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