WORLD HEALTH ORGANIZATION
ORGANISATION MONDIAlE DE LA SANTE
REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU REGIONAL DU PACIFIQUE OCCIDENTAL
REGIONAL COMMITTEE
WPRlRC45/3
Forty-fifth session Kuala Lmnpur 19-23 September 1994 Provisional agenda item 8.1
5 July 1994 ORIGINAL: ENGLISH
BUDGET PERFORMANCE, 1992-1993 (FINAL REPORT)
This document presents the final report on the implementation of the regular budget for the 1992-1993 biennium. As at 31 December 1993, the final implementation of the regular budget, in monetary terms, amounted to US$ 56 953 100. The approved budget reported to the forty-fourth session of the Regional Committee in document WPRlRC44/4 following subsequent currency adjustments was US$ 56 963 100.
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The report also covers the financial implementation of the Regional Director's Development Programme and shows, by programme, the supplementary funding provided from other sources for the biennium 1992-1993. Expenditures and explanations for significant variations within the individual programmes are shown in the Annexes. The interim report on the implementation of the regular budget for 1992-1993 was presented to the forty-fourth session of the Regional Committee. The Regional Committee may wish to review and further discuss these final implementation figures.
WPR/RC45/3 page 2
This final report has been prepared on the regular budget for the biennium 1992-1993 as at 31 December 1993, as a follow-up to the interim report presented to the Regional Committee at its forty-fourth session, Since the budget was first presented to the Regional Committee in September 1990, there have been a number of important changes, These are described in detail below and summarized in Annex I. These developments were also described in document WPR/RC44/4 and discussed in considerable detail by the Regional Committee in September 1993,
Prior to implementation The regular programme budget proposed to the Regional Committee at its forty-first session in September 1990 (column I in Annex 2) amounted to US$ 63 901 400, used (P 22.50 to US$ 1) was changed prior to
The rate of exchange
the eighty-seventh session of the Executive Board in
January 1991 to P 26,00. reducing the budget total by US$ 692 400 to US$ 63 209000. Following the adoption of the WHO budget by the World Health Assembly in May 1991. the rate of exchange applied was again revised to
P 27,70. further reducing the budget allocation by US$ 282 000 to
USS 62 927 000. The two currency adjustments are shown in Annex I and included in column 3 of Annex 2, In December 1991. the Director General decided to withhold 10% of all regional allocations in anticipation of the inability of some Member States to
make their assessed contributions. For the The actual regular budget
Western Pacific Regional Office. this reduction was US$ 6 292 700. being 10% of the original budget after currency adjustment deductions as described above, allocated to
the Western Pacific Regional Office thus became US$ 56 634 300, a reduction of
-
USS 7 267 100 from the original proposed budget of US$ 63 901 400 (see Annex I), Further currency adjustments were made to reflect later changes in the exchange rate between the United States dollar and the Philippine peso and to
include additional funds totalling These
US$ 58 600 from headquarters for the implementation of certain project activities.
adjustments, together with the currency adjustments already described above. resulted in a net reduction of US$ 645 300. as shown in Column 3 of Annex 2, bringing the approved programme budget to US$ 56 963 100 (as shown in Annex 1 and column 4 of Annex 2).
WPR/RC45/3
page 3
During implementation In view of the fact that the cost increases budgeted for in the 1992-1993 programme budget were lower than required, a recosting of the reduced 1992-1993 budget, using 1992 estimated costs, was carried out. This showed that a budgetary deficit of US$ 12000000 could be expected as a result of this situation alone. Taking into account a number of activities that had to be carried over from the 1990-1991 biennium in the amount of approximately US$ 1 million, and including the 10% withheld by the Director-General, the Region was faced with an overall budgetary deficit of US$ 19300000.
-
The following measures were taken at the start of the biennium to deal with this serious situation: (a) at the level of regional and intercountry programmes, a reduction of US$ 6.4 million
was made; (b) the Regional Director wrote to all Member States in February 1992 informing them of
the situation and seeking their cooperation in working with WHO representatives and country liaison officers to reduce country allocations. The reduction requested was about 20 % of the overall country allocation. To simplify the process, the Regional Office indicated target activities for reduction (known as Priority C items), most of which the governments kindly accommodated. In that way, further reductions of US$ 7.4 million were made.
-
These reductions. however, added up to only US$ 13.8 million, which meant that a further reduction of approximately US$ 5.5 million was still required. without seriously jeopardizing implementation of programmes. It would have been extremely
difficult to cut back any further, particularly at country level at such an early stage of the biennium, The Regional Director therefore decided to carry the deficit and to make a final decision as implementation progressed. At the early stages of the biennium, the budget strategy was to reduce the expected shortfall of US$ 5.5 million as far as possible by cost reduction measures. It was hoped also that before the end of the biennium, some portion of the 10% withheld for unpaid contributions might be released which would avoid any further programme reductions. All the above was reported to the Regional Committee at its session in September 1992 and again in September 1993. Throughout the biennium, stringent cost-saving measures were instituted. These included
reducing the duration of consultancies, using regional advisers in lieu of consultants, placing fellows at alternative cheaper venues or reducing the duration of their study without sacrificing technical content, financing meetings jointly by using regular budget as well as extrabudgetary
WPR/RC4S/3 page 4
funds, limiting local costs to a maximum of US$ 5 000 for each activity and freezing a number of posts or delaying filling them, particularly at Regional Office and intercountry levels. As a result of all the above, an operating budget was derived which enabled the Region stilI to substantially meet its country and regional priorities. Annex 2, column 5 reflects all the adjustments described above. Column 6 reflects this operating budget. In early 1993. it became clear that any release of the 10 % withheld by the Director-General would be most unlikely. While further operating economies had been made, amounting to around US$ 1.2 million, it was reluctantly accepted that further programme reductions were necessary. After a series of consultations with the governments, further reductions of approximately US$ 3 million were agreed upon at the country level (known as the Priority X exercise). balance of US$ 1.3 million was absorbed at Regional Office and intercountry levels. reductions were also incorporated in the operating budget. In the ensuing months of the biennium, several analyses of all activities were carried out and assessments made as to the probability of their completion within the biennium. This showed that activities accounting for about US$ 3 million were not likely to go ahead for various reasons, such as the postponement and cancellation of fellowships. In October 1993, therefore, the amount of The These
USS 3 million was returned to countries for their programmes, primarily for activities that had been earlier deferred. Most of this amount was utilized prior to the end of the biennium.
Status of final implementation In dollar terms, the operating budget was fully implemented. In programme terms,
-
implementation proceeded fairly smoothly, with almost all of the priority activities being implemented. Explanations of the major variances, where the rate of implementation is greater than 110% or less than 90%, are summarized in Annex 3. A summary of financial implementation for the Regional Director's Development Programme is attached in Annex 4. In this difficult biennium, the strong support received from extrabudgetary funds is gratefully acknowledged, in complementing the efforts under the regular budget. For this biennium, the total amount received came to US$ 31 953 580 or 36 % of the overall resources available to the Region for this period. Special mention must also be made of the full cooperation received and understanding shown by all Member States.
-~-
--
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WPR/R C45/3
page 5
ANNE X 1
CHANGES IN THE 1992-1993 REGU LAR BUDG ET
I
Regular progra nune budget estimates as presented to the Regional Conunittee at its forty-first session I. Philippine peso exchange rate changes
US$
63 901 400
II.
(a)
22.50 26.00
26.00 27.70
US$
(692 4(0) (28200 0) (97440 0)
(b)
WHA-approved programme budget
62927 000 (6292 700) 56634 300
2.
Ten per cent of budget withheld by headquarters Sub-total
Ill.
3
Currency exchange adjustment due to various currency fluctuations Funds allocated from headquarters in order to implement certain project activities and other adjustments
27020 0
4.
58600
Adjusted programme budget
US$
56963 100
WPRlR C45/3 page 6
-
)
)
Financial implementation· regular budget and other sources for the biennium 1992·1993 by major programme and programme as at 31 December 1993 (In United States dollars)
11) MAJOR PROGRAMME/ PROGRAMME * Regular pr03tramme bu ~et** WPR/ C41/6
(2)
(3) Currency and other adjustments
14)
(5) Programme changes during implementation period* * * *
(6) 0geratin g udget (4)+/·(5)
(7)
(8)
(9) Other sources of funds implemented
(10) All funds implemented (7)+(9)
10% of budget withheld bV HO***
Adjusted programme budget (1)+(2)+/·(3)
Actual expenditures/ obligations
Rate of imlementation (%) (7)1(6)
1.
GOVERNING BOOY 1.3 Regional Committee 343000 343000 (34 300) {34 300} 0 0 308100 308100 88100 88700 391400 397400 436204 436204 110 110 94 059 94059 530263 530263
Sub·total 2. WHO'S GENERAL PROGRAMME DEVELOPMENT ANO MANAGEMENT 2.1 Executive management 2.2 Regional Director's Development Programme 2.3 General progranune development 2.4 Extemal coordination for health and social development 2.5 Health-for·all strategy coordination 2.6 Informatics management
524300 1100 000 1913200 414600 745700 629000 5386800
{50 820) (t 10000) (t88850) (39510) 173500) (58190) (520930)
(t 1 300) (t 7800) 161900) (t3900) (7800) 134 ODD) (t46700)
462180 972 200 I 722450 361130 664400 536810 4719170
323500 (t2500) 150300 17600 134 800 35200 648900
785680 959700 1 872 150 378730 799200 572 010 5368070
733575 0 1142028 446675 637371 604246 4163895
93 0 93 118 80 106 78
31981 0 8844 0 0 89182 136007
771 556 0 1150872 446615 637371 693428 4299902
Sub·total
~ • Clas~ficalion based on the Eighth Genoral Programme of Work 11990·19951. •• This column shows the budget eslimates presenled 10 Ihe Regional Commltee in 1990 under documenl WPRJRC41.6. The actual amounl approved by Ihe World Health Assembly was US$ 62927 ODD, after Iwo currency adjustments were laken inlO account. These currency adjustments are included under column 3. ••• The reduclion of lOll was made on the amount of US! 62 927 000 as explained above . •••• Progranme i:hanges made during the iJ11)lemerllation pet'iod cDlTY,Jrise a full recosting of the programme budget. the priority reduction exercises, as well as other reprogrammings initiated by countries.
~ ~ N
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--
11) MAJOR PROGRAMME/ PROGRAMME Regular programme budcet WPR/R 41/6
12) 10% of budget withheJd by HQ
13) Currency and other adjustments
14) Adjusted programme budget 11)+12)+/-13)
15) Programme changes during Implementation period
16) O~erating
17) Actual expenditures/ obligations
18) Rate of imlementation 1%) 17)116)
19) Other sources of funds implemented
110) All funds implemented 17)+19)
5 to ;.<
> 1i:;; 1ICI"tl to ~ QC --
N
~
udget 141+/-15)
~ ~
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--
3.
HEALTH SYSTEM DEVELOPMENT 3.1 Health situation and trend assessment 3_2 Managerial process for national health development 3_3 Health systems research and development 3_4 Health legislation Sub-total 1827300 5781 100 495300 160600 8264 300 (180880) (577 3501 149530) 116060) (823820) (569001 152100 (219100) 0 1123900) 1 589520 5355850 226670 144 540 7316580 (3437001 3966100 (71800) (35400) 3515200 1245820 9321 950 154 870 109140 10831 780 1 222 162 8897611 152319 106062 10378154 98 95 98 97 96 180807 1050491 161998 0 1 393296
1 402 969 9948102 314317 106062 11 771 450
4_
ORGANIZA liON OF HEIIL TH SYSTEMS BASED ON PRIMARY HEALTH CARE Sub-total
7602200 7602200
(757 180) (757180)
514000 514000
7359020 7359020
(1
598 100)
5760920 5760920
5603448 5603448
97 97
2 597 269 2597269
8200717 8200717
11 598 100)
5_
DEVELOPMENT OF HUMAN RESOURCES FOR HEALTH Sub-total
10389000 10389000
(1 033730) 11033730)
26400 26400
9381670 9381670
(7656001 (765600)
8616070 8616070
8803809 8803809
102 102
1 702231 1 702231
10506040 10 506 040
6_
PUBLIC INFORMATION AND EDUCATION FOR HEALTH Sub-total
1319200 1319200
1131160) 1131160)
12800) (2800)
1185240 1185240
(558400) 1558400)
626840 626840
727888 727888
116 116
0 0
727 888 727888
7_
RESEARCH PROMOTION AND DEVELOPMENT, INCLUDING RESEARCH ON HEAL THPROMOTING 8EHAVIOUR Sub-total
1 337 100 1337100
(132890) 1132890)
1507900) 1507900)
696310 696310
26900 26900
723210 723210
675707 675707
93 93
25651 25651
701 358 701358
)
)
)
)
(1) MAJOR PROGRAMME} PROGRAMME Regular programme bud~et WPR/R 41/6
(2)
(3) Currency and other adjustments
(4) Adjusted programme budget (1)+(2)+/(3)
(5) Programme changes during implementation period
(6) o~erating
171 Actual exgenditures/ o ligations
(8)
(9) Other sources of funds implemented
(10) All funds implemented (7)+(9)
10% of budget withheld by HQ
udget
Rate of imlementation ('Yo) (7)1(6)
(4)+/(5)
8.
GENERAL HEALTH PROTECTION AND PROMOTION 8.1 8.2 8.3 8.4
Nutrition Oral health Accident prevention Tobacco or health Sub·total
772 800 1051600 75500 123500 2023400
(76530) (1044101 (7550) (12 3501 (2008401
4200 38600 0 0 42800
700470 985790 67950 111 150 1865360
22900 (411 600) (33700) (313001 (453700)
723370 574190 34 250 79850 1411660
740643 640544 30408 71493 1483088
102 112 89 90 105
256046 0 0 3906 259952
996689 640544 30408 75399 1 743040
9.
PROTECTION AND PROMOTION DF THE HEAL TH OF SPECtFIC POPULATION GROUPS Maternal and child health, including family planning 9.2 Adolescent health 9.4 Workers' heatth 9.5 Health of the elderly 9.1 924700 7500 419000 265000 1616200 (91 720) (750) (41900) (26500) (1608701 25000 0 32400 (1 000) 56400 857980 6750 409500 237500 1511730 (341 1001 (6750) (239500) (585001 (645850) 516880 0 170000 179000 865880 732460 0 236667 171 206 1 140333 142 0 139 96 132 3013218 0 0 231 479 3244 697 3745678 0 236667 402685 4385030
Sub·total
10. PROTECTION AND PROMOTION OF MENTAL HEAL TH 10.1 Psychosocial and behavioural factors in the promotion of health and human development 10.2 Prevention and control of alcohol and drug abuse 10.3 Prevention and treatment of mental and neurological disorders
232000 208700 361800 802500
(22450) (20870) (36180) (79500)
(5500) 0 18000 12500
204 050 187830 343620 735500
104 600 (126400) \113800} (135600)
308650 61430 229820 599900
308405 75766 199958 584129
100 123 87 97
0 59460 94049 153509
308405 135226 294 007 737638
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:= "0:= '" (i IJCI"" <1> ~~
--til
~
Sub·total
(11 MAJOR PROGRAMMEI PROGRAMME Regular programme bud~et WPR/R 41/6
(21 10% of bud~et with eld by HQ
(31 Currency and other adlustments
(4) Adjusted programme budget 111+(2)+/l3}
(5)
(6)
(7)
(8)
(9)
(1O)
Programme changes during Implementation period
0gerating udget /4}+1-(5}
Actual expendituresl obligations
Rate of imlementation (%) (7}1(6)
Other sources of funds implemented
~
>
~"'CI
'i~
>(
All funds implemented (7)+(9)
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11. PROMOTION OF ENVIRONMENTAL HEAL TH 11.1 Community water supply and sanitation I 1.2 Environmental health in rulal and urban development and housing 11.4 Control of environmental health hazards 11.5 Food salety Sub·total I 845800 2714600 445400 241400 5247200 (1830801 (2714601 (44 5401 (241401 (5232201 (34 6001 (276001 (193001 0 (815001 1628120 2415540 381 560 217260 4642480 317300 (1363001 (1875001 (113 7001 (1202001 1945420 2279240 194 060 103560 4522280 1920469 2124538 189959 142688 4377 654 99 93 98 138 97 42556 33356 362063 0 437975
1963025 2 157894 552022 142688 4815629
12. DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE TECHNOLOGY 12. I Clinical, laboratory and radiological technology for health systems based on primary health care 12.2 Essential drugs and vaccines 12.3 Drug and vaccine quality, safety and efficacy 12.4 Traditional medicine 12.5 Rehabilitation Sub-total
2 02B 300 1429700 279300 616800 170800 4524900
(202070) (142240) (27930) (609501 (17 080) (450 270)
(481 BOO) 39000 286600 (21000) 0 (177 200)
1344430 1 326460 537970 534850 153720 3897430
(164001 (6126001 (226700) 62400 (312001 (8245001
1 328030 713860 311270 597250 122520 3072 930
1 277 669 1015387 445488 608 759 115189 3462492
96 142 143 102 94 113
106626 428512 0 0 143067 678205
1384 295 1443899 445488 608759 258256 4140697
)
)
)
)
111 MAJOR PROGRAMME/ PROGRAMME Regular programme bUdcet WPR/R 4116
121 10% of bud~et with eld by HQ
131 Currency and other adjustments
(41 Adjusted programme budget /11+/21+1·(31
(51 Programme changes during implementation period
(61 O~erating udget
171 Actual ex~enditures/
IB) Rate of imlementation /%1 (71//61
(91 Other sources of funds implemented
(0)
o ligations
All funds implemented (71+191
/41+/·151
13. DISEASE PREVENTION AND CONTROL t3.t 13.2 13.3 13.4 13.6 13.7 13.8 13.9 13.10 13.12 13.13 13.14 13.15 13.16 13. 17 13.18 Immunization 683200 Disease vector control 581600 Malaria 2763500 Parasitic diseases 849400 Diarrhoeal diseases 427500 Acute respiratory infections 414700 Tuberculosis 562200 leprosy 298100 Zoonoses 190000 Research and dev~lopment in the field of vaccines 0 AIDS 113400 Other communicable disease prevention and control activities 1 158800 Blindness and deafness 134 600 Cancer 146400 Cardiovascular diseases 474400 Other noncommunicable disease prevention and control activities 574200 Sub·total 9372 000 167590) 157410) 1275600) 184 190) (42020) (40740) 1562201 129060) (19000) 0 111 340) (113630) (13460) (14640) (47440) (55900) 1928240) 39000 137300) 8600 14500) 154001 11 I 200) 1564001 56200 0 0 0 117 4001 0 173 500 (2759001 244200 113400 654 610 486890 2496500 760710 380080 362760 449580 325240 171000 0 102060 1027770 121140 305260 151060 762500 8557160 140400 1164 900) 1248400) 1211 800) 5400 1166700) (133300) 4600 (463001 12400 1102060) 191 5001 15800 (75200) 2300 (134 400) (11936601 795010 321 990 2248100 548910 385480 196060 316280 329840 124700 12400 0 936270 136940 230060 153360 628100 7363500 1295615 317 629 227649t 574233 514640 191484 517934 326572 118846 12514 0 946849 177 245 233076 115881 586488 8205497 163 99 101 105 134 98 164 99 95 101 0 101 129 101 76 93 111 355559t 17 840 906171 199059 1204450 985067 458533 1 546892 4851206 335469 3182662 773 292 I 719090 1 176551 976467 1 873464 118846 12514 10 285 643 1323463 295455 239028 167462 587096 27917708
a
0 10285643 376614 118210 5952 51581 608 19712211
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i~ ... II>~
"'d
~
~ .......
(1)
(2) 10% of budget withheld by HQ
(3) Currency and other adjustments
(4) Adjusted programme budget (1)+(2)+ 1(3)
(5)
(6) O~eratmg udget
(7) Actual expendituresl obligations
(81 Rate of imlementation (%) (71/(6)
(91 Other sources of funds implemented
(101 All funds implemented (7)+(9)
5 ~ N
;..
]:E Cleo.:: l!:' ... -Nl!:' II>
MAJOR PROGRAMMEI PROGRAMME
Regular programme bUd'tet WPR/R 41/6
Programme changes during implementation period
(4)+/·(5)
Vt I.-
--
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14. HEALTH INFORMATION SUPPORT Sub·total
1077 800 1077 800
(1030701 (103070)
135700) 135700)
939030 939 030
305200 305200
1 244 230 1 244 230
1041807 1041807
84 84
171663 171 663
1213470 1213470
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 399100 3313000 583000 300 700 4595800 1369701 1298820) 149880) 127 010) (412680) (21 300) 1231 800) 160300) 122000) 1335400) 340 830 2782380 472 B20 251 690 3847720 289300 I 1I 14 to 310 000 630 130 3893 790 782 820 251690 5558430 574189 4183310 8t3868 297628 5868995 91 107 104 118 106 46842 992005 219932 88 076 1346855 621031 5175315 I 033800 385704 7215850
a 1 710710
TOTAL
63901 400
16292 700)
1845600)
56963 100
o
56963100
56953100
100
31953580
88906680
)
)
)
)
Remarks on the regular budget financial implementation by major programme and programme for the biennium 1992·1993 as at 31 December 1993 (I) (2)
(3)
MAJOR PROGRAMMEI PROGRAMME
°cerating udget
Actual excendituresl o ligations
Percentage operating budget implemented (%) (211(1)
Remarks
1. GOVERNING BODY 1.3 Regional Committee Sub·total 2. WHO'S GENERAL PROGRAMME OEVELOPMENT AND MANAGEMENT 2.1 2.2 2.3 2.4 2.5 2.6 Executive management Regional Director's Oevelopment Programme General programme development External coordination for health and social development Health·for·all strategy coordination Informatics management Sub·total 3. HEALTH SYSTEM OEVELOPMENT 3.1 3.2 3.3 Health situation and trend assessment Managerial process for national health development Health systems research and development Health legislation Sub· total 1 245820 9321950 154870 109 140 10831780 1222162 8897611 152319 106062 10378154 98 95 98 97 96 785680 959700 1872 750 378730 799200 572 OlD 5368070 733575 0 1742028 446675 637371 604 246 4163895 93 0 93 118 80 106 78 Increase includes activities from the Regional Oirector's Oevelopment Programme and increased staff costs. Long·term professional staff post was only partially occupied. Activities are reflected under the programmes in which they took place. 397400 397400 436204 436204 110 110 Higher actual costs of regional committees.
:;; ~
~
~ ~ 1IQ<"':i ~~
'l:l~ (M~ .... 1Il
"tI
3.4
(M
(1)
(2)
(3)
MAJOR PROGRAMME/ PROGRAMME
II>
~ ~
1l:;1 IJQ"C
°cerating udget
Actual excenditures/ o ligations
Percentage operating budget implemented (%) (2)/(1 )
Remarks
I.>
::c ... --"'"::c II>
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---
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4. ORGANIZATION OF HEALTH SYSTEMS BASED ON PRIMARY HEALTH CARE Sub·total
5760920 5760920
5603448 5603448
97 97
5. DEVELOPMENT OF HUMAN RESOURCES FOR HEALTH Sub·total
8616070 8616070
8803809 8803809
102 102
6. PUBLIC INFORMAliON ANO EDUCATION FOR HEALTH
626840
727888
116
Increase includes activities from the Regional Director's Development Programme and reinstated items towards the end of the biennium.
Sub·total
626840
727888
116
7. RESEARCH PROMOTION AND DEVELOPMENT, INCLUDING RESEARCH ON HEALTH· PROMOTING BEHAVIOUR Sub·total
723210 723210
675707 675707
93 93
)
)
}
(11 MAJOR PROGRAMMEI PROGRAMME °cerating udgBt
(21 Actual excenditureSI o ligations
(31 Percentage operating budget implemented (%1 (21/111 Remarks
8. GENERAL HEALTH PROTECTION AND PROMOTION 8.1 8.2 Nutrition Oral health Accident prevention Tobacco or health Sub·total 9. PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC PO PULA TlON GROUPS 9.1 9.2 9.4 9.5 Maternal and child health, including family planning Adolescent health Workers' health Health of the elderly S~b·total
723370 574'90 34250 79850 14,,660
740643 640544 30408 71493 '483088
,02 , '2 89 90 105
Increase includes activities from the Regional Oirector's Development Programme and increased costs.
8.3 8.4
5'6880 0 '70000 '79000 865880
732460 0 236667 171 206 , 140333
'42 0 '39 96 '32
One post formerly funded from UNFPA was transferred to this project. Increase includes mainly activities transferred from the Regional Director's Oevelopment Programme and reinstated.
10. PROTECTION ANO PROMOTION OF MENTAL HEALTH
10.1
10.2 10.3
Psychosocial and behavioural factors in the promotion of health and human development Prevention and control of alcohol and drug abuse Prevention and treatment mental and neurological disorders Sub· total
308650 6,430 229820 599900
308405 75766 '99958 584 '29
100 '23 87 97
Previously withheld activities were reinstated. Decrease is mainly due to a local cost activity which did not take place.
f t..>
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"= ~
~
.... ~ Ult..>
...
(I)
(2) Actual exeenditures/ o ligations
(3)
MAJOR PROGRAMMEI PROGRAMME
Dee rating udget
Percentage operating budget implemented (%)
'E:E ~ 1rQ'"e "' := ~ Remarks t.J
.... -0-.:= (j
(2)/(1) 11. PROMOTION OF ENVIRONMENTAL HEALTH 11. I 11.2 Community water supply and sanitation Environmental health in rural and urban development and housin~ Control of environment a health hazards Food safety 1945420 2279240 194 060 103560 1920469 2124538 189959 142688 99 93 98 138
"" -til
t.J
11.4 11.5
Increase is due to the reinstatement of the provision for analytical equipment used for food hygiene mOOitoring.
Sub·lUtal
4522280
4377 654
97
12. DIAGNOSTIC, THERAPEUTIC AND REHABIlITATIVE TECHNOLOGY 12.1 Clinical, laboratory and radiological technOlor for health Ststems base on ~rimary ealth care ssentlal drugs and vaccines Orug and vaccine quality, safety and efficacy Traditional medicine Rehabilitation Sub·total
1 328030 713860 311 270 597250 122520 3072 930
1 277 669 1 015387 445488 608759 115189 3462492
96 142 143 102 94 113
12.2 12.3 12.4 12.5
Provisions for supplies and equipment and local costs on drug management training were reinstated. The previously withheld provision for laboratory supplies and equipment for the establishment of a standard cell bank was reinstated.
)
)
)
(1)
(2)
(3)
MAJOR PRoGRAMMEI PROGRAMME
oeeratin 9 udget
Actual excendituresl o ligations
Percentage operating budget implemented (2)1(1)
Remarks
1%)
13. DISEASE PREV~NTloN AND CONTROL 13.1 13.2 13.3 13.4 13.6 13.7 13.8 Immunization Disease vector contrDI Malaria Parasitic diseases Diarrhoeal diseases Acute respiratory infections Tuberculosis 795010 321990 2248100 548910 385480 196060 316280 329840 124700 12400 0 936270 136940 230060 1295615 317629 2276491 574233 514640 191484 517934 326572 118846 12514 0 946849 177 245 233076 163 99 101 105 134 98 164 99 95 101 0 101 129 101
Additional oral poliovirus vaccine supplies for various countries were provided in support of the immunization programme of the Region.
Increase includes activities frDm the Regional Director's Development Programme and increased staff costs. Activities previously withheld were reinstated and new activities were implemented using reprogrammed funds.
13.9 Leprosy 13.10 Zoonoses 13.12 Research and develorment in the field 0 vaccines 13.13 AIDS 13.14 Other communicable disease prevention and control activities 13. 15 Blindness and deafness 13.16 Cancer 13.17 Cardiovascular diseases 13.18 Other noncommunicable disease prevention and control activities Sub·total
Several new activities were implemented using both reprogrammed funds and the Regional Director's Development Programme.
153360 628100 7363500
115881 586488 8205497
76 93 111
r .....
/<l("J (I>~
'0:= .... ~ -..l~
~
(1)
(2)
(3)
MAJOR PROGRAMMEI PROGRAMME
°cerating udget
Actual excendituresl o ligations
Percentage operating budget implemented (%) (2)1(1)
Remarks
~ ClC~ .... .... ~
~
1JQ'1;I n> ~
i~
--
W
Ut
""
14. HEALTH INFORMA nON SUPPORT
1 244 230
1041807
84
Decrease is due to a cancelled meeting and the reduced procurement price of locally purchased supplies and equipment.
Sub·total 15. SUPPORT SERVICES 15.1 15.2 15.3 15.4 Personnel General administration and services Budget and finance Equipment and supplies for Member States Sub·total
1244 230
1041807
84
630130 3893790 782820 251690 5558430
574189 4183310 813868 297628 5868995
91 107 104 118 106
Variances are mainly due to the General Service Staff comprehensive salary adjustment made in 1993. For 15.2. it IS also due to an increase in the cost of the general operating expenses of the Regional Office.
TOTAL
56963100
56953100
100
WPR/RC4S/3 page 19 ANNEX 4 FINANCIAL IMPLEMENTATION OF THE REGIONAL DIRECTOR'S DEVELOPMENT PROGRAMME FOR 1992-1993 (In United States dollars)
MAJOR PROGRAMME/PROGRAMME
US$
2.4 2.5
External coordination for health and social development Health-for-all strategy coordination Health situation and trend assessment Managerial process for national health development Organization of health systems based on primary health care Development of human resources for health Public information and education for health Oral health Workers' health Prevention and treatment of mental and neurological disorders Community water supply and sanitation Control of environmental health hazards Food safety Clinical, laboratory and radiological technology for health systems based on primary health care Essential drugs and vaccines Traditional medicine Immunization Malaria Parasitic diseases Diarrhoeal diseases Tuberculosis Other communicable disease prevention and control activities Blindness and deafness Health information support Total Regional Director's Development Programme
58660 3000 23723 68118 46163 179377 33688 19987 26795 28783 23917 35786 6524 58838 30990 45116 2000 34759 41443 16887 47498 78555 35000 8663 954270
-
3.1 3.2 4. 5. 6. 8.2 9.4 10.3 11.1 11.4 11.5
-
12.1 12.2 12.4 13.1 13.3 13.4 13.6 13.8 13.14 13.15 14.