The document summarizes the development process and timeline for the 14th WHO General Programme of Work (GPW 14) covering 2025-2028. It outlines the rationale for a new global health strategy given a dramatically changing world. The goal is to promote, provide, and protect health for all. Six strategic objectives are proposed to achieve this: achieve transformative action on climate and health; ensure health is central to policies driving determinants; address inequities in essential health services and interventions; reverse trends in catastrophic health spending; rapidly respond to acute crises and ensure essential services in protracted crises; and ensure all countries are prepared to prevent and mitigate health risks. The next steps outlined are to define WHO's major cross

1. The 14th WHO General
Programme of Work (GPW 14)
Towards a strategy for global health,
20252028
Dr Rana Hajjeh
Director Programme Management
12 October 2023

2. Rationale for a new strategy for global health
WHA 76/19: GPW14 20252028 as technical strategy
for first WHO Investment Round
Managed by a WHO-wide three-level Steering Committee and
informed by the ongoing Independent Evaluation of GPW 13

3. A dramatically different world
Complex global environment
Rapid climate, demographic,
epidemiologic and other changes
Increasing health emergency
risks
Scarred health
systems/workforce
Escalating demand for health
An evolving health ecosystem
Empowered national health
leadership post-COVID-19
New regional institutions
Increasing actors and diversity
More international financing
institutions
A transforming WHO
Better equipped to coordinate
and enable health ecosystem
More prominent position
Additional country and regional
capability
More efficient and responsive

4. GPW 14 development – process and timeline
31 Aug
Africa
24-26 Oct
Europe
16-20 Oct
Western Pacific
30 Oct-2 Nov
South-East Asia
23 Aug
1st MS Consult
16 Oct
2nd MS
Consultation
14 Nov
3rd MS Consultation
4 Sep
Europe
14 Jul
1st MS Brief
1st Consultation
Paper
2nd Consultation
Paper
EB
Paper
Additional Member State consultations are being scheduled as process evolves
EB154
6 Sep
South-
East
Asia
11 Sep
MS Impact
15 Sep
MS IR
26 Sep
Western
Pacific
Today
Stakeholder briefings
& discussions CSO and youth groups
Partner agencies
Private sector
Other
Stakeholder dialogues & briefings
Call for written comments
28 Sep
Americas
20 Sep
Outcomes
Member State consultations &
Regional Committees 9-12 Oct
Eastern
Mediterranean

5. First GPW 14 Consultation
Document
15 August 2023
Contents
Context: a dramatically different world
What’s new in GPW 14?
Overarching goal and strategic
objectives
How WHO’s work translates into impact
Developing a high-level results framework
Financing GPW 14

6. What’s new in GPW 14?
Building on GPW 13…
• Anchored in SDGs
• Country-focused
• Measurable impact
• Promote, Protect,
Provide
• Power and Perform
…to enhance impact in GPW 14
Independent
evaluation
• Accelerate SDGs in more complex
environment
• Align on a global agenda for all health
players
• Enhance impact of country and regional
offices
• Engage key health-determining sectors
• Include overall theory of change and WHO
value-add

7. GPW 14 goal and strategic objectives
“To promote, provide and protect health and well-being for all people,
everywhere”
PROMOTE PROVIDE PROTECT
Achieve transformative
action on climate change
and health
Ensure health at center of
policy agendas that drive
determinants and root
causes
Address inequities in coverage
of essential health
services & interventions
Reverse trend in
catastrophic health
spending
Rapidly detect and respond
to acute crises and ensure
essential services in
protracted crises
Ensure all countries
prepared to
prevent/mitigate health risks

8. GPW 14: a global strategy, with WHO’s unique role and value add
PROMOTE PROVIDE PROTECT
Climate and
health
Essential
services
Preparedness
Determinants
of health
Financial
Protection
Acute and
protracted
response
A global agenda
for health
& WHO’s
contribution
WHO MANAGEMENT
FUNCTIONS*
Science and Evidence (including R&D, N&S, policy, digital), Data and Info Systems,
Technical Assistance and Delivery, Coordination and Leadership
Governance and Accountability, Administration and Operations, Transformation
WHO CORE TECHNICAL
FUNCTIONS*
* WHO cross-cutting functions to be developed for 2nd Consultation Paper

9. Promote
health
Scope
(examples)
• climate and health advocacy, green health
sector
• One Health
• NCD risk factors, nutrition, air quality
Action
areas
(examples)
• embed health in decisions of related sectors
• harness investment in these areas for health
Climate change
Determinants
Provide
health
Essential services
Catastrophic
spending
Scope
(examples)
• workforce, products, out-of-pocket expenditure
• maternal, child and neonatal mortality
• NCD treatment, mental health conditions
• disease goals: including HIV, TB, malaria, NTDs,
polio, GW
Action areas
(examples)
• PHC approach, resilience, tailor systems,
innovations
Scope
(examples)
• INB and pandemic accord, IHR strengthening
• humanitarian-development nexus, DRR for
health
• surveillance, clinical care, communities, MCMs,
coordination
Action
areas
(examples)
• Support countries & communities to identify &
mitigate health threats and launch responses
Protect
health
Fully prepared
Acute/protracted
crises

10. Next steps – defining WHO’s major cross-cutting deliverables
PROMOTE PROVIDE PROTECT
WHO FUNCTIONAL
OBJECTIVES
WHO MANAGEMENT
OBJECTIVES
• Science and Evidence
(including R&D, N&S, policy,
digital/AI)
• Coordination and leadership
• Data and info systems
• Technical assistance and delivery
•Governance and accountability
•Administration and operations
•Transformation and change
Second consultation paper will define scope and narrative for each of these 7 areas

11. GPW 14 high-level results framework
Principles: impact focused, with countries at the centre
Process: develop outcomes with Member States (and partner perspectives)
GPW 14 financing envelope – US$ 11.15 billion
Table. Indicative financial envelope for GPW 14
base segment, including emerging priorities
(US$ million)
Key assumptions
• Only base segment, using PB2425 as basis
• Additional financing: country offices, polio transition,
accountabilities
With the AC increase, voluntary needs are ~US$ 8 billion;
WHO Investment Round will be key to secure these funds

12. Guidance from Member States of the Region
1. Alignment with the proposed goal (promote, provide,
protect) and 6 strategic objectives?
2. Improvements to GPW 14 development process, especially:
(i) co-development of joint outcomes with Member States;
(ii) engagement of partners to align on global strategy?
3. Other issues the Secretariat should be considering?
Next steps – develop second GPW 14 Consultation Paper
(late October) to include:
• Proposed joint outcomes for each strategic
objective
• Further detail on key actions for each
strategic objective
• WHO’s cross-cutting core technical and
management functions

13. Thank you