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 3.
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- Administration and Finance
PROGRAM 51st Directing Council of PAHO Washington, D.C., 26-30
September 2011
4. REGULATIONS AND COMPOSITION Executive Committee of PAHO
- 2008-2011: Argentina GuatemalaHaiti
- 2009-2012:ColombiaSaint Vincent and the Grenadines Bolivarian
Republic of Venezuela
- PeruUnited States of America
2011-2014 Candidates: Brazil, Chile, El Salvador 5.
- 2009-2012:Canada(PBAC)Chile
- 2010-2013:BarbadosEcuadorUnited States of America
WHO Executive Board 2012-2015 Candidates: Cuba, Panama 6.
OFFICERS 51st Directing Council
7.
- BIREME Advisory Committee
ELECTIONS 51.Directing Council Term ending Candidates Argentina
Brazil Guatemala Chile Haiti El Salvador Term ending Candidates
Jamaica Bolivia Mexico Suriname 8.
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- Appointment of the External Auditor of PAHO for the bienniums
2012-2013 and 2014-2015
ELECTIONS 51st Directing Council Proposed Audit entity Member
State that proposed it Court of Audit of Spain Panama Supreme Audit
Institution of Germany (Bundesrechnungshof) Peru 9.
- Head of Delegation, Mexico Outgoing President of the Directing
Council
- Dr. Mirta Roses , Director of PAHO
- Mr. Jos Miguel Insulza , Secretary General of the OAS
- Mrs. Kei Kawabata , Social Sector Manager, Inter-American
Development Bank
- Dr. Margaret Chan , Director of WHO
- Dr. Kathleen Sebelius , Secretary of Health, Department of
Health and Human Services, United States of America
OPENING SESSION Table of Honor Washington, D.C., PAHO, 26
September 2011, 9:00 AM 10. HIGHLIGHTED EVENTS Saturday, 24 and
Sunday, 25 September Time and place
Room B. Special Program Monday, 26 September Time and place
- Meeting of Heads of Delegation
-
- Photographic exhibit: Safe Motherhood in Latin America and the
Caribbean
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- ECLAC/PAHO Regional Atlas of Subnational Vulnerability and
Faces, Voices, and Places exhibit
-
- 25th Anniversary of the PAHOProgram in International
Health
- Commemorative photo with Directing Council Heads of
Delegation
- Awards dinner honoring excellence in Inter-American Public
Health 2011
8:30 AM Room B 9:00 AM Room B 10:00 AMPAHO lobby 12:30 PM Lobby,
1st floor 7:00 PM Lobby of the Americas, main building of the OAS
Tuesday, 27 September Time and place
- Regional Consultation on WHO Reform (Plenary and
Roundtables)
- Luncheon of the World Council of Women Leaders (Event by
invitation to Women Ministers of Health)
- Presentationof the Commission on Information and Accountability
for Womens and Childrens Health
- PANEL: SAFE MOTHERHOOD AND UNIVERSAL ACCESS TOSEXUAL AND
REPRODUCTIVE HEALTH
- Signing of PAHO/WHO-ACTO Agreement
- Meeting of the ORAS-CONHU countries
- Meeting of the Central American and Mesoamerican countries
8:30 AM Room A Ronald Reagan Building2:30 PM Room A 6:00 PM Room
1017 6:30 PM Room 1017 6:30 PM Room B 11. HIGHLIGHTED EVENTS
Wednesday, 28 September Time and place
- Technical coordination meeting between PAHO, representatives of
the GAVI Alliance, and Ministers of the countries of the Region
that receive support GAVI
- Celebration of 25thAnniversary of the PAHO Program in
International Health
12:30 PMState Plaza Hotel 3:30 PM Room A Thursday, 29 September
Time and place
- Private meeting with heads of delegation
- Launch of the ECLAC/PAHO Regional Atlas of Subnational
Vulnerability
- Launch of the Supplement on Elimination of Rubella and
Congenital Rubella Syndrome in the Americas ( Journal of Infectious
Diseases)
- Technical meeting between PAHO, the secretariat of the Global
Fund andMinisters of Health
8:30 AM Room B 10:30 AM Room A 12:00 PM Room A 12:30 PM Room B
Friday, 1 October Time and place
- 149th Session of the Executive Committee of PAHO (Saint Vincent
and the Grenadines - Outgoing President - Colombia, the United
States, Grenada, Peru, Venezuela, and the members to be elected
during the Directing Council: Brazil, Chile and El Salvador)
At the end of the Directing Council, Room B 12. Awards for
Excellence in Inter-American Public Health 2011 Monday,26 September
2011. 3:30 p.m.
- PAHO Award for Administration
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- Dr. John Edward Greene, Guyana
- Abraham Horwitz Award (leadership in public health)
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- Dr. Peter J. Hotez, United States
- Clarence Moore Award (voluntary service)
-
- Women's International Network for Guatemalan Solutions (WINGS)
,Guatemala
- Pedro Acha Award (veterinary health thesis)
-
- Dr. Francisca Andrea Samsing Pedrals, Chile
- Manuel Velasco Surez Award (Bioethics)
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- Dr. Laura Adriana Albarellos , Mexico
- Sergio Arouca Award (universal access to health)
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- Integrated Management of Adolescent and Adult Illness Program
(IMAI), Ministry of Health, Guyana
13. RESOLUTIONS
- Collection ofquota contributions
- Strategy and plan of action on climate change
- Strategy and plan of action on epilepsy
- Strategy and plan of action on eHealth
- Strategy and plan of action onmalaria
- NGOsin official relations with PAHO
- Amendment of the principlesgoverning relationships between PAHO
and NGOs
- Plan of Action to reduce the harmful use ofalcohol
- Plan of action onpsychoactive substance useand public
health
- Strategy and plan of action onurban health
- Plan of action onroad safety
- Amendments to PASB staff rules and regulations
- PAHO Awardfor Administration 2011
- Plan of Action to accelerate the reduction inmaternal
mortalityand severe maternal morbidity
- Provisional agenda of 51st Directing Council
- ProposedPAHO Program and Budget2012-2013
- AssessmentsofMember States
17 Resolutions adopted by the Executive Committee 14.
- The Executive Committee agreed to:
- Approve the programof work for the Bureau as outlined in the
PAHO Proposed Program and Budget 2012-2013 ( Official
Document338).
- that requires an increase of 4.3% to the assessments of PAHO
Member States
- and further requestthe Director to present a new scenariowith
an increase of 2.15% to the assessed contributions of Member
States
Proposed PAHO Program and Budget 2012-2013 [ RESOLUTION
CE148.R16] 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
2010-2011Change 2012-2013PercentageAssessed
Contributions186.4008.000194.4004,3%Miscellaneous
Income20.000(8.000)12.000-40,0%WHO/AMRO (Approved by WHA) 80.700-
80.7000,0%Total Regular Budget 287.100- 287.1000,0% Total Other
Sources 355.851 (16.226) 339.625 -4.5% Total Budget 642.951
(16.226) 626.725 -2.5% 17. Comparison ofScenarios D, E, and C
Proposed resolution for the Directing Council:Scenario D (4.3%
increase inAssessed Contributions) Scenario D Scenario E Scenario C
Assessed Contributions194.4004,3%190.400 2.15% 186.400 0.0%
Miscellaneous Income12.000-40,0%12.000 -40.0% 12.000 -40.0%
WHO/AMRO (Approved by WHA) 80.7000,0%80.700 0.0% 80.700 0.0% Total
Regular Budget 287.1000,0% 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% 18. 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
103,965119,968223,933103,241103,935207,17699 87 93 Subregional
15,27614,57629,85215,11613,42828,54499 92 96 Regional
158,823146,132304,955157,672131,606289,27899 90 95 Total
278,064280,676558,740276,029248,969524,99899 89 94 21. Strategy and
Plan of Action on Climate Change [RESOLUTION CE148.R2]
- measure theimpacts of climate changeon health and address its
effects
- strengthen the capacityof health systems for monitoring and
analyzing climate and health information
- empower and strengthen national and local health systems to
effectivelyprotect human healthfrom risks related to climate
change
- establish networksthat facilitate the gathering
anddissemination of information
- promote campaigns forraisingawarenessabout climate change
- work with countries to mobilize resources
- create partnerships that promote sustainable actions
- develop adaptation options based on assessments
- assist the Member States in implementing theAction Plan , in
developing national plans tailored to local needs
22. Strategy and Plan of Action on Epilepsy[RESOLUTION
CE148.R3]
- strengthen the legal frameworks in order toprotect human
rights
- universalequitableaccessto medical care and essential
drugs
- strengthenhuman resources
- strengthen partnershipsbetween the health sector and other
sectors
- assist the Member States in thepreparation and execution of
national programs
- givepriority to vulnerable groups
- collaborate in theevaluation and restructuring of the countries
neurology and mental health services
- facilitate thedissemination of informationand the sharing of
experiences
- promote partnerships and abroad and multisectoral response
23. Strategy and Plan of Action oneHealth[ RESOLUTION
CE148.R4]
- give priority to the use of innovative tools and
methodologies
- interministerial policies, plans, programs,
andinterventions
- promote greater competencies among human resources
- encourage partnerships and the sharing of experience,respecting
the principles of information confidentiality , equity, and
equality
- support the capacity togenerate information and research
- facilitate the dissemination of studies , reports and solutions
to serve as model foreHealth
- promote theformation ofnational, municipal, and
localpartnershipsto facilitate the sharing of capacities
- promote coordinationbetween the Strategy and Plan of Action and
similar initiatives
24. Strategy and Plan of Action on Malaria[RESOLUTION
CE148.R5]
- review national plans or establish new ones for the prevention,
control, and the potential elimination of malaria
- coordinate with other countries and initiatives in:
-
- epidemiologicalsurveillance of malaria
-
- surveillance of resistance toantimalarial medicines
- sustain or increase resources
- establish integrated strategies for vector control with broad
community participation
- continue advocating for the mobilization of resources
- promote and strengthen technical cooperation among the
countries and formstrategic partnerships
- ensure that malariadrugs meet internationally recognizedquality
assurance standards and are consistent with PAHO/WHO
recommendations
25. Plan of Action to Reduce the HarmfulUse of Alcohol
[RESOLUTION CE148.R8]
- Identify harmfulalcohol consumption as a publichealth
priority
- reduce alcohol-related problems withpopulation-wide
policies
- promote programs that educate children, young people, and those
who choose not to drink alcohol about how to resist peer
pressure
- ensure effectiveprevention, treatment, and care services
- allocatefinancial, technical, and humanresources
- collaborate in the assessment of alcohol and services in the
countries
- facilitate thedissemination of informationand the sharing of
experiences
- establish adialogue with the private sector on how to reduce
alcohol-related harm
26. Plan of Action on Psychoactive Substance Use and Public
Health[ RESOLUTION CE148.R9]
- Identifypsychoactive substance use as apublic
healthpriority
- implement national and subnational plansto tackle psychoactive
substance use problems
- support the Member States inthe preparation and implementation
of national and subnational planson psychoactive substance use
- support themultisectoral responserequired to implement Plan
ofAction
27. Strategy and Plan of Action on Urban Health [ RESOLUTION
CE148.R10]
- support nationalhealth promotionpolicies and programs
- Include determinants and indicatorsrel ated to urban healthin
surveillance systems
- furtherthe commitment tohealthy urban planning and
development
- develop transport systems that prioritize safewalking, cycling,
and public transport
- produce and disseminate criteria, guidelines, model policies,
and legal frameworks for urban health planning
- collect and disseminate new information about (the issue)
- further develophealth promotion andhealth determinants
approaches
- supportministry of health engagement with city and metropolitan
authorities andand other relevant sectors
28. Plan of Action on Road Safety[RESOLUTION CE148.R11]
- prioritize road safety through the development of national,
subnational and local plans for the Decade of Action for Road
Safety
- improve the urban roadand highwayinfrastructure
- reduce the incidence ofrisk factors
- enforce the laws (on road safety)
- strengthen the technical and institutionalcapacity for
providing care tovictims
- improve dataon traffic accidents
- support the Member States in their efforts to improve road
safety
- facilitate the identification andsharing of good practices
- provide cooperation for the creation of capacity
- provide technical assistance toimprove prehospitaltreatment and
care for victims
- promote associations andcollaboration
29. Plan of Action to Accelerate the Reduction of Maternal
Mortality and Severe Maternal Morbidity[RESOLUTION CE148.R14]
- adopt national policies, strategies, plans, andprograms that
increase womens access to quality health services
- prioritize womenslives as a human rights and development
issue
- promote the empowermentof women and the participation
andco-responsibility of menin sexual and reproductive health
- advocate fordedicatedand strategicpublic budgets
- promote the implementation and coordination of this Plan of
Action,ensuring its horizontal nature
- promote and strengthen information systemsand maternal health
surveillance
- support the Member States indeveloping human resources
- consolidate and strengthentechnical cooperation with other
bodies
30. Contributions received as of 13 September 2011 corresponding
to the years 2000 to 2011 31. Outstanding contributions as of 13
September 2011 32.
- Dr. Mirta Roses, Director of PAHO
- Introduction to the topic
- Dr. Michelle Bachelet, UN Women
- Achievement of MDG 5: Universal access to sexual and
reproductive health
- Mrs. Marcela Suazo, UNFPA
- Universal access tofamily planning: Challenges of the
decade
- Dr. Anbal Fandez , Coordinator of FLASOG
- Prevention of unsafe abortion and its consequences
- Presentation on Motherhood and Safe Birth: A commitment for
all
- Dr. Margaret Chan, Director-General of WHO
Panel Discussion on Safe Motherhood and Universal Access to
Sexual andReproductive Health PANELISTS 27 September 2011, 2:30 PM
33. Roundtable on antimicrobial resistanceStructure 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 AntibioticsDiscussion panel 2 Mario Raviglione,
WHO Discussion panel 3 Jos G. Orozco, ReAct Latin America The
health, social, and economic impact of antimicrobial resistanceThe
extent of antimicrobialresistance in the Region and its trends.
Data for action Towards a multifaceted approach to contain
antimicrobialresistanceModerator:President of the Directing Council
Moderator: Vice President of the Directing Council Moderator: Vice
President of the Directing Council 34. Regional Consultation on WHO
ReformMilestones in WHO Reform 2010-2012 Jan 2010 Discussion on WHO
Reform began with a consultation on the Future of Financing for WHO
that was discussedin 128 thEB 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 thWHA 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 thWHA 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 thWHA 35. Expected Outcomes of
the Reform
- Transforming governance to strengthen public health
- Reforming the financing and management of WHO
- Refocusing WHO core business to address the 21 stcentury health
challenges
36. What are we expecting from the51 stPAHO/AMRO Directing
Council?
- Member States views on the agenda and process of WHO
reform
- Guidance on key issues raised in the 3 concept papers
ongovernance ;independent evaluationandWorld Health Forum; and on
the working document: WHO Managerial Reforms
- Contributions to inform the Special Session of the EB on1-3
November 2011
37. Discussion in the 51 stDirecting Council
- Morning of Tuesday, 27 September
- Introduction by the AMRO/PAHO Director, Dr. Mirta Roses
- Comments by WHO Director-General, Dr. Margaret Chan
- Threeroundtables,arranged by subregion, chaired bythe President
and two Vice Presidents of the Directing Council
- Discussion guidelines for the three concept papers and
managerial reform paper
- Rapporteurs for each roundtable to capture discussion
- Summary Report of roundtable discussions presented morning of
Wednesday, 28September
- Report sent to Geneva as input for the Special Session of the
EB in November 2011
38. Progress Reports on Technical Matters
- A. Immunization: challenges and outlook
- B. Implementation of the Global Strategy and Plan of Action on
Public Health, Innovation, and Intellectual Property
- C. Advances in the Implementation of the WHO Framework
Convention on Tobacco Control
- D. Implementation of the International Health Regulations
(2005)
- E. Progress toward Achievement of the Health-related Millennium
Development Goals in the Region of the Americas
- F. Review of the Pan American centers
- G. Regional Initiative and Plan of Action forTransfusion
Safety2006-2010: Final evaluation
39. Resolutions and Other Actions of Intergovernmental
Organizations of Interest to PAHO:
- 64th World Health Assembly
- Forty-first Regular Session of the General Assembly of the
Organization of American States
- Subregional Organizations
40. Thank you very much!