WORLD HEALTH ORGANISATION MONDIALE ORGANIZATION DE …€¦ · 12.5 Rehabilitation RHB 67 000 000...

WORLD HEALTH ORGANIZATION

ORGANISATION MONDIALE DE LA SANTE

REGIONAL OFFICE FOP. THE WESTERN PACIFIC

BUREAU R~GIONAL DU PACIFIQUE OCCIDENTAL

REGIONAL COMMITTEE

Thirty-seventh session Manila 15-J 9 September 1986

Provisional agenda item 9.1

WPR/RC37/4 Rev.1 9 September 1 986

ORIGINAL: ENGLISH

REVIEW OF BUDGET PERFORMANCE IN 1984-1985

This document contains a report on the financial implementation of the regular budget and the supplementary funding provided from other sources for the biennium 1984-1985. It also includes the financial implementation of the Regional Director's Development Programme.

WPR/RC37 /4 Rev.l page 2

In order to provide adequate information to the Regional Committee on the implementation of programmes for the financial period 1984-1985, and in compliance with resolution WPR/RC30.R3, 1 the following reports have been prepared:

(a) Financial implementation, by major programme, programme and source of funds for 1 984-J 985 (Annex J).

(b) Remarks on the regular budget financial implementation, by major programme and programme for 1984-1985 (Annex 2).

(c) Financial implementation of the Regional Director's Development Programme for J 984-1985 (Annex 3).

In Annex 1, the financial implementation of the regular budget for 1984-1985 is compared, by major programme and programme, with the ~rogramme budget 1984-1985 estimates presented to the Regional Committee in 1982. Implementation details by project for 1984-1985 are available on request.

Remarks have been included in Annex 2 to provide a general explanation for the differences between the budget, after currency exchange adjustments, and actual implementation. The overall implementation figure . for · the regular budget of US$43 940 596, compared with the 1984-1 985 adjusted regular budget provision of US$43 940 900, represents 100 per cent (rounded up from 99.99 per cent) implementation in monetary terms. This adjusted budget of US$43 940 900 consists of the original budget of US$46 125 000 presented to the Regional Committee in 1982, subsequently reduced by US$2 1 84 1 00, which is composed of:

(a) currency exchange adjustments of US$2 J 65 300, and

(b) other adjustments made by Headquarters of US$1 8 800.

Funds utiHzed from sources other than the regular budget, including the United Nations Development Programme and the United Nations Fund for Population Activities, are also shown in Annex 1, by major programme and programme.

Included in the USM 3 940 596 implementation figure mentioned above are activities totalling US$921 976, which were originally allocated to the Regional Director's Development Programme, but subsequently reallocated to the programme under which each activity took place (see Annex 3).

1 Handbook of Resolutions and Decisions of the WHO Regional Committee for the Western Pacific, Vol.II, 5th ed., 1986, page 138.

2see document WPR/RC 33(3, Regional Committee for the Western Pacific, thirty-third session, 1982.

l.

2.

Major programme/programme*

GOVERNING BODIES

1.3 Regional Committee RCO

Sub-total

\.1!0 Is GENERAL PROGRA.'!ME DEVELOPMENT AND MANAGE}lliNT

2.1 Executive management EXM

2.2 Regional Director's development programme DGP

2.3 General programme development GPD

2.4 External coordination f or health and social development COR

Sub-total

FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME, PROGRAMME AND SOURCE OF FUNDS

FOR 1984-1985 (In US dollars)

(1) (2) (3) (4) Regular Currency Regular

programme budget exchange budget Regular estimates and other working budget

(WPR/RC33/3) adjustments allocation implementation** (1 - 2)

346 000 346 000 443 181

346 000 346 000 443 181

420 000 30 800 389 200 370 075

922 500 922 500

2 235 600 291 90.0 1 943 700 1 44 1 816

341 800 36 900 304 900 242 239

3 919 900 359 600 3 560 300 2 054 130

*Classification based on the Seventh General Programme of Work (1984-1989) .

(5)

Other sources

% implementation*** (4 -:- 3)

128.0 125 068

12 5 068

95.0

74 .1

79 . 4

**The implementation figures were extracted from the financ i al r eport on audited financia l s tatements for t he f inancia l period 1 J anuary' 1984 - 31 December 1985 (document A39/20, pages 42-45).

(6) Total

i mplementat ion all

funds (4 + 5)

568 249

568 249

"70 075

1 441 816

242 239

2 054 130

***The implementation f i gures were extracted f rom the de tails of in t e rnational health prog•an,~e cos ts for 1984- 1985 ( documen t ACT/86. 1 , pages 51-60) .

)>

z z li1 ><

(1) (2) (3) (4) (5) (6) Regular Currency Regular Total

Major programme/programme programme budget exchange budget Regular Other implementation

estimates and other working budget sources all (WPR/RC33/3) adjustments allocation implementation % i mplemen t ation funds

(1 - 2) (4 ~ 3) (4 + 5)

3. HEALTH SYSTEM DEVELOPMENT

3.1 Health situation and trend assessment HST 746 800 14 300 73 2 500 1 219 516 166.4 225 423 1 444 939

3.2 Managerial process for national health development MPN 4 046 200 4 046 200 4 257 614 105.2 473 70 7 4 731 321

3.3 Health systems research HSR 376 100 376 100 167 023 44 .4 165 462 332 485

3.4 Health legislation HLE 26 000 26 000 25 190 96.8 25 190

Sub-total 5 195 100 14 300 5 180 800 5 669 343 864 592 6 53 3 935

4. ORGANIZATION OF HEALTH SYSTE.'1S BASED ON PRIMARY HEALTH CARE PHC 5 455 100 45 200 5 409 900 5 512 353 101.8 1 707 945 7 220 298

Sub-tota 1 5 455 100 45 200 5 409 900 5 512 353 1 70 7 94 5 7 220 298

5. HEALTH MANPOWER HMD 8 840 100 81 200 8 758 900 6 80 5 705 77.7 2 095 054 8 900 759

Sub-tota 1 8 840 100 81 200 8 758 900 6 805 705 2 095 054 8 900 759

6 . PUBLIC INFORMATION AND EDUCATION FOR HEALTH IEH 997 400 30 000 96 7 400 1 145 419 118. 4 5 49 7 1 150 916

Sub-total 997 400 30 000 96 7 400 1 145 419 5 49 7 1 150 916

7. RE SEARCH PROMOTION A~;o DEVE LOPME NT RPD 1 038 900 16 100 1 022 800 804 085 78.6 196 194 1 000 279

Sub-to ta 1 1 038 900 16 100 1 02 2 800 804 085 196 194 1 000 279



estimates and other working budget sources all (WPR/RCJJ/3) adjustments allocation implementation % implementation funds

(1 - 2) (4 7 3) (4 + 5)

8. GENERAL HEALTH PROTECTION AND PROMOTION

8.1 Nutrition NUT 529 600 15 000 514 600 435 014 84.5 435 014

8.2 Oral health ORH 805 500 805 500 765 236 95.0 10 645 77 5 881

8.3 Accident prevention APR 116 000 116 000 74 000 63.7 74 000

Sub-total 1 451 100 15 000 1 436 100 1 274 250 10 645 1 284 895

9. PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC POPULATION GROUPS

9.1 Maternal and child health, including family planning MCH 422 600 15 000 407 600 515 224 126.4 9 41 5 834 9 931 058

9.3 Workers' health OCH 142 500 142 500 117 681 82 . 5 194 498 312 179

9.4 Health of the elderly HEE 151 500 151 500 103 671 68.4 45 734 149 405

Sub-total 716 600 15 000 701 600 736 576 9 656 066 10 392 642

10. PROTECTION AND PROMOTION OF MENTAL HEALTH

10.1 Psychosocial factor s in the promotion of health and human development PSF 213 100 15 000 198 100 225 398 113.7 18 7 32 244 130

10.2 Prevention and

"'0 )>~ Cll OQ ;:, 'tJ t1) ::l;:o

11)-l..n ><;:o

..... () control of alcohol \.U

and drug abuse ADA 35 500 35 500 29 688 83. 6 151 889 181 577 '-J -~ ;:o t1)

< .



estimates and other working budget sources all (WPR/RC33/3) adjustments allocation implementation % implementation funds

(1 - 2) (4-;- 3) (4 + 5)

10.3 Prevention and treatment of mental and neurological disorders MND 174 400 174 400 224 252 128.5 28 738 252 990

Sub-total 423 000 15 000 408 000 479 338 199 359 678 697

ll. PROMOTION OF E~~IRONMENTAL HEALTH

11.1 Community water supply and sanitation cws 1 554 500 105 400 1 449 100 2 901 575 200.2 1 037 752 3 939 327

11.2 Environmental health in rural and urban development and housing RUD 1 460 300 1 460 300 1 491 949 102.1 80 542 1 572 491

11.3 Control of environmental health hazards CEH 418 400 418 400 486 337 116.2 336 233 822 570

11.4 Food safety <OS 203 100 203 100 225 365 110.9 12 559 237 924

Sub-total 3 636 300 105 400 3 530 900 5 lOS 226 1 467 086 6 5 72 312

12. DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE TECHNOLOGY

12.1 Clinical, laboratory and radiological technology for health systems based on primary health care CLR 1 050 500 (31 400) 1 081 900 1 302 959 120.4 247 685 1 550 644

12.2 Essential drugs and vaccines EDV 678 200 678 200 682 720 100.6 507 326 1 190 046

( 1) (2) (3) (4) (5) (6) Regular Currency Regular Total

Major programme/programme programme budget exchange budget Regular Other implementation estimates and other working budget sources all (WPR/RC33/3) adjustments allocation implementation % implementation funds (1 - 2) (4 -7- 3) (4 + 5)

12.3 Drug and vaccine quality, safety and efficacy DSE 332 300 332 300 442 568 133.1 235 460 678 028

12.4 Traditional medicine TRM 194 000 194 000 585 016 301.5 151 799 736 815

12.5 Rehabilitation RHB 67 000 67 000 128 162 191.2 103 542 231 704

Sub-tota 1 - 2 322 000 (31 400) 2 353 400 3 141 425 1 245 812 4 387 237

13. DISEASE PREVENTION AND CONTROL

13.1 Immunization EPI 661 600 661 600 475 778 71.9 610 735 1 086 513

13.2 Disease vector control VBC 466 200 466 200 560 645 120.2 52 641 613 286

13.3 Malaria HAL 1 781 600 15 GOO 1 766 600 2 320 454 131.4 447 934 . 2 768 388

13.4 Parasitic diseases PDP 317 500 317 500 283 177 89.1 156 476 439 653

13.5 Tropical disease research TOR 166 502 166 502

13.6 Diarrhoeal diseases CDD 415 200 415 200 412 699 99.4 498 012 910 711

13.7 Acute respiratory infections ARI 363 500 363 500 344 443 94.7 49 805 394 248

13.8 Tuberculosis TUB 736 800 736 800 347 326 4 7 .1 r., I~ 793 720 119

13.9 Leprosy LEP 112 100 112 100 78 672 70.1 l 434 402 1 513 074

(l) (2) (3) (4) (5) ( 6) Regular Currency Regular Total


estimates and other working budget sources all (WPR/RC33/3) adjustments allocation implementation % implementation funds

(1 - 2) (4 -:- 3) (4 + 5)

13.10 Zoonoses VPH 68 000 68 000 82 362 121.1 8 880 91 242

13.11 Sexually trans-mi tted diseases VDT 17 500 17 500 12 9 72 74. 1 1 740 14 712

13.13 Other communicable disease prevention and cont~ol activities CDS 822 600 45 000 777 600 1 101 628 141.7 510 463 1 612 091

13.14 Blindness PBL 213 000 213 000 35 184 16.5 274 172 309 356

13.15 Cancer CAN 386 000 386 000 309 612 80.2 6 853 316 465

13.16 Cardiovascular diseases CVD 471 900 471 900 416 396 88.2 128 290 544 686

1;3.17 Other nonconunu-nicable disease prevention and control activities NCO 96 500 96 500 86 090 89.2 5 781 91 871

Sub-total 6 930 000 60 000 6 870 000 6 867 438 4 725 479 11 592 917

14. HEALTH INFORMATION SUPPORT HBI 762 900 96 100 666 800 550 697 82.5 424 4 75 975 172

Sub-total 762 900 96 100 666 800 550 697 424 475 975 172

( 1) (2) (3) (4) (5) (6)

i Regular Currency Regular Total Major programme/programme

programme budget exchange budget Regular Other implementation estimates and other working budget sources all

(WPR/RC33/3} adjustments allocation implementation % implementation funds (1 - 2) (4 + 3) (4 + 5)

15. SUPPORT SERVICES

15.1 Personnel PER 373 BOO 70 900 302 900 294 557 97.2 14 463 309 020

15.2 General admi-nistration and services PGS 2 895 900 1 031 500 1 864 400 2 387 984 128.0 538 992 2 926 976

15.3 Budget and finance BFI 618 900 214 000 404 900 480 726 118.7 35 811 516 537

I

: 15.4 Equipment and

supplies for Member States SUP 202 000 46 200 155 BOO 188 163 120.7 16 946 205 109

SUB-TOTAL 4 090 600 1 362 600 2 728 000 3 351 430 606 212 3 957 642

TOTAL 46 125 000 2 184 100 43 940 900 43 940 596 100.0 23 329 484 67 270 080 ========== ========= ========== ========== ===== =========::z ==========

REMARKS ON THE REGULAR BUDGET FINANCIAL IMPLEMENTATION BY MAJOR PROGRAMME AND PROGRAMME

Major programme/programme 1

1. GOVERNING BODIES

1.3 Regional Committee

2. WHO'S GENERAL PROGRAMME DEVELOPMENT AND MANAGEMENT

2.1

2.2

2.3

Executive management

Regional Director's development programme

General programme development

RCO

EXM

DGP

GPO

FOR 1984-1985

Implementation rate (per cent)

128.0

95.0

0.0

74.1

Remarks

New activity added: Ad hoc Sub-Committee of the Regional Committee on Action Programme on Essential Drugs and Vaccines, as requested by resolution WPR/RC35.Rll, dated September 1984.

Delivered - difference due to cost variance.

Programme delivered. The activities implemented have been reflected in the programmes under which the activities took

.place.

Programme not fully implemented. Difference due to post vacancies, cost variance on professional and general service salaries, and some unutilized duty travel provisions.

1 Classification based on the Seventh General Programme of Work ( 1984-1989).

)> -g ~ z O'Q '"0 z (1) :::0

rn -->< -~ N Vol

'-1 -.c

:::0 (1)

< . -

Major programme/programme

2.4 External coordination for health and social development

3. HEALTH SYSTEM DEVELOPMENT

3.1 Health situation and trend assessment

3.2 Managerial process for national health development

3.3 Health systems research

3.4 Health legislation

4. ORGANIZATION OF HEALTH SYSTEMS BASED ON PRII\ilAR Y HEALTH CARE

COR

HST

MPN

HSR

HLE

PHC

Implementation Rate (per cent)

79.4

166.4

105.2

44.4

96.8

101.8

Remarks

Programme delivered - difference mainly due to cost variance on professional and general service salaries.

Programme delivered. In addition, seven new country projects were added, as well as increases resulting from shifts in priorities of several countries.

Delivered - difference due to cost variance and minor increases in WHO Representatives' office requirements.

Programme not fully delivered owing to shift of priorities in two countries.

Programme delivered - difference due to cost variance.

Delivered.


5. HEALTH MANPOWER

6. PUBLIC INFORMATION AND EDUCATION FOR HEALTH

7. RESEARCH PROMOTION AND DEVELO.PMENT

8. GENERAL HEALTH PROTECTION AND PROMOTION

8.1 Nutrition

8.2 Oral health

8.3 Accident prevention

HMD

IEH

RPD

NUT

ORH

APR


77.7

118.4

78.6

84.5

95.0

63.7

Remarks

Programme substantially delivered. However, some 1984-1985 fellowships ($500 000) in process of placement could not be obligated in time and were consequently obligated against 1986-1987 funds. Some other activities were implemented utilizing extrabudgetary funds. A number of fellowships were not implemented for various reasons, such as the non-availability of suitable programmes, last minute unavailability of candidates, etc.

Programme delivered, including three new country projects.

Programme only partially delivered owing to shift of priorities of one country while some activities were implemented utilizing extrabudgetary funds.

Programme substantially delivered.Difference due to cost variance and two fellowships implemented in 1986.

Delivered - difference mainly due to cost variance.

Programme only partially delivered because one country shifted priori ties.


9. PROTECTION AND PROMOTION OF THE HEALTH OF SPECIFIC POPULATION GROUPS

9.1 Maternal and child health, including family planning

9.3 Workers' health

9.4 Health of the elderly

10. PROTECTION AND PROMOTION OF MENTAL HEALTH

10.1 Psychosocial factors in the promotion of health and human development

I 0.2 Prevention and control of alcohol and drug abuse

MCH

OCH

HEE

PSF

ADA


J 26.4

&2.5

68.4

113.7

83.6

Remarks

Programme delivered, including 'three new country projects. Programme also heavily supplemented from extrabudgetary funds (UNFPA).

Programme substantiaJly delivered.Difference mainly due to shift in priorities of one country.

Programme substantiaJly delivered.Difference due to purchase of supplies and equipment in 1983 in advance, while some activities were implemented utilizing extrabudgetary funds. In two countries, activities were not fully implemented.

Programme delivered, including one new country project.

Delivered. Difference due to cost variance on consul tantships.


10.3 Prevention and treatment of mental and neurological disorders

1. PROMOTION OF ENVIRONMENTAL HEALTH

11.1 Community water supply and sanitation

11.2 Environmental health in rural and urban development and housing

11.3 Control of environmental health hazards

11.4 Food safety

12. DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE TECHNOLOGY

12.1 Clinical, laboratory and radiological technology for health systems based on primary health care

MND

cws

RUD

CEH

FOS

CLR


128.5

200.2

102.1

116.2

110.9

120.4

Remarks

Programme delivered, including one new country project.

As a result of the increased priority given to this important programme, there has been a significant increase in programme delivery, mainly due to the re-establishment of one country project and one intercountry project in the South Pacific, and four new projects.

Delivered.

Programme delivered, including three new country projects.

Programme delivered, including two new projects.

Programme delivered, including six new projects.

Major erogramme/erogramme

12.2 Essential drugs and EDV vaccines

12.3 Drug and vaccine DSE quality, safety and efficacy

12.4 Traditional medicine TRM

12.5 Rehabilitation RHB

13. DISEASE PREVENTION AND CONTROL

13.1 Immunization EPI

13.2 Disease vector control VBC

13.3 Malaria MAL

13.4 Parasitic diseases PDP

13.6 Diarrhoeal diseases CDD

lmtlementation Rate per cent)

100.6

133.1

301.5

191.2

71.9

120.2

131.4

89.1

99.4

Remarks

Delivered.

Programme delivered. One country received addi tiona! technical cooperation.

Significant increase in programme delivery mainly due to a shift in regional priorities in response to country requirements, which resulted in the establishment of four new projects.

Programme delivered, including three new projects.

Programme substantially delivered. The difference is mainly due to advance implementation in 1983 of certain activities for one country while some activities were implemented utilizing extrabudgetary funds.

Programme delivered, including three new projects.

Programme delivered, including the extension of an intercountry project and an increase in requirements for two country projects.

Programme substantially delivered difference due to cost variance.

Delivered.


13.7 Acute respiratory infections

13.8 Tuberculosis

13.9 Leprosy

13.10 Zoonoses

13.11 Sexually transmitted diseases

13.13 Other communicable disease prevention and control activities

13.14 Blindness

13.15 Cancer

ARI

TUB

LEP

VPH

VDT

CDS

PBL

CAN

Implementation Rate {per cent)

94.7

47.1

70.1

1 21.1

74.1

141.7

16.5

80.2

Remarks

Programme delivered - difference due to cost variance.

Programme substantially delivered, the difference mainly due to the implementation of some activities utilizing extrabudgetary funds. However, one intercountry post vacancy also contributed to the difference.

Programme substantially delivered. The difference mainly due to the implementation of some activities utilizing extrabudgetary funds.

Programme delivered. Difference due to a significant cost increase for fe llowships.

Programme not fully delivered owing to shift in priori ties of one country.

. Programme delivered, including three new projects.

Shortfall in programme delivery mainly due to shift of priorities, advance implementation of certain activities in 1983 and implementation of some activities utilizing extrabudgetary funds.

Programme subst antially delivered. However, some supplies and equipment were implemented in !983, while activities in two projects were not fully delivered.

14.

15.


13.16 Cardiovascular diseases

13.17 Other noncommunicable disease prevention and control activities

HEALTH INFORMATION SUPPORT

SUPPORT SERVICES

15.1 Personnel

15.2 General administration and services

15.3 Budget and finance

15.4 Equipment and supplies for Member States

CVD

NCO

HBI

PER

PGS

BFI

SUP


88.2

89.2

82.5

97.2

128.0

118.7

120.7

Remarks

Programme substantially delivered. However, some consultantships for two projects were not implemented.

Programme substantially delivered.Difference mainly due to the non-implementation of one country project.

Programme substantially delivered.Difference mainly due to post vacancies.

Delivered.

Delivered - difference due to cost variance and effects of very high inflation at the site of the Regional Office.

Delivered - difference mainly due to increase in temporary assistance, overtime and duty travel.

Programme delivered - difference mainly due to increase in temporary assistance, overtime and duty travel.

WPR/RC37 /4 Rev.J page 19

ANNEX 3

FINANCIAL IMPLEMENTATION OF THE REGIONAL DIRECTOR'S DEVELOPMENT PROGRAMrvlE

FOR 1984-1985


2.3 General programme development

4. Organization of health systems based on primary health care

5. Health manpower

6. Public information and education for health

7. Research promotion and development

9.1 Maternal and child health, includingfamily planning

12.4 Traditional medicine

12.5 Rehabilitation

13.2 Disease vector control

13.7 Acute respiratory infections

13.13 Other communicable disease prevention and control activities

Total Regional Director's Development Programme

US do!lars

215 288

147012

47 778

J 7 402

73 028

49 880

l J 8 102

35 000

14 845

50 000

153 64 J

92 J 976 ·------ ------ -

WORLD HEALTH ORGANISATION MONDIALE ORGANIZATION DE …€¦ · 12.5 Rehabilitation RHB 67 000 000...

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