Financial and administrative implications for the Secretariat of resolutions proposed for adoption by the Health Assembly

SEVENTY-FIRST WORLD HEALTH ASSEMBLY A71/A/CONF./3 Add.1 Agenda item 11.2 23 May 2018 Financial and administrative implications for the Secretariat of resolutions proposed for adoption by the Health Assembly Resolution: Cholera prevention and control A. Link to the programme budget 1. Programme area, outcome and output(s) in the Programme budget 2018–2019 to which this draft resolution would contribute if adopted Programme area: E.1. Infectious hazard management Outcome: E.1. All countries are equipped to mitigate risks from high-threat infectious hazards. Output: E.1.1. Control strategies, plans and capacities developed for diseases such as cholera, viral haemorrhagic fever, meningitis and influenza and those due to vector-borne, emerging and re-emerging pathogens. 2. Short justification for considering the draft resolution, if there is no link to the results as indicated in the Programme budget 2018–2019: Not applicable. 3. Brief description of any additional Secretariat deliverables during the biennium 2018–2019, which are not already included in the Programme budget 2018–2019: In line with the proposed resolution, additional activities for the biennium 2018–2019 include the reinforcement of the Global Task force on Cholera Control secretariat at WHO through the recruitment of additional staff, and increased capacity to support countries to scale up their ability to implement and monitor multisectoral cholera control plans through the organization of in-country workshops and recruitment of technical experts to be based in at least four cholera-affected countries. 4. Estimated implementation time frame (in years or months) to achieve the resolution: The resolution is aligned with the time frame of the Ending cholera: a global roadmap to 2030, with objectives set to reduce cholera deaths by 90% by 2030. B. Resource implications for the Secretariat for implementation of the resolution 1. Total resource requirements to implement the resolution, in US$ millions: Estimated at US$ 121 million from 2018 to 2030, with an expected increase in staffing and activities in countries to provide support for the implementation of the entire road map in countries. A71/A/CONF./3 Add.1 2 2.a. Estimated resource requirements already planned for in the Programme budget 2018–2019, in US$ millions: US$ 7.93 million. 2.b. Estimated resource requirements in addition to those already planned for in the Programme budget 2018–2019, in US$ millions: Zero. 3. Estimated resource requirements in the Programme budget 2020–2021, in US$ millions: US$ 19.69 million for the biennium 2020–2021. 4. Estimated resource requirements in future programme budgets, in US$ millions: US$ 10.43 annually, which reflects a 20% increase in staffing and activities requirements in the African Region, South-East Asia Region and Eastern Mediterranean Region, up to 2030. 5. Resources available to fund the implementation of the resolution in the current biennium, in US$ millions – Resources available to fund the resolution in the current biennium: US$ 4.10 million available under the cholera workplan 2018–2019 of the programme budget of the WHO Health Emergencies Programme. – Remaining financing gap in the current biennium: US$ 3.83 million. – Estimated resources, foreseen but not yet available, which would help to close the financing gap in the current biennium: Zero. Table. Breakdown of estimated resource requirements (in US$ millions) Biennium Costs Headquarters Region Total Africa The Americas South-East Asia Europe Eastern Mediterranean Western Pacific 2018–2019 resources already planned Staff 3.87 1.00 0.25 0.20 NA 0.40 NA 5.72 Activities 1.06 0.79 0.00 0.18 NA 0.18 NA 2.21 Total 4.93 1.79 0.25 0.38 NA 0.58 NA 7.93 2018–2019 additional resources Staff – – – – – – – – Activities – – – – – – – – Total – – – – – – – – 2020–2021 resources to be planned Staff 5.09 4.00 0.50 0.80 NA 1.20 NA 11.60 Activities 1.70 3.56 0.53 0.57 NA 1.70 NA 8.09 Total 6.79 7.56 1.03 1.37 NA 2.90 NA 19.69 Future bienniums resources to be planned Staff 5.09 6.00 0.50 0.96 NA 1.44 NA 13.99 Activities 1.93 2.68 0.39 0.68 NA 1.19 NA 6.87 Total 7.02 8.68 0.89 1.64 NA 2.63 NA 20.86 NA: not applicable. = = =