WHOHEALTHEMERGENCYPROGRAMME
RESULTSFRAMEWORKANDBUDGETREQUIREMENTS2016-2017
16May2016
PURPOSE
FinancingtheworkofthenewWHOHealthEmergenciesProgrammewillrequireacombinationofcore
financingforbaselinestaffandactivitiesatthethreelevelsoftheProgramme,financingoftheUS$100million
WHOContingencyFundforEmergencies,andfinancingforongoingactivitiesinprotractedemergencies(i.e.
fortheWHOcomponentofHumanitarianResponsePlans(HRPs)).Thebudgetpresentedinthisdocument
reflectsthecorefinancingrequiredforbaselinestaffandactivities;notincludedaretherequirementsforthe
WHOContingencyFundsandbudgetsfortheWHOoperationsperformedunderHumanitarianResponsePlans
(HRPs).TheseeventbasedresourcesrequirementsarebudgetedundertheOutbreak&CrisisResponse(OCR)
sectionoftheProgrammeBudget.
Thisdocumentprovidesabreakdownofthecorebudgetrequirementsforthe2016-2017bienniumto
implementthisprogrammeofworkanddescribesthemajoroutcomes,outputsanddeliverablesforthenew
WHOHealthEmergenciesProgramme.Thedocumentalsoexplainshowthe8%increasemadeinJanuary
2015forthecurrentapprovedWHO2016-2017ProgrammeBudgetrelatestoWHO’sworkinemergencies,
andhowtheapprovedProgrammeBudgetdeliverablesforemergencieshavebeenrealignedtothenew
resultsframeworkfortheHealthEmergenciesProgramme.
INTRODUCTION
ThenewHealthEmergenciesProgrammerepresentsafundamentalchangefortheOrganization,
complementingWHO’straditionaltechnicalandnormativerolewithnewoperationalcapacitiesand
capabilitiesforitsworkinoutbreaksandhumanitarianemergencies.Thisrequiresarealignmentof,and
additionto,theexistingresultsframeworkandbudgetfortheOrganization’sworkinemergencies.
Thenewresultsframework(Annex1)providesacommonplanningstructureacrossalllevelsofthe
Organizationwhichwillfacilitatealignmentandintegrationofbudgeting,implementationandaccountability
forthenewHealthEmergenciesProgramme.ThecommonstructuredirectlyreflectsWHO’smajorfunctions
inthemanagementofhealthemergenciesandthemajoroutcomesofthenewProgrammeasfollows:
•
Infectioushazardsmanagement:thismajorfunctionincludesWHO’sworkonhighthreatpathogens,
expertdiseasecontrolnetworksand,atheadquarters,thesecretariatofthePandemicInfluenza
PreparednessFramework;
•
CountryhealthemergencypreparednessandtheInternationalHealthRegulations(2005):thismajor
functionincludesWHO’sworkonmonitoringandevaluationofnationalpreparednesscapacities,
planningandcapacitybuildingforcriticalcapacitiesand,atheadquarters,thesecretariatofthe
InternationalHealthRegulations(IHR(2005));
•
Healthemergencyinformationandriskassessments:thismajorfunctionincludesWHO’sworkin
eventdetectionandverification,healthemergencyoperationsmonitoring,anddatamanagement
andanalytics;
•
Emergencyoperations:thismajorfunctionincludesWHO’sworkinincidentmanagement,
operationalpartnershipsandreadiness,andoperationssupportandlogistics;
•
Emergencycoreservices:thismajorfunctionincludesWHO’sworkinthemanagementand
administrationandexternalrelationsforthenewProgramme.
1|P a g e Thenewresultsframeworkwillbeusedtomonitorandmanageprogress,andreportonthedeliveryofthe
newHealthEmergenciesProgramme.ItchartstheoutcomestobeachievedtogetherwithMemberStatesand
partners,outlinestheactualoutputstobedeliveredbytheProgrammeitself,anddefinestheindicatorstobe
usedtomeasureperformanceanddeliverysuccess.
Therevisedbudgethasbeendevelopedbasedonthisnewresultsframeworkandreflectsthefinancialand
humanresourcesrequiredbyeachleveloftheProgrammetoachievetherelatedoutcomesandoutputs.The
existing2016-2017WHObudgetanddeliverablesforemergenciesarewithinthescopeofthenewHealth
EmergenciesProgrammeandhavebeenrealignedandmappedtothenewresultsframeworktomaximizethe
useofcurrentresourcesandtoidentifygapsandadditionalresourcerequirements.
TheorganizationalstructureforthenewProgrammehasbeenalignedtotheresultsframeworkwhichenables
clearlinesofaccountabilityfromtheoutcometotheoutput,downtothedeliverablesandactivities
implementedbyeachunitandteamatalllevels.
ThenewresultsframeworkandbudgetfortheHealthEmergenciesProgrammewillbeintegratedintothe
overallWHOProgrammeBudgetandreportedtoMemberStatesanddonorsthroughnormalprocedures.
OUTCOMES&OUTPUTS
TheoutcomesandoutputsofthenewHealthEmergenciesProgrammearegivenbelow.Afullbreakdownof
theresultsframeworkincludingoutcomeandoutputindicatorsanddeliverablescanbefoundinAnnex1.
Outcome1.InfectiousHazardManagement:Riskmitigationstrategiesandcapacitiesestablishedfor
priorityhigh-threatinfectioushazards
•
•
•
Developandsupportpreventionandcontrolstrategies,toolsandcapacitiesforhigh-threatinfectious
hazards
Establishandmaintainexpertsnetworkstodetect,understandandmanageneworemerginghigh
threatinfectioushazards
ProvidesecretariatsupportforthemanagementofthePandemicInfluenzaPreparednessFramework
Outcome2.CountryHealthEmergencyPreparedness&IHR:Countrycapacitiesestablishedforallhazards
healthemergencyriskmanagement
•
•
•
Monitor,evaluateandobjectivelyassesscountrycorecapacities
Assistcountriestodevelopnationalplansandcriticalcorecapacitiesforall-hazardhealthemergency
preparednessanddisasterriskmanagementforhealthemergencies
ProvidesecretariatsupportfortheimplementationoftheInternationalHealthRegulations
Outcome3.HealthEmergencyInformation&RiskAssessment:Timelyandauthoritativesituationanalysis,
riskassessmentandresponsemonitoringavailableforallmajorhealththreatsandevents
•
•
•
Monitor,detect,verifyandassesstheriskofpotentialandongoinghealthemergencies
Establishsystematic,rigorousdatacollectionmechanismsandmonitorongoinghealthemergency
operations
Providedatamanagement,analyticsandreportingplatformstoproduceanddisseminateaccurate,
reliable,timelyemergencyhealthinformationproducts
Outcome4.EmergencyOperations:Emergency-affectedpopulationshaveaccesstoanessentialpackageof
life-savinghealthservices
•
Establishcomprehensiveincidentmanagementforcoordinatedactioninallgradedandprotracted
healthemergencies
2|P a g e •
•
Assistandcoordinatetheimplementationofhealthoperationstoagreedstandardsthroughpartners
andWHO’soperationalnetworks
Providesupplies,logisticalservicesandoperationalsupportforallgradedandprotractedhealth
emergencies
Outcome5.EmergencyCoreServices:WHOemergencyoperationsrapidlyandsustainablyfinancedand
staffed
•
•
Comprehensive,effectivemanagementandadministrativesupportfortheemergenciesprogramme
Accurateandtimelyhealthemergencycommunicationsandsustainablefinancing
PRIORITIESFOR2016-2017
InthecurrentbienniumtheWHOHealthEmergenciesProgrammewillprioritizeimplementationof
interventionsthataddressparticularlycriticalcapacitygaps.Fromaprogrammaticperspectivethesepriorities
willinclude:
•
JointExternalEvaluationsforPreparedness:establishingthecapacitytocoordinateindependent
assessmentsofcountrycapacitiesusingtheJointExternalEvaluationtoolasacriticalpartofthe
preparednessagenda.TheProgrammewillalignrapidlyonaprotocolandscheduleforindependent
assessments,prioritizinghighvulnerabilityandlowcapacitycountries.
•
RiskAssessmentCapacity:implementingupdatedWHORiskAssessmentandGradingprotocols,
consistentwiththeprovisionsofboththeIHRandtheInter-AgencyStandingCommittee(IASC),the
primarymechanismfortheinter-agencycoordinationofhumanitarianassistance.Timelyrisk
assessmentswillbeperformedbyanindependentteam,facilitatedbytheWHOCountryOffice,with
acloselinktothenewWHOEmergencyOperationscapacitiesforrapidactivationoftheIncident
ManagementSystemwhenrequired.Tosupportthis,capacitiesforriskassessmentandhealth
emergencyinformationmanagementwillbestrengthenedinRegionalOfficesandHeadquarters.
•
EmergencyOperations:capacitatingEmergencyOperationsunits,especiallyinHealthCluster
countriesandheavilyaffectedRegionalOffices.InHealthClustercountries,WHOwillensurethe
capacitytocoordinatetheinternationalassistancetonationalandlocalefforts,torespondrapidly,
predictably,andeffectively.Thebuildingofcoreclusterandincidentmanagementcapacityin
affectedcountrieswillbecomplementedbythestrengtheningofemergenciesoperationssupportin
AFRO,EMROandHeadquarters,eventuallyfollowedbytheotherRegionalOffices.
StrengtheningnationalpreparednessinthecontextoftheInternationalHealthRegulations(2005)andthe
SendaiFrameworkforDisasterRiskReduction2005willcontinuetobeajointpriorityofWHOanditsMember
Statesin2016-2017.WHO’splannedactivitiesforpreparednesscapacitybuildingunderthecurrent20162017ProgrammeBudgetwillbefullyimplementedandfurtherexpandedinthe2018-2019bienniumunder
thenewHealthEmergenciesProgrammeandthehealthsystemsstrengtheningworkinCategory4oftheWHO
ProgrammeBudget.Prioritiesforpreparednesscapacitybuildingin2018-2019willbefurtherinformedbythe
outcomesoftheIHRMonitoringandEvaluationandJointExternalEvaluationworkof2016-2017.
OVERALLBUDGETANDHUMANRESOURCEREQUIREMENTS
TheoverallbudgetrequirementsforthenewHealthEmergenciesProgrammein2016-2017arepresentedin
Table1below.TherevisedcorebudgetforthenewHealthEmergenciesProgrammeisUS$494millionforthe
3|P a g e 1
2016-2017biennium.ThisbudgetconsistsoftheexistingUS$334million budgetfor2016-2017,realignedto
thenewHealthEmergenciesProgramme,plusanadditionalUS$160milliontofullyimplementtheexpanded
scopeofthenewProgramme.Asnotedpreviously,thiscorebudgetrequirementdoesnotincludethe
resourcesrequiredfortheWHOContingencyFundforEmergenciesandspecific,event-basedhealth
operationsinprotractedandacuteemergencieswhicharebudgetedunderOCR.
Thisbudgetisbasedonadetailedanalysisandcostingofthehumanandfinancialresourcerequirementsof
eachleveloftheProgrammetodelivertheoutcomesandoutputsoutlinedinthenewresultsframework.The
staffcostshavebeencalculatedbasedonthegrade,locationandcontracttypeoftheresourcesrequired;the
activitycostsarebasedonananalysisofexistingexpenditureswhichwerethenadjustedtodeliverthenew
results.
ThecurrentandfuturestaffrequirementsarepresentedinTable1b.Itshouldbenotedthatinadditiontothe
existing575staffonthecorebudget,morethan480additionalpersonnelareworkingunderOCRinspecific
protractedandacuteemergencies.However,asignificantportionoftheseeventbasedstaffarecoveringcore
emergencyfunctions.
Table1a:Totalbudgetbreakdown(millions,USDfor2016-17Biennium)
Newemergencyprogramme
2016-17Budget
Additional
Budget
2016-17
RevisedBudget
%ofTotal
InfectiousHazardManagement
92.3
17.1
109.4
22%
CountryHealthEmergencyPreparedness&IHR
121.9
18.3
140.2
28%
HealthEmergencyInformation&Risk
Assessment
30.8
29.8
60.7
12%
EmergencyOperations
67.6
55.3
123.0
25%
EmergencyCoreServices
21.4
39.5
60.8
12%
Total
334.0
160.0
494.0
100%
%oftotal
68%
32%
100%
2016-17Staff
Additional
Staff
2016-17
RevisedStaff
%ofTotal
InfectiousHazardManagement
113
61
174
17%
CountryHealthEmergencyPreparedness&IHR
227
43
270
27%
HealthEmergencyInformation&Risk
Assessment
57
76
133
13%
EmergencyOperations
126
143
269
27%
EmergencyCoreServices
53
113
166
16%
Total
575
436
1011
100%
%oftotal
57%
43%
100%
Table1b:Totalstaffbreakdown(full-timeequivalents)
Newemergencyprogramme
1
Existingprogrammesinscopeinclude:5.1-Alertandresponsecapacities;5.2-Epidemic-andpandemic-pronediseases
(excludingoutput5.3.2coveringantimicrobialresistance);and5.3-Emergencyriskandcrisismanagement
4|P a g e Overallbudgetbreakdown
TheoverallbreakdownoftherevisedcorebudgetacrossthethreelevelsoftheProgrammeisCountryOffices
(38%),RegionalOffices(26%)andheadquarters(36%).Themajorityoftheincreaseincapacityisatthe
CountryandRegionalOfficelevelwhichreflectstheneedtostrengthensupporttobuildcoreIHRcapacitiesin
highvulnerabilitycountriesandestablishemergencyoperationscapabilitiesincountrieswithHumanitarian
ResponsePlansandactivehealthclusterswithlargecrisis-affectedpopulations.Thisrevisedbudgetrepresents
ashiftfromtheexistingdistributionofCountryOffices(41%),RegionalOffices(18%)andheadquarters(41%).
Table2a:Totalbudgetbreakdown(millions,USDfor2016-17Biennium)
Newemergencyprogramme
Headquarters
Regional
Offices
Country
Offices
Total
%ofTotal
InfectiousHazardManagement
43.5
24.4
41.5
109.4
22%
CountryHealthEmergency
Preparedness&IHR
41.0
34.4
64.8
140.2
28%
HealthEmergencyInformation&Risk
Assessment
16.6
23.5
20.5
60.7
12%
EmergencyOperations
46.9
30.4
45.7
123.0
25%
EmergencyCoreServices
28.8
18.1
13.9
60.8
12%
Total
176.7
130.9
186.4
494.0
100%
%oftotal
36%
26%
38%
100%
Headquarters
Regional
Offices
Country
Offices
Total
%ofTotal
InfectiousHazardManagement
75
54
45
174
17%
CountryHealthEmergencyPreparedness
&IHR
67
70
133
270
27%
HealthEmergencyInformation&Risk
Assessment
35
59
39
133
13%
EmergencyOperations
83
72
114
269
27%
EmergencyCoreServices
63
65
38
166
16%
Total
323
320
368
1011
100%
%oftotal
32%
32%
36%
100%
Table2b:Totalstaffbreakdown(full-timeequivalents)
Newemergencyprogramme
RegionalOfficesbudgetbreakdown
Thebreakdownofthecorebudgetandhumanresourcerequirementsfor2016-2017acrossRegionalOfficesis
presentedinTables3aand3bbelow.ThecostingofthebudgetattheRegionalOfficelevelisbasedonthe
totalnumberofMemberStatestobesupportedforall-hazardspreparedness,andtheneedtoprovide
additionalsupporttohighvulnerabilitycountriesandthosewithprotractedcrises,healthclustersandongoing
gradedemergencies.Basedonthesecostingcriteria,themajorityoftheresourcerequirementsareinAFRO
(32%)andEMRO(21%).
5|P a g e Table3a:RegionalOfficesbudgetbreakdown(millions,USDfor2016-17Biennium)
Newemergencyprogramme
AFRO
EMRO
EURO
SEARO
WPRO
AMRO
Regional
Offices
Total
%of
Total
InfectiousHazardManagement
6.5
4.7
5.0
1.7
2.8
3.7
24.4
19%
CountryHealthEmergency
Preparedness&IHR
10.3
5.8
5.1
2.7
6.3
4.2
34.4
26%
HealthEmergencyInformation&Risk
Assessment
8.1
2.9
2.9
2.7
4.1
2.8
23.5
18%
EmergencyOperations
12.0
7.9
2.6
3.0
2.4
2.4
30.4
23%
EmergencyCoreServices
5.1
5.6
2.4
1.4
1.7
1.9
18.1
14%
Total
42.1
27.0
18.1
11.5
17.4
14.9 *
130.9
100%
%oftotal
32%
21%
14%
9%
13%
11%
100%
Table3b:RegionalOfficestaffbreakdown(full-timeequivalents)
Newemergencyprogramme
AFRO
EMRO
EURO
SEARO
WPRO
AMRO
Regional
Offices
Total
%of
Total
InfectiousHazardManagement
15
12
9
5
2
11
54
17%
CountryHealthEmergency
Preparedness&IHR
16
13
10
7
14
10
70
22%
HealthEmergencyInformation&Risk
Assessment
19
8
8
5
11
8
59
18%
EmergencyOperations
25
16
8
9
8
6
72
23%
EmergencyCoreServices
16
17
6
8
8
10
65
20%
Total
91
66
41
34
43
45 320
28%
21%
13%
11%
13%
14%
100%
%oftotal
*
*The$US14.9budgetforAMRORegionalOfficeinTable3aincludestheAMRO/PAHOresourceswhicharebudgeted
undertheWHOProgrammeBudget2016-17.ThestafffiguresinTable3b.includethefullnumberofemergency
programmestaffintheAMRO/PAHORegionalOffice.
CountryOfficebudgetbreakdown
Theallocationofresourcesatcountrylevelisbasedonaprioritizationofcountriesaccordingtohealth
2
emergencyriskmanagementneeds :
•
Priority1:Healthclustercountrieswithgreaterthan1,000,000affectedpopulationtargetedby
healthpartners:Ineachofthesecountriesacoreteamof8-12staffhavebeencostedwithan
averagebiennialbudgetofUS$6.4million.Corestaffinclude:IncidentManager,HealthCluster
Coordinator,PlanningLead,InfectiousHazardManagementLead,PreparednessLead,Health
Information&RiskAssessmentLead,OperationsSupport&LogisticsLead,Management&
AdministrationLead,ExternalRelationsLead;
•
Priority2:Allotherhealthclustercountries:Ineachofthesecountriesacoreteamof6-8staffhave
beencostedwithanaveragebiennialbudgetofUS$3.5million.Corestaffinclude:IncidentManager,
2
ThelistofcurrentHRPandHealthClustercountriesandpopulationsaffectedcanbefoundinAnnex2
6|P a g e HealthClusterCoordinator,PreparednessLead,HealthInformation&RiskAssessmentLead,
OperationsSupport&LogisticsLead,Management&AdministrationLead;
•
Priority3:HighvulnerabilitycountriesandcountrieswithHumanitarianResponsePlan:Ineachof
thesecountriesacoreteamof2-4staffhavebeencostedwithanaveragebiennialbudgetofUS$850
thousand.Corestaffinclude:InfectiousHazardManagementOfficer,PreparednessOfficer,Health
Information&RiskAssessmentOfficer,OperationsSupport&LogisticsOfficer;and
•
Priority4:Highvulnerabilitycountriesforhighthreatpathogens:Ineachofthesecountriesacore
teamof1-2staffhavebeencostedwithanaveragebiennialbudgetofUS$425thousand.Corestaff
include:InfectiousHazardManagementOfficer,PreparednessOfficer.
Thebreakdownofthecorebudgetandhumanresourcerequirementsfor2016-2017forWHOCountryOffices
bypriorityispresentedinTables4aand4bbelow.
Table4a:CountryOfficebudgetbreakdown(millions,USDfor2016-17Biennium)
Newemergencyprogramme
Priority
1
Priority
2
Priority
3
Priority
4
Others
Country
Offices
Total
%of
Total
InfectiousHazardManagement
8.3
11.2
3.9
13.2
4.9
41.5
22%
CountryHealthEmergency
Preparedness&IHR
9.9
21.1
4.9
20.6
8.3
64.8
35%
HealthEmergencyInformation&Risk
Assessment
7.0
4.5
1.0
6.1
1.9
20.5
11%
EmergencyOperations
26.9
10.0
1.2
3.6
3.9
45.7
25%
EmergencyCoreServices
11.8
2.2
0.0
0.0
0.0
13.9
7%
Total
63.8
49.0
11.1
43.5
19.1
186.4
100%
%oftotal
34%
26%
6%
23%
10%
100%
Table4b:CountryOfficestaffbreakdown(full-timeequivalents)
Newemergencyprogramme
Priority
1
Priority
2
Priority
3
Priority
4
Others
Country
Offices
Total
%of
Total
InfectiousHazardManagement
13
11
5
17
0
45
12%
CountryHealthEmergency
Preparedness&IHR
17
53
14
49
0
133
36%
HealthEmergencyInformation&Risk
Assessment
14
11
2
11
0
39
11%
EmergencyOperations
75
29
4
6
0
114
31%
EmergencyCoreServices
30
8
0
0
0
38
10%
Total
149
111
25
83
0
368
%oftotal
41%
30%
7%
22%
0%
100%
7|P a g e APPROVEDPROGRAMMEBUDGET2016-17&ALLOCATIONOFTHE8%INCREASE
Thetotalapprovedbudgetforthe2016-2017bienniumthatisrelatedtothenewHealthEmergencies
ProgrammeisUS$334millionaspresentedinTable5below.ThisUS$334millionincludesthebudgetsforthe
currentProgrammeAreas:5.1-Alertandresponsecapacities,5.2-Epidemic-andpandemic-pronediseases
(excludingoutput5.3.2coveringantimicrobialresistance)and5.3-Emergencyriskandcrisismanagement.
Forthe2016-2017bienniumtherewasanincreaseof8%(US$236.6million)inWHO’soverallbasebudget.Of
thisincrease,US$70.76millionwasallocatedtoProgrammeAreasthatarewithinthescopeofthenewHealth
EmergenciesProgramme.Themajorityofthisincreasewasusedtocovercorefunctionsthathadpreviously
beenbudgetedunderOCR.
Table5:Approvedbudgetbreakdown(USDmillionsfor2016-17biennium)
Currentresultswithinscope
2014-2015WHA
approvedbudget
2016-2017
3
approved budget
Increasefrom
2014-2015to
2016-2017
5.1-Alertandresponsecapacities
98.0
113.5
15.5
5.2-Epidemic-andpandemic-pronediseases
68.5
89.0
20.5
5.3-Emergencyriskandcrisismanagement
88.0
122.6
34.6
Total
254.5
334.1 4
70.6
CURRENTPROGRAMMEBUDGET2016-17MAPPING&EFFICIENCIES
Thecurrent2016-2017budgethasbeenrealignedandmappedtothenewHealthEmergenciesProgramme,
theresultofwhichisgiveninTables6aand6bbelow.Afullmappingofthedeliverablesofthe2016-2017
budgettothenewresultsframeworkisavailableinsupplementarymaterialstothisdocument.
InestablishingthenewProgramme,therehasbeenasignificantrestructuringandconsolidationofresources
toimproveefficiencyandtoestablishacriticalmassofresourcesincountrypreparedness,emergency
operations,coreservices,andhealthemergencyinformationmanagementandriskassessment.
3
Approvedbudget;allsubsequenttablesbasedonestimatedcostofactivities&staff
Includes9MUSDone-offsetupcostsforimplementationofthereform
4
8|P a g e Table6a:Currentbudgetmappingtonewresultsframework(USDmillionsfor2016-17biennium)
Newemergencyprogramme
Currentresultswithinscopeofnewemergencyprogrammescope
5.1
5.2
5.3
Total
InfectiousHazardManagement
2.8
89.4
0.0
92.3
CountryHealthEmergencyPreparedness&
IHR
74.0
3.4
44.5
121.9
HealthEmergencyInformation&Risk
Assessment
25.4
2.3
3.2
30.8
EmergencyOperations
15.8
0.9
51.0
67.6
EmergencyCoreServices
6.4
2.1
12.8
21.4
124.4
98.1
111.5
334.0
Total
Table6b:Currentstaffmappingtonewresultsframework(full-timeequivalents)
Newemergencyprogramme
Currentresultswithinscopeofnewemergencyprogrammescope
5.1
5.2
5.3
Total
8
105
0
113
CountryHealthEmergencyPreparedness&
IHR
126
11
90
227
HealthEmergencyInformation&Risk
Assessment
46
5
6
57
EmergencyOperations
20
5
101
126
EmergencyCoreServices
17
11
25
53
Total
218
135
222
575
InfectiousHazardManagement
ADDITIONALUS$160MILLIONBUDGETREQUIREMENT
Theadditionalbudgetandhumanresourcesrequirementspresentedinthetables7aand7bbelowreflectthe
prioritiesforestablishingandscalingupthenewHealthEmergenciesProgrammein2016-2017.Particular
emphasisisgiventostrengtheningRegionalOfficecapacityinthisbienniumtosupporttheprioritiesof
monitoringandevaluationofcountrypreparedness(includingJointExternalEvaluations)anddevelopmentof
nationalactionplansforstrengtheningall-hazardspreparedness.Additionalcapacityhasbeenaddedinthe
AFROandEMRORegionalOfficestoallowincreasedsupportforemergencyoperationsandriskassessmentin
themajorityofWHO’songoinggradedandprotractedemergencyresponses.
Atthecountrylevel,priorityisgiventotheHealthClustercountrieswithongoingandprotractedemergencies.
Capacitywillthenbeincreasedinallhighvulnerabilitycountriestostrengthencriticalcorecapacitiesfor
preparedness,monitoringandindependentriskassessment.
Geographically,thisresultsin74%oftheadditionalUS$160millionbudgetrequirementbeingusedtobuild
capacityattheRegionalandCountryOfficelevelsandfunctionally78%oftheadditionalbudgetrequirements
beingusedtoestablishtheoperationally-focusedHealthEmergencyInformation&RiskAssessment,
EmergencyOperations,andEmergencyCoreServicesareas.
9|P a g e Table7a:AdditionalUS$160millionbudgetrequirement(USDmillionsfor2016-17biennium)
Newemergencyprogramme
Headquarters
Regional
Offices
Country
Offices
Total
%ofTotal
InfectiousHazardManagement
3.7
9.2
4.2
17.1
11%
CountryHealthEmergencyPreparedness
&IHR
2.3
12.1
3.9
18.3
11%
HealthEmergencyInformation&Risk
Assessment
7.6
15.8
6.4
29.8
19%
EmergencyOperations
14.3
21.3
19.7
55.3
35%
EmergencyCoreServices
12.4
13.1
13.9
39.5
25%
Total
40.4
71.5
48.1
160.0
100%
%oftotal
25%
45%
30%
100%
Headquarters
Regional
Offices
Country
Offices
Total
%ofTotal
InfectiousHazardManagement
21
31
9
61
14%
CountryHealthEmergencyPreparedness
&IHR
6
29
8
43
10%
HealthEmergencyInformation&Risk
Assessment
19
41
16
76
17%
EmergencyOperations
33
54
56
143
33%
EmergencyCoreServices
31
44
38
113
26%
Total
110
199
127
436
100%
%oftotal
25%
46%
29%
100%
Table7b:Additionalstaffbreakdown(full-timeequivalents)
Newemergencyprogramme
IMPLEMENTATIONOFTHENEWHEALTHEMERGENCIESPROGRAMME
Timelineandmilestones
HavingcompletedthedesignofthenewProgramme,theOrganizationisinitiatingatransitionphase,withthe
goalofestablishingthenewstructureandpositionsacrossheadquarters,allsixregionalofficesandthefirst
setofprioritycountriesby1July2016;thetargetforcompletingthetransitionofexistingstaffintothenew
structureis1October2016.Givingthenewprogrammethecapacitytoperformitsfunctionswillrequirethe
recruitmentofasubstantialnumberofadditionalstaff,withnewskillsets,overaperiodof24−36months.
Byend-2016,WHOwillseektohavethenewteamsforhealthemergencyinformationandriskassessmentand
forpreparednessmonitoringandevaluationfunctioningatheadquartersandinallsixregionaloffices.The
endof2016hasbeensetasthetargetforstaffingthebasic,essentialfunctionsofthenewemergency
operationsteamsatheadquartersandinAFROandEMRO,whichcurrentlymanagethemajorityofWHO’s
protractedemergencyresponseoperations.TheSecretariatwillworktoestablishappropriatelystaffed
emergencymanagementteams,includingHealthClusterCoordinators,inatleast10prioritycountriesaffected
10|P a g e byprotractedcrisesbyend-2016.Staffingtheremainingprioritypositionsinheadquarters,regionaloffices
andprioritycountrieswillbecompletedbyend-2017.
FinancingthenewHealthEmergencyProgramme
AsofMay2016,WHOhasasubstantialfinancinggapforitsnewHealthEmergenciesProgramme,having
receivedUS$140milliontodateagainstthetotalbudgetofUS$494millionforthe2016-2017biennium.
th
FollowingtheconsiderationofthebudgetforthenewProgrammebythe69 WorldHealthAssembly,the
OrganizationwillconveneadetailedbudgetandfinancingdiscussionwithMemberStates,donors,and
interestedpartiesinJune2016toreviewthemajorelementsofthebudget,costdrivers,immediatefunding
priorities,potentialfinancingstrategiesand–ideally–someinitialindicativefundingdecisions.InSeptemberOctober2016,theOrganizationwillconveneawiderfinancingmeetingtomobilizetheremainingbalanceof
financingneededforthenewProgrammeinthecurrentbiennium.
StaffingthenewHealthEmergencyProgramme
QuicklycapacitatingthenewHealthEmergencyProgrammewillrequirebothavailablefinancingandtherapid
recruitmentofadditionalpersonnel.Toscale-uprapidly,theProgrammewilldrawonthesubstantialpoolof
morethan1000healthemergencytechnical,operational,andadministrativeexpertswhohaverecently
workedorarecurrentlyworkingforWHOinhumanitarianemergenciesandoutbreaksettingsworldwide.This
willbecomplementedbyawiderrecruitmentprocess.Recognisingthepotentialtimeconstraintsofregular
recruitmentprocesses,temporarycontractingmechanismswillbeusedintheshorttermtofacilitatearapid
scaleupofessentialcapacitiesatalllevelsoftheprogramme.
HealthEmergenciesProgrammebudgetplanningfor2018-2019
ThenewresultsframeworkfortheHealthEmergenciesProgrammethatpresentedinthisdocument(Annex1)
willserveasthebasisforprogrammebudgetplanningforthe2018-2019biennium.Theresultsframework
andbudgetwillbefurtherrefined,basedonexperiencegainedduringtheinitialrolloutofthenew
Programmeandincorporatedintotheoverallpresentationofthe2018-19ProgrammeBudget.
Monitoringandoversight
ThenewHealthEmergenciesProgrammewillreportonimplementationagainsttheresultsframeworkand
budgetthroughtheregularreportingmechanismsoftheProgrammeBudgetgovernance.Inaddition,thenew
IndependentOversightandAdvisoryCommittee(IOAC)fortheHealthEmergenciesProgrammewillprovide
oversightandmonitoringofthedevelopmentandperformanceoftheProgramme,guidetheProgramme’s
5
activitiesandreportfindingsthroughtheExecutiveBoardtotheWorldHealthAssembly .TheIOACwillalso
monitortheappropriatenessandadequacyoftheProgramme’sfinancing,resourcingandimplementation.
--------------------ENDS--------------------
5
http://www.who.int/about/who_reform/emergency-capacities/oversight-committee/en/
11|P a g e ANNEX1:FULLRESULTSFRAMEWORK
INFECTIOUSHAZARDMANAGEMENT
OutcomeE.1.Riskmitigationstrategiesandcapacitiesestablishedforpriorityhigh-threatinfectioushazards
Outcomeindicator(s):
•
Percentageofhazardsandgradedemergencieswithtechnicalcontrolstrategiescodevelopedwithorvalidatedbypartners
OutputE.1.1.Developandsupportpreventionandcontrolstrategies,toolsandcapacitiesforhigh-threatinfectious
hazards
Outputindicator(s):
•
Percentageofhigh-threatpathogensforwhichastrategyisinplacefordeployment
anduseofmosteffectivepackageofcontrolmeasures(forexample,influenza
vaccines,antivirals,YFvaccine,Choleravaccinemechanisms)
Keydeliverables:
•
Developandtestnewstrategiesandtoolsforpreventionandcontrolofinfectious
hazards;
Develop,maintainanddisseminatetechnicalguidelinesandotherknowledgeproducts
forthepreventionandcontrolofinfectioushazards;
Providetechnicalexpertiseinsupportofcountryhealthemergencypreparednessto
maintainprevention,surveillanceandcontrolprogrammesforhighthreatinfectious
hazards;
Providetechnicalexpertiseforriskassessmentandresponsetogradedandprotracted
emergencies.
•
•
•
OutputE.1.2.Establishandmaintainexpertsnetworkstodetect,understandandmanageneworemerginghighthreat
infectioushazards
Outputindicator(s):
•
Sufficient,well-coordinatedexpertnetworksareinplacetodetect,identify,
characterize,mitigateandcontrolemergingandhigh-threatpathogens
Keydeliverables:
•
Developandoperatepartnershipmechanismstoensureaccesstolife-saving
interventionsforinfectioushazards;
Developandmanageexpertnetworksforforecasting/modelling,operationalresearch
pathogensidentificationandvirulenceassessmentclinicalmanagementandhealth
workersprotection(IPC+),andriskcommunicationsandsocialscience-driven
responsetoepidemicandpandemicdiseases;
Providetechnicalexpertiseforriskassessmentandresponsetogradedandprotracted
emergencies;
Develop,maintainanddisseminatetechnicalguidelinesandotherknowledgeproducts
forthepreventionandcontrolofhighthreatinfectioushazards;
Ensureend-useraccesstoadaptedtechnicalknowledgeonhigh-threatandemerging
infectioushazards.
•
•
•
•
OutputE.1.3.ProvidesecretariatsupportforthemanagementofthePandemicInfluenzaPreparednessFramework
Outputindicator(s):
•
Numberofstandardmaterialtransferagreementsconcludedtoensureequitable
accesstopharmaceuticalcontrolmeasuresduringanInfluenzapandemic
Keydeliverables:
•
ConveneandsupportthePandemicInfluenzaPreparednessFrameworkAdvisoryand
ReviewGroups;
OverseeandmanagetheimplementationofthePandemicInfluenzaPreparedness
Frameworkcontributions;
FacilitateandmanagebenefitandsharingarrangementsbetweenPandemicInfluenza
PreparednessFrameworkstakeholders
•
•
12|P a g e COUNTRYHEALTHEMERGENCYPREPAREDNESS&InternationalHealthRegulations
OutcomeE.2.Countrycapacitiesestablishedforallhazardshealthemergencyriskmanagement
Outcomeindicator(s):
•
•
•
Numberofhighvulnerabilitycountrieswithcriticalcapacitiesinplace(earlywarning
systems,laboratories,emergencyoperationscentreandincidentmanagement,risk
communications,safehospitals)
NumberofcountriesmeetingandsustainingInternationalHealthRegulations(2005)
corecapacities
Numberofcountriesthathaveintegrateddisasterriskmanagementintoprimary,
secondaryandtertiaryhealthcare,especiallyatthelocallevel
OutputE.2.1.Monitor,evaluateandobjectivelyassesscountrycorecapacities
Outputindicator(s):
•
•
•
Keydeliverables:
•
NumberofcountriescompletingannualIHRreporting
Numberofcountrieshavingcorecountrycapacityindependentlyassessedevery4
years
Numberofcountriesthathaveconductedsimulationexercisesandafteraction
reviews
CoordinatewithNationalIHRFocalPointstoreview,analyse,andensureadequate
annualreportingontheimplementationoftheregulations;conductsimulation
exercisesandafter-actionreviewsaspartofcountryassessmentsforthe
implementationoftheIHR;coordinateandsupportthevoluntaryindependent
assessmentofcountrycorecapacitiesandimplementationoftheIHR;developand
disseminateregularreportsontheimplementationoftheIHR;supportdevelopment
ofplanstoaddresscapacitygapsidentifiedthroughtheaboveassessment
mechanisms.
OutputE.2.2.Assistcountriestodevelopnationalplansandcriticalcorecapacitiesforall-hazardhealthemergency
preparednessanddisasterriskmanagementforhealth
Outputindicator(s):
•
Numberofcountrieshavinginplaceallhazardsemergencypreparednessplans
Keydeliverables:
•
Formulatepolicies,norms,standards,andguidelinestosupportthedevelopmentof
criticalcorecapacitiesforglobalhealthsecurityanddisasterriskmanagement;
Promotemulti-sectoralcooperationtostrengthencountrycapacityfordisasterrisk
managementforhealth,theimplementationoftheIHRandthebuildingofresilient
healthsystems;
Developglobalandregionalstrategies,actionplansandplatformsforall-hazardhealth
emergencypreparednessanddisasterriskmanagementforhealth;
Supporthighvulnerabilitycountriestodevelopallhazardspreparednessanddisaster
emergencyriskmanagementplans;
Providetraining,assessmentsandsupporttohighvulnerabilitycountriestodevelop
criticalcorecapacities(earlywarningsystems,laboratories,emergencyoperations
centreandincidentmanagement,riskcommunications,safehospitals,pointsof
entry);
Trackandreportthestatusofnationalcriticalcorecapacitiesforpreparednessand
disasterriskmanagement.
•
•
•
•
•
OutputE.2.3.ProvidesecretariatsupporttotheimplementationoftheInternationalHealthRegulations
Outputindicator(s):
•
PercentageofEmergencyCommitteerecommendationscompliedwith
Keydeliverables:
•
MaintainthedirectoriesofnationalandregionalIHRfocal/contactpointsandrosterof
experts;providelegaladviceinrelationtoIHRimplementationandinterpretation;
ConveneandprovidesupporttotheInternationalEmergencyCommitteeforpotential
eventswhichconstituteaPublicHealthEmergencyofInternationalConcern(PHEIC);
monitorandreportontheimplementationofPHEICrecommendations;
Facilitateglobaldialogueacrossstakeholders/partners,sectorsanddisciplineson
issuesrelatedtoPHEICs;
SupporttheconveningandfunctioningofreviewcommitteesrelatedtoPHEICs.
•
•
•
13|P a g e HEALTHEMERGENCYINFORMATION&RISKASSESSMENT
OutcomeE.3.-Timelyandauthoritativesituationanalysis,riskassessmentandresponsemonitoringavailableforall
majorhealththreatsandevents
Outcomeindicator(s):
•
Allglobalhealthrisksindependentlyreportedandassessedwithin72hours
OutputE.3.1.Detect,verifyandassesstheriskofpotentialandongoinghealthemergencies
Outputindicator(s):
•
•
Keydeliverables:
•
•
•
•
•
•
Percentageofon-siteriskassessmentsinitiatedwithin72hoursfor(a)allhighthreat
pathogens(b)highlyvulnerablelowcapacitycountrieswithclustersofunexplained
deaths
Percentageofhealthsituationanalysespublishedwithin72hoursforacuteevents
withpotentialinternationalpublichealthimplications/concern
Ongoingmonitoringofsignalsforpotentialthreatsandearlywarning;
Coordinationofsurveillancenetworks;
Verificationofhighrisksignals;
Conductriskassessmentsforpotentialandongoingthreats;
Developriskmitigationstrategiesandplans;
Establishcasedefinitionsandstandardsforsurveillance.
OutputE.3.2.Establishdatacollectionmechanismsandmonitorongoinghealthemergencyoperations
Outputindicator(s):
•
Healthoutcomeandoperationalresponsemonitoringmetricsreportedregularlyfor
allgradedandprotractedevents
Keydeliverables:
•
Monitorandreportonpriorityoutcomeandcoverageindicatorsforacuteand
protractedemergencies;
Mappingofavailablehealthresourcesandcountrycapacityprofilesmaintained;
Collectandanalysehealthoperationssituationalanalysisandintelligence;
CollaboratewithOCHAtomonitor,analyseandreportonWHOandpartnerhealth
operations(4Ws);
Monitorongoingriskandresponseimplementation;
Deployandmanageresponseoperationsanddatacollectionmechanismsasrequired.
•
•
•
•
•
OutputE.3.3.Providedatamanagement,analyticsandreportingplatformtoproduceanddisseminatetimelyemergency
healthinformationproducts
Outputindicator(s):
•
StandardizedweeklySituationReportpublishedforallgradedemergenciesinasingle
standardizedformat
Keydeliverables:
•
•
•
Developandmaintaindatamanagementrepositoriesandsystems;
ProvideGISmappingandanalyticalproducts;
Produceanddisseminatepriorityinformationproductsatregularintervalsforall
ongoingrisks,gradedandprotractedemergencies.
14|P a g e EMERGENCYOPERATIONS
OutcomeE.4.-Emergency-affectedpopulationshaveaccesstoanessentialpackageoflife-savinghealthservices
Outcomeindicator(s):
•
•
•
Coordinatedactionofhealthemergencypartnersonthegroundwithin72hoursforall
gradedrisksandevents
Essentialoperationssupportandlogisticsestablishedwithin72hoursforallgraded
risksandevents
Context-specifictargetsmetforkeyhealthcoverageindicators–measlesvaccination
coverage,skilledbirthattendance,consultationrate
OutputE.4.1.Comprehensiveincidentmanagementestablishedforcoordinatedactioninallgradedandprotracted
healthemergencies
Outputindicator(s):
•
•
•
•
Keydeliverables:
•
•
•
•
•
Incidentmanagementsystemestablishedwithin72hoursforallgradedrisksand
events
Immediateresponseplanavailablewithin5daysforallgradedevents
Fulljointoperationsplanavailablewithin30daysforallgradedevents
Jointhealthplansintegratedintooverallhumanitarianresponseplansforallongoing
protractedevents
Establishincidentmanagementsystemsandsupportforallgradedevents;
Managementofresponsetoallprotractedevents;
Establishandrunemergencyoperationscentreatheadquartersandregionaloffices;
DevelopstrategicresponseandoperationsplanningforWHOandpartnersinall
gradedandprotractedevents;
Establisharea-basedapproachtodeliveryofessentialpackageofhealthservicesforall
protractedemergencies.
OutputE.4.2.Assistandcoordinatetheimplementationofhealthoperationstoagreedstandardsthroughpartnerand
WHOoperationalnetworks
Outputindicator(s):
•
•
•
•
Keydeliverables:
•
•
•
•
Effective,fullystaffedpartnercoordinationmechanismsinplaceforallgradedand
protractedeventsatnationalandsub-nationallevels
Allpartnersoperatingadheringtominimumsstandards,e.g.Sphere,EMTMinimum
Standards
HealthClustersreceiveascoreofsatisfactoryorhigherfor>75%ofclusterfunctions,
basedonassessmentusingClusterPerformanceMonitoringTool
AllWHOofficesmeetminimumreadinesscriteria
Estimateofoperationalneedsandidentifycapacitygaps;establishandmaintain
operationalpartnernetworks;
Establish,manageandmonitorpartnercoordinationmechanismsthatallowall
partnerstobeeffectivelyutilizedduringemergencyresponse;
Establishconsistenttechnicalstandardsforpartneroperationsandmonitor
implementationagainststandards;
AssesspartnerandWHOreadinesscapacitiesandidentifyreadinessgaps;support
partnersandWHOtodevelopcriticalcapacities.
OutputE.4.3Providesuppliesandlogisticalservicesandoperationalsupportforallgradedandprotractedhealth
emergencies
Outputindicator(s):
•
•
Keydeliverables:
•
•
•
Allstaffandconsultantsfullyoperational(accommodation,officespace,transport,
computer,phone,connectivity)within24hrsofarrivingin-country
Minimumessentialemergencysuppliesdistributedtopointsofservicewithin72hours
Provideoperationalsupportincludingfleet,accommodation,facilities,security,ICTfor
allgradedandprotractedemergencies;
Ensureavailabilityofmedicalsuppliesandequipmentthrougheffectivesupplychain
management;
Providecriticalspecializedhealthlogisticsservicesasrequiredforgradedand
protractedemergencies.
15|P a g e EMERGENCYCORESERVICES
OutcomeE.5.-WHOemergencyoperationsrapidlyandsustainablyfinancedandstaffed
Outcomeindicator(s):
•
70%oftheannualcorefinancialandhumanresourcerequirementsforthe
EmergenciesProgrammeavailableatleastthreemonthspriortothebeginningofthe
year
OutputE.5.1.Effectivemanagementandadministrativesupportfortheemergenciesprogramme
Outputindicator(s):
•
•
•
•
Keydeliverables:
•
•
•
Workplan(s)createdandapprovedwithin24hoursofgrading
Initialdisbursementofemergencyfundsofupto$500KUSDwithin24hoursof
grading
Staffandrosterconsultantsdeployedwithin3daysofdecisiontodeploy
Non-rosterstaffandconsultantsrecruitedwithin3daysanddeployedwithin5daysof
decisiontodeploy
Establishstandardizedemergencyprogrammeworkplansandbudgets;monitorthe
statusoffundingavailableandprojectedandresultingfundinggaps;
Ensuretheprovisionofhighquality,predictableHR,securityandstaffwellbeing
services;
Trackandmanagegrantsandtheirreportingrequirements;developandmonitor
implementationofStandardOperatingProcedures(SOPs)leadingtocontinuous
improvementandbusinessprocessexcellence.
OutputE.5.2.Accurateandtimelyhealthemergencycommunicationsandsustainablefinancing
Outputindicator(s):
•
•
Averagepercentageofdonorappealsfunded
Numberofmemberstatesfinanciallysupportingtheprogrammethroughvoluntary
contributions
Keydeliverables:
•
Developdonorappealsandengagewithdonorstoensureadequateandtimely
financingforcorefunctions,countrypreparednessandresponsetogradedand
protractedemergenciesthroughastrategicapproach,whileensuringthatreporting
requirementsaremet;
DevelopandimplementastrategyonWHOcommunicationsforemergenciesto
engagewithkeyaudiencestoeffectivelycommunicatetherisks,responsestrategies,
impactinhealthemergenciesandfinancingrequirements;
Developandimplementadvocacystrategiesandplanstoinfluencepolicydiscussions
andleveragepoliticalcommitmentandfundingaroundhealthemergencies,tohelp
shapetheagendaandgarnerrequiredsupport.
•
•
16|P a g e ANNEX2:HUMANITARIANRESPONSEPLAN(HRP)*&HEALTHCLUSTERCOUNTRIES
FundingRequest(USD,M)
Health
Cluster
HRP
Syria
Yes
Yemen
AffectedPopulation(1000s)
HealthCluster
WHO
Total
Targetfor
Health
Partners
Yes
437.2
155.3
13,500
11,500
Yes
Yes
182.3
120.0
21,200
10,600
Iraq
Yes
Yes
83.7
27.3
10,000
7,100
DemocraticRepublicof
Congo
Yes
Yes
50.0
15.0
7,500
6,000
Ethiopia
Yes
Yes
33.6
8.2
8,200
3,600
Afghanistan
Yes
Yes
39.6
10.0
-
3,200
-
Yes
24.7
5.0
14,800
2,600
SouthSudan
Yes
Yes
110.0
17.6
-
2,356
Ukraine
Yes
Yes
33.3
18.5
3,700
2,300
Mali
Yes
Yes
10.1
1.4
-
2,000
Somalia
Yes
Yes
71.2
14.1
4,900
1,900
-
Yes
38.1
15.3
2,440
1,200
Palestine
Yes
Yes
25.8
3.6
2,300
1,000
Chad
Yes
Yes
34.4
10.7
3,900
845
Niger
Yes
Yes
9.9
7.2
2,000
725
Myanmar
Yes
Yes
22.9
4.1
1,020
538
Burundi
-
Yes
62.3
10.0
1,100
442
GuatemalaandHonduras
-
Yes
5.6
2.6
2,800
450
Yes
Yes
4.9
3.9
531
198
-
Yes
193.8
12.8
2,100
25
CentralAfricanRepublic
Yes
Yes
42.0
15.9
2,300
1,000
Guinea
Yes
-
-
-
-
-
Jordan
Yes
-
-
-
-
-
Pakistan
Yes
-
-
-
-
-
Sudan
Yes
Yes
60
26
-
3,600
Turkey
Yes
-
-
-
-
-
Colombia
Yes
-
-
-
-
-
Nepal
Yes
-
-
-
-
-
PacificIslandCountries:
-Fiji
-Kiribati
-SolomonIslands
-Tonga
-Vanuatu
-Micronesia
Yes
-
-
-
-
-
Location
Nigeria
Libya
Mauritania
Haiti
*HumanitarianResponsePlansareregularlyupdatedwiththeevolvingsituationinaffectedcountries;these
figuresrepresentdataavailableasof16May2016.
17|P a g e