1 | WHO's Budget What's behind the numbers and how is it financed? Launch of WHO's Financing Dialogue Executive Board Room, WHO, Geneva 24 June 2013
1 |
WHO's Budget
What's behind the numbers
and how is it financed?
Launch of WHO's Financing Dialogue
Executive Board Room, WHO, Geneva
24 June 2013
2 |
WHO's PROGRAMME BUDGET 2014-15 – What's behind the numbers?
3 |
WHO's PROGRAMME BUDGET 2014-15 US$3977 million
841 US$
million
318 US$
million
388 US$
million
531 US$
million
287 US$
million
684 US$
million
700 US$
million 228 US$ million
Noncommunicable
diseases
Communicable
diseases
Promoting health
through the life-course
Health systems
Preparedness, surveillance
and response
Corporate services/
enabling functions
17.2%
7.2%
13.4%
9.8%
8%
21.1%
Polio eradication
17.6%
5.7%
Outbreak and crisis
response
3.977 US$ billion Approved budget
4 |
140 US$
million 92 US$
million
347 US$
million
131 US$
million
131 US$
million
HIV/AIDS
15.6%
841 US$ million Communicable
diseases
Tuberculosis
Malaria
Neglected tropical
diseases
Vaccine preventable
diseases
15.6%
10.9% 16.6%
41.3%
*includes
Tropical
Disease
Research
5 |
77 US$
million
54 US$
million
131 US$ million Tuberculosis
Intensified
implementation of
Stop TB Strategy
with up-to-date
TB strategic plans
31 countries WHO-recommended
TB and MDR-TB rapid
diagnostic tests
33 countries
Updated policy
guidance and
technical guidelines
TB patients successfully
treated
19 million
MDR-TB patients on
treatment annually
214 thousand
+
+
+
+
6 |
77 US$ million Intensified implementation of
Stop TB Strategy
38.8%
Staffing
Staffing
63.1%
74.6%
Staffing
25.4%
Activities
36.9%
Activities
61.2%
Activities
Support countries in the
implementation of the
national tuberculosis
control
Provide regional platform
to strengthen countries
capacity and actively
engage countries in the
adoption of new targets
Develop policy options,
technical guidelines and
best practices in
tuberculosis care and
control
45 US$ million Country Offices
10 US$ million Regional Offices
22 US$ million Headquarters
28 US$
million 17 US$
million
4 US$
million
6 US$
million
6 US$
million
16 US$
million
7 |
WHO's
Programme
Budget 2014-15
How is it
financed?
8 |
3.977 US$ billion Approved budget
Voluntary
contributions
Assessed
contributions
77%
23%
3,049 US$ million Categories 1 to 6
700 US$ million Polio
228 US$ million Outbreak and crisis
response
929 $US
million
3,048 $US
million
9 |
While overall income of 4 $US billion
is realistic…
10 |
…the predictability of voluntary
contributions is such that less than 50% of
financing is known at the start of the biennium
22% 21% 24%
28% 24% 20%
-
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
2008-09 2010-11 2012-13
Other Predictable
AC
11 |
Between categories
Within categories across
programmes
Within programmes across major
offices
There are still issues with the alignment of
financing to the approved Programme Budget
Pockets of over-and- under funding:
12 |
Historical funding challenges
Programmed which received less than 70% in financing against the
approved base budgets in either 2008-09 or 2010-11Programme 2008-09 2010-11
HIV/AIDS 82.3% 65.3%
Tuberculosis 82.3% 65.4%
Malaria 52.4% 65.3%
Noncommunicable diseases 70.5% 68.8%
Mental health and substance abuse 67.7% 71.4%
Violence and injuries 67.7% 76.2%
Disabilities and rehabilitation 67.9% 75.6%
Gender, equity and human rights mainstreaming 65.1% 67.8%
Social determinants of health 65.1% 67.8%
National health policies, strategies and plans 69.3% 68.5%
Integrated people-centred health services 70.5% 69.3%
Programmed which received less than 60% in financing against the
approved base budgets in either 2008-09 or 2010-11
Programme 2008-09 2010-11
Nutrition 42.3% 55.4%
Reproductive, maternal, newborn, child and adolescent health 54.0% 60.5%
Ageing and health 56.5% 64.5%
Emergency risk and crisis management 44.3% 60.2%
Food safety 43.3% 55.8%
Programmes which received less than 60% in financing
against the approved base budgets in either 2008-09 or 2010-11
Programmes which received less than 70% in financing
against the approved base budgets in either 2008-09 or 2010-11
13 |
There are issues with the flexibility of
voluntary contributions to finance staff costs
78%
26%
45%
22%
74%
55%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Assessed
Contributions
Voluntary
Contributions
Total
Activity
Salary
14 |
As well as the vulnerability of being overly
reliant on the top 10 and top 20 donors
Broadening WHO's donor
base would:
reduce the
financial
vulnerability of WHO
achieve a wider
constituency of
donors and greater
sharing of resource
burden
Trends in contributions to WHO ranked by donors
15 |
68%
2,707 US$ million Financing gap
23%
929 US$ million Assessed contribution
13%
341 US$ million Signed agreements
Current financing situation
for 2014-15
16 |
• At least 70% predictable financing at the start of the
biennium 2014-15
• Better alignment of resources to results and deliverables
in the approved programme budget
• Flexible financing to support better alignment to results
• Expand the traditional donor base
• Increase transparency for a common understanding of
financing sources and shortfalls
Towards achieving a fully funded programme budget
What are the expectations of the
financial dialogue: