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. REP ORr OF THE REGIONAL COMMITTEE 51
ANNEX
5 (wp /RC12/15)
REPORr OF THE SUB-COMMrTTEE ON PROGRAMME AND BUDGEr
1.
INTRODUCJrION
The Sub-Committee on Programme and Budget, composed of representatives
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from Cambodia, China, Japan, Malaya, New Zealand, Philippines, united Kingdom and Viet Nam, held two meetings on 51 August and 4 september 1961 under the chairmanship of Dr. E. Valencia. (i) It discussed the following items:
Review of the regular programme and budget for 1962 in the light of present budgetary adjustments and consideration of amendments proposed by Member countries
(ii)
Proposed programme and budget estimates for the 1965 regular programme
(iii) (iv)
Malaria Eradication Special Account Supplementary list of projects
(v) Expanded Programme of Technical Assistance (vi) Special Account for the Community water Supply
Representatives from Australia, Netherlands, the south Pacific Commission and four of the non-governmental organizations in official relations with WHO also attended. 2. DISCUSSI ON
2.1 Review of the regular programme and budget for 1962 in the light of resent budget ad"ustments and consideration of amendments roposed by Member countries document WP RC12 3 The Sub-Committee noted that the modifications made were due to the
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REGIONAL COMMITTEE: TWELFTH SESSION
following factors:
the decision of the World Health Assembly to transfer the
administrative and operational costs of the Malaria Eradication Special Account to the regular budget as from January 1961, which would mean an increase of nine posts including one international post; the decision of the DirectorGeneral to close the Singapore Epidemiological Intelligence station as of January 1962, which would result in the abolishment of six local posts; the need to provide for an additional medical officer in 1961, which would be a continuing charge. of $17 924. These modifications accounted for an additional requirement
The increased provision for duty travel related to the duty travel
costs for staff transferred from the Malaria Eradication Special Account and did not indicate an increase in duty travel for the Regional Office staff. As far as field activities were concerned, there were no significant changes in the staffing pattern other than the addition of a secretary for a regional adviser and two clerk-typists in the Area Representative's office in Singapore resulting in an increase of approximately $2000. The modifications made to the country programmes were the result of discussions and agreements between the Organization and Member governments, the advance award of some fellowships to 1961, revised requirements in connection with the contributions to the United Nations Pension Fund and finally, changes in the average costing for short-term consultants. The representative of the Netherlands referred to the deletion of the dental health fellowships for Netherlands New Guinea. Assistance in the
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field of dental health was now being provided by the Netherlands Government in the form of fellowships at the Dental 'l!raining School, Suva, Fiji. assistance was not therefore now required for dental health education.
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A question was raised as to the extent the services provided by the Singapore Epidemiological Intelligence Station would be affected by the Director-GeneralIs decision to curtail its operation. The Assistant Director-General assured the Sub-Committee that with the new arrangement there would be no reduction in the functions or responsibilities
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under the International Sanitary Regulations • DeCision: The Sub-Committee agreed to recommend to the plenary session that these~odifications should be incorporated into the 1962 programme, and that the Regional Director should be requested to implement the programme as amended.
2.2
and budget estimates The Committee noted that the total proposed budget for 1963 was $1 825 280.
The proposal for 1963 represented an increase of $134 426, or 7.95 per cent., against that of 1962.
Of this total, the amount proposed for field activities
was $1 380 235, representing a 9.86 per cent. increase over that of 1962, While that proposed for the Regional Office was $445 045, an increase of 2.43 per cent. over that of 1962. This was in line with the Regional Director's policy
of keeping the staffing pattern of the administrative side of his office to ,-., the minimum level and providing as much technical assistance as possible to Member governments. The Regional Office (pages 3-8) There was no change in the number of posts proposed in the Regional Office, which remained at 58. Duty travel costs remained the same as in previous years; however, home '~
travel costs showed a slight increase as a result of the home leave schedule of the international staff. It might, in future, be necessary to increase
REGIONAL COMMtTrEE: TWELFTH SESSION
the item "allowances" as a result of future changes in the cost of living in Manila. This, however, could not be foreseen at the time of the presentation
of the document and the same level as in previous years had, therefore, been maintained. Attention was drawn to a change in the title of some staff members in the Regional Office. Formerly the Director of the Bureau of Health Services Recently, there had been -,
was assisted by three public health administrators.
many questions regarding the nomenclature of the posts and it had been thought more realistic to give this post a functional title rather than something vague. The Director-General had approved the suggestion that there should be two or three assistants to the Director of Health Services and, as the public health administrators actually served i,n this capacity , it seemed more appropriate to call them what they actually were. A change had therefore been made in The three public health
the functional titles of the staff members concerned.
administrators had thus been replaced by two assistant directors of health services and one regional adviser on public health administration (the latter appearing under "Regional Advisers") to handle all matters pertaining to public health administration. Regional Advisers (pages 9-12) The post of regional adviser in health education had been suppressed in
1959. The Regional Director now proposed to reinstall this in 1963. In addition, an increase in the number of clerk-stenographers and clerk-typists was proposed in order to deal with the ever-growing volume of work resulting from the wider distribution of technical and information material to Member goverrunents. Duty travel estimates would be increased by $2000. There would,
on the other hand, be a slight decrease in home leave requirements.
REPORr OF THE REGI ONAL COMMl:TTEE
35
The total requirements, therefore, represented merely a slight increase over that of 1962. Area Representatives (pages 13-16) No change was proposed in the staffing pattern. Duty travel expenses
would be maintained at the same level as in 1961 and 1962. Country projects (pages 17-116) Note was taken of a working document WP/RC12/P&J3/2 (see Annex 1) which contained an ana.1ysis of field activities for 1963. As in previous years, the
field of public health administration had the largest share of funds, with a percentage of 31.73, followed by nursing 11.35 per cent., tuberculosis 9.56 per cent., maternal and child health 6.6 per cent. and environmental sanitation 5.9 per cent. Inter-country programmes (pages 118-133) In addition to such inter-country projects as the yaws and tuberculosis teams which would visit various countries, the following inter-country seminars or training courses were proposed by the Regional Director: (1) seminar on immunization in the control of communicable diseases, (2) seminar on the role of the hospital in the public health programme, and (3) training course on epidemiology and bacteriology of enteric infections. DeCision: The Sub-Committee decided to recommend to the main Committee the approval of the programme and budget for 1963 as proposed by the Regional Director. 2.3 Malaria Eradication Special Account (document WP/RC12/4) The Sub-Committee was informed that the Malaria Eradication Special Account (MESA) had been established to supplement the malaria eradication programmes already included in the regular and Technical Assistance budgets. The total shown under MESA for malaria eradication projects in 1963 was
REGIONAL COMMI'lTEE: TWELFTH SESSION
$618 896;
an amount of $49 795 was allocated under the regular budget, and
$149 701 under the Technical Assistance budget. The Malaria Eradication Special Account was a voluntary fund and the implementation of the proposed programmes depended upon the availability of funds; also, further agreement had to be reached between the governments concerned and the Organization before these programmes could be implemented. MOdifications could, therefore, be expected as these programmes developed in the following years. The SUb-Committee noted that a correction had to be made to the text covering the Sarawak malaria eradication project. The phrase "malaria
programme until 1960" in the fifth line was, therefore, amended to "malaria programme until 1963". The attention of the Sub-Committee was drawn to the fact that the Organization was not in a position to allocate funds for a project unless a plan of operation had been agreed upon and signed by the government concerned and the Organization. The 1963 programme was, therefore, a tentative one and
only when the criteria established by the organization had been agreed on by the governnlent would a definite allocation of funds be made. The Assembly resolution covering the gradual transfer of malaria programmes to the regular programme was discussed in some detail. The Assembly had
proposed that in 1962 the Director-General would add into the regular budget the amount of $2 000 000 for activities under MESA, which meant that to the extent of $2 000 000 these activities would be implemented in 1962 by funds made available from the regular budget of the Organization. For the 1963
programme 1 the Assembly had agreed that the amount of $4 000 000 should be
REFOR!' OF THE REGIONAL COMMJ:TTEE
included in the regular budget of WHO for the same purpose.
The entire
expenditure under the Malaria Eradication Special Account, which might exceed $4 000 000 would be incorporated into the regular budget from 1964 onwards. As could be seen, therefore, there were three stages. The whole malaria
eradication programme in the Special Account could not be transferred in one or two years. It was, therefore, necessary to continue to show in 1963 the
expenditure under the Malaria Eradication Special Account, instead of in the regular budget. Decision: The Sub-Committee decided to recommend approval of the proposed programme .and budget under the Malaria Eradication Special Account. 2.4 Supplementary list of projects (document
vIP /RC12/4: pages 170-194)
The Sub-Committee was informed that requests for assistance from Member governments usually exceeded the funds available and it was accordingly necessary to relegate some of these requests to the supplementary list for implementation in the future should savings become available. The list before
the Sub-Committee consisted of requests made by Member governments in 1961, 1962 and 1963. Those projects which would be undertaken in 1961 and 1962 had
been cleared by the respective governments before the programme and budget doctUllent had been prepared, and 1963 projects '''ere those included in the original requests which could not be accommodated in the regular budget. The Sub-Committee noted that two additional requests were to be added to the list: (1) in connection with an environmental sanitation project in
China which would cost $29 537 in 1962 and $15 757 in 1963; (2) a fellowship in 1962 to permit a medical officer in Malaya to visit IndoneSia, Taiwan and the Philippines for seven l1eeks to observe the treponematoses control programmes in these countries, - this would cost $900.
REGIONAL COMMJ:'ITEE: TWELFTH SESSION
Decision: The Sub-Committee decided to report to the plenary session that it was satisfied with the supplementary list of projects as listed and amended. 2.5 E anded Pro ramme of Technical Assistance (document WP/RC12/4: pages 1-132; and Annex A, pages 1 2-1 9 The Sub-Committee noted that the proposed programme under Technical Assistance for 1963 was based on information received from Member governments and was at this stage highly tentative. At the present time no country target
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figures had been established and the final amounts governments would receive for their health activities could not be forecast with any degree of precision. Requests under the Technical Assistance programme and budget were made by Member governments direct to the Technical Assistance Board, except in the case of inter-country programmes. The Sub-Committee therefore had no The document had been prepared
responsibility to take any action on the item.
solely to give the Regional Committee further information and the opportunity to review in perspective, the regional health programme planned under the Technical Assistance programme. Attention was drawn to three inter-country projects proposed by the Regional Director: Seminar on health surveys and reporting Seminar on composting of organic wastes Conference of deans of medical schools Unless the Sub-Committee decided othe~·dse,
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intended to submit this proposal for the consideration of the DirectorGeneral for inclusion in the Technical AsSistance programme in 1963. Decision: The SUb-Committee agreed to the inclusion of the following inter-country projects under the Technical Assistance Programme in 1963:
REPom OF THE REGIONAL COMMITrEE
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Seminar on health surveys and reporting seminar on compo sting of organiC wastes Conference of deans of medical schools 2.6 Special Account for the Community water Supply (docmnent WP/RCl2/4: page l58) As no programmes were proposed in 1963, the Sub-Committee merely took note of this item.
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REPORr OF THE REGIONAL COMMI'I'rEE
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(Annex 1 to WP/RC12/13)
ANALYSIS OF PROPOSED PROGRAMME AND BUDGET EsrIMATES REGULAR FUNDS (FIELD ACTIVITIES)
SUMMARY Regional Committee Meeting costs (Appropriation section 3) .. Regional office costs (Appropriation Sections 5 and 7) .....• Field activities (APpropriation Sections 4 and 7) ........... TorAL
1962 US$
1963 US$
8 480 434 479 1 270 094
8 090 445 045 1 417 332 1 870 467 ====-==-=
.................................................. 1 713 053 ----- - -ANALYSIS OF FIELD ACTIVITIES FOR 1962 I Continuing I New Projects projects I US$ i US$ %
Total
% 0.67
US$
% 2.92 7.65
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Malaria ...................... Tuberculosis venereal diseases and treponematoses Endemo-epidemic diseases ' Virus diseases Leprosy public health administration Vital and health statistics ,- Dental health t Nursing Social and occupational health Health education of the public Maternal and child health Mental health Nutrition Radiation and isotopes ......... Envirorunental sanitation ........ Education and training ............ other projects ............................. TorAL .......................... 1
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................. ............. ..... ................. ·..................... . .. ................ ·..................... .... ................ ....................
37 Orr3 88 616 78 829 6 800 9 009 317 335 47 590 109 976 69 73'r
2.92 6.98 6.21 0.53 0.71 24.99 3·75 8.66 1.03 5.49 2·55 1.80 8.21 5·50 0.08 79.41
8 500 23 27 1 16 28 16 26 8 6 11 2 32 3 9 34 5 261 765 000 700 700 150 200 100 200 800 000 500 722 300 100 097 800 634--- ---
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37 073 97 116
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13 083 32 425 22 840 275 872 000 460
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104 69 1 008
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1.88 2.13 0.13 1.31 2.21 1.28 2.05 0.64 0.53 0.87 0.20 2·57 0.26 0.72 2.69 0.45 20·59 1 -====
6.21 78 829 2.41 30 565 2.8436 009 1 700 0.13 334 035 26.30 5.96 75 740 16 200 1.28 136 076 10.71 0.648 200 19 883 1.56 6.36 80.737 34- 925 2·75 55 562 4.37 0.26 3 300 113 375 8.93 103 969 8.19 6 800 0.53 270 094 100.00
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REGIONAL COMMI'ITEE: TlJELFrH SESSION
ANALYSIS OF FIELD ACTIVITIES FOR 1963 \
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Continuing Pro.Jects US$
New projects
Total
Malarla ......................... ,
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us$ 3·51 9·36 6.24 2
US$
Tuberculosis •••.•.•.•..•.••.. venereal diseases and treponematoses ••.•..••..... Endeoo-epidemic diseases .••.• Virus diseases .••..••.•..•.•. Leprosy ...................... .
1
49 795 132 635
Boo
0.20 2·70 0.48 0·97 9.48 0.17 0·33 3.08 2.15 2.00 0.12 0.14 1.39 0·70
49 795 135 435
3·51 9.56 6.24 2·70 0.66 0·97 31. 73 4.23 0·75 11.39 0.23 3·42 6.60 3·20 2.23
2 500
Public health administration • Vital and health statistics .• Dental health •.•...•...••.•.• Nursing ......................... .
31) 57 6 117 3
Social and occupational health Health education of the public Maternal and child health ...• Mental health ••••...••.••.... Nutri tion ..................... .
17 65 43 31
357 559 000 714 200 954 288 727 587 -
3B 250 6 800 0.18 13 700 22.25 134 305 2 400 4.06 0.42 , 4 700 8.31 43 765 0.23 30 463 1.27 28 322 4.60 1 700 3.0B 2.23
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88 383 38 250 9 300 13 700 449 662 59 959 10 700 161 479 3 200 48 417 93 610 45 427 31 587 84 202 80 426 13 800
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Radiation and isotopes ..•..•. Environmental sanitation .•.•• Education and training ..•.... other projects ••.......••.•.•
82 202 60 676 3 800
5.80 4.28 0.27 76.09
2 000 19 750 10 000 ! 338
TOTAL .............. (1 078 377
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23.91 1 417 332 100.00
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