2. Information Session for Permanent Ambassadors to the
Organization of American States and Other Ambassadors of
PAHO/WHOMember States148th Session of the Executive Committee
Washington, D.C.20-24 June 2011 Mirta Roses Periago Director 3.
Executive Committee of PAHO
- 2008-2011: Argentina( Vice President )GuatemalaHaiti
- 2009-2012:ColombiaSaint Vincent and the Grenadines( President
)Bolivarian Republic of Venezuela
- PeruUnited States of America( Rapporteur)
2011-2014 candidacies: Brazil, Chile, El Salvador 2012-2015
candidacy: Panama, ______, ________ 4.
- 2009-2012:Canada(PBAC)Chile
- 2010-2013:BarbadosEcuadorUnited States of America
WHO Executive Board 2012-2015 candidacies: Cuba, _________ 5.
Reporton the Fifth Session of the Subcommittee on Program, Budget,
and Administration
- Washington, D.C.,16-18 March 2011
- Participating Member States:
- Guatemala, Mexico (President) , Panama (Rapporteur) , Paraguay,
Saint Vincent and the Grenadines, United States of America (Vice
President) , and the Bolivarian Republic of Venezuela.
- Argentina, Bolivia, Brazil, Canada, and Suriname.
6. PAHO Award for Administration 2011 Nominees for the 2011
Award Name Country Mr. Lloyd Ian Smith Dr. Mara del Carmen Garca
Dr. Jorge Castellanos Robayo Dr. Pastor Castell-Florit Serrate Dr.
John Edward Greene Dr. Concepcin Ziga Valeriano Dr. David Tejada de
Rivero Dr. Stephen James King Belize Bolivia Colombia Cuba Guyana
Honduras Peru Saint Lucia Members of the Award Committee: United
States, Saint Vincent and the Grenadines, and Venezuela 7. Proposed
PAHO Program and Budget2012-2013 Scenarios
- Scenario A: 10.5 %increase in the assessed contributions
-
- Full cost recovery, in which all inflationary and statutory
costs already incurred for both FTP and non-FTP components would be
compensated
- Scenario B: 6.7 %increase in the assessed contributions
-
- Partial cost recovery, in which costs would be recovered for
PAHO-funded FTPs only and inflationary costs on the non-FTP budget
would be absorbed
- Scenario C: 0%increase in the assessed contributions
-
- Zero Nominal Growth, in which neither inflationary nor
statutory cost compensation would be included, resulting in
substantial cuts to operations
8. Proposed Program and Budget 2012-2013 Pan American Health
Organization (PAHO) Scenario B Source 2010-20112012-2013% change
Assessed contributions from Member States 186,400,000 198,800,000
6.7% + Miscellaneous income 20,000,00015,000,000-25.0% = Total PAHO
share (Regular Budget) 206,400,000,213,800,000 3.6% + AMRO Share
(from WHO) 80,700,00080,700,0000.0% = Total Regular Budget
287,100,000294,500,0002.6% + Estimated Other Sources *
355,851,000348,451,000 - 2.1% = Total Resource Requirements
642,951,000642,951,000 0.0% 9. Performance Monitoring and
Assessment of the PAHO Strategic Plan during the biennium
2008-09
- Programmatic Implementation:
- Out of 88 RERs, 67 (76%) were on track (green) and 21 (24%)
were at risk (yellow); none was assessed in trouble Todos los RERs
se cumpliran si se mantiene esta implementacin
- 94% (99% in Regular Budget and 89% in other sources)
- Mobilization of Resources
- $281 million were mobilized covering 81% of the funding gap
(the funding gap established at the beginning of the biennium of
$347 million was reduced to $66 million (19%).
10. 11. 12. 13. Strategy and Plan of Action on Urban Health
- In 1900, 13% of the world's population resided in cities.
- In 1950, the urban population accounted for 29.1% of the
world's population.
- In 2008, over half the human population live in urban
areas.
- By 2050, that proportion would increase to 70%.
- Six of the worlds largestmegalopolises: So Paulo, Mexico City,
New York City, Los Angeles, Buenos Aires, and Rio de Janeiro.
- Strengthenhealth promotion , considering the effects of
urbanization.
- Reorient health services .
- Strengtheninstitutional capacitytoimplement an urban health
system.
- Engage in advocacy to achieve a common goal andshared
responsibility .
14. Strategy and Plan of Action on Climate Change
- Between 1960-1969, 100 hydrometeorologic events(droughts,
extreme temperatures, floods, and major storms)were reported.
- Between 2000-2009, 533 events.
- Strengthen thegeneration and dissemination of knowledgeabout
thehealth risksassociated with climate change and the appropriate
public health response.
- Raise awareness and improve knowledge about thehealth impactof
climate change.
- Establishinterdisciplinary, interinstitutional , and
intersectoralpartnerships .
- Adaptation : improvethe capacity torespond to the risks posed
by climate change.
15. Plan of Action on Road Safety
- 142,252 deaths annually, with the number of injured estimated
at over 5 million.
- 80% of the victims are men.
- The costs in the United States exceeded US$ 99,000 million in
2005. In Brazil, the figure was $10 000 million per year. In
Belize, it was estimated at $11 million in 2007.
- 39% of the people who die are pedestrians, cyclists, or
motorcyclists.
- Strengthenmultisectoral managementin public administration to
improve road safety.
- Reduce the incidence of risk factors:speed and alcohol
consumption ,andincrease the use of protective gear: helmets, seat
belts, and child safety seats .
- Improvemass transitpolicies.
- Promote the de velopment of
16. Plan of Action to Reduce the HarmfulUse of Alcohol
- In 2004 : alcohol consumption was implicated in over 347,000
deaths in the Region.
- Urge adoption of the WHOglobal strategy to reduce harmful
alcohol consumption.
- Raise awareness and increase political commitment .
- Improve thebody of knowledgeabout the extent of problem and the
effectiveness ofinterventions.
- Increasetechnical supportto the Member States.
17. Plan of Action on Psychoactive Substance Use and Public
Health
- Drug use, especially among youth, is concentrated in urban
areas.
- In addition to alcohol and tobacco, the psychoactive substances
used the most in the Region arecannabis, cocaine, and volatile
solvents .
- Steady increase in the use of psychotropic substances with no
therapeutic purpose.
- Formulate and executenational policies, plans, andlawsto
address the problem of psychoactive substance use.
- Promoteuniversal preventionof substance use.
- Promoteearly interventioninprimary care.
- Improveresearch, monitoring, and evaluation.
18. Strategy and Plan of Action on Epilepsy
- Epilepsy represents 0.5% of the global burden of disease.
- 80% of that burden corresponds to the developing
countries.
- The regional burden is 0.7%.
- The greatest burden is found in the 5-14 age group.
- The United States and Canada have a lower burden(0.4%) compared
to Latin America and the Caribbean (0.9%).
- Programs and legislationfor the care of people with epilepsy
and protection of their human rights.
- Health services networkthat emphasizes primary health care and
the provision of medicines.
- Education andsensitizationofthe population.
- Strengthening of the ability to produce, evaluate, and
useinformation onepilepsy.
19. Strategy and Plan of Action on Malaria
- In 2009, the Region reported565,025 cases.
- 18 of 21 countries reduced case numbers between 2000 and
2009.
-
- 8 reported reductions of over 75%.
-
- 3 countries reported an increase.
- Maintain aproactive, multifaceted approachto combating
malaria.
- Prevention, surveillance, andearly detectionof malaria and
containment of outbreaks.
- Integrated vector control .
- Malariadiagnosis and treatment .
- Promotion, communication,partnerships, and collaboration .
- Strengthening ofhealth systems .
20. Plan of Action to Accelerate the Reduction of Maternal
Mortality and Severe Maternal Morbidity
- In 2010, 9500 maternal deaths occurred in Latin America and the
Caribbean.
- 9 countries remain above the regional average:
-
- Bolivia, Guatemala, Guyana, Haiti, Honduras, Paraguay, Peru,
Dominican Republic, and Suriname
- 46% of rural women and 74% of urban women receive 4 prenatal
check-ups.
- Directly related measures in the health sector:
-
- Organization of health services for thecare of womenbefore
pregnancy, in the prenatal period, in childbirth, and the
puerperium.
- The general objectives of the plan of action are:
-
- To helpaccelerate thereduction of maternal mortality
-
- To strengthen surveillance and thepreventionof severe maternal
morbidity.
21. Strategy and Plan of Action oneHealth
- Inequality inaccess to health services in the Region.
- Lack of infrastructure, equipment, and medicines;physical and
cultural distance between users and the services.
- 45% of the 11 countries of the Region surveyed have
aneHealthstrategy,and 36% have a specifictelemedicine policy.
- 82% use it in the health sciences, and 91% for the education of
health professionals.
- Cost-effective supportofinformationand communication technology
(ICT) forhealth.
- Improve public health withinnovative ICT tools and
methodologies .
- Support the formulation and adoption of people-centeredpublic
policies in eHealth .
- Improve theinfrastructure .
- Promote and facilitatehorizontal cooperation among
countries.
22. Financial Report of the Director and Report of the External
Auditor for 2010 Sources of Financial Resources Millions US$ IPSAS
23. Quotas received as of 13 June 2000-2011 24. Balance of Arrears
as of 13 June 2011 25. Report on the Preparations for the Panel on
Safe Motherhood and Universal Access to Sexual and Reproductive
Health Mrs. Marcela Suazo, UNFPA Challenges of safe motherhoodand
universal access Final comments (5minutes) H.R.H..Infanta Cristina
of Spain, Director, International Area of the La Caixa Foundation
SMI supported by the La Caixa Foundation Presentation of the Safe
Motherhood Initiative (SMI): the commitment of all (10 minutes).
Dr. Anbal Fandez, Coordinator, Latin American Federation of
Obstetrics and Gynecology Societies(FLASOG) Analysis of the current
situation in Latin America and the Caribbean Presentation of the
initiative for the prevention and reduction of risks and threats
from unsafe abortion (15 minutes).Mrs. Marcela Suazo, UNFPA
Analysis of the current situationPresentation of the topic
Universal access tofamily planning: Challenges for the decade (15
minutes).Dr. Michelle Bachelet, UN - Women Achievement ofMDG 5
Presentation of the topic: Achievement of MDG 5: Universal access
tosexual and reproductive health (15 minutes).Dr. Mirta Roses, PAHO
Welcome and introduction Introduction (5 minutes) Suggested
Presenter Contents Subject 26. Report on the Preparations for the
Roundtable on Antimicrobial ResistanceStructure of the Roundtable
Moderator: Vice President of the Directing CouncilModerator: Vice
President of the Directing Council Moderator:President of the
Directing CouncilTowards a Multifaceted Approach to Contain
Antimicrobial Resistance The Extent of AntimicrobialResistance in
the Region and its Trends. Data forAction The Health, Social, and
Economic Impact of AntimicrobialResistanceDiscussion Group 3
Discussion Group 2 Discussion Group 1CONTAINING ANTIMICROBIAL
RESISTANCE Opening remarks: Antimicrobial Resistance: Implications
for Global Health 27. Progress Reports on Technical Matters
- A. Immunization: Challenges and Outlook
- B. Implementation of the Global Strategy and Plan of Action on
Public Health, Innovation, and Intellectual Property
- C. Advances in the Implementation of the WHO Framework
Convention on Tobacco Control
- D. Implementation of the International Health Regulations
(2005)
- E. Progress toward Achievement of the Health-related Millennium
Development Goals in the Region of the Americas
- F. Review of the Pan American Centers
28. Progress Reports on Administrative and Financial Matters
- A. Status of implementation of the International Public Sector
Accounting Standards (IPSAS)
- B. Update on the Appointment of the External Auditor of PAHO
for 2012-2013 and 2014-2015
- C. Master Capital Investment Plan
29.
- Report of the Office of Internal Oversight and Evaluation
Services
- Report of the Audit Committee
- Status of Projects Funded from the PAHO Holding Account
- Update on the Modernization of the PASB Management Information
System (PMIS)
- WHO Medium-term Strategic Plan2008-2013 and Proposed Programme
Budget 2012- 2013
- Other administrative and financial matters and matters for
information
30. Membership of the Advisory Committee of the Latin American
and Caribbean Center on Health Sciences Information(BIREME)
2009-2012 Dominican Republic2009-2012 Chile 2009-2012 Argentina
2009-2011 Mexico 2009-2011 Jamaica Designation by the Directing
Council or the Pan American Sanitary Conference Member 31. Thank
you very much! 148th Session of the Executive Committee Washington,
D.C. 20-24 June 2011