who reform progress and implications for the european region
TRANSCRIPT
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WHO ReformProgress and Implications for
the European Region
Dr Zsuzsanna JakabRegional Director
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WHO reform: progress and implications• Fifth consecutive report to Regional Committee (RC)• Annual rolling plan on implications of reform for Europe• Document EUR/RC65/15 gives broad overview of progress• Five key areas covered in 2015 by global governing bodies:
– strategic budget space allocation– framework for engagement with non-State actors– reform implementation, with emphasis on governance reform– strengthening WHO accountability framework– global staff mobility, as part of human resources reform.
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Related reform issues to be discussed
In addition to an overall review of progress on WHO reform, agenda item 5 (h) includes separate presentations on:
• WHO work in outbreaks and emergencies, with health and humanitarian implications
• overview of global governance reform• accountability and compliance.
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Strategic budget space allocation• Key issue of reform: how to find a rational, fair and equitable methodology for allocating the
budget among HQ and the six regions;• Two major exercises undertaken in the past – both since discontinued;• This time, Member State-driven through Programme, Budget and Administration Committee
(PBAC) Working Group (WG);• After long and difficult negotiations, consensus at 137th session of Executive Board (EB) only
on technical cooperation with countries (segment 1);• Tribute to the active involvement of European Member States, and to Chair of PBAC WG
(Dr Dirk Cuypers, Belgium).
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Strategic budget space allocation: implications • Broad agreement reached at EB136 (January 2015) on general principles to be applied for
budget segments 2, 3 and 4;• Consensus decision EB137(7) relates only to segment 1 – technical cooperation at country
level, amounting to US$ 933 million;• WHO Regional Office for Europe share of segment 1 to gradually increase from 5% to 6.4%
over next three bienniums;• Due to 8% overall budget increase, no net reduction to any Region in 2016–2017;• Regional Office pilots application of methodology for allocation of assessed contributions
among biennial collaborative agreement countries for 2016–2017.
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WHO engagement with non-State actors • Of key importance to the overall governance of global health;• Has been discussed repeatedly – and inconclusively – over four years;• Main impediments continue to include:
– conflict of interest– transparency– resources– role of the Engagement Coordination Group– feasibility of the implementation.
• World Health Assembly adopted resolution WHA68.9 on the way forward.
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Non-State actors: next steps• Consensus reached through WHA68.9 that process must be concluded by Sixty-
ninth Health Assembly in 2016, following final review by EB138;• Following Sixty-eighth Health Assembly, open-ended intergovernmental meeting
convened 8–10 July 2015, with good progress;• Further informal session before next formal meeting scheduled for 7–10
December 2015;• Implications for European Region: Standing Committee of the Regional Committee
(SCRC) to review Regional Office partnership strategy following global agreement.
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Overview of reform implementation• Important lessons learned from unprecedented complexity and scale of Ebola
outbreak;• Separate discussion on this issue scheduled later this afternoon;• In addition, weaknesses in progress and coherence of governance reform identified
by EB136 and Chair of Independent Expert Oversight Advisory Committee;• Member State consultative process on governance reform established: Estonia and
Russian Federation represent European Region in WG;• Separate discussion also on this issue later today.
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Governance reform: European perspective
• European Member States proactive on governance reform since 2010, with successive subgroups set up by SCRC
• Summary of European governance reform initiatives posted on Headquarters website, covering:
– procedures for nomination of Regional Director– strengthening governance oversight by RC and SCRC– management of RC agendas– management of resolutions and amendments
– transparency of and criteria for nomination of members to the EB and the SCRC.
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Accountability and compliance: regional perspective• 2011: Compliance team formally established• 2012: Financial certification introduced for contracts exceeding US$15 000• All 36 country offices and geographically dispersed offices routinely reviewed for
financial compliance according to a risk assessment• Sharp decrease in single source contracts• No long-outstanding open audit recommendations for Regional Office• SCRC is regularly informed through extensive oversight reports • Separate presentation to be provided by I. Hollo, Division Director, Administration and
Finance.
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Human Resources reform: global mobility scheme• Consequences of Ebola outbreak: difficulties in managing rapid
deployment of 700 staff – later revised upwards to 1000 positions;• New mobility scheme: gradual implementation from early 2016;• Initially on voluntary basis – after 2018, mandatory for all staff
holding rotational posts in P and D categories;• Best guess: to probably involve 300–400 staff movements per year;• Overall cost: between US$ 8–9 million per biennium.
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Reform of WHO work in outbreaks and emergencieswith health and humanitarian consequences • An active process overseen by WHO Director-General
– the Advisory Group on Reform of WHO’s Work in Outbreaks and Emergencies with Health and Humanitarian Consequences
– a Project Secretariat• With a six-step roadmap:
– a unified WHO programme for health emergencies– clear performance metrics for the programme, built on partnerships
with other responders – a global health emergency workforce– a new business processes to facilitate a rapid and effective response– a contingency fund– accelerated research and development in epidemics
or health emergencies.
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Thank you