Criteria and guidelines for the proposed program and budget of the PAHO for the biennium 1984-85

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CONFERENCE

XXXIV

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Provisional Agenda Item 29 CSP21/24 (Eng.)

30 July 1982

ORIGINAL: ENGLISH

CRITERIA AND GUIDELINES FOR THE PROPOSED PROGRAM AND BUDGET OF THE PAN

AMERICAN HEALTH ORGANIZATION FOR THE BIENNIUM 1984-1985, AND PROVISIONAL

DRAFT OF THE PROGRAM BUDGET OF THE WORLD HEALTH ORGANIZATION FOR THE

REGION OF THE AMERICAS FOR THE BIENNIUM 1984-1985

The Director submits for the consideration of the XXI Pan

American Sanitary Conference:

A. A report on criteria and guidelines for the program and budget

of the Pan American Health Organization for the biennium

1984-1985, in response to Resolution XVI of the XXVIII Meeting

of the Directing Council and Resolution XVII of the 88th

Meeting of the Executive Committee.

B. In response to Resolution XXII of the 88th Meeting of the

Executive Committee, a tentative projection of the program

budget of the World Health Organization for the Region of the

Americas for the biennium 1984-1985, required to be

recom-mended by the Pan American Sanitary Conference, acting as the

Regional Committee of WHO for the Americas, prior to the 71st

Session of the Executive Board in January 1983 and the

Thirty-sixth World Health Assembly in May 1983.

A. Criteria and Guidelines for the Proposed Prosram and Budset of the

Pan American Health Organization for the Biennium 1984-1985

Backsround

The Directing Council at its XXVII£ Meeting in September 1981

approved Resolution XVI (see Annex A) concerning the preparation of the

Proposed Program and Budget of the Pan American Health Organization for

CSP21/24 (Eng.)

Page 2

In response to Resolution XVI, the Secretariat made a presentation

to the Executive Committee's Subcommittee on Long-Term Planning and

Programming, which met immediately prior to the 88th Meeting of the

Executive Committee in June 1982.

The 88th Meeting of the Executive Committee discussed the

recom-mendations of the Subcommittee and approved Resolution XVII (see Annex

E). Resolution XVII contains a recommended resolution which the XXI Pan

American Sanitary Conference may wish to adopt.

Procedures _.

I. Although the Proposed Program and Budget of the Pan American

Health Organization for the Biennium 1984-1985 will not be presented to

the 90th Meeting of the Executive Committee until June 1983 for its

recommendation to the XXIX Meeting of the Directing Council in September

1983, several preliminary activities have been undertaken in order to

prepare the proposal, taking into consideration the aforementioned

Resolution XVI of the XXVIII Meeting of the Directing Council and

Resolution XVII of the 88th Meeting of the Executive Committee.

The results of these activities are presented in the following

annexes attached to this document:

Annex B: WHO Classified List of Programs with Descriptions

(Indicates program not included in the PAHO Classification

System)

Annex C: PAHO Classified List of Programs with Descriptions

(Indicates programs added to and program titles changed

from the WHO Classification System)

Annex D: The approved PAHO/WHO Regular budget for 1982-1983 and tentative

percentage distribution for 1984-1985 of PAHO/WHO Regular

resources by the new PAHO program classification system and by

location.

As mentioned above, Resolution XVII (see Annex E) of the 88th

Meeting of the Executive Committee contains a recommended resolution

CSP21/24 (Eng.)

Page 3

B. Tentative Pro_ections for the Program Budget of the World Health

Organization for the Region of the Americas for the Biennium

1984-1985

Background

In mid-1981 the World Health Organization tentatively allocated to

the Region of the Americas an amount of _50,834,000 in WHO Regular funds

for the 1984-1985 biennium. In order for the January 1983 Executive

Board and May 1983 World Health Assembly to act upon the WHO Program

Budget for the biennium 1984-1985, it is necessary for the Pan American

Sanitary Conference, acting as the WHO Regional Committee for the

Americas, to recommend the program and supporting funds to the

Director-General of WHO.

Procedures

Since the PAHO/WHO Regular program is considered as a single

integrated program, Table i shows the tentative distribution of this

program by appropriation sections in percentages rather than in dollar

figures, taking into consideration the fact that the exact level of the

1984-1985 PAHO Regular program and budget has not been established.

Table 2 shows dollar amounts for appropriations, programs and subprograms

for WHO Regular funds only, for transmission to the Director-General.

The 88th Meeting of the Executive Committee approved Resolution

XXII (see Annex F) on this subject. Resolution XXII also contains a

suggested resolution which the XXI Pan American Saoitary Conference may

CSP21/24 (Eng.)

Page 4

TABLE I

TENTATIVE PERCENTAGE DISTRIBUTION OF COMBINED PAHO AND WHO REGULAR FUNDS,

AND OF PAHO AND WHO REGULAR FUNDS SEPARATELY,

BY APPROPRIATION SECTION FOR THE BIENNIUM 1984-1985

PAHO/WHO

Regular PAHO WHO

Total Regular Resular

i. Direction, Coordination and Management 10.2 12.1 5.5

2. Health System Infrastructure 40.9 39.9 43.5

3. Health Science and Technology

(Health Promotion and Care) 16.9 16.2 18.7

4. Health Science and Technology

(Disease Prevention and Control) 17.3 16.7 18.3

5. ProgramSupport 14.7 15.1 14.0

Total i00.0 I00.0 I00.0

TENTATIVE PERCENTAGE DISTRIBUTION BETWEEN PAHO AND WHO REGULAR FUNDS OF

APPROPRIATION SECTIONS FOR THE BIENNIUM 1984-1985

PAHO WHO

Regular Regular Total

i. Direction, Coordination and Management 82.1 17.9 I00.0

2. Health System Infrastructure 65.9 34.1 i00.0

3. Health Science and Technology

(Health Promotion and Care) 64.5 35.5 I00.0

4. Health Science and Technology

(Disease Prevention and Control) 65.7 34.3 I00.0

5. ProgramSupport 69.3 30.7 I00.0

Page 5

TABLE 2

BIENNIUM 1984-1985 TENTATIVE PROGRAM BUDGET FOR THE REGION OF THE AMERICAS

WHO Regular

DCM i. DIRECTION, COORDINATION AND MANAGEMENT 2,820,300

GOB i. GoverningBodies 241,800

RCO 1.3 Regionalcommittees 241,800

PDM 2. General Program Development and Management 2,578,500

EXM 2.1 ExecutiveManagement 233,500

GPD 2.3 General Program Development 1,882,700

COR 2.4 External Coordination for Health and Social

Development 462,300

HSI 2. HEALTH SYSTEM INFRASTRUCTURE 22,090,600

HSD 3. Health System Development 6,102,900

HST 3.1 Health Situation and Trend Assessment 3,150,800

MPN 3.2 Managerial Process for National Health Development 2,952,100

PHC 4. Organization of Health Systems Based on primary Health Care 10,527,000

HMD 5. HealthManpower 4,841,100

IEH 6. Public Information and Education for Health 619,600

STP 3. HEALTH SCIENCE AND TECHNOLOGY (Health Promotion and Care) 9,497,500

RPD 7. Research Promotion and Development 139,700

GHP 8. General Health Protection and Promotion 1,924,600

NUT 8.1 Nutrition 1,606,000

ORH 8.2 OralHealth 115,700

CSP21/24 (Eng.)

Page 6

WHO Regular

HPP 9. Protection and Promotion of the Health of Specific

PopulationGroups 720,400

MCH 9.1 Maternal and Child Health, including Family Planning 720,400

MNH I0. Protection and Promotion of Mental Health 679,600

PSF I0.I Psychosocial Factors in the Promotion of Health

and Human Development 347,500

ADA 10.2 Prevention and Control of Alcohol and Drug Abuse 189,700

MND 10.3 Prevention and Treatment of Mental and Neurological

Disorders 142,400

PEH II. Promotion of Environmental Health 4,608,200

CWS ii.I Community Water Supply and Sanitation 4,087,600

CEH 11.3 Control of Environmental Health Hazards 42,200

FOS 11.4Food Safety 478,400

DTR 12. Diagnostic, Therapeutic and Rehabilitative Technology 1,425,000

CLR 12.1 Clinical, Laboratory and Radiological Technology for

Health Systems Based on Primary Health Care 949,800

DSE 12.3 Drug and Vaccine Quality, Safety and Efficacy 429,400

RHB 12.5Rehabilitation 45,800

STD 4. HEALTH SCIENCE AND TECHNOLOGY (Disease Prevention and Control) 9,294,400

DPC 13. Disease Prevention and Control 9,294,400

EPI 13.1 Immunization 852,900

VBC 13.2 Disease Vector Control 3,408,400

MAL 13.3Malaria 988,000

PDP 13.4 ParasiticDiseases 285,400

CDD 13.6 DiarrhealDiseases 327,000

TUB 13.8Tuberculosis 397,600

VPH 13.10Zoonoses 1,394,700

VDT 13.11 Sexually Transmitted Diseases 35,200

CDS 13.13 Other Communicable Disease Prevention and Control

Activities 1,463,700

CAN 13.15Cancer 32,100

NCD 13.17 Other Noncommunicable Disease Prevention and Control

CSP21/24 (Eng.)

Page 7

WHO

Resular

PRS 5. PROGRAMSUPPORT 7,131,200

HBI 14. Health InformationSupport 2,379,600

SPS 15. SupportServices 4,751,600

PER 15.1Personnel 782,600

PGS 15.2 General Administration and Services 2,304,400

BFI 15.3Budgetand Finance 1,325,000

SUP 15.4 Equipment and Supplies for Member States 339,600

TOTALBUDGET 50,834,000

DIRECTING COUNCIL

REGIONAL COMMITTEE

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XXVlII Meeting XXXlll Meeting CSP21/24 (Eng.)

ANNEX A

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PROVISIONAL DRAFT OF THE PROPOSED PROGRAM AND BUDGET OF THE PAN AMERICAN

HEALTH ORGANIZATION FOR THE BIENNIUM 1984-1985

THE DIRECTING COUNCIL,

Having examined Official Document 169, submitted by the Director of

the Pan American Sanitary Bureau, containing the provisional draft that is

to constitute the basis for preparation of the proposed program and budget

of the Pan American Health Organization for 1984-1985 amounting to

_I06,680,000;

Noting that the provisional draft of the proposed program and budget

is not structured in accordance with the components of the Plan of Action for

the Implementation of Regional Strategies of Health for All by the Year 2000

__ adopted by the XXVIII Meeting of the Directing Council; and

Acknowledging that 1982-1983 is a transitional period,

RESOLVES:

I. To request the Director to formulate the draft program and budget

for 1984-1985 so that it:

a) Conforms to the structure established in the Regional Plan of

Action as well as to the Program Classification System to be

established by WHO under the Seventh General Program of Work;

b) Takes into account the comments and concerns expressed by Member

Governments at the XXVIII Meeting of the Directing Council with

respect to inflationary costs;

c) Ensures that priority is given to the regional baseline

target areas established in Chapter 6 of Part II of official

Document 173;

d) Develops, within the context of global, regional and national

strategies of health for all by the year 2000, a rational

found-ation for the allocation of resources among country programs in a

manner that reflects:

'f_'_' i) the relative health needs among countries; and

ii) the relative capacities of countries to implement global and

regional priority programs within their national health

e) Gives priority to the allocation of resources for the delivery of

programs and services to countries relative to area program, and

minimizes the cost of administration and program support costs;

f) Incorporates the results of further consultations with national

authorities in the reformulation of country programs and budgets

in accordance with (d) above.

2. To direct the Executive Committee to review and revise, as

neces-sary, the draft program and budget for 1984-1985 in accordance with the above

guidelines.

3. To express its concern over the number of Member Countries that

are delinquent in the payment of their quota contributions to the PAHO

regu-lar budget, and to request that Member Countries bring their contributions up

to date at the earliest opportunity.

(Approved at the twelfth plenary session,

CSP21/24 (Eng.)

ANNEX B

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• _ a ...

_:: _ _r, u_ b-_ Lr_

EXECUTIVECOMMITTEE OF

WORKING PARTY OF

THE DIRECTING COUNCIL

THE REGIONAL COMMITTEE

(

_-1_

ORG

A

NIZ

A

T

I

ON

O

R

GANIZA

D

ON

88th Meeting I 88th Meeting _ CSP21/24 (Eng.)

ANNEX E

RESOLUTION

r

v

n

I

CRITERIA AND GUIDELINES FOR THE PROPOSED PROGRAM AND BUDGET OF THE

PAN AMERICAN HEALTH ORGANIZATION FOR THE BIENNIUM 1984-1985

THE EXECUTIVE COMMITTEE,

Having considered Document CE88/19, which contains a PAHO Classified

List of Programs based on the Program Classifigation System established by

WHO under the Seventh General Program of Work (Annex C), and a tentative

percentage distribution for 1984-1985 of PAHO/WHO Regular resources by the

new program classification system and by location (Annex D); and

Bearing in mind Resolution XVI of the XXVIII Meeting of the

Directing Council which requests the Director to use new guidelines ,in

formulating the draft program and budget for 1984-1985,

RESOLVES:

To recommend to the XXI Pan American Sanitary Conference, XXXIV

Meeting of the Regional Committee of the World Health Organization for the

Americas, that it adopt the following resolution:

THE XXl PAN AMERICAN SANITARY CONFEEEN_ [/_ //

Having considered Document _ which contains a PAHO

Classified List of Programs based on the Program Classification

System established by WHO under the Seventh General Program of

Work (Annex C), and a tentative percentage distribution for 19

84-1985 of PAHO/WHO Regular resources by the new program

classification system and by location (Annex D);

Bearing in mind Resolution XVI of the XXVIII Meeting of

the Directing Council which requests the Director to formulate

the draft program and budget for 1984-1985 using certain

guide-lines provided; and

Noting the recommendations made by the 88th Meeting of

the Executive Committee,

RESOLVES:

I. To approve the PAHO Classified List of Programs set

forth in Annex C of Document CE88/19, with the addition of Clas

-sification 2.6, Disaster Preparedness, and with modifications in

recommendations of the Subcommittee on Long-Term Planning and

Programming, as the structure to be used in the 1984-1985

program and budget document.

2. To request the Director:

a) To increase the proportion of funds allocated to

country programs to at least 35 per cent of the

PAHO/WHO Regular budget, taking into account the

pro-posed programs and budgets to be submitted by the

Member Countries, in formulating the draft program and

budget for 1984-1985;

b) To make appropriate reductions in other budgetary

locations, taking into account the regional baseline

target areas established in Chapter 6 of Part II of

Official Document 173, and the ongoing studies related

to the PAHO Centers and the Area Offices;

c) To continue studying the question of the most equitable

distribution of PAHO/WHO resources among the Member

Governments, and to report on this subject to the 90th

Meeting of the Executive Committee in 1983.

(Approved at the eighth plenary session,

I

88th

Meeting

I

Meeting

ANNEX F

RESO

L

UTION

XXll

TENTATIVE PROJECTIONS FOR THE PROGRAM BUDGET OF THE WORLD HEALTH

ORGANIZATION FOR THE REGION OF THE AMERICAS

FOR THE BIENNIUM 1984-1985

THE EXECUTIVE COMMITTEE,

Having considered Document CE88/19, which contains a tentative

allocation of $50,834,000 from the World Health Organization for the Region of the Americas for the biennium 1984-1985; and

Bearing in mind the Classified List of Programs set forth in Annex I

of Document CE88/19_ ADD. I and Resolution XVII of the 88th Meeting of the

Executive Committee which requests the Director to increase the proportion

_ of funds allocated to the country programs to at least 35 per cent of the

PAHO/WHO regular budget,

RESOLVES:

To recommend to the XXI Pan American Sanitary Conference, XXXIV

Meeting of the Regional Couraittee of the World Health Organization for the Americas, that it adopt the following resolution;

THE XXI PAN AMERICAN SANITARY CONFERENCE,

Having considered Resolution XVII of the 88th Meeting of

the Executive Commit tee and the tentative allocation of

$50,834,000 from the World Health Organization for the Region of

the Americas for the biennium 1984-1985; and

Noting the recommendations made by the 88th Meeting of

the Executive Committee,

RE SOLVE S :

To note the $50,834,000 tentatively allocated to the

Region of the Americas by the Director-General of WHO to

contribute to the support of the PAHO/WHO regular provisional

program, whose tentative distribution has been considered.

(Approved at the tenth plenary session,