, \
WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
\
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMMITTEE Forty-ninth session Manila 14-18 September 1998 Provisional agenda item 9.1
WPR/RC49/4
31 July 1998 ORIGINAL: ENGLISH
--
PROGRAMME BUDGET, 1996-1997: BUDGET PERFORMANCE (FINAL REPORT)
This document presents the final report on the implementation of the regular budget for the 1996-1997 biennium. Information is also provided on funding from extrabudgetary sources. For the period I January 1996 to 31 December 1997, the implementation of the regular budget, in monetary terms, amounted to US$ 74 561 800, equivalent to 100% of the final working allocation. In addition, activities amounting to US$ 44 667 230 have been implemented utilizing extrabudgetary funds. therefore was US$ 119229030. The report includes financial information on implementation of the Regional Director's Development Programme. Expenditures and explanations for significant variations within the individual programmes are shown in the annexes. The interim report on the implementation of the regular budget for 1996-1997 was presented to the forty-eighth session ofthe Regional Committee. The Regional Committee may wish to review and further discuss these final implementation figures. The total implementation for all funds
WPRlRC49/4 page 2
This
final
report
on
budget
performance
for
the
biennium
1996--1997
as
at
31 December 1997 serves as a follow-up to the interim report presented to the Regional Committee at its forty-eighth session in September 1997. The Annexes show details of the final implementation. As explained during the forty-eighth session of the Regional Comm ittee, the 1996--1997 proposed programme budget for the Western Pacific Region was first presented to the Regional Committee at its forty-fifth session in September 1994. Since then a number of important changes have been made. (I) Prior to the Forty-eighth World Health Assembly, changes to programme classifications were
introduced by the Director-General in accordance with resolution EB9S.R4 on strategic programme budgeting. These changes did not affect the overall amount of the budget. The changes were as follows: (a) The classified list of programmes for 1996--1997 a_s presented to the Regional
-
Committee at its forty-seventh session was restructured from 59 programmes into 19 headings to conform to the 1998-1999 global programme classification. The Western Pacific Region figures were consolidated into these headings at the global level, but for presentation at the regional level they were subdivided into 5 I programmes for greater clarity. (b) The Executive Board at its ninety-fifth sessIOn requested the Director-General to
review the 1996--1997 budget proposals with a view to shifting at least 5% of the budget to five priority areas. The Western Pacific Region made shifts at country level in the area of human resources development by classifying fellowships in accordance with the appropriate technical area. At intercountry level, the activities of the health situation and trend
-
assessment team in Suva were reclassified to reflect their focus on epidemiology of communicable diseases. Furthermore, 50% of the Regional Director's Development
Programme was pre-allocated to the programmes for primary health care and control of other communicable diseases. These changes are reflected in Annex 2, column I, in respect of (a) above and column 2 for item (b).
WPRlRC49/4 page 3
(2)
There were also changes that have affected the overall amount of the programme budget.
These are described in detail below and summarized in Annex I. (a) The 1996--1997 regular programme budget proposed to the Regional Committee, at Following
1994-1995 cost levels, amounted to US$ 71531000 (column I of Annex 2).
endorsement, by the Regional Committee, it was submitted to the Director-General for inclusion in the global programme budget, together with a proposal from the Regional Office for the Western Pacific for a US$ 10 834 000 or 15,15% cost increase, The World Health Assembly allowed a global cost increase of 2,50%, For the Western Pacific Region, this
-
meant a 2.05% cost increase of US$ 1 528 700 and an adjustment in the budgetary exchange rate of US$ 487 700, equivalent to 0,65%, These two budgetary adjustments amounting to US$ 2 016 400 are shown in Annex 1 and reflected in column 3 of Annex 2, Also reflected, in column 4, is the transfer of an additional amount of US$ 3 161 600 in respect of the 1996--1997 country programme for Mongolia, The approved programme budget for 1996-1997 thus amounted to US$ 76 709 000, an overall increase of 7,24% over the amount presented to the Regional Committee in 1994, Without the transfer of Mongolia the
allocation would have been US$ 73 471 000 or an increase of 2.71 %, (b) In December 1995, in anticipation of the inability of some Member States to meet
their assessed contributions, the Director-General decided to withhold 10% of all regional
-
allocations, At the forty-seventh session of the Regional Committee, the Regional Director reported that he did not officially bring this 10% reduction to the attention of the Member States as there was a prospect that the amount would be restored, Internally, however,
mechanisms were set in place to meet this reduction should it prove final. In January 1997, since the financial situation of the organization had improved due to collection of overdue assessments, a portion of the withheld budget equivalent to 7,5% was reinstated, A total of US$ 5,8 million was returned to the Western Pacific regional allocation, The remaining 2.5%, or US$ 1 871 000, remained withheld as shown in column 6 of Annex 2, The final working allocation at the end of the biennium was US$ 74 561 800 after taking into account currency exchange adjustments in the Philippine peso exchange rate and additional funds from Headquarters for specific activities amounting to US$ 276 200 (column 7 of Annex 2).
WPRlRC49/4 page 4
The shortfall in the cost increase referred to above meant a budgetary deficit equivalent to approximately US$ 9 million, as explained and discussed in detail at the forty-sixth session of the Regional Committee in September 1995. This shortfall was met mainly by reducing the regional and intercountry programme levels as follows: (i) All activities planned for 1996-1997 in the intercountry programme budget were reviewed in the context of regional and global priorities and according to whether or not they were expected to continue in 1998-1999. A number of activities were deferred, subject to availability offunding. (ii) Also in the context of global and regional priorities, an examination was made
of all posts, in particular those which were vacant or where the incumbent was due to retire during the biennium. This resulted in a number of posts being frozen either fully or partially for the biennium. (iii) All cost projections for 1996-1997 were once agam carefully reviewed and refined, resulting in the following: • The provisions for the costs of long-term posts in both professional and general service staff categories were kept to the absolute minimum. • • Fellowship provisions remained at the 1994-1995 cost levels. Short-term consultant provisions were maintained at the 1994-1995 revised averages. • Duty travel provisions for regional and intercountry staff were reduced by
-
-
15% from the 1994-1995 budget level. In the implementation stages, all possible efforts were made to provide a level of service to the Region which was not compromised by the budgetary difficulties. Inevitably, however, these changes have created a difficult operating environment. For example, the stringent economies
imposed on staffing meant managing programmes with a greater proportion of short-term staff on intermittent assignments to offset the reduction in full-time staff.
WPRlRC49/4
page 5
Adjustments to reflect these changes in programme terms, together with reprogramming during implementation, are shown in column 9 of Annex 2 and result in the operating budget in column 10. Implementation is measured against this operating budget.
The interim report at 31 May 1997 showed that US$ 56.0 million, or 75% of the operating budget, had been obligated. By the end of 1997, US$ 74 561 800, or 100% of the operating budget had been implemented (see columns II and 12). Extrabudgetary contributions are included by programme. They appear as "Extrabudgetary funds implemented" in column 13 of Annex 2. Column 14 shows the total implementation of all funds. Column 15 shows each programme as a percentage of the total funds implemented. The total amount of extrabudgetary funds disbursed was US$ 44 667 230. Annex 3 provides remarks on implementation by programme where there is a variation of 10% or more in the amount of implementation compared to the operating budget. A summary of financial implementation for the Regional Director's Development Programme is attached in Annex 4. A new Annex was introduced at the forty-eighth session of the Regional Committee to show the sources of extrabudgetary funding. This is included as Annex 5. In response to a request at the forty-eighth session of the Regional Committee, a short explanation is provided concerning women's health. Bearing in mind that reproductive health,
women's health and family health is a global priority, considerable resources have been allocated to these areas. The majority of the financial resources allocated specifically for women's and
reproductive health were provided by the United Nations Population Fund (UNFPA). A total of US$ 5 550 700 was received during the 1996-1997 biennium. For that biennium, regular budget resources amounting to US$ 969 800 were implemented. Other programmes such as Adolescent health cover health needs of women and young girls.
WPRlRC49/4 page 6
-
-.
WPR/RC49/4
page 7
ANNEX 1
CHANGES IN THE 1996-1997 REGULAR BUDGET as at 31 December 1997
US$
US$
-
Column reference in Annex 2
I.
Regular programme budget estimates as presented to the Regional Committee at its forty-fifth session Adjustments made during the Forty-eighth World Health Assemhly a) Cost increase b) Budgetary exchange rate adjustment
71531000
1
I.
I 528700 487700 2016400 3
Sub-total c) Transfer of Mongolia
73547400 3 161 600 4
76709000 II.
5
Adjusted programme budget after the Forty-eighth World Health Assembly 10% of budget withheld by the Director-General 7.5% reinstated (7671 000) 5800000 (1 871 000)
2. 3.
6
Sub-total 4. Currency exchange adjustment due to various fluctuations in the Philippine peso exchange rate Funds allocated from Headquarters for specific activities (300200)
74838000
5.
24000
(276200)
7
III. Final working allocation
74561800
8
WPR/R C49/4 page 8
-
-
)
)
Rnancial imp/e""",t.tion of the regular budget and elltrabudgetary funds for the biennium 1996-1997 by major programme and programme as at 31 December 1997 (in United States dollars· 'ODD) (1) 199111997 I'nIposod (2) (I) (4) (5)
Budgotary
a4U- duri"ll WHMl T,_ of ......
Adju_
(I) 2.5% Buclt«
(7) CIIITtI\q'
(l)
MAJORPROGRA~
__ ........ WHA4l (1)tt2)+(1,,(')
__ by....
""'_ adj_ during
R....ocI _ng (S)+(1)tt7)
Ch ..... _ g
Pro....... (9)
(10)
(11)
(12)
(U)
(14)
(15)
Opnting ....... (1)+1-(9)
A..... __ _ _ of_"II
Ettabud~
AKfund.
p........
_ (11)tt1l)
of .....
PROGRAWE'
....... II 19911.999
cII1_n
Progr..... Cost_ .hil1l by & CUITIftCy Hoodq_ a d j _
_. C:-..
__"'-n
oIofipIIon. _
budgII (11)1(10)
funds .....-
imp_. IoIIon by ..........
.............n
(.n fund.)
1.1
Go-.e<nng - . Regon~ ~
1.1.3
RCO
392.0 392.0
Sub-IOIII
75 7.5
399 5 399.5
1100) (10.0)
389.5 319.5
17d8 17U
5683 511.3
557.2 5S7 2
98%
423.6 423.1
,.%
9808 taU
082% O.mr.
2.1 2.11 2.1.2
General progranwne devek)pment a"WI management
Executive""". . . .n1 Managenal p!1>COSS fa! WHO's progflrm1e ~..
EXM
8661 2305.1 730.3 1 0430 2973 5241.1 (520 a)
26.2 796 25.2 10.0 4.3 145.3
892.3 23647 7555 5JJ a
122.3) 1596) (189) (13 a) (78) (flUI
(5.1) (153) (25 .•)
864.9 2309.8 711.2 520 a 2938 4 '99.7
857 (572) 378.3
950.6 2252.6 1089.5 520.0
970.3 2267.3 1 <:35.2
102% 101% 113% 0'1\ 131.9 35.2
970.3 2399.2 1270.4
0.81% 2.01% 107% 000%
GPO ISM
2.1.3 2.1.4 2.1.5
Management and SlJIIporttoinformalionsystems DirectDr General's and
""'R_~O""""'"
development P<09'.......
OGP COR
Coordination with other organizalonS. Mobilization of
edema! health resources SuIHotIII 2.2
(52Q.D)
301 6 4167.1
(45.IJ
( 188.51 105,3 211.3" "'.0
397 .. 5'2.5
38% 12'%
tll.t
39.7 4 '11.&
003% UZ%
Heath, science and public pohcy Hea/lhin~
2.2.1 2.2.2
de""".....
HSD
11406
28.4
11690
(29.2)
11398
(2777)
8621
736.3
85"
29775
37138
3.11%
Rese.-ch palicy and strate9ycoordinalion __ Nalional health policies
RPS
582.0 1722,&
17.9 413
97.0 fT.O
696.9 1165.'
(1141 (II.')
(1.5) (1.5)
678.0 1117,8
(264) (11<.1)
651.6 1513.7
630.0 '341,3
91% "'"
17.9 2 ..5.4
647.9 4311.7
0.54% 3.K"
2.3
and prctgIWI'me deve6cl9ment 2.3.1 2.3.2 2.3.3 and managllment 7echnical _ _ _ wiU1 counl'ie' ~nwiU1_
Tee ICO SUP
88127 448.3 509.7
321.1 71.1
7581 151.4
9891 9 6708 535.7
(237.3) (168) (134) (4.6) "2.9)
9654.6 549.4 509.4
215 17.6 1221)
9678.1 64;7.0 ~7J
8810 2 5422 538.8
91% 96% 111%
25899 177.8
11
400 1 820.0 539.5
956% 069% 0.45%
2.3.4
Eme<geocyand_ action; relief and re/labilitation
_and__ andco_,".)
and people. on g<eate,tneed Procurement services (excluding drug., biologicals
260
,,,,arednes' """""""
EHA
a/ reIecting 1he .... _ _ on st<a1Igic budgeting" confonn with 1he ~ in1he 1998-1999 _ _ """" i>udget(WI'MC4714). bl In Ilecembet' 1995 10'1\ 0I1I1e budget (USS7 671 000) ... withhe~ by 1he IlWectD<·Ge..... pending ............n1on 1I1e collection oI_ng ....umen~: 7.5% (,ounded at USS5 800 000) .",'''' _
CIas_
42.8 9113.5
"9.0
'01.5
43.6 11142.0
11 (HI.I)
(17~)
i 't:I
42.5 lG155.9
1.3 ZO.3
438 ' ••712
98.4 '001.".
225% 13"
321.6 3090.0
420.0 13171.1
0.35% 11.-
~"'ng • ,","held balance of 25%
t'I'i ~ N
ID ~ ~ ~ ~~
:s ~ <l"!
.
)
)
)
)
Finlllcial implementation of the regular budget and extrabudgetary fund. for the biennium 1996-1997 by major programme and programme IS at 31 December 1997 (in United States dollars· '000) continued (1) 19!11111117 (2) IIudgoIIry
4.2 4.2.1 U2 4.~3
4.2.4 4.2.5
-1-IWORPROG_ PROG_ and ........ ".,." MNH ~-indudir9 *<!hoI and IDba:co
"'-" budgII
...duri" WHAU
(3)
(.)
111l1l/I'"
,- ........ --..........- Coo1_ .-Ioy
T_ of
budgII-
(11'(21'(31'(.)
--. -(5) ~ Ioy1llo
(S) 2.5%a.dpI
......-during
......-" .....- -......-C......., .,d_ 17)
I') R_
(9)
(10) ~ budgII (')IHI)
(11)
<II_during
AC1uaI ....,..-mI of_11I1tg
(51'(1)t(1)
......... M4.3 204.9 1760.7
- ----....-. (12) budgII
en--. goIIry
111)
ImpIomonted (111'(13)
..
(1.)
....-. 115)
of .....
_nloy
(11)1(10)
(.. fu .... )
700.5
17.0 36 39.1 11.5
U7
7612 1985 17621
(19.0) 15.0) 144.1) 112.6) 4.91 1 (15.1)
116)
7.a.6 1935
137.8' 20.3 62.2 (116.1)
702.8 213 6 1780.9 312.0 190.3 )11'"
71'0 96% 99'10
U
545.7 5SO.1 1815.1 m.8 16U U23.1
M6% 04<;% 156% 0.23% 0.1." U1'O
.oT HEP
•. 3 4.3.1 43.2
-
Hedl"""",*", eomroo_
19U 1723.1 321 .01 1 ()21.0)
:1452 1244
1118.7
and pubIic_ R.-
IN!' RHB
.92.2 .as.7 U112
.5 72.5
110.1 153.1
S03.7 196.3 )422.5
(3.0) (U)
US.l 191.4 ) 332.)
I"l 1132.5) 1191.0) 26 .81 1
m.8 16H 2152.1
19'11. 86%
'2% 121% 91% 11'%
.0 .0 471.0
_._
socuriIy and ""'"
NUT FOS
~2.1
19,7
Food !!!!!%
360.1 12012
7.1 2&.1
.1.1 :140 7U
9036 .aU I)OU
(22.6)
16.5 11.5
1 ' °_°1 ()2.1)
897.5 391.2 1211.7
706.5 3SU 1071.1
657.3 332.1 l1n.4
(217.')
363.0 7.) 390.)
12.a.3 339.• 1579.7
1.04% 021% 1.)2%
4.4 4.11 U.2 4.4.3 4.4.4 U.S
51 5.1.1.2
-_ .....
Envi'ormental health W_SlAPPlYand_ in hllNll'l seIIIennI$
CWS EUD
2563.1 200.1 30894 70.2
.a1.8
63.8 570 5.2 2.7
60.5
3089 2 257.1
(n.2)
(2.9)
3009.1 2SO.7 3 OS5.4 119.8
(137.3) 52.1 (522.1) 19.5)
28718 302.1 2533.3 110.3
25784 741.7
90% 2.5% 85% 8IJ%
100.9 395 14.2 .0 25.3
26793 781.2 2171.5 81.2 25.3 5751.5
2.25% 0641% 1.83% 0.07" 0.02% "'2%
En'IIorIronti """'" in W'ba1 cIeveiopIMnt AssefimInt of enWonmtnCal _ ofc:hemical ""'" Incorponiion of heaIh concerns into envirormental mat'l2:!!nt _ _ of
(6 .•) (18.3) (3.1)
EHH PCS HCE
39.1 SOD
3133.7 122.9
2162.3 81.2
5.22J
.01.1
121.7
141.5
".2.1 81.0 11.0
(1&5.0)
(U)
&UU
1I1U)
SllU
5510.6
Ill'll
11...
spec{Jc communicable diHases l~
GCE
79.2 7112
1.8 1.1
201 1 (2.0)
79.0 79.0
661 1 (I.S)
72.. 7U
238.7 231.7
33D% 110%
2151.1 2151.1
2319.8 HltA
2.00% 2.00%
~ :I ftI
~
...
~
J: ftI
-= .~ l"'l
~
.....,. .... ~
..,.
)
)
) (1) Operating budget
) (2) Actual expendituras/ obligations (3) Pen:enIage
Remark. on the financial implementation of the regular budget for biennium 1996-1997 by major programme and programme as at 31 December 1997 (in United States dollars· '000)
MAJOR PROGRAMME! PROGRAMME
of operlllng budget implemented (2)1(1)
Remarks
1.1 1.1.3
Goveming Bodies Regional Convnittee IsUlJ.total
RCO
568.3 568.3
557.2 557.2
98%
98%1
2.1 2.1.1 2.1.2 2.1.3 2.1.4 2.1.5
General programme development and management Executive Management Managerial process for WHO's programme management Management and support to information system Director Generars and the Regional Directors' developmenl programmes Coordination witl1 o!her organizations Mobilization of extemal heaHh resources EXM GPO ISM DGP COR 950.6 2252.6 1089.5 520.0 105.3 39.7 38% The post of Exlemal Relations OffICer remained vacant !hroughoui !he biennium. 970.3 22673 1235.2 102% 101% 113% Purtllase of hardware and software to support infonnalion systems in !he Region.
ISiiMolal-- - - - 2.2 2.2.1 2.2.2 HeaHh, SCience and public policy HeaHh in socioeconomic development Researtll policy and strategy coordination ISub-total 2.3 2.3.1 2.3.2 23.3 2.3.4 National heaHh policies and programme development and management TCe Tectmical cooperation witl1 countries ICO Collaboration witl1 countries and peoples in greatest need Procurement services (excluding drugs, biologicals SUP and contraoeptives) EHA Emergency and humanitarian action; relief and rehabilitation operation and emergency preparedness programme ~--
4918.0
4512.5
92%1
HSD RPS
862.1 651.6 1 513.7
736.3 630.0 1 366.3
85% 97%
Restructuring of funding for the Leaming Centre resutted in savings in !his area.
90%1
9678.1 667.0 487.3 43.8
8810.2 642.2 538.8 98.4
91%
96% 111 % 225% Additional support was required to fully serve all requisitions of Member States. Additional funds from !he Regional Directo~s Development Programme (DGP) were provided to implement emergency relief activities in seven countries in !he Region.
10876.2
10089.6
93%1
I.-
~ ><
Jgl":l _100 I.-:ii:
-=~ "
~
...
Remarks on the financial Implementation of the regular budget for biennium 1996-1997 by major programme and programme as (1) Operating budget
at 31 December 1997 (In United States dollars· '000)
> III
MAJOR PROGRAMME! PROGRAMME
(2) Actual expendHuresl obligations
(3) Pen:entlge olopel'lting budget implemented (2~(1)
"' c... ~
III
1IQ"I:j
i~
Remarks
~~ n IQ ~
~
2,4 2,4,1
Biomedical and health inlonnation and trends Epidemiological, statistics, trend assessment and country health information HST 590,8 765,6 130% AddHional funds were provided to seven counbies for: ICD·l0 lraining in China and !he '>hifippines, medical records management in Brunei Darussalam, Malaysia and Palau, and development 01 databases lor inlormation and networ1<ing systems to ladlltate data lransler and dissemination in Mongolia and Viet Nam,
2,4,2
Publishing ianguage and library services ISUb-total
PLL
1148,6 1739,4
1063,4 1 829,0
93% 105%
3,1 3,1,1 3,1,2 3,1,3
Organization and management 01 health systems based on primary health care Health systems resean:h and development National health systems and polities District health systems ISUb-tObll
HSR NHP DHS
96.5 8571.6 2034.8 10702,9
92,3 7947,9 2175,1 10215.3
96% 93% 107% 95%
3.2 3.2,1
Human resources for health Human resources for health ISUb-tobll
HRH
8062,5 8062.5
7535,6 7535.6
93% 93%
3,3 3,3,1
Essential drugs Action programme on essential drugs ISUb-tobll
DAP
1273,9 1273.9
1156,8 1156.8
91% 91%
3,4 3,4,1 3.4.3
Quality 01 care and health technology Technology for health care TradHionaI medicine
THC TRM
1 531.8 689.7
1444,0 842,2
94% 122%
Funds from the RegiOnal Directo(s Development Programme (DGP) and other resources were made available lor the finalization and distribution 01 books and monographs on medicinal plants as well as addHionallraining workshops in Cambodia, Malaysia, !he Republic 01 Korea, South Pacific countries and VietNam.
ISub-tObll
2221.5
2286.2
103%
)
)
) (1) Operating budget (2) Actual expendituleSl obligations (3) PeR:entage 01 operating budget implemented (2~(1)
)
Remarks on the financial implemenlltlon 01 the regular budget lor biennium 1996-1997 by major programme and programme IS at 31 December 1997 (In United States dollars· '000)
MAJOR PROGRAMIIEI PROGRAMME
RImIrks
4.1 4.1.1
Reproductive family and community health and population issues Reproductive health
RPH
739.9
969.8
131%
4.1.3 4.1.5 4.1.7
Adolescent health Ageing and health Occupational heai1h
AOH AHE OCH
89.7 737.2 579.0
153.5 7897 5040
171% 107% 87%
Additional funds were provided for lranslation of family planning manuals into local languages and ptoduction of safe molhell1ood folOets and postelS for !he developing countries in !he Region. Additionallraining courses on reproductive health for people from South Pacific countries were held and supplies were provided for field testing anaemia control in !he Philippines and Viel Nam. In addition to !he budgeted provisions which were fully implemented. a regional worJ(shop on adoIescenl health was held in Manila in December 1997. Provision for the Republic of Korea was totally reprogrammed due 10 a change in governmenl priorities while 27% of Philippines' provision was also reprogrammed 10 tuberaJlosis control. Other provisions were implemented allower costs particularly in China. Mongofia and Viet Nam.
ISUb-total
2145.8
2417.0
113%
4.2 4.2.1
Heai1hy behaviour and mental health Menial health
MNH
702.8
5443
77%
The restructuring resulted in the Regional Adviser for Heai1h Promotion assuming responsibilities of the Regional Adviser for Mental Heai1h which resulted in savings. There were also savings made in !he implementation of aclivities in Mongolia. Tenga and Viet Nam. These were offsel by an additional fellowship in clinical psychology in Northern Mariana Islands and additional activities implemented under the intercountry programme.
4.2.2 4.2.3 4.2.4 4.2.5
Substance abuse including aicohol and tobacco Health promotion Communications and public relations Rehabilitation ISUb-lotal
AOT HEP INF RHB
213.8 1 780.9 312.0 190.3 3199.8
2049 17607 277.8 164.4 2952.1
96% 99% 89% 86% 92%
Health and Development was produced in-noose which resuHed in some savings. Provision for a meeting was nol utilized as activity was supported by external souroes. Other activities were implemented allower costs.
4.3 4.3.1 4.3.2
Nutrition. food seturily and safety Nutrition
NUT
706.5 364.4 1070.9
857.3 332.1 1189.4
121% 91% 111%
Additional activities were implemenled in China as well as in !he inteR:OUntry programme. A short-tenn member of slall was recruited for the posl of Regional Adviser in Nutrition.
Food safety ISUb-total
FOS
> a
""
" ~
1:1
-=~ ,.,.. ID
"C
$!
~
Ut~
_14)
Remarks on tile financial Implementation of tile regular budget for biennium 1996-1997 by major programme and programme as at 31 December 1997 (in UnHed States dollars· '000) (1' Operating budget
> I'
12, Actual expendituresl obligations
MAJOR PROGRAMMEI
PROGRAMME
(l, Percentage of operating budget implemented (2~(1'
= = ... tN
-= ~ ~"I:'
;~
Remarks
• :i;: ~
(")
4.4 4.4.1 4.4.2 4.4.3 4.4.4
Environmental health Water supply and sanitation in human settlemenls Environmental health in urban development Assessment of environmental health hazards Promotion of chemical safety ISUiHotal
CWS EUD EHH PCS
2871.8 302.8 2533.3 110.3 5818.2
25784 741.7 21623 882 5570.6
90% 245% 85% 80% 96%
The Environmental Engineer post based in Viet Nam was vacant for 12 months. Other provisions were implemented at lower cosls. An additional intellXluntry project was implemented in 1997 10 support activities on !tie ,ntegraled programme approach 10 healthy cities. In view of the dosing of ihe WHO Western Pacific Regional Environmental Health Centre IEHC) at ihe end 011997, resources were redeployed. All planned activities were implemented al reduced cosm.
5.1 5.1.1.2
Eradicationlelimination of specific oommunicable diseases Leprosy ISUiHotal GEE
72.4 72.4
238.7 238,7
330% llO%
As a priority programme, additional funds were used for leprosy 'XIntrol activities in the Region. Additional technical support was provided 10 endemic oounllies.
5.2 5,2.1
Control of other communicable diseases Vacdne-preventable diseases
VID
2 198.4
37699
171%
Additional resources were provided 10 sustain poliomyelitis eradication efforts and 10 proceed wiih certification of poliomyelitis eradication. Those activities induded support 10 high-<isk response immunization and strengthening laborato'Y networXs. In addition, large scale mass campaigns against measles were conducted in various Pacific island oounllies.
5.2.2 5.2.3
Diarrhoeal and acute respiralo'Y disease oontrol Tuberculosis
CDR TUB
935.8 1945.8
981.9 2424,5
105% 125% Anti-tuberculosis drugs were provided for the continuous treatment 01 patienls in Cambodia Additional resources were provided 10 support ihe rapid expansion of Directly-obsetved treatment short oourse strategy (DOTS, in !tie Philippines.
5.2.4 5.2.5.1 5.2.54
Emerging diseases induding cholera and oIher epidemic diarrhoeas, zoonoses and antimicrobial resiStance Other communicable diseases AIDS and sexually transmitted diseases
EMC
200.3 1928.1 613.9
183.8 1862.8 9074
92% 97% 148%
OCD OCD
Additional resources were provided 10 improve case management of STOs in medical facilities and to undertake blood safety assessmenls in countries. Support was also provided 10 improve sentinel surveillance in Cambodia and China.
)
)
) (1) Operating (2) Ac:tual-expenditures! obligations
) (3) Percen1aga
"
Remarlll on the financial implementation of the regular budget for biennium 1996-1997 by major programme and programme as at 31 December 1997 (in United States dollars. '0001
MAJOR PROGRAMMEI PROGRAMME
budget
of operlfing budget implernen1ed (2)1(1)
Rlllllrb
5.2.6 5.2.6.1 5.2.7 5.2.8
Controloftropkald~eases
CTO CTD TOR PBD
255.8 3551.1 38.1 342.9 12010.2
124.8 3674.3 36.4 282.0 14247.8
49% 103% 96% 82% 119%
Training activities and field testing of appropriate technology were implemented using extra budgetary funds. Resoun:es were reprogrammed to priority areas.
Malaria Special programme for research and training in tropiaIl diseases Prevention of blindness and deafness ISub-total
Some activities were implemented at lower costs Itlrough use of oollaborating centres.
5.3 5.3.1
Control of nonoommunkable d~ases Control of nonoommunicable d~ases ISub-tatal
NCD
2199.1 2199.1
2061.0 2061.0
94% 94%
6.1 6.1.1
Personnel Personnel seMces and admin~tration ISub-totat
PER
602.0 602.0
581.6 581.6
97% 97~.
6.2 6.2.1
General administration Administrative support to technkal programmes /Sub-total
GAD
4446.6 4446.6
4685.7 4685.7
105% 105%
6.3 6.3.1
Budget and Finance Budget and Finance ISUb-total rTotal
BFI
1120.4 1120.4 74561.8
1 069.7 1069.7 74561.8
95% 95% l00~.
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~ ... ~ ..... .,.
~
WPR/RC49/4 page 18
-
WPRlRC49/4
page 19
ANNEX 4
FINANCIAL INFORMATION ON THE IMPLEMENT ATION OF THE REGIONAL DIRECTOR'S DEVELOPMENT PROGRAMME FOR 1996-1997 (IN US DOLLARS) Major programme Iprogramme 2.1.2 2.2.2 2.3.4 2.4.1 Managerial process for WHO's programme management Research policy and strategy coordination Emergency and humanitarian action; relief and rehabilitation operation and emergency preparedness programme Epidemiological, statistics, trend assessment and country health information 3.2.1 3.4.1 3.4.3 4.1.5 4.2.1 4.2.4 4.3.1 4.4.1 4.4.3 5.2.5 5.2.6 5.3.1 Human resources for health Technology for health care Traditional medicine Ageing and health Mental health Communications and public relations Nutrition Water supply and sanitation in human settlements Assessment of environmental health hazards Other communicable diseases Control of tropical diseases Control of noncommunicable diseases HST HRH THC TRM AHE MNH INF NUT CWS EHH OCD CTD CTD NCD 13900 76200 31 100 31 500 23800 20100 25000 2500 10900 30500 53800 8300 53800 20200 EHA 50000 GPO RPS US$ 58400 10000
5.2.6.1 Malaria
Total
520000
WPRlR C49/4
page 20
-
WPRlRC49/4 page 21
ANNEX 5
SUMMARY OF EXTRABUDGET ARY RESOURCES DISBURSED BETWEEN 1 JANUARY 1996 AND 31 DECEMBER 1997 Sources of funds Agency for Cooperation in International Health Arab Gulf Programme for United Nations Development Organizations AusAID Austria Belgium Brunei Darussalam Cardiovascular Diseases (CVD) Funds from Headquarters CDC Atlanta Denmark Department for International Development, United Kingdom Diarrhoeal and Acute Respiratory Disease Control Programme (CDR) Funds from Headquarters Finland France Germany Global Programme on AIDS· Italy Japan Japan Pharmaceutical and Medical Association Luxembourg Development Malaysia Netherlands Nippon Foundation Norway Pacific Leprosy Foundation Programme on Essential Drugs (DAP) Funds from Headquarters Republic of Korea Rotary Funds Sasakawa Memorial Health Foundation Special Account for Servicing Costs Sweden Trust Funds Tuberculosis Programme (TUB) Funds from Headquarters UNAIDS UNDP UNFPA UNICEF United Nations Association of Singapore Unspecified Funds from Headquarters USAID World Bank Total
Disbursements 669588 73615 4612952 16703 71 509 288 2106 J 324028 538347 I 889511 750677 178 338 360057 36232 1397135 655409 9067410 8806 72 109 3941 575 319 I 780558 274 136 132642 196860 465691 1888770 254394 I 834672 177 318 5171384 22529 170539 3038374 4612780 20345 13 107 953635 I 279853 75563 44667230
• The Global Programme on Aids activities ended in J 995, however, funds have been provided for settlement in 1996 of unpaid obligations as at 31 December 1995.