REGIONAL COMMITTEE Sixty-fifth Session Yogyakarta, Indonesia 5–7 September 2012
Provisional Agenda item 4.2 SEA/RC65/5 16 July 2012
Implementation of Programme Budget 2012-2013 The approved Programme Budget for the South-East Asia Region for 2012-2013 is US$ 384.2 million, which is made up of US$ 102.3 million assessed contributions (AC) and US$ 281.9 million voluntary contributions (VC) to be mobilized. As of May 2012, the operational budget as per approved work plans stands at US$ 375.4 million. This is supported by AC resources of US$ 99.2 million and VC resources of US$156.8 million (including carryovers from 2010-2011). The overall implementation rate against budget is 19.4% in the first five months of the biennium. By extrapolation, this give a performance level of 93% for the biennium indicating that extra efforts are required to speed up the current pace of implementation. The paper also discussed the uneven distribution of resources across countries as well as across technical areas i.e. Strategic Objectives (SOs). While countries such as Bhutan, India, Indonesia, Nepal and Thailand have received resources up to more than 55% of the budgeted amounts, DPR Korea, Maldives and Sri Lanka currently have less than 30% of their budgets currently financed. Similarly a review of technical areas reveal that SO1 and SO4 are comfortably placed with resources to budget ceiling proportion of 121% and 74%, respectively. At the same time SO5, SO8 and SO9 are struggling with levels of resources lower than 30% of the budgeted figures. Countries and donors must work closely together to ensure better alignment of resources with the priorities agreed to by the World Health Assembly. The Fifth Meeting of the Subcommittee on Policy and Programme Development and Management (SPPDM), held on 6 July 2012, reviewed the working paper and made the following recommendations: Action by Member States (1) To further strengthen joint initiatives involving WHO and other international agencies regarding mobilization of resources.
Actions by WHO-SEARO (1)
To support joint initiatives on resource mobilization, especially through involvement of senior management. To target resource mobilization efforts to ensure better financing of those areas and countries that are underfunded. To revise the working paper for presentation to the Sixty-fifth Regional Committee so that it includes tables on AC implementation.
(2) (3)
The revised working paper and the SPPDM recommendations are submitted to the Sixtyfifth Session of the Regional Committee for its consideration.
SEA/RC65/5
Financial implementation as at 31 May 2012 1. The approved budget for the SEA Region for 2012–2013 is US$ 384.2 million and the operational budget as per approved workplans is US$ 375.4 million. Total resources are US$ 253.3 million; fund utilization (encumbrances + expenditures), including payroll costs up to May 2012, stands at US$ 72.9 million. The overall fund utilization against budget is 19.4% and against resources is 28.8%. Expenditure stands at US$ 46.2 million (20% of resources). This rate of expenditure is on target for this point in the biennium.
Assessed Contribution (AC) 2. The total AC funds available to WHO-SEARO at this time are US$ 99.2 million. The AC funds have been allocated to countries and Regional Office in the ratio of 75:25. Of the total available AC, US$ 55.4 million are allocated to staff costs and US$ 41.1 million to activities. The overall implementation rate against resources is 19% (staff 16% and activities 23%). 3. Table 1 shows the status of AC budgets and resources for the SEA Region countries and the Regional Office as a whole. Table 1: Programme Budget 2012-2013 – AC budget, available resources and fund utilization (as of 31 May 2012) by country (figures are in US$ million) Budget centre AC budget 11.1 2.7 13.5 9.8 3.7 2.7 7.4 8.5 5.2 5.5 2.0 72.2 24.3 96.5 Available AC resources 11.1 2.7 13.5 9.8 3.7 2.7 7.4 8.5 5.2 5.5 2.0 72.2 24.3 96.5 % resources compared with budget 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Fund utilization 2.2 0.5 1.8 2.2 0.4 0.5 1.0 1.7 1.0 1.0 0.7 13.0 5.1 18.1 % fund utilization compared with available resources 20% 19% 13% 22% 12% 20% 13% 20% 19% 18% 33% 18% 21% 19%
Bangladesh Bhutan India Indonesia DPR Korea Maldives Myanmar Nepal Sri Lanka Thailand Timor-Leste Country total Regional Office SEA Region Total
SEA/RC65/5 Page 2
4.
Table 2 shows the status of AC budgets and resources by strategic objective.
Table 2: Programme Budget 2012-2013 – AC budget and available resources and fund utilization (as of 31 May 2012), by Strategic Objectives (figures in US$ million) Strategic Objective AC budget 7.1 6.3 7.0 Available AC resources 7.1 6.3 7.0 % resources compared with budget 100% 100% 100% Fund utilization 1.5 1.3 0.9 % fund utilization compared with available resources 21% 21% 12%
1. 2. 3. 4.
Polio, surveillance, IHR and neglected diseases AIDS, TB and malaria Noncommunicable diseases and mental health Health of mothers, children, adolescents and ageing people Emergency preparedness and response Risk factors for health Determinants of health Health and environment Nutrition and food safety Health systems Medical products and technology WHO leadership and governance WHO management and administration
8.1
8.1
100%
1.4
17%
5. 6. 7. 8. 9. 10. 11. 12. 13.
3.2 3.8 1.0 5.2 2.2 22.4 3.2 10.4 16.5 96.5
3.2 3.8 1.0 5.2 2.2 22.4 3.2 10.4 16.5 96.5
100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
0.7 0.5 0.2 0.9 0.3 3.3 0.5 2.1 4.4 18.1
23% 14% 18% 18% 16% 15% 16% 20% 27% 19%
Grand total
Voluntary Contribution (VC) 5. The VC resources available to the Region stand at US$ 156.8 million. Of these total resources, US$ 49 million represent carry-over from the 2010-2011 biennium and US$ 107.8 million have been mobilized during the current biennium. The overall implementation of VC resources is US$ 50.5 million. 6. Table 3 shows the status of VC budgets and resources for the SEA Region countries and the Regional Office as a whole.
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Table 3: Programme Budget 2012-2013 – VC budget, available resources and fund utilization (as of 31 May 2012) by country (figures are in US$ million) Budget centre Bangladesh Bhutan India Indonesia DPR Korea Maldives Myanmar Nepal Sri Lanka Thailand Timor-Leste Country total Regional Office SEA Region Total VC budget 18.8 1.2 74.6 23.0 23.5 0.3 31.6 13.9 4.6 5.3 3.2 200.0 78.8 278.8 Available VC resources 6.9 0.6 54.0 13.4 6.9 0.0 15.7 10.8 1.0 3.0 1.0 113.4 43.5 156.8 % resources compared with budget 36% 55% 72% 58% 29% 14% 49% 78% 22% 57% 32% 57% 55% 56% Fund utilization 2.3 0.2 20.6 4.4 3.0 0.0 5.6 2.1 0.4 0.7 0.2 39.5 10.9 50.5 % fund utilization compared with available resources 34% 26% 38% 33% 44% 0% 36% 19% 43% 24% 23% 35% 25% 32%
7. The problem of uneven distribution of resources persists across many countries as well as technical areas. Countries such as Bhutan India, Indonesia, Nepal, and Thailand have received resources up to more than 55% of their budgeted figures, whereas DPR Korea, Maldives and Sri Lanka have received resources less than 30% of their budgeted figures. 8. The distribution of VC funds to Strategic Objectives (SOs) continues to be uneven as shown in Table 4. While SO1 and SO4 have already received funds up to 121% and 74%, respectively, of their budget ceiling, SOs 5, 8 and 9 have received less than 30%.
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Table 4: Programme Budget 2012-2013 – VC budget and available resources and fund utilization (as of 31 May 2012), by Strategic Objectives 1 to 11 (figures in US$ million) Available VC resources % resources compared with budget % fund utilization compared with available resources 32% 33% 28% 14% 32% 31% 21% 27% 35% 37% 53%
Strategic Objective
VC budget
Fund utilization
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Polio, surveillance, IHR and neglected diseases AIDS, TB and malaria Noncommunicable diseases and mental health Health of mothers, children, adolescents and ageing people Emergency preparedness and response Risk factors for health Determinants of health Health and environment Nutrition and food safety Health systems Medical products and technology
117.8 69.3 4.0 5.0 32.9 7.2 1.3 3.7 1.6 11.9 2.3
87.6 32.0 1.8 6.0 7.3 2.2 0.8 0.7 0.4 6.8 0.9
74% 46% 45% 121% 22% 30% 60% 20% 28% 57% 38%
28.0 10.5 0.5 0.8 2.3 0.7 0.2 0.2 0.2 2.5 0.5
Specific policy-related issues 9. Countries and donors must align their funding to more closely reflect the priorities established by the World Health Assembly and reduce the levels of specified funding, to allow more flexibility in ensuring full financing of all Strategic Objectives.