WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMMITTEE Fifty-fourth session Manila, Philippines 8-12 September 2003
WPRlRC54/3 Corr.1
6 August 2003 ORIGINAL: ENGLISH
Provisional agenda item 9
2.
PROGRAMME BUDGET, 2002-2003: BUDGET PERFORMANCE (INTERIM REPORT)
Corrigendum
Page 2, fourth paragraph, item 2. Delete penultimate sentence. Item 2 should read: Since the initial working allocation of US$ 71 578 000 for 2002-2003 was first established in November 2001, further adjustments have been made to the budget. Additional funds of US$ 316 000 (US$ 150000 in 2002) were allocated by Headquarters for regional activities to be carried out by the focuses on the Tobacco Free Initiative, health systems development and programme planning, monitoring and evaluation (Annex 1). The revised working allocation at
-
31 May 2003 was US$ 71 894 000 (operating budget, 31 May 2003, column 3, Annex 2). Annex 2 also gives the interim financial implementation report by each focus.
WORLD HEALTH ORGANIZATION
ORGANISATION MONDIALE DE LA SANTE
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL REGIONAL COMMITTEE Fifty-fourth session Manila, Philippines 8-12 September 2003 Provisional agenda item 9 WPR/RC54/3 10 July 2003 ORIGINAL: ENGLISH
PROGRAMME BUDGET, 2002 2003: BUDGET PERFORMANCE (INTERIM REPORT)
This document presents the interim report on the implementation by focus of the regular budget for the 2002-2003 biennium. Information is also provided on funding from extrabudgetary sources. In monetary terms, the implementation of the regular budget amounted to US$ 55 845 698, or 78% of the operating budget for the period 1 January 2002 to 31 May 2003. In addition, the activities implemented utilizing extrabudgetary funds amounted to US$ 43 183 627 at 31 May 2003. The total implementation for all funds was US$ 99 029 325 at 31 May 2003 (Annexes 1 and 2). Information on outcomes is provided in Annex 3 of this report. The information is based on a mid-biennium assessment exercise and covers the period 1 January 2002 to 31 December 2002. The final report on the implementation of the regular budget and extrabudgetary funds for 2002-2003 will be presented to the fifty-fifth session of the Regional Committee. The Regional Committee may, however, wish to note these interim implementation figures.
WPR/RC54/3 page 2 This report on budget performance for the biennium 2002-2003 at 31 May 2003 (Annexes 1 and 2) serves as a preliminary report to the Regional Committee on the implementation of the regular budget. The outcomes included in Annex 3 cover the period from 1 January 2002 to 31 December 2002 and include information from a mid-biennium assessment exercise conducted by all focuses and country offices. Information is also included on implementation of other sources of funds to provide a comprehensive presentation of the total funds obligated and outcomes for each focus. The 2002-2003 proposed programme budget for the Western Pacific Region was first presented to the Regional Committee at its fifty-first session in September 2000 and was subsequently approved at the Fifty-fourth World Health Assembly as part of the global programme budget. The regular budget that was approved by the Health Assembly amounted to US$ 73 262 000 (a reduction of 3.5% from the 2000-2001 approved programme budget of US$ 75 889 000 as a result of WHA51.31). However, since then a number of important changes have been made: 1. In November 2001, the Director-General established the initial working allocation at 98% of the 2002-2003 approved programme budget (US$ 1 465 000, or 2% was withheld by Headquarters) due to a projected shortfall in the collection of assessed contributions. A further US$ 219 000, or 0.3%, was retained for WHO’s security costs. As a result, the initial working allocation released to the Western Pacific Region amounted to US$ 71 578 000 (Annex 1). It was agreed with Director-General that, from 2002-2003, no adjustments would be made to the Region’s working allocation as a result of changes in the exchange rate of the Philippine peso to the US$. 2. Since the initial working allocation of US$ 71 578 000 for 2002-2003 was first established in November 2001, further adjustments have been made to the budget. Additional funds of US$ 316 000 (US$ 150 000 in 2002) were allocated by Headquarters for regional activities to be carried out by the focuses on the Tobacco Free Initiative, health systems development and programme planning, monitoring and evaluation (Annex 1). The revised working allocation at 31 May 2003 was US$ 71 894 000 (operating budget, 31 May 2003, column 3, Annex 2). Annex 2 also gives the interim financial implementation report by each focus. 3. A number of other changes have been made to the working allocation during the course of the biennium. These are summarized in Annex 2, column 2. The appropriation resolution WHA54.20 for the financial period 2002-2003, requested the Director-General to continue her efforts to effect efficiency savings in pursuance of resolution WHA52.20, to be applied towards the required adjustments for cost
WPR/RC54/3 page 3 increases and currency fluctuations. In the Western Pacific Region, various programme activities received an additional US$1 300 000 (equivalent to 1.8% of the approved regular budget of US$ 73 262 000) from funds transferred largely from staff-related costs, including duty travel. The Director-General identified the following as priority areas: (the relevant regional focus is given in brackets); malaria (Malaria, other vectorborne and parasitic diseases); tuberculosis (Stop TB and leprosy elimination); tobacco (Tobacco Free Initiative); making pregnancy safer (Reproductive health); HIV/AIDS (Sexually transmitted infections, including HIV/AIDS); food safety (Healthy settings and environment); Surveillance, prevention and management of noncommunicable diseases (Noncommunicable diseases, including mental health); mental health (Noncommunicable diseases, including mental health); blood safety (Health systems reform); evidence for health polic y (Health information and evidence for policy); and organization of health services (Health systems reform and Human resources for health). Annex 2, column 2, consolidates all the changes that have occurred as a result of efficiency savings, changes required to absorb cost increases, cost variations and changes due to reprogramming. 4. As requested by the Regional Committee,1 the programme budget was implemented in accordance with the themes and focuses proposed in the document WHO in the Western Pacific Region: a framework for action (WPR/RC50/2). At 31 December 2002, US$ 32 350 178, or 45.10%, of the regular budget had been obligated. By 31 May 2003, this had risen to US$ 55 845 698, or 77.68% (Annex 2, columns 4 and 5). Implementation of preparedness and control activities to combat the outbreak of severe acute respiratory syndrome (SARS) in the Region was given high priority and this delayed the implementation of some other, less urgent, activities, including a number of meetings. With accelerated implementation after the end of SARS epidemic, it is expected that regular budget funds will be fully implemented by the end of the biennium. Extrabudgetary funds implemented by focus for regional and country activities appear in Annex 2, column 6. The total amount of extrabudgetary funds obligated at 31 May 2003 was US$ 43 183 627. Columns 7 and 8 show the total implementation of all funds and implementation by focus as a percentage of all funds implemented.
1
Resolution WPR/RC50.R3
WPR/RC54/3 page 4 Annex 3 contains information on outcomes for regional and country activities by expected results for all 17 focuses. They are based on the proposed programme budget, 2002-2003 that was approved by the Regional Committee at its fifty-second session. Detailed information on WHO’s activities in the Region during the biennium is contained in The Work of WHO in the Western Pacific Region: 1 July 2001–30 June 2002 and 1 July 2002– 30 June 2003 .
WPR/RC54/3 page 5 ANNEX 1
Changes to the 2002-2003 Regular Budget as at 31 May 2003
Changes made (US$)
Total (US$)
Column reference in Annex 2
I.
Regular programme budget estimates presented to the Regional Committee at its forty-ninth session and to the Fifty-second World Health Assembly 2% of budget withheld by the Director-General as contingency reserve 0.3% share in security cost 1 465 000 219 000 73 262 000
(1 684 000)
II.
Initial working allocation
71 578 000
1
Funds allocated from Headquarters for specific activities 316 000 316 000
III.
Revised working allocation
71 894 000
3
WPR/RC54/3 page 6
Interim financial implementation - regular budget and extrabudgetary funds for the biennium 2002-2003 as at 31 May 2003 (1) (2) Programme changes during Working allocation implementation and other changes (3) Operating budget (1)+(2) (4) Actual expenditures/ obligations (5) Percentage of operating budget implemented (4)/(3) (6) Extrabudgetary funds implemented (7) All funds implemented (4)+(6) (8) Percentage of all funds implemented by focus
COMBATING COMMUNICABLE DISEASES 1 Expanded Programme on Immunization 2 Malaria, other vectorborne and parasitic diseases 3 Stop TB and leprosy elimination 4 Sexually transmitted infections, including HIV/AIDS 5 Communicable disease surveillance and response Subtotal BUILDING HEALTHY COMMUNITIES AND POPULATIONS 6 Healthy settings and environment 7 Child and adolescent health and development 8 Reproductive health 9 Noncommunicable diseases, including mental health 10 Tobacco free initiative Subtotal 7 800 750 2 395 000 1 331 500 3 708 750 712 000 15 948 000 ( 293 016) 197 873 ( 3 530) ( 91 770) 174 387 ( 16 056) 7 507 734 2 592 873 1 327 970 3 616 980 886 387 15 931 944 5 492 477 1 900 346 980 728 2 271 244 531 091 11 175 886 73.16% 73.29% 73.85% 62.79% 59.92% 70.15% 1 514 150 1 034 112 2 822 534 346 413 1 536 368 7 253 577 7 006 627 2 934 458 3 803 262 2 617 657 2 067 459 18 429 463 7.08% 2.96% 3.84% 2.64% 2.09% 18.61% 1 852 500 3 158 200 2 129 600 1 238 000 2 404 400 10 782 700 481 872 580 873 32 057 292 244 517 469 1 904 515 2 334 372 3 739 073 2 161 657 1 530 244 2 921 869 12 687 215 2 034 723 2 969 007 1 408 168 1 168 171 1 847 481 9 427 550 87.16% 79.40% 65.14% 76.34% 63.23% 74.31% 9 563 013 5 407 533 5 440 537 2 352 064 3 297 738 26 060 885 11 597 736 8 376 540 6 848 705 3 520 235 5 145 219 35 488 435 11.71% 8.46% 6.92% 3.55% 5.20% 35.84%
Interim financial implementation - regular budget and extrabudgetary funds for the biennium 2002-2003 as at 31 May 2003 (1) (2) Programme changes during Working allocation implementation and other changes Operating budget (1)+(2) Actual expenditures/ obligations (3) (4) (5) Percentage of operating budget implemented (4)/(3) Extrabudgetary funds implemented All funds implemented (4)+(6) (6) (7) (8) Percentage of all funds implemented by focus
HEALTH SECTOR DEVELOPMENT 11 Health systems reform 12 Human resource for health 13 Health information and evidence for policy 14 Emergency and humanitarian action Subtotal REACHING OUT 15 Information technology 16 External relations 17 Public information Subtotal 1 585 000 9 848 000 1 812 000 13 245 000 ( 216 427) 415 050 ( 355 545) ( 156 922) 1 368 573 10 263 050 1 456 455 13 088 078 1 048 569 9 249 634 1 097 206 11 395 409 76.62% 90.13% 75.33% 87.07% 0 3 695 802 0 3 695 802 1 048 569 12 945 436 1 097 206 15 091 211 1.06% 13.07% 1.11% 15.24% 12 795 400 7 581 400 1 616 000 150 500 22 143 300 ( 393 177) ( 850 867) 421 425 ( 31 262) ( 853 881) 12 402 223 6 730 533 2 037 425 119 238 21 289 419 11 260 750 4 221 023 1 416 411 98 922 16 997 106 90.80% 62.71% 69.52% 82.96% 79.84% 2 251 422 1 295 731 565 558 665 417 4 778 128 13 512 172 5 516 754 1 981 969 764 339 21 775 234 13.65% 5.57% 2.00% 0.77% 21.99%
Interim financial implementation - regular budget and extrabudgetary funds for the biennium 2002-2003 as at 31 May 2003 (1) (2) Programme changes during Working allocation implementation and other changes Operating budget (1)+(2) Actual expenditures/ obligations (3) (4) (5) Percentage of operating budget implemented (4)/(3) Extrabudgetary funds implemented All funds implemented (4)+(6) (6) (7) (8) Percentage of all funds implemented by focus
ADMINISTRATION AND FINANCE Budget and finance Personnel General administration Supply Subtotal REGIONAL DIRECTOR'S OFFICE Regional Committee Regional Director's development programme Executive management Subtotal Total 454 000 977 000 1 060 000 2 491 000 71 578 000 52 644 41 000 ( 84 957) 8 687 316 000 506 644 1 018 000 975 043 2 499 687 71 894 000 306 668 702 265 796 750 1 805 683 55 845 698 60.53% 68.98% 81.71% 72.24% 77.68% 43 183 627 306 668 702 265 796 750 1 805 683 99 029 325 0.31% 0.71% 0.80% 1.82% 100.00% 1 377 000 670 000 4 296 000 625 000 6 968 000 ( 487 066) 103 172 ( 6 962) ( 179 487) ( 570 343) 889 934 773 172 4 289 038 445 513 6 397 657 825 172 644 750 3 155 266 418 876 5 044 064 92.72% 83.39% 73.57% 94.02% 78.84% 246 295 277 649 800 909 70 382 1 395 235 1 071 467 922 399 3 956 175 489 258 6 439 299 1.08% 0.93% 4.00% 0.49% 6.50%
WPR/RC54/3 page 11 ANNEX 3
OUTCOMES (1 JANUARY – 31 DECEMBER 2002) 1. Expanded Programme on Immunization Expected result Progress towards achieving expected result as measured by indicators • All countries/areas have developed and adopted national EPI disease control activity plans.
1. Support provided to countries/areas in appropriately planning and conducting Expanded Programme Immunization (EPI) and disease control activities. 2. Support provided to ensure that no country or area reports cases of poliomyelitis due to indigenous wild poliovirus. 3. Countries/areas enabled to reduce measles transmission to very low levels, eliminate neonatal tetanus as a public health problem, and control outbreaks of other vaccine-preventable diseases.
•
No cases of poliomyelitis due to indigenous wild poliovirus have been reported under conditions of good quality surveillance.
•
Nine countries/areas have reported zero cases of measles in the past two report years. Of the remaining countries/areas, 50% have a reduced notification rate of measles cases. 84% of countries/areas have eliminated neonatal tetanus as a public health problem. A rubella outbreak was reported in Tonga but following interventions the epidemic was rapidly and effectively controlled.
4. All countries/areas enabled to maintain routine EPI coverage at over 90% and to provide highquality services with safe injections and potent vaccines.
•
Sixty per cent of countries/areas reported routine EPI coverage in excess of 90%.
WPR/RC54/3 page 12 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Ninety per cent of countries/areas are self-sufficient in the supply of good quality EPI vaccines.
5. Countries in the Region will continue to move towards selfsufficiency in the supply (including production where appropriate) of good quality vaccines. 6. Support given to ensure that hepatitis B vaccine is fully integrated with the EPI in all countries and areas as per the WHO recommendation, and that at least one other antigen is targeted for introduction in selected countries and areas.
• •
All countries/areas have integrated hepatitis B vaccine into their EPI programmes. Haemophilus influenzae type B (Hib) disease burden assessments were completed in five Pacific island countries and this information will be used by each to determine the feasibility of adding Hib vaccine to routine immunization schedules.
2. Malaria, other vectorborne and parasitic diseases Expected result Progress towards achieving expected result as measured by indicators • Two community-based vector control projects were planned in Cambodia and the Lao People’s Democratic Republic for implementation in 2003. • Planning began for a biregional meeting on dengue surveillance to be held in December 2003 to promote development of a laboratory-based surveillance network (DengueNet).
1. Effective dengue vector control through active source reduction promoted. 2. Support given to effective dengue surveillance through strengthening of the reference laboratory network.
WPR/RC54/3 page 13 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Mass drug administration campaigns were effectively coordinated through PacELF in 11 Pacific isla nd countries.
3. Strong coordination of filariasis elimination in the Pacific through the Pacific Programme for the Elimination of Lymphatic Filariasis (PacELF), and strengthened national programmes. 4. Implementation facilitated of global lymphatic filariasis elimination strategy in Cambodia, the Lao People’s Democratic Republic, Malaysia, the Philippines and Viet Nam. 5. PacELF strategy for lymphatic filariasis elimination implemented in all endemic countries and national plans of action coordinated through the PacELF regional mechanism 6. Support given to deworming programmes covering more than 75% of schoolchildren. 7. Effective regional programme on the control of parasitic zoonoses implemented, and national programmes supported. 8. Improved international coordination of parasitic control
•
The Philippines and Viet Nam have ongoing mass drug administration campaigns for lymphatic filariasis. Cambodia and Malaysia will start in 2003. Only the Lao People’s Democratic Republic has yet to complete endemic mapping.
•
The annual PacELF Programme Managers Meeting will be held in Suva, Fiji, in October 2003.
•
Plans for school-based deworming are under development in Fiji and Kiribati.
•
A joint meeting organized by WHO and the Food and Agriculture Organization was held in Ha Noi, Viet Nam in November 2002, to strengthen the regional control of parasitic zoonoses.
•
An international meeting on coordination of parasite control was held in Tokyo, in March 2002 in collaboration with the Hashimoto Initiative involving a wide range of partner agencies.
WPR/RC54/3 page 14 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • National reports were edited and are being compiled for eventual circulation. A scientific paper was submitted for publication to the WHO Bulletin. • An RBM regional review meeting was held in October 2002. Country RBM promotion has been supported and regional support has been provided in collaboration with the RBM Coordinator in Bangkok.
9. Data from sample surveys collected, compiled and a report produced 10. Development, monitoring and coordination of national programmes for control of malaria and other vectorborne and parasitic diseases, as well as promotion of Roll Back Malaria (RBM) approaches, facilitated. 11. Use of combination treatment and dipstick diagnosis promoted in at least 50% of falciparum high-risk provinces in Cambodia, Viet Nam and Yunnan Province, China, as well as implementation of evidence-based antimalarial drug policies in all endemic countries. 12. Regional system for antimalarial drug resistance surveillance operating.
•
Seven of the nine countries in the Region endemic for falciparum malaria now use combination treatment to treat the disease. Dipstick testing is being promoted in all countries and Cambodia, China, the Lao People’s Democratic Republic, the Philippines and Pacific island countries will introduce dipsticks widely with support from the Global Fund to Fight AIDS, Tuberculosis and Malaria.
•
Thirty-six sentinel monitoring sites have been established in the six Mekong countries to collect malaria drug resistance data. In other countries, regular monitoring data are already available. A comprehensive report will be produced.
13. Malaria surveillance and management information strengthened.
•
The malaria health information system was reviewed during the October 2002 Roll Back Malaria meeting. Numerous country-level activities were carried out to revise and strengthen national management systems. Significant progress has been made in some countries (e.g. Cambodia and the Lao People’s Democratic Republic) using HealthMapper geographic information systems software.
WPR/RC54/3 page 15 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • A review of the effectiveness of vector control in the Region was carried out. An international vector control course is planned for July 2003 and will be jointly organized by the South-East Asia and Western Pacific Regions of WHO.
14. Support given for improving malaria vector control coverage and targeting.
15. Greater Mekong subregional initiative that adopts participatory and locally-driven approach to information, education, and communication (IEC), socia l mobilization and advocacy developed and implemented
•
The Roll Back Malaria /Mekong information, education, communication project, supported by the Asian Development Bank and co-financed by WHO, was launched in 2002 in five Mekong countries.
3. Stop TB and leprosy elimination Expected result 1. Regional capabilities for directly observed treatment, short-course (DOTS) implementation enhanced, and support provided to countries and areas to achieve this at national and local levels. Progress towards achieving expected result as measured by indicators • The reported percentage of the population in the Region with access to DOTS was 68% by the end of 2001. A regional meeting for TB managers from countries with a high burden of TB was held in December 2002. WHO coordinated reviews of national TB programmes in China and the Philippines in the second half of 2002.
WPR/RC54/3 page 16 Annex 3
Expected result 2. Countries and areas enabled to strengthen tuberculosis surveillance, including that for prevalence, tuberculosis/HIV coinfection and multidrug-resistant tuberculosis.
Progress towards achieving expected result as measured by indicators • In 2002, 33 countries and areas out of a total of 37 in the Region, notified TB cases. Only four Pacific island countries and areas (Palau, Pitcairn Islands, Tuvalu, and Wallis and Futuna) with a total population size of approximately 45 000, did not report to WHO. TB prevalence surveys have been completed in Cambodia and are ongoing in Malaysia. Preparations have been completed in Viet Nam. TB drug resistance surveillance has been completed in Cambodia and Viet Nam and is ongoing in China with new provinces being added as planned. Preparations have been completed in the Philippines. Three countries (Cambodia, Malaysia and Viet Nam) are conducting TB/HIV surveillance activities. Global guidelines on TB/HIV surveillance will be finalized by mid-2003 and incorporated in the regional framework for TB/HIV.
3. Support given to permit all countries and areas in the Region to achieve the leprosy elimination target of less than 1 case per 10 000 population.
•
The 35 countries and areas of the Region that have eliminated leprosy as a public health problem had sustained that status at the end of 2002, and achieved further reductions in the disease burden and transmission. In addition, nine of these countries had reported zero prevalence and no new case detection by the end of 2002. In Marshall Islands and the Federated States of Micronesia, which have not reached the elimination goal, national leprosy awareness campaigns were conducted.
4. Selected countries and areas enabled to set up cost-effective leprosy post-elimination surveillance system.
•
The implementation of the post elimination leprosy surveillance system that was started in selected provinces of Cambodia as a pilot project in 2000 was extended to cover some provinces of Viet Nam and the Lao People’s Democratic Republic during 2002.
WPR/RC54/3 page 17 Annex 3
4. Sexually transmitted infections, including HIV/AIDS Expected result Progress towards achieving expected result as measured by indicators • Four countries (Cambodia, China, the Philippines and Viet Nam) have already developed draft national STI control plans.
1. Support given for the development and implementation of appropriate national policies, strategies and plans for the provision of sexually transmitted infections (STI) and HIV/AIDS prevention and care services. 2. Support provided for strengthened gathering, analysis and dissemination of data relating to the monitoring, planning and evaluation of STI and HIV/AIDS epidemic.
•
Five countries (Cambodia, China, the Lao People’s Democratic Republic, the Philippines and Viet Nam) have already reached the regional surveillance targets. HIV surveillance, Number 17, was distributed to Member States, Headquarters and other regions. A national consensus report on the Philippines was posted on the WHO website and will be printed in due course.
3. Development of AIDS care.
•
Three countries (Cambodia, China and Viet Nam) have already developed draft strategic plans for HIV/AIDS care and are now in the process of finalizing these plans. The three countries are starting pilot projects and developing a series of guidelines/materials according to the draft strategic plans. A regional framework on HIV/AIDS care was developed through consultations with countries and experts. Two issues of the Antiretroviral Newsletter were distrib uted to Member States, Headquarters and regional offices of WHO and partner agencies.
WPR/RC54/3 page 18 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Six Member States are now implementing the 100% condom use programme targeting establishment-based sex workers (Cambodia – nationwide expansion; China – four sites; the Lao People’s Democratic Republic – one pilot site; Mongolia – one pilot site; the Philippines – initiation stage; Viet Nam – 10 sites). China and Viet Nam have been identified as priority countries for harm reduction interventions among injecting drug users. Tools and guidelines on policy and programme development, advocacy and outreach-based HIV prevention among drug users are being translated into Chinese and Vietnamese. Pilot community-based outreach HIV prevention services are being established in two sites in Viet Nam (Ha Noi and Thanh Hoa Province). To support advocacy for a harm reduction-based approach, a regional contact group was established and national contact groups are being established in two Member States.
4. Member States enabled to implement and/or scale up STI and HIV/AIDS prevention and control programmes.
5. Communicable disease surveillance and response Expected result Progress towards achieving expected result as measured by indicators • A regional task force meeting was planned for late 2003 but funds allocated for this activity have been reprogrammed to strengthen severe acute respiratory syndrome (SARS) preparedness and control activities in countries/areas.
1. Regional task force fully functional and able to plan, monitor and implement activities for surveillance, outbreak alert, outbreak response and preparedness.
WPR/RC54/3 page 19 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Preliminary country assessments have been completed in Mongolia and Papua New Guinea.
2. Support provided to enable Member States to assess their needs for enhancing surveillance and response activities. 3. High-risk countries and areas enabled to establish and implement national control programmes for selected target diseases, such as cholera. 4. Strengthened regional capacity for surveillance and outbreak monitoring and response, including guidelines and communication network.
•
Assessments of the public health impact and disease burden of rabies were developed. A rabies control training course was conducted in the Lao People’s Democratic Republic.
•
Regional guidelines for the surveillance of antimicrobial resistance are being finalized. A computer database interface for the Mekong Basin Disease Surveillance Network Team was established share information and respond to outbreaks. Priority disease surveillance and response guidelines for the Pacific were completed.
5. Regional laboratory network established for priority diseases, and support given to set up national networks.
•
A midterm review of influenza surveillance/laboratory activities was conducted in China during 2002. A review of influenza surveillance/laboratory activities was also conducted in selected provinces in China. Technical support was provided for influenza surveillance in several provinces in China. A workshop on influenza policy/guideline development was conducted in China.
6. Support provided to establish training programmes for fieldbased surveillance and response at the national and local levels.
•
Technical support was provided for a field epidemiology training programme (FETP) in China. A consultant conducted an evaluation of the FETP in China, focusing on project requirements. A training module for a short training course was developed for Viet Nam. A multicountry training workshop for field epidemiology was conducted in the Federated States of Micronesia in November 2002.
WPR/RC54/3 page 20 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • The first Pacific Public Health Surveillance Network EpiNet workshops were conducted with additional training scheduled for the mid-2003.
7. Coordination, supervision and implementation of communicable disease control, surveillance and response strengthened through WHO support, including training. 8. Support given to strengthen the regional response to the SARS outbreak 9. Support provided to develop country preparedness and response to the SARS outbreak. 10. Support for collection and dissemination of information on SARS to health officials and to the general public to address concerns related to the epidemic
•
A SARS outbreak response team was established to work with the global SARS response network to coordinate the regional response to the SARS epidemic.
•
Technical support was provided to countries/areas to develop country preparedness through the provision of consultants and supplies and equipment.
•
Support was provided to countries/areas to collect and disseminate information on SARS throughout the Region through the provision of consultants and supplies and equipment.
6. Healthy settings and environment Expected result Progress towards achieving expected result as measured by indicators • Four countries (Cambodia, the Lao People’s Democratic Republic, Mongolia and Viet Nam) have been supported to develop action plans or strengthen national coordination. Pacific island countries have been supported through the publication of regional guidelines on Healthy Islands. The Philippines has been supported to respond to the needs of old people by establishing a healthy lifestyle centre as part of the “Healthy Cities” initiative.
1. Selected countries supported in establishing a national intersectoral coordinating mechanism with a plan of action and budget for Healthy Cities or Healthy Islands.
WPR/RC54/3 page 21 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • The development of a regional inventory of healthy workplaces initiatives and regional guidelines for healthy workplaces in the agricultural sector has begun. Regional guidelines for healthy marketplaces were drafted and model healthy marketplaces projects were developed in the Philippines and initiated in Vanuatu. A case study and video presentation of a healthy hospital in the Philippines was completed. Model projects on tourism in Healthy Cities/Healthy Islands were begun in Fiji, Japan, Malaysia, Palau, and the Philippines.
2. Countries and areas enabled to develop model projects, case studies of “good practice” and regional and national guidelines for healthy workplaces, marketplaces, villages/communities/ tourism and hospitals.
3. Selected countries enabled to strengthen their monitoring systems for the impact of health promotion activities.
•
A Regional Framework for Health Promotion was published to support Member States to build capacity in health promotion. A strategy and regional agenda for health promotion was developed and support provided to several countries to strengthen their capacity in health promotion, including an evaluation of its effectiveness.
4. Selected countries supported in establishing a national intersectoral coordinating mechanism with a plan of action and budget for Healthy Cities or Healthy Islands. 5. Selected countries supported in developing the necessary capacity to implement an adequate health impact assessment
•
Mongolia and Viet Nam were supported to develop national coordinating mechanisms for injury prevention.
•
Four countries (China, Fiji, Malaysia and Mongolia) were supported to develop capacity to implement health impact assessments.
WPR/RC54/3 page 22 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • The Philippines was supported to develop a system to monitor health impacts of air pollution in an urban area. Cambodia was supported to develop draft drinking water quality standards; and six countries (the Lao People’s Democratic Republic, Mongolia, Papua New Guinea, the Philippines, Tonga and Vanuatu) were supported to develop drinking water quality monitoring and surveillance.
6. Selected countries enabled to set health-based air and water quality standards, and set up monitoring systems for air and water quality.
7. Countries and areas supported in securing adequate access to information on chemical, physical and biological health hazards and risks at workplaces, in communities and in homes and how to control them 8. Selected countries supported in incorporating standards and codes of practices into relevant occupational health legislation to control chemical, physical and biological health hazards 9. Selected countries enabled to write into legislation and adopt in practice appropriate waste management and pollution control technologies, with an emphasis on waste minimization/cleaner technologies and recycling
•
Five countries (China, Malaysia, the Philippines, Solomon Islands and Viet Nam) were supported to improve access to information on chemical, physical and biological health hazards.
•
China and Viet Nam were supported to develop and introduce legislative provisions on occupational health and safety.
•
Three countries (Fiji, Mongolia and Papua New Guinea) were supported to establish policies/programmes on health-care waste management.
WPR/RC54/3 page 23 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Nine countries (Cambodia, China, Fiji, the Lao People’s Democratic Republic, Kiribati, Malaysia, Papua New Guinea, Vanuatu and Viet Nam) reviewed their national food safety programmes, examined the need for a multisectoral approach to policy and plan of action development, initiated risk assessment, undertook contaminant monitoring or developed food legislation.
10. Selected countries supported in improving food safety by developing and strengthening food safety legislation; strengthening the capacity to apply risk analysis principles; conducting food safety education and training; and implementing surveillance and monitoring programmes.
7. Child and adolescent health and development Expected result • Progress towards achieving expected result as measured by indicators Twelve countries have introduced IMCI, of which five (Cambodia, China, Mongolia, the Philippines and Viet Nam) have expanded implementation beyond the pilot phase. Seven countries (Cambodia, China, the Lao People’s Democratic Republic, Mongolia, Papua New Guinea, Philippines and Viet Nam) have included IMCI in national policy documents and/or national plan of action for child health. Eleven countries (Cambodia, China, Fiji, the Lao People’s Democratic Republic, Malaysia, Mongolia, Papua New Guinea, the Philippines, Solomon Islands, Vanuatu and Viet Nam) have developed locally adapted IMCI guidelines. Kiribati is exploring further ways of introducing IMCI.
1. Priority countries and areas supported in planning, implementing, monitoring and evaluating IMCI.
WPR/RC54/3 page 24 Annex 3
Expected result •
Progress towards achieving expected result as measured by indicators Four countries (China, Mongolia, the Philippines and Viet Nam) have developed and implemented integrated interventions in adolescent health and development. Six countries (China, Kiribati, Mongolia, the Philippines, the Republic of Korea, and Viet Nam) have used WHO guidelines and tools in advocacy, capacity building, developing policies and/or interventions for adolescent health and development.
2. Support given to priorit y countries and areas to develop, implement, and evaluate integrated interventions in adolescent health and development, including use of guidelines and tools developed by the Regional Office.
3. Priority countries and areas supported in the development, implementation, monitoring and evaluation of plans for infant and young child feeding. 4. Priority countries and areas supported in planning, implementation, monitoring and evaluation of national pla ns of action for nutrition including, where relevant, plans for the prevention and control of obesity.
•
Four countries (Cambodia, China, Fiji, and Viet Nam) were supported to develop, implement and monitor plans for infant and young child feeding and related training courses.
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Three countries (the Lao People’s Democratic Republic, Mongolia and Tonga) were supported to review implementation of national plans of action for nutrit ion. Fiji and Tonga improved planning, implementation and monitoring of interventions for the prevention and control of obesity. Twelve countries of the Pacific were supported to formulate strategies for obesity prevention and control through a consultation on food safety and quality in the Pacific.
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Expected result •
Progress towards achieving expected result as measured by indicators Three countries (China, the Lao People’s Democratic Republic and Mongolia) were supported to develop, implement, monitor and evaluate iodine deficiency disorder (IDD) prevention and control programmes. Four countries (Cambodia, China, the Philippines and Viet Nam) were supported to develop, implement, monitor and evaluate interventions based on a new approach for preventing anaemia. An assessment of micronutrient deficiencies and of opportunities for micronutrient fortification in countries of the Region was conducted.
5. Priority countries and areas enabled to develop and implement plans of action for the prevention and control of micronutrient deficiencies.
8. Reproductive health Expected result Progress towards achieving expected result as measured by indicators • Six priority countries (Cambodia, the Lao People’s Democratic Republic, Mongolia, Papua New Guinea, the Philippines and Viet Nam) finalized national plans of action on maternal mortality reduction. A national safe motherhood master plan (2005-2010) was drafted, in Viet Nam.
1. Support provided to priority countries in reviewing, revising, finalizing and implementing national plans of action on MMR reduction and reproductive health.
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Expected result
Progress towards achieving expected result as measured by indicators • Translations of Managing Complications in Pregnancy and Childbirth were printed in China, Mongolia, the Lao People’s Democratic Republic and Viet Nam. The book was adapted in the Lao People’s Democratic Republic and the Philippines. In cooperation with UNICEF, training was conducted in several regions and provinces of the Philippines and essential care practice guides were adapted. A regional workshop on improving quality of care in family planning was held in July 2002 in Nadi, Fiji. After the workshop, most countries took action in such areas as developing/revising service protocols on family planning and organized national training on eligibility criteria for contraceptive methods. A midwifery training curriculum was developed in Cambodia and training was conducted. A service protocol on safe motherhood was developed in the Lao People’s Democratic Republic and service standards for safe abortion were developed in Viet Nam.
2. Priority countries supported to improve quality of maternal and neonatal health care and family planning services at different levels, partly through the development of guidelines and service protocols.
3. Support given for increasing awareness of how to make pregnancy safer and generating awareness of reproductive health.
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The situation of adolescent reproductive health in China was reviewed. Similar assessments will be carried out in Cambodia, the Lao People’s Democratic Republic, Malaysia, Mongolia, and the Republic of Korea in 2003. The publication Towards healthier mothers, children and families: a nutrition guide for community health workers was published and distributed.
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Expected result
Progress towards achieving expected result as measured by indicators • Support was provided to Mongolia for prevention of anaemia in pregnant women. Monitoring methods and indicators for mother-friendly hospitals were developed in Mongolia.
4. Adequate technical support provided to five project countries for strengthening access to and availability of good quality reproductive health care. 5. Support provided to selected countries and areas to develop or improve their monitoring system to assess the progress of MMR reduction and status of reproductive health.
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The Second Regional Workshop on Monitoring Systems for Maternal and Child Mortality in Public Health Facilities was held in Beijing in December 2002. Cambodia, China and Mongolia have conducted maternal death audits. All priority countries have improved their recording and reporting systems on maternal and child mortality. The Solomon Islands reproductive heath system has been reviewed and user-friendly software for reproductive health services has been developed and pilot-tested in eight provinces.
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Expected result
Progress towards achieving expected result as measured by indicators • A proposal for a study on anaemia in pregnant women was drafted. Studies on women’s health and gender issues were conducted, including: − − − a study on risk factors of suicide among women of reproductive age; a survey on domestic violence against pregnant women (China); training of service providers on prevention and management of domestic violence (China and the Republic of Korea); − a study of medico-legal services for persons who have experienced sexual violence and a review of the WHO Protocol for the medical management of child and adult survivors of sexual violence (the Philippines); and − introduction of a training module on “Gender and rights in reproductive health” (Philippines).
6. Countries and areas enabled to develop strategies and interventions for anaemia, cervical cancer and mental illness in women.
9. Noncommunicable diseases, including mental health Expected result Progress towards achieving expected result as measured by indicators • Viet Nam finalized its national NCD plan and approved it as an official national programme. Mongolia drafted a pre-final version in November 2002 and aims to complete it in a national workshop in July 2003. Projects in China, Cook Islands Malaysia, Mongolia, the Philippines and Viet Nam are still in progress. National workshops will be held in 2003 in demonstration countries to evaluate achievements made.
1. Priority countries and areas supported in the development and implementation of integrated approaches to the prevention and control of noncommunicable diseases (NCD).
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Expected result
Progress towards achieving expected result as measured by indicators • Data collection was completed in Fiji, Marshall Islands, Federated States of Micronesia and Samoa. Progress was reviewed in a workshop in Suva, Fiji in January - February 2003. NCD staff contributed to obesity workshops carried out in Fiji and Tonga over 2002. Expansion of the Viet Nam cancer registry is currently underway in five provinces. Malaysia is reorganizing its cancer registration process.
2. Priority countries supported in the conduct of epidemiological research and in strengthening their registration systems.
3. Countries supported in the development of documentation for the management of diabetes and hypertension and training of primary health care staff. 4. Increased awareness of policymakers, professionals and the general public about promotion of mental health and prevention of mental illness. 5. National legislation, policies and plans of action on the prevention and treatment of mental disorders supported. 6. Mental health service delivery and evaluation at national and local levels supported.
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Mongolia, Samoa and Viet Nam developed guidelines. The Philippines has developed a training manual and has expanded its training system.
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A regional report on epilepsy has been drafted and a regional report on mental health is being prepared. Both are important advocacy documents. Mental health situation reports are now available for 16 countries identified for in-depth and comprehensive situation analysis.
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Mental health policy and legislation are being reviewed in 16 countries. Training activities and development of training materials were carried out in China, Cambodia, and Viet Nam
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A demonstration project on epilepsy was supported in China. Health workers were trained and costeffective treatment was provided at the primary care level. A cost-effectiveness evaluation for community based mental health care was conducted in Malaysia.
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Expected result
Progress towards achieving expected result as measured by indicators • Collaborating centres in Australia, China and Japan have been actively involved in training in research methods, mental health policy research and epidemiological investigation. A Consultation on the Development of a Research Culture and Capacity for Mental Health was held in November 2002, in Manila. A survey of drug abuse was supported in Yunnan, China.
7. Development of a research culture and capacity encouraged
8. Promotion of mental health, prevention of mental illness and suicide, and global campaigns for mental health advocated for and supported.
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Samoa is developing suicide prevention programmes.
10. Tobacco Free Initiative Expected result Progress towards achieving expected result as measured by indicators • Twenty-three countries/areas now have national plans of action for tobacco control with provisions consistent with the Framework Convention on Tobacco Control (FCTC).
1. Member States enabled to put in place national plans of action on tobacco control detailing deliverable tobacco control strategies and programmes. 2. Support given to Member States to put in place effective policies to deter and control tobacco use, as well as legislation and regulations for tobacco control.
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Fourteen countries/areas have been supported to develop or strengthen tobacco control legislation.
WPR/RC54/3 page 31 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Seven countries were supported to implement integrated approaches to tobacco control.
3. Member States encouraged to use integrated approaches to achieving tobacco control targets, including best practices in comprehensive tobacco control. 4. Greater resources mobilized to support government and WHO tobacco control programmes. 5. Research, monitoring and surveillance systems in place to support tobacco control, including the Global Youth Tobacco Survey, and Global Health Professional Survey and the Global Surveillance of Regional Data. 6. Support given to countries to adopt advocacy, educational and promotional campaigns and materials. 7. Member States encouraged to participate in and support the FCTC
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Combined resources for the Regional Office and country offices increased by over five times.
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Six countries completed the first round of the Global Youth Tobacco Survey. Five additional countries/areas are completing the first round of the survey. One country is beginning the second round.
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Eight countries developed a defined advocacy and communications strategy for tobacco control.
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24 Member States actively participated in FCTC negotiations. Member States are developing protocols on cross-border advertising and illegal trade in tobacco products.
WPR/RC54/3 page 32 Annex 3
11. Health systems reform Expected result Progress towards achieving expected result as measured by indicators • Malaysia, Federated States of Micronesia, Mongolia, and Tuvalu are developing and promulgating national medicines policies. Cambodia, China, the Lao People’s Democratic Republic, the Philippines, and Viet Nam are strengthening their pharmaceutical quality assurance systems. Cambodia, China, the Lao People’s Democratic Republic, Mongolia, Papua New Guinea, Tonga, and Viet Nam are improving the rational use of medicines through vario us strategies. China, Cambodia, the Lao People’s Democratic Republic, Mongolia and Papua New Guinea are computerizing drug registration procedures. 2. Regional and subregional intercountry collaboration in pharmaceuticals implemented and strengthened. • Support was provided for the 19th Meeting of the ASEAN Working Group in Pharmaceuticals in Brunei Darussalam; Cambodia, the Lao People’s Democratic Republic and Viet Nam attended the Working Group. A workshop on the Fiji bulk purchase scheme was conducted with support from WHO in November 2002, involving the Pacific island states to evaluate the progress of work plan implementation. 3. Improved integration of traditional medicine into formal health care systems in countries and areas through WHO support. • Support has been provided to China, Malaysia, Mongolia, Papua New Guinea, the Philippines, and Viet Nam for programme development and implementation.
1. Countries and areas enabled to implement and strengthen national drug policies.
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Expected result
Progress towards achieving expected result as measured by indicators • Three meetings of the Forum for Harmonization of Herbal Medicines were held; two sub-committees and their working groups are working on various aspects of standardization and quality of herbal medicines.
4. Improved collaboration between Asian countries on use of herbal medicines.
5. Priority countries enabled to improve blood services.
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Participants from Cambodia, China, Fiji, the Lao People’s Democratic Republic, Malaysia, Mongolia, Papua New Guinea, the Philippines, Samoa, Vanuatu, Viet Nam attended a regional quality management (QMT) training course. China, Malaysia and the Philippines organized national QMT courses.
6. Support provided to countries and areas to improve the quality of laboratory services.
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Continued support was provided to the regional external quality assurance scheme. Participation of the 14 Pacific island countries involved is improving (Cook Islands, Fiji, Kiribati, Marshall Islands, Federated States of Micronesia, Nauru, Niue, Papua New Guinea, Palau, Samoa, Solomon Islands, Tonga, Tuvalu, Vanuatu).
7. Technical support given to priority countries to assess safe injection issues and develop plans of actions.
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Country assessments were completed for Cambodia, China, and Mongolia; national policy-defining workshops on injection safety were conducted in Cambodia and Mongolia; continued technical support was provided to Cambodia, the Lao People’s Democratic Republic, and Viet Nam on safe disposal of used syringes.
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Expected result
Progress towards achieving expected result as measured by indicators • Policy discussions were held and specific recommendations provided to China, Fiji, the Lao People’s Democratic Republic, Malaysia, Federated States of Micronesia, Mongolia, Papua New Guinea, Samoa and Vie t Nam. The regional health care financing policy framework and recommendations were drafted during the third Health Sector Development TAG Meeting in February 2003.
8. Policy advice given to countries in economic transition and the Pacific island countries to achieve more equitable, stable and fair health care financing arrangements aimed to protect low-income and disadvantaged populations through health insurance. 9. Pilot projects on rural commune health insurance designed and implemented in at least three countries with WHO support.
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Rural commune health insurance schemes were designed for Lao People’s Democratic Republic and Viet Nam. The main framework and criteria for commune health insurance in China were discussed and approved during the rural health conference. The pilot commune health insurance scheme began in selected provinces of Lao People’s Democratic Republic. The pilot scheme is under implementation in one of the urban districts of Ha Noi before implemention at commune level. The main principles of commune health insurance scheme are under consideration by the Rural Cooperative Medical Services in China.
10. Social health insurance introduced or extended through WHO support in countries and areas that are committed to strengthening their social safety nets for health.
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Technical support for development of social health insurance policies and development frameworks, including extension of insurance coverage, were provided in China, Fiji, Lao People’s Democratic Republic, Malaysia, Mongolia, Papua New Guinea, Philippines, Samoa, and Viet Nam. Technical support was provided for development of a master plan for the introduction of social health insurance in Cambodia.
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Expected result
Progress towards achieving expected result as measured by indicators • Training needs have been assessed and an overall framework of training materials developed; a training module is currently under development.
11. National capacity strengthened through WHO support in financial planning, budgeting and management, including resource allocation, utilization and economic analysis and evaluation, in selected countries and areas. 12. All countries and areas enabled to develop methodology for comprehensive, reliable and comparable national health accounts.
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National health accounts (NHA) methodology and development strategies were identified during the biregional National Health Accounts workshop held in Bangkok in June 2002. Technical support for NHA development has been undertaken in China, Malaysia, Mongolia, the Philippines, and Samoa. NHA are currently being considered in Brunei Darussalam, Cambodia, Fiji, and the Lao People’s Democratic Republic.
13. Increased awareness, knowledge and skills among countries and areas through WHO support, as well as among WHO staff, to address poverty and health issues.
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As part of a manual to support the integration of poverty and gender concerns into health professional educational curricula, drafts for 11 modules are now being standardized, edited and finalized.
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Expected result
Progress towards achieving expected result as measured by indicators • Progress has been made in the development of guidelines: − − − a practical guide to understanding the legislative process has been completed, work on guidelines for regulating health professionals is continuing, gathering lessons on developing health promoting councils and tagged taxes, including legal/legislative issues has begun, − draft guidelines for enforcement of legislation for health protection has been produced and is being further expanded. A handbook on health policy development for Pacific island practitioners was developed and is currently being edited. Consultancies on health legislation for China, Tonga and Viet Nam were undertaken.
14. Guidance given for policy development and regulation and production of training materials in policy analysis.
15. Public health training strengthened in selected countries and areas, and use of essential public health functions introduced to selected countries.
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A technical paper was prepared for the Regional Committee in 2002. A consultation meeting for Pacific island countries is planned for the end 2003. A consultancy in Viet Nam is planned for late 2003 to strengthen public health networks including key training institutions.
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Expected result
Progress towards achieving expected result as measured by indicators • Technical support focused on the effective management of equipment: − two consultancies to supplement the Lao People’s Democratic Republic project to develop a national policy were completed; − support was provided for Pacific island participants on a biomedical technicians training course; − a draft regional framework and tools on equipment management have been completed.
16. Capacity of countries and areas strengthened in the areas of primary health care policy, planning and management.
12. Human resources development Expected result Progress towards achieving expected result as measured by indicators • A survey and analysis of the curricula of 37 medical and nursing institutions in 18 countries were undertaken, focusing on poverty, gender and health. Medical and nursing curricula reviews and strengthening have been undertaken in eight countries. Draft guidelines on poverty, gender and health; assessment and professional development needs of mid-level practitioners; nursing/midwifery advocacy and effectiveness resources; and adolescent health and development have been or are being developed. Technical support to improve the standards and quality of training of health professionals was provided to five countries.
1. National or institutional mechanisms or guidelines for curricular review, evaluation and strengthening established.
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Expected result
Progress towards achieving expected result as measured by indicators • A study on the migration of health professionals in Pacific island countries was completed. An analysis of the health workforce and labour norms was conducted in four countries (the Lao People’s Democratic Republic, the Philippines, Vanuatu and Viet Nam). A technical review of the WHO fellowship programme was conducted to improve its impact on health services.
2. Health workforce plans developed, using evidencebased methodologies, guidelines or tools.
3. Strengthened leadership, management and strategic planning and research capacities of health professionals.
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Technical support was provided for the Pacific Health Leadership and Management Course held at the National University of Samoa in 2003 involving 10 countries. Guidelines for assessing the impact of health leadership and management training in Pacific island countries have been developed. Leadership and operational research training were conducted for eight countries. Leadership and advocacy training was conducted for seven countries. A regional consultation on nursing strategies involving the participation of international agencies and countries was convened.
4. Promotional, technical and developmental support to regional and country programmes provided.
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Technical support has been provided to at least ten countries and health institutions by programme professional staff, consultants and contractual partners.
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13. Health information and evidence for policy Expected result Progress towards achieving expected result as measured by indicators • Four countries (Lao People’s Democratic Republic, Marshall Islands, Mongolia and Viet Nam) revised their health information system plans and three countries (Lao People’s Democratic Republic, Mongolia and Viet Nam) piloted a revised health management information system in 2003. 2. Member States enabled to develop and use health data and indicators so as to monitor and assess health outcomes from district level. • Three countries (the Lao People’s Democratic Republic, Viet Nam and Mongolia) developed national health indicators for heath planning and health situation analysis. Four national workshops were organized in Brunei Darussalam, China (2) and Mongolia to upgrade skills in data analysis and information use. 3. Countries and areas facilitated in holding national training courses in disease classification and coding training for a core group of medical records personnel to implement International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10). 4. Methods, procedures and tools, as well as guidelines, provided to support informationgathering and research activities in countries and areas. • A medical record management manual, demographic tables, and an international classification of functioning, disability and health were distributed for use at the country level. • Three national training courses (in China, Brunei Darussalam and Papua New Guinea) in ICD-10 were organized for about 200 medical coders and statisticians.
1. Support given to Member States to further develop HIS system and strengthen HIS capacity.
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Expected result
Progress towards achieving expected result as measured by indicators • Capacity in seven Pacific island countries (Cook Islands, Fiji, Kiribati, Samoa, Solomon Islands, Tonga and Vanuatu) was improved through a health policy development workshop in Nadi, Fiji in 2002. Capacity in nine provinces in China was improved through situation analysis for policy provincial health system profile studies in 2001 and 2002.
5. Capacity in countries and areas improved to enable them to perform situation analyses and develop policy profiles.
6. Support provided to Member States in upgrading research capabilities through supporting research projects and training.
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Nine research projects were supported and carried out.
14. Emergency and humanitarian action Expected result Progress towards achieving expected result as measured by indicators • Public health data on two emergencies due to natural disasters in the Region were collected and analysed.
1. The public health data on emergencies from countries collected, compiled, analysed and shared with Member States and partner age ncies. 2. Emergency management improved through strengthened regional partnerships with relevant organizations and increased proactive technical support provided by WHO.
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The second inter-regional training course on Public Health and Emergency Management in Asia and the Pacific (PHEMAP) was conducted in October 2002 in collaboration with South-East Asia Region and the Asian Disaster Preparedness Centre (ADPC). An agreement for establishing an inter-agency steering committee for PHEMAP was signed by WHO and ADPC. An emergency response manual for country offices was developed.
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Expected result
Progress towards achieving expected result as measured by indicators • Over 20 national health staff from seven targeted Member States (Cambodia, Lao People’s Democratic Republic, Japan, Malaysia, Papua New Guinea, the Philippines, Viet Nam) were trained during several international training programmes on health emergency management. The Department of Health, Philippines has developed a national training programme on health emergency management for provincial health staff in collaboration with WHO. The Ministry of Health of Viet Nam is developing a national training programme on health emergency management for provincial health staff in collaboration with WHO.
3. Sufficient opportunities ensured for national and provincial health staff in disaster-prone countries to promote and update their emergency management capacity.
4. Accessibility to knowledge and skills on best public health practice in emergencies increased among national and provincial health staff in disaster-prone countries. 5. Characteristics of past major disasters, hazard distribution and high-risk communities identified in disaster-prone Member States.
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Khmer and Chinese versions of selected emergency manuals published by the Regional Office for the Americas were prepared and printed. Khmer versions were distributed at the district level in Cambodia.
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An Inter-Country Pacific Workshop on Health Emergency and Disaster Management was conducted in Papua New Guinea in November 2002 to review health emergency management in Melanesia and to develop future plans of action. A database consisting of over 1200 health emergency events in the Western Pacific Region from 1981 to 2000 was developed.
WPR/RC54/3 page 42 Annex 3
15. Information technology Expected result Progress towards achieving expected result as measured by indicators • A new Internet connection was installed in the Regional Office. Training of WHO staff on HealthMapper began. A pilot content management system (CMS) was installed for the re-launch of the Internet site. 2. Priority information products and tools appropriately promoted, disseminated in relevant languages, with train ing. • A training schedule for staff was developed. Standards and policies on hardware, software and IT development practice were adopted.
1. Access improved to Regional Office technical information throughout WHO and Member States.
16. External relations Expected result Progress towards achieving expected result as measured by indicators • Areas of collaboration were expanded in such areas as tuberculosis control, noncommunicable diseases/mental health, Tobacco Free Initiative, and blood safety. More than 23 agreements were signed with various partner agencies. More joint activities were implemented with United Nations agencies, in such areas as HIV/AIDS control, health sector reform and reproductive health with UNDP; reproductive health and family planning and HIV/AIDS control with UNFPA; maternal and neonatal tetanus elimination, Expanded Programme on Immunization, Integrated Management of Childhood Illness and the Tobacco Free Initiative with UNICEF, and HIV/AIDS control and blood safety with UNAIDS.
1. Better collaboration, coordination and communication with United Nations agencies, NGOs and other partners in implementing health development activities.
WPR/RC54/3 page 43 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Received or committed extrabudgetary funds at the regional level had reached US$ 49 million by May 2003 and estimated extrabudgetary funds for the biennium amounted to more than US$ 52 million, representing more than a 10% increase compared with the previous biennium. • Donor profiles and regional databases were developed and a dynamic database on resource mobilization was developed and updated.
2. Building better relations with current donor partners and seeking new ones, and forging a partnership with nonconventional donor partners to maintain and mobilize resources for priority health programmes at regional and country levels.
17. Public information Progress towards achieving expected result as measured by indicators • The number of visitors to the Regional Office website has increased, due mainly to the demand for information on SARS. From a monthly average of 80 000 pages viewed in the first quarter of 2003, the number rose to a high of 250 000 for April 2003. A web working group has been formed to re-launch the website. 2. Media relations improved, leading to increased awareness among journalists of key public health issues. • There was increased visibility for WHO during the SARS outbreak. A spokesperson was designated to handle media inquiries.
Expected result
1. Improved knowledge among the general public on the work of WHO via Regional Office website.
WPR/RC54/3 page 44 Annex 3
Expected result
Progress towards achieving expected result as measured by indicators • Thirteen new publications were printed; translation rights and for reproduction rights were granted. Reprints were carried out. • Documents for the Regional Committee were translated into French and Chinese; arrangements were made for several Headquarters and regional publications to be translated into Chinese, Mongolian and Vietnamese.
3. Practical manuals, guidelines, calendars and other advocacy materials, and reference materials published and disseminated.