Draft proposed programme budget 2018-2019

Draft ProposedProgramme Budget

20182019Agenda item 2(a)

63rd Session of the WHO Regional Committee for the Eastern Mediterranean

36 October 2016, Cairo

1

PB 20182019

Draft Proposed Programme Budget 2018-20192

Main similarities with PB 20162017– Member States active engagement in the bottom-up process has

been essential in setting priorities– A similar budget structure and presentation– Existing commitments are continued building on country, regional,

global prioritiesMain differences with PB 20162017

– New results structure for Emergencies programme, replaces category 5; Outbreak and Humanitarian Appeals replaces Outbreak and Crisis Response

– Sustainable Development Goals (SDGs) reflected in results structure, indicators and deliverables

– Proposed budget takes into account decision of the 69th WHA on strategic budget space allocation

Proposed emphases in 20182019

• Full implementation of the Health Emergencies Programme• Global leadership in:

– attaining universal health coverage through comprehensive, coherent health systems strengthening

– global actions to address antimicrobial resistance– scaling up of interventions on noncommunicable

diseases– ending preventable maternal, newborn and child death– ending the global epidemics of major infectious diseases

• Programmatic alignment with the SDGs• Consolidating the WHO reform gains at all levels


Budget overview – proposed for 20182019

2016-17 Approved Budget

2018-19 Proposed Budget

0.00

1,000.00

2,000.00

3,000.00

4,000.00

5,000.00

4,340.4 Total increase proposed for PB 2018-2019US$ 319 million

OthersUS$ 27 million

Human Reproduction Programme (HRP), TDR

US$ 138 millionPolio eradication

BASEUS$ 140 million

Health emergencies

US$ 14 millionAntimicrobial

resistance

4,659.7

in US$ millions


Background on the increasesHealth emergencies programme [US$ 140 million]

Make the new programme fully operational by 2018; increase WHO capacity in priority countries [countries with humanitarian response plans, high vulnerability, at risk for emergence of high threat pathogens]

Antimicrobial resistance [US$ 14 million] Strengthen capacity of WHO in the area of AMR; Development of national action

plans on AMR in all countries

Polio [US$ 138 million] Decision made by the Global Polio Eradication Initiative to increase the budget for

the final push in 2017 and 2018

TDR, HRP [US$ 27 million] Budget decisions made by the programmes’ governance systems to increase

activities in line with forecast funding


Health emergencies programme in PB 20182019

•Total budget for full implementation of the programme (2018-2019)

•Outbreak and humanitarian response appeals (formerly OCR)

•Contingency fund

US$ 625.8 millionTotal proposed budget for the new programme

US$ 140 millionIncrease from 20162017 approved budget

Budget for the Appeals in 2018-19 will be determined during the 2018-19 biennium

US$ 100 millionTotal size

US$ 31 millionTotal financed as of August 2016


0

100

200

300

400

500

600

700

800

900

2016-17 Budget incl increase for health emergencies Draft proposed budget 2018-19

Budget overview

Proposed budget 20182019, by category(Base, US$ million)

Minor budget shifts between categories overall, except increases proposed in health emergencies and antimicrobial resistance


Africa Eastern Mediterranean Europe South-East Asia The Americas Western Pacific Headquarters0

100

200

300

400

500

600

700

800

900

1,000

1,100

1,200

1,300

1,400

2016-17 Budget incl increase in health emergencies Draft proposed budget 2018-19

Proposed budget 2018-2019, by Major Office (Base, US$ million)

- EMRO Base budget increased by US$ 31.2 million for health emergencies and AMR over the approved PB16-17

- EMRO budget represents 10% of WHO’s base budget, 3rd largest budget after HQ and AFRO

Budget overview


Financing of the PB 20182019• Financing dialogue has led to improved predictability; no significant

improvement in funding flexibility and sustainability • Proposal for increase in the assessed contributions (AC) for 20182019

(Director-General’s letter dated 19 July 2016)• While the overall budget increased fourfold from 1990, no AC increase in

the past decade; AC share of financing of the total budget has fallen below 30%

• Continuous decline of AC share of financing the budget is not sustainable• AC increase will enable the Organization:

– to use its resources more strategically to fund all priorities– make longer-term programmatic investment decisions in line with SDGs – improve the flexibility to respond to health emergencies


Next steps• Refinements will be made based on RC feedback on the overall

directions and priorities

• Refinements will reflect further considerations on the implications of the SDGs and the health emergencies programme

• Major offices to confirm or revise resource requirements based on early human resources planning and vulnerability assessment

• Updated draft will be presented to the Executive Board in January 2017

• Final draft of PB will be presented for approval to WHA in May 2017

• Finalization of detailed plans for human resources and activities in June 2017 following approval of PB 20182019


11

Thank you

Government & Nonprofit

Draft proposed programme budget 2018-2019