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Draft budget for the first financial period: financial history of WHO's Tobacco Free Initiative

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WORLD HEALTH ORGANIZATION OPEN-ENDED INTERGOVERNMENTAL WORKING GROUP ON THE WHO FRAMEWORK CONVENTION ON TOBACCO CONTROL Second Session Provisional agenda item 5.2 A/FCTC/IGWG/2/3 27 January 2005

Draft budget for the first financial period Financial history of WHO’s Tobacco Free Initiative Note by the Secretariat INTRODUCTION 1. This document is based on the discussions that took place at the first session of the Intergovernmental Working Group on the Draft Budget for the first financial period, document A/FCTC/IGWG/1/6, and on identification of next steps. A summary of those discussions is recorded in the Draft report of the first session of the Inter-Governmental Working Group (documents A/FCTC/IGWG/1/8, paragraphs 55 to 64 and paragraph 80 (e)) In the course of the discussions requests were made for financial information that might give some indication of the likely costs of implementing the Framework Convention and the possible level and structure of the budget. 2. This document deals with two of the specific requests for financial information, namely, the request for a breakdown of the expenditure of WHO's Tobacco Free Initiative over the previous five years. and the request for the proposed budget allocations for the Initiative for the biennium 2006-2007.1 3. The Secretariat has therefore prepared four financial tables giving a budget and breakdown of expenditure on tobacco by expected results, office and region for each of the four bienniums 2000-2001, 2002-2003, 2004-2005 and 2006-2007; a fifth table summarizes the budget and expenditure for the entire eight-year period (see Annexes 1 to 5 respectively). The seven major areas of activity are discussed in detail below. As results-based budgeting and a financial tracking mechanism for the tobacco area of work were only introduced from the biennium 2000-2001, earlier figures could not be abstracted from larger projects and programmes without undue investment of time and effort. This document considers expenditure since that biennium. It should be noted that the figures include WHO’s administrative budget and expenditure for tobacco, and that the figures for the regions include expenditure and budgets for WHO’s 147 country offices. 4. In order to achieve consistency between the expected results for the bienniums 2000-2001 and 2002-2003 and those for the bienniums 2004-2005 and 2006-2007, which differed because of a change 1

See document A/FCTC/IGWG/1/8, paragraph 56.

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in reporting methods, all tobacco-related activities had to be identified and assigned to each of the seven major areas of activity, using a “best fit” method for those that fitted into more than one category. The funding allocations were then matched by activity to each of the expected results. Where an allocation overlapped more than one major activity, it was broken down by percentage (e.g. 50%-50% or 40%-30%-30%) based on experience at headquarters in the regions. 5. The extra resources needed to implement Article 24 of the Framework Convention have not been included in the Proposed Programme Budget 2006-2007. Should the Conference of the Parties assign permanent Secretariat function to WHO, provision for additional financial resources will have to be made. 6. The past and proposed expenditure shown in the tables have not and will not meet all the Initiative’s needs and requirements. Limited funding and insufficient human resources already prevent it from reaching all its stated objectives, and the additional tasks imposed by the implementation of the Framework Convention will result in further constraints.

ORGANIZATION-WIDE EXPECTED RESULTS FOR THE TOBACCO FREE INITIATIVE 7. The financial information presented in this document is based on the expenditure and estimated resource requirements that have been or are expected to be used to achieve results in the seven major expected results categories;. this section describes the work programmes and activities associated with each of those categories. 8. The expected results are divided into seven major areas of activity: • Capacity building and training • Tobacco Free Initiative global network • Surveillance and monitoring programme • Research and policy development • Communications and media • Secretariat functions for the WHO Framework Convention on Tobacco Control • Planning and management 9. Capacity building and training. In this area, the Initiative works on the planning and implementation of tobacco-control projects aimed at strengthening national tobacco-control capacity. Its activities include technical support for the preparation of national plans of action, human resource development, establishment of basic infrastructure, establishment of multisectoral committees and adjustment of recommended activities to existing programmes and structures. The Initiative, organizes regional, subregional and national workshops to support countries in developing and implementing tobacco-control measures tailored to their local needs, allocating WHO seed grants for the establishment of country programmes. It provides support for the preparation of national legislation,

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and for economic and product regulation, and prepares and disseminates tobacco-control guidelines and reports. 10. Tobacco Free Initiative global network - The Initiative participates with collaborating centres and other international agencies to promote regional and country tobacco-control work. Within WHO, it participates in and contributes to internal coordination and Organization wide development programmes including the preparation of reports for and attendance at meetings of WHO’s governing bodies. It also attends and participates in fund-raising exercises. The Initiative provides the secretariat of the WHO Study Group on Tobacco Product Regulation, which advises WHO about recommendations and scientific advice to Member States on evidence-based means to achieve a coordinated regulatory framework for tobacco products. The Initiative also provides secretariat functions for the United Nations Ad Hoc Interagency Task Force on Tobacco Control, which is chaired by WHO, working with the Task Force to develop cross-sectoral tobacco-control projects. It collaborates with nongovernmental organizations to support global, regional and country tobacco control through educational campaigns, training sessions, awareness workshops and the production of tobacco-control materials and participates in world conferences and other global and regional meetings relevant to tobacco control. It disseminates information on current practices and lessons learned from country experiences. 11. Surveillance and monitoring programme. The Initiative monitors and evaluates international tobacco-related issues by reviewing structural elements (task forces, commissions, nongovernmental organizations), process developments (laws and regulations, economics, behaviour, exposure, advocacy) and epidemiological data (prevalence, morbidity, mortality). It has established a global tobacco surveillance system including the Global Youth Tobacco Survey, the Global School Personnel Survey and the Global Health Professionals Survey. A global tobacco-control information system has been implemented and tobacco industry monitoring reporting, research and analysis are being carried out. 12. Research and policy development. In this area of activity, the Initiative collaborates with an international network of scientists and health experts to promote research into various aspects of tobacco production and consumption and their impact on health and economics. It develops and disseminates policy recommendations on second-hand tobacco smoke; tobacco and youth; gender-specific tobacco issues; smoking cessation; health professionals' role in tobacco control; and tobacco and tuberculosis. It also conducts economic research into tobacco control at the global, regional and country levels. 13. Communications and Media. The Initiative works to ensure that tobacco remains in the public consciousness by supporting anti-tobacco media campaigns and workshops undertaken by local, national and international civil society organizations. It sponsors and coordinates World No Tobacco Day with global and regional events, campaigns and awards, participates in media collaboration (interviews, writings, press activities) and has established and maintains its own web site. A progress report on its activities and work programme is continuously updated. 14. WHO Framework Convention on Tobacco Control Secretariat Functions - The Inititiative provides support to WHO Member States, nongovernmental organizations and other partners in the tobacco-control, public health and legal aspects of the Framework Convention. It provides technical support to countries in their efforts to strengthen their infrastructure and take the necessary steps towards the signature, ratification and implementation of the Framework Convention. It prepares and disseminates background material on the treaty and responds to requests and technical questions about the treaty from permanent missions in Geneva and other government representatives. It also conducts and supports awareness-raising workshops and meetings with politicians, policy-makers, health 3

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professionals and society at large. Prior to the adoption of the Framework Convention it has provided support for the Intergovernmental Negotiating Body and continues to support the Open-ended Intergovernmental Working Group, in particular preparing and disseminating documentation. It has also provided secretariat support for a global public hearing on the Framework Convention. 15. Planning and Management. This area of work consists of those management or planning functions which can be attributed to all the expected results in general and to no expected result in particular. It should be noted that this area of work is not specified as an expected result for the WHO budgetary process, but is normally included in each of the other expected results. Therefore, this line does not appear on the 2004-2005 or 2006-2007 reports on estimated budget resource requirements. However, when the actual expenditures are accounted for, certain expenditures such as management salaries, which can not be associated with a particular expected result, will be included under the planning and management line item. Currently, the reports on actual expenditure are available only for the biennium 2000-2001 and 2002-2003. When the 2004-2005 actual expenditures are available, the planning and management expenditures will be identified and listed.

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ANNEX 1 EXPENDITURE BY EXPECTED RESULTS FOR TOBACCO FOR THE BIENNIUM 2000-2001 AT HEADQUARTERS AND BY REGION1 (US$ thousand) The Americas 0 0 0 244 242 0 377 293 0 621 535 3.2 0 0 0 0 0 58 206 0 58 206 0.3 South East Asia 937 739 0 338 993 416 900 231 155 100 000 0 2 024 788 10.4 Eastern Mediterranean 55 392 0 0 511 432 0 0 0 566 824 2.9 Western Pacific 0 0 0 832 212 17 625 0 145 366 995 203 5.1

Headquarters Capacity-building and training WHO TFI global network Surveillance and monitoring Research and policy development Communications and media WHO Framework Convention on Tobacco Control Planning and management Total Percentage Regional percentage 1 744 266 1 465 311 1 311 755 1 707 590 1 228 579 3 176 197 1 729 625 12 363 321 63.6

Africa

Europe 285 774 300 000 0 1 908 614 84 095 33 900 209 305 2 821 689 14.5

Total 3 023 171 1 765 311 1 650 747 5 620 990 1 561 454 3 745 596 2 084 296 19 451 566 100.0

% 15.5 9.1 8.5 28.9 8.0 19.3 10.7 100.0

36.4

1

Data extracted from WHO’s accounting database. A/FCTC/IGWG/2/3

5

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ANNEX 2 EXPENDITURE BY EXPECTED RESULTS FOR TOBACCO FOR THE BIENNIUM 2002-2003 AT HEADQUARTERS AND BY REGION1 (US$ thousand) The Americas 344 407 152 250 261 043 82 739 20 915 114 777 297 349 1 273 480 5.0 South East Asia 819 772 310 947 203 848 81 271 361 774 592 830 209 267 2 579 709 10.2 Eastern Mediterranean 287 681 96 766 122 716 175 451 42 221 202 038 175 586 1 102 460 4.3 Western Pacific 1 527 756 86 826 199 406 166 296 9 788 176 437 331 791 2 498 300 9.8

Headquarters Capacity-building and training WHO TFI global network Surveillance and monitoring Research and policy development Communications and media WHO Framework Convention on Tobacco Control Planning and management Total Percentage Regional percentage 1 141 235 1 719 082 62 163 799 103 1 657 211 5 737 611 2 179 761 13 296 166 52.4

Africa 450 019 44 262 341 634 125 695 23 596 865 994 290 819 2 142 019 8.4

Europe 950 073 84 905 412 278 476 242 0 265 333 298 482 2 487 312 9.8

Total 5 520 943 2 495 039 1 603 087 1 906 798 2 115 506 7 955 020 3 783 054 25 379 446 100.0

% 21.8 9.8 6.3 7.5 8.3 31.3 14.9 100.0

47.6

1

Data taken from WHO’s Financial Report and Audited Financial Statements for the period 1 January 2002-31 December 2003 (document A57/20)

ANNEX 3 ESTIMATED BUDGET RESOURCE REQUIREMENTS BY EXPECTED RESULTS FOR TOBACCO FOR BIENNIUM 2004-2005 AT HEADQUARTERS AND BY REGION1 (US$ thousand) The Americas 229 632 76 424 199 134 57 767 60 458 273 585 897 000 4.4 South East Asia 984 320 327 594 853 590 247 618 259 153 1 172 725 3 845 000 18.8 Eastern Mediterranean 563 456 187 525 488 622 141 744 148 347 671 305 2 201 000 10.7 Western Pacific 636 928 211 978 552 336 160 227 167 691 758 840 2 488 000 12.1

Headquarters Capacity-building and training WHO TFI global network Surveillance and monitoring Research and policy development Communications and media WHO Framework Convention on Tobacco Control Total Percentage Regional percentage 1 760 512 585 920 1 526 694 442 879 463 510 2 097 485 6 877 000 33.6

Africa 843 144 0 700 986 0 0 906 870 2 451 000 12.0

Europe 441 344 146 885 382 728 111 026 116 198 525 820 1 724 000 8.4

Total 5 459 336 1 536 326 4 704 090 1 161 261 1 215 357 6 406 630 20 483 000 100.0

% 26.7 7.5 23.0 5.7 5.9 31.3 100.0

66.4

1

Data taken from WHO’s Proposed programme budget 2004-2005. No official expenditure figure available at the time this document was prepared. A/FCTC/IGWG/2/3

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8 Headquarters Capacity-building and training WHO TFI global network Surveillance and monitoring Research and policy development Communications and media WHO Framework Convention on Tobacco Control Total Percentage Regional percentage 1 921 732 540 825 1 658 530 411 027 425 449 2 253 438 7 211 000 24.7 Africa 1 332 500 375 000 1 150 000 285 000 295 000 1 562 500 5 000 000 17.1 Data taken from WHO’s Proposed programme budget 2006-2007.

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ANNEX 4 ESTIMATED BUDGET RESOURCE REQUIREMENTS BY EXPECTED RESULTS FOR TOBACCO FOR BIENNIUM 2006-2007 AT HEADQUARTERS AND BY REGION1 (US$ thousand) The Americas 263 302 74 100 227 240 56 316 58 292 308 750 988 000 3.4 South East Asia 914 095 257 250 788 900 195 510 202 370 1 071 875 3 430 000 11.7 Eastern Mediterranean 1 163 006 327 300 1 003 720 248 748 257 476 1 363 750 4 364 000 14.9 Western Pacific 1 385 800 390 000 1 196 000 296 400 306 800 1 625 000 5 200 000 17.8

Europe 799 500 225 000 690 000 171 000 177 000 937 500 3 000 000 10.3

Total 7 779 935 2 189 475 6 714 390 1 664 001 1 722 387 9 122 813 29 193 000 100.0

% 26.7 7.5 23.0 5.7 5.9 31.3 100.0

75.3

ANNEX 5 SUMMARY OF EXPENDITURE AND ESTIMATED RESOURCE REQUIREMENTS FOR TOBACCO FOR THE YEARS 2000-2008 AT HEADQUARTERS AND BY REGION (US$ thousand) The Americas 837 341 376 874 914 657 278 110 197 957 1 005 862 297 349 3 908 150 3.9 South East Asia 2 241 488 938 860 2 554 106 741 923 706 114 3 518 513 175 586 10 876 590 10.9 Eastern Mediterranean 3 483 974 1 153 072 2 699 910 660 038 1 025 074 3 991 635 209 267 13 222 968 13.2 Western Pacific 3 550 484 1 078 804 3 143 742 925 392 791 080 4 185 277 331 791 14 006 569 14.0

Headquarters Capacity-building and training WHO TFI global network Surveillance and monitoring Research and policy development Communications and media WHO Framework Convention on Tobacco Control Planning and management = Total Percentage Regional percentage Total 34 773 924 34.7 = = 2 179 761 9 6 567 744 3 386 652 4 905 917 2 420 260 2 971 619 12 341 971

Africa 2 625 663 794 262 3 342 620 821 390 613 596 4 897 864 290 819 13 386 214 13.4

Europe 2 476 691 681 790 2 175 006 1 294 484 470 198 2 666 153 298 482 10 062 803 10.0

Total 21 783 384 8 410 315 19 735 957 7 141 597 6 775 637 32 607 275 3 783 054 100 237 219 100.0

% 21.7 8.4 19.7 7.1 6.8 32.5 3.8 100.0

65.3 100 237 219

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WORLD HEALTH ORGANIZATION OPEN-ENDED INTERGOVERNMENTAL WORKING GROUP ON THE WHO FRAMEWORK CONVENTION ON TOBACCO CONTROL Second session Provisional agenda item 5.2 A/FCTC/IGWG/2/3 Corr.1 31 January 2005

Draft budget for the first financial period Financial history of WHO’s Tobacco Free Initiative

Note by the Secretariat CORRIGENDUM • • Annexes 1 to 4: The indication “(US$ thousand)” should be changed to “(US$)” Kindly replace Annex 5 with the new table overleaf.

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ANNEX 5 SUMMARY OF EXPENDITURE AND ESTIMATED RESOURCE REQUIREMENTS FOR TOBACCO FOR THE YEARS 2000-2007 AT HEADQUARTERS AND BY REGION (US$) Headquarters Capacity-building and training WHO TFI global network Surveillance and monitoring = = = WHO Framework Convention on Tobacco Control Planning and management Total Percentage Regional percentage Total 13 264 730 3 909 385 39 747 487 42.1 3 712 657 290 819 10 214 554 10.8 755 318 297 349 3 216 686 3.4 2 937 429 209 267 11 879 496 12.6 1 762 553 507 787 10 033 001 10.6 2 237 093 175 586 8 234 284 8.7 2 560 277 477 156 11 181 503 11.8 27 230 058 5 867 350 94 507 011 100.0 57.9 94 507 011 28.8 6.2 100.0 Research and policy development Communications and media 6 567 744 4 311 138 4 559 142 3 360 599 3 774 749 Africa 2 625 663 419 262 2 192 620 654 937 318 596 The Americas 837 341 302 774 687 417 196 822 139 665 South-East Asia 3 655 927 895 791 2 185 331 941 299 1 054 453 Europe 2 476 691 756 790 1 485 006 2 666 882 377 293 Eastern Mediterranean 2 069 535 611 592 1 615 058 1 077 376 448 044 Western Pacific 3 550 484 688 804 1 947 742 1 455 135 501 905 Total 21 783 384 7 986 151 14 672 315 10 353 049 6 614 704 % 23.0 8.5 15.5 11.0 7.0

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