Presentation delivered by Imre Hollo, Director, Administration and Finance, at the 65th session of the WHO Regional Committee for Europe (Vilnius, Lithuania, 14–17 September 2015)

1. From PB14–15 to PB16–17:
Regional plan for
implementation
Imre Hollo
Director, Administration and Finance

2. PB14–15: summary
• Approved PB US$ 225 million (108% funded)
• Allocated PB US$ 253 million, of which US$ 23 million in
Emergencies (99% funded)

3. What was new in PB14–15?
• PB approved in its entirety
• Financing dialogue
• Corporate resources used strategically

4. How PB14–15 has been different
for the Regional Office
• 9% greater share of corporate resources than in PB12–13
• As a result, greater flexibility and more even level of
category funding; fewer “pockets of poverty”
• 10% lower staff costs than in PB12–13 due to
sustainability exercise; no salary gap

5. PB14–15 challenges
• PB implementation currently below expectations
• timing of resource availability and slow implementation Jan-Mar 2014
• Ebola emergency response
• impact of a stronger USD
• lower staff expenditures
• Secretariat is taking measures and implementation rate is
increasing

6. From 2014–15 to 2016–17
• Continuity of priorities, aiming at 10 outcomes
• Realistic budget
• Continued programmatic and budgetary accountability of
the Regional Office to Member States  new iteration of
the “contract”

7. PB16–17: continuity of priorities
• Defined through in-depth bottom-up planning exercise
• Included governing bodies resolutions
• Guided by Health 2020
• In line with global priority-setting
• Built on lessons learned (e.g. from Ebola response)

8. PB16–17: continuity of priorities
• Scaling up AMR and hepatitis
• Greater emphasis and resource in NCDs
• Continue strengthening health systems
• Strengthening institutional capacity in emergency risk
and crisis management
• Strengthening country presence

9. PB16–17: realistic budget
• Bottom-up planning laid
solid foundation
• Adjustments made to
reflect global priorities
• Resulting budget in line
– with allocated PB14-15 (also
for majority of categories)
– PB14-15 funding
realistic budget 2016-17
-
10
20
30
40
50
60
1 2 3 4 5 6
US$millions
Category (Base only)
WHA PB14-15 Current allocations PB14-15 WHA PB16-17 Funds available

10. PB16–17 “Contract”
• Grounded in WHA-approved PB16–17 but details the
European contribution to the global results chain –
What will we do to achieve the results?
• Presents European Region’s contribution to the global
indicators of the PB16–17 – How the achievements will
be measured?

11. • Outcomes and outcome indicators
 Joint responsibility of the Member States and the Secretariat
• Outputs and output indicators
 Managerial responsibility of the Secretariat
PB16–17 “Contract”

12. PB16–17 “Contract” outcome indicators
Results
chain
Title
Global
indicator:
baseline
Global
indicator:
target
Regional
indicator:
baseline
Regional
indicator:
target
Indicator details
Outcome
indicator
Number of countries reporting on national health
workforce disaggregation (by top 10 cadres, place of
employment, urban/rural, subnational administrative
area (second level))
0/194
(2015)
50/194
(2017)
0/53
(2015)
25/53
(2017)
Data reported by Member
States on health workforce
employment and education to
the Joint OECD/Eurostat/WHO
Europe database (excluding
second-level data).
Global PB 2016–2017 results structure: Category 4. Health systems Contribution of the European Region
joint responsibility

13. Results
chain
Title
Global
indicator:
baseline
Global
indicator:
target
Regional
indicator:
baseline
Regional
indicator:
target
Indicator details
Output
4.2.1. Equitable integrated, people-centred service
delivery systems in place in countries and public health
approaches strengthened
Output
indicator
Number of countries enabled to implement integrated,
people-centred health service strategies through
different models of care delivery matched with their
infrastructure, capacities and other resources
48/194 83/194 15/53 16/53
Global PB 2016–2017 results structure: Category 4. Health systems Contribution of the European Region
PB16–17 “Contract” output indicators
Responsibility of the Secretariat

14. PB16–17 “Contract”
Full text of the “contract” by category and programme area
with outcome and output indicators:
EUR/RC65/Inf.Doc./1 “Regional plan for implementation of
programme budget 2016–2017 by category in the WHO
European Region”

15. Thank you