Programme Budget 2020 2021

1. Draft Programme Budget 20202021
Regional Consultation
Agenda item 2
65th Session of the Regional Committee for the
Eastern Mediterranean
15‒18 October 2018, Khartoum

2. Objectives
• Present the high level Programme Budget (PB) by
major office and by level.
• Provide an overview of the process for developing the
draft PB.
• Provide the initial results of the prioritization exercise
at country level.
• Obtain guidance from Member States regarding the
priorities and strategic directions of the Region for the
PB.
2

3. 3
High-level budget overview
3

4. 4
Comparison of the Programme Budget 2018–2019 with the
proposed high-level Programme Budget 2020–2021
3,518.7
902.8
4,421.5
3,987.8
700.0
4,500
4,000
3,500
2,500
0
1,500
1,000
500
3,000
2,000
5,000
Base
US$ millions
Polio Total
4,687.8a
+469.1
-202.8
+266.3
PB 2018–2019 Proposed high-level PB 2020–2021
KEYMESSAGES
a A budget for humanitarian response plans and appeals (US$ 1000 million for 20202021) is now shown as a budget line. This was not presented in the previous biennium given the difficulty of providing estimates for
an event-driven budget line. This estimate for the biennium 2020–2021 is based on spending patterns in previous biennia and a provisional needs assessment to ensure that WHO has capacity to respond in this area.
Total budget increase proposed is
US$ 266.3 million or 6%.
Bolder objectives, but
modest level of increase
proposed; kept lower by a
commitment on achieving
efficiency/reallocation
targets
4

5. 5
Proposed high-level Programme Budget 2020–2021 increases
explained, base segment only
42.4
132.0
227.4
108.0
58.3
-99.0
469.1
Proposed high-
level PB 2020–
2021 increases,
base
3,518.7
469.1
0
2,500
500
1,000
2,000
1,500
3,500
3,000
4,000
US$ millions
Proposed high-
level PB 2020–
2021, base
3,987.8
Total Base Budget increase
Current Base Budget
Keymessages
Efficiency/reallocation
Inflation, at 1.5% per
annum
Normative work
(especially
data and innovation)
Transition of polio
functions
to base segment
Increase in country
capacity
United Nations
reform levy
Additional investments in:
- Strengthening critical country capacity to
deliver on WHO’s 13th General
Programme of Work (GPW13)
- Sustaining immunization and health
systems to maintain polio gains and
address the impact of polio transition
- Normative functions, including data and
innovation
- Supporting the UN Resident Coordinator
system in line with UN reform
Investments are highly focused on achieving
better results at country level
5

6. 6
Proposed high-level Programme Budget 2020–2021,
base segment only, by major office
US$ millions Africa
The
Americas
Eastern
Mediterranean
Europe
South-East
Asia
Western
Pacific
Headquarters Total
Current base budget (2018-2019) 834.1 190.1 336.0 256.4 288.8 281.3 1332.0 3518.7
Increase in country capacity 57.1 14.0 18.7 8.2 19.0 15.0 – 132.0
Normative work (especially data
and innovation)
10.8 10.8 10.8 10.8 10.8 10.8 43.2 108.0
Transition of polio functions to
base segment
90.4 0.9 25.7 2.5 69.9 2.1 35.9 227.4
Inflation, at 1.5% per annum 14.7 3.2 6.8 4.1 5.0 4.6 19.9 58.3
Efficiency/reallocation – – – – – – (99.0) (99.0)
UN reform levy – – – – – – – 42.4
Proposed high-level PB 2020–2021
base segment
1007.1 219.0 398.0 282.0 393.5 313.8 1332.0 3987.8
Significant increases
in all regions
01 No increase for WHO headquarters.
All efficiency gains/reallocation
targets committed for headquarters
02 Nearly half of total increase is
related to polio transition
03

7. 7
Evolution of WHO budgets for technical capacity
in country offices (segment 1)a
906.9
1,097.1 1,114.5
1,431.8
0
500
1,000
1,500
US$ millions
+317.3
WHO budgets for technical capacity in country offices (segment 1)a
a As outlined in document EB137/6.
b Model based on zero need for indicators above the OECD median, as outlined in document EB137/6.
c Revised in 2016, taking into account the WHO Health Emergencies Programme.
KEY MESSAGES
Almost 60% increase of
country level budget
during three bienniums.
Biggest part of this
increased investment
is foreseen for
20202021.
2014-2015b Proposed
high-level
PB 2020–2021
2018–20192016–2017
Revisedc
7

8. 8
Proposed high-level Programme Budget 2020–2021, base
segment only, by level of the Organization
Budget share of country level
increases by nearly 5%
01
Reduction in headquarter’s share;
slight decrease in Regional office
share
02
Demonstrating shift in budgets for
ensuring delivery at country level
03
Key Messages
1,337.7
849.0
3,518.7
1,686.1
927.3
1,332.0
3,987.8
0
1,000
3,000
2,000
4,000
1,332.0b
Country offices Headquarters
US$ millionsa
Regional offices Total
Proposed high-level programme budget 2020–2021Programme budget 2018–2019
Allocation
by level
(%)
38.0% 42.7% 24.1% 23.5% 37.9% 33.8% 100.0% 100.0%
a Unless otherwise specified.
b The Programme budget 2018–2019 base segment for headquarters includes the budget for the UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases and the
UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction. Budget for these programmes are integrated into the proposed high-level
Programme Budget 2020–2021.
8

9. 9
Outcome of the
prioritization exercise
9

10. 10
Proposed high-level Programme Budget 2020–2021 for the
Eastern Mediterranean Region, base segment only
181.3
214.2
223.8
271.7
87.4
110.3 112.2
126.3
268.7
324.5
336.0
398.0
2014-2015
2016-2017
2018-2019
2020-2021
2014-2015
2016-2017
2018-2019
2020-2021
2014-2015
2016-2017
2018-2019
2020-2021
COUNTRY OFFICES REGIONAL OFFICE TOTAL EM REGION
+62.0 M
18.7
10.8
25.7
6.8 Inflation, at 1.5% per
annum
Transition of polio
functions to base
segment
Normative work
(especially data and
innovation)
Increase in country
capacity
US$ millions
+129.3 M
10

11. What’s different in the Programme Budget 20202021
process?
• Country-impact focused – Delivering impact at country level is at the centre of
planning
• Prioritization process and methods – more time for consultations; basis was
outcomes, not programmes; consideration of impact targets
• More strategic consultations with Member States – Country level priorities, not
global synthesis, as a basis of Regional Committee consultations
• Country support planning – sequenced planning ensures that support at all levels
are geared towards results in countries
• Budgets presented against the results framework – align budget and resources
to country priorities, and achieve balance between flexibility and discipline
11

12. GPW 13 Planning and budgeting framework
B1
1 billion more people
with coverage of
essential health
services
B2
1 billion more people
better protected
from health
emergencies
B3
1 billion more people
enjoying better
health and well-
being
Triple Billion
Goals
Level 1
4
More effective and
efficient WHO better
supporting countries
Outcome 4.1. Strengthened
country capacity in data and
innovation
Outcome 4.2. Strengthened
leadership, governance, and
advocacy for health
Outcome 4.3. Improved financial,
human, administrative resources
management towards
transparency, efficient use of
resources, and effective delivery
of results
Outputs
(Secretariat’s
Contributions)
Level 3
Outputs
Outputs
Outputs
Outputs
Outputs
Outputs
Outputs
Outputs
GPW13
platforms:
• Human capital
through the
lifecourse
• NCDs
• Communicable
diseases
• Antimicrobial
resistance
• Climate and
environment
Outcome 1.1. Improved access to
quality essential health services
Outcome 1.2. Reduced number of
people suffering financial
hardships
Outcome 1.3. Improved
availability of essential medicines,
vaccines, diagnostics and devices
for primary health care
Outcome 2.1. Country health
emergency preparedness
strengthened
Outcome 2.2. Emergence of high-
threat infectious hazards
prevented
Outcome 2.3. Health emergencies
rapidly detected and responded to
Outcome 3.1. Determinants of
health addressed leaving no one
behind
Outcome 3.2. Reduced risk factors
through multi sectoral approaches
Outcome 3.3. Health and well-
being realized through Health in
all policies and healthy settings
interventions
Outcomes
Level 2
12

13. 13
2
1
4
3
4
1
6
5
8
3
4
3
8
Results: Prioritization of GPW13 outcomes
2 4 6 8 10 12 14 16 18 20 22
Number of countries
7
11
6
9
8
6
12
1.1 Improved access to quality essential health services
2.1 Country health emergency preparedness strengthened
4.1 Strengthened country capacity in data and innovation
2.3 Health emergencies rapidly detected and responded to
1.3 Improved availability of essential medicines, vaccines,
diagnostics and devices for primary health care
1.2 Reduced number of people suffering financial hardships
2.2 Emergence of high-threat infectious hazards prevented
3.2 Reduced risk factors through multisectoral approaches
3.3 Health & well-being realized through Health in all policies
and healthy settings interventions
3.1 Determinants of health addressed leaving no one behind
17
15
12
12
10
10
9
9
8
7
High Medium Low

14. Results: GPW13 targets
Out of the 45 targets in GPW13 Impact Framework, Member States in the Eastern
Mediterranean Region committed to contribute to the following top 12 targets*
Number of
countriesGPW13 Target
Current tobacco use reduced by 25% 22
Raised blood pressure reduced by 20% 21
Maternal mortality ratio reduced by 30% 20
Newborns and children death reduced by 30% 20
Premature NCD-related mortality reduced by 20% 20
Availability of essential medicines for primary health care increased to 80% 20
Increased IHR capacity and health emergency preparedness 20
New HIV infections reduced by 73% 19
Treatment coverage of rifampicin-resistant tuberculosis up to 80% 19
Women with family planning needs satisfied increased to xx% 19
Polio eradicated 19
Road traffic accidents reduced by 20% 19
*Please refer to the PB 2020-21 RC document for full list of countries contributions to the targets
14

15. Implications for Member States
• Investing more in health.
• Developing strong and resilient health systems.
• Ensuring availability, equitable access, and rational use of
essential medicines, and health products and technologies.
• Improving health information system (infrastructure and
capacity).
15

16. Implications for Member States (II)
• Accelerating efforts to prevent, control, and eliminate
communicable diseases.
• Building capacities in all-hazards and emergency surveillance.
• Integrating prevention and control of noncommunicable
diseases into national development plans.
• Strengthening national policies and regulations on tobacco and
food industries.
16

17. Implications for WHO’s work
• Supporting Member States to advance towards universal
health coverage.
• Developing a strategic framework for building resilient health
systems and for the prevention, containment and control of
infectious diseases.
• Advocating for the Health In All Policies (HiAP) approach.
17

18. Implications for WHO’s work (II)
• Integrated and well-coordinated delivery of support to
Member States.
• Improving transparency and accountability for results, risk
management, monitoring and evaluation, and ensuring
best value for money.
• Stronger WHO’s presence, engagement, and consultation
with Member States.
18

19. Regional Strategic Priorities
Achieving Universal Health Coverage by building equitable resilient health systems based on primary
health care, a people-centred approach and quality and safe services.1
Addressing health emergencies through forecasting, comprehensive preparedness, prompt response
and well-planned recovery within the framework of the humanitarian, development and peace
nexus.
2
Promoting healthier populations through advocating for health-in-all-policies, multi-sectoral action,
community engagement and strategic partnership.3
Making fundamental changes in the WHO working business models, systems and culture in the
region and be an accountable and dynamic catalytic leader in health.4
19

20. 20
Next steps
20

21. 21
Next steps and action by
the Regional Committee
We are here
GPW13
Country
priorities
Prioritization
against the
‘GPW13
planning
framework’
(5 years)
High-level
Step 1
Country
support plan
(5 years)
Contributions
across country
offices,
Regional Office,
HQ (including
normative
work)
HR/activity
costing (2years)
High-level
Step 2
Revision
based on EB
input
(early HR
planning to
inform final
Programme
Budget)
High-level
Step 3
Budget centre
budgets;
Development
of human
resources and
activity
workplans
(2 years)
High-level
Step 4
For Regional
Committee
Strategic
narrative &
budget by
MO incl
total
RO/COs split
Milestone A
For
Executive
Board
Budget by
MO (incl
RO/CO split)
by outcome
Milestone B
For WHA
Revised PB
for WHA
approval
Milestone C
Strategic Priority Setting Programme Budget Development
Operational
Planning
1 2 3 4B CA
21

22. 22
Next steps and action by
the Regional Committee
Regional Committee (2018)
 Discuss the priorities and their programmatic, budget and financial implications.
 Regional Committee to advise on further development of the PB for the Executive
Board.
Executive Board (Jan 2019)
 Develop the full version of the PB with consideration of the advice from RCs. Further
briefings will be done prior to the Executive Board 2019.
 Roll-out country support planning to ensure that PB 20202021 is focused on
country needs.
World Health Assembly (2019)
 Finalize the version for the World Health Assembly based on comments of the
Executive Board 2019. Final draft PB to be sent in advance to Member States by April
2019.
 Detailed planning to implement PB 2020-2021 will be done after WHA approval of PB
20202021. 22

23. 23
A healthier humanity
The WHO Investment Case for 20192023
Total ask
14.1
4.0
Projected
income as of
June 2018
Funds need to be raised
10.1
Polio eradication
1.6
Humanitarian and
emergencies
2.5
Base budget
10.0
*All amounts in US$ billion
Total ask for 20192023: US$ 14.1*
23

24. 24
A healthier humanity
The WHO Investment Case for 20192023
1
BILLION
more people
benefiting from
universal health
coverage
1
BILLION
more people
better protected
from health
emergencies
1 BILLION
more people
enjoying better
health and well-
being Water, sanitation, and
hygiene or climate resilience
Reduce household
air pollution
Road traffic safety
24

25. ً‫شكرا‬
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