REGIONAL COMMITTEE Fifty-eighth Session Colombo, Sri Lanka 6-10 September 2005
Provisional Agenda item 7.1 SEA/RC58/16 1 August 2005
REVIEW OF WHO COLLABORATIVE PROGRAMMES IMPLEMENTED DURING THE 2004-2005 BIENNIUM
The 42 Meeting of the Consultative Committee for Programme Development and Management (CCPDM), held in Dhaka, from 5-7 July 2005, deliberated, among other subjects, on the Review of WHO Collaborative Programmes Implemented during the 20042005 Biennium. The background document (SEA/PDM/Meet.42/6) prepared for the meeting is attached. The overall implementation as at 30 June 2005 for the SEA Region was 79% (91% under the Regular budget and 74% under Other Sources). The CCPDM recommended that: (a) the quality of programmes should not be compromised for the sake of meeting financial implementation targets; ( b) workplans for 2006-2007 must take into consideration the need to complete all activities within the biennium since unliquidated obligations as well as unutilized funds will have to be surrendered, and (c) in order to discourage over-budgeting of local costs, full advances can be approved for activities of a short duration provided that the expenditure reports have been received for prior advances. The Agenda item is now submitted to the Regional Committee for its consideration.
nd
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR SOUTH-EAST ASIA
Forty-second Meeting of the Consultative Committee for Programme Development and Management, Dhaka, Bangladesh, 5-7 July 2005
Agenda Item 3.3
SEA/PDM/Meet.42/6 1 July 2005
REVIEW OF WHO COLLABORATIVE PROGRAMMES IMPLEMENTED DURING THE 2004-2005 BIENNIUM
CONTENTS 1. 2. 3. BACKGROUND ................................................................................................................1 REGULAR BUDGET: IMPLEMENTATION TARGETS....................................................1 REGULAR BUDGET: DECREASING TREND OF UNLIQUIDATED OBLIGATIONS (ULOS)........................................................................2 FUNDS FROM OTHER SOURCES.................................................................................3 INCREASED RB ALLOCATION FOR 2006-2007............................................................3
4. 5.
SEA/PDM/Meet.42/6 Page 1
1.
Background
The SEA Region’s Regular budget (RB) figure of US$ 93.2 million for the 2004-2005 biennium is only slightly higher than the figure for the 2002-2003 biennium, which was US$ 93 million. This contrasts with the US$ 5 million decrease in the Region’s RB funding over the previous two biennia – 1998-1999 and 2000-2001 – as a consequence of the World Health Assembly (WHA) resolution 51.31, which authorized a fund shift to the African and European regions from other WHO regions. Another US$ 1.5 million were transferred from the SEA Region prior to the start of the current biennium, but this was offset by the first-ever RB allocation for Timor-Leste in 20042005. However, at the beginning of the current biennium, the Director-General withheld 3% of each region’s RB funding as a contingency for unpaid Assessed Contributions, resulting in a working allocation of US$ 91 million for the SEA Region in 2004-2005.
2.
Regular Budget: Implementation Targets
As in previous biennia, ambitious targets for accelerated implementation of RB-funded activities in countries were established for the 2004-2005 biennium, in accordance with recommendations of the fortieth meeting of CCPDM and the fifty-sixth session of the Regional Committee. Acting upon these recommendations, the Regional Director set the implementation target of 75% for the first year of the biennium, and 100% after twenty months, by 31 August 2005. These targets were slightly lower than those for the 2002-2003 biennium, partly in recognition of the continuous progress that the Region had made in utilizing its funding, and in limiting the reserves and surrenders. At the end of 2004, four of the eleven countries of the SEA Region – India, Myanmar, Thailand and Timor-Leste – reached the 75% target. Countries are progressing towards fully utilizing their available RB funds for activities by the 31 August 2005 deadline. The following two graphs indicate the status of implementation as at 31 December 2004 and the current situation as at 30 June 2005 respectively.
Country-wise Implementation(%) Regular Budget (Activities) (As at 31 December 2004) 100%
80%
60% 90% 40% 68% 71% 62% 76% 67% 65% 71% 77% 66% 78%
20%
0% BAN BHU DPRK IND INO MAV MMR NEP SRL THA TLS
SEA/PDM/Meet.42/6 Page 2
Country-wise Percentage of Implementation Regular Budget (Activities) (As at 30 June 2005) 100%
80%
60% 82% 88% 92% 85% 91% 78% 98% 89% 79% 83%
40%
80%
20%
0% BAN BHU DPRK IND INO MAV MMR NEP SRL THA TLS
3.
Regular Budget: Decreasing Trend Of Unliquidated Obligations (Ulos)
Because of increased attention being given to financial implementation since 2002-2003, significant improvement has been achieved in reducing the carry over of ULOs, and the subsequent surrender of “reserves”, as is evidenced by the following graph: The Regional Office established “reserves” of US$ 9.72 million at the end of the last biennium, compared with US$ 12.69 million at the end of 2000-2001. This represented a reduction of 23.40%. Furthermore, the surrender of reserves is also expected to be much lower as compared to the previous biennium. RB Reserves Established Vs Surrendered for In the past 4 Biennia US $ Million 25
20
15
19.46 12.07 12.21 10.61 8.45
10
5
4.40 1994-1995
4.27 1996-1997
3.76 1998-1999
2.08 2000-2001
1.27 2002-2003
0
Reserves Surrendered
SEA/PDM/Meet.42/6 Page 3
4.
Funds From Other Sources
The figure for funds received from Other Sources (OS) in the SEA Region is now twice the figure for RB allocation. At the start of the 2004-2005 biennium, the Programme Budget projection of US$ 191 million for OS funds for the SEA Region appeared over-optimistic, considering that it represented an increase of nearly 50% over the figure for 2002-2003. However, the December 2004 tsunami followed by the UN consolidated flash appeal for disaster relief resulted in donations of more than $ 40 million to the Region in the first four months of 2005. This enabled the Region to meet the projected budget figure. Besides Emergency Preparedness and Response, the programmes receiving the largest share of donor contributions in the Region are Polio Eradication, Tuberculosis, and HIV/AIDS. The table on the next page gives the implementation status, by area of work, for both Regular Budget and OS funds as at 30 June 2005.
5.
Increased RB Allocation For 2006-2007
The fifty-eighth World Health Assembly in May 2005 approved an increase of 4% in RB funding, which has resulted in an additional $5.8 million for the SEA Region for the 2006-2007 biennium. This increase will provide additional funds for country presence and could help to mitigate the negative effect of the substantial appreciation of several local currencies against the US dollar in recent years, which in turn has resulted in an increase of certain fixed costs such as staff salaries as well as local costs in US dollar terms. Furthermore, since WHA 51.31 will expire at the end of 2005, there will no longer be a reduction in the Region’s RB funds in favour of other regions for the next biennium. Also, ICP II funds will no longer be shifted from countries to the Regional Office. As far as setting of implementation targets for the next biennium is concerned, the Regional Director has laid particular emphasis on the quality of implementation, rather than on setting specific financial targets for particular dates during the biennium.
SEA/PDM/Meet.42/6 Page 4
Budgetary Implementation, 2004-2005 By Area of Work (in descending order) All Sources of Funds (As at 30 June 2005) Expressed in US$
Areas of Work Immunization and vaccine development (IVD) Emergency preparedness and response (EHA) Tuberculosis (TUB) WHO'S presence in countries (SCC) Organization of health services (OSD) HIV/AIDS (HIV) Communicable disease prevention, eradication and control (CPC) Communicable disease surveillance (CSR) Health and environment (PHE) Surveillance, prevention and management of noncommunicable diseases (NCD) Malaria (MAL) Child and adolescent health (CAH) Making pregnancy safer (MPS) Essential medicines: access, quality and rational use (EDM) Sustainable development (HSD) Evidence for health policy (GPE) Director-General, Regional.Directors and Independent functions (DGO) Health promotion (HPR) Tobacco (TOB) Informatics and infrastructure services (IIS) Research policy and promotion (RPC) Mental health and substance abuse (MNH) Blood safety and clinical technology (BCT) Human resources development (HRS) Nutrition (NUT) Health information management and dissemination (IMD) Programme planning, monitoring and evaluation (BMR) Budget & financial management (FNS) Research and programme development in reproductive health (RHR) Women’s health (WMH) Injuries and disabilities (INJ) Food safety (FOS) Governing bodies (GBS) Resource mobilization, and external cooperation and partnerships (REC) Research and product development for communicable diseases (CRD) Total
Expenditure RB 1,460,412 1,222,521 1,600,193 18,408,063 13,317,117 1,934,289 1,720,999 3,635,454 4,135,257 3,772,815 2,511,244 2,636,433 2,528,119 2,476,169 2,158,450 2,545,883 2,063,762 1,419,808 1,379,481 1,592,986 1,531,898 1,393,871 1,291,067 825,831 1,009,507 992,260 968,220 948,942 183,628 719,944 612,128 571,608 249,005 53,178 6,871 83,877,413
OS 69,683,740 35,779,864 20,049,391 837,272 276,630 8,360,414 5,453,718 1,530,024 405,696 511,622 1,666,513 611,766 525,323 533,442 725,582 266,643 99,098 311,960 321,171 57,205 101,195 201,647 310,863 48,896 297 646,425 61,455 29,389 1,381 11,481 30,452 149,450,555
Total 71,144,152 37,002,385 21,649,584 19,245,335 13,593,747 10,294,703 7,174,717 5,165,478 4,540,953 4,284,437 4,177,757 3,248,199 3,053,442 3,009,611 2,884,032 2,812,526 2,162,860 1,731,768 1,700,652 1,592,986 1,589,103 1,495,066 1,492,714 1,136,694 1,058,403 992,557 968,220 948,942 830,053 781,399 641,517 572,989 249,005 64,659 37,323 233,327,968