EXECUTIVE BOARD 136th session
EB136/DIV./3 12 February 2015
Decisions and list of resolutions I. DECISIONS EB136(1) Substandard/spurious/falsely-labelled/falsified/counterfeit medical products
The Executive Board, having considered the report of the third meeting of the Member State Mechanism on substandard/spurious/falsely-labelled/falsified/counterfeit medical products, 1 decided to request that the World Health Assembly postpone the review of the Member State mechanism by one year, to 2017, as proposed by the mechanism in its report. (Ninth meeting, 30 January 2015)
EB136(2)
Principles for global consensus on the donation and management of blood, blood components and medical products of human origin
The Executive Board, having considered the report by the Secretariat on blood and other medical products of human origin, 2 (1) recalled the guiding principles of the safety, quality and availability of blood and blood products supported by the Health Assembly, through resolutions WHA28.72, WHA58.13 and WHA63.12, as well as the WHO Guiding Principles on Human Cell, Tissue and Organ Transplantation endorsed in resolution WHA63.22; (2) noted that several medical products of human origin, which are intended for human clinical application, have significant commonalities in terms of sharing some characteristics inherent in their human origin; (3) recognized that protection of the donor is a prerequisite in order to meet the needs of patients for access to safe medical products of human origin, which is of high importance in the context of access to health and universal health coverage; (4) acknowledged that medical products of human origin may raise safety issues for donors and recipients;
1 2
Document EB136/29, Annex. Document EB136/32.
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(5) recognized that global consensus on the donation and management of medical products of human origin intended for human clinical application, based on good governance mechanisms, is needed in order to protect the fundamental human rights of donors; (6) further recognized that appropriate standards to guarantee quality and safety of medical products of human origin and to ensure traceability, vigilance, surveillance and equitable access to these products are essential for the well-being of recipients; (7) requested that the Director-General convene consultations with Member States and international partners, to support the development of global consensus on guiding ethical principles for the donation and management of the mentioned medical products of human origin; good governance mechanisms; and common tools to ensure quality, safety and traceability, as well as equitable access and availability, as applicable, to result in a document to be submitted to the Seventieth World Health Assembly for its consideration. (Tenth meeting, 30 January 2015)
EB136(3)
Framework of engagement with non-State actors
The Executive Board, having considered the report by the Secretariat on the framework of engagement with non-State actors,1 and having taken note of the Programme, Budget and Administration Committee report to the Executive Board2 and the report entitled “Framework of engagement with non-State actors: information on regional committee debates”, 3 (1) noted that important progress has been made in the elaboration of the Framework of engagement with non-State actors, but that further improvements are needed especially but not limited to the issues listed in the annex to this decision, with a view to its adoption by consensus at the Sixty-eighth World Health Assembly; (2) decided to invite Member States4 to submit to the Director-General specific proposals for amendments, inclusions or deletion of text from the draft overarching framework of engagement with non-State actors and the four specific policies contained in the annex of document EB136/5 by 16 February 2015; (3) requested the Director-General to: (a) compile these proposals and to make them available to Member States 4 by 9 March 2015; (b) convene an open-ended intergovernmental meeting from 30 March to 1 April 2015 with a view to discussing the textual proposals submitted by Member States; 4
1 2 3 4
Document EB136/5. Document EB136/3. Document EB136/INF./2. And, where applicable, regional economic integration organizations.
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(c) submit, based on the outcome of the above intergovernmental meeting, a revised version of the Framework of Engagement with non-State actors to the Sixty-eighth World Health Assembly through the Programme, Budget and Administration Committee.
ANNEX NON-EXHAUSTIVE LIST OF ISSUES WHICH SEEM TO NEED MORE WORK AMONGST MEMBER STATES
Conflict of Interest (including individual conflict of interest) Criteria of due diligence and process of risk management Transparency Secondments and provision of personnel Role of private sector (acceptance of funds, pooling mechanism, evidence generation and advocacy) Engagement with particular industries Criteria for attribution to type of non-State actors, including criteria applied to classify some nongovernmental organizations as international business associations In which kind of meetings can non-State actors participate Use of funds provided by non-State actors to support the salary of WHO staff Official relations (some aspects) Policy, norms and standard setting Applicability of the Framework to all levels of the Organization and all 6 regions General principles that guide collaboration Definitions of terms (“arm’s length”, “resources”, etc.) Support to policy making at national level. (Eleventh meeting, 30 January 2015)
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EB136(4)
Outcome of the Second International Conference on Nutrition
The Executive Board, recalling relevant WHO international targets and action plans, including the WHO 2025 Global Nutrition Targets1 and the WHO global action plan for the prevention and control of noncommunicable diseases 2013–2020,2 and having considered the report by the DirectorGeneral on the outcome of the Second International Conference on Nutrition, 3 decided the following: (1) to note the commitments of the Rome Declaration on Nutrition and the recommendations of the Framework for Action; (2) to request the Director-General: (a) to provide technical support to Member States4 to implement the commitments of the Rome Declaration on Nutrition across multiple sectors, by expanding WHO’s evidence-informed guidance to cover the policy areas identified in the Framework for Action in the fields covered by WHO’s mandate; by developing, as needed, policy papers informed by the best available, robust quality scientific evidence providing the rationale, operational details and necessary elements for the calculation of costs and benefits of the recommended policies, with active involvement of all relevant stakeholders; 5 by strengthening multilateral initiatives at global and regional levels aimed at sharing experience on implementing different policy approaches or legislative tools; and by creating, together with the Director-General of FAO and in cooperation with other United Nations agencies, a repository of examples of country nutrition plans, including on increased investments to improve people’s diet and nutrition, as well as plans that are relevant to nutrition in health, agriculture and trade, social protection, education, water, sanitation, hygiene and the environment; (b) to contribute, together with the Director-General of FAO, to joint United Nations mechanisms on nutrition, such as the United Nations System Standing Committee on Nutrition, the Renewed Efforts Against Child Hunger and Undernutrition (REACH) initiative, the High Level Task Force on the Global Food Security Crisis and the United Nations Interagency Task Force on the Prevention and Control of Non-communicable Diseases, by improving the existing multiagency coordination mechanisms and by developing a United Nations global nutrition agenda, taking account of organizations’ respective mandates; (c) to facilitate and enhance the coordination of activities and actions across sectors, based on existing experiences and good practice by preparing policy briefs, as needed, and collaborating, as appropriate, with the Committee on World Food Security and the Global Coordination Mechanism on the prevention and control of noncommunicable See document WHA65/2012/REC/1, Annex 2 for the six global nutrition targets for 2025 adopted by the World Health Assembly in 2012; also see: http://www.who.int/nutrition/topics/nutrition_globaltargets2025/en/ (accessed 5 February 2015). 2 3 4 5 1
See resolution WHA66.10; see also document WHA66/2013/REC/1, Annex, 4, Appendix 2. Document EB136/8. And where applicable, regional economic integration organizations. In line with the guidance to be provided by the World Health Assembly on engagement with non-State actors.
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diseases; and by maintaining engagement, including with different multistakeholder platforms such as the Scaling Up Nutrition movement, in line with the guidance to be provided by the Health Assembly on engagement with non-State actors; (d) to contribute, together with the Director-General of FAO, and in close collaboration with other United Nations partners, to accountability, including by inviting Member States to register their commitments in each of the areas indicated by the Framework for Action, as appropriate; (e) to facilitate consideration of a Decade of Action on Nutrition from 2016 to 2025, within existing structures and available resources, by the United Nations General Assembly in 2015 by preparing a road map jointly with the Director-General of FAO and in cooperation with other United Nations agencies, including proposed milestones, and priority action for governments, international organizations and other actors, and by contributing to informal discussions among Member States;1 (f) to facilitate informal discussions among Member States with a view to enabling national parliaments to address the follow-up to the Second International Conference on Nutrition at the 132nd Inter-Parliamentary Union Assembly in 2015; (3) to recommend to the Sixty-eighth World Health Assembly that it: (a) endorse the Rome Declaration on Nutrition, as well as the Framework for Action, which provides a set of voluntary policy options and strategies for use by governments; (b) call on Member States1 to implement commitments of the Rome Declaration through a set of voluntary policy options within the Framework for Action; (c) request the Director-General, in collaboration with the Director-General of FAO and other United Nations agencies, funds and programmes and other relevant regional and international organizations, to prepare a biennial report to the World Health Assembly on the status of implementation of commitments of the Rome Declaration on Nutrition. (Twelfth meeting, 31 January 2015)
EB136(5)
Strategic budget space allocation
The Executive Board, having considered the report on strategic budget space allocation2 and the report by the Working Group on Strategic Budget Space Allocation, 3 (1) welcomed the report of the Working Group on the Strategic Budget Space Allocation and expressed its appreciation to the members of the Working Group for their diligence in developing a methodology in an objective and timely manner; 1 2 3
And, where applicable, regional economic integration organizations. Document EB136/35. Document EB136/35, Annex.
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(2) (3)
endorsed the guiding principles recommended by the Working Group; requested the Director-General, with respect to the Proposed programme budget 2016–2017: (a) to apply the recommendations of the Working Group with regards to operational segments 2 (provision of global and regional goods), 3 (management and administration) and 4 (response to emergency events, such as outbreak and crisis response); (b) to propose, in consultation with the Global Policy Group (GPG), an allocation of budget space for operational segment 1 (technical cooperation at country level), by applying the guiding principles of the new methodology, the three pillars for the preparation of the 2016–2017 Programme budget (bottom-up approach, realistic costing of outputs and clear roles and responsibilities across the three levels of the Organization) as requested in decision WHA66(9), and taking into account the needs of various regions and comments made by the 136th session of the Executive Board;
(4) requested the Working Group on Strategic Budget Space Allocation to further develop operational segment 1 (technical cooperation at country level) taking into consideration the issues raised during the 136th session of the Executive Board with regards to the proposed methodology, the choice of appropriate indicators and availability of data, and written comments submitted by Member States to the Secretariat by 28 February 2015, and report to the Executive Board at its 137th session in May 2015; (5) decided to expand the membership of the Working Group on Strategic Budget Space Allocation to two Member States per region. (Fourteenth meeting, 2 February 2015)
EB136(6)
Review of nongovernmental organizations in official relations with WHO
The Executive Board, having considered and noted the report of its Standing Committee on Nongovernmental Organizations concerning the review of one third of the nongovernmental organizations in official relations with WHO,1 and follow-up to decision EB134(7), reached the decisions set out below, (1) noting with appreciation their collaboration with WHO and commending their continuing dedication to the work of the Organization, the Board decided to maintain in official relations with WHO the 56 nongovernmental organizations whose names are listed in the Annex to document EB136/40; (2) noting also that plans for collaboration had been agreed, the Board decided to maintain in official relations with WHO the International Union for Health Promotion and Education, the Inter-African Committee on Traditional Practices affecting the Health of Women and Children, and the World Psychiatric Association;
1
Document EB136/40.
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(3) noting also that the CMC – Churches’ Action for Health had been incorporated into the World Council of Churches and that it now operates as World Council of Churches, and further noting that a plan for collaboration had been agreed, the Board decided to maintain CMC – Churches’ Action for Health in official relations with WHO under the name World Council of Churches. (Fourteenth meeting, 2 February 2015)
EB136(7)
Award of the Dr A.T. Shousha Foundation Prize
The Executive Board, having considered the report of the Dr A.T. Shousha Foundation Prize Committee, awarded the Dr A.T. Shousha Foundation Prize for 2015 to Dr Yagoub Yousef Al Mazrou from Saudi Arabia for his significant contribution to public health in Saudi Arabia. The laureate will receive the equivalent of 2500 Swiss francs in United States dollars. (Fourteenth meeting, 2 February 2015)
EB136(8)
Award of the Sasakawa Health Prize
The Executive Board, having considered the report of the Sasakawa Health Prize Selection Panel, awarded the Sasakawa Health Prize for 2015 to the Childbirth with Dignity Foundation of Poland. The Childbirth with Dignity Foundation is being honoured for its significant and innovative contribution to public health in Poland. The laureate, as an organization, will receive US$ 40 000. (Fourteenth meeting, 2 February 2015)
EB136(9)
Award of the United Arab Emirates Health Foundation Prize
The Executive Board, having considered the report of the United Arab Emirates Health Foundation Selection Panel, awarded the United Arab Emirates Health Foundation Prize for 2015 to the “Akogo?” Foundation of Poland, which is being honoured for its innovative contribution to primary health coverage in Poland. The laureate will receive US$ 20 000. (Fourteenth meeting, 2 February 2015)
EB136(10)
State of Kuwait Prize for Research in Health Promotion
The Executive Board, having considered the report of the State of Kuwait Health Promotion Foundation Selection Panel, awarded the State of Kuwait Prize for Research in Health Promotion for 2015 to Dr Alaa Eldien Mohamed El Ghamrawy of Egypt, who is being honoured for his personal contribution to the creation of the National Programme for Rheumatic Heart Disease (RHD) in Egypt. The laureate will receive US$ 20 000. (Fourteenth meeting, 2 February 2015)
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EB136(11)
Amendments to the Statutes of the State of Kuwait Health Promotion Foundation
The Executive Board, in accordance with the provisions of Article 11 of the Statutes of the State of Kuwait Health Promotion Foundation, approved the revision of its present Statutes, namely, that Articles 6.3 be deleted and Articles 4, 8 and 11 of the Statutes of the State of Kuwait Health Promotion Foundation be revised in order to: (i) streamline use of funds; (ii) take into account a change in the name of the Prize; (iii) broaden the scope of the purpose of the Prize by providing that it will reward an outstanding contribution to research in the areas of health care for the elderly and in health promotion; (iv) allow for a supplemental funding mechanism; and (v) streamline processes. (Fourteenth meeting, 2 February 2015)
EB136(12)
Dr LEE Jong-wook Memorial Prize for Public Health
The Executive Board, having considered the report of the Dr LEE Jong-wook Memorial Prize Selection Panel, awarded the Dr LEE Jong-wook Memorial Prize for Public Health for 2015 to the Thalassemia International Federation of Cyprus for their outstanding contribution to public health. The laureate will receive US$ 100 000. (Fourteenth meeting, 2 February 2015)
EB136(13)
Follow-up to the 2014 high-level meeting of the United Nations General Assembly to undertake a comprehensive review and assessment of the progress achieved in the prevention and control of noncommunicable diseases
The Executive Board decided to request the Director-General to publish a technical note in the coming months on how the Director-General will report in 2017 to the United Nations General Assembly on the national commitments included in the 2014 outcome document 1 and 2011 Political Declaration,2 using existing survey tools and taking into account existing indicators at the global and regional levels. (Fourteenth meeting, 2 February 2015)
1 2
See document EB136/11, Annex 1. Adopted by the United Nations General Assembly in resolution 66/2 (2011).
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EB136(14)
Addressing the health impact of air pollution
The Executive Board, having considered the report on addressing the health impact of air pollution, 1 noted the ongoing discussions on the draft resolution under agenda item 7.2, contained in document EB136/CONF./9 Rev.1,2 and encouraged Member States to finalize this work, in order for the draft resolution to be duly considered by the Sixty-eighth World Health Assembly. (Fifteenth meeting, 3 February 2015)
EB136(15)
Climate and health: outcome of the WHO Conference on Health and Climate
The Executive Board noted the report by the Secretariat on climate and health: outcome of the WHO Conference on Health and Climate, 3 and approved the revised work plan, requesting that the Secretariat take into account the comments made on the work plan during the discussion. (Fifteenth meeting, 3 February 2015)
EB136(16)
Overview of reform implementation
The Executive Board, recalling relevant WHO documents and agreements on WHO reform, and having considered the report by the Secretariat on WHO reform: overview of reform implementation; 4 recognizing that the pillar of WHO governance reform is essential to bringing the transformational reform process to the desired outcome – which the governing bodies have been working on for more than four years, and further recognizing that the governance pillar can benefit from relevant outcomes from other aspects of WHO reform; and underlining that the process outlined below has a separate mandate and that it should not in any way impede ongoing reform initiatives, emphasizing in particular the outcomes from the Special Session of the Executive Board on Ebola;5 and having also considered the recent report of the Independent Expert Oversight Advisory Committee to the twentyfirst meeting of the Programme, Budget and Administration Committee, 6 which states that slow progress on the governance reform pillar could impede the overall WHO reform agenda, and which expresses concern at the lack of alignment in priorities at the three levels of the Organization, (1) decided: (a) to establish an inclusive Member States7 consultative process on governance reform, to complete its work by the Sixty-ninth World Health Assembly, providing
1 2 3 4 5 6 7
Document EB136/15. See the summary record of the Executive Board at its 136th session, fifteenth meeting. Document EB136/16. Document EB136/7. EBSS/3. Document EBPBAC21/2, Annex, in particular, paragraphs 28, 29 and 30. And, where applicable, regional economic integration organizations.
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recommendations through the Executive Board on how to improve WHO governance efficiency, with the mandate to address: (i) working methods of the governing bodies, including relevant proposals by the Secretariat and the WHO Reform stage 2 evaluation, as well as agenda-setting, including the significant growth in the number of agenda items, resolutions and decisions and its impact on governance, and the functioning of the Executive Board Bureau and officials of the World Health Assembly; (ii) concrete ways to improve the alignment of the governance of all three levels of the Organization, so as to improve accountability and effectiveness; (b) that the Member States consultative process should include two meetings open to all Member States1 with equal participation, as well as the creation of a working group, which will further develop detailed recommendations on both the sub-elements above concerning the mandate of this consultative process. The working group will be made up of two members with relevant experience from each region whose selection and work will be facilitated by the Geneva-based regional coordinators so as to ensure inclusiveness; (2) urged Member States1 to provide their inputs and proposals relevant to the sub-elements in paragraph 1 through the online platform as outlined below, by 2 March, 2015; (3) further decided: (a) that the first Member States meeting would take place at a one-day session back to back with the 22nd meeting of the Programme, Budget and Administration Committee in May 2015, which will be reduced to two days, and provide concrete inputs to the working group for its work; (b) that the second Member States meeting will take place by November 2015, and will provide recommendations to the 138th session of the Executive Board; (c) that the working group will meet at least once prior to the first Member States meeting and will provide a preliminary report to it, based on inputs from Member States and the Secretariat as outlined below, and have at least one other meeting before the second Member States meeting, for which it will produce a final report including recommendations; (4) requested the Director-General: (a) to establish an online platform to facilitate sharing of the input and proposals of Member States,1 prior to the first Member States meeting and to maintain the platform throughout this inclusive Member States consultative process; (b) to provide the following on the online platform established according to (4)(a):
1
And, where applicable, regional economic integration organizations.
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(i) a compendium of existing relevant background documents related to governance reform for the first meeting of the working group and the first Member States meeting, including reports, evaluations, resolutions and decisions; (ii) an overview of the last ten years of the number of agenda items, number of documents, decisions and resolutions for the Executive Board and World Health Assembly, as well as the number of formal and informal meetings during and between sessions of the governing bodies, and the associated costs; (iii) a current costing of formal and informal meetings during and between sessions of the governing bodies, including price differences relating to location in Geneva; (5) requested the Member States consultative process to report to the 138th session of the Executive Board on governance reform, under a separate agenda item, with a view to considering final recommendations from this process, preparatory to consideration by the Sixtyninth World Health Assembly. (Fifteenth meeting, 3 February 2015)
EB136(17)
Global strategy and plan of action on public health, innovation and intellectual property
The Executive Board, having considered the report by the Secretariat on evaluation of the global strategy and plan of action on public health, innovation and intellectual property, 1 (1) decided to recommend to the Sixty-eighth World Health Assembly to extend the deadline of the overall programme review of the global strategy and plan of action on public health, innovation and intellectual property on its achievements, remaining challenges and recommendations on the way forward to 2018, recognizing it was not presented in 2015, as requested by resolution WHA62.16; (2) decided also to recommend to the Sixty-eighth World Health Assembly to extend the time frame of the plan of action on public health, innovation and intellectual property until 2022; (3) requested the Director-General to provide a report for the Sixty-eighth World Health Assembly on options, in consultation with Member States, for the conduct of the comprehensive evaluation and the overall programme review of the global strategy and plan of action on public health, innovation and intellectual property, on its achievements, remaining challenges and recommendations on the way forward, including whether to combine the two instruments, sequencing, terms of reference, timing and options for establishing an evaluation management group with the goal of completing this exercise by 2018. (Fifteenth meeting, 3 February 2015)
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Document EB136/31.
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EB136(18)
Provisional agenda for the Sixty-eighth World Health Assembly
The Executive Board, having considered the report of the Director-General on the provisional agenda of the Sixty-eighth World Health Assembly,1 and recalling its earlier decision that the Sixtyeighth World Health Assembly should be held at the Palais des Nations in Geneva, opening on Monday, 18 May 2015, and closing no later than Tuesday, 26 May 2015,2 approved the provisional agenda of the Sixty-eighth World Health Assembly, as amended. (Fifteenth meeting, 3 February 2015)
EB136(19)
Date and place of the 137th session of the Executive Board
The Executive Board, having considered the proposal in paragraph 5 of document EB136/42, decided that its 137th session should be convened on Wednesday, 27 and Thursday, 28 May 2015, at WHO headquarters, in Geneva. (Fifteenth meeting, 3 February 2015)
EB136(20)
Date and place of the 22nd meeting of the Programme, Budget and Administration Committee
Further to decision EB135(8), and taking into account decision EB136(16), the Executive Board decided that the 22nd meeting of the Programme, Budget and Administration Committee shall be held on 14 and 15 May 2015, at WHO Headquarters, Geneva. This decision supersedes decision EB135(8). (Fifteenth meeting, 3 February 2015)
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Document EB136/42. See decision EB135(8).
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II. LIST OF RESOLUTIONS Global technical strategy and targets for malaria 2016–2030 Appointment of the Regional Director for Africa Expression of appreciation to Dr Luis Gomes Sambo Appointment of the Regional Director for Europe Yellow fever risk mapping and recommended vaccination for travellers The recommendations of the Review Committee on Second Extensions for Establishing National Public Health Capacities and on IHR Implementation Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage Global burden of epilepsy and the need for coordinated action at the country level to address its health, social and public knowledge implications Scale of assessments for 2016–2017 Relations with nongovernmental organizations Confirmation of amendments to the Staff Rules Salaries of staff in ungraded posts and of the Director-General Confirmation of amendments to the Staff Rules Confirmation of amendments to the Staff Rules Amendments to the Staff Regulations
EB136.R1 EB136.R2 EB136.R3 EB136.R4 EB136.R5 EB136.R6
EB136.R7
EB136.R8
EB136.R9 EB136.R10 EB136.R11 EB136.R12 EB136.R13 EB136.R14 EB136.R15
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