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PAHO Briefing to OAS Ambassador Permanent Council


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PAHO Director briefing presentation preview to the 51st Directing Council

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PAHO Briefing to OAS Ambassador Permanent Council

  1. 1. INFORMATION MEETING FOR PERMANENT AMBASSADORS TO THE ORGANIZATION OFAMERICAN STATES AND OTHER AMBASSADORS OF PAHO/WHO MEMBER STATES 51st Directing Council of PAHO 63rd Session of the WHO Regional Committee for the Americas Washington, D.C. 26-30 September 2011 Mirta Roses Periago Director
  2. 2. PROGRAM51st Directing Council of PAHO Washington, D.C., 26-30 September 2011 • Matters related to:  Regulations  Constitution  Program Policy  Administration and Finance  Awards  General Information
  3. 3. REGULATIONS AND COMPOSITION Executive Committee of PAHO2008-2011: Argentina Guatemala Haiti2009-2012: Colombia Saint Vincent and the Grenadines Bolivarian Republic of Venezuela2010-2013: Grenada Peru United States of America 2011-2014 Candidates: Brazil, Chile, El Salvador
  4. 4. WHO Executive Board2009-2012: Canada (PBAC) Chile2010-2013: Barbados Ecuador United States of America2011-2014: Mexico2012-2015 Candidates: Cuba, Panama
  5. 5. OFFICERS 51st Directing Council• Proposed officers: General Committee President: Panama Vice-president: Bahamas Vice-president: Uruguay Rapporteur: Bolivia Other members: Cuba Guatemala United States of America Committee on Credentials Antigua and Barbuda Honduras Canada
  6. 6. ELECTIONS 51.°Directing CouncilExecutive Committee Term ending Candidates Argentina Brazil Guatemala Chile Haiti El SalvadorBIREME Advisory Committee Term ending Candidates Jamaica Bolivia Mexico Suriname
  7. 7. ELECTIONS 51st Directing Council Appointment of the External Auditor of PAHO for the bienniums 2012-2013 and 2014-2015Proposed Audit Member State thatentity proposed itCourt of Audit of Spain PanamaSupreme Audit PeruInstitution of Germany(Bundesrechnungshof)
  8. 8. OPENING SESSION Washington, D.C., PAHO, 26 September 2011, 9:00 AM Table of Honor Head of Delegation, Mexico Outgoing President of the Directing Council Dr. Mirta Roses, Director of PAHO Mr. José Miguel Insulza, Secretary General of the OAS Mrs. Kei Kawabata, Social Sector Manager, Inter-American Development Bank Dr. Margaret Chan, Director of WHO Dr. Kathleen Sebelius, Secretary of Health, Department of Health and Human Services, United States of America
  9. 9. HIGHLIGHTED EVENTSSaturday, 24 and Sunday, 25 September Time and place- Room B. Special Program Caribbean CaucusMonday, 26 September Time and place- Meeting of Heads of Delegation 8:30 AM Room B- Opening ceremony 9:00 AM Room B- Launch of exhibits: 10:00 AM PAHO lobby - Photographic exhibit: Safe Motherhood in Latin America and the Caribbean - ECLAC/PAHO Regional Atlas of Subnational Vulnerability and Faces, Voices, and Places exhibit - 25th Anniversary of the PAHO Program in International Health- Commemorative photo with Directing Council Heads of Delegation 12:30 PM Lobby, 1st floor- Awards dinner honoring excellence in Inter-American Public Health 2011 7:00 PM Lobby of the Americas, main building of the OASTuesday, 27 September Time and place- Regional Consultation on WHO Reform (Plenary and Roundtables) 8:30 AM Room A- Luncheon of the World Council of Women Leaders (Event by invitation to Women Ronald Reagan Building Ministers of Health)- Presentation of the Commission on Information and Accountability for Women’s 2:30 PM Room A and Children’s Health- PANEL: SAFE MOTHERHOOD AND UNIVERSAL ACCESS TO SEXUAL AND REPRODUCTIVE HEALTH- Signing of PAHO/WHO-ACTO Agreement 6:00 PM Room 1017- Meeting of the ORAS-CONHU countries 6:30 PM Room 1017- Meeting of the Central American and Mesoamerican countries 6:30 PM Room B
  10. 10. HIGHLIGHTED EVENTSWednesday, 28 September Time and place- Technical coordination meeting between PAHO, representatives of 12:30 PM State Plaza Hotel the GAVI Alliance, and Ministers of the countries of the Region that receive support GAVI- Celebration of 25th Anniversary of the PAHO Program in 3:30 PM Room A International HealthThursday, 29 September Time and place- Private meeting with heads of delegation 8:30 AM Room B- Launch of the ECLAC/PAHO Regional Atlas of Subnational Vulnerability 10:30 AM Room A- Launch of the Supplement on Elimination of Rubella and 12:00 PM Room A Congenital Rubella Syndrome in the Americas (Journal of Infectious Diseases)- Technical meeting between PAHO, the secretariat of the Global Fund and Ministers of Health 12:30 PM Room BFriday, 1 October Time and place- 149th Session of the Executive Committee of PAHO At the end of the Directing Council, Room B (Saint Vincent and the Grenadines - Outgoing President - Colombia, the United States, Grenada, Peru, Venezuela, and the members to be elected during the Directing Council: Brazil, Chile and El Salvador)
  11. 11. Awards for Excellence in Inter-American Public Health 2011 Monday, 26 September 2011. 3:30 p.m.• PAHO Award for Administration  Dr. John Edward Greene, Guyana• Abraham Horwitz Award (leadership in public health)  Dr. Peter J. Hotez, United States• Clarence Moore Award (voluntary service)  Womens International Network for Guatemalan Solutions (WINGS), Guatemala• Pedro Acha Award (veterinary health thesis)  Dr. Francisca Andrea Samsing Pedrals, Chile• Manuel Velasco Suárez Award (Bioethics)  Dr. Laura Adriana Albarellos, Mexico• Sergio Arouca Award (universal access to health)  Integrated Management of Adolescent and Adult Illness Program (IMAI), Ministry of Health, Guyana
  12. 12. RESOLUTIONS 17 Resolutions adopted by the Executive Committee• Collection of quota contributions • Plan of action on psychoactive• substance use and public health Strategy and plan of action on climate change • Strategy and plan of action on urban health• Strategy and plan of action on • Plan of action on road safety epilepsy • Amendments to PASB staff rules• Strategy and plan of action on and regulations eHealth • PAHO Award for Administration• Strategy and plan of action on 2011 malaria • Plan of Action to accelerate the• NGOs in official relations with reduction in maternal mortality and PAHO severe maternal morbidity• Amendment of the principles • Provisional agenda of 51st Directing governing relationships between Council PAHO and NGOs • Proposed PAHO Program and• Plan of Action to reduce the Budget 2012-2013 harmful use of alcohol • Assessments of Member States
  13. 13. Proposed PAHO Program and Budget 2012-2013 [ RESOLUTION CE148.R16]The Executive Committee agreed to:• Approve the program of work for the Bureau as outlined in the PAHO Proposed Program and Budget 2012-2013 (Official Document 338).• … that requires an increase of 4.3% to the assessments of PAHO Member States …• … and further request the Director to present a new scenario with an increase of 2.15% to the assessed contributions of Member States…
  14. 14. Financing of the Program and Budget 2012-2013 by Funding Source Assessed Contributions from Member States 31% Other Sources (PAHO/AMRO) 54% MiscellaneousRatio of 46/54 RB/OS Income 2% AMRO Share (regular budget) 13%
  15. 15. Scenario D: Zero Nominal Growth 9% of Strategic Plan targets will not be met by 2013 2010-2011 Change 2012-2013 PercentageAssessed Contributions 186.400 8.000 194.400 4,3%Miscellaneous Income 20.000 (8.000) 12.000 -40,0%WHO/AMRO (Approved byWHA) 80.700 - 80.700 0,0%Total Regular Budget 287.100 - 287.100 0,0%Total Other Sources 355.851 (16.226) 339.625 -4.5%Total Budget 642.951 (16.226) 626.725 -2.5%
  16. 16. Comparison of Scenarios D, E, and C Scenario D Scenario E Scenario CAssessed Contributions 194.400 4,3% 190.400 2.15% 186.400 0.0%Miscellaneous Income 12.000 -40,0% 12.000 -40.0% 12.000 -40.0%WHO/AMRO (Approved by WHA) 80.700 0,0% 80.700 0.0% 80.700 0.0%Total Regular Budget 287.100 0,0% 283.100 -1.4% 279.100 -2.8%Total Other Sources 339.625 -4.5% 332.300 -6.6% 329.685 -7.4%Total Budget 626.725 -2.5% 615.400 -4.3% 608.785 -5.3%Negative Impact on Program (%of targets that will not beachieved) 9% 14% 19%Proposed resolution for the Directing Council: Scenario D (4.3% increase in Assessed Contributions)
  17. 17. PAHO/WHO WORKFORCE EFFICIENCY RATE 1992-93 / 2008-09 100% 90% 80% 70%In Percentage (%) 60% 50% 38% 40% 28.2% 27.9% 30% 25.8% 20% 10% 0% 3 5 7 9 1 3 5 7 9 -9 -9 -9 -9 -0 -0 -0 -0 -0 96 00 92 94 98 02 04 06 08 19 19 19 20 20 20 19 20 20 Total Workforce Cost Total Expenditure
  18. 18. Productivity: PAHO/WHO total expenditure in constant dollars per full time equivalent * 1990-91 / 2008-09 800000 700000 600000 500000 400000 300000 200000 100000 0 3 5 7 9 1 1 5 7 9 3 -9 -9 -9 -9 -0 -9 -0 -0 -0 -0 90 92 94 96 98 00 02 04 06 08* Value added per FTE in dollars at constant 2000 prices.
  19. 19. Budgetary Implementation by OrganizationalLevels and Source of Funds, End-of-Biennium, 2008-2009 Funds available for the biennium Expenditure Implementation rate (US$ thousand) (US$ thousand) (%)Organizationallevel RB OS Total RB OS Total RB OS TotalCountry 103,965 119,968 223,933 103,241 103,935 207,176 99 87 93Subregional 15,276 14,576 29,852 15,116 13,428 28,544 99 92 96Regional 158,823 146,132 304,955 157,672 131,606 289,278 99 90 95Total 278,064 280,676 558,740 276,029 248,969 524,998 99 89 94 Note: The figures do not include funds from government-financed internal projects, the Revolving Fund, the Strategic Fund
  20. 20. Strategy and Plan of Action on Climate Change [RESOLUTION CE148.R2]To the Member States: To the Director:• measure the impacts of climate • establish networks that facilitate the change on health and address its gathering and dissemination of effects information• strengthen the capacity of health • promote campaigns for raising systems for monitoring and analyzing awareness about climate change climate and health information • work with countries to mobilize• empower and strengthen national and local health systems to effectively resources protect human health from risks • create partnerships that promote related to climate change sustainable actions • develop adaptation options based on assessments • assist the Member States in implementing the Action Plan, in Plan developing national plans tailored to local needs
  21. 21. Strategy and Plan of Action on Epilepsy [RESOLUTION CE148.R3]To the Member States: To the Director:• make epilepsy a priority • assist the Member States in the• strengthen the legal frameworks in preparation and execution of national order to protect human rights programs• universal equitable access to medical • give priority to vulnerable groups care and essential drugs • collaborate in the evaluation and• strengthen human resources restructuring of the countries’• close the information gap neurology and mental health services• • facilitate the dissemination of strengthen partnerships between the information and the sharing of health sector and other sectors experiences • promote partnerships and a broad and multisectoral response
  22. 22. Strategy and Plan of Action on eHealth [ RESOLUTION CE148.R4]To the Member States: To the Director:• • facilitate the dissemination of studies, studies give priority to the use of innovative reports and solutions to serve as tools and methodologies model for eHealth• interministerial policies, plans, • promote the formation of national, programs, and interventions municipal, and local partnerships to• promote greater competencies facilitate the sharing of capacities among human resources • promote coordination between the• encourage partnerships and the Strategy and Plan of Action and sharing of experience, respecting the similar initiatives principles of information confidentiality, equity, and equality confidentiality• support the capacity to generate information and research
  23. 23. Strategy and Plan of Action on Malaria [RESOLUTION CE148.R5]To the Member States: To the Director:• review national plans or establish new • continue advocating for the ones for the prevention, control, and mobilization of resources the potential elimination of malaria • promote and strengthen technical• coordinate with other countries and cooperation among the countries and initiatives in: form strategic partnerships - epidemiological surveillance of • ensure that malaria drugs meet malaria internationally recognized quality - surveillance of resistance to assurance standards and are antimalarial medicines consistent with PAHO/WHO - and insecticides recommendations• sustain or increase resources• establish integrated strategies for vector control with broad community participation
  24. 24. Plan of Action to Reduce the Harmful Use of Alcohol [RESOLUTION CE148.R8] To the Director:To the Member States: • collaborate in the assessment of• Identify harmful alcohol consumption alcohol and services in the countries as a public health priority • facilitate the dissemination of• reduce alcohol-related problems with information and the sharing of population-wide policies experiences• promote programs that educate • promote partnerships children, young people, and those • establish a dialogue with the private who choose not to drink alcohol about sector on how to reduce alcohol- how to resist peer pressure related harm• ensure effective prevention, treatment, and care services• allocate financial, technical, and human resources
  25. 25. Plan of Action on Psychoactive Substance Use and Public Health [ RESOLUTION CE148.R9]To the Member States: To the Director:• Identify psychoactive substance use • support the Member States in the as a public health priority preparation and implementation of national• implement national and subnational and subnational plans on psychoactive plans to tackle psychoactive substance use substance use problems • promote partnerships • support the multisectoral response required to implement Plan of Action
  26. 26. Strategy and Plan of Action on Urban Health [ RESOLUTION CE148.R10]To the Member States: To the Director:• • produce and disseminate criteria, support national health promotion guidelines, model policies, and legal policies and programs• Include determinants and indicators frameworks for urban health planning related to urban health in surveillance rel • collect and disseminate new information systems about (the issue)• further the commitment to healthy urban • further develop health promotion and planning and development health determinants approaches• develop transport systems that prioritize safe walking, cycling, and public • support ministry of health engagement transport … with city and metropolitan authorities and and other relevant sectors …
  27. 27. Plan of Action on Road Safety [ RESOLUTION CE148.R11]To the Member States: To the Director:• prioritize road safety through the • support the Member States in their development of national, subnational efforts to improve road safety and local plans for the Decade of • facilitate the identification and Action for Road Safety sharing of good practices• improve the urban road and highway • provide cooperation for the creation infrastructure of capacity• reduce the incidence of risk factors • provide technical assistance to• enforce the laws (on road safety) improve prehospital treatment and• strengthen the technical and care for victims institutional capacity for providing • promote associations and care to victims collaboration• improve data on traffic accidents
  28. 28. Plan of Action to Accelerate the Reduction of Maternal Mortality and Severe Maternal Morbidity [ RESOLUTION CE148.R14]To the Member States: To the Director:• adopt national policies, strategies, • promote the implementation and plans, and programs that increase coordination of this Plan of Action, women’s access to quality health ensuring its horizontal nature services • promote and strengthen information• prioritize women’s lives as a human systems and maternal health rights and development issue surveillance• promote the empowerment of women • support the Member States in and the participation and co- developing human resources responsibility of men in sexual and • consolidate and strengthen technical reproductive health cooperation with other bodies• advocate for dedicated and strategic public budgets
  29. 29. Contributions received as of 13 September 2011 corresponding to the years 2000 to 2011 78.1 94.0 79.0 81.0 84.0 77.1 80 74.0 69.0 65.3 63.7 63.6 70US$ millions/millones 60 53.0 50 40 30 20 10 0 20 20 20 20 20 20 20 20 20 20 20 20 00 01 02 03 04 05 06 07 08 09 10 11 Years/Años
  30. 30. Outstanding contributions as of 13 September 2011 55 50US$ millions/millones 45 35 34 40 28 35 27 30 25 18 19 16 20 13 13 15 6 6 10 2 5 0 20 20 20 20 20 20 20 20 20 20 20 20 00 01 02 03 04 05 06 07 08 09 10 11 Years/Años
  31. 31. Panel Discussion on Safe Motherhood and Universal Access to Sexual and Reproductive Health 27 September 2011, 2:30 PM PANELISTS Dr. Mirta Roses, Director of PAHO Introduction to the topic Dr. Michelle Bachelet, UN ‑ Women Achievement of MDG 5: Universal access to sexual and reproductive health Mrs. Marcela Suazo, UNFPA Universal access to family planning: Challenges of the decade Dr. Aníbal Faúndez, Coordinator of FLASOG Prevention of unsafe abortion and its consequences H.R.H. Infanta Cristina Presentation on Motherhood and Safe Birth: A commitment for all Dr. Margaret Chan, Director-General of WHO Closing remarks
  32. 32. Roundtable on antimicrobial resistance Structure of the Roundtable CONTAINING ANTIMICROBIAL RESISTANCEOpening remarks: Dr. Patrick Kelley, Institute of MedicineAntimicrobial resistance: Global Health ImpactDiscussion panel 1 Discussion panel 2 Discussion panel 3Susan Foster, Alliance for Mario Raviglione, WHO José G. Orozco, ReActthe Prudent Use of Latin AmericaAntibioticsThe health, social, and The extent of Towards aeconomic impact of antimicrobial multifaceted approachantimicrobial resistance in the to containresistance Region and its trends. antimicrobial Data for action resistanceModerator: Moderator: Vice Moderator: VicePresident of the President of the President of theDirecting Council Directing Council Directing Council
  33. 33. Regional Consultation on WHO Reform Milestones in WHO Reform 2010-2012 Discussion on WHO Reform began with a consultation on the Future of Financing for WHO that wasJan 2010 discussed in 128th EBFeb-Sea 2011 WHO working groups prepare initial proposalsSea 2011 Discussions in Global Policy Group (GPG)Apr 2011 Consultation with Member States & Staff20 May 2011 6th WHA adopts resolution WHA64.2 on WHO reform25 May 2011 129th EB adopts decision EB129(8) on WHO reform1 July 2011 Mission briefing on "three concept papers"Jul-Oct 2011 Member States web-based consultations on ‘three concept papersAug-Oct 2011 Strategic discussions in Regional Committees on WHOS reform15 Sep 2011 Geneva mission briefing on managerial reform papers18 Sep 2011 Review of Drafts of elements of a Comprehensive Document on WHO Reform in GPG Special Session of EB on ‘WHO reform to discuss outcomes of consultative process on the threeNov 2011 papers, strategy and priority setting for the five core business areas approved by the 64th WHA and draft proposals on managerial reform prepared by the SecretariatJan 2012 Presentation of draft package of reforms and detailed implementation plan to 130th EB Presentation of package of reforms, implementation plan, and first report of independent evaluationMay 2012 65th WHA
  34. 34. Expected Outcomes of the Reform• Transforming governance to strengthen public health• Reforming the financing and management of WHO• Refocusing WHO core business to address the 21st century health challenges
  35. 35. What are we expecting from the 51st PAHO/AMRO Directing Council?• Member States views on the agenda and process of WHO reform• Guidance on key issues raised in the 3 concept papers on governance; independent evaluation and World Health Forum; and on the working document: WHO Managerial Reforms• Contributions to inform the Special Session of the EB on 1-3 November 2011
  36. 36. Discussion in the 51st Directing Council• Morning of Tuesday, 27 September• Introduction by the AMRO/PAHO Director, Dr. Mirta Roses• Comments by WHO Director-General, Dr. Margaret Chan• Three roundtables, arranged by subregion, chaired by the President and two Vice Presidents of the Directing Council• Discussion guidelines for the three concept papers and managerial reform paper• Rapporteurs for each roundtable to capture discussion• Summary Report of roundtable discussions presented morning of Wednesday, 28 September• Report sent to Geneva as input for the Special Session of the EB in November 2011
  37. 37. Progress Reports on Technical MattersA. Immunization: challenges and outlookB. Implementation of the Global Strategy and Plan of Action on Public Health, Innovation, and Intellectual PropertyC. Advances in the Implementation of the WHO Framework Convention on Tobacco ControlD. Implementation of the International Health Regulations (2005)E. Progress toward Achievement of the Health-related Millennium Development Goals in the Region of the AmericasF. Review of the Pan American centersG. Regional Initiative and Plan of Action for Transfusion Safety 2006-2010: Final evaluation
  38. 38. Resolutions and Other Actions of Intergovernmental Organizations of Interest to PAHO:• 64th World Health Assembly• Forty-first Regular Session of the General Assembly of the Organization of American States• Subregional Organizations
  39. 39. Thank you very much!