FINANCING DIALOGUE Investing in the World’s Health Organization WHO’s Financing Dialogue 2016 A proposal for increasing the assessed contribution Ensuring sustainable financing for WHO INTRODUCTION 1. WHO is the world’s directing and coordinating authority on international health. Its mission is to promote and protect the health of all peoples. 2. WHO's work is financed through dues paid by Member States to the Organization (assessed contributions) and through voluntary contributions from Member States, international organizations and non-State actors. A small part of voluntary contributions and the assessed contributions make up the flexible resources of the Organization. 3. When WHO was created in 1948, the intention was for it to be funded principally from the assessed contribution to enable the Organization to meet its primary mandate as a normative and technical agency. Although voluntary contributions, intended for special programmes, started growing during the late 1970s, assessed contributions were the predominant source of financing for the programme budget until the late 1990s. 4. Over the past decade, the total financing of the Organization has increased significantly. The increase in total financing has been mainly driven by voluntary contributions, which are largely specified to certain areas of the programme budget. 5. In the past 10 years, the assessed contribution from Member States has been stable nominally. This means that, with voluntary contributions increasing during the same period, the proportion of the programme budget financed from assessed contributions has declined over time. 1 FINANCING DIALOGUE Investing in the World’s Health Organization Figure 1. Trends in WHO financing, assessed contributions and voluntary contributions 1998–2017 6. At same time, the International Monetary Fund projects cumulative global inflation for the period 2010-2017 at 30.4%, with the annual average being 3.8%.1 7. The stagnant level of assessed contributions and the resulting decline in the proportion they fund out of the total budget is a cause of concern for the sustainability of the Organization. Reversing this trend is important for securing the future of the world’s health organization. 8. Therefore, the Director-General is proposing to raise the assessed contribution by 10%, which represents a total increase of US$ 93 million. This is in line with the recommendations of the United Nations High-level Panel on the Global Response to Health Crises.2 What does WHO use assessed contributions for? 9. The Organization currently receives a total of US$ 929 million in assessed contributions. These finance only 20% of the programme budget. 10. Under the new financing model of the Organization, assessed contributions are mainly used for the following: (a) Providing the funding to sustain the governing body mechanisms, the Secretariat’s leadership structure, at global, regional and country levels. Assessed contributions are a main source of funding for the backbone of the Organization, namely governance and leadership functions, including the salaries of the Director-General, the regional directors and WHO representatives in countries, and enable WHO to maintain its presence in more than 150 countries, which is a significant asset for bringing WHO’s support closer to where it matters. 2 http://www.un.org/News/dh/infocus/HLP/2016-02-05_Final_Report_Global_Response_to_Health_Crises.pdf (accessed 19 October 2016). 2 FINANCING DIALOGUE Investing in the World’s Health Organization (b) Maintaining an effective and efficient management and administration. Assessed contributions pay a portion of the cost of keeping the Organization operating by funding in part the management and administrative functions, including finance, human resource management and security. Assessed contributions are used to fund the functions that promote and improve accountability for resources, transparency and ensure that sufficient control functions are in place. (c) Promoting the alignment of resources to the Organization’s priorities. The strategic allocation of flexible resources allows the Director-General to compensate for insufficient alignment of specified voluntary contributions with the priorities decided collectively by the Member States. Assessed contributions have become the life-blood of several core programme areas and a catalyst in others. For example, the new Health Emergencies Programme has received so far funding of about US$ 60 million from assessed contributions in 2016 along with additional flexible resources. 11. How much assessed contributions are used for those areas and functions is illustrated in Figure 2. Assessed contributions are important as the main funding source for these critical areas and functions. More than half the total assessed contribution is dedicated to technical programmes’ priorities to meet their core needs in carrying out their normative, policy and coordination functions. Figure 2. Expenditures from assessed contribution, 2014-2015 (in US$ million) Why does WHO need an increase in assessed contributions? 12. There are at least four reasons why an increase in assessed contributions is vital: (a) Ensuring security for critical programmes/functions. With only about 20% financing of the programme budget coming from assessed contributions, WHO is highly vulnerable to fluctuations in voluntary contributions. One of the hard lessons from the Ebola crisis was that WHO needs to retain a sufficient core capacity and readiness to respond even before an event becomes a health emergency with the speed and scale that is necessary. This ability had been reduced severely when the voluntary contributions dropped remarkably in the biennium 20102011. The Ebola crisis was a wake-up call that exposed the need for a transformation of WHO, 3 FINANCING DIALOGUE Investing in the World’s Health Organization including the way its work is financed. Stable and flexible financing is essential to secure its core capacity to be able to withstand any unforeseen crises. (b) Strengthening the leverage value of assessed contributions. Since 2014, assessed contributions are not appropriated in advance, but Member States approve the budget in its entirety. This fundamental change has allowed a more strategic use of assessed contributions. The Secretariat has been better able to correct the misalignment between financing and the priorities of Member States; it is achieving this by distributing part of the assessed contributions to priorities that receive less funding through voluntary contributions. With the operational capacity being secured through assessed contributions, WHO’s programmes are in a better position to leverage other resources for achieving their intended results. Annex 2 shows the programme areas that rely most on assessed contributions in the previous biennium. (c) Safeguarding the gains achieved when programmatic priorities change. Public health investments in certain programmes have far-reaching implications for other programmes and systems. However, some donor-based investments are time-limited, particularly when the specific results are achieved or donors’ priorities or circumstances changes. Perhaps the most pressing example is the inevitable reduction in investments for the polio eradication programme in the next few years. The strong capacity and networks of disease surveillance, health planning, immunization and community mobilization built through the polio eradication programme in countries have provided the anchor for the operations of many other programmes. Assessed contributions will be crucial to safeguard these capacities, skills and systems in order to sustain the gains made in all programmes. (d) Making strategic, multi-year investments. The uniquely stable nature of assessed contributions will enable the Organization to make commitments on important agenda, resolutions and strategies that will require significant initial and multi-year investments. This is important as the world moves towards the implementation of the 2030 Agenda for Sustainable Development, in which WHO plays a pivotal role. WHO will need assessed contributions to build capacity in certain areas that will leverage longer-term support needed in research and development, global advocacy, individual country support for implementing the Sustainable Development Goals, especially Goal 3 (Ensure healthy lives and promote well-being for all at all ages). How will the increase in assessed contributions be used? 13. If agreed, the increase in assessed contributions of US$ 93 million for the biennium 2018-2019 will achieve the following results. 14. The additional assessed contributions will enable the Organization to implement the agreed plan for its transformation into an agency that is more operational and ready at all times to mount a rapid response to health emergencies. 15. The additional assessed contributions will immediately have an impact on the financing levels of the chronically underfunded areas, such as noncommunicable diseases, health and the environment, and nutrition. These areas struggle to generate good momentum for implementation at the beginning of the biennium owing to the lack of predictable and stable funding. 4 FINANCING DIALOGUE Investing in the World’s Health Organization 16. It will build staff capacity in the underfunded areas that have recently been declared by Member States as global priorities, such as antimicrobial resistance, dementia, and ageing and health. Initial funding from assessed contributions will be useful to establish WHO’s capacity, which could then be used to lever greater support from national and international sources. 17. It will help to buy global public goods that require sustained investments over time. For example, WHO will be able to engage in creating public health innovations that are otherwise not picked up by commercial interests, strengthen its role as guardian of the implementation of the International Health Regulations (2005), and build alert systems that contribute to global health security. 18. Finally, increased assessed contributions will allow WHO to make investments in strengthening its country presence, especially in highly vulnerable countries. For example, WHO offices in countries such as Nigeria will need additional assessed contributions to sustain the unprecedented gains in polio eradication and help to retain the country capacity built through funding for polio eradication to benefit other programmes, such as health emergencies, health systems strengthening and disease surveillance. Additional assessed contributions will help to retain sufficient human resource capacity that will help to leverage resources from domestic sources and partners. How will WHO use assessed contributions responsibly? 19. Through a combination of measures implemented in the WHO reform, the Organization is in a better position to optimize the value of the assessed contribution and ensure the proper use of resources entrusted to WHO. WHO has made significant progress in the following areas. 20. Stewardship for better results. WHO continues to strengthen its stewardship for better results. The programmatic reforms have led to improvements in accountability for results through better defining the results chain and improved priority-setting. The Organization continues to improve its priority-setting through a robust and consultative process for developing the programme budget, with engagement of Member States, partners and all levels of the Organization. Through this process, all offices narrow down the focus of their work to a limited set of priorities. For the biennium 2018-2019, more than 75% of country offices have allocated 80% of their budgets to up to 10 priority programmes. WHO will make sure that assessed contributions are used for delivering results, especially at country level. It will report results in a transparent and timely manner. 21. Improved accountability, transparency and control measures. Internal control and accountability frameworks are now being implemented across the Organization, encompassing all processes that have financial and human resources consequences. There is an accountability compact between the Director-General and Assistant Directors-General, and Letters of Representation for Regional Directors have been published. Compliance functions have been established in all major offices and an Organization-wide risk management system is in place. The Organization has made significant gains in ensuring transparency through innovations such as the programme budget web portal, the joint reporting of the financial situation and programmatic achievements, and independent corporate evaluations. WHO will be joining the International Aid Transparency Initiative in November this year. The Secretariat is ensuring that Member States are able to track how resources are spent and what results are being achieved in a much more transparent way. 5 FINANCING DIALOGUE Investing in the World’s Health Organization 22. Delivering value-for-money. Facing constraints on its resources, WHO has made substantial efforts to find most efficient ways for delivering its work. Evidence of this is the reduction in expenditure on staff (the biggest expenditure item in WHO) as a proportion of the overall expenditure by about 10% over the past six years. Several cost-saving measures with longer-term impact have been implemented, such as the relocation of corporate-wide services on finance, human resources and information technology to Malaysia and Hungary, at lower staff costs than Geneva. Travel ceilings have been established across all offices to cap travel costs and promote the use of technology in order to deliver the work more efficiently. Measures to improve economies of scale and to avoid duplication, including harmonized, globally shared information technology products and better coordinated procurement planning, have been strengthened. This demonstrates that the Organization is maximizing the use of the assessed contributions available for delivering results and will continue to do so. 23. The Secretariat is currently developing a comprehensive and detailed value-for-money plan to be submitted to the Executive Board in 2018. This will include further plans to reduce costs associated with meetings and travel, among other measures that yield high efficiencies and lower administrative costs across the enabling functions and technical programmes. How much more will individual Member States pay? 24. The 10% increase proposed will amount to an increase of US$ 93 million; the contributions will be apportioned to Member States on the basis of the scale of assessments adopted by the Health Assembly in May 2016. 1 25. Even with the proposed 10% increase in assessed contributions, about 40 countries will see a decrease in their contributions in future years compared to their 2016 assessment when the new scale of assessment is applied, starting in 2017. 26. Figure 3 illustrates the impact of the increase in assessed contributions to the 20 countries with largest expected increase in their 2018 assessed contributions as compared to 2016. 1 Resolution WHA69.14, available at: http://apps.who.int/gb/ebwha/pdf_files/WHA69/A69_R14-en.pdf (accessed 19 October 2016). 6 FINANCING DIALOGUE Investing in the World’s Health Organization Figure 3. Countries with largest expected increase in their assessed contributions for year 2018 (in US$ million) 7 FINANCING DIALOGUE Investing in the World’s Health Organization ANNEX 1 Assessed contributions by Member State and Associate Member showing the 10% increase in 2018 and 2019 (All amounts are in US$) Top contributors Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia (Plurinational State of) Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada 2016 23 230 46 450 636 370 37 160 46 450 9 290 2 006 640 32 520 9 634 200 3 707 180 185 800 78 970 181 160 46 450 37 160 260 120 4 636 180 4 650 13 940 4 650 41 810 2017 27 870 37 160 747 850 27 870 46 450 9 290 4 143 340 27 870 10 855 830 3 344 871 278 700 65 030 204 380 46 450 32 520 260 120 4 111 291 4 650 13 940 4 650 55 740 2018 30 657 40 876 822 635 30 657 51 095 10 219 4 557 674 30 657 11 941 412 3 679 358 306 570 71 533 224 818 51 095 35 772 286 132 4 522 420 5 115 15 334 5 115 61 314 Assessed contributions difference between 2018 and 2016 7 427 (5 574) 186 265 (6 503) 4 645 929 2 551 034 (1 863) 2 307 212 (27 822) 120 770 (7 437) 43 658 4 645 (1 388) 26 012 (113 760) 465 1 394 465 19 504 78 970 78 970 13 629 360 120 770 218 320 13 940 4 650 4 650 18 580 55 740 13 861 604 60 390 65 030 17 758 770 134 700 209 030 18 580 4 650 4 650 18 580 46 450 13 568 505 66 429 71 533 19 534 647 148 170 229 933 20 438 5 115 5 115 20 438 51 095 14 925 355 (12 541) (7 437) 5 905 287 27 400 11 613 6 498 465 465 1 858 (4 645) 1 063 751 8 2019 30 657 40 876 822 635 30 657 51 095 10 219 4 557 674 30 657 11 941 412 3 679 358 306 570 71 533 224 818 51 095 35 772 286 132 4 522 420 5 115 15 334 5 115 61 314 66 429 71 533 19 534 647 148 170 229 933 20 438 5 115 5 115 20 438 51 095 14 925 355 FINANCING DIALOGUE Investing in the World’s Health Organization Top contributors Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Cyprus Czechia Democratic People’s Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Assessed contributions difference between 2018 and 2016 465 16 263 487 255 16 559 045 442 199 465 7 427 465 63 642 (5 109) (79 424) 11 602 1 394 (35 302) (2 317) 2016 4 650 9 290 1 551 430 23 914 320 1 203 060 4 650 23 230 4 650 176 510 51 100 585 270 320 510 218 320 1 792 970 27 870 2017 4 650 23 230 1 853 350 36 793 969 1 495 690 4 650 27 870 4 650 218 320 41 810 459 860 301 920 199 740 1 597 880 23 230 2018 5 115 25 553 2 038 685 40 473 365 1 645 259 5 115 30 657 5 115 240 152 45 991 505 846 332 112 219 714 1 757 668 25 553 13 940 37 160 40 876 26 936 40 876 3 135 380 4 650 4 650 209 030 204 380 622 430 74 320 46 450 4 650 185 800 46 450 13 940 2 410 760 28 163 070 92 900 4 650 32 520 33 172 630 65 030 2 963 510 4 650 125 420 4 650 2 712 680 4 650 4 650 213 670 311 210 706 040 65 030 46 450 4 650 176 510 46 450 13 940 2 118 120 24 752 260 78 970 4 650 37 160 29 677 840 74 320 2 187 800 4 650 130 060 9 290 2 983 948 5 115 5 115 235 037 342 331 776 644 71 533 51 095 5 115 194 161 51 095 15 334 2 329 932 27 227 486 86 867 5 115 40 876 32 645 624 81 752 2 406 580 5 115 143 066 10 219 (151 432) 465 465 26 007 137 951 154 214 (2 787) 4 645 465 8 361 4 645 1 394 (80 828) (935 584) (6 033) 465 8 356 (527 006) 16 722 (556 930) 465 17 646 5 569 2 983 948 5 115 5 115 235 037 342 331 776 644 71 533 51 095 5 115 194 161 51 095 15 334 2 329 932 27 227 486 86 867 5 115 40 876 32 645 624 81 752 2 406 580 5 115 143 066 10 219 9 2019 5 115 25 553 2 038 685 40 473 365 1 645 259 5 115 30 657 5 115 240 152 45 991 505 846 332 112 219 714 1 757 668 25 553 FINANCING DIALOGUE Investing in the World’s Health Organization Top contributors Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libya Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) 2016 4 650 4 650 13 940 37 160 1 235 570 125 420 3 093 570 1 607 170 1 653 620 315 860 1 941 610 1 839 420 20 662 360 51 100 50 322 850 102 190 562 050 60 390 4 650 1 268 090 9 290 9 290 2017 4 650 9 290 13 940 37 160 747 850 106 830 3 423 370 2 341 080 2 187 800 599 210 1 556 080 1 997 350 17 410 390 41 810 44 964 440 92 900 887 200 83 610 4 650 1 323 820 9 290 13 930 2018 5 115 10 219 15 334 40 876 822 635 117 513 3 765 707 2 575 188 2 406 580 659 131 1 711 688 2 197 085 19 151 429 45 991 49 460 884 102 190 975 920 91 971 5 115 1 456 202 10 219 15 323 218 320 195 090 4 650 4 650 659 590 339 090 376 250 13 940 9 290 1 305 250 4 650 18 580 74 320 4 650 9 290 60 390 8 556 560 4 650 232 250 213 670 4 650 4 650 580 630 334 440 297 280 13 940 9 290 1 495 690 9 290 13 930 74 320 4 650 9 290 55 740 6 666 040 4 650 255 475 235 037 5 115 5 115 638 693 367 884 327 008 15 334 10 219 1 645 259 10 219 15 323 81 752 5 115 10 219 61 314 7 332 644 5 115 10 Assessed contributions difference between 2018 and 2016 465 5 569 1 394 3 716 (412 935) (7 907) 672 137 968 018 752 960 343 271 (229 922) 357 665 (1 510 931) (5 109) (861 966) – 413 870 31 581 465 188 112 929 6 033 37 155 39 947 465 465 (20 897) 28 794 (49 242) 1 394 929 340 009 5 569 (3 257) 7 432 465 929 924 (1 223 916) 465 2019 5 115 10 219 15 334 40 876 822 635 117 513 3 765 707 2 575 188 2 406 580 659 131 1 711 688 2 197 085 19 151 429 45 991 49 460 884 102 190 975 920 91 971 5 115 1 456 202 10 219 15 323 255 475 235 037 5 115 5 115 638 693 367 884 327 008 15 334 10 219 1 645 259 10 219 15 323 81 752 5 115 10 219 61 314 7 332 644 5 115 FINANCING DIALOGUE Investing in the World’s Health Organization Top contributors Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino 2016 55 740 13 940 23 230 287 990 13 940 46 450 46 450 4 650 27 870 7 683 300 1 175 190 13 940 9 290 418 050 4 650 3 953 360 473 790 394 830 4 650 120 770 18 580 46 450 543 470 715 330 4 278 510 2 185 714 4 650 970 810 9 262 600 13 940 1 049 770 11 325 440 9 290 4 650 4 650 2017 46 450 23 230 18 580 250 830 18 580 46 450 46 450 4 650 27 870 6 884 360 1 244 860 18 580 9 290 970 810 4 650 3 944 071 524 890 431 985 4 650 157 930 18 580 65 030 631 720 766 430 3 906 911 1 804 820 4 650 1 249 510 9 471 620 18 580 854 680 14 344 690 9 290 4 650 4 650 2018 51 095 25 553 20 438 275 913 20 438 51 095 51 095 5 115 30 657 7 572 796 1 369 346 20 438 10 219 1 067 891 5 115 4 338 478 577 379 475 184 5 115 173 723 20 438 71 533 694 892 843 073 4 297 602 1 985 302 5 115 1 374 461 10 418 782 20 438 940 148 15 779 159 10 219 5 115 5 115 4 650 4 650 13 940 4 650 4 650 13 940 5 115 5 115 15 334 11 Assessed contributions difference between 2018 and 2016 (4 645) 11 613 (2 792) (12 077) 6 498 4 645 4 645 465 2 787 (110 504) 194 156 6 498 929 649 841 465 385 118 103 589 80 353 465 52 953 1 858 25 083 151 422 127 743 19 092 (200 412) 465 403 651 1 156 182 6 498 (109 622) 4 453 719 929 465 465 465 465 1 394 2019 51 095 25 553 20 438 275 913 20 438 51 095 51 095 5 115 30 657 7 572 796 1 369 346 20 438 10 219 1 067 891 5 115 4 338 478 577 379 475 184 5 115 173 723 20 438 71 533 694 892 843 073 4 297 602 1 985 302 5 115 1 374 461 10 418 782 20 438 940 148 15 779 159 10 219 5 115 5 115 5 115 5 115 15 334 FINANCING DIALOGUE Investing in the World’s Health Organization Top contributors Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates 2016 4 650 4 013 750 27 870 185 800 4 650 4 650 1 783 680 794 300 464 500 4 650 4 650 1 727 940 18 580 13 810 520 116 130 46 450 18 580 13 940 4 459 670 4 863 780 167 220 13 940 1 110 160 2017 4 650 5 323 641 23 230 148 640 4 650 4 650 2 076 320 743 200 390 180 4 650 4 650 1 690 780 13 930 11 348 200 143 990 46 450 27 870 9 290 4 441 091 5 295 770 111 480 18 580 1 351 690 2018 5 115 5 856 005 25 553 163 504 5 115 5 115 2 283 952 817 520 429 198 5 115 5 115 1 859 858 15 323 12 483 019 158 389 51 095 30 657 10 219 4 885 200 5 825 347 122 628 20 438 1 486 859 Assessed contributions difference between 2018 and 2016 465 1 842 255 (2 317) (22 296) 465 465 500 272 23 220 (35 302) 465 465 131 918 (3 257) (1 327 501) 42 259 4 645 12 077 (3 721) 425 530 961 567 (44 592) 6 498 376 699 37 160 9 290 4 650 4 650 4 650 204 380 167 220 6 169 030 88 260 4 650 27 870 459 860 2 763 780 32 520 13 930 4 650 4 650 4 650 157 930 130 060 4 729 080 120 770 4 650 41 810 478 440 2 805 580 35 772 15 323 5 115 5 115 5 115 173 723 143 066 5 201 988 132 847 5 115 45 991 526 284 3 086 138 (1 388) 6 033 465 465 465 (30 657) (24 154) (967 042) 44 587 465 18 121 66 424 322 358 12 2019 5 115 5 856 005 25 553 163 504 5 115 5 115 2 283 952 817 520 429 198 5 115 5 115 1 859 858 15 323 12 483 019 158 389 51 095 30 657 10 219 4 885 200 5 825 347 122 628 20 438 1 486 859 35 772 15 323 5 115 5 115 5 115 173 723 143 066 5 201 988 132 847 5 115 45 991 526 284 3 086 138 FINANCING DIALOGUE Investing in the World’s Health Organization Top contributors United Kingdom of Great Britain and Northern Ireland United Republic of Tanzania United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Yemen Zambia Zimbabwe Total Assessed contributions difference between 2018 and 2016 2016 2017 2018 24 058 300 20 731 580 22 804 738 (1 253 562) 22 804 738 41 810 113 513 160 241 540 69 680 4 650 46 450 113 513 160 366 950 106 830 4 650 51 095 124 864 476 403 645 117 513 5 115 9 285 11 351 316 162 105 47 833 465 51 095 124 864 476 403 645 117 513 5 115 2 912 420 195 090 46 450 27 870 9 290 477 988 678 2 652 300 269 410 46 450 32 520 18 580 477 988 680 2 917 530 296 351 51 095 35 772 20 438 525 787 548 5 110 101 261 4 645 7 902 11 148 47 798 870 2 917 530 296 351 51 095 35 772 20 438 525 787 548 13 2019 FINANCING DIALOGUE Investing in the World’s Health Organization ANNEX 2 Programme areas supported through assessed contributions in 2014-2015 Programme areas Health Assemblyapproved Programme budget Assessed contribution funding Assessed contribution reliance in % 1.5 Vaccine-preventable diseases 346.8 24.2 7% 1.2 Tuberculosis 130.9 14.7 11% 1.3 Malaria 4.3 Access to medicines and health technologies and strengthening regulatory capacity 91.6 16.8 18% 145.5 29.0 20% 1.1 HIV/AIDS 131.5 27.1 21% 88.0 18.8 21% 102.0 22.0 22% 32.5 7.6 23% 5.3 Emergency risk and crisis management 3.5 Health and the environment 5.4 Food safety 3.1 Reproductive, maternal, newborn and child health 189.9 44.7 24% 5.1 Alert and response capacities 98.0 26.4 27% 2.3 Violence and injuries 31.1 8.4 27% 2.4 Disability and rehabilitation 15.5 4.2 27% 1.4 Neglected tropical diseases 4.1 National health policies, strategies and plans 91.3 25.0 27% 125.7 35.3 28% 2.5 Nutrition 40.0 11.4 28% 5.2 Epidemic- and pandemic-prone disesases 68.5 20.6 30% 2.2 Mental health and substance abuse 39.2 12.7 32% 4.2 Integrated people-centred health services 151.5 51.5 34% 2.1 Noncommunicable diseases 192.1 65.4 34% 6.4 Management and administration 334.3 127.5 38% 3.4 Social determinants of health 3.3 Gender, equity and human rights mainstreaming 30.3 11.9 39% 13.9 5.5 40% 9.5 4.1 43% 4.4 Health systems Information and evidence 6.2 Transparency, accountability and risk management 108.4 46.3 43% 50.4 23.0 46% 6.1 Leadership and governance 6.3 Strategic planning, resource coordination andreporting 227.7 165.4 73% 34.5 26.8 78% 37.1 31.9 86% 2957.7 908.1 31% 3.2 Ageing and health 6.5 Strategic communications Grand total = = 14 =
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