- The Regional Plan for Implementation (RPI) of the WHO European Region's Programme Budget for 2018-2019 focuses on continuing priorities from the previous biennium with an emphasis on unfinished public health goals. It was developed through bottom-up priority setting with member states and alignment with the Sustainable Development Goals. - The budget of $261.9 million, a 2% increase from the previous period, will focus on communicable diseases, antimicrobial resistance, priorities set by member states, and the WHO Health Emergencies Programme. Flexible funding will help support underfunded areas and country-level activities. - Implementation will be measured by benchmarks and programmatic indicators presented to the 68th session of the

1. Regional plan for implementation
(RPI) of programme budget (PB)
2018–2019 in the WHO European
Region
Sussan Bassiri,
Director, Administration and Finance

2. From the RPI for PB 2016–2017 to
the RPI for PB 2018–2019
• Final PB in the Twelfth General Programme of Work
(GPW12)
• Continuity of priorities with a focus on unfinished
agenda
• Bottom-up priority setting, and matrix management
approach
• Incorporating lessons learned
• Focus on countries
• More explicit linkage to Sustainable Development
Goals (SDGs)
• Further strengthening of interdivisional work and
delivery

3. RPI FOR PB 2016–2017

4. RPI for PB 2016–2017:
status to date (1)
• Good progress towards achievement of
targets set for 2016–2017
• Greater focus on country programmes
• Significant outbreak and crisis response
component (22% of the allocated PB)

5. RPI for PB 2016–2017:
status to date (2)
• Realistic budget levels
• 85% of the allocated PB is funded;
additional funds are in the pipeline
• Financial implementation of the approved
budget is slightly behind; implementation
of available funds is on track

6. RPI for PB 2016–2017:
status to date (3)
• Increase in highly specified funding
offsets the decrease in flexible funding
• Misalignment of funding and priorities
• Change in donor priorities
• Reliance on a small number of key
donors

7. RPI for PB 2016–2017:
accountability and compliance
• Annual declaration of interest and letter of representation for 2017
published
• Internal Control Self-assessment completed for 2016
– average assessment control score: 3.65
– average functional control score: 3.71
• Review of managerial and administrative processes and actions
• Updated risk register for 2016–2017
• Risk management integrated into planning for 2018–2019
• Internal/external audits
– show an overall effectiveness of risk management and internal control
– recommendations are being duly followed up

8. RPI FOR PB 2018–2019

9. Regional PB 2018–2019
EURO
6%
AFRO
26%
AMRO
4%SEARO
8%
EMRO
12%
WPRO
7%
HQ
37%
• US$ 261.9 million
(5.9% of overall WHO PB)
• Second lowest of all regions and
headquarters
• 2% increase
– WHO Health Emergencies
Programme
– Strategic budget space allocation
model
– Member States prioritization

10. Frequency of programme
areas cited as priorities*
0 5 10 15 20 25 30
NCD
Health services
TB
Mental health
Health info.
Mother&Child
Health policies
Medicines
VPI
Environment
HIV
AMR
Nutrition
SDH
Violence&injuries
Ageing
Disabilities
NTD
GER
Number of countries
* does not include programmes under emergency reform
• Country consultations:
10 priority health
outcomes were
identified, excluding
Emergencies
• Highest demand for
categories 2 and 3
(by number of
countries that chose
specific priorities)
• Continuity of priorities
from 2016–2017

11. PB 2018–2019, Health 2020
and SDGs
• Full alignment with priorities of GPW12: new
opportunities for partnership
and joint work
• Health 2020, foundation for
achievement in the European Region
• Detailed PB-Health 2020-SDG mapping developed for
the European Region aimed at better monitoring and
reporting
• Better incorporated into biennial collaborative
agreements

12. Regional PB 2018–2019
Category 1
Unfinished communicable disease
agenda (HIV, tuberculosis, VPI)
Antimicrobial resistance
Category 2
Strong prioritization by Member States
Burden of disease
Category 3
Prioritization of environment and health
Category 4
Broad mandate in context of health
systems, universal health coverage and
public health
Category E
Implementation of WHO Health
Emergencies Programme
0
10
20
30
40
50
60
01 02 03 04 E 06
2016-2017 2018-2019

13. • Decreases:
– Realistic budget expectations:
2.3 violence and injury prevention
4.4 health systems, information and evidence
– Endgame strategic plan: polio
– Reduced corporate funding: category 6
Regional PB 2018–2019
(cont)

14. -50
0
50
100
150
200
250
300
Funding Gap/surplus
Funds available (plus projected)
Financing of PB 2018–2019
• Realistic, in line with
previous bienniums
• Masks serious financing
unbalance in specific
programme areas
• Additionally supported by
Member States through
financing of geographically
dispersed offices
Flexible funds

15. Strategic use of
flexible funding
• Core staff salaries
• Underfunded programme areas
• Investment for priority activities at
country level
• Leadership and enabling
functions

16. Addressing financial gaps
• Demonstrating our contribution to
achievement of outcomes: value for
money
• Further alignment of resource
mobilization with priorities:
– focus on country level
– better distribution of globally mobilized
resources

17. Benchmarks for PB implementation:
PB indicators
• Main means of programmatic
accountability in the region
• Demonstrate specific key advances
over the biennium, i.e., value for
money
• Baseline and targets currently under
review
• Will be presented at 68th session of
the Regional Committee for Europe

18. www.euro.who.int
WHO Regional Office for Europe
UN City
Marmorvej 51
DK-2100 Copenhagen Ø
Denmark
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