WHO reform: partnership and financing dialogue
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Presented by Gaudenz Silberschmidt, Director, Policy and Strategic Directions during the 62nd session of the WHO Regional Committee for the Eastern Mediterranean Kuwait, 5–8 October 2015
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WHO reform: partnership and financing dialogue
- 1. WHO Financing Dialogue Agenda item 5(d) 62nd Session of the WHO Regional Committee for the Eastern Mediterranean 58 October 2015, Kuwait 1
- 2. Background of WHO financing reform: Financial flows of development assistance for health WHO’s overall budget compared to overall international financing on development assistance for health has decreased (23% in 1990 to 8% in 2013) WHO should not compete on overall budget size WHO Financing Dialogue 2
- 3. WHO budget from 1990 to 2017 • AC stable • AC / total budget decreased from 46% in 1990 to 21% in 201617 WHO Financing Dialogue 3
- 4. WHO Programme Budget 20162017 AC (US$ million) VC (US$ million) Total (US$ million) Categories 1 to 6 (Base) 929 2265.3 3194.3* Outbreak and crisis response, polio, TDR, research in human reproduction** 1190.6 1190.6* Total PB 20162017 4384.9* * US$ 236.6 million increase compared to 20142015 ** Dynamic budget ceiling, event driven or decision of respective governance mechanisms and may increase accordingly Contingency fund 100 100 WHO Financing Dialogue 4
- 5. Programme Budget 20162017 by categories 765 339.9 381.7 594.5 379.7 733.5 986.1 204.5 0 200 400 600 800 1000 1200 1 ‒ Communicable diseases 2 ‒ Noncommunicable diseases 3 ‒ Promoting health through the life-course 4 ‒ Health systems 5 ‒ Preparedness, surveillance and response 6 ‒ Corporate services / enabling functions Other - Polio, Tropical disease research and Research in human reproduction Outbreak and crisis response WHO Financing Dialogue 5
- 6. Programme Budget 20162017: Base US$236.6 million increase compared to 20142015 792.1 317.9 345.6 531.1 287 684 -27.1 22 36.1 63.4 92.7 49.5 -100 0 100 200 300 400 500 600 700 800 900 WHA approved programme budget 2014-2015 Proposed WHA Programme budget 2016-2017 Category 1 Category 2 Category 3 Category 4 Category 5 Category 6 WHO Financing Dialogue 6
- 7. -1000000 -500000 0 500000 1000000 1500000 2000000 2500000 3000000 3500000 4000000 2014-15 2016-17 2018-19 Base budget funding 20142019 as of 31 August 2015 2014-15 2016-17 2018-19 Funding Shortfall/(Surplus) 502,069 1,689,949 Projections 203039.495* 38,285 12,335 Voluntary Contributions ** 2,429,626 547,363 44,275 Assessed Contributions ** 918,703 918,703 918,703 Approved Budget**** 3,049,300 3,194,300 * Projections as at 30 April 2015 ** In the process of being partially re-mapped to 2016-17 where it belongs ***Assessed Contributions are projected at 2014-15 levels. ****Approved Budget 2014-15 includes HRP and TDR of US$91.6 minion WHO Financing Dialogue 7
- 8. Programme Budget available funding as at 31 August 2015 (%) 0 0.2 0.4 0.6 0.8 1 1.2 1.4 %UtilizationofapprovedPB Programme areas % of Funds Avail. WHO Financing Dialogue 8
- 9. Progress in implementing principles since the first dialogue Since 2013 the World Health Assembly approves the Programme Budget in its entirety (AC+VC): Objective to fully fund this Programme Budget • Alignment and flexibility has improved due to strategic allocation of flexible resources, while alignment and flexibility of contributions have not changed much • Level of predictability at the start of the biennium has improved: 70% at the start of the biennium 2014–2015, compared with 62% for 2012–2013 and 52% for 2010–2011. • Transparency has increased through the Programme Budget web portal • Expanding the contributor base is a long-term process and some small positive signs WHO Financing Dialogue 9
- 10. Meeting objectives Financing Dialogue 2015 • Highlight WHO’s role in contributing to the SDGs, including transition from the MDGs • Examine progress and future plans on key priority areas such as emergency reform and coordinated resource mobilization • Review progress towards full funding of the 20162017 Programme Budget and improving the dialogue’s principles WHO Financing Dialogue 10
- 11. Broadening contributor base of WHO • WHO used to receive 80% of funding from only 20 contributors, leading to vulnerability • Starting to broaden the base, also thanks to countries of the Region • A major study on broadening the contributor base has just been concluded • We are happy to engage further with countries and foundations to explore possibilities WHO Financing Dialogue 11
- 12. WHO Programme Budget web portal • Provides transparency on WHO budget, funding and financial flows • Revised version launched in September 2015 (beta version) • To be further revised in October 2015 • Visit: http://extranet.who.int/programmebudget/ WHO Financing Dialogue 12
- 13. Welcome to the WHO Financing Dialogue, 56 November 2015 in Geneva • We invite high level participation from Member States and contributors • Announcements of contributions can be made before, during or after the meeting, but are not a condition for participation • Jointly we can put WHO on a solid funding basis to better health! WHO Financing Dialogue 13
Editor's Notes
- Programmatic focus in 2016-2017 Global health security, preparedness, surveillance and humanitarian response in emergencies: Category 5 Resilient, integrated health systems: Category 4 Scale-up of prevention and control interventions of noncommunicable diseases Category 2 Unfinished agenda of the Millennium Development Goals as well as anticipated agenda of UHC: Categories 1,3 and 5 Emerging priorities, including antimicrobial resistance, hepatitis, ageing and health, health and environment
- Key: HIV – HIV/AIDS TUB – Tuberculosis MAL – Malaria NTD – Neglected Tropical Diseases VPD – Vaccine Preventable Diseases NCD – Noncommunicable Diseases MNH – Mental Health and Substance Abuse VIJ – Violence and Injuries DHR – Disabilities and Rehabilitation NUT – Nutrition RHR – Reproductive, Maternal, Newborn, Child and Adolescent Health AGE – Ageing and Health GER – Gender, Equity and Human Rights Mainstreaming SDH – Social Determinants of Health PHE – Health and the Environment NHP – National Health Policies, Strategies and Plans IPH – Integrated People-Centred Health Services AMT – Access to Medicines IER – Health Systems Information and Evidence ARC – Alert and Response Capacities EPD – Epidemic and Pandemic-Prone Diseases ERC – Emergency Risk and Crisis Management FOS – Food and Safety
- Alignment & Flexibility Alignment of funding with the Programme budget 2014–2015 has improved. At the end of 2014, categories 1 to 5 were financed to at least 75% of the approved programme budget level, whereas at the same point in the previous biennium several strategic objectives had greater funding gaps A slight improvement in the level of flexibility of funding thanks to a change in policy on the part of three donors that are now providing more core voluntary contributions The Secretariat will further refine its internal management of funding and strategic allocation of flexible funding, with the aim of achieving overall full alignment of funding with the programme budget. Predictability The level of predictability at the start of the biennium has improved: 70% at the start of the biennium 2014–2015, compared with 62% for 2012–2013 and 52% for 2010–2011. Transparency The introduction of the programme budget web portal has significantly increased the transparency of WHO’s funding situation and its needs by programme area and major office. Reducing vulnerability Expanding the contributor base is a long-term process, which has only shown very limited progress so far. Despite the efforts to expand WHO’s contributor base, the Organization continues to depend on just 20 contributors (11 of them non-State actors) for 80% of its voluntary contributions. A study on broadening and deepening the contributor basis is currently being finalized and will inform the forthcoming financing dialogue.