The document discusses updates to the WHO's Thirteenth General Programme of Work results framework. It outlines four strategic objectives: create an enabling environment, increase financial investments, promote data sharing, and ensure equitable access to research benefits. It describes the balanced scorecard approach to assess performance across six dimensions. Country case studies will demonstrate achievements and lessons learned in reaching triple billion targets of universal health coverage, emergency preparedness, and healthier populations. The results framework will be refined through regional committee consultations in 2019.

1. Tehran,
Islamic Republic of Iran
14 –17 October 2019
1
Coordination of work of the World
Health Assembly, Executive Board
and the regional committees
Agenda items 4(c) through 4(f)

2. Tehran,
Islamic Republic of Iran
14 –17 October 2019
Agenda item 4(c)
Dr Rana Hajjeh,
Director, Programme Management
Development of a global
strategy for tuberculosis
research and innovation

3. 3
The Seventy-first World Health Assembly in resolution
WHA71.3 requested the WHO Director-General to:
 develop a global strategy for tuberculosis research and
innovation
 make further progress in enhancing cooperation and
coordination in respect of TB research and development
 draw on relevant existing research networks and global
initiatives where possible.

4. Overall vision:
From political commitment to action
4
Four
strategic
objectives
Create an enabling
environment
Increase financial
investments
Promote and improve
approaches to data sharing
Ensure equitable access to
the benefits of research
and innovation
Goal: A framework to facilitate TB research and
innovation contributing to the goals and targets of the
End TB Strategy

5. Structure of the document
5
1. Introduction and scope
Overall landscape of the TB epidemic and the research
environment
2. The challenge and the way forward
Key needs, knowledge gaps, primary challenges and strategic
goals in TB research (basic research, product development
and implementation/operations research)
4. Recommendations
For countries, global partners, civil society and international
agencies
3.Strategic objectives
Key for breaking the barriers (leveraging existing strategies,
platforms and opportunities)
5. Implementation and monitoring progress

6. Strategy roadmap
6
Preparation
2018
Develop strategy
20182019
Monitor implementation
2020
✔ Request from World
Health Assembly (WHA)
✔ Approval from STAG
✔ Internal (WHO)
consultation
to develop a research
strategy
✔ October 2018 – Consultation with high
TB burden countries
✔ October 2018 – Consultation with
research stakeholders
✔ January 2019 – Global TB Research
Task Force
✔ 10 April – First UN missions briefing
✔ 21 March–8 May 2019 – Open
consultation (web)
✔ 11–13 June 2019 – STAG
✔ 1 July 2019 – Second UN missions
briefing
✔ 29 August2019 – Third UN missions
briefing
 August–October 2019 – WHO
Regional Committee meetings
 January 2020 – Executive Board
Accountability and advocacy
71st WHA
May 2018
73rd WHA
May 2020

7. Tehran,
Islamic Republic of Iran
14 –17 October 2019
7
Summary of the draft global strategy
on digital health
Agenda item 4(d)
Dr Rana Hajjeh,
Director, Programme
Management

8. Vision
To improve health for
everyone, everywhere by
accelerating the development
and adoption of appropriate
digital health solutions
towards achieving
the health-related SDGs
8

9. Strategic objectives
9
1
Promote global collaboration and advance the transfer of
knowledge on digital health
2
Advance implementation of national digital health
strategies
3
Strengthen governance for digital health at global and
national levels
4
Advocate for people-centred health systems enabled by
digital health

10. 10
OBJECTIVES OUTCOMES IMPACT
Promote collaboration
and transfer of
knowledge on digital
health
Global alignment to
address opportunities
and challenges
Sustainable digital
health ecosystem
Advance
implementation of
national digital health
strategies
Strategic vision and
integrated action at the
national level
Cost-effective health
systems and services
Strengthen governance
for digital health
Actions and investments
based on informed
decisions
Accelerated
digitalization of the
health and well-being
sector
People-centred health
systems enabled by
digital health
People empowered to
make healthy and health-
enabling choices
Healthier population

11. Enabling environment
11
SHORT
TERM
MEDIUM
TERM
LONG TERM
ROLE OF
MEMBER
STATES
ROLE OF
WHO
ROLE OF
PARTNERS
TIME FOR ACTION JOINT RESPONSIBILITY
GLOBAL
STRATEGY
ON
DIGITAL
HEALTH
Country and
user adoption of
action plan
Incubation
acceleration and
scale up
Prioritize
investment on
data and digital
health
Standards
and policy
Solution
selection and
purchasing

12. Global strategy timeline
12
Resolution
WHA71.7 on
digital health
Public
stakeholders
consultation
Member
States
consultation
WHO
regional
committees
WHO
Executive
Board
World Health
Assembly
• Global
Strategy
version 1.0
• Global
Strategy
version 2.0
• Global Strategy
version 3.0
• Action plan version
1.0
• Global Strategy
final draft
• Action plan final
draft
May 2018 MarchJune 2019 JuneJuly 2019
• Global Strategy
version 3.0
• Action plan 2.0
AugustOctober 2019 January 2020 May 2020

13. 13
We must
ensure the
digital health
revolution is
safe,
sustainable
and leaves no
one behind

14. Tehran,
Islamic Republic of Iran
14 –17 October 2019
14
Agenda item 4(e)
Dr Rana Hajjeh,
Director, Programme
Management
Draft global strategy to
accelerate cervical cancer
elimination

15. 144th Executive Board (EB144.2)
15
To develop, in consultation with
Member States and other relevant
stakeholders,
a global strategy to accelerate cervical
cancer elimination, with clear goals
and targets for the period 2020–2030

16. Draft global strategy towards the elimination
of
cervical cancer as a public health problem
Cervical
cancer
elimination
 a priority for
GPW 13
Health system
strengthening
for social
protection and
UHC
Global health
sector
strategies on
HIV, hepatitis
and STIs
WHA70.12 on
cancer
prevention
and control
Global
Strategy for
Women’s,
Children’s and
Adolescents’
Health
16

17. Regional situation
17
 Third most common female cancer in
Region
 Top 5 most common cancers in 11 countries
 Incidence is projected to almost double by
2040
 National cancer registries and access to
quality data to inform policy direction
remains low
 Human papillomavirus (HPV) vaccination
available in 2 countries only
 9 countries report availability of national
cervical cancer screening programmes,
most opportunistic and low participation
 High mortality to incidence ratio, indicating
poor early detection and/or poor access to
treatment
Country % of
cervical
cancer to all
cancers
Rank
(/30)
Afghanistan 6.7 2
Bahrain 3.3 8
Djibouti 11.7 2
Egypt 1.5 14
Gaza Strip and West
Bank
1.6 15
Iran, Islamic Republic of 1.8 15
Iraq 1.7 13
Jordan 1.8 11
Kuwait 2.9 8
Lebanon 2.3 10
Libya 10.1 3
Morocco 12.3 2
Oman 5.8 4
Pakistan 6.0 3
Qatar 3.9 5
Saudi Arabia 2.6 8
Somalia 15.5 2
Sudan 7.0 2
Syrian Arab Republic 2.0 12
Tunisia 3.9 3
United Arab Emirates 4.1 5
Yemen 2.3 12Source: IARC Globocan, 2018

18. Draft global strategy towards the elimination
of cervical cancer as a public health problem
18
2030 CONTROL TARGETS
90%
of girls fully
vaccinated
with HPV
vaccine by 15
years of age
70%
of women
screened
with an HPV
test at 35 and
45 years of
age
90%
of women
screened
positive
receive
treatment for
precancerou
s lesion or
invasive
cancer
SDG 2030: Target 3.4 – 30% reduction in
mortality from cervical cancer
VISION: A world without cervical cancer
GOAL: Reduce the incidence in countries
to reach < 4 cases 100 000 women-years
May 2018
World Health Assembly
 adoption of strategy
Director-General Call to Action
Sept
2018
Global stakeholders forum
Jan
2019
Executive Board decision on the global strategy
April
2019
Online consultation
April‒Aug
2019
Regional consultations
(Eastern Mediterranean Region 1820
June)
Jan
2020
Executive Board
May
2020
Oct
2019
Regional Committee for the Eastern
Mediterranean 2019

19. Way forward
 Regional cross-departmental task force established to
provide technical support to Member States
 Need to strengthen cancer registries and data to inform
policy
 Discuss at national level how best to integrate cervical
cancer interventions in overall national cancer control
programme
 Introduction of HPV-vaccination in GAVI-eligible countries of
the Region
 Review of nation cervical cancer “screen and treat” methods
– HPV-testing and optimal precancerous lesion treatment
modalities
 Include cervical cancer screening, treatment and palliative
care services in national health benefits package
19

20. Tehran,
Islamic Republic of Iran
14 –17 October 2019
20
Agenda item 4(g)
Dr Rana Hajjeh,
Director, Programme
Management
Development of a proposal
for a Decade of Healthy
Ageing (2020-2030)

21. 69th World Health Assembly (WHA69.3)
21
To leverage the experience and lessons learned
from the implementation of the Global strategy and
action plan on ageing and health in order to better
develop a proposal for a Decade of Healthy Ageing
2020–2030 with Member States and with inputs
from partners, including United Nations agencies,
other international organizations, and
nongovernmental organizations

22. Decade of Healthy Ageing
22
The Decade of Healthy
Ageing is proposed as an
opportunity for global
collaboration led by WHO to
bring together governments,
international agencies,
health professionals,
academia, the media, the
private sector and civil
society to improve the lives
of older people, their
families and the
communities they live in.

23. Decade of Healthy Ageing
23
 Globally, more than 1 billion
people are aged 60 or above,
most living in low- and middle-
income countries
 Many do not have access to
the basic resources necessary
for a life of meaning and
dignity
 The Decade looks to ensure
that all older people have an
equitable opportunity to be and
do the things that they value,
and that none are left behind

24. The Decade aims to stimulate
local action to ensure:
 Communities develop in ways that foster the
abilities of older people;
 Older people have access to quality health
care; and —
 Older people, who need it, have access to
social care and support
24
(Guided by the Global strategy on ageing and health)

25. The Decade of Healthy Ageing will
be an opportunity to:
 Nurture leadership at all
levels
 Closely engage with older
people themselves
 Work with governments to
frame policies that are
inclusive and supportive
of older people
25

26. Tehran,
Islamic Republic of Iran
14 –17 October 2019
26
Thirteenth General Programme of
Work (20192023) Results
Framework: an update
Agenda item 4(f)
Dr Arash Rashidian, Director,
Science, Information and
Dissemination

27. The GPW13 Results Framework is one of the
transformational shifts of WHO and aims to collectively
measure impact, track progress toward the health-related
SDGs and deliver on the triple billion targets
27
WHO transformational shift

28. Objectives
 Update on the key advances on the development
of the GPW13 Results Framework
 Invite valuable feedback from Member States on
next steps
 Foster Member State ownership of and
commitment to the GPW13 Results Framework
 Demonstrate the alignment of Vision 2023 to the
GPW13 Results Framework
28

29. 72nd World Health Assembly (WHA72.1)
Consultations on the WHO Impact Framework
prior to WHA72:
 Online consultations and feedback
 Geneva missions briefings
 EB and WHA sessions
29
Requested the Director-General to continue
developing the results framework of GPW13
2019‒2023 in consultation with the Member
States and through Regional Committees

30. 30
GPW13 Results Framework
Strategic priorities |
Triple billion targets
Constitutional objective |
Healthy life expectancy
GPW13ImpactMeasurementProgrammeBudget
Country
case studies
Balanced
scorecard
Outputs
Countrycasestudies
Outcomes | Indicators and milestones

31. 31
Vision 2023
WHO impact framework
31
31
46 programmatic indicators and milestones
Healthy
life
expectancy
(HALE)
Triple billion targets
Universal
health coverage
Health
emergencies
Healthier
populations
3
2
1 Impact indicator HALE
– to be added to regional
“core” list from 2020
 Corresponds with
Region’s 75 core
indicators
 Better coverage of
emergency situations
 40 of 46 already among
the core list; 43/46 among
regional priorities

32. Balanced scorecard
32
For each of the 42
outputs in the Results
Framework, 6
dimensions will be
assessed
1. Effective
delivery:
leadership
function
5. Delivering
value for
money
6.
Achievement
of results in
ways leading
to impacts
4. Impactful
integration of
gender, equity
and human rights
3. Effective
delivery:
Technical
support at the
country level
2. Effective
delivery:
global goods4
4
3
33
2
Output 1.1.1
Region has developed 56
KPIs to assess WHO’s
performance at regional
and national level

33. Country case studies
33
 Achievements,
successful
interventions
and lessons
learned
 2‒4 countries of
the Region to
be included in
the first year to
test the
approach and
plan for
expansion

34. Country contribution to the global
triple billion targets
34
Universal
health
coverage
index
Health
emergencies
index
Healthier
populations
index
Country case
study example
2023 population:
35.7 million
+ 9.0
million
+ 35.7
million
+ 14.3
million
2018 2023
Contribution
to global
billion
8.9
millio
n
17.9
million
Leve
l 1
Leve
l 2
Base-
line
14.3
million
Difference in
population covered
If moved up a level
= total population
Number of people
with healthier lives

35. Data and health information systems
35
Monitor global health
trends
Provide reliable and
actionable data to monitor
global, regional and
national health trends,
SDGs, GPW13 and health
inequalities
Strengthened
country data
information
systems for health
Support countries in
use of data, including
World Health Data
Collection Platform, to
drive policies, impact
and deliver the triple
billion targets
Strengthen and scale up research and innovations
Strengthen evidence base, prioritize WHO’s norms and
standards, and improve research capacity, and scale up
innovations in countries in alignment with GPW13 and country
priorities
As per proposed programme budget 2020‒2021 Outcome 4.1
1 2
3

36. Reporting schedule
36
2030
SDG
targets
2019
Annual reporting
2020 2021 2022 2023
GPW13
Final Results
Framework
report
Programme budget
period 2018‒2019
2018
Programme budget
period 2020‒2021
Programme budget
period 2022‒2023

37. Consultative process: Next steps
37
Consultation and input from Member States on
the Results Framework during regional
committees: AugustOctober 2019
01
Technical experts meeting to review WHO
impact measurement methodologies: October
2019
02
Establish baselines and milestones WHO
Impact Framework programmatic indicators:
OctoberNovember 2019
03
Informal Member State consultation on
GPW13 Results Framework to update on
progress and present draft: 4 November 2019
04
Report to Executive Board: February 2020
Present to World Health Assembly: May 2020
05

38. Data availability
38
One third of countries do not have recent primary or
underlying data for over half of the SDG indicators
Source: World Health Statistics 2019, WHO
AVAILABILITY OF RECENT PRIMARY OR UNDERLYING DATA TO INFORM
GLOBAL SDG MONITORINGa

39. Also please send any further queries or
comments to:
emrgohis@who.int
Feedback on
next steps?
39

40. 40