PAHO/WHO Briefing Session to OAS Ambassadors
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This document provides information about the 51st Directing Council of the Pan American Health Organization (PAHO) that will take place from September 26-30, 2011 in Washington D.C. It outlines the agenda, events, resolutions to be discussed, elections, and financial information regarding the proposed PAHO program and budget for 2012-2013. Key items include discussions on climate change, epilepsy, eHealth, malaria, alcohol and substance use, urban health, road safety, and maternal mortality. The document also provides details on officer elections, country contributions, and highlighted side events during the Council.
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PAHO/WHO Briefing Session to OAS Ambassadors
- 2. INFORMATION MEETING FOR PERMANENT AMBASSADORS TO THE ORGANIZATION OF AMERICAN STATES AND OTHER AMBASSADORS OF PAHO/WHO MEMBER STATES 51st Directing Council of PAHO 63rd Session of the WHO Regional Committee for the Americas Washington, D.C. 26-30 September 2011 Mirta Roses Periago Director
- 15. Financing of the Program and Budget 2012-2013 by Funding Source Ratio of 46/54 RB/OS
- 16. Scenario D: Zero Nominal Growth 9% of Strategic Plan targets will not be met by 2013 2010-2011 Change 2012-2013 Percentage Assessed Contributions 186.400 8.000 194.400 4,3% Miscellaneous Income 20.000 (8.000) 12.000 -40,0% WHO/AMRO (Approved by WHA) 80.700 - 80.700 0,0% Total Regular Budget 287.100 - 287.100 0,0% Total Other Sources 355.851 (16.226) 339.625 -4.5% Total Budget 642.951 (16.226) 626.725 -2.5%
- 17. Comparison of Scenarios D, E, and C Proposed resolution for the Directing Council: Scenario D (4.3% increase in Assessed Contributions) Scenario D Scenario E Scenario C Assessed Contributions 194.400 4,3% 190.400 2.15% 186.400 0.0% Miscellaneous Income 12.000 -40,0% 12.000 -40.0% 12.000 -40.0% WHO/AMRO (Approved by WHA) 80.700 0,0% 80.700 0.0% 80.700 0.0% Total Regular Budget 287.100 0,0% 283.100 -1.4% 279.100 -2.8% Total Other Sources 339.625 -4.5% 332.300 -6.6% 329.685 -7.4% Total Budget 626.725 -2.5% 615.400 -4.3% 608.785 -5.3% Negative Impact on Program (% of targets that will not be achieved) 9% 14% 19%
- 20. Budgetary Implementation by Organizational Levels and Source of Funds, End-of-Biennium, 2008-2009 Note: The figures do not include funds from government-financed internal projects, the Revolving Fund, the Strategic Fund or any other funds that are not directly funding the Strategic Plan. Organizational level Funds available for the biennium (US$ thousand) Expenditure (US$ thousand) Implementation rate (%) RB OS Total RB OS Total RB OS Total Country 103,965 119,968 223,933 103,241 103,935 207,176 99 87 93 Subregional 15,276 14,576 29,852 15,116 13,428 28,544 99 92 96 Regional 158,823 146,132 304,955 157,672 131,606 289,278 99 90 95 Total 278,064 280,676 558,740 276,029 248,969 524,998 99 89 94
- 30. Contributions received as of 13 September 2011 corresponding to the years 2000 to 2011
- 31. Outstanding contributions as of 13 September 2011
- 33. Roundtable on antimicrobial resistance Structure of the Roundtable CONTAINING ANTIMICROBIAL RESISTANCE Opening remarks : Dr. Patrick Kelley, Institute of Medicine Antimicrobial resistance: Global Health Impact Discussion panel 1 Susan Foster, Alliance for the Prudent Use of Antibiotics Discussion panel 2 Mario Raviglione, WHO Discussion panel 3 José G. Orozco, ReAct Latin America The health, social, and economic impact of antimicrobial resistance The extent of antimicrobial resistance in the Region and its trends. Data for action Towards a multifaceted approach to contain antimicrobial resistance Moderator: President of the Directing Council Moderator: Vice President of the Directing Council Moderator: Vice President of the Directing Council
- 34. Regional Consultation on WHO Reform Milestones in WHO Reform 2010-2012 Jan 2010 Discussion on WHO Reform began with a consultation on the Future of Financing for WHO that was discussed in 128 th EB Feb-Sea 2011 WHO working groups prepare initial proposals Sea 2011 Discussions in Global Policy Group (GPG) Apr 2011 Consultation with Member States & Staff 20 May 2011 6 th WHA adopts resolution WHA64.2 on WHO reform 25 May 2011 129 th EB adopts decision EB129(8) on WHO reform 1 July 2011 Mission briefing on "three concept papers" Jul-Oct 2011 Member States web-based consultations on ‘three concept papers Aug-Oct 2011 Strategic discussions in Regional Committees on WHOS reform 15 Sep 2011 Geneva mission briefing on managerial reform papers 18 Sep 2011 Review of Drafts of elements of a Comprehensive Document on WHO Reform in GPG Nov 2011 Special Session of EB on ‘WHO reform to discuss outcomes of consultative process on the three papers, strategy and priority setting for the five core business areas approved by the 64 th WHA and draft proposals on managerial reform prepared by the Secretariat Jan 2012 Presentation of draft package of reforms and detailed implementation plan to 130 th EB May 2012 Presentation of package of reforms, implementation plan, and first report of independent evaluation 65 th WHA
- 40. Thank you very much!
Notes de l'éditeur
- Como es de vuestro conocimiento el Comité está integrado por nueve Estados Miembros elegidos por la Conferencia o el Consejo para desempeñarse durante períodos escalonados de tres años. El Comité, que se reúne dos veces al año, funciona como grupo de trabajo de la Conferencia o el Consejo. Los actuales países miembros del Comité Ejecutivo de la OPS que estarán participando de esta reunión son: San Vicente y las Granadinas (Presidente) Argentina (Vicepresidente) Estados Unidos (Relator) Guatemala Haití Colombia Venezuela Granada Peru Para el período 2011 -2014, los países candidatos a cubrir las vacantes a ser dejadas por Argentina, Guatemala y Haiti son: Brasil, Chile y El Salvador
- A manera de referencia, los países de la Región que son miembros del Consejo Ejecutivo de OMS son: (ver lamina) Para el 2012 tendremos dos sitios disponibles para reemplazar a Canadá y Chile que estarán dejando sus puestos durante ese año. Hasta el momento hemos recibido la candidatura de Cuba Y Panamá.
- * Cena de premios: Dos sitios por delegación
- REUNIÓN TÉCNICA DE COORDINACIÓN ENTRE LA OPS, REPRESENTANTES DE LA ALIANZA GAVI Y MINISTROS DE LOS PAÍSES DE LA REGIÓN QUE RECIBEN APOYO GAVI Objetivos: Revisión de las actividades apoyadas por la Alianza GAVI en los Estados Miembros de OPS. Presentación de los más recientes cambios en las políticas de apoyo de la Alianza GAVI. Reafirmar los mecanismos de cooperación entre OPS, la Alianza GAVI y los países beneficiarios para el periodo 2010-2015. Participantes: Dra. Socorro Gross. Subdirectora, OPS Dr. Cuauhtémoc Ruiz Matus . Asesor principal de Inmunización Integral de la familia, OPS Representante de la Alianza GAVI . Dr. Guillermo González Estados Miembros pertenecientes a GAVI (Bolivia, Cuba, Guyana, Haití, Honduras, Nicaragua)
- El 54 % del presupuesto que se solicita corresponde a Otras fuentes, en verde en la gráfica. La mayor parte son Contribuciones Voluntarias El 46% de Presupuesto corresponde a Presupuesto Ordinario, dividido de la siguiente manera: 32% de contribuciones señaladas, 3% de ingresos varios y 13% de proporción AMRO
- El escenario D tiene un Incremento Nominal Cero en el Presupuesto Ordinario Total No se cumplirá con el 9% de las metas del Plan Estratégico de la OPS para el año 2013 Contempla la reducción de 21 puestos de plazo fijo, que equivale a un ahorro de 5.8 millones de dólares ,
- During the extraordinary session 6 countries supported Scenario D Two countries supported Scenario C USA proposed the inclusion of Scenario E, between D and C, with an increase in assessed contributions of 2.15% The Executive Committee agreed by consensus to endorse Scenario D and include in the statements of the resolution the proposed Scenario E Directing Council could approve Scenario D directly or discuss and select either scenario D or E Scenario C is no longer an option
- La Organización ha mejorado su eficiencia En el 2008-09 la Organización alcanzó la tasa de eficiencia más alta (25.8). Este indicador mide el costo de la fuerza labora comparado con el total del gasto en una Organización. A menor % más eficiencia.
- La productividad en el bienio 2008-09 mejoró mucho con respecto a bienios anteriores. La productividad se mide por el casto total en dólares constantes por Equivalente de Tiempo Completo. Equivalente de Tiempo Completo es una persona trabajando a tiempo completo en un año. Este indicador permite medir la fuerza laboral total de la Organización, puestos de plazo fijo más otros puestos como consultores a corto plazo y otros asigandos por el Ministerio de Salud o contratados a través de agencias de empleos.
- La Organización también ha mejorado su Implementación Presupuestaria. En el bienio 2008-09 se implementó el 94% de los fondos disponibles: 99% de presupuesto ordinario y 89 % de presupuesto de otras fuentes The total budgetary implementation was $525 million (94% of $559 million available for the biennium). This is a significant increase compared to the average implementation rate of the last two biennia (79%). The implementation by organizational levels was consistently above 90%. The high implementation rate of OS (89%) compared to the historical average (69%) reflects the improved programming of resources needed for the biennium, regardless of the availability of funds for the life of projects, thus allowing funds from “other sources”, mainly voluntary contributions, to be aligned with the biennial planning cycle.
- 19 member states have paid their 2011 assessments in full 5 member states have paid part of their 2011 assessments 15 member states have made no payment toward their 2011 assessments, including 11 member states, which have not made any payments in 2011 No member states are potentially subject to Article 6.B of the PAHO Constitution. 57% of 2011 assessments have been collected ($56.3 million)
- This slide shows the balance of outstanding arrears of contributions as of 13 June from 2000 through 2010. It highlights the Director's initiative to increase the rate of collection of quota contributions and the success of deferred payment plans, illustrating to dramatic decrease in the balance of arrears due to the Organization. 93,1% of arrears have been collected (including $19.7 million from the US, $5.0 million from Argentina, and $2.7 million from Venezuela), reducing the amount outstanding to $2.1 million (comprised primarily of $1.9 million due from Argentina).
- Discussions on WHO reform began with a consultation on the Future of Financing for WHO in Jan 2010 Following to the Web-based consultation and discussions in the Regional Committees in 2010, the item was discussed in the EB in January 2011. At the conclusion of the item, the DG proposed an outline for WHO reform In May 2011, the 64th WHA endorsed the agenda for reform proposed by the DG and called on Member States to support implementation The 129th EB called for a transparent, Member-State driven and inclusive consultative process on WHO reform, based on existing mechanisms The EB requested concept papers on three aspects of WHO reform; the governance of WHO, an independent evaluation of WHO, and the World Health Forum. The EB requested" ….regional Committees, based on the updated concept papers, to engage in strategic discussions regarding the WHO reform process … " Summaries" of the discussions in Regional Committees will be reported to the Special Session of the Executive Board in November (1-3 November) 1. Governance Global health governance Measures to enhance the leadership role of WHO. Options include: Regulate wide consultations with partners in global health Multi-stakeholder World Health Forum To chartered or framework for global health governance. WHO Governance Measures to improve the governance of WHO. Options include: Corporate priority-setting through the governing bodies Improved alignment and sequencing of the governing bodies Active engagement and participation of all Member States Strengthened oversight at all levels of the Organization 2. WHO's Financing and Managerial Reforms 1.Organizational effectiveness and alignment 2. Results-based management and accountability 3. Financing, resource mobilization and strategic communication 4. Improved human resources management 3. BUSINESS CORE The 64th World Health Assembly endorsed five areas of WHOS core business ace contained in document AFR/RC61/5 namely: 1.Health systems and institutions 2.Health and development 3.Health security 4.Evidence on health trends and determinants 5.Convening for better health The next steps should identify: priorities in each area of core business expected outputs and outcomes proposed criteria/indicators of performance Systems health & institution 1.Health Systems and institutions Strengthening health systems based on primary health care remains the highest priority. This includes: universal coverage and health financing promotion of access to medical products and information development of the health workforce WHO will continue to put most of its efforts into countries with the weakest health systems 2. Health development support countries through the provision of authoritative guidance, norms, standards and technical cooperation in: the health-related Millennium Development Goals prevention and control of noncommunicable diseases environmental health increased awareness of the social determinants of health 3. Health security Provide surveillance, alert, verification support, event management systems, and direct operational support when needed for public health emergencies Assist countries to build their institutional and laboratory capacity, epidemiological surveillance and risk communication, stockpiling of essential commodities, and the networks for fully implementing the International Health Regulations Provide strategic information and lead the health cluster during natural disasters and other humanitarian crises 4. Evidence on health trends & determinants Support countries to strengthen vital registration systems and institutional capacity, to generate health information in ways that meet the needs of policy-makers and managers Collect, collate, analyse and disseminate health-related data Increase the quality, rigour and integrity of WHO's knowledge base, evidence-based guidelines and recommendations Develop an Organization-wide system for managing data that: Increases the quality of information services Increases efficiency through working with collaborating centres and other partners Reduces demands on countries 5. Convening for better health Bringing different global initiatives together to increase coherence and inclusiveness, including those outside the health sector whose work has an impact on the health of populations Facilitating consensus on global health priorities and action Bringing together partners at the regional, subregional and country level to support countries with national health policies, strategies and plans World Health Organization 23 de septiembre de 2011