World Health Assembly and Executive Board follow-up – programme and budget matters​

1. 1
Extending the Thirteenth General
Programme of Work (GPW13)
2019-2023 to 2025
and Programme Budget 2024-
2025 development

2. 2
Topics
1. Extending GPW 13, 2019-2023 to 2025 (link)
2. Programme Budget 2024-2025 (link)
 Global priorities
 Regional priorities

3. The world is going
at about a quarter
of the pace it needs
to reach the health-
related SDGs

4. 4
Rationale for extension of GPW 13
To close gaps and accelerate progress to reach the health-related SDGs and Triple Billion targets
Strengthen country
capacity
Provide strategic
direction for
Programme Budget
2024-2025
Implement COVID-19
pandemic lessons
learnt for equitable
and resilient recovery
Finetune alignment
with WHO’s five
priorities and planning
cycle of UN
Track progress to
drive impact in
countries

5. 5
Intensifying support
to countries to
accelerate progress
Power, Partner & Perform for health
Protect health
Provide health
Promote health
Data & delivery
Science, innovation and
gender, equity & rights
Partnership
Integrated platforms
for acceleration

6. 6
Deliver approach is a management tool used by the Secretariat
https://www.who.int/publications/m/item/tracking-the-triple-billions-and-delivering-results
Delivering results
Resource
priorities
Prioritize areas
for
acceleration
Focus on
country-
specific
priorities
Match most
effective
solutions to
priorities
Overcome
roadblocks and
leverage
opportunities
Acceleration
scenarios
Budget and
finances
Countries identified
for acceleration
Delivery plans
and solutions
Executing, tracking
and problem solving

7. 8
Results framework for accountability and reporting
A joint commitment of the Secretariat, Member States and partners to track progress, report results
and deliver a measurable impact in countries
Source: GPW 13 Impact Measurement Methods Report Visual Summary; GPW13 Triple Billion Dashboard
If we don’t measure it, we can’t act on it

8. 9
Programme Budget 2024-2025
Global process

9. Context – the “ask” from
Member States
10
Improved prioritization process
More involvement of Member States in Programme Budget
development
A better format to present the budget (simpler, but more
details)
Efficiencies
More clarity on how Assessed Contributions, and especially
the increase in Assessed Contributions, will be used

10. Steps for country prioritization
Using data is the starting point
Define problems where the gaps are largest with a
potential for greatest impact
(e.g. country progress towards achieving the triple billion targets and
regional KPIs)
Determine a country-focused and integrated response
(e.g. alignment with CCS/UNSDCF, national health policies, strategies and
plans (NHPSPs))
Identify areas where WHO support is most needed
(draw on WHO comparative advantage)
Cost the priority outputs to address the problems and
accelerate progress jointly with Member States
11
Flag high priority
issues & gaps
(using data)
Determine response &
solutions to jointly prioritize
Prioritize
activities that
require
Secretariat’s
contributions

11. Priority setting is dynamic, ensuring alignment with
country, regional and global priorities
12
Regional
Priorities
Global
Priorities
Country
Priorities
 Global and regional priorities are set based on data and evidence
 Regional priorities are discussed at Regional Committee
 Country priorities are consolidated to provide a regional picture at
Regional Committee
 Member States reviews the consolidated draft
 Member States feedback is incorporated before finalization
For consideration by the Regional Committee

12. Summary of focus areas based on data & analytics - Global
13
Universal health coverage:
 Financial protection
 Health workforce
 Access to essential services, particularly control of hypertension
Health emergencies:
 Vaccine coverage for priority pathogens
 Improved preparedness, prevention and detect, notify and
respond based on lessons from pandemic response reviews
Healthier populations:
 Climate and environment related health issues
 Tobacco and alcohol control
 Nutrition

13. Aligning funding commitment with the priorities to make
a measurable impact
14
 Once priority outputs have been identified, WHO will review the financing
needed to implement them (by major office and by budget center)
 Based on available financing and funding gaps, we will identify a
commitment level (e.g., 80%) to fund these priorities to ensure delivery of
planned results
 This can only work with three level alignment and working together to
distribute flexible funds in the regions
A positive departure from the current practice

14. Draft proposed Programme Budget 2024-2025:
four budget segments
15
Base Programmes
 Core mandate of WHO
 Proposed to retain same level as
revised Programme Budget 2022-
2023 (US$ 4968.4 million)
 Proposed to increase share of budget
allocated to country offices
 Prioritization to inform budget
development and allocation of
resources, when possible
Share of base segment across the three levels of WHO in
Programme Budget 2018–2019 to 2022–2023 (revised) and
the draft Proposed Programme Budget 2024–2025
39.3% 44.0% 46.3% 47.9%
25.0%
24.4% 23.2% 22.5%
35.7% 31.7% 30.5% 29.6%
0%
20%
40%
60%
80%
100%
2018-2019 2020-2021 Revised 2022-
2023
Proposed 2024-
2025
Country offices Regional offices Headquarters

15. Total draft Proposed Programme Budget 2024–2025
by budget segments and major office (US$ millions)
16
Africa
The
Americas
South-
East Asia
Europe
Eastern
Mediterr
anean
Western
Pacific
Headqua
rters
Total
Base programmes 1,326.6 295.6 487.3 363.6 618.4 408.0 1,468.9 4,968.4
Emergency operations
and appeals
274.0 13.0 46.0 105.0 334.0 18.0 210.0 1,000.0
Polio eradication 20.2 342.8 333.2 696.3
Special programmes 3.3 3.9 3.5 3.7 3.5 3.2 138.2 159.3
Grand total 1,624.1 312.5 536.8 472.3 1,298.7 429.2 2,150.3 6,824.0

16. Modular presentation of the Programme Budget:
improved format
17
Main document body
(subject to Member States approval)
Executive summary
Setting the scene: From the SDGs
to the Programme Budget
Budget tables and narrative down
to outcome level
Supporting documents
Implementation overview (output
level) WHO budget explainers:
- Budget structure
- Budget process
- Prioritization
- Costing resolution
Glossary
Country prioritization dashboard
Budget overview dashboard
New Available in print
Using a web-based platform as a “digital Annex”
Available digitally

17. High in 27 countries, medium in 5 countries
24-25 costing
20/21 scorecard
Billion 1: One billion more people
benefiting from UHC
Outcome 1.1. Improved access to quality essential health
services irrespective of gender, age or disability
Countries enabled to provide high-quality, people-centred health services,
based on PHC strategies and comprehensive essential service packages
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View global output leading indicators
View 24-25 prioritization dashboard
View WHO 20/21 results report
US$ XXX.X
million
22-23 financing
US$ X.Xm allocated
US$ X.Xm made available
US$ X.Xm financing gap
24-25 prioritization
# of countries with comprehensive
essential service packages defined
based on integrated models of care
# of countries with quality
strategies aligned with national
health policies or plans
# of countries with up-to-date
performance assessments on the
provision of primary health care
Leading indicators
View global output leading indicators
Performance
Priority
&
financing
DRAFT
DRAFT improved presentation
of the Programme Budget

18. 20
Programme Budget 2024-2025
Eastern Mediterranean Region - specific

19. Region-specific focus areas based on
data & analytics
 Universal health coverage
o Primary health care (PHC), noncommunicable diseases (NCDs),
infectious diseases, health financing and human resources for health
need greater attention
 Health emergencies
o Gains and investments in public health functions from COVID-19
pandemic need to be sustained and expanded
o Routine vaccinations and other essential health services that were
affected by the pandemic need greater attention
 Healthier populations
o NCD risk factors, road safety, climate change and environmental health
are the areas that need greater focus
o Support the One Health approach, through multisectoral coordination,
to address a variety of public health priorities and health issues across
populations across the life course.

20. 22
Region-specific focus areas aligned with
…
Regional Vision (2018-2023), Midterm Review and Push Forward
SDGs progress in the Eastern Mediterranean Region
Progress on 50 health-related SDG indicators

21. Evolution of Eastern Mediterranean Region’s budget share of the
Organization-wide Base Programmes
23
Base Programmes (US$ millions)
Major office 2018-2019 2020-2021
Revised
2022-2023
Proposed
2024-2025
Regional Office 336.0 391.2 609.8 618.4
Total all major offices 3 400.3 3 768.7 4 968.4 4 968.4

22. Evolution of Eastern Mediterranean Region country office/Regional
Office budget allocation for the Base Programmes
24
67% 68% 71% 72%
33% 32% 29% 28%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2018-2019 2020-2021 Revised 2022-2023 Proposed 2024-2025
Country offices Regional office
The Eastern Mediterranean Region is among the three WHO regions that have the highest regional budget
share allocated to the country offices
Office
Offices

23. 25
Process and timing of Member
States consultations
August - October
2022
10-13 October
Post 152nd Session of the Executive Board
May 2023
76th World Health Assembly
Regional Committee for the Eastern
Mediterranean
Country level prioritization
To be determined
January 2023
152nd Session of the Executive Board through
the 37th Meeting of its Programme, Budget and
Administration Committee
To be determined
Pre 152nd session of the Executive
Board
Regional
Regional
Global
Global
Regional/Global
Global

24. Country prioritization exercise
Preliminary results for the Eastern
Mediterranean Region
26

25. Outcome prioritization for Programme Budget 2024-2025
0% 10% 20% 30% 40% 50% 60% 70% 80%
1.1 Improved access to quality essential health services irrespective of gender, age
or disability status
2.1 Countries prepared for health emergencies
4.1 Strengthened country capacity in data and innovation
2.3 Health emergencies rapidly detected and responded to
3.2 Supportive and empowering societies through addressing health risk factors
3.1 Safe and equitable societies through addressing health determinants
3.3 Healthy environments to promote health and sustainable societies
2.2 Epidemics and pandemics prevented
1.3 Improved access to essential medicines, vaccines, diagnostics and devices for
primary health care
1.2 Reduced number of people suffering financial hardship
Outcomes prioritized as High and Medium by countries of the Region
% countries that have selected the Outcome as High priority % countries that have selected the Outcome as Medium priority

26. 0% 20% 40% 60% 80% 100%
1.1.1 Countries enabled to provide high-quality,
people-centred health services, based on primary
health care strategies and comprehensive…
4.1.1 Countries enabled to strengthen data,
analytics and health information systems to inform
policy and deliver impacts.
1.1.5 Countries enabled to strengthen their health
and care workforce
2.1.2 Capacities for emergency preparedness
strengthened in all countries
1.1.2 Countries enabled to strengthen their health
systems to deliver on condition- and disease-
specific service coverage results
Top 5 Outputs prioritized as High and Medium by countries of the Region
% countries selected as High priority % countries selected as Medium priority
Output prioritization for Programme Budget 2024-2025
 Essential service packages
 primary health care
 Quality of care
 Patient safety
 infection prevention and control
 Health Management Information System
 Civil registration and vital statistics
 Surveys and surveillance systems
 National action plans for health security
 Strengthening IHR core capacities
 Disaster risk reduction
 Control & Management of specific CDs and
NCDs and conditions
 Approaches to eliminate diseases or conditions
 Adequate and equitable distribution of skilled
health and care workers
 Education, training, skills and professional
development
 National Health Workforce Accounts
Scope of work

27. Output prioritization under Strategic Priority 1:
Universal health coverage
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
1.1.1 Countries enabled to provide high-quality, people-
centred health services, based on primary health care
strategies and comprehensive essential service packages
1.1.5 Countries enabled to strengthen their health and
care workforce
1.1.2 Countries enabled to strengthen their health
systems to deliver on condition- and disease-specific
service coverage results
1.1.3 Countries enabled to strengthen their health
systems to address population-specific health needs and
barriers to equity across the life course
1.3.5 Countries enabled to address antimicrobial
resistance through strengthened surveillance systems,
laboratory capacity, infection prevention and control,
awareness-raising and evidence-based policies and…
Top 5 Outputs prioritized as High and Medium by countries of the Region
% countries selected as High priority % countries selected as Medium priority
 Essential service packages
 Primary health care
 Quality of care
 Patient safety
 Infection prevention and control
 Reproductive maternal, newborn, child and
adolescent health
 Routine immunization
 Elderly health
 Antimicrobial resistance
 Adequate and equitable distribution of skilled
health and care workers
 Education, training, skills and professional
development
 National Health Workforce Accounts
Scope of work
 Control & Management of specific CDs and
NCDs and conditions
 Approaches to eliminate diseases or conditions

28. Output prioritization under Strategic Priority 2:
Health emergencies
0% 10% 20% 30% 40% 50% 60% 70% 80%
2.1.2 Capacities for emergency preparedness
strengthened in all countries
2.1.1 All-hazards emergency preparedness
capacities in countries assessed and reported
2.3.1 Potential health emergencies rapidly
detected, and risks assessed and communicated
2.2.3 Mitigate the risk of the emergence and re-
emergence of high-threat pathogens and improve
pandemic preparedness
2.3.3 Essential health services and systems
maintained and strengthened in fragile, conflict-
affected and vulnerable settings
Top 5 Outputs prioritized as High and Medium by countries of the Region
% countries selected as High priority % countries selected as Medium priority
 International Health Regulations (IHR) reporting
 Joint external evaluations (JEE)
 After action reporting (AAR)
 Monitoring national preparedness capacity,
disaster risk reduction (SENDAI)
 Essential health service delivery in emergencies
 Health system strengthening in fragile conflict
and vulnerable (FCVs) settings
 Humanitarian response plan (HRP)
 High-threat respiratory pathogens
 Arboviruses
 Pandemic Influenza Preparedness (PIP)
Framework
 Global Influenza Surveillance and Response
System (GISRS)
 Signal detection, verification, risk assessment
and communication of events; WHO's Early
Warning, Alert and Response System (EWARs)
 Public communication of events and risks
Scope of work
 National action plans for health security
 Strengthening IHR core capacities
 Disaster risk reduction

29. Output prioritization under Strategic Priority 3:
Healthier populations
0% 10% 20% 30% 40% 50% 60%
3.2.1 Countries enabled to address risk factors
through multisectoral actions
3.1.1 Countries enabled to address social
determinants of health across the life course
3.3.1 Countries enabled to address
environmental determinants, including climate
change
3.2.2 Countries enabled to reinforce
partnerships across sectors, as well as
governance mechanisms, laws and fiscal…
3.3.2 Countries supported to create an
enabling environment for healthy settings
Top 5 Outputs prioritized as High and Medium by countries of the Region
% countries selected as High priority % countries selected as Medium priority
 Tobacco use
 Hazardous use of alcohol and psychoactive drugs
 Unhealth diets
 Physical inactivity
 Violence against women, children and older people
 Ageing (Decade of Healthy Ageing)
 Prevention of road traffic injury
 Health-in-all policies
 Restriction of sales of alcohol, or increased taxation
on tobacco products and sugar sweetened beverages
 Health education, health literacy and community
empowerment
 Healthy Cities
 Age-friendly communities and environments
 Health Promoting Schools
 Healthy Workplaces initiatives
 Environmental health
 Climate change
Scope of work

30. 32
Plenary
Eastern Mediterranean Region

31. 33
Action by the Regional Committee: guide questions
On the basis of the available data and the preliminary results of the country prioritization exercise:
 To which priorities should the Eastern Mediterranean Region direct
increased capacities and resources in the draft Proposed Programme
Budget 2024–2025?
Do you agree with the ones identified so far?
 To which of the existing priorities of the GPW13 should the Secretariat
give less emphasis when investing capacities and resources?

32. 34
Thank you