WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
Regional Office for the Western Pacific Bureau regional du Pacifique occidental
REGIONAL COMMITfEE
WPR/RC39/4 Corr. 1 10 September 1988
Thirty-ninth session Manila 12-16 September 1988
ORIGINAL: ENGLISH
REVIEW OF BUDGET PERFORMANCE IN 1986-1987
CORRIGENDUM
Page 22, ANNEX 2, first column, third line
For communicable read noncommunicable. Page 23, ANNEX 3 Replace Annex 3 with the attached one.
WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
Regional Office for the Western Pacific Bureau regional du Pacifique occidental
REGIONAL COMMITI'EE Thirty-aiath sessioa Maaila 12-16 September 1988
WPR/RC39/4 23 June 1988
ORIGINAL: ENGliSH
Provisional agenda item 10.1
REVIEW OF BUDGET PERFORMANCE IN 1986-1987
.... .. . This document eontairis a re#ort ()n th~ f11lanfialimplernentatiorl ··········•()tiheregularbudget an(} • t~s\lpplementary f\lridirig •. provided ··from other ·······•·•·ICJureei••r<>r••·•··•the .• bi~ririlunl•.••t986-t?S'7.•••·••••·•••lf also•·• induaes•····ihe•••••·nnanCiat·· . .·.·.··••••rril>lementatioll•ofth~•·~~~§nal••l)it#t§f•s••pevel()l'lllellt••pf()gl"alllllle.• • • • • •.• • • • .• •.•
WPRIRC39/4
page2
In order to provide adequate information to the Regional Committee on the implementation of programmes for the financial period 1986-1987, and in compliance with resolution WPR/RC30.R3, 1 the following reports have been prepared: (a) Financial implementation, by major programme, programme and source of funds for the biennium 1986-1987 (Annex 1) (b) Remarks on the regular budget financial implementation, by major programme and programme for 1986-1987 (Annex 2) (c) Financial implementation of the Regional Director's Development Programme for 1986-1987 (Annex 3) In Annex 1, the financial implementation of the regular budget for 1986-1987 is compared, by major programme and programme, with the programme budget 1986-1987 estimates presented to the Regional Committee in 1984.2 Implementation details by project for 1986-1987 are available on request. Remarks have been included in Annex 2 to provide a general explanation for the differences between the originally approved budget, the subsequent budgetary reductions, currency exchange adjustments, and actual implementation. The overall implementation figure for the regular budget of US$46 803 407, compared with the 1986-1987 adjusted regular budget working allocation of US$46 835 600 represents 100 per cent (rounded up from 99.93 per cent) implementation in monetary terms. This adjusted budget of US$46 835 600, which consists of the original budget of US$51 287 500 presented to the Regional Committee in 1984, subsequently rounded to US$51 288 000 and reduced by US$530 000 owing to adjustment of the budgetary rate of exchange from that used at the time of budget preparation to that prevailing as at 1 January 1986, stood at US$50 758 000 at the start of the implementation year. These adjustments and others subsequently made during implementation were reflected as follows: I.
Budgetary decreases (a) Adjustment to rate of exchange from original budgeted rate of P14.00 to rate ofP16.00 to US$1 as of 1 January 1986.
US$ 530000
1Handboolt of Resolutions and Decisions of the WHO Regional Committee for the Western Pacific, Vol. II, Sth ed., 1986, page138. 2oocument WPRJRC3SJ3, Regional Committee for the Western Pacific, thirty-fifth session, 1984.
WPR/RC39/4 page3
(b) Programme implementation reductions - effected because of serious delays in the payment, or because of nonpayment, of regular budget contribution of certain Member States (c) Currency exchange changes adjustments due to the continued decline in the exchange value of the Philippine peso vis-a-vis the US dollar during the implementation period. (d) Other adjustments related to other project activities Sub-total II. Additional funds
3 769000
734800
219100 US$5252900
(a) Additional working allocation received in October 1987
US$ 684000 117000 801 ()()()
(b) Director-General's Development Fund Sub-total Net reduction to 1986-1987 working allocation
US$4451900
Funds utilized from sources other than the regular budget, including the United Nations Development Programme and the United Nations Population Fund, are also shown in Annex 1, by major programme and programme. Included in the US$46 803 407 implementation figure mentioned above are activities totalling US$786 300, which were allocated to the Regional Director's Development Programme, but subsequently reallocated to the programme under which activity took place (see Annex 3). In compliance with a request made at the thirty-seventh session of the Regional Committee, Annex 4 has been prepared showing financial implementation at country and regionaVintercountry levels.
WPR/RC39/4
page4
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) REGULAR PROGRAMME BUDGET ESTIMATES (2) BUDGETARY REDUCTIONS MADE BY HEADQUARTERS (3) CURRENCY AND OTHER I'.DJUSTMENTS (4) REGULAR BUDGET WORKING ALLOCATION (1- 2- 3) (5) (6)
(7)
MAJOR PROGRAMME/ PROGRAMME*
REGULAR BUDGET IMPLEMENTATION**
ALL FUNDS OTHER SOURCES IMPLEMENTATION IMPLEMENTATION RATE% OF FUNDS (5 : 4) IMPLEMENTATION*** (5 + 6)
1.
GOVERNING BODIES 1.3 Regional Committee Sub-total 393 000 393 000 0 0 0 0 393000 393000 351 032 351 032 89.3 93748 93748 444 780 444 780
2.
WHO's GENERAL PROGRAMME DEVELOPMENT AND . MANAGEMENT 2.1 2.2 Executive management Regional Director's development programme General programme development External coordination for health and social development 444 800 -7600 -33309 403891 444 598 110.1 0 444 598
922000
-135 700
117000
903300
0
0.0
0
0
2.3
1 807 300
-57 500
-164 798
1 585 002
1 645 431
103.8
0
1 645 431
2.4
341 300
-7 700
-29 593
304 007
272 226
89.5
0
272 226
Sub-total
3 515 400
-208500
-110700
. 3196200
2 362 255
0
2362 255
J>
m *Classification based on the Seventh General Programme of Work (1984-1989). **The implementation figures were extracted fr<;>m the financial report on audited financial statements for the financial period 1 January 1986- 31 December 1987 (document A41/6, pages 44-47). ***The implementation figures were extracted from the details of international health programme costs for 1986-1987 (document ACT/88.1, pages 66-76).
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FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (J)
(4)
(5)
(6)
(7)
MAJOR PROGRAMME/ PROGRAMME
REGULAR BUDGETARY PROGRAMME REDUCTIONS MADE BY BUDGET ESTIMATES HEADQUARTERS
CURRENCY AND OTHER ADJUSTMENTS
REGULAR BUDGET WORKING ALLOCATION (1 . 2. 3)
REGULAR BUDGET IMPLEMENTATION
IMPLEMENTATION RATE% (5 : 4)
OTHER SOURCES OF FUNDS IMPLEMENTATION
ALL FUNDS IMPLEMENTATION (5
+ 6)
3.
HEALTH SYSTEM DEVELOPMENT 3.1
Health situation and trend assessment Managerial process for national health development Health systems research Health legislation
1 605 300
-59 200
-34 868
1 511 232
1 129 916
74.8
2n965
1 407 881
3.2
4 565 400 236 100 39000
-176900 -55 000 -10000
123000 0 0
4511500 181100 29000
5 837 555 330450 51597
129.4 182.5 1n.9
557 552 200179 0
6 395107 530629 51597
3.3 3.4
Sub-total
6 445 800
-301 100
88132
6 232 832
7 349 518
1 035 696
8 385 2 14
4.
ORGANIZATION OF HEALTH SYSTEMS BASED ON PRIMARY HEALTH CARE Sub-total
6 120 200 6120200
-724 950 -724 950
-53 280 -53280
5 341 970 5 341 970
4 946 171 4 946 171
92.6
1 698874 1 698 874
6 645 045 6645045
5.
HEALTH MANPOWER Sub-total
9806500 9806 500
-633 300 -633 300
379 616 379 616
9 552 816 9 552 816
7 503 061
78.5
1 732 340 1 732340
9 235 401 9 235 401
7 503 061
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) ll) r (2) (3)
(4)
{5)
{6)
(7)
MAJOR PROGRAMME/ PROGRAMME
REGULAR BUDGETARY CURRENCY PROGRAMME REDUCTIONS AND OTHER BUDGET MADE BY ADJUSTMENTS ESTIMATES HEADQUARTERS
REGULAR BUDGET WORKING ALLOCATION (1- 2- 3)
REGULAR BUDGET IMPLEMENTATION
IMPLEMENTATION RATE% (5 : 4)
OTHER SOURCES OF FUNDS IMPLEMENTAT ION
ALL FUNDS IMPLEMENTATION (5 + 6)
6.
PUBLIC INFORMATION AND EDUCATION FOR HEALTH Sub-total
1 135 400 1 135 400
-89 750 -89 750
-19 218 -19218
1 026 432 1026 432
781 966 781 966
76.2
0
781 966 781 966
0
7.
RESEARCH PROMOTION AND DEVELOPMENT Sub-total
1 271 100 1 271 100
-32 300 -32300
-15028 -15028
1223 772 1223 772
1 137 827 1137 827
93.0
273 479 273 479
1411306 141 1 306
8.
GENERAL HEALTH PROTECTION AND PROMOTION 8.1 8.2 8.3
Nutrition Oral health Accident prevention Sub-total
672 100 697 700 70200 1 440000
-36 300 -7300 -5000
-10 910 6500 0 -4 410
624 890 696900 65200 1 386990
535 483 806155 50319 1 391 957
85.7 115.7 77.2
86603 0 0 86603
622086 806 155 50319 1 478 560
-48 600
...
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (3)
(4)
l5T REGULAR BUDGET IMPLEMENTATION IMPLEMENTATION RATE% (5 : 4)
(oJ OTHER SOURCES OF FUNDS IMPLEMENTATION
(7)
I
MAJOR PROGRAMME/ PROGRAMME
BUDGETARY REGULAR PROGRAMME REDUCTIONS BUDGET MADE BY ESTIMATES HEADQUARTERS
CURRENCY AND OTHER ADJUSTMENTS
REGULAR BUDGET WORKING ALLOCATION (1- 2- 3)
ALL FUNDS IMPLEMENTATION (5
+ 6)
9.
PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC POPULATION GROUPS 9.1
Maternal and child Health, including family planning Workers' health Health of the elderly Sub-total
540600 244000 274400 1 059000
-29000 -59000 -31800 -119 800
-14510 0 0 -14 510
497 090 185000 242600 924 690
347 142 240 216 123 559 710 917
69.8 129.8 50.9
10 383 004 302055
10 730146 542271 218 388 11 490 805
9.3 9.4
94829 10n9888
10. PROTECTION AND PROMOTION
OF MENTAL HEALTH 10.1 Psychosocial factors in the
promotion of health and human development 10.2 Prevention and control of
224800
-7000
-14 510
203 290
231 965
114.1
6138
238103
alcohol and drug abuse 10.3 Prevention and treatment
204 100
-61 900
0
142 200
100 844
70.9
317 618
418462
of mental and neurological disorders Sub-total
277 800 706700
-6800 -75 700
0 -14510
271 000 616 490
271 616 604 425
100.2
18 175 341 931
289 791 946 356
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (3)
(4) REGULAR BUDGET WORKING ALLOCATION (1 -2- 3)
(5) IMPLEMENTATION RATE% (5 : 4)
(6)
(7) ALL FUNDS IMPLEMENTATION (5 + 6)
MAJOR PROGRAMME/ PROGRAMME
REGULAR BUDGETARY PROGRAMME REDUCTIONS BUDGET MADE BY ESTIMATES HEADQUARTERS
CURRENCY AND OTHER ADJUSTMENTS
REGULAR BUDGET IMPLEMENTATION
OTHER SOURCES OF FUNDS IMPLEMENTATION
11 . PROMOTION OF ENVIRONMENTAL HEALTH 11 .1 Community water supply and sanitation 11 .2 Environmental health in rural and urban development and housing 11.3 Control of environmental health hazards 11.4 Food safety Sub-total
2009 500
-108 300
-28 942
1 872 258
2 363 715
126.2
916600
3 280 315
1 710 800
-81 600
-209 600
1 419 600
1 456 475
102.6
23041
1 479 516
443 ()()() 234800 4 398 100
-20 700 0 -210600
0 0 -238 542
422 300 234 800 3 948 958
352 855 225 115 4 398 160
83.6 95.9
603 101 7346 1 550088
955956 232 461 5948248
12. DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE TECHNOLOGY 12.1 Clinical, laboratory and radiological technology for health systems based on primary health care 12.2 Essential drugs and vaccines
1 167 800
-227 700
5 450
945 550
1 238 003
130.9
89870
1 327 873
1 042 100
-57 300
0
984 800
835 322
84.8
1 488 384
2 323 706
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (3) (4)
.... (7)
(5)
(6)
MAJOR PROGRAMME/ PROGRAMME
REGULAR BUDGETARY PROGRAMME REDUCTIONS MADE BY BUDGET ESTIMATES HEADQUARTERS
CURRENCY AND OTHER ADJUSTMENTS
REGULAR BUDGET WORKING ALLOCATION (1. 2. 3)
REGULAR BUDGET IMPLEMENTATION
IMPLEMENTATION RATE% (5 : 4)
OTHER SOURCES OF FUNDS IMPLEMENTATION
ALL FUNDS IMPLEMENTATION (5 + 6)
12.3 Drug and vaccine quality,
safety and efficacy 12.4 Traditional medicine 12.5 Rehabilitation
303400 225 100 229700 2 968100
-73 200 0 ·8000 ·366200
0 0 0 5 450
230200 225100 221 700 2 607 350
308 569 493 361 345 037 3 220 292
134.0 219.2 155.6
72705 141 791 42808 1 835 558
381 274 635152 387845 5 055850
Sub-total
13. DISEASE PREVENTION
AND CONTROL 13.1 Immunization 13.2 Disease vector control 13.3 Malaria 13.4 Parasitic diseases 13.5 Tropical disease research 13.6 Diarrhoeal diseases 13.7 Acute respiratory infections 13.8 Tuberculosis 728400 529500 2 419 200 371 000 92500 577 800 414 400 491 900 ·39 700 -17 400 -65200 -51 000 ·3500 -33 900 -57 800 ·92 800 0 0 -14 405 0 0 0 0 0 688 700 512 100 2 339 595 320000 89000 543900 356 600 399100 666 647 649 048 2 418 668 276 739 92500 315 739 280 695 826 027 96.8 126.7 103.4 86.5 103.9 58.1 78.7 207.0 1507770 47938 580547 221 901 176188 623 846 241 933 2 997 380 2 174 417 696986 2 999 215 498640 268688 939585 522 628 3 823 407
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) REGULAR PROGRAMME BUDGET ESTIMATES (2) BUDGETARY REDUCTIONS MADE BY HEADQUARTERS (3) CURRENCY AND OTHER ADJUSTMENTS (4) REGULAR BUDGET WORKING ALLOCATION (1- 2- 3) 133 500 103 100 (5) IMPLEMENTATION RATE% (5 : 4) (6) OTHER SOURCES OF FUNDS IMPLEMENTATION (7) ALL FUNDS IMPLEMENTATION (5 + 6)
MAJOR PROGRAMME! PROGRAMME
REGULAR BUDGET IMPLEMENTATION
13.9 Leprosy 13.10 Zoonoses 13.11 Sexually transmitted diseases 13.13 Other communicable disease prevention and control activities 13.14 Blindness 13.15Cancer 13.16 Cardiovascular diseases 13.17 Other noncommunicable diseaseprevention and control activities Sub-total
150 200 155 900
-16700 -52 800
0 0
168 656 14083
126.3 13.7
1 706 269 3533
1 874 925 17 616
111 400
0
0
111 400
101 197
90.8
88406
189 603
912 800 178 400 458100 588 800
-137600 0 -12 000 -21 500
-43 295 0 19700 19700
731 905 178 400 465800 587000
821 885 130603 349 240 444 520
112.3 73.2 75.0 75.7
855 051 136 940 0 310 572
1 676 936 267 543 349 240 755092
48000 8 228 300
0 -601 900
0 -18 300
48000 7 608 100
129 559 7 685 806
269.9
9 219 9 507 493
138 778 17 193 299
14. HEALTH INFORMATION SUPPORT Sub-total
626 900 626 900
-29 500 -29 500
-60 976 -60 976
536 424 536 424
581 319 581 319
108.4
209887 209 887
791 206 791 206
....
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (3) CURRENCY AND OTHER ADJUSTMENTS (4) REGULAR BUDGET WORKING ALLOCATION (1- 2 -3) (5) IMPLEMENTATION RATE% (5: 4) (6) (7)
'C CD
... ALL FUNDS IMPLEMENTATION (5 + 6)
co:D CD-. CD
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... :D
-~
MAJOR PROGRAMME/ PROGRAMME
REGULAR BUDGETARY PROGRAMME REDUCTIONS BUDGET MADE BY ESTIMATES HEADQUARTERS
REGULAR BUDGET IMPLEMENTATION
OTHER SOURCES OF FUNDS IMPLEMENTATION
15. SUPPORT SERVICES 15.1 Personnel 15.2 General administration and services 15.3 Budget and finance 15.4 Equipment and supplies for Member States Sub-total TOTAL 335400 -7700 -40 081 287 619 288157 100.2 57631 345 788
2 212 400 420700
-311 500 -3800
-447 083 -92 944
1 453 817 323 956
2 744 843 508 621
188.8 157.0
1 283 430 75816
4 028 273 584 437
204 500 3 173 ()()() 51 287 500
-3800 -326800 -3 769 ()()()
-26516
174 184 2 239 576 46835600
237080 3 778 701 46803 407
136.1
87 425 1 504 302
324 505 5283003 77 453294
-606 624 -682900
99.9
30649887
--
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) SUMMARY OF REDUCTIONS AND ADJUSTMENTS COUNTRY Budgetary reductions made by Headquarters Currency and other adjustments TOTAL REGIONAL AND INTERCOUNTRY TOTAL
Column No. 2 above Column No. 3 above
-2 032 000 711 200 -1 320 800
-1 737 000 -1 394 100 -3 131 100
-3 769 000 -682 900
-4 451 900
These reductions and adjustments are broken down as follows: Programme implementation reductions Budgetary reductions due to serious delays in the payment, or non-payment of regular budget contribution of certain Member States. Adjustments due to change of the original budget rate with the decline of the Philippine peso from 14.00 to US$1.00 to peso 16.00 to US$1 .00 as of 1 January 1986. Adjustments due to the continued decline in the exchange value of the Philippine peso vis-a-vis the US dollar during the implementation period. Other adjustments Additional funds Other adjustments related to project activities Additional allocation received in October 1987. From the Director-General's development fund TOTAL -2032 000 -1 737 000 -3 769000
Currency exchange changes
0
-530000
-530000
0
-734 800
-734 800
-10000 604 200 117000 -1 320 800
-209100 79800 0 -3 131 100
-219 100 684000 117 000 -4 451 900 )> :I :I Cll
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WPR/RC39/4 page 14
REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1986-1987 MAJOR PROGRAMME/ PROGRAMME 1.
IMPLEMENTATION RATE
REMARKS
GOVERNING BODIES 1.3
Regional Committee
89.3
Variance due to savings resulting from the merging of two sub-committees into one (GPW and TCDC) .
2.
WHO's GENERAL PROGRAMME DEVELOPMENT AND MANAGEMENT 2.1 2.2
Executive Management Regional Director's development programme General programme development External coordination for health and social development
110.1 0.0
Full delivery. Difference was due to cost variances. Programme delivered. The activities implemented have been reflected in the programmes under which the activities took place. Programme substantially delivered. Difference was due to cost variances.
2.3
103.8
2.4
89.5
Programme delivered Difference was due to vacancies in General Service Staff and cost variances.
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I 3.
HEALTH SYSTEM DEVELOPMENT
3.1
Health situation and trend assessment
74.8
One country project was not implemented; advisory services were, however, provided from the intercountry project. Three country projects were added. Local costs of US$30 000 allotted for one project were provided using other sources. Some differences were due to cost variances. One new WHO Representative Office was established. Two new projects were added.
3.2
Managerial process for national health development . Health systems research
129.4
3.3
182.5
An additional provision of US$180 000 under the intercountry project was made for a health and morbidity survey in one country. One country project was added. One country project was not implemented. One post was abolished in lieu of a new WHO Representative post. Six new country and one intercountry projects were added. Some differences were due to cost variances. Variance was due to (a) shift in priorities during implementation, including reprogramming to other projects of 31 man-months consultant provisions as well as fellowships and other components; (b) reclassification of fellowships into individual programme areas; (c) cancellation of certain activities totalling US$365 000 due to budgetary constraints.
3.4 4.
Health legislation
177.9 92.6
ORGANIZATION OF HEALTH SYSTEMS BASED ON PRIMARY HEALTH CARE HEALTH MANPOWER
5.
78.5
REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1986·1987 MAJOR PROGRAMME/ PROGRAMME 6. PUBLIC INFORMATION AND EDUCATION FOR HEALTH RESEARCH PROMOTION AND DEVELOPMENT
IMPLEMENTATION RATE 76.2
REMARKS
Implementation of one intercountry project was deferred to 1988-1989 in view of budgetary constraints. Programme substantially delivered.
7.
93.0
8. GENERAL HEALTH PROTECTION AND PROMOTION
8.1
Nutrition
85.7
Programme was substantially delivered. Recruitment for one post in the intercountry project was frozen due to budgetary constraints. Programme substantially delivered. Variance was due to cancellation of a provision for a Technical Services Agreement due to budgetary constraints.
8.2 8.3
Oral health Accident prevention
115.7 77.2
9.
PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC POPULATION GROUPS 9.1 Maternal and child health, including family planning
69.8
This programme was substantially covered by funds from extrabudgetary sources.
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REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1986·1987 MAJOR PROGRAMME/ PROGRAMME 9.3 9.4 Workers' health Health of the elderly IMPLEMENTATION RATE 129.8 50.9 Programme was fully delivered. Variance was due to the cancellation of some activities due to budgetary constraints and the reprogramming of other provisions resulting from a shift of priorities. Some activities were implemented utilizing extrabudgetary funds. REMARKS
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10. PROTECTION AND PROMOTION OF MENTAL HEALTH 10.1 Psychosocial factors in the promotion of health and human development Prevention and control of alcohol and drug abuse Prevention and treatment of mental and neurological disorders 114.1 Programme fully delivered.
10.2
70.9
Except for a 2-month consultantship cancelled due to budgetary constraints and shifts in priority at the time of the preparation of the budget details. programme was fully delivered. Programme substantially delivered.
10.3
100.2
11. PROMOTION OF ENVIRONMENTAL HEALTH 11.1 Community water supply and sanitation 126.2 Additional priority activities added at the time of preparation of the budget details. The programme was substantially delivered.
REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1986-1987 MAJOR PROGRAMME/ PROGRAMME 11.2 Environmental health in rural and urban development and housing 11.3 Control of environmental health hazards
IMPLEMENTATION RATE 102.6 Programme fully delivered.
REMARKS
83.6
Variance was due to shift in government priorities, but the programme was substantially delivered; collaboration was also provided through other related environmental health programmes. Programme was substantially delivered.
11.4 Food safety 12. DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE TECHNOLOGY 12.1 Clinical, laboratory and radiological technology for health systems based on primary health care
95.9
130.9
Programme was substantially delivered, including four new country projects.
12.2 Essential drugs and vaccines 12.3 Drug and vaccine quality, safety and efficacy
84.8
Variance was mainly due to the shift of funding of one post to extrabudgetary sources in view of budgetary constraints under the regular budget. Programme was substantially delivered, including one new country project.
134.0
"O:E I» "tt REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1986-1987 MAJOR PROGRAMME/ PROGRAMME IMPLEMENTATION RATE REMARKS
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12.4 Traditional medicine
219.2
Full programme delivery was made, including one new country project and two new intercountry projects. Programme delivery was substantially made, which included one new country project.
12.5 Rehabilitation 13. DISEASE PREVENTION AND CONTROL 13.1 Immunization
155.6
96.8 126.7 103.4 86.5
Programme was substantially delivered. Full programme delivery was made. Four new country projects were added. Programme was substantially delivered with one new intercountry project added. Except for the vacancy of the parasitologist post for seven months, the programme was substantially delivered. Programme was delivered in full.
13.2 Disease vector control 13.3 Malaria 13.4 Parasitic diseases
13.5 Tropical disease research 13.6 Diarrhoeal diseases
103.9
58.1
Variance was due to 2 x 12-month vacancies of posts of one Medical Officer and one Technical Officer; this did not affect actual programme delivery as technical support and other provisions were provided through extrabudgetary resources. Variance was due to cancellation of a research grant and a local cost provision due to budgetary constraints and also due to cost variances.
13.7 Acute respiratory infections
78.7
REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1986-1987 MAJOR PROGRAMME/ PROGRAMME 13.8 Tuberculosis
IMPLEMENTATION RATE 207.0
REMARKS Programme substantially delivered, including one new country project and one new long-term post in the intercountry project. Programme was fully delivered. Variance was due to shifts in priority at the time of the preparation of the budget details. The remaining activities after this point were substantially delivered. Except for two one-month consultantship provisions, programme was substantially delivered.
13.9 Leprosy 13.10 Zoonoses
126.3 13.7
13.11 Sexually transmitted diseases 13.13 Other communicable disease prevention and control activities 13.14 Blindness
90.8
112.3
Programme was substantially delivered with two new country projects.
73.2
Variance was due to the cancellation of 3 man-months STC and the postponement of a workshop to 1988 due to budgetary constraints. Variance was due to the cancellation of STC and local cost provisions due to budgetary constraints as well as reprogramming of funds for a workshop on smoking and health. Variance was due to the postponement of a regional seminar to 1988 due to budgetary constraints.
13. 15 Cancer
75.0
13.16 Cardiovascular diseases
75.7
REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME FOR 1986-1987 MAJOR PROGRAMME/ PROGRAMME 13.17 Other communicable disease prevention and control activities
IMPLEMENTATION RATE 269.9
REMARKS Programme was substantially delivered. A regional workshop on smoking and health was held utilizing funds reprogrammed from programme 13.15.
14. HEALTH INFORMATION SUPPORT 15. SUPPORT SERVICES 15.1 Personnel 15.2 General administration and services
108.4
Programme was substantially delivered.
100.2 188.8
Delivered in full. Variance was due to substantial under-budgeting as well as cost increases for regional office common services which include upkeep of the Regional Office, payment of utilities, security, and contractual workers, pouches, mail, etc. This allocation was also reduced by currency adjustment (US$459 083) and an arbitrary reduction of US$300 000 in view of the financial crisis. Variance was due to additional services required to support the installation in 1987 of the Administration and Finance Information system (AFI). Variance was due to additional consultantship services provided to the supplies unit for computerizing and streamlining operations.
15.3 Budget and finance
157.0
15.4 Equipment and supplies for Member States
136.1
WPR/RC39/4
page 23 ANNEX 3
FINANCIAL IMPLEMENTATION OF THE REGIONAL DIRECTOR'S DEVELOPMENT PROGRAMME FOR 1986-1987
Major programme/programme 3.2 3.3 4. 5. 7. 10.2 12.2 Managerial process for national health development Health systems research Organization of health systems based on primary health care Health manpower Research promotion and development Prevention and control of alcohol and drug abuse Essential drugs and vaccines
US dollars 46597 127 551 144 156 106 654 37 528 20 000 51 292 36 684 11 089 58056 29 200 59 191 58 302 786 300
12.4 Traditional medicine 13.2 13.9 Disease vector control Leprosy
13.11 Sexually transmitted diseases 13.13 Other communicable disease prevention and control activities 13.17 Other noncommunicable disease prevention and control activities
Total - Regional Director's development programme
WPR/RC39/4 page 24
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, LEVEL AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (3) (4) (5) (6) (7)
MAJOR PROGRAMME/ PROGRAMME
REGULAR BUDGETARY PROGRAMME REDUCTIONS BUDGET MADE BY ESTIMATES HEADQUARTERS
CURRENCY AND OTHER ADJUSTMENTS
REGULAR BUDGET WORKING ALLOCATION (1- 2- 3)
REGULAR BUDGET IMPLEMENTATION
IMPLEMENTATION RATE% (5 : 4)
OTHER SOURCES OF FUNDS IMPLEMENTATION
ALL FUNDS IMPLEMENTATION (5
+
6)
1.
GOVERNING BODIES Country or area Regional and intercountry Sub-total 0 393 ()()() 393 ()()() 0 0 0 0 0 0 393 ()()() 393 ()()() 0 351 032 351 032 0.0 89.3 0 93748 93 748 0 444 780 444 780
0
2.
WHO's GENERAL PROGRAMME DEVELOPMENT AND MANAGEMENT Country or area Regional and intercountry Sub-total 0 3 515 400 3 515 400
0 -208 500
117 ()()() -227 700 ·110 700
117 ()()() 3 079 200 3196 200
0 2 362 255 2 362 255
0.0 76.7
0 0 0
0 2 362 255 2 362 255
·208500
3.
HEALTH SYSTEM DEVELOPMENT Country or area Regional and intercountry Sub-total 4 737 ()()() 1 708800 6 445800 -144 600 ·156 500 ·301 100 123 ()()() -34 868 88132 4 715 400 1 517 432 6 232 832 5 098 500 2 251 018 108.1 148.3 155 440 880256 1035 696 5 253940 3 131 274 8 385 214 )>
7 349 518
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FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, LEVEL AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) {2)
(3)
(4)
(5)
(6)
T7r ALL FUNDS IMPLEMENTATION (5
MAJOR PROGRAMME/ PROGRAMME
BUDGETARY REGULAR REDUCTIONS PROGRAMME MADE BY BUDGET ESTIMATES HEADQUARTERS
CURRENCY AND OTHER ADJUSTMENTS
REGULAR BUDGET WORKING ALLOCATION (1. 2. 3)
REGULAR BUDGET IMPLEMENTATION
IMPLEMENTATION RATE 'lb (5: 4)
OTHER SOURCES OF FUNDS IMPLEMENTATION
+ 6)
4.
ORGANIZATION OF HEALTH SYSTEMS BASED ON PRIMARY HEALTH CARE Country or area Regional and intercountry Sub-total 4 260900 1 859 300 6 120 200 -484 250 -240700 -724 950 -10 ()()() -43 280 -53280 3 766650 1 575320 5 341 970 3509 340 1 436 831 4 946171 93.2 91.2 218 223 1 480651 1 698874 3 727 563 2 917 482 6 645045
5.
HEALTH MANPOWER Country or area Regional and intercountry Sub-total 8 741 300 1 065200 9806500 -516 800 -116 500 -633300 416050 -36 434 379 616 8640550 912 266 9 552 816 6 690 518 812 543 7 503 061 77.4 89.1
928381 803959 1 732 340
7 618899 1 616 502 9 235 401
6.
PUBLIC INFORMATION AND EDUCATION FOR HEALTH Country or area Regional and intercountry Sub-total 544 900 590500 1 135 400 -48950 -40800 -89 750 10200 -29 418 ·19218 506150 520282 1 026 432 420286 361 680 781 966 83.0 69.5
0 0 0
420 286 361 680 781 966
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, LEVEL AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (;$) (4)
(5)
(6)
(7)
MAJOR PROGRAMME/ PROGRAMME
CURRENCY REGULAR BUDGETARY AND OTHER PROGRAMME REDUCTIONS BUDGET MADE BY ADJUSTMENTS ESTIMATES HEADQUARTERS
REGULAR BUDGET WORKING ALLOCATION (1 - 2- 3)
REGULAR BUDGET IMPLEMENTATION
IMPLEMENTATION RATE% (5 : 4)
OTHER SOURCES OF FUNDS IMPLEMENTATION
ALL FUNDS IMPLEMENTATION (5
+ 6)
7.
RESEARCH PROMOTION AND DEVELOPMENT Country or area Regional and intercountry Sub-total GENERAL HEALTH PROTECTION AND PROMOTION Country or area Regional and intercountry Sub-total 651 200 788800 1 440000 -22000 -26600 10100 -14 510 -4 410 508200 762900 1 271 100 -18000 -14 300 -32300 0 -15 028 -15028 490200 733572 1 223 772 490020 647807 1 137 827 100.0 88.3 3390 270089 273479 493 410 917 896 1411306
8.
639300 747690 1 386990
792 354 599603 1 391 957
123.9 80.2
0 86603 86603
792354 686206 1 478 560
-48 600
9.
PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC POPULATION GROUPS Country or area Regional and intercountry Sub-total 599900 459100 1059000 -82800 -37 000 -119 800 0 -14 510 -14510 517 100 407 590 924690 568861 142056 710 917 1.10.0 34.9 9546 425 1 233463 10 779 888 10115286 1 375 519 11 490 805
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, LEVEL AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) REGULAR PROGRAMME BUDGET ESTIMATES (2) BUDGETARY REDUCTIONS MADE BY HEADQUARTERS (3) (4)
)(
CD
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Dl CQ CD N
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00
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(5) IMPLEMENTATION RATE% (5 : 4)
(6)
(7) ALL FUNDS IMPLEMENTATION (5 + 6)
MAJOR PROGRAMME! PROGRAMME
CURRENCY AND OTHER ADJUSTMENTS
REGULAR BUDGET WORKING ALLOCATION (1 - 2- 3)
REGULAR BUDGET IMPLEMENTATION
OTHER SOURCES OF FUNDS IMPLEMENTATION
10. PROTECTION AND PROMOTION OF MENTAL HEALTH Country or area Regional and intercountry Sub-total 232600 474100 706700 -27 700 -48 000 -75 700 0 -14 510 -14 510 204900 411 590 616 490 183 161 421 264 604 425 89.4 102.4 205047 136884 341 931 388208 558148 946356
11. PROMOTION OF ENVIRONMENTAL HEALTH Country or area Regional and intercountry Sub-total 2 004100 2 394 000 4 398100 -116200 -94 400 -210 600 0 -238 542 -238 542 1 887900 2 061 058 3 948 958 2 280 473 2 117 687 4 398160 120.8 102.7 1405014 145074 1 550088 3 685 487 2 262 761 5948248
12. DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE TECHNOLOGY Country or area Regional and intercountry Sub-total 2099600 868500 2 968100 -298 700 -67500 -366 200 5450 0 5450 1 806 350 801 000 2 607 350 2 465996 754296 3 220 292 136.5 94.2 925 921 909637 1 835 558 3 391 917 1 663933 5 055 850
FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, LEVEL AND SOURCE OF FUNDS FOR THE BIENNIUM 1986-1987 (IN US DOLLARS) (1) (2) (3) CURRENCY AND OTHER ADJUSTMENTS (4) REGULAR BUDGET WORKING ALLOCATION (1. 2. 3) (5) IMPLEMENTATION RATE% (5 : 4) (6)
(7) ALL FUNDS IMPLEMENTATION (5 + 6}
MAJOR PROGRAMME! PROGRAMME
REGULAR BUDGETARY PROGRAMME REDUCTIONS BUDGET MADE BY ESTIMATES HEADQUARTERS
REGULAR BUDGET IMPLEMENTATION
OTHER SOURCES OF FUNDS IMPLEMENTATION
13. DISEASE PREVENTION AND CONTROL Country or area Regional and intercountry Sub-total 3972 300 4256 000 8228 300 -272000 -329900 -601 900 39400 -57700 -18300 3 739 700 3868 400 7 608100 4357658 3 328 148 7 685806 116.5 86.0 4 791 049 4 716 444 9 507 493 9148 707 8044 592 17193 299
14. HEALTH INFORMATION SUPPORT Country or area Regional and intercountry Sub-total 10000 616 900 626900 0 -29500 -29500 0 -60 976 -60 976 10000 526 424 536 424 16053 565266 581 319 160.5 107.4 0 209887 209887 16053 775 153 791 206
15. SUPPORT SERVICES Country or area Regional and intercountry Sub-total Total ·Country or area Total - Regional and intercountry GRAND TOTAL 0 3173 000 3 173 000 28362 000 22925 500 51 287 500 0 -326800 -326800 -2032000 -1 737 000 -3 769000 0 -606 624 -606624 711 200 -1 394 100 -682 900 0 2 239 576 2 239 576 27 041 200 19 794 400 46 835 600 0 3 778 701 3 778 701 26 873 220 19 930 187 46803 407 99.4 100.7 99.9 0.0 168.7 0 1 504302 1 504 302 18 178 890 12 470 997 30 649 887 0 5 283 003 5 283003
--45 052 110 32 401 184 77 453 294