1 |

WHO's Budget

What's behind the numbers

and how is it financed?

Launch of WHO's Financing Dialogue

Executive Board Room, WHO, Geneva

24 June 2013

2 |

WHO's PROGRAMME BUDGET 2014-15 – What's behind the numbers?

3 |

WHO's PROGRAMME BUDGET 2014-15 US$3977 million

841 US$

million

318 US$

million

388 US$

million

531 US$

million

287 US$

million

684 US$

million

700 US$

million 228 US$ million

Noncommunicable

diseases

Communicable

diseases

Promoting health

through the life-course

Health systems

Preparedness, surveillance

and response

Corporate services/

enabling functions

17.2%

7.2%

13.4%

9.8%

8%

21.1%

Polio eradication

17.6%

5.7%

Outbreak and crisis

response

3.977 US$ billion Approved budget

4 |

140 US$

million 92 US$

million

347 US$

million

131 US$

million

131 US$

million

HIV/AIDS

15.6%

841 US$ million Communicable

diseases

Tuberculosis

Malaria

Neglected tropical

diseases

Vaccine preventable

diseases

15.6%

10.9% 16.6%

41.3%

*includes

Tropical

Disease

Research

5 |

77 US$

million

54 US$

million

131 US$ million Tuberculosis

Intensified

implementation of

Stop TB Strategy

with up-to-date

TB strategic plans

31 countries WHO-recommended

TB and MDR-TB rapid

diagnostic tests

33 countries

Updated policy

guidance and

technical guidelines

TB patients successfully

treated

19 million

MDR-TB patients on

treatment annually

214 thousand

+

+

+

+

6 |

77 US$ million Intensified implementation of

Stop TB Strategy

38.8%

Staffing

Staffing

63.1%

74.6%

Staffing

25.4%

Activities

36.9%

Activities

61.2%

Activities

Support countries in the

implementation of the

national tuberculosis

control

Provide regional platform

to strengthen countries

capacity and actively

engage countries in the

adoption of new targets

Develop policy options,

technical guidelines and

best practices in

tuberculosis care and

control

45 US$ million Country Offices

10 US$ million Regional Offices

22 US$ million Headquarters

28 US$

million 17 US$

million

4 US$

million

6 US$

million

6 US$

million

16 US$

million

7 |

WHO's

Programme

Budget 2014-15

How is it

financed?

8 |

3.977 US$ billion Approved budget

Voluntary

contributions

Assessed

contributions

77%

23%

3,049 US$ million Categories 1 to 6

700 US$ million Polio

228 US$ million Outbreak and crisis

response

929 $US

million

3,048 $US

million

9 |

While overall income of 4 $US billion

is realistic…

10 |

…the predictability of voluntary

contributions is such that less than 50% of

financing is known at the start of the biennium

22% 21% 24%

28% 24% 20%

-

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000

2008-09 2010-11 2012-13

Other Predictable

AC

11 |

Between categories

Within categories across

programmes

Within programmes across major

offices

There are still issues with the alignment of

financing to the approved Programme Budget

Pockets of over-and- under funding:

12 |

Historical funding challenges

Programmed which received less than 70% in financing against the

approved base budgets in either 2008-09 or 2010-11Programme 2008-09 2010-11

HIV/AIDS 82.3% 65.3%

Tuberculosis 82.3% 65.4%

Malaria 52.4% 65.3%

Noncommunicable diseases 70.5% 68.8%

Mental health and substance abuse 67.7% 71.4%

Violence and injuries 67.7% 76.2%

Disabilities and rehabilitation 67.9% 75.6%

Gender, equity and human rights mainstreaming 65.1% 67.8%

Social determinants of health 65.1% 67.8%

National health policies, strategies and plans 69.3% 68.5%

Integrated people-centred health services 70.5% 69.3%

Programmed which received less than 60% in financing against the

approved base budgets in either 2008-09 or 2010-11

Programme 2008-09 2010-11

Nutrition 42.3% 55.4%

Reproductive, maternal, newborn, child and adolescent health 54.0% 60.5%

Ageing and health 56.5% 64.5%

Emergency risk and crisis management 44.3% 60.2%

Food safety 43.3% 55.8%

Programmes which received less than 60% in financing

against the approved base budgets in either 2008-09 or 2010-11

Programmes which received less than 70% in financing

against the approved base budgets in either 2008-09 or 2010-11

13 |

There are issues with the flexibility of

voluntary contributions to finance staff costs

78%

26%

45%

22%

74%

55%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Assessed

Contributions

Voluntary

Contributions

Total

Activity

Salary

14 |

As well as the vulnerability of being overly

reliant on the top 10 and top 20 donors

Broadening WHO's donor

base would:

reduce the

financial

vulnerability of WHO

achieve a wider

constituency of

donors and greater

sharing of resource

burden

Trends in contributions to WHO ranked by donors

15 |

68%

2,707 US$ million Financing gap

23%

929 US$ million Assessed contribution

13%

341 US$ million Signed agreements

Current financing situation

for 2014-15

16 |

• At least 70% predictable financing at the start of the

biennium 2014-15

• Better alignment of resources to results and deliverables

in the approved programme budget

• Flexible financing to support better alignment to results

• Expand the traditional donor base

• Increase transparency for a common understanding of

financing sources and shortfalls

Towards achieving a fully funded programme budget

What are the expectations of the

financial dialogue: