima National Professional Officer (Monitoring and Evaluation) WHO Country Office Thailand Member from WHO/HQ Dr Jan H.F Remme Coordinator, Science Technology and Knowledge Management Tropical Disease Research (TDR)