Draft Medium-Term Strategic Plan 2008-2013 Dratf Proposed Programme Budget 2008-2009
AbstractThe Eleventh General Programme of Work, covering the 10-year period 2006-2015, provides a long-term perspective on determinants and trends in health and proposes action based on a seven-point global health agenda that charts the broad strategic framework and direction for the work of WHO Member States, their partners and the Secretariat. The seven points are: 1. investing in health to reduce poverty 2. building individual and global health security 3. promoting universal coverage, gender equality and health-related human rights 4. tackling the determinants of health 5. strengthening health systems and equitable access 6. harnessing knowledge, science and technology 7. strengthening governance, leadership and accountability. 2. As of the biennium 2008-2009, a six-year medium-term strategic plan, encompassing three biennial budget periods, will form the framework for WHO’s results-based management, within which the global health agenda will be addressed. The draft medium-term strategic plan and draft proposed programme budget will enable WHO to respond in a flexible and dynamic manner to a changing international health environment. 3. Over the past 20 years, there have been major gains in life expectancy overall, but there are widening gaps in health, with some countries having witnessed reversals of earlier gains, due to factors such as infectious diseases, in particular HIV/AIDS, collapsing health services and deteriorating social and economic conditions. The target year for achieving the Millennium Development Goals is 2015 but the trends for health-related goals are not encouraging. The past ten years have seen a dramatic change in the global health architecture, with an increase in the number of international partnerships in health. Global health partnerships offer the potential to combine the different strengths of public and private organizations, along with civil-society groups, in tackling health problems. Demands on the United Nations system as a whole are increasing, as are demands for it to reform and show more clearly where value is added. 4. The challenges and constraints of the Organization and the lessons it has learnt provide the basis for its response. WHO is in a unique position to shape the global public-health architecture and agenda through consensus building and binding agreements. It will work to harmonize the health architecture at the country level and will engage in the reform process aimed at creating an effective country team under a common United Nations lead. WHO will also work with others to harmonize the global health architecture and provide forums for the increasing number and type of entities involved in order to engage in dialogue on local and global health challenges. WHO's governing bodies will continue to play their lead role, in the view of the increasing prominence of health in development and security agendas. WHO will fulfil its priorities through six core functions set out in the Eleventh General Programme of Work: 1. providing leadership on matters critical to health and engaging in partnerships where joint action is needed 2. shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge 3. setting norms and standards, and promoting and monitoring their implementation 4. articulating ethical and evidence-based policy options DRAFT MEDIUM-TERM STRATEGIC PLAN 2008-2013 DRAFT PROPOSED PROGRAMME BUDGET 2008-2009 3 5. providing technical support, catalysing change and building sustainable institutional capacity 6. monitoring the health situation and assessing health trends. 6. Five main areas have been set for the period of the medium-term strategic plan: 1. providing support to countries in moving to universal coverage with effective publichealth interventions 2. strengthening global health security 3. generating and sustaining action across sectors to modify the behavioural, social, economic and environmental determinants of health 4. increasing institutional capacities to deliver health system functions under the strengthened governance of ministries of health 5. strengthening WHO’s leadership at global and regional levels and supporting the work of governments at country level. 7. Work in these areas is organized around 16 cross-cutting objectives that provide a more strategic and responsive programme structure, reflecting the needs of Member States, facilitating effective collaboration across all levels of the Organization, and ensuring a results-based approach. 8. Comprehensive reform is under way to improve the management of the Organization in support of more efficient and effective implementation. It aims at improving management and administration; working efficiently across different but related programme areas, and across countries, regions and headquarters; working as a decentralized organization; recognizing the critical role of managers; working with partners, and within the United Nations system. 9. Effective financing of the draft Medium-term strategic plan will require an overall budget of US$4 263 million over the next two years, and up to XX thousand million over the full period of the strategic plan1 on the basis of expected expenditures in the biennium 2006-2007, the Proposed programme budget would increase by 17.2%. This increase is justified by the ambitious yet realistic targets to be achieved in response to the growing demands made on the Organization. The increase is intended mainly for achieving the Millennium Development Goals for maternal and child health; raising the focus on noncommunicable diseases; implementing the International Health Regulations (2005), and making health development sustainable through greater attention to the determinants of health and strengthening of the health systems that underpin any adequate response by the health sector. 10. WHO aims to finance the draft Medium-term strategic plan through three sources of funds: assessed contributions and miscellaneous income, which together make up the regular budget; negotiated core voluntary contributions; and project-type voluntary contributions. 11. As a Member-State organization with global responsibility for normative technical work it is imperative for its credibility and integrity that a significant portion of the budget should be financed through assessed contributions. A regular budget amounting to US$1 000 million is thus proposed in order to maintain a reasonable balance between the two sources of funding. This represents a 9.3% increase compared to the biennium 2006-2007. At this level, assessed contributions would account for only 23% of the overall budget.
Regional Committee for Africa, 56. (2006). Draft Medium-Term Strategic Plan 2008-2013 Dratf Proposed Programme Budget 2008-2009. WHO. Regional Office for Africa. http://www.who.int/iris/handle/10665/92664
DescriptionRegional Committee for Africa Fifty-sixth Session Addis Ababa, Ethiopia, 28 August–1 September 2006, Provisional agenda item 9
Gov't Doc #AFR-RC56-18
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