PANAMERICANHEALTHORGANIZATION WORLDHEALTHORGANIZATION._._
X
IX
PAN AMERICANSANITAR
Y
C
ON
FERE
N
CE
XXV
I
R
E
GI
ON
A
L
C
O
MMITT
EE
M
EE
TING
WASHINGTON, D.C., U.S.A.
September-October 1974
Provisional Agenda Item 15 CSP19/19 (Eng.)
29 August 1974
ORIGINAL: ENGLISH
FORM OF PRESENTATION OF THE PROGRAM AND BUDGET OF THE PAN AMERICAN HEALTH
ORGANIZATION
Over the last decade there has been a continuous effort, jointly with
governments, to improve the planning process by defining health objectives
more clearly and developing programs to meet them. During this period,
budgets of the Organization have been presented by program to permit the
Governing Bodies to analyze the efforts of the Organization in terms of
pro-gram objectives. With the introduction of a planning system geared to the
Ten-year Health Plan adopted by the III Special Meeting of Ministers of Health,
and bearing in mind the program classification adopted by the World Health
Organization, the Organization has been reviewing its program and budget
pre-sentation in order to have a program matched to measurable objectives.
In 1973, the basic problem of presenting a budget in terms of program
objectives most readily understandable to the Governing Bodies in today's
envi-ronment was presented to the Executive Committee and the Directing Council.
The result was an authorization for the Director to study alternative ways of
providing proposals for consideration by the Governing Bodies. Following
are the considerations which the Director is presenting for review by the
Conference.
Much attention has recently been given to developments in the processes
used in planning for social and economic changes. These developments have,
however, created something of a dilemma as to the most appropriate way for
the Director to summarize and present information on health programs for
analy-sis by the Governing Bodies: whether to continue to present them in the terms
currently in use, or to present them in the terms now widely used in the fields
of economic and social planning.
In the present form of appropriation the program and budget of the
Organization is based essentially on the location where activities are to be
CSP19/19 (Eng.)
Page 2
Governing Bodies, the Headquarters, and the field programs, the latter also
being presented separately for each country. This system has served well
as a means of focusing attention on the various country and intercountry
projects, on the costs of Headquarters, and on the costs of the legislative
function.
In addition, the program and budget document also analyzes the
pro-posed expenditures in terms meaningful to the public health specialists
reviewing the budget proposals. This classification brings into focus the
programs which the Organization is requested to support by the Member
Governments. It summarizes the programs in which the Organization is
in-volved, reflecting priorities established by the Governing Bodies.
The Organization recently adopted a system of planning the programs
to be carried out with Member Governments, referred to as "quadrennial
projections." These projections are in essence a summarization of health
problems and plans to cope with them, drawn up by each government. They
contain a section on the problem, the solution, and the inputs which might
be needed from the Organization in support of the resources which the
gov-ernment is applying to the problem to be solved. These projections then
become the basis for annual discussions between the Member Government and
PAHO representatives, which result in a program and budget for submission
to the Governing Bodies.
With the experience gained in the use of the quadrennial projections,
the III Special Meeting of Ministers of Health set up health goals for the
next decade following the general guidelines of the discussions that were
carried out. Thus, the planning process is now being carried out in terms
of the services to be provided and the infrastructure necessary to provide
them, whereas the Organization's program and budget is being reviewed in
the classification patterns employing the traditional public health program
classification and the geographic area where they are to be carried out.
A study has been made to determine the feasibility of using the
approach of the Ten-year Health Plan for the Americas to present the
pro-gram and budget of the Organization to the Governing Bodies. The study has
concluded with the hypothesis that the guidelines and recommendations of
the III Special Meeting of Ministers of Health may lead to a useful format
for the presentation of the program and budget, since the categorization
is part of the planning systems of other governmental sectors. Thus, the
proposed new form of presentation would abandon the older pattern classifying
traditional health activities into categories of Protection of Health,
Promo-tion of Health, and Development of Educational Institutions. It would instead
classify activities into direct services to be provided to persons, and into
the infrastructure necessary to support those services. These are the terms
The World Health Organization has recently adopted a program
classi-fication for use in its worldwide planning.
For comparative purposes, there are three annexes to this document
which give an immediate insight into the three classifications under
consideration.
Annex I presents the current program and budget proposals in terms
of the traditional health programs studied by the Governing Bodies. This
presents the program and budget in its operative parts as I. Protection of
Health, II. Promotion of Health, III. Development of Educational
Institu-tions, as well as some other sections included for administrative reasons.
There are further subdivisions giving additional detail by subprogram. The
principal advantage of this presentation is that the information is provided
in terms readily understandable by health professionals, i.e., by the group
usually making up the delegations of the Member Governments to the meetings
of the Governing Bodies. This is Table 2 in the Proposed Program and Budget
Estimates, Official Document No. 129.
Annex II is the program for the Americas using the classification plan
recently adopted by the World Health Organization.
The principal advantage of using this classification plan recently
adopted by the World Health Assembly would be to conform to the classification
plan in use in other WHO Regions. However, this classification of ten
sec-tions (eight of which are operative program sections) does not permit
dif-ferentiation of activities which are major parts of the Ten-year Health Plan
adopted by the III Special Meeting of Ministers of Health and subsequently
by the Directing Council.
Thus, the WHO classification would present some problems in analysis
of the program to be carried out in the Americas since major program
ac-tivities which have been singled out for special attention in the Americas
are lumped in one category in the WHO classification. In this process,
hospital and medical care administration, methodology of planning,
adminis-trative practices and procedures, promotion of nursing, and other major
ef-forts in this Region, are combined in the WHO program "Strengthening of
Health Services." Also, in the Americas, the approach to cooperation with
Member Governments has been postured so that the Organization's principal
representative in each country has the primary function of consulting and
coordinating in the expansion and development of the health sector and
other public sectors such as agriculture and education in the provision of
health services in the countries.
Under the WHO Plan, these personnel are assigned to a special program,
"Assistance to Country Programmes," i.e., Zone and country representatives
are programmed and budgeted for separately from the plan of work for each
CSP19/19 (Eng.)
Page 4
There are other conceptual differences of lesser significance.
How-ever, the table from the WHO document before the Conference has been prepared
on the basis of a computer program which provides a crosswalk between the
classification used by PAHO and that used by WHO as a whole. Thus,
what-ever format is in use by PAHO, the computer is a practical mechanism for
providing budgetary information to WHO/Geneva in the format most useful to
them. Therefore, there seems to be no compelling reason for PAHO to conform
to the WHO classification.
Annex III, which has had minor modifications made since the Executive
Committee review, presents the program and budget for PAHO in the
classifi-cation recommended by the III Special Meeting of Ministers of Health for
planning purposes. Its adoption would give expression to the programs and
priorities as adopted at that Meeting. It is also the classification
fol-lowed in the Program of Work for 1973-77 adopted by the Pan American Health
Organization. It will be noted that the principal categories accumulate the
program expense into those activities related to the provision of services
to persons, and those activities related to development of the health
infra-structure, as well as a few administrative chapters common to all three of
the classification plans under study.
The principal advantage of the plan in Annex III is that it will
provide a continuum through the planning process to the presentation of
the program and budget estimates. This is a major concern in any
adminis-trative process and has much merit. In addition, this plan would present a
health program in the terms used by other public health sectors in developing
plans for social and economic development. There will be some administrative
difficulties in planning projects which must eventually be translated into
accounting and reporting terms, but these are not great enough to prevent
effective use of the classification if it is the most meaningful to the
Governing Bodies.
Under all three plans, analysis by country project, source of funds,
and type of expenditures would continue. In addition to the program
cate-gories, the classification under all three of the outlines would provide a
breakdown by advisory services, training, and research, that is, by the kinds
of activities identified in the Basic Documents of the Organization. A change
to appropriation by major program category would be indicated to carry the
planning process to its logical conclusion. This would not have major
signi-ficance other than to make minor changes in various control procedures.
As mentioned in the beginning, the purpose of the format of the budget
is to facilitate its understanding and analysis by the Governing Bodies.
Con-sequently, the most important criterion in choosing among the alternatives
presented above is the reaction of the representatives of Governments.
After discussion of the alternatives above, the 72nd Meeting of the
THE EXECUTIVE COMMITTEE,
Having studied the report of the Director on the form of presenta-tion of the program and budget of PAHO (Document CE72/14);
Recognizing that the time is opportune to revise the
classifica-tion of programs used in the annual program and budget of the Organization;
Taking into consideration the outlines approved for the General
Program of Work of PAHO/WHO, 1973-1977, and the Ten-year Health Plan,
1971-1980, as well as the classification used by the World Health
Organ-ization, and
Bearing in mind that it is desirable to adopt provisionally the
classification of programs used in the Ten-year Health Plan for the
pres-entation of the next program and budget in order to test its feasibility,
RESOLVES:
To recommend to the XIX Pan American Sanitary Conference that it
approve a resolution along the following lines:
THE XIX PAN AMERICAN SANITARY CONFERENCE,
Having studied the report of the Director on the form of
presentation of the program and budget of PAHO (Document
CE72/14) and the recommendation of the Executive Committee,
RESOLVES:
To request the Director to present future program and budget estimates following the nomenclature used by the
III Special Meeting of Ministers of Health of the Americas
and adopted by the Organization ih Resolution Xlll of the XXI Meeting of the Directing Council, using as a guide the draft outline contained in Document CE72/14.
CSPI9/19 (Eng.)
ANNEX II
THE AMERICAS SUMMARY BY PROGRAMME
PROGRAMME/SUB PROGRAMME 1973 1976 1975 19Ib
US$ US$ uS$ uS$
2.1 EXECUTIVE MANAGEMENT 250,108 128,161 141.200 L67_661
P.I._ IJFFICE OF THF REbIONAL dIRECTOR. .... .... .... 2501108 1281141 141e20O 14T_b61
_./ I'KtJGRAH_E LO_RDINATItlN 60lET8 57,BOO 621000 64f500
2.2.2 PROGRAMME CDORDINATIUN WITH UTHER DRGANIZATION$. 60,678 57t800 bZIOOC 64,500
3.1 bTREhI,IttENING OF HEALTH SERVICES 8e766,655 1Ie396,899 10e069,998 9,2371_06 3.l.l PROGRAMME PLANNING AND GENERAL ACTIVITIES.... 3641424 396.481 415,210 452.120
3.1.2 STRENGTHENING OF HEALTH SERVICES ..... ....... T,b03,ABO 9.2J3tO3b 8e404.66J 7fDii_62
3.1._ HEALTH LAHURATDRY SERVICES.. .................... 778,551 1,767,382 I_250,125 868,224
3.Z FAMILY H_ALTH I,I07,296 10,811,954 13,481,695 13,b6i,Obl
3.2.1 PROGRAMME PLANNING AND GENERAL ACTIVITIES..... 97,512 100,620 [05,SOO 110,650
3.2.2 MATERNAL AND CHILD HEALTH..... 2,6951251 6e184,049 81701,930 Uj_48,940
3.2.4 NUTRITION....... 6,130t978 6,387,856 4,683,925 4,394,17?
3.2.5 HEALTH EDUCATION................ ... ........... 18_1555 2051429 19G,340 207.300
4.1 HEALTH MANPOWER DEVELUPMLNT............... 3_662t337 41368_II0 5_501538 5,154,064
5.1 COMMUNICABLE DISEASES PREVENTION AND CCNTRDL 8,447_172 9_1891993 9f064,337 9,56/,98b
b.l.l PROGRAMME PLANNING AND GENEHAL ACTIVITIES... .... 80t538 90,400 9?,250 I02,800
5.1.2 FPIOEM. SURVEILL. OF COMMUNICABLE DISEASES...... b811375 930,45I 860e266 960.23?
5.1.3 MALARIA AND OTHER PARASITIC DISEASES............ 212981090 2e1221622 _1138,890 2,223,570
5.1.4 SMALLPOX ERADiCATiON... ....... ....... 191,261 iBlt42G 131tg&B 134,314
5.1.b _YCOBA_TERIAL DISEASES.......................... 329_959 643e266 335,320 440,850
5.1.T VIRUS DISEASES...................... 67,511 35_738 36,600 38.250
5.1._ VENEREAL DISEASES AND TREPUNENATOSES..........o. ItlOl IBtOOO 4,400 311200
5 .I.9 VETERINARY PUBLIC HEALTH....................... 61230, T40 4,842,206 4,961,018 5,106,925
5.1.10 VECTOR _IOLOGY AND CUNTROL.................. 586.597 519,092 497,625 529,840
5.2 NUNCOMMUNICABLb DISEASE PREVENTION AND CONTROL 589_96 957,728 l_OOT,200 1.104,690
5.2.2 CANCER......... •.--.-''---...---.----.--....-... 64,868 6_587 80,400 lO0.bO0
5.2.3 CARDIOVASCULAR DISEASES....... ... . - 20_600 211200 21,800
5.2.4 UTHER CHRONIC NONCOMMUNICABLE DISEASES....... 1b,403 90,000 99,480 I09_900
5.2.5 _ENTAL HEALTH..................o.............. 1891512 262_69_ 370,600 435.220
5.2.b MENTAL HEALTH....**.......... .*.. •.-...*.-.. 214,904 273,700 286,020 336,420
5.2.7 PREY. & CTL. UF ALCOHOLISM & ORUG OEP. & AUUSE.. 1231729 246e34& 151,500 100,750 o.l PRUMOIIDN UF ENVIRUNHENTAL HEALTH 3_551,763 6e850,142 b,350,25T 5,234,285
6.I.I PROGRAMME PLANNING AND GENERAL ACTIVITIES ... 102_47b 140,281 I60_blO 169,050
6.1.2 P_OVISION OF BASIC SANITARY MEASURES..... 2,0L2_895 _,149_263 3,681,552 2,752,725
b.l.4 CTL. OF ENVIRONM. POLLUTION AND HAZARDS.. ... _7_70T 73,093 51,200 57,700
6.1.5 HEALTH UF WORKING POPULATIONS............... 76_774 lJ7_706 186,800 140,500
6.1.6 _iOMED. & ENV. HEALTH ASPECTS OF IONIZING RAD... 122_765 136eO3D 167_400 134,540
6.1.7 ESTA8. k STRENGTH. OF ENV. HEALTH SERV. £ INST.. 1,015e290 11803t796 1,_56,565 le230t770
6.I.8 FOOD STANDARDS PROGRAMME... .................. 173_856 409_973 966_130 749,000
l.l hEALTH STAIISTICS 1_333_617 1_639_783 1_718_395 1,828,808
7.I.I PRt)GRAMML PLANNING AND bENERAL ACTIVITIES... 25Dt551 130.350 1_3.550 142.100
7.1.2 HEALIH STATISTICAL METHODOLOGY... .. 98e283 93_180 135e140 14be200 1.1 ._ DISSEMINATION OF STATISIICAL iNFORMATION... 4_ltb95 258,520 305,720 327,a00 7.1.4 D_VFLOPMENI OF HEALTH STATISTICAL SERVICES...... 532,501 881,878 1,033,825 1,I32,33B 7.1.5 iNTERNATiONAL CLASSIFICATION OF DISEASES. .... ... 24t587 75_855 lO0,1bO 80,570
T.2 hEALTH LITERATURE SERVICES.................... .... 2611546 474_620 5321740 560,300
?.3 WHOPUBLICATIUNS...o..........oo.................. 468,289 529_460 b131450 646,900
?.4 hEALTH INFORMATION......... .
" "''''''''''''.-.-..-....-- 279,757 312_360 356_260 378_650
9.1 REGIONAL PROGRAMNE PLANNING AND GENERAL ACTIVITIES 62,145 242,311 275.514 263,115
9.1.2 THE AMERICAS.......................... 62,145 242_311 275e514 263,115
9.2 ASSISTANCE TOCOUNTRY PROGRAMMES 1,284_212 1t121_630 1t386_100 1_477e100
9,2.2 THE AMERICAS.......... .....o ,
... • -.... .... 1,2B4_212 1_121_b30 lt38b_lO0 1,477,100
9.3 9.RE3.2GIONALTHEGENERALAMERICASSUPP.. ORT SERVICES l_b44t123 212561550 2e582,740 2,771_6S0
... 1,644,123 2,254,550 2,SB2. T60 2,771.6S0
9.4 REGIONAL LOMNON SERVICES lebJ6t153 1,423_760 I_550t600 1,753,963
9.4.2 THE AMERICAS.. .. ... .... .
... [tb36,153 1,623e760 [1_01400 It753_963
GRAND TOTAL........................... JDt967_893 52,260_861 55_413_52_ 54t702,145
TABLE 2 PROGRAM BUDGET - TOTAL
1973 I 97 It I 975 1976
...
AMOUNT PERCENT AMOUNT PERCENT AMOUNT PERCL_4T AMOUNT PEPCL '.T ...
$ $ $ $
21,016,061 52.6 29,630,533 56.7 I. PROGRAM OF SERVICES 31,396,033 56.7 51,167,600 57.0
]1,694,527 2q.3 15,959,757 30.6 A. SERVICES TO INDIVIDUALS ]8,389,28h 33.2 18,926,115 34.5
4,090,30] I0.2 4,257,558 8.2 2. COMMUNICABLE DISEASES 4,072,704 7.4 4,374,235 8.0
555,807 1.6 913,646 1.8 PROGRAM PLANNING & GENERAL ACT]V. 904,661 1.6 951,059 1.7
2,259,884 5.7 2,050,769 4.0 MALARIA 2,078,630 3.7 2,145,770 3.9
191,251 .5 181,420 .4 SMALLPOX 131,968 .2 134,314 .2
216,070 .5 283,050 .5 TUBERCULOSIS 228,823 .4 314,600 .6 123,101 .h 174,020 .3 LEPROSY ]20,500 .2 141,150 .3 1,101 :: 18,000 :: VENEREAL DISEASES 4,400 :¢ 31,200 .I
549,439 1.4 445,118 .9 AED._S AEGYPT[-BORNE DISEASES 4)1,525 .7 414,740 .8
38,206 :: 89,633 .1 PARASITIC DISEASES 89,100 .1 108,900 .2 ;'5,432 • ] 101,902 .2 OTHER COMMUNICABLE DISEASES 83, 100 . 1 132, 500 .2
2,881,816 7.2 6,344,669 12.2 3. MATER. g CHILD HEALTH _ FAN. WELFARE 8,827,430 15.9 9,059,590 16.5
4, 133,014 10.h 4,403,302 8.4 4. NUTRITION 4,484,950 8.1 4,396,002 8.0 338,633 .8 520,046 1.0 5. MENTAL HEALTH 435,520 .8 437,170 .8
189,512 .5 262,495 .5 6. DENTAL HEALTH 370,.600 .7 435,220 .8
61,251 .2 I71,687 .3 7. CANCER AND OTHER CHRONIC DISEASES 198,080 .3 223,900 .4 7,681,452 19.2 11,594,370 22.2 B. ENVIRONMENTAL HEALTH SERVICES ]I,166,851 20.2 ]0,238,628 18.7 1,678,416 4.2 1,967,227 3.8 I. PROGRAM PLANNING _ GENERAL ACTIV. 2,0]5,97N 3.7 2,069,723 3.8
],240,37) 3.1 2,545,151 4.9 2. WATER SUPPLY AND EXCRETA DISPOSAL 1,611,997 2.9 1,218,223 2.2
7,750 :; 7,250 :: 3. SOLID WASTES :," ::
417,5(_7 I.I 1,778,350 3.4 4. ENVIRONMENTAL POLLUTION 1,553,203 2.8 ],035,757 1.9
27h,544 .Z 1,570,278 3.0 PROGRAM PLANNING $ GENERAL ACTIV. 1,3%6,953 2.fi 835,177 1.5 20,238 :: 48,650 :: AIR POLLUTION 51,250 :: 57,3h0 .1
122,765 -3 I36,030 .3 RADIATION AND ISOTOPES 147,400 .2 134,540 .2
- :: 23,392 :: PESTICIDES 7,600 :: 8,700 ::
:" 35,000 :{ 5. REGIONAL DEVELOPMENT 28,]00 :: 13,500 :: 113,046 .3 151,806 -3 6. OCCUPATIONAL HEALTH 209,450 .q 163,750 .3 4,006,240 10.0 4,645,420 8.9 7. ANIMAL HEALTH .8VET. PUBLIC HEALTH 4,750,397 8.6 4,949.475 9.1
1,98q,585 5.0 ],921,084 3.7 FOOT-AND-MOUTH D]SEASE 2,054,356 3.7 2,256,786 4.1
2,021,655 5.8 2,72(÷,336 5.2 OTHER ZOONOSES 2,696,041 4.8 2,692,689 5.0
122,219 .5 269,773 .h 8. QUALITY CONTROL OF FOODSTUFFS 386,020 .7 336,440 .6 31,637 .I 140,200 .5 9. QUALITY CONTROL OF DRUGS 580..I10 I.I 392,$60 .8
44,224 .I 54,193 .I IO. PREVENTION OF ACCIDENTS 31,600 :: )9,200 ::
1,640,082 4.9 2,076,206 3.9 C. COMPLEMENTARY SERVICES 1,839,898 ).3 2,002,857 3.7 679,718 1.7 1,006,794 1.9 2. NURSING 982,299 1.8 1,061,950 3.0 q58,806 1.2 477,193 .9 3. LABORATORIES 360,454 .7 374,387 .7
184,805 .3 131,910 .3 I¢.EP]DEM]OLOGICAL SURVEILLANCE 122,175 .2 184,240 .3
]55,379 .3 208,429 .3 5. HEALTH EDUCATION 193,540 .4 211,300 .4 ]61,374 .4 251,880 .5 6. REHAB] L]TATION 181,430 .3 170,980 .3
CSPI9/19 (Eng.)
ANNEX III
Page 2
...
TABLE 2 (CONT.)
PROGRAH BUDGET - TOTAL
1973 1974 1975 1976
... -...
AMOUNT PERCENT AMOUNT PERCENT AMOUNT PERCENT AMOUNT PERCE_T
..._..._... _..._...
13,613s976 34.O 17,092,616 32,7 If. DEVELOPMENT OF THE INFRASTRUCTURE 17,562,257 31.6 16,559,306 30.2
8,033,631 20.1 9,1371149 17.6 A. HEALTH SYSTEMS 9s140,185 ]6.7 8,730,168 16.0 h,140,054 10.4 3,749,697 7.2 2. GENERAL PUBLIC HEALTH SYSTEMS 3,826,27_ 6.9 3,888,222 7.1
1,090,112 2.7 1,540,738 3.5 3. MEDICAL CARE SYSTEMS 1,655,015 2.9 1,35k,lkO P.h
935,212 2.4 1,1)5,744 2.2 4. PLANNING 991,640 1.8 536,400 l.S 1,292,390 3.2 1,596,689 3.I 5. STATISTICS & INFORMATION SYSTEMS 11897,131 3.6 1,949,353 3.6
555j863 1.4 834s281 1.6 6. OPERATIONAL CAPACITY 770,125 1.4 702,053 ].3 3,135,983 7.8 3,564,052 6.9 B. DEVELOPMENT OF HUMAN RESOURCES 5,0]3,744 9.0 4,863,168 0.9
295,007 -7 339,160 .7 1. PROGRAM PLANNING & GENERAL ACTIV. )73,960 .6 398,050 .7
433,675 1.1 h55,456 .9 2. PUBLIC HEALTH ],866,700 3.4 1,450,400 2.7 1,195,941 3.0 1,074,448 2.1 3. MEDICINE 1,070,759 1.9 1,088,417 2.0
261,531 .7 414,878 .8 4. NURSING _99,732 .9 66S 37_ 1.2
359,425 .9 588,686 1.I 3. ENVIRONMENTAL SCIENCES _56,463 .B 41] 23_ .8
172,388 .4 ]28,620 .3 6. VETERINARY MEDICINE I38,100 .3 157 450 .3
155,068 .4 181,324 .4 7. DENTISTRY I91,320 .4 198 340 .4
125,976 .3 223,580 .h 8. BIOSTATISTICS 264,520 .5 301 683 .5
136,966 .3 155_900 .2 9. OTHER 131,990 .2 162 200 .3
564,893 1.4 I_813,915 3.5 C. PHYSICAL RESOURCES |,028,792 1.8 493 437 .9
345,B61 ".9 1,316,451 2.5 2. PRODUCTION OF BIOLOGICALS 9h0j492 ].6 _70 537 .9
216,032 .5 497,464 1.0 3. MAINTENANCE OF HEALTH CARE FACILITIES 88jS00 .2 24,900 x
I55,916 .h 21],200 .4 D. FINANCIAL RESOURCES 235,800 .4 279;800 .S
1,526,975 3.8 2,111,720 3.9 E. TECHNOLOGICAL RESOURCES |_960s036 3.4 1,979_733 3.6
202,6]6 .5 185,881 .4 2. TEXTBOOKS ¢ OTHER TEACHING MATERIALS 155,100 .3 163,400 .3
510_236 1.3 726,649 1.4 3. REGIONAL LIBRARIES 334,456 1.0 530,383 1.0
810,338 2.0 1,058,940 1.9 4. EDITORIAL SERVICES 1_170,830 2.0 ],2hl,]O0 2.3 3,785 :c ]40,250 .2 5. OTHER TECHNOLOGICAL RESOURCES 99,650 .1 44,850 :: 2s859 x 13,000 _ F. HEALTH LEGISLATION 6_400 x x 195_719 .S 219,580 .4 G. RESEARCH COORDINATION 177,300 .3 211_000 .3 4,467p778 11.2 4,571.552 8.8 Ill. ADMINISTRATIVE DIRECTION 51299.674 9.6 5_711s839 10.6
276,353 .7 310,452 .6 EXECUTIVE &TECHNICAL DIRECTION 331,514 .6 366,276 .6
199_659 .5 236,210 .5 PROGRAM SERVICES 259,010 .5 248,450 .6 1s944,0_9 4.9 2,3551800 4.5 ADMINISTRATIVE SERVICES .' 2s683,450 4,9 2,875,050 5.3
2s047,717 5.1 Is6691090 3.2 GENERAL EXPENSES 2s005,700 3.6 2,222,063 4.1
4701078 1.2 496,340 .9 IV. GOVERNING BODIES 6051560 1.1 663_00 1.2
4001000 1.0 _50,000 .9 V. INCREASE TO ASSETS 530_000 1.0 600_000 1.0
39,967,593 100.9 52,240,8_] 100.0 GRAND TOTAL 55,h!3,$24 IO0.O 34,702_145 100.0
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