WHO’s Financing Dialogue 2016 A proposal for increasing ... · 19/10/2016  · Figure 1. Trends...

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FINANCING DIALOGUE Investing in the World’s Health Organization 1 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.

Transcript of WHO’s Financing Dialogue 2016 A proposal for increasing ... · 19/10/2016  · Figure 1. Trends...

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FINANCING DIALOGUE

Investing in the World’s Health Organization

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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.

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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).

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(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 2010-

2011. The Ebola crisis was a wake-up call that exposed the need for a transformation of WHO,

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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.

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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.

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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).

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Figure 3. Countries with largest expected increase in their assessed contributions for year 2018

(in US$ million)

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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 2016 2017 2018

Assessed

contributions

difference

between

2018 and 2016 2019

Afghanistan 23 230 27 870 30 657 7 427 30 657

Albania 46 450 37 160 40 876 (5 574) 40 876

Algeria 636 370 747 850 822 635 186 265 822 635

Andorra 37 160 27 870 30 657 (6 503) 30 657

Angola 46 450 46 450 51 095 4 645 51 095

Antigua and Barbuda 9 290 9 290 10 219 929 10 219

Argentina 2 006 640 4 143 340 4 557 674 2 551 034 4 557 674

Armenia 32 520 27 870 30 657 (1 863) 30 657

Australia 9 634 200 10 855 830 11 941 412 2 307 212 11 941 412

Austria 3 707 180 3 344 871 3 679 358 (27 822) 3 679 358

Azerbaijan 185 800 278 700 306 570 120 770 306 570

Bahamas 78 970 65 030 71 533 (7 437) 71 533

Bahrain 181 160 204 380 224 818 43 658 224 818

Bangladesh 46 450 46 450 51 095 4 645 51 095

Barbados 37 160 32 520 35 772 (1 388) 35 772

Belarus 260 120 260 120 286 132 26 012 286 132

Belgium 4 636 180 4 111 291 4 522 420 (113 760) 4 522 420

Belize 4 650 4 650 5 115 465 5 115

Benin 13 940 13 940 15 334 1 394 15 334

Bhutan 4 650 4 650 5 115 465 5 115

Bolivia (Plurinational State

of)

41 810 55 740 61 314 19 504 61 314

Bosnia and Herzegovina 78 970 60 390 66 429 (12 541) 66 429

Botswana 78 970 65 030 71 533 (7 437) 71 533

Brazil 13 629 360 17 758 770 19 534 647 5 905 287 19 534 647

Brunei Darussalam 120 770 134 700 148 170 27 400 148 170

Bulgaria 218 320 209 030 229 933 11 613 229 933

Burkina Faso 13 940 18 580 20 438 6 498 20 438

Burundi 4 650 4 650 5 115 465 5 115

Cabo Verde 4 650 4 650 5 115 465 5 115

Cambodia 18 580 18 580 20 438 1 858 20 438

Cameroon 55 740 46 450 51 095 (4 645) 51 095

Canada 13 861 604 13 568 505 14 925 355 1 063 751 14 925 355

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Top contributors 2016 2017 2018

Assessed

contributions

difference

between

2018 and 2016 2019

Central African Republic 4 650 4 650 5 115 465 5 115

Chad 9 290 23 230 25 553 16 263 25 553

Chile 1 551 430 1 853 350 2 038 685 487 255 2 038 685

China 23 914 320 36 793 969 40 473 365 16 559 045 40 473 365

Colombia 1 203 060 1 495 690 1 645 259 442 199 1 645 259

Comoros 4 650 4 650 5 115 465 5 115

Congo 23 230 27 870 30 657 7 427 30 657

Cook Islands 4 650 4 650 5 115 465 5 115

Costa Rica 176 510 218 320 240 152 63 642 240 152

Côte d’Ivoire 51 100 41 810 45 991 (5 109) 45 991

Croatia 585 270 459 860 505 846 (79 424) 505 846

Cuba 320 510 301 920 332 112 11 602 332 112

Cyprus 218 320 199 740 219 714 1 394 219 714

Czechia 1 792 970 1 597 880 1 757 668 (35 302) 1 757 668

Democratic People’s

Republic of Korea

27 870 23 230 25 553 (2 317) 25 553

Democratic Republic of the

Congo

13 940 37 160 40 876 26 936 40 876

Denmark 3 135 380 2 712 680 2 983 948 (151 432) 2 983 948

Djibouti 4 650 4 650 5 115 465 5 115

Dominica 4 650 4 650 5 115 465 5 115

Dominican Republic 209 030 213 670 235 037 26 007 235 037

Ecuador 204 380 311 210 342 331 137 951 342 331

Egypt 622 430 706 040 776 644 154 214 776 644

El Salvador 74 320 65 030 71 533 (2 787) 71 533

Equatorial Guinea 46 450 46 450 51 095 4 645 51 095

Eritrea 4 650 4 650 5 115 465 5 115

Estonia 185 800 176 510 194 161 8 361 194 161

Ethiopia 46 450 46 450 51 095 4 645 51 095

Fiji 13 940 13 940 15 334 1 394 15 334

Finland 2 410 760 2 118 120 2 329 932 (80 828) 2 329 932

France 28 163 070 24 752 260 27 227 486 (935 584) 27 227 486

Gabon 92 900 78 970 86 867 (6 033) 86 867

Gambia 4 650 4 650 5 115 465 5 115

Georgia 32 520 37 160 40 876 8 356 40 876

Germany 33 172 630 29 677 840 32 645 624 (527 006) 32 645 624

Ghana 65 030 74 320 81 752 16 722 81 752

Greece 2 963 510 2 187 800 2 406 580 (556 930) 2 406 580

Grenada 4 650 4 650 5 115 465 5 115

Guatemala 125 420 130 060 143 066 17 646 143 066

Guinea 4 650 9 290 10 219 5 569 10 219

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Top contributors 2016 2017 2018

Assessed

contributions

difference

between

2018 and 2016 2019

Guinea-Bissau 4 650 4 650 5 115 465 5 115

Guyana 4 650 9 290 10 219 5 569 10 219

Haiti 13 940 13 940 15 334 1 394 15 334

Honduras 37 160 37 160 40 876 3 716 40 876

Hungary 1 235 570 747 850 822 635 (412 935) 822 635

Iceland 125 420 106 830 117 513 (7 907) 117 513

India 3 093 570 3 423 370 3 765 707 672 137 3 765 707

Indonesia 1 607 170 2 341 080 2 575 188 968 018 2 575 188

Iran (Islamic Republic of) 1 653 620 2 187 800 2 406 580 752 960 2 406 580

Iraq 315 860 599 210 659 131 343 271 659 131

Ireland 1 941 610 1 556 080 1 711 688 (229 922) 1 711 688

Israel 1 839 420 1 997 350 2 197 085 357 665 2 197 085

Italy 20 662 360 17 410 390 19 151 429 (1 510 931) 19 151 429

Jamaica 51 100 41 810 45 991 (5 109) 45 991

Japan 50 322 850 44 964 440 49 460 884 (861 966) 49 460 884

Jordan 102 190 92 900 102 190 – 102 190

Kazakhstan 562 050 887 200 975 920 413 870 975 920

Kenya 60 390 83 610 91 971 31 581 91 971

Kiribati 4 650 4 650 5 115 465 5 115

Kuwait 1 268 090 1 323 820 1 456 202 188 112 1 456 202

Kyrgyzstan 9 290 9 290 10 219 929 10 219

Lao People’s Democratic

Republic

9 290 13 930 15 323 6 033 15 323

Latvia 218 320 232 250 255 475 37 155 255 475

Lebanon 195 090 213 670 235 037 39 947 235 037

Lesotho 4 650 4 650 5 115 465 5 115

Liberia 4 650 4 650 5 115 465 5 115

Libya 659 590 580 630 638 693 (20 897) 638 693

Lithuania 339 090 334 440 367 884 28 794 367 884

Luxembourg 376 250 297 280 327 008 (49 242) 327 008

Madagascar 13 940 13 940 15 334 1 394 15 334

Malawi 9 290 9 290 10 219 929 10 219

Malaysia 1 305 250 1 495 690 1 645 259 340 009 1 645 259

Maldives 4 650 9 290 10 219 5 569 10 219

Mali 18 580 13 930 15 323 (3 257) 15 323

Malta 74 320 74 320 81 752 7 432 81 752

Marshall Islands 4 650 4 650 5 115 465 5 115

Mauritania 9 290 9 290 10 219 929 10 219

Mauritius 60 390 55 740 61 314 924 61 314

Mexico 8 556 560 6 666 040 7 332 644 (1 223 916) 7 332 644

Micronesia (Federated

States of)

4 650 4 650 5 115 465 5 115

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Top contributors 2016 2017 2018

Assessed

contributions

difference

between

2018 and 2016 2019

Monaco 55 740 46 450 51 095 (4 645) 51 095

Mongolia 13 940 23 230 25 553 11 613 25 553

Montenegro 23 230 18 580 20 438 (2 792) 20 438

Morocco 287 990 250 830 275 913 (12 077) 275 913

Mozambique 13 940 18 580 20 438 6 498 20 438

Myanmar 46 450 46 450 51 095 4 645 51 095

Namibia 46 450 46 450 51 095 4 645 51 095

Nauru 4 650 4 650 5 115 465 5 115

Nepal 27 870 27 870 30 657 2 787 30 657

Netherlands 7 683 300 6 884 360 7 572 796 (110 504) 7 572 796

New Zealand 1 175 190 1 244 860 1 369 346 194 156 1 369 346

Nicaragua 13 940 18 580 20 438 6 498 20 438

Niger 9 290 9 290 10 219 929 10 219

Nigeria 418 050 970 810 1 067 891 649 841 1 067 891

Niue 4 650 4 650 5 115 465 5 115

Norway 3 953 360 3 944 071 4 338 478 385 118 4 338 478

Oman 473 790 524 890 577 379 103 589 577 379

Pakistan 394 830 431 985 475 184 80 353 475 184

Palau 4 650 4 650 5 115 465 5 115

Panama 120 770 157 930 173 723 52 953 173 723

Papua New Guinea 18 580 18 580 20 438 1 858 20 438

Paraguay 46 450 65 030 71 533 25 083 71 533

Peru 543 470 631 720 694 892 151 422 694 892

Philippines 715 330 766 430 843 073 127 743 843 073

Poland 4 278 510 3 906 911 4 297 602 19 092 4 297 602

Portugal 2 185 714 1 804 820 1 985 302 (200 412) 1 985 302

Puerto Rico 4 650 4 650 5 115 465 5 115

Qatar 970 810 1 249 510 1 374 461 403 651 1 374 461

Republic of Korea 9 262 600 9 471 620 10 418 782 1 156 182 10 418 782

Republic of Moldova 13 940 18 580 20 438 6 498 20 438

Romania 1 049 770 854 680 940 148 (109 622) 940 148

Russian Federation 11 325 440 14 344 690 15 779 159 4 453 719 15 779 159

Rwanda 9 290 9 290 10 219 929 10 219

Saint Kitts and Nevis 4 650 4 650 5 115 465 5 115

Saint Lucia 4 650 4 650 5 115 465 5 115

Saint Vincent and the

Grenadines 4 650 4 650 5 115 465 5 115

Samoa 4 650 4 650 5 115 465 5 115

San Marino 13 940 13 940 15 334 1 394 15 334

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Top contributors 2016 2017 2018

Assessed

contributions

difference

between

2018 and 2016 2019

Sao Tome and Principe 4 650 4 650 5 115 465 5 115

Saudi Arabia 4 013 750 5 323 641 5 856 005 1 842 255 5 856 005

Senegal 27 870 23 230 25 553 (2 317) 25 553

Serbia 185 800 148 640 163 504 (22 296) 163 504

Seychelles 4 650 4 650 5 115 465 5 115

Sierra Leone 4 650 4 650 5 115 465 5 115

Singapore 1 783 680 2 076 320 2 283 952 500 272 2 283 952

Slovakia 794 300 743 200 817 520 23 220 817 520

Slovenia 464 500 390 180 429 198 (35 302) 429 198

Solomon Islands 4 650 4 650 5 115 465 5 115

Somalia 4 650 4 650 5 115 465 5 115

South Africa 1 727 940 1 690 780 1 859 858 131 918 1 859 858

South Sudan 18 580 13 930 15 323 (3 257) 15 323

Spain 13 810 520 11 348 200 12 483 019 (1 327 501) 12 483 019

Sri Lanka 116 130 143 990 158 389 42 259 158 389

Sudan 46 450 46 450 51 095 4 645 51 095

Suriname 18 580 27 870 30 657 12 077 30 657

Swaziland 13 940 9 290 10 219 (3 721) 10 219

Sweden 4 459 670 4 441 091 4 885 200 425 530 4 885 200

Switzerland 4 863 780 5 295 770 5 825 347 961 567 5 825 347

Syrian Arab Republic 167 220 111 480 122 628 (44 592) 122 628

Tajikistan 13 940 18 580 20 438 6 498 20 438

Thailand 1 110 160 1 351 690 1 486 859 376 699 1 486 859

The former Yugoslav

Republic of Macedonia 37 160 32 520 35 772 (1 388) 35 772

Timor-Leste 9 290 13 930 15 323 6 033 15 323

Togo 4 650 4 650 5 115 465 5 115

Tokelau 4 650 4 650 5 115 465 5 115

Tonga 4 650 4 650 5 115 465 5 115

Trinidad and Tobago 204 380 157 930 173 723 (30 657) 173 723

Tunisia 167 220 130 060 143 066 (24 154) 143 066

Turkey 6 169 030 4 729 080 5 201 988 (967 042) 5 201 988

Turkmenistan 88 260 120 770 132 847 44 587 132 847

Tuvalu 4 650 4 650 5 115 465 5 115

Uganda 27 870 41 810 45 991 18 121 45 991

Ukraine 459 860 478 440 526 284 66 424 526 284

United Arab Emirates 2 763 780 2 805 580 3 086 138 322 358 3 086 138

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Top contributors 2016 2017 2018

Assessed

contributions

difference

between

2018 and 2016 2019

United Kingdom of Great

Britain and Northern

Ireland 24 058 300 20 731 580 22 804 738 (1 253 562) 22 804 738

United Republic of

Tanzania 41 810 46 450 51 095 9 285 51 095

United States of America 113 513 160 113 513 160 124 864 476 11 351 316 124 864 476

Uruguay 241 540 366 950 403 645 162 105 403 645

Uzbekistan 69 680 106 830 117 513 47 833 117 513

Vanuatu 4 650 4 650 5 115 465 5 115

Venezuela (Bolivarian

Republic of) 2 912 420 2 652 300 2 917 530 5 110 2 917 530

Viet Nam 195 090 269 410 296 351 101 261 296 351

Yemen 46 450 46 450 51 095 4 645 51 095

Zambia 27 870 32 520 35 772 7 902 35 772

Zimbabwe 9 290 18 580 20 438 11 148 20 438

Total 477 988 678 477 988 680 525 787 548 47 798 870 525 787 548

Page 14: WHO’s Financing Dialogue 2016 A proposal for increasing ... · 19/10/2016  · Figure 1. Trends in WHO financing, assessed contributions and voluntary contributions 1998–2017

FINANCING DIALOGUE

Investing in the World’s Health Organization

14

ANNEX 2

Programme areas supported through assessed contributions in 2014-2015

Programme areas

Health Assembly-

approved

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 91.6 16.8 18%

4.3 Access to medicines and health

technologies and strengthening regulatory

capacity 145.5 29.0 20%

1.1 HIV/AIDS 131.5 27.1 21%

5.3 Emergency risk and crisis management 88.0 18.8 21%

3.5 Health and the environment 102.0 22.0 22%

5.4 Food safety 32.5 7.6 23%

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 91.3 25.0 27%

4.1 National health policies, strategies and

plans 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 30.3 11.9 39%

3.3 Gender, equity and human rights

mainstreaming 13.9 5.5 40%

3.2 Ageing and health 9.5 4.1 43%

4.4 Health systems Information and evidence 108.4 46.3 43%

6.2 Transparency, accountability and risk

management 50.4 23.0 46%

6.1 Leadership and governance 227.7 165.4 73%

6.3 Strategic planning, resource coordination

andreporting 34.5 26.8 78%

6.5 Strategic communications 37.1 31.9 86%

Grand total 2957.7 908.1 31%

= = =